Psoriasis

You know what? It was really quite an amazing experience when I was able to encounter a patient with psoriasis. It's amazing because it's my first time to see a patient with that disorder and this kind of disorder is very rare and doesn't really occur with Filipinos.

Anyway, psoriasis is a "chronic, non-contagious disease characterized by inflamed lesions covered with silvery-white scabs of dead skin (www.answers.com)" just like the picture above.

At first I didn't really think that the disorder was contagious or something like that. I was reluctant to touch the patient and aid him in going down and up his bed because he had scaly white skin and lesions all over his body and he was obese, so he was very heavy to carry. But one of my colleague really had somatic effects. What I mean by somatic effects is that he had bodily manifestations of a psychological induced disorder or disease. He was thinking that psoriasis is highly contagious so he suddenly had pruritis or itchiness on his arms and they really formed bumps. This only proves how powerful the mind really is that it can even trick itself into manifesting false sugns and symptoms of a disease that the person never had in the first place.

Actually, I also felt very sorry for the patient because I could really see my self in his position. I know how painful it is to be shoved away because they are disgusted with you and you are considered an outcast because you are considered contagious and all. This is why we should really educate ourselves with these kinds of things and that we should always be sympathetic because it is not their wish to have such conditions.

The Boy Who Said "Dili"

Gosh I feel really old! I mean I feel that I'm already facing a midlife crisis and to think I'm only 19 years old! Midlife crisis is by the way defined by Wikipedia is "Midlife crisis is a term used to describe a period of dramatic self-doubt that is typically felt in the "middle years" of life, as people sense the passing of youth and the imminence of old age."

Ok I also do think about my future but what really keeps me occupied is reminiscing about the past? Talk about being old. And the thing that I remembered was the little boy who I met during one of my duties at a pediatric gastro-ward. It was my first time to handle a whole ward too! That’s right! I have only tried handling one or two patients but now, I’m the master of the whole Gastro Ward! As you might have guessed the Gastro Ward has patients (normally pediatric patients) who suffer from acute gastroenteritis and other GI problems.

Working in the gastro ward was quite ok. It was air-conditioned (it was a private hospital, thank God) and there was a TV (but I didn’t watch it because I was busy regulating IV flow rates). The patients were just adorable and the patient’s family were very nice and accommodating to my questions.

There was this 1 year old boy who was so cute and hyper-energetic. I really liked this patient a lot and I loved playing with him during my free time. I just have a difficult time in checking his IV flow rate because he always asks for attention and he regulates his own flow rate! That’s right he knows how to regulate it but unfortunately not at the right drop rate. One thing that I’ve noticed with this boy is that his love for the world “Dili” or “No” in English. I heard his mom say this word so many times to him because he was so hyperactive, jumping on his crib and throwing his ball away. Although he says “Dili” with a playful smile I just think that saying no to your child could be bad for him.

According to Erik Erikson’s Developmental Theory, a child in his early childhood (18 months to 3 years) could feel so ashamed and would lack in self-esteem if his parents keeps on telling him “NO!” Because instead of the child being able to explore his surrounding and learning (Autonomy vs Shame) the parents are trying to suppress his will to learn.

So parents out there, allow your children to explore, get dirty, and even break some things because in this way they can learn.

***

Anyway the adorable boy in the photo is not my patient or is related to my post hehehe. Photo credits goes to subterfugemalaises.

10 Stress Busting Tips

Stress is a normal reaction to our environment (our stressors). If we don't experience stress then we would be emotionless or we simply are not human or we're already dead. The point is you can never totally remove stress from your life, because stress is needed for normal functioning. All you can do is control it. We get easily stressed from our jobs, our relationships, and even other simple things like waiting forever in a line. This is normal. Everyone gets stressed out from their problems. What is abnormal is if you would turn to drugs or other promiscuous activities to get you through a bad hair day.

fighting stress is really simple and you don't have to destroy your life to get through your problems. Here are some simple steps that you could follow to help control your stress:

1. Be yourself and do not play roles. Trying to be the “liberated women” or the “cool businessman,” for example, will only create stress because you are not being yourself.

