It's hard to make money

My last duty in Ospital ng Muntinlupa was just pure hell. When I arrived on that Saturday morning, the PICU has one patient and the nursery had its usual fill of intubated babies. It LOOKs benign at that vantage point. The nursery is quite full so I phoned the ER doctors to stop admitting preterm mothers because I don't have the space for them. I don't want to raise my voice to another E.R. doctor who keeps on admitting preterm babies even though the nursery is in code blue. I hope they know what code blue means. It means no more friggin' SPACE! Its better to keep those babies INSIDE their mother's womb until they find a place where there's an available incubator. So better send them out. It's advent anyway. Well, I am not saying to give birth in a manger. Their babies will not survive in a regular nursery, what do you expect in a bed of hay?

Surprisingly, two private patients are giving birth to two preterms. TWO??! So, I conferred with my consultants regarding the lack of incubators in the nursery. The only option for us is to maximize management in the current situation. You know, PGH style. Well, the first one arrested after a few minutes. He/she had multiple congenital anomalies including an ambiguous genitalia and a huge abdominal mass. The other one was okay. I am glad that it was still eary and the consultants were there to help me out.

So by the half of my shift, I admitted 3 in the wards and caught 5 babies in the nursery. That time I was DONE. I was dead tired writing all those notes and checking up on the rest of my patients. But NO! After a few hours, I was admitted with 2 more patients and 3 more catches in the nursery. I was a bit evil because if its a term pregnancy, I just let the nurses to catch the baby. I just write the order and make sure that the baby is fine.

My first three admissions were simple cases of acute gastroenteritis. Fine. Fill me up with AGE patients. That's easy. Hydrate and send stool samples. Well, I have to tailor my management according to the degree of dehydration then WALAH...discharge. But later that evening, the ER told me that I have a case of sepsis (infection in the blood)and she will be admitted in the wards. When I examined the patient, she doesn't look septic. She looks septic AND toxic. Neck stiffness, spontaneous bleeding all over, rapid breathing, tense fontanelles. I immediately transferred her to the ICU. Upon questioning the mother, the baby was born at home and did not have any vitamin K injection. There was bleeding in her umbilical stump and spontaneous bruising. The moral lesson for today: Make sure your baby has vitamin K after birth. I left her intubated because her pupils (the black dot in your eyes) were unequal. Its a sign of brain hemorrhage. Poor baby.

By 2AM, I was dead. I couldn't keep my eyelids open. What's worse with this duty is that I chose to wear this black leather shoes. It's nothing expensive, local brand even but it's sleek and trendy. I have nothing else to wear with my black slacks. After a while, it was giving me hell. I did not have any other shoes to fit my outfit so I stuck with this one. Beauty before duty, my friend.

I woke up at 6 the next day, did the rest of my paper work, made the usual morning rounds and prepared my endorsement sheet. That wretched endorsement sheet!! They changed it!! Now we have a clear book with multi-colored tabs and index card in it where I should write my patient's cases in individual index cards and sort it by location. It gets worse: I have to write in pencil. So I have to lug around a pencil, a ballpen (for writing chart orders) and a rubber eraser. I absolutely hate it!! It's cute, yes, but its a FUCKING WASTE OF TIME!

On my 25th hour in the hospital I was done. I have to get clearance from the nurses in order to get my pay, so I did that. When I went down to the cashier's window, the line was 5 persons long!! Ugh. So I have to stand up for another 20 minutes in my el cheapo black shoes. Waah. After I got my 1,575...I marched back to the call room, turned the aircon on full and passed out.

Do you think I should start applying for a call center by now?

MON is evil

Posting some nonsense in my blog is not really a habit of mine. But, today I went to this site called googlism and entered my name. It gave surprisingly interesting results, read on:

mon is in outburst
mon is all here
mon is still slowly
mon is impossible to eat
mon is no 1
mon is a general
mon is a mon
mon is still slowly brightening
mon is a very red object"
mon is supplied so normally the a1 & a2 input signal is displayed as a left and right deflection on the respective meters
mon is completely self contained in 3u rack mount
mon is a stand
mon is a beautiful white triple star
mon is available in the following formats
mon is how
mon is a truly delightful place to visit
mon is one of those bands helping the music scene in the northwest become a phenomenon
mon is circular
mon is one of the most representative and committed avant
mon is still celebrated in upper and middle burma with animal dances and rowdyism
mon is a small island just south of zealand
mon is probably "soak up the sunshine
mon is not running so that it detects devices
mon is a 0
mon is an asymptotic giant branch star nearing the end of its life as thermonuclear fusion engine
mon is varying while the other stars are not varying
mon is the main entrance to the imperial city
mon is a real
mon is on the fourth floor of the
mon is a wireless radio frequency
mon is bad and why to hate it
mon is as edible as a stone
mon is rooted in old
mon is an irregular
mon is an instant charmer
mon is possibly brighter than previously but the earlier ha peak has vanished and replaced by a broad band of lesser peaks
mon is a commercially available data acquisition system specifically designed for use on wind turbines for practical engineering applications
mon is not a tonal language but makes use of different registers
mon is fantastic
mon is determined in a single cylinder engine similar to the ron engine with a few changes that make operating conditions more severe
mon is the perfect gift for anyone
mon is a truncated word which is shortened from mwatch meaning no or not
mon is a is a lightweight system monitor that measures cpu
mon is an adjunct faculty member at cuny she is chair of the national association of social workers
mon is within easy reach of all parts of britain and ireland
mon is also considered a port of entry with customs and immigration clearance on sight
mon is running
mon is so stupid
mon is in the comments box and what level it is on your game
mon is both traditional and modern fighting arts
mon is sendmail
mon is a passive isdn s
mon is picky about grammar
mon is wizards of the coast's latest entry into the crowded collectible card game market
mon is selling the feel
mon is a stereo buss which follows the selected routing and appears at the l&r outputs of mon1 and mon2 via the channel buttons on the monitor module
mon is a ti junkie
mon is monday
mon is at 900 rpm
mon is a good album and singles like the title track
mon is their
mon is fine
mon is a dos tiny imitation
mon is not
mon is primarily designed to allow easy hookup between a computer and a 6811 board
mon is the same thing for southern hemisphere
mon is evil
mon is a separable banach space

