Thursday, August 12, 2010

Death by Traveling.


Death by traveling? Yes that’s right. Believe it or not, you can die from riding a plane or a car (& I’m NOT talking about crashes). What I’m talking about occurs on the inside of your body. The picture above represents what’s called a Pulmonary Embolism.

Traveling far distances means sitting for hours at a time, whether by plane, car, bus, train, boat, whatever. What you may not know is that sitting for hours is deadly. When you remain immobile for long periods of time (even in bed), the blood in your veins begin to clot, creating what’s called a thrombus. If the thrombus form in your legs (usually in the femoral vein or saphenous vein), it’s called a Deep Vein Thrombosis. It can form in your arms & pelvis as well. It just sits there until you begin to move again.

Then once you stand up or begin moving…the thrombus breaks off & begins flowing in the blood, creating a mobile clot called an embolus. It eventually reaches your heart…into the right atrium, through the tricuspid valve, down the right ventricle…then BAM! The clot blocks your pulmonary artery, preventing blood from reaching your lungs, & you deprive your body of oxygen. You eventually have difficulty breathing, become cyanotic (blue) from the oxygen deprivation, & eventually can die from respiratory arrest.

Even if the clot is so small that it still bypasses the lungs, it can still enter the left atrium, go through the mitral valve, down the left ventricule, up the aorta…& BAM! It can cut off supply to your brain or heart, causing a Cerebrovascular Accident (stroke) or Myocardial Infarction (heart attack).

Either way, it’s a terrible situation.

So my advice to you is this: If you’re a frequent traveler & go long distances by car, train, plane, whatever…don’t allow yourself to stay immobile for long periods of time. Move around as much as you can, stretch your legs, anything to keep that blood flowing & preventing these things from occurring.

‘Til next time.

Deuces.

WTF?! So apparently more than just animals are becoming popular plushies.

I mean because things like HIV plushies, Syphilis plushies, Herpes plushies, Malaria plushies, & Sperm cell plushies are normal to give kids these days >_>

Wow. Talk about eccentric & unique. Don’t buy these for kids. Maybe for microbiology professors ;)

‘Til next time.

Deuces.

Smoker's Lungs.



“Smoker’s Lungs” by soulpadd1.

My grandfather has been a chain smoker since he was 12 years old. I’ve never smoked a thing in my life.

For alot of people, smoking may be cool or helps them cope with situations. I can’t speak on their behalf since I’ve never smoked.

But you look at this picture & tell me…is it really worth it?

Those miraculous organs within our mediastinum bordering the heart.

Your lungs give you the ability to breath…to take in that oxygen & to feed our tissues with that precious element…that amazing yet complex physiological exhange of oxygen & carbon dioxide within our alveoli via red blood cells involving chloride & bicarbonate. All of that taking place in a millisecond.

To lower that ability & take it away is something I would never understand.

Think about it.

‘Til next time.

Deuces.

Monday, August 9, 2010

Know Your Roots...Mabuhay Ang Kulturang Pilipino.

Weekends like these are what I thrive for. Spending time with your family & remembering where you came from.

For me, being at the hospital constantly & going out with friends has been the focus for a long time. But finally having a family party brought me back to a level that I’ve missed…a level where you can sit back, look around you, & be so damn thankful of the family you have & the culture you come from.

I’ve missed Filipino food for the longest time. After losing 70 pounds & dieting like a nutcase, having some pancit, adobo, lumpia, bistek, & so much more comfort foods made me happy beyond words. I missed it so much.

On top of that, being surrounded by extended family that I haven’t seen in a while made it 10 times better. My family is my life & it’s because of them that I love my culture, know my roots, & am able to live my life in such a way that understanding where I came from allows me to be the person I am & has helped establish my role in the medical field.

I missed speaking only tagalog, & those long conversations with cousins, & those titas that spoil you to death, & playing hours & hours of mah jong until early hours of the morning.

Weekends like these are the best.