2. Seek people who are pleasant to be around with when choosing your friends. Where possible, avoid contact with those who criticize you or like to constantly talk about the negative situations around them.

3. Be confident enough to admit your fears. Find out what scares you and try to determine why. Discuss these things with a close friend or family member if necessary.

4. Work on a confident, yet realistic, self-image. Recognize that you have both strong and weak points. Build on the strong points and excel in these areas. Work at improving the weak areas, but realize that you can't do everything well.

5. Be willing to compromise with other people, as well as with yourself. This is a sign of strength, not weakness. To be rigid, to refuse to give in, or to insist on winning will create tension and stress.

6. Make time to get away, even if only in your mind. A few minutes of privacy each day, when you can relax and think, is important even for children. Find a way to do this even if it means getting up early or going for a brief walk.

7. Do not let worrisome situations drift. If there is unhappiness or concern in your life, try to do something about the problems. Procrastination and indecision only delay your stress and the problems tend to only get worse in time.

8. When you cannot decide what to do, always choose to do what is right. Cheating, deception, and unethical behavior can all produce guilt feelings which directly lead to tension and stress.

9. Slow down - literally. Practice moving more slowly. Low your speech when you talk and your pace when you walk. Eat with slower movements, putting down your fork in between bites. When you move slower you feel less pressured.

10. Avoid excuses. Blaming other people or circumstances does not help much. Take responsibility for yourself and your own actions.

***
Image Credit goes to: ~CLEMZ
List Credit goes to: Chicken Soup for Your Soul

On Wanting Green Eyes

I had always wanted to wear contact lenses because I want to change the color of my eyes. And what color do I want? Green! Yup some people may find this weird but I would love it if my eyes were green because I find it unique and interesting. And if you're wondering my eyes (as well as the ridiculous) here are just Photoshop edited, Lol!

I just want to share what happened that changed my mind about having contact lenses. I went with my mom to get her glasses that she had ordered and we had to wait because the glasses weren't done yet. I was looking around when I realized that I wanted to get some contacts. A sales girl was approaching me and asked me what I wanted. Normally I would get irritated with sales girls who keeps on hovering above me as if I'm going to steal something. But somehow this sales girl was quite nice and I was in a good mood so I asked her about contact lenses. The sales girl was very accommodating and showed me the different lenses and their solutions and stuff.

I was quite amazed that she knew a lot about contacts. Sure she may have worked there already for so long but she was able to point out different eye conditions where contacts were preferred than eye glasses. I was quite ashamed because I forgot all the things I have learned in anatomy & physiology like astigmatism, myopia, and stuff.

In the end, I decided that contacts for the sake of fashion is not worth it because:

1. It's quite expensive, the cheapest pair comes at Php 2,000 or $48.
   
2. Contact lenses are only good for a year and then you have to change it
3. Wearing contacts only increases your chance of scratching the cornea of your eye and presenting an opportunity for infection

I since that visit I was really uplifted and became more interested in health... if only I was motivated a little more to have good study habits hehehe...

Student Nurse to Doctor Relationships

Before you think that this is some post about a love interest between a student nurse and a doctor I might just as well inform you beforehand that this is not what you're thinking. Besides the student nurse me and the doctor is a guy so definitely no. this is an experience that I would want to share with you guys.

I always get jittery whenever doctors are around, but being on duty at the operating room even made things worst and I was very jumpy. The doctors in the operating room were very nice and I was a bit at ease but I was also nervous because it was my first time to scrub-in in an actual operation. The surgical procedure was only a minor case, just an excision of a fibroadenoma at the left breast. A fibroadenoma is a non-cancerous benign lump that is found in breast tissue. When felt under the skin, the lump may feel rubbery and easily moveable within the breast tissue. Fibroadenomas are commonly found in young women during their reproductive years (New York Times). It's caused by normal estrogenic fluctuations (Wikipedia) and it could be removed with out any worries.

The tumor looked like this when removed. The surgeon was very skillful! Even with lacking instruments (the operation wasn't held in the main hospital mind) he was able to make use of his fingers and got that tumor our perfectly! What even made this doctor, Dr. Perez, even more amazing is that he took nursing as his pre-med course! Wow that is really amazing! I even learned a lot from him and he was so nice and showed me a cosmetic style of suturing so that scarring could be put to a minimum. What did I tell you? Amazing!

