Monday, February 26, 2007
Norweigan Wood
I can't really say I like Murakami. Maybe my opinion of him will change after I listen to his other novels. Or probably not.
Tuesday, February 20, 2007
MV Doulos
And I was very fortunate to visit it at the very last minute last night. I forced myself to go, despite the sheer fatigue that I felt from lack of sleep, because it was to be the ship's last day here in Cebu (At last I finally found the time to come!). I heard that the ship's present tour is actually its last. Its owners have determined that it has served enough (it has indeed lived up to its name, which means "servant"). Its time has come.
The ship was still packed with people last night. My eyes delighted at the sight of the books! My brother and friends warned me days ago that the books are not really that good, or interesting. Most of them are "religious" books, the rest are children's books. But I wasn't disappointed, really. I like to read "religious" books. I was hoping to find books by C. S. Lewis, his Christian apologetics. But I only found one of his Narnia series. There were also books by Jane Austen and William Shakespeare. But I ended up buying a compilation of all of Oscar Wilde's works. Lipay na kaayo ko ana. For Php 300, I think that's already a bargain! My brother bought a hardbound book on painting and a Special Air Service (SAS) pocket guidebook on surviving life-threatening situations or something. I didn't know what he wanted it for. I told him that such a guide will only be useful in doomsday scenarios, like if we were attacked by terrorists or if we were struck by some sort of catastrophe, but he went ahead and bought it anyway. He didn't find books on architecture. My mother bought a cookbook.
We shelled out about Php 1500 at the counter. It's nice because we've never spent that much money for books before. At least once in a while we spend money on things that matter.
Siguro nindut kaayo ang mga books the first few days the fair opened. Sayang kaayo last minute nami naka-adto.
What explains MV Doulos' popularity? Is it because it is such a historic ship? Or is it simply because we Filipinos are actually book lovers and it's just not that obvious? Hmmm... I think the latter is true... :)
On our way out the ship a black woman, one of the ship's crew, asked me if I was studying to be a doctor, because I was dressed in all white. I said I was studying to become a nurse, and she was surprised. "No kidding!" "But in Africa," she added, "we also have male nurses." I just smiled.
Saturday, February 10, 2007
On ECS
We were very wrong. ECS is a very, very clean and safe hospital. It’s the complete opposite of the government hospitals in the city. In the city the government hospitals are overcrowded and sometimes dirty. In ECS, the place is so clean and the environment is totally stress-free. The hospital grounds are so wide and there is so much greenery. There is no noise pollution (exept for the few motorcycles and tricycles that occasionally pass by the building) and the air is more breathable. It is really an ideal hospital.
Our earlier apprehensions about ECS reflected fears and misconceptions about leprosy that still lingers in our society today even after so many years. Leprosy has been around for centuries, in fact, yet to this very day there is still that stigma about leprosy.
During our clinical duty we’ve learned that leprosy is actually highly curable and that we need not fear it. We need not discriminate against those who have leprosy because in reality they are victims of the disease. They need to be helped and be accepted by society.
Jesus in the poor
-- Mother Teresa
Temptation and virtue
-- Pope St. Leo the Great
Finding God in bad situations
-- St. John Chrysostom
Wednesday, February 07, 2007
These Dreams
These dreams
Time in a Bottle
I'll Have To Say I Love You In A Song
Operator
Sigh... I feel so nostalgic.
Tuesday, February 06, 2007
Murakami
Eversley Childs Sanitarium
A few things about the hospital:
Eversley Childs was an American industrialist. In 1928 he donated money for the sanitarium to be built (I guess he's a philantropist). On that year construction was started and was finished two years later. It opened in May 1930 and was turned over to the government.
The sanitarium's area is very wide: 27 hectares.
It is the second largest and oldest sanitarium in the whole country (there are only 8 in total). The first is the one in Culion island, in Palawan.
It originally exclusively functioned as a leprosarium, but when a new and more effective treatment was developed in 1981 (Multi-drug therapy) which led to the dwindling of the number of leprosy cases, it expanded its services to avoid being shut down. Thus, today, it serves as a regular secondary hospital.
I read this touching account of a woman who was admitted in ECS in 1939 in this website: The Oral History Project of the ILA Global Project on the History of Leprosy. I find it helpful to know about the place's history. It feels less alienating and more interesting.