What's a ti junkie?? I love this best: Mon is an instant charmer/is not. Mon is evil. Where the hell did that come from? (Hell, I guess.) Anyway, I kept smiling the whole time I was reading it. The whole thing is good description of my character, indirectly in some parts. It's like going to a manghuhula. Ha ha. Try it guys :-) Let's see if you're evil as well.

Crying over spilled milk

Sad thoughts this morning: If ever you were given the power to do your life all over again, what do you want to change?

I woke up with this question inside my head. Only persons who are unsatisfied about their life have these thoughts in their head, right? Is this an expression of my depressed ego? Is this what I long for at this moment? Quite an impossible and unrealistic thing to yearn for.

I woke up wishing I could've done a lot better in my MLE exams. I hope I just went to that expensive KAPLAN review because so far, this US venture costs way beyond my expectations. Thrice more than what it costs me to go to that KAPLAN review and do better in the exams. If I have done better in my exams, I won't have any problem in getting into a program and I could've started last July just like my friends. Then I wouldn't have to bitch around because of visa problems and additional expenses. And better yet, I won't feel discouraged and depressed and frustrated all at the same time.

And I don't need to wake up with sad thoughts inside my head.

Such a waste of a beautiful friday morning.

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Sunset in Boracay

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Originally uploaded by monstermd.

I took this during my last day in Boracay. I was surprised that it came out really pretty. Can't wait to go back to the island.

The Unbearable Lightness of Being

I started out reading this novel as soon as I got back to my room. I've been dozing off again, day in and day out. I tried to free myself with any concerns for the moment and I want to start fresh tomorrow.

I thought it was a hard read. Something like Hundred Years of Solitude. But it is an insightful chronicle of a doctor with two women in his life. I only got as far as page 21 on my first day and I haven't read that much yet, so I cannot disclose the story any further.

What amuses me is how the author keeps striking me on the right places. He started with the discussion between lightness and heaviness. The heavy weight in our shoulder weighs us down and drives us closer to earth. Lightness, on the other hand, makes us free of weight and allows us to move freely and to dance in the air. So, which one is better? And I had to grin, look up and say "Oo nga naman". Adversities make us human. Without it, we're just a feather in the wind, a spectator in life. And then, there's this point when the lead was thinking if he would follow his love (Tereza) in Switzerland. He ponders that "If a man keeps on thinking of leaving his home, he is truly unhappy" and he wants to follow Tereza realizng: "We only have one life to live. We do everything once and we do it with our whole heart. There is no rehearsal in real life." Within the 21 pages of bound paper, I started to like Milan Kundera.

Sorry, if I started out this blog with a book review. And then posting a picture of Boracay on top. Sometimes, I can be a REAL scatter brain. Well, yeah, most of the time.

My boracay duty wasn't as "exciting" as before. No trauma, no deliveries, no conduction to Kalibo on a dark stormy night (the last one ALMOST happened to me, it wasn't stormy that time). But, I was so delighted to see one of the babies I helped delivered during my last duties. Tada! That's Heather right there. 5 months old right now. I didn't ask permission from mommy if I could blog her but I guess it wouldn't hurt. She is just so cute! Can't stop raving about her. Ha ha. Although the island was packed with celebrities for Halloween, I didn't see a single one. I was stuck in the clinic and somehow hoping one would come to see us for a consult. Well, only wish that they would consult for minor injuries such as sunburn or nic-nic bites. Nothing serious. I am not that evil.

Leaving boracay was not as hard as it was before. I was craving for company. Girlie was more than fine but I was stuck with a freaking closet case all the time. Geez. Now, I appreciate all the friends I have. Even the straight ones. Especially the ones who appreciate, tolerate and accept who I am. At first it was okay, but it was a freaking disaster afterwards. Honestly, I didn't expect a clash of ego at the end. He was driving me out of his closet and locked himself in, alone in a self-adoring moment with himself. What a fucking loser. And as I've said to my friend Kit: I don't hang out with losers.

Anyway, I am glad to be back. Can't wait for the Madonna Album launch party on Friday.