Medical Decisions

>> Saturday, August 30, 2008


When a panel of Doctors was asked to vote on adding a new wing to their
hospital, the Allergologists voted to scratch it and the Dermatologists advised
no rash moves.

The Gastroenterologists had a gut feeling about it, but the Neurologists thought the administration had a lot of nerve, and the Obstetricians stated that they were all labouring under a misconception. The Ophthalmologists considered the idea short-sighted; the Pathologists yelled, "Over my dead body!" while the Pediatricians said, "Grow up!"

The Psychiatrists thought the whole idea was madness; the Surgeons
decided to wash their hands off the whole thing, and the Radiologists could see
right through it!

Internists thought it was a bitter pill to swallow. Plastic Surgeons said,
"This puts a whole new face on the matter." The Podiatrists thought it was a step forward, but the Urologists felt the scheme wouldn't hold water.

The Anaesthesiologists thought the whole idea was a gas, and the
Cardiologists didn't have the heart to say no.

And in the end, the Proctologists left the decision up to some asshole who didn't give a shit.




another hospital humor, guess all of them are confused... Enjoy

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Aaarrgghh, Its a Burn...

>> Friday, August 29, 2008

Another tour of duty ended, yesterday is what I ll call a "benign" duty. We only had 4 admissions and the patients seen in the ER was I guess less than 20 for the pediatric side. One of our admissions was a burn patient, a 1 year old male infant, who accidently tipped over a bowl with hot water into his chest. Seeing him in the ER, he was quite irritable, his whole chest was scalded. He suffered from a first degree burn and he was eventually admitted. Burns have a nasty reputation of getting you dehydarted, so patient was then started on IV fluids and wound care was assigned to me. I did his wound dressing upon waking up this morning, prior to dressing he was given a sedative hoping it could calm him and not let him feel the sensation of cleaning his burn wound. Unfortunately, the desired effect did not happen, while cleaning his wound and applying burn ointment, he was really crying and shouting at the top of his voice, his parents were holding him. It was a really a painful sight for me, letting a cute 1 year old cry like that in my hands. Eventually after applying top dressing, his crying and shouting eventually subsided. I adviced the parents to inform the nurse station if they need any help or assistance. After dressing his wound, I ate breakfast with my peers, then I m awaiting my time off then I m homeward bounda gain. :D


No plans in letting that big fire touch me. :D Pleasant day

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Comic Relief

>> Thursday, August 28, 2008

Let's live hospital stuff for a while, lets have some laughs for the meantime.. below is a funny listing of a phone menu in a mental hospital... laugh and enjoy

Mental Hospital Phone Menu


Please select from the following options menu:
If you are obsessive-compulsiv e, press 1 repeatedly.

If you are co-dependent, please ask someone to press 2 for you.

If you have multiple personalities, press 3, 4, 5 and 6.

If you are paranoid, we know who you are and what you want, stay on
the line so we can trace your call.

If you are delusional, press 7 and your call will be forwarded to the
Mother Ship.

If you are schizophrenic, listen carefully and a little voice will
tell you which number to press.

If you are manic-depressive, it doesn't matter which number you
press, nothing will make you happy anyway.

If you are dyslexic, press 9696969696969696.

If you are bipolar, please leave a message after the beep or before
the beep or after the beep. Please wait for the beep.

If you have short-term memory loss, press 9. If you have short-term
memory loss, press 9. If you have short-term memory loss, press 9.

If you have low self-esteem, please hang up; our operators are too
busy to talk with you.

If you are menopausal, put the gun down, hang up, turn on the fan,
lie down and cry. You won't be crazy forever.

If you are blonde, don't press any buttons, you'll just mess it up.


Hopefully you laugh out loud like crazy. Pleasant Day

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Finally...

>> Wednesday, August 27, 2008

Finally finish my report, whew.. my report on that mind cracking case. Finished it this morning and I was supposed to present it tomorrow but my internal medicine resident told me that my report would be move to next week. Lucky break again, at least I still have time to study the different drugs for HIV. Afterwich I had lunch with my peers. Basically my afternoon was boring, spend some time playing games on the laptop. By the way, I forgot to mentioned that we had a mystery case the other day during my duty on the ER. Actually he was not an ER patient, he was a ward patient transfered to the ICU near midnight and eventually expired around 3 in the morning. He was a 6 yr old patient, on his 2nd hospital day. He was admitted due to abdominal pain, and the impression then was T/C pancreatitis. Then on his 2nd day, he was transfered to the ICU, eventually intubated and after a few hours expired. I really dont know the details of the patient but ICU folks are talking what might have cause his demise. Hopefully an autopsy be done to know the cause. Anyways enough of mind cracking cases, I m nearing my off time here at the hospital ill be homeward bound again.