Always love your culture. Know your roots & love your family. Those are what shape you into the person you become & creates a legacy in you that will live forever.

Mabuhay ang mga pilipino. Mahalin mo ang sarili mong kapwa, kultura, at kasaysayan.

‘Til next time.

Deuces.

Sunday, August 8, 2010

Mini-Ode to Microbiology.

I have many pet peeves. But one in particular stands out: When guys leave the bathroom WITHOUT WASHING THEIR HANDS.

I don’t give a shit who you are or how much of a rush you’re in…WASH YOUR DAMN HANDS! It’s idiotic not to.

Do some people not realize how many germs there are everywhere, let alone a public restroom?

I don’t talk much about microbiology in this blog, but it’s just as important medically as anatomy & physiology, pathophysiology, & many more are. It’s fascinating. These organisms are so microscopic yet contain the capacity to wipeout countries…& they have. It’s mind-boggling.

I think for me, working in the OR & in a hospital let alone has made me 10x more conscious & OCD of hand washing & making sure that I minimize transmission as much as possible. I find myself washing vigorously with loads of soap on my hands every 30 minutes or so. Hey…better to be safe (& sterile) than sorry.

Yes, yes…call me dramatic. But shit people. Don’t underestimate the power of bacteria & viruses. Take that extra 15-30 seconds & wash your hands…or even cover your mouth when you sneeze/cough.

I’m not an extreme germophobe or anything…but c’mon. No need to spread the germs. These microscopic creatures should NOT be taken for granted.

‘Til next time.

Deuces.

Wound Man + Southpaw FTW.




Here are 2 pictures that I came across.

For any student taking up medicine & thinking of entering into surgery & the operating room, the first picture known as Wound Man is a common sight in the medical books. Wound Man first appeared in surgical textbooks of the Medieval Times. It shows the many possible wounds a soldier could have during battle. It challenged the doctors at the time & gave them the thought: How would I fix this?

The second picture is a complete change of pace. It’s random. I personally think it’s funny because I myself am left handed. Being left handed was once thought to be a bad thing. That idea soon died for the most part. I’m proud to be left handed & I’ve met many surgeons who have an extremely steady left hand in the operating room. No worries. Southpaws for the win.

OR-philia.

After some thought & experience, I’ve come to realize that the OR is the shit. No joke. Literally, there are times when I feel like I live at the hospital & that a majority of my time & energy is spent there…& I love every second of it.

Yes, it can get very frustrating at times. Overwhelming as well. Especially in my department. There are days when it’s so slow you literally become conscious of every breath you take due to boredom…& there are those extremely busy days that makes an 8 hour shift feel like 8 minutes. It’s a bipolar environment that’s for damn sure.

But for me personally, the OR is a place full of adrenaline. Ok, maybe not AS MUCH adrenaline as the ER, but it’s a good balance. I love that rush. The rush you get when you observe & witness a surgeon perform his procedure. That satisfaction you feel when you care for the patient & they become so grateful. The joy of learning more & more as each day goes by. It’s an infinite amount of knowledge the medical field is.

I’ve had my fill of the other departments, & to be honest, nothing has given me the satisfaction & thrill that the operating room has. To be able to take a fellow human being, put him/her to sleep, take a scalpel, & fix the problem is nothing short of miraculous to me.

I’m grateful to be in this department. I salute all the surgeons, anesthesiologists, RNs, & the entire OR crew. We may be overwhelmed, we may be frustrated at times, we may get on each others’ nerves…

…but at the end of the day, we are the ones that give people hope & help save lives in a kick ass department.

OR rocks.

Now off to my family party.

‘Til next time.

Deuces.

Thursday, August 5, 2010

Bonfire. Round 2.

Once again, SUCCESS.

Aliso Creek Beach. Anna & her court (most of them again), & her friends (new friends to me).