Well I was very lucky that I was around very understanding doctors because I was stuttering (oh I hate myself) and I was being jumpy! Imagine? I called the doctor Ma'am! And the doctor was a guy! Oh oh... good thing the conversation was about a female clinical instructor at Xavier University. Ooh I am so dead!

Thinking of the things I did that they makes me want to kill myself. The doctor was talking to my colleague and I interrupted their conversation because I needed more suture (I was the scrub nurse so I was sterile). Oops, sorry doc! I did not notice that you guys had a conversation (why didn't I ask my other colleagues instead?).

Ooh I am such a mess! But at least the operation was a success and it was all thanks to Dr. Perez! hehehe.

But a thought comes into my mind. Why do doctors want to be called Doctor and not sir? Isn't sir a sign of respect? But maybe it's because the word "sir" is equated to nurses and patients. Oh now I get it hehehe. ^_^

Air Bubbles are NOT Cute

Do you know what takes most of my time when I’m duty at the hospital? It’s regulating and checking the IV flow rate. Yup I’m so obsessed with getting the number of drops perfectly that if I have nothing to do I check the drop rate over and over again. It’s supposed to be checked by the hour but I guess I over do it and check it every 5 minutes or so. What can I say? I’m afraid that the patient might get under-infused or worst over-infused and this could lead to hypervolemic shock or heart failure if the patient has a serious heart problem. Plus I don’t want to be get an extension (it’s equivalent for detention for student nurses).

But regulating IV flow rate is not that a big deal. The big problem would be air bubbles! Yup you heard me. Air bubbles may seem harmless but once 5mL of air bubbles is injected into your blood stream this could lead to pulmonary embolism. Another worst possible situation is when the air bubbles flows to your brain or heart and impedes blood flow. The medical term for air bubbles getting into the body ladies and gentlemen is air embolism.

I also had an experience once when I was in the hospital (this time as a patient), a nurse from a rival school (I’m not telling which school hehehe) came in to inject cefuroxime (an antibiotic for my tonsillitis) through my IV line and when he left I noticed air bubbles! Lots of air bubbles! I stopped the IV infusing and pressed the button calling for any nurse. When the nurse came I told her about the air bubbles and she then removed the air bubbles using a syringe at the connector for “piggybacking” other IV fluids. And then a few hours later I realized that the nurse that almost got me killed with air bubbles was the brother of my brother’s girlfriend. No wonder he’s trying to kill me, I’ll kill myself too if that’s the reason (Lol).

As a student nurse I really hate air bubbles. Sure I can try tapping them so that they could go back to the drip chamber or roll the IV tube with my pen so that the bubbles would disappear into the drip chamber but most of the time it’s easier said than done. And the only way to get rid of them is by aspirating them into a syringe… and this is quite a hassle because as mandated by the Philippine Nursing Act of 2002 (R.A. 9173) IV lines are off-limits to students! So I have to run to my clinical instructor and disturb her with her work (hehehe).

So fellow student nurses: if you see air bubbles don’t think it’s cute… it could kill your patient so watch out!

Losing Sight After Drinking Water

(Click Picture to Read Article)

As the very old cliche goes, "Too much of something is bad for you". And this includes substances that are supposed to be good for the health, but when these substances are abused then these become bad for the body; toxic even.

This article is really extraordinary. Imagine drinking 7 liters of water everyday, one would really bloat. Chronic water intoxication leads to hyponatremia as the sodium found in the blood is diluted. As sodium is diluted there is less pressure that retains the water in the blood vessel. If we recall, water will always follow sodium. But since there is no more sodium in the blood vessel then the water seeps into the interstitial tissues and outside the blood vessel.

It's ironic too that the woman drank water to lower her blood pressure not realizing that hypervolemia (an increase in body fluids) would lead to hypertension. And it is this hypertension plus the swelling of the brain cells from all the water lead to occipital bleeding that also lead to the woman being blind.

This is a classic example of a tragic story of health conscious people overdoing their so called health regimens that aren't approved by most health practitioners. Remember people that the recommended water intake per day is only 8-10 glasses per day and not 7 liters per day.

