Tuesday, April 29, 2008

Full Patient Confidentiality

We all have secrets and secrets were meant to be hidden so that no one else would find out. we want to hide our secrets because of our great fear that people will judge us and will make fun of us for something that we have done or have that we are ashamed of.

It is this attitude that makes health problems worst. Some patients will refuse medical treatment because they fear that their doctors will betray them and their privacy will be trespassed upon. That is why it is good that there is 1stonlinepharmacy.com that is one, if not the first, to offer an online telemedicine. Here patients can fully disclose their signs and symptoms as they really are without their privacy and confidentiality be invaded.

One would also be free of judgemental eyes if one orders Valtrex online because there wouldn't be any nosy pharmacist who would give you that look when you buy that Valtrex medicine. For those who don't know what medicine this is, this med is used to treat people with Genital Herpes.

If you are uncomfortable to see a doctor you may have a consult with a doctor online and the doctor could give you a Valtrex prescription.

Technology is therefore making health care more accessible to everyone and this is really great.

Nursing Doubts

I really hate it when I'm not doing anything and I just sit and do nothing because it's the perfect opportunity to re-examine one's life and I don't want to re-examine mine. But since I had no choice and had nothing better to do I looked at myself and where I am going to go now.

I know that I want to be a nurse but there is something within me that says that I could be anything I want since I'm starting all over again. But I have already begun nursing and it's a waste if I'm just going to let go of my nursing career when I already have started building knowledge, skills, and experience in nursing.

Maybe this is just a phase I'm going through because I don't have any nursing stuff to do. But when I start my studies again I'm sure that my nursing spirit will kick in! ^_^

I Signed Up for SocialSpark!

I have a lot of online profiles on the internet from several different socializing websites and I have to say that they're all the same and I get tired over them in just a week or so. I just pimp my profile so that it would look good and see who my friends in my e-mail address book are members and add them up to my friends list.

But I have signed up for one socializing website that is completely unique and very interesting indeed and truly deserving of the name SocialSpark!

That's right this new community is for bloggers, like me, who love to blog and love to meet other cool people in the process! And guess what? We also get paid for giving out our 100% truthful opinions for any products that we choose. We could also write about other blogs of fellow bloggers and in turn you could have your blog be reviewed. This way more traffic could be driven to your blog.

What's more interesting about SocialSpark is that your blog could be sponsored and you get paid per day! Being sponsored means that there is a note at the bottom part of your blog saying that this blog is sponsored. It's actually really cool and it feels good to let other people know that you are being sponsored for blogging.

I have already met up with some of my old blogging friends here at SocialSpark and we invite you to join in our exclusive community for bloggers who are very serious in expressing themselves and voicing out their opinions.
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Extraneous Variables

I don't know why I hate her... no I don't hate her that's too harsh of a word. More like, I dislike her and I don't know why. I can't be fake but I can't stand it when I'm around her. Who am I talking about? No other than my brother's girlfriend. Actually I never did like my brother's girlfriends ever since I caught my brother alone with one of her friends in my parents room alone with the door locked. I don't think so that a genius is needed to guess what they were trying to do.

Sure this present girlfriend is better than her past girlfriend who was a liar, obsessed, and manipulative [censored]. Imagine she had the nerve to talk back to my mom (well just through SMS really) but if ever she talked back to my mom and I was there I would wring her neck!

Sure the present girlfriend somehow helped my brother get through high school and has become my brother's new bodyguard/slave I still don't like her and I don't know why.

There were two occasions that was supposed to be only a family affair when she was around and I was pissed off. My mom invited her of course but I'd rather be not included in activities that she is included like the outing to Obrero and my mom's birthday dinner.

I don't know why but I don't really like any of my brother's friends and I don't know why... is it because I'm anti-social? Or is it because his friends are I are just in a completely different wavelength.

Maybe this is why there are people I can't relate to because of this "wavelength" thing...

I know people who are just like me so maybe this time I kind of respect them more since well, they're like me.

Monday, April 28, 2008

The Death of My Patient

I actually didn't know how to feel when my patient died. It was a sort of mixed emotions that were so strong that I wanted to run away somewhere far. I was so helpless as I watched my patient die. Like I know that sooner or later he was going to die. He had the classic clinical signs of shock like cold clammy skin, he was diaphoretic, his pupils were dilated, and he had consistently low blood pressure. Imagine, I had to re-check if I had the right BP taking because his BP was 40/20 mmHg and this was the first time I've ever encountered this low BP. I was at first excited and happy even that I was experiencing so many new procedures that a normal student nurse could encounter in a medical ward. I was able to assist in inserting a catheter, a nasogastric tube, and I was able to insert an IV fluid as a side-drip. On that same day I was able to observe the insertion of an endotracheal tube and I was able to compress an ambu bag (bag-valve-mask). I have also observed suctioning procedures and even nasogastric tube feeding. My patient was transferred from the medical ward into an (intensive care unit) ICU and of course my partner and I had to go with him. If I didn't have a partner at that time I wonder if I would have survived. we monitored his vital signs every hour, we monitored his O2 Saturation, his ECG, his infusion pump, and he even had a ventilation machine since he was already in coma.

I had a gut feeling that he would die. I just knew it. He had 3 consecutive cardiac arrests and the ward would constantly have to call a cold blue. It was just like in the movies where nurses would inject epinephrine or atropine so that his heart would start beating again. But I just wondered why they never used the defibrilator to revive the patient, they just used the standard CPR. On the third arrest the doctor finally announced the patient dead. I was still deflating and inflating the ambu bag valve mask like crazy because I didn't know whether to continue or just stop. The family of the patient already started crying and their mother called her other children saying that their father had died.

It was weird, I was at first doing procedures to save his life... and then a few hours later I had to remove the tubes and connections that where keeping him alive...

But somehow I don't feel pity for him. Death may be scary and all but he saw it coming. My patient was an alcoholic, drinking too much everyday. I can already imagine him going home late at night drunk and very violent. When you're drunk you become to do stupid things and this has been proven by so many people already. He drun k himslelf to death. That is all that I can say. He had drank so much alcohol that the veins in his liver grew larger until they finally bursted. He had an upper GI bleeding and he literally vomited blood (hematemesis). He went into coma and I guess he died from the bleeding.

Here is a lesson to all alcoholics out there. You just don't kill yourself from drinking. You destroy your family and you become a menace to society when alcohol reaches your brain and you start being stupid. Domestic violence and some crimes happen when people are drunk. Stop drinking!

I don't know why people love to kill themselves. I also had another patient who said that he will stop smoking for a while because he has difficulty breathing and he has blood tinged phlegm. Stop for a while? Why not stop totally? He has been smoking for 30 years (started at age 12) and he hasn't learned that it does nothing good? He's not only killing himself too. His family and the people around him are the ones who are twice affected by his smoking.

Bad vices gets you no where. They may at least make you feel good (as some people say - I wonder how and why) but the outcomes aren't that good. My point? Nothing is gained from smoking and drinking. So too our dragons and drunkards out there have pity on your loved ones. They suffer more than you do.