Life is full of mysteries, its like playing that mystery murder game where in you find clues along the way to eventually solve it. Pleasant day.

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ER rush

>> Tuesday, August 26, 2008

I had my hospital duty, currently I am assign in the pediatric ward, but early yesterday I recieved a call from my resident which told me that for yesterday I will be assing to the emergency room tending pediatric patients because they are under manned. One of my resident's was sick due to a hypertension episode a day ago. So got my stethoscope and I headed down the emergency room. The whole day was filled with patients, ranging from patients complaining of diarrhea, fever up to patients complaining of rashes. The thing with being in the ER is you'll have a fast pace with your adrenalin zooming, no room for sitting in the corner and do daydreaming. Most of the patients were discharge eventually and some were admitted. Then upon midnight, I excused myself from the ER because I continued to work on my report at our quarters. Then after a lenghty typing, I went back to the ER around 3 in the morning. Upon arriving, I heard shouts from the ER entrance, there I saw a patient in the stretcher, stained with some blood in the head, it was a case of a vehicular accident. One of his companions, a drunk companion, was shouting at one of our guards. Eventually he was pacified. That adrenalin rush in the early morning was the highlight of my ER duty yesterday. Currently half asleep hehehe and hungry (skip breakfast this morning) awataing, few minutes from now I m homeward bound again.


Somewhat a replica of our emergency room sign, althought ours is green. Pleasant day

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Sunday Off w/ blog award.

>> Sunday, August 24, 2008

Currently, some rain drops are drizzling here, I m currently off from the hospital. Just relaxing and surfing some pages from the net. My head cracking report is re-scheduled for next week, hopefully Ill get ready to go by tonight. Early dawn yesterday we had another ICU admission, it was a 2 month old infant suffering from very sever pneumonia. Unfortunately the mother and other relatives of the patient opted to transfer her to another institution due to financial constraints. Some patient's health status are deteriorating due to financial constraints, a really awful site to look at. After the patient went HAMA (home against medical advice), I headed to our quarters and took my sleep that was around 3 in the morning. Upon waking up, had breakfast with peers, discuss the case, then I was homeward bound again.

Hospital stuff aside, as I check my cbox shoutbox in my blog, I received a message from on of my blog friends (Ms IvoryTasks). I then checked her blog out which gave me a smile, she gave me my first blog award. (bravo, bravo, bravo)



I would like to thank Ms IvoryTasks for giving me my first blog award. Unfortunately, I wont post the award rules because I can't comply with them hehehe, because I think my other blog friends already have the award. :)Pleasant day

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Disclosure Policy

Health Zap is a blog owned and maintained by jhun. For questions about this blog, please contact jhun at jhunpaler@gmail.com.

All posts written in this blog are originally written by him or otherwise re-posted with permission. This blog may accept any form of compensation in exchange for ad space or any forms of advertising.

The owner of this blog is not always compensated to provide opinions for certain topics of discussion. Though the blogger accepts paid advertising, his own opinions or views are all his. He may mention some representation of such but this should be verified with the party in question.


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Lucky Break

>> Friday, August 22, 2008

After my mind cracking time to prepare for my case presentation last night, a few hours ago I received information regarding the said event on Saturday. My case presentation is canceled due to our Infectious Disease consultant not being able to make it. Whew I would like to call it a really really lucky break. This is what happened to me this afternoon, I continued to do my preparations for the said case presentation, unfortunately to my great dismay the file in my USB got corrupted due to a virus and I forgot to save a backup. I was really in panicked, all my thoughts regarding the case were gone in a zap. I gathered all my resources right there and then and started my presentation from scratch. When I was in the middle of making the report, one of my co-interns came in, and announce to my that the case presentation for tomorrow was canceled. It gave me a really really big smile and said to my self, save again by the bell. Well at least I escaped being axed tomorrow. Very lucky indeed... :D
This was my expression this afternoon, one lucky dude. Pleasant Day :D

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Mixed Signals

>> Thursday, August 21, 2008

The whole day was a drag, time was really a sloth today, moving so slowly. I m scheduled to present a case on Saturday about HIV with SLE (systemic lupus erythematosus). One of my co-interns who is supposed to present the case is taking a leave coz he is going to Hong Kong so I m taking his place. The case is really complicated, its primary impression is Lupus, then it has signs of HIV due to signs of immunosupression. It's really giving my head a crack. Been reading about the topic the whole day which made the day go so slowly. Now I m having a break but ill be back to the books later. Hopefully, I won't get axed by my Infectious Disease consultant on Saturday and hopefully I could come up with a good report to present. Tomorrow is another duty day, hopefully I ll still have time to review.