Pizza, a shitload of chips, some drinks, captain morgan, footballs, dolphins, a cool looking frisbee, marshmallow-only smores, nostalgia & laughter over our favorite old 90’s nickelodeon/disney channel/WB tv shows, bonfire…

…& BEST of all, random late night salsa dancing on the beach & on the sidewalk to the tune of Celia Cruz’s “La Vida es un Carnaval”, the song of Anna & her court’s salsa that I choreographed.

Yup. That’s us.

Awesome fucking night. We gotta do it again. No joke.

To Anna, Ian S, Luigi, Danielle, Alex, Natasha, Justin, Julia, Ivana, Vince, Ian F, Jennica, Geoffrey, & Avery…you guys are awesome…seriously.

…definitely another family to me.

Can’t wait ‘til the next reunion.

‘Til next time.

Deuces.


Anna & her Court (April 3, 2009 @ Wyndham Hotel, Costa Mesa)

Tuesday, August 3, 2010

Happy 1 Year Anniversary.

I'm a few days late on this as I have been busy with other things lately.

But I would like to say that it has officially been 1 year...since I began the hardest thing I've ever had to do in my entire life. Literally.

What I'm speakin of is diet & exercise. A year ago, I made the decision to take it seriously. I was sick & tired of being FAT. So I decided to save myself before it got any worse.

To be honest, the reason I let myself get that big in the past was not because I was lazy or that I did not care. On the contrary, I actually cared a whole lot. The only problem was that I had absolutely no time whatsoever. Full time student, work at a laboratory 4-5 days a week, personal shit that stressed me out to the max...it was a crazy time for me.

But now, since I don't need to take as many courses as I used to when I started college, & since my work schedule at the hospital isn't as demanding as the lab (even though the hours are so much longer), I have so much time on my hands.

It started off as working out & running 2 days a week...then 3...then 5...until I was able to do what I can do today:

6 days a week, running for 45 minutes & weight lifting for about an hour to an hour & half...& I do a whole body workout...every muscle group gets worked out well, including the heart.

On top of exercise, I implemented diet heavily. I cut down ALOT. Very light & healthy lunches, & if my mom doesn't cook, dinner is light as well...limited to no dessert, & no more eating after 8pm.

Most importantly...100% water. No soda, concentrated juices, etc.

Adding on to my exercise, my job itself is a workout. I'm on my feet nonstop for about 6-7 hours in the OR. It has helped me so much.

Overall, I've lost 70 pounds. My blood pressure improved DRAMATICALLY (going from 130/85 to 110/70), & I feel like a million bucks. I sleep better, I have more energy, & my self-confidence has grown a lot...something that has never happened.

I'm so proud of myself. And I'm thankful to God for giving me the strength & motivation to continue & to get better.

I have never received this many compliments in my entire life.

I got my neck back...& I intend on keeping it.

*pats myself on the back*

'Til next time.

Deuces.

Sunday, August 1, 2010

Laparascopic Cholecystectomy, Percutaneous Endoscopic Gastrostomy (PEG), & MORE...












*VIEWER DISCRETION IS ADVISED*

Laparascopic Cholecystectomy — Removal of gallbladder to treat gallstones or cholecystitis.

Percutaneous Endoscopic Gastrostomy (PEG) — Insertion of a feeding tube into stomach.

So I was called into the hospital yesterday morning &, surprisingly, it ended up being super busy for a Saturday.

Once again, I was allowed to be in the operating room during the procedure to observe more surgeries which included lap. chole’s, PEGs, & another lap. appy for learning experience.

On top of that, I was taught by the anesthesiologist & surgeon how to perform intubation & aided in putting a patient to sleep before the surgery. They love teaching & training serious students who are studying to be in the medical field, most especially those who want to focus on surgery.

Shit. Honestly, it was a medical geek’s dream. I was so very glad to have observed once again, learned a whole lot more, & was able to participate.

Freakin’ awesome experience.

‘Til next time.

Deuces.

Friday, July 30, 2010

Laparascopic Appendectomy.



*VIEWER DISCRETION IS ADVISED*


Laparascopic Appendectomy -- Removal of appendix to treat appendicitis.