Monday, February 05, 2007
Alabama Rain
Alabama Rain
Lazy days in mid-July
Country Sunday mornin's
Dusty haze on summer highways
Sweet magnolia callin'
Chorus:
Now and then I find myself
Thinkin' of the days
When we were walking in
The Alabama rain
Drive-in movies, Friday nights
Drinkin' beer and laughin'
Somehow things were always right
I just don't know what happened
Chorus
We were only kids
But then I've never heard it said
That kids can't fall in love
And feel the same
I can still remember the first time
I told you "I love you"
On a dusty mid-July
Country summer's evenin's
A weepin' willow sang its lullaby
And shared our secret
Chorus
Walking in the Alabama rain
I love just about every song by Jim Croce, but especially the one above. His songs are the theme song of my childhood. Those were such happy, innocent times. I remember I would be sitting in the rotunda in the Redemptorist compound, my feet so small they'd hang above the ground. It was always night time when I came out of the school (I went to St. Francis of Assisi in grade school; no, not the funeral homes, but the school in the Redemptorist compound). My karate class always ended at night. I always hated it when I finished my karate class and I found when I got out of the school gate that my parents were not there yet. I'd walk to the rotunda with fear in my heart, afraid that they'd forgotten to fetch me. I always felt like crying...
Then they would arrive, in our red Nissan turtle-top pick up, and I would run so happily towards them. My mother and I always sit in the front. And I love putting my little face before the freezing blast of the airconditioner, and watch the green light of the controls of the car stereo. I would press on the buttons and skip from station to station. But my father always had cassette tapes ready. We would listen to Jim Croce all the way home (we lived in Pardo then). Sometimes we listened to John Denver, Kenny Rogers, America and Don McLean. And I remember, I always was a very fanciful boy, because I always imagined that I was the one singing those beautiful country songs, and I was performing in front of my classmates at school, putting them in awe at my talent, and serenading them with my songs.
Alabama Rain. I wonder what the place Alabama looks like. Someday if I can really go abroad with my future family I think I'll go to Alabama. I wonder if the place won't look so alien. Of course, it will look very alien. But the name will always be a part of my childhood.
Friday, February 02, 2007
Charity for everyone
"All our religion is but a false religion, and all our virtues are mere illusions and we ourselves are only hypocrites in the sight of God, if we have not that universal charity for everyone - for the good, and for the bad, for the poor and for the rich, and for all those who do us harm as much as those who do us good."
-- St. John Vianney
A very busy week
Tomorrow, one final quiz. I have to read up on the different bowel surgeries and the different inflammatory diseases in the GI.
The DR nurse's role
If you're the Handle:
- Prepare the anesthesia (Lidocaine) using a 5cc syringe
- Prepare the OS
- Support the patient's perineum when there is already 'crowning' (when the baby is about to be expelled) using a sterile pad (In the Cabrite Birthing Home in Labangon and Estardo Birthing Home in Lapu-Lapu, we were actually allowed to be the ones to pull the baby out)
- Note the time of delivery and the time the placenta was expelled
- Assist the doctor during suturing if an episiotomy was done (prepare the needle and suture)
- Do SOAPIE for the mother after the procedure
If you're the Assist:
- Wipe the baby's mouth with an OS
- Clamp the umbilical cord at the middle with a Kelly curve forcep
- 'Milk' the cord (towards the baby)
- Clamp the cord with the Kelly straight and cut in the middle with a Mayo scissor
- Bring the baby to the table prepared for him/her
- Do suctioning (the mouth first and then the nose)
- Wipe the baby's body thoroughly using OS soaked in water and Lactacyd
- Do SOAPIE for the baby after the procedure
If you're the Cord Care:
- Wipe the cord with OS soaked in alcohol from the bottom up at least 3 times
- Clamp the cord this time with a, um, cord clamp (several inches from the baby's belly)
- Wipe the top of the newly-cut cord with OS soaked in alcohol at least 3 times
- Wipe also the base of the cord
- Measure the baby's head circumference, chest circumference, and length in centimeters
- Weigh the baby
- Administer Gentamycin eye drops
- Administer Vit. K IM at the anterior portion of the left thigh
- Administer Hepa B vaccine at the anterior portion of the right thigh (if ordered)
- Take the baby's footprints and the mother's thumb prints
- Take the baby's vital signs
- With the baby clothed, bring him/her to the mother for 'latching on' and note the time (We were advised to allow the baby to latch on for not less that 30 minutes)
I wonder why we didn't do APGAR scoring. Murag ang staff nurse ra'y nagkuha.
If your patient is still in the labor room, take her vital signs every hour. Do Leopold's maneuver to determine the baby's position and take his/her heart rate, using a stethoscope or a cardiotocograph. Monitor also the contractions (its duration, interval and frequency) every 15 minutes, or continuously if the labor is already active. Inform your CI for any abnormality.
The Basilica del Santo Nino museum
Its collections are mainly the different Santo Nino images (statues) that the Basilica has received from devotees through the ages (they are made of different materials: ivory, hardwood, etc). Along with them are the different vestments of the Santo Nino (they are changed every year), the oldest of which dates as far back as the 16th century. There are also jewelries, toys, liturgical materials and centuries-old books.
The museum is located at the basement of the Pilgrim Center. It is open from Tuesday to Sunday, 8 to 11:45 in the morning and 1:30 to 5:45 in the afternoon. Entrance fee is Php 10.