This case is really choking meeee... grrrrr... Pleasant Day :)

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The AdSpace Contest

>> Wednesday, August 20, 2008

I can't wait to tell you about The AdSpace Contest I found!



The idea is simple and easy: Get as many entries as you can (very easy to do) over the next 30 days. The more entries you get, the better chance you have of winning! At the end of the 30 days, they announce the winner.



The prize?

A 125x125 pixel ad spot (above the fold) on at least TEN DIFFERENT BLOGS that will run for one month. That's at least a $100 value!



Who is co-hosting?





How do you enter to win?

1 Entry - Subscribe to any one of the blogs above via email.

10 Entries - Write a post about the contest (must include links to all 10 hosts OR use the suggested text)

25 Entries - Offer up an ad spot on your own blog for one month as part of the prize package



Simply put, you could subscribe to all 10 blogs, write a post and offer up your own ad spot for a grand total of 45 entries!

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Health Education Reform Order (HERO)

Another tour of duty ended, last night was quite uneventful except for a cardiac arrest which occurred in the Medicine ward aroung midnight. I only had 8 admissions in the pediatric service. Yesterday, me and my other co-interns along with our residents and some clinical clerks were sent of to a nearby public school to lecture on some relevant health issues. This was an outreach program by our hospital name Health Education Reform Order or HERO. I was assigned to the Dengue group along with 2 clinical clerks and 3 residents. The age group that we were to lecture ranges from 6 to 12 years old. We had visual aids of a brief description of dengue, symptoms and how to avoid it. I was assigned to lecture first among Grade 1 students (6-7yrs old), and I would say that they really gave me a hard time answering their questions. One student ask me where did the mosquitoes come from and how come they have the disease. Some would ask why the name of the mosquito carrying the virus is Aedes Aegypti and who named it. Well, I have to dig my brains out to give them a good sounding intelligent answer. After the last question being asked, I ended the lecture and went out of room with a smile on my face. Then I shared the questions the kids asked me to my other group mates and we were really laughing our hearts out. Now, as I am writing this post, I m still laughing inside remembering those kids with great questions :)Anyhow it was a funfilled day sharing it with kids and teaching them about health.


Hopefully those kids would approve to give me this award after lecturing them yesterday :) Pleasant Day

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Blog Roll

>> Monday, August 18, 2008



BLOG ROLL



Ivory Tasks
Mommy Makes Money Online
Traipsey Turvey
PierrEzrah
Ezrah Photographs
Deranged Insanity
Pinay Mommy Online
My Life....My Journey!
Live it up...
Everything Under the Sun
Techiecardia
DIGISCRAPTOLOGY
A Life in Bloom
Because Life is a Blessing
Life as Experienced Daily
What a World
Nice Reading
Sojourn
Chronic Chick Talk
Turn The Radio On
FOOTBALL: Just Love The Game
My Tramping View
Frustrated Writer
Life's Lessons
Kerslyn's Comfort Zone
Pieceofmine
Life In A Snapshot
Starts at Two
The Money Maker
Trader's Hub
Haiku Poem Blog
Bryan's Mind
The Pink Parade
Fit 4 All
Musings of a Vicks Inhaling Man
A Girl Blogger



Link With Me


Health Zap

and

Site Hopper

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Holiday Rest

Its a Monday here, and it's a holiday in our country. The holiday is to commemorate one of our heroes Ninoy Aquino. He was a great icon and was part of the thwarting of a dictatorship during the 1980's. Well I m off from the hospital now, just here sitting back and relaxing but Im still bugged about yesterday's case. Tried to read through some books regarding yesterday's meconium aspiration. Anyways I spent my time watching tv, playing some computer games and writing this entry. Tomorrow we are scheduled to give some lectures to some grade school students in a nearby public school regarding some common relevant topics. My resident assign me to the Dengue group. I think ill have to dig in about the topic and make it explainable to 12 year old students. After which I m set back to go back to the hospital for my duty. Hopefully I wont encounter any mortalities tomorrow. Ill just enjoy the rest of my day surfing some blogs. Pleasant day.

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Techno Christmas

*Start Copy Here*


You do not have to be tagged to play along. This game is simple and so here are the rules.