***
I got this e-mail from my mom. She always has interesting health related e-mails that she sends me.

Some Tips on Tube Feeding

I admit that I am no expert on Nasogastric Tube Feedings (NGT Feedings) but I just want to share some nursing tips on how to make feeding easier and of course safely. Here they are:

• Position the person so that he or she is sitting up, or at least so the upper-body is above the level of the stomach.

• Practice good sanitation. Wash your hands before handling the feeding equipment. Wash feeding bags with water. Do not use soap, as it will stick to the inside of the bag and get into the formula. This can cause diarrhea and other unpleasant consequences.

• Feedings should be given at room temperature to minimize risk of cramping and/or diarrhea. Open cans of formula could be kept in the refrigerator, and discarded if not used within 24 hours. They should be taken out 15-20 minutes before a feeding and allowed to warm up to room temperature.

• Always flush the feeding tube with water after a feeding. This will help to prevent the patient from getting dehydrated. It will also prevent the food from getting clogged.

• If medications are to be run down the feeding tube, always be sure they are finely crushed. Flush the tube with water to wash them down.

• If the tube seems to be clogged and a small flush of water isn't effective, a flush of about 100cc of cola may do the trick. You can also try dissolving a quarter teaspoon of meat tenderizer in a teaspoon of water and placing it into the tube. Wait five minutes before flushing again. If none of these strategies work, contact your health care provider(s) for advice.

The Attack of Missy the Doggie

This is one of my best writing so far that I have done in my blogging life that is related to health. ^_^ Just thought that I would share it again with everyone.

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I have a cute doggie called Missy and she's very hyperactive! But there are times that she's calm and just lays around sleeping. Sometimes I think that she might have Bipolar I disorder but again how would I know? A Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) for dogs doesn't exist... yet hahaha!


As I was saying, Missy has these manic times and it's quite alarming! She runs back and forth and then she jumps on you! Good thing she's not that big. One thing that is quite alarming is she loves to bite as her sign of affection. Ouch that's a painful way to say you like someone.

It's a good thing though that we have already vaccinated Missy with Anti-Rabies. Rabies (Latin: rabies, "madness, rage, fury") by the way is a viral zoonotic neuroinvasive disease that causes acute encephalitis (inflammation of the brain) in mammals (Wikipedia).

The first symptoms of rabies may be nonspecific flu-like signs — malaise, fever, or headache, which may last for days. There may be discomfort or paresthesia at the site of exposure (bite), progressing within days to symptoms of cerebral dysfunction, anxiety, confusion, agitation, progressing to delirium, abnormal behavior, hallucinations, and insomnia. The acute period of disease typically ends after 2 to 10 days (6). Once clinical signs of rabies appear, the disease is nearly always fatal, and treatment is typically supportive (CDC).

The virus is spread through the saliva so if your pet is infected and your pet licks you and you have breaks in your skin, you could be infected! You don't have to be bitten to be infected! It could also be spread through aerosol (or saliva droplets when your dog barks) or when you touch contaminated items.



Anti-rabies vaccines are always available at health centers for free so if you are bitten by any animal always consider that animal rabid! Wash the wound, apply antiseptics, and rush to the nearest health center or hospital. Don't wait until the symptoms progress and it's too late!

And also, be responsible pet owners! Have your pets vaccinated and don't allow them to stray outside (they can get rabies from stray dogs).

Remembering that I am a Student Nurse

After being stuck at home doing nothing but blog (not bad at all, Lol) I kind of wanted to remember my life as a student nurse. And my life as a student nurse started on June 23, 2007 and this was my Cap & Badge Investiture & Candle Light Ceremony. This symbolized my being a student-nurse and eventually becoming a Registered Nurse. As my clinical instructors have said, we have no where else to go but up. Hearing these words somehow made me think and I am struck by fear of the great unknown. Will I really be able to face the challenge that my profession has for me?