I was asked by my charge nurse in the evening if I would like to scrub in the O.R. & observe my patient undergo a Laparascopic Appendectomy.

Of course I said yes...hell yeah.

I was really glad & grateful to have observed this procedure being done laparascopically & firsthand on my patient the operating room.

Great learning experience.

'Til next time.

Deuces.

Thursday, July 29, 2010

Bonfire.

Last night was nothing short of awesome.

Aliso Creek Beach. Anna, her debut court (most of them at least), & her friends.

For me, it was really great to see everyone again. It’s been over a year (or maybe more?) since we’ve all seen each other. The good old days of debut practice in her garage with me, my sis, & amanda as choreographers.

I always love reunions with good friends. Not only was it a reunion, but it was also an event where I met some pretty cool people as well. Plus a bonfire with an overload of food. I haven’t eaten that much junk in a seriously long time…& it was nice to live a little bit.

Hotdogs, smores, drinks (the parrot bay & absolute were bomb), being surrounded by awesome people…what else could you ask for.

Anna & her court are like family to me. As well as the other debut courts I’ve choreographed for. It was the kind of night I’ve needed for a while. I missed that group & I was really glad to have gone…

…& this was only round 1. Round 2 again next wednesday.

‘Til next time.

Deuces.

Tuesday, July 27, 2010

On-Call.

This weekend went by WAY too fast for me. I can’t believe it’s already Tuesday.

I think the main reason is due to the fact that I was on-call in the O.R. this past Saturday. Normally, I’m used to being off on the weekends, but due to a busy surgery schedule at the hospital, I was called in.

Honestly, I didn’t mind so much. Yes, it was short-notice & a last minute thing, since I literally clocked into work 20 minutes after I had woken up. Ergo, I woke up, took a really fast shower after listening to my voicemail, & got to work. I had a very slight headache since it all happened so fast & I didn’t have much time to do anything.

But I still was glad to have worked a few extra hours & made some extra money. Last week was just busy at work for me. But within that week, I met patients that, I believe, made me become more empathetic & compassionate.

I’ve always been that way, especially when working with patients that are enduring some of the worst illnesses & have undergone some painful surgery. In the field that I’m getting into & at the type of health & medical facilities like the hospital I work at, you really must have some kind of compassion for the people you care for.

Unfortunately, I’ve met so many that have lacked this quality. That’s one thing I DO NOT understand. I realize that at times, our patience for others gets kind of worn down & we get frustrated & tired. However, for those that work in healing others, there must be some ounce of compassion.

My philosophy is as follows:

Passion for medicine & healing. Compassion for those being healed.

Whether or not some agree, showing others patience, kindness, & compassion rapidly speeds up the healing process. Why? Because when they see & feel that the ones taking care of them are working their absolute hardest to heal them while at the same time treating them with love & respect, they fight & don’t lose hope.

And that, my friends, is EXACTLY the type of message you want to give them: DON’T LOSE HOPE.

Being called in this weekend was sudden, rushed, unexpected…but great.

Last week itself was awesome. With everything going on in my life, I feel that the numerous patients I meet & care for help me discover more & more about myself & because of that, I continue to grow as a person. The gratitude they show because of my compassion inspires me.

So, if I were to give advice for you today, it would be to show the people around you compassion. Sometimes, the smallest ounce of compassion can go a long way…it gives others hope…

…& it could even save a life.

‘Til next time.

Deuces.

Cadaver.



"Cadaver" by Skek

Nice shot. Reminds me of the good old days in Anatomy & Physiology lab.

The CORRECT Way To Perform Percussion.

Creepy.



What a trippy, creepy piece of art.

But I like it :)

Friday, July 23, 2010

False Alarm

This week has been great so far. The whole summer has been really eventful as well. I've grown to love work at the hospital more, more so as a place for me to learn & grow rather than just somewhere for me to earn money...even though, I must admit, that's great as well :)

Today, however, was going really well, until...it happened.