1. Copy from "START COPY HERE" to "STOP COPY HERE".

2. Add your site(s) to the list. Just be sure to post the "Techno Christmas 2008" at each site you add.

3. You have a choice to tag or not to tag, however, the more tags you create the longer the list will grow.

4. Let me know your blog’s name and url by leaving a comment HERE, so I can add you to the master list.

5. Come back and copy the master list back to your site, often as you can. This will allow the new comers to achieve equal benefit as the late comers do.

6. Watch your Authority Rise

7. You may want to grab the Techno Christmas Badge


<a href="http://www.irisaeirincollections.com/2008/08/techno-christmas-2008-master-list.html/"><img src="http://www.irisaeirincollections.com-a.googlepages.com/technochristmas.gif"></a>

Please follow the rules. Blogs in the list will be subject to removal if their lists are not updated. I will check all of the blogs once a week.

Masterlist:

1. Aeirin Collections 2. Biz-N-Honey 3. Life In Pictures 4. Pinay Mommy Online 5. Blessings and Beyond 6. Mommy Earns Money 7. OnlineBiz and Resources 8. Lourdes' Mia 9. Digital Life Scraps 10. Pexlinks Triple Love 11. Pinay Mommies Community 12. Deranged Insanity 13. Traipsey Turvey 14. PierrEzarh 15. Dancing in Midlife Tune 16. Life is What we Make it 17. Picture Clusters 18. My Wanderings 19. Maiylah’s Snippets 20. Moments of Colours 21. MBA On Line 22. Mom of 2 Dancers 23. Wonderful Things In Life 24. The Fountain Of Happiness 25. A message From My Heart 26. My Life's Adventure 27. Photographic Memories 28. Love Is... 29. The Joy Of Life Forever 29.In My Dreams 30. I love nice 31. My Resting Place 32.You In My Heart 33. Life's All About 34 Design By Pieces 35. Gala Tayo! 36. Buhay Pinoy~Making Money 37. Hesitant Wife's Blog 38. PTC100 39. My Little Home 41. All Because Two People Fell in LOVE 42. Come, Let's Talk 43. Three P's in a Pod 44. 3P's In a Pod 45. Ivory Task 46. I Play Mom 47. Site Hopper 48. Health Zap
49. YOUR BLOG HERE...


* STOP COPY HERE *

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Pupu Ingestion

>> Sunday, August 17, 2008

Just arrive from the hospital, I would say that it was quite tiring especially in the wee hours of the morning. Only five patients were admitted during my duty and after getting a glimpse of them in their respective rooms I headed to our quarters getting ready for my sleep. I already had a few hours of sleep until 2 am when the phone rang, I answered it and it was my NICU (neonatal intensive care unit) resident on the other line. She was asking me to help her out resuscitate one of the patients in the isolation room, so I headed towards the said room. She was a 2 day old infant suffering from meconium aspiration. Meconium Aspiration is a situation where in a a baby aspirates or inhales his/her meconium (baby's first feces/stool). This could happen before or during labor or delivery. She was admitted at our hospital 2 days ago. She was already pale looking but still resuscitation maneuvers were still done. Few hours afterwards, around 6 in the morning, she was lying still, with mottled skin, and was septic (generalized infection) looking. Her neonatologist arrived and made her physical survey and afterwards pronounced her. I was there sitting, looking at her, saying to myself "a 2 day old infant passed away right in front of me...." relatives arrive and were informed of the patient's demise. I went out of the room and headed towards the canteen to have breakfast with some of my peers, discussing with them what happen to the patient. After a lenghty discussion, I tooked my bag and headed home still thinking of the case.



Cherished Life, Pleasant Day.

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Gloomy Stomach

>> Saturday, August 16, 2008

Its still quite gloomy here but it hasn't rain for a couple of hours. Our COPD (chronic pulmonary disease)presentation was cancelled due to our speaker pulmonologist not being available. Im snatching a few minutes to browse the internet before entering my duty. Currently there are 39 ward patients under the pediatric service. Yesterday a total of 16 patients were admitted. I guess admissions are really starting to peak maybe because of the weather considering pediatric patients. As I browse through our census, a catch a glimpse of a bunch of patient admitted due to acute gastroenteritis. Acute Gastroenteritis is usually costs by etiologies such as viruses, bacterias or parasites. It usually presents with bouts of diarrhea and vomitting and is usually common among the pediatric age group. It is usually self limiting if it is caused by a virus and symptomatic treatment is usually done to relieve the symptoms. An antibiotic or an anti-parasitic is usually needed when caused by a bacteria or a parasite. Now, Im nearing my time to go back to the hospital walls, hopefully nothing unusual will happen tonight.