I thought that being in third year would be easier than second year because of the lesser number of units and subjects, but boy was I wrong. Being in third year is the most difficult stage and this could either mean staying in heaven or going to hell (staying at XU or transferring to Liceo/CU, no offense). I have always been proud of being a consistent dean's lister since 1st year and have received QPI's of 3 and above. But all of that is worth nothing as I struggle to even pass my very demanding and challenging nursing subjects. The fear of failure is my greatest fear today and this fear has made me more humble. There are days that I arrive at my boarding house at 9 pm and the first thing I do is sleep as fatigue, hopelessness, and as I said fear overwhelms me. As everyone thinks, nursing is not just memorization. It also entails problem solving, analysis, and common sense. And these are the characteristics that I am trying so hard to enhance.

But being able to go on duty at Northern Mindanao Medical Center and being able to wear the nursing uniform is consolidating enough for me. I won't give up. The finals are still far away and I will put my heart and soul in order for me to reach my dreams. I have gone this far to go back or go astray from my destiny. I can't seem to picture myself in any other profession aside from nursing (and perhaps medicine).

My experiences as a student-nurse only made my respect and admiration for the Nursing profession grow. Nursing is not just a tool to go abroad for it is a service-oriented profession and it's professionals are not only smart but have empathy and TLC.

I am proud to be a nursing-student, and I will try even harder to be a nurse with knowledge, skills, and attitude!

This is my challenge...

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! ^_^

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.

What Causes Liver Damage?

I received this e-mail from my mom. She always sends me e-mails about anything that relates to good health.

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The main causes of liver damage are:

1. Sleeping too late and waking up too late are main cause.
2. Not urinating in the morning.
3. Too much eating.
4. Skipping breakfast.
5. Consuming too much medication.
6. Consuming too much preservatives, additives, food coloring, and artificial sweetener.
7. Consuming unhealthy cooking oil. As much as possible reduce cooking oil use when frying, which includes even the best cooking oils like olive oil. Do not consume fried foods when you are tired, except if the body is very fit.
8. Consuming raw (overly done) foods also add to the burden of liver. Veggies should be eaten raw or cooked 3-5 parts. Fried veggies should be finished in one sitting, do not store.

We should prevent this without necessarily spending more. We just have to adopt a good daily lifestyle and eating habits. Maintaining good eating habits and time condition are very important for our bodies to absorb and get rid of unnecessary chemicals according to "schedule."

Because:

Evening at 9 - 11 pm: is the time for eliminating unnecessary/toxic chemicals (detoxification) from the antibody system (lymph nodes).This time duration should be spent by relaxing or listening to music. If during this time a housewife is still in an unrelaxed state such as washing the dishes or monitoring children doing their homework, this will have a negative impact on health.

Evening at 11pm - 1 am: is the detoxification process in the liver, and ideally should be done in a deep sleep state.

Early morning 1 - 3 am: detoxification process in the gall, also ideally done in a deep sleep state.

Early morning 3 - 5 am: detoxification in the lungs. Therefore there will sometimes be a severe cough for cough sufferers during this time. Since the detoxification process had reached the respiratory tract, there is no need to take cough medicine so as not to interfere with toxin removal process.

Morning 5 - 7 am: detoxification in the colon, you should empty your bowel.

Morning 7 - 9 am: absorption of nutrients in the small intestine, you should be having breakfast at this time. Breakfast should be earlier, before 6:30am, for those who are sick. Breakfast before 7:30am is very beneficial to those wanting to stay fit. Those who always skip breakfast, they should change their habits, and it is still better to eat breakfast late until 9 - 10am rather than no meal at all.

Sleeping so late and waking up too late will disrupt the process of removing unnecessary chemicals. Aside from that, midnight to 4:00 am is the time when the bone marrow produces blood. Therefore, have a good sleep and don't sleep late.

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My Thoughts: I'm guilty of sleeping late and waking up late! I better do something about this if I don't want my liver to be damaged.

Meet Tree Man

Meet Dede Koswara, a 35-year old Indonesian, more commonly known as "Tree Man". And if you have seen the video then you would have an idea of what why he's called as Tree Man. And in case you were wondering he is not half man and half tree. He is 100% man. The tree like growths on his digits and face are not plant in origin. They are actually over growth of warts caused by Human Papilloma Virus (HPV), the same virus that is a sexually transmitted disease (STD) that causes genital warts. Unfortunately for Dede's case, he has an abnormal genetic make-up that causes his immune system to be as weak as a person with AIDS that is why the HPV is successful in literally taking over his body.