"Code Blue, GI...Code Blue GI..."

The GI (Gastrointestinal) Lab is in my department, which is Surgery & the Operating Room (OR). At first, me & the RN I was working with didn't hear the code, since the intercom in PACU is slightly weak (something that's dangerous & should REALLY be fixed). We rushed over there as soon as we heard the code, joined the rest of our OR team & were ready to assist in resuscitation. The crash cart was rolled in, ambu bags were out, defibrillator was ready. The Code Blue team from ICU, ER, Pharmacy, Security, & OR was united.

Then, a few seconds later, the patient stabilized. He had stopped breathing during his procedure & had a decreasing O2 saturation of below 80%.

Thank goodness it was a false alarm & he soon regained consciousness.

The adrenaline rush struck me & hit me hard, since I had just been with the patient & had been caring for him with the RNs minutes before.

It was just another example that shows me how short life is, & how it can easily be over in a few seconds.

I'm lucky & thankful to be alive...& to be breathing.

Thank you Lord for bringing that patient back, restabilizing him, & opening my eyes once again.

'Til next time.

Deuces.

Elite.



Talk about the ULTIMATE goal. The biggest aspiration. The elite.

Awesome shot & angle.

Thursday, July 22, 2010

The Brighter Side of Life

It's 1am on a Thursday morning & I'm still up. As usual.

Yesterday (Wednesday) was a day filled with one word: inspiration.

First, the ability to dig DEEP within your brain to re-access knowledge & skills from the past that hasn't been used in years & being successful at it (despite doubts & honest fears of unsuccess) encourages & inspires one to keep on going & re-invigorates the spirit.

Second, going to work unexpectedly, caring for patients who are suffering from the worst possible diseases & medical problems, & STILL seeing an extremely positive & grateful attitude within them, is rare. And in those rare moments, one can't help but have a mixture of emotions.

For one thing, having patients like that is a breath of fresh air, since most of them have such a negative & discouraging outlook, understably of course.

In addition to that, it makes one re-analyze their OWN life to see how every single day, society complains about so many things, a majority of those things being so miniscule.

It makes you feel kind of embarrassed & ashamed, to be frank. If these patients, who are in the worst possible state the human body could possibly be in, STILL have a much brighter & more positive outlook on life, it makes you realize that we all sweat the little things & should be more grateful with what we have.

I am nothing short of inspired. And encouraged.

Life is something we should all strive to love & respect...

...& to also let go of the little complaints & have gratitude for being ALIVE.

I love what I do. This is what I live for.

To make myself available for the healing & well-being of others. And to become healed myself from the experiences I gain.

I am so lucky & thankful.

'Til next time.

Deuces.

Tuesday, July 20, 2010

The Healing Power of Friendship

Earlier this evening, I watched a movie that really touched my heart & made me depressed at the same time. It was a movie that showed the horrors of genocide while simultaneously conveying the underlying message that true friendship & caring for one's friends is not barred by background, culture, beliefs, & other differences that may divide them. At least that's my take on it.

The movie that I'm referring to is "The Boy in the Striped Pajamas". It's an amazing, eye-opening film somewhat reminiscent to "Schindler's List", in that it portrays the evil of the Holocaust. In a nutshell, the story revolves around the son of a Nazi befriending a jewish prisoner of the same age in a concentration camp. The two build a relationship & sort of "brotherhood" that, despite knowing their differences, remains unbreakable, even until the tragic end.

Not only did this movie move me in a way that both the film "Schindler's List" & the novel Night did, but it re-opened my eyes to the message that friendship knows no boundaries & that truly caring for others, despite certain issues, transcends above all.

I'm grateful that I watched this film. And I am also grateful for the friends that I have in my life. We may not all agree on certain things & we all come from different backgrounds...but at the end of the day, our friendship is what I cherish.

You all are my therapy & the healing that I need in times of difficulty. You keep me going.

If you haven't seen the film, see it as soon as possible.

'Til next time.

Deuces.