Dede was left by his wife because of his appearance and his two children (an 18 year old boy and 16 year old girl) had to live with his other relatives because he was not able to take care of them anymore because he is incapable of working (since he can't grasp things with his root-like hands) and is forced to live in poverty. He is able to survive by some provisions given to him by his extended family and from being the center of attraction at their village's local "freak show".

Good enough for him an American Dermatologist promised to help him return to his normal life by performing several surgeries to prevent the warts from totally debilitating him and taking his life as these warts could become cancerous.

And here is a picture of him after his first surgery:

Not much change is seen but at least his hands and feet are already starting to look like hands. From being the local village freak-show I do hope that he could achieve his dream of getting a job and returning to a normal life and maybe even find love. Well, Dede, I wish you all the luck!

I really honor the courage that he has. If I was faced with the same affliction I might not have survived at all. I know that many people are disgusted at his sight and are making fun of him but once you place yourself in his position, you would be able to have some empathy for him and you would realize what a strong person he is.

Operation Tuli

I was quite shocked at first when my very conservative friend who happens to be a girl sent me an SMS yesterday saying that she was able to touch 30 or more penises in the span of 4 hours. And she was quite proud of herself and happy with the whole experience. At first I was quite scandalized by what she said and all sort of naughty thoughts came running into my head.

It was a good thing though that she clarified what she told me and said that she just had the most wonderful experience in "Operation Tuli". Operation Tuli is an annual project of the Department of Health - Philippines to have young boys circumcised (Tuli in Tagalog) in their own towns and municipality. I'm kind of jealous because I too want to experience an Operation Tuli which I doubt would exist in Canada. In Operation Tuli, several young boys wait in line for their free circumcision.

Circumcision has been a ritual for many religions and culture. Circumcision paves the way into adulthood and manhood while it is also a ritual in the Judeo-Christian Tradition to strengthen the covenant with God. Medically speaking, circumcision (the removal of the foreskin of the penis) is for hygienic purposes as dirt and secretions tends to accumulate in the foreskin and will result to urinary tract infections (UTI).


In other countries though male circumcision is done 2-3 weeks after birth. And if you're wondering there is also a female circumcision which I will post about later since it deserves to be discussed further.

For more information on circumcision I recommend this very informative site, kidshealth.org.

Cebu Operating Room Scandal

Disclaimer: This video is not the property of this blog's owner and the video is hosted externally.

Before anyone reacts I wanted to share this video for the sake of discussion and as a reference. If you are not open minded and is not willing to accept the thoughts and opinions of other people then please do not continue to read this post if you will only flame me in the end. If you want to know my opinion on this matter please read on.

To those who have no idea what this video is about this is a video taken from a camera of a student nurse at an operating room at Vicente Sotto Memorial Medical Center (VSMMC) at Cebu City, Philippines.

This video (that was spread on the internet like wild fire on Youtube, emails, and even cellphones) was of a 30 year old homosexual who had an Avon's Black Suede For Men Body Spray (thus the name Black Suede Scandal) allegedly inserted into his rectum when he had sex with a stranger.

What made the video so scandalous and caused such a sensation is when the doctors, nurses, and other operating room staff laughed and jeered at the patient's condition as seen in the video.

But here are are some of my reaction upon some comments of people online regarding the said topic:

• On Medical Malpractice - As defined by Larry Curtis Law Firm is a form of negligence where an injury results from a medical professional’s or medical facility’s failure to exercise adequate care, skill or diligence in performing a duty. We should actually congratulate the doctors for a successful operation. No invasive procedures were done on such an extraordinary case. The operation was a success and there are no complications.
• On Breach of Sterility - The people seen in the video were curious staff from other operating rooms within the operating room complex therefore they are considered sterile. They did not come from outside the operating room. And the people with no gloves were at least 12 inches away from the operating table so as stated by the sterile technique the operation is still considered sterile. Besides the people with out gloves did not perform the operation.
• On Cameras in the Operating Room - Actually in my case, cameras are allowed inside the operating room and we student nurses are indeed allowed to take pictures for the sake of documentation which would be used for future case studies.
• On Breach of Patient Confidentiality - When I reviewed the video footage the patient's identity was not at all exposed. The patient's face was not seen and no distinguishing body marks such as tattoos and birth marks were not captured on film. We wouldn't even know the sex and age of the patient if he hadn't exposed himself to media saying that he was a Florist, he was 30 year old, and he even divulged how that can arrived at his rectum. And yes his consent was asked and he did agree to have the operation filmed because as I reiterate this is a very unusual operation. So the video taking had the patient's consent.
• On the Revocation of the Doctor's Licenses - I think that the people are overly reacting just like the way Filipinos over-reacted to Teri Hatcher's "some doctor from the Philippines" comment. It's not like the doctors killed someone or anything, I agree that sanctions may be imposed on their behavior but revoking their titles for laughing and cheering is way too harsh.
• On the Operating Room Staff's Cheering & Laughing - To be fair to the patient, I would also be furious if I were in his position if I knew that a video of me was circulating on the internet but then I would realize that no one would know that it was me. It's also normal for people to be curious and have fun and joke around. In fairness the doctors and nurses were laughing at the situation not at the patient, that is a totally different context. It would be a normal reaction of a normal person to an extraordinary situation. No person was hurt, just a pride that was bruised. But now that we mention it isn't it the patient's fault that he was in this predicament because he had a one night stand with a complete stranger. He was lucky that he wasn't killed by his promiscuity. But that is a totally different issue and that is not my problem. The issue that I am concerned of is the outcome of the health care professionals who are being crucified for an issue that is overly exaggerated.
  

This issue had circulated and has been talked well enough and I think that this should already be wrapped up and more important issues were tackled like the improvement of the health care system in the Philippines and the improvement of nurse's wages and patient to nurse ratios.

I know that this post would gather a lot of negative reactions but let me again reiterate the blog's disclosure policy: The views and opinions expressed on this blog are purely my own, as this is a personal blog.

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Sources:
Sun Star - Doctors may lose licenses over surgery scandal
Inquirer - Video scandal grips Cebu hospital
Inquirer - Black Suede scandal

Nurstoons

(just click on the images to enlarge)

I just want to share these comic strips about student nurses from Nurstoon.com. They may be insanely funny but they somehow hold some truth. That what makes Nurstoon.com's comic strips very interesting.

As a student nurse I also had and will continue to have many bloopers and interesting experiences and I would really love to share all of them.

So to all of you student nurses never stop dreaming and believing in our selves. Someday we will be registered nurses, I just know it. And if ever we had made some stupid mistakes along the way let's just charge it to experience and try not to make the same mistakes twice. Remember, you never learn unless you make a mistake.

Swimming Safety

Ok this post may not be related to nursing or health (well somehow it is) but it is related to life and death...

Accidents do happen and cases of drowning are the worst accident that could happen. You and your friends are having fun at the beach or in the pool when all of a sudden friend disappears and you find his/her dead body minutes later.

We all have had a near-drowning experience and it is very frightening. We all had tried swimming in deep waters and then our muscles give up or worst we get a cramp. So to prevent incidents of drowning here are some swimming tips:

1. Always have a buddy system to always check if your partner is doing well and isn't drowning.
2. Do not swim in deep waters if you do not know how to swim. Use flotation devices if you insist on swimming.
3. Never swim in a pool without a life guard.
4. Learn how to float! Floating is a vital skill every swimmer should have because if one has cramps or any muscle weakness one could just float and rest.

I'm no expert at swimming but these are just some tips based on experience that I could share. The floating part saved me from drowning countless of times.

Nurse No-Duty

Oh boy! Good thing that I don't have to go to class this summer. I went to Xavier University to get my recommendation letter (which my CI did not give to me yet huhuhu, but it's ok ^_^) and I met some of my classmates and friends. They were just from duty and boy did they look so haggard and stress looking.

Imagine 4 days straight of duty and on two days of those days you have to sleep late into the night to finish requirements for the next day. So you get to sleep at around 1:00 am and you have to wake up at 5:30 am. I know because back when I was on duty I also experienced that.


Oh well, but it beats staying at home and being intellectually stagnant and bored.