Watch out for that simple stomach ache, it might lead to you being dehydrated. Pleasant day everyone.

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Inspirational Jitters

>> Friday, August 15, 2008

Another day at the hospital, making my same routine except having breakfast this morning. As I was sitting looking at the list of patients admitted under the pediatric service, I glance at my cellfone and started to read upon some of the messages stored in it. I browsed on the folder name "Inspirational" and here are some lines that I want to share and hopefully can impress upon you a thing or two.


"Appreciate life itself, even if it's not a bed of roses. Contentment is not the fulfillment of what you wish for but the appreciation of what you have."


"A great and worthy life is not about routine but doing something rare... to cherish and not to compare, to forgive and not to blame and to be loving without counting and condition. Laugh at your mistakes but seriously learn from them, joke over your troubles but gather strength from them, have fun with difficulties and misgivings but overcome them. Always remember that a problem always comes as an opportunity in disguise."


"What are the secrets of happiness? I found the answers in my home: the WALL says BE STRONG, the CEILING says AIM HIGH, the DOOR says BE OPEN, the WINDOW says LEARN TO GIVE AND FORGIVE, the CLOCK says TIME IS GOLD, the CALENDAR says LIVE EACH DAY LIKE IT IS THE LAST, the CABINET says KEEP THINGS IN ORDER, the BED says TAKE TIME TO RELAX, the LAMP says BE LIKE THE LIGHT and GOD who is everywhere KEEP FAITH COZ IM WITH YOU ALWAYS."




In Life's struggles, there is always someone there to lend a helping hand :D

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Mosquito Buzzzz

>> Thursday, August 14, 2008

Its pouring out hard here, I guess the start of the rainy season has already begun at our country. Nearly got wet on my way to a nearby computer shop. My tour of duty pass by fast, our ICU patient (renal acidosis) is still there, making a smile once in a while even with an irritable mood. 7 patients where admitted during our duty, mostly were due to vomiting and inability of infants to feed. Since its the start of the rainy season in this part of the globe, dengue fever cases are now on the rise. One patient diagnosed to have dengue fever syndrome was admitted last night. She was a 16 year old female presenting with fever. Dengue fever is a disease caused by a virus usually carried around by a mosquito(Aedes Aegypti). It is usually on the rise when the rainy season begins. The disease usually presents with fever associated with headache, muscle pains, and other flu-like symptoms. A rash would sometimes appear on the later stages of the disease. The thing to watch out for is bleeding, due to the notably decrease in the platelets of the patient. Others might present with nose bleeding or with gum bleeding. But the disease has a good prognosis. After which, I was rewarded a good night sleep at our quarters again devoid of ward calls. Nothing unusual happened during my morning, after lunch I was homeward bound again.



Stop the mosquito assault. Pleasant day everyone

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Bloody Vajayjay

>> Tuesday, August 12, 2008

Im writing this entry from the hospital to pass my time, nothing unusual happen today. I visited the ICU to take a look at our acidotic patient, upon seeing him, he gave me a smile, looks like he is improving and doing ok. Just attended a case presentation held during lunch. It was attended mostly by pediatricians, some came from the OB-GYN department and some from the Radiology department. One of my residents presented a case of Hematocolpos secondary to an imperforate hymen. Hmmm sounds complicated, well hemetocolpos is described as a condition where in the vagina is filled with menstrual blood and it cannot go out and thus accumulating there. It is usually caused by an imperforate hymen. The patient was a 9 year old complaining of abdominal pain for nearly a month. The OB and Radiology side gave their insights regarding the case. Questions were hurled one after the other at my resident but eventually my resident gave each a good answer. At the end it ended as a good case presentation. After the said event, my afternoon was filled with boredom. Anyway, I'm nearly at the end of my shift then im homeward bound again. Another day to look forward tommorow.

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Kidney Trouble

>> Monday, August 11, 2008

Wheeewww... homeward bound again from the hospital.. Yesterday I just heard news that the patient I mentioned a few days ago(Hypoplastic Left Heart) died at midnight of the next day. Too bad I haven't got a glimpse of him when I came to the hospital yesterday. My tour of duty yesterday was nearly uneventful, 4 admissions on the hospital ward. Really few ha, but again another ward patient was transferred to the ICU. This time, the said patient is suffering from Renal Tubular Acidosis, hmmm how will I say this, our body has a normal pH between 7.35-7.45 if it goes down it said to be in an acidotic state and when it goes up it is in an alkalotic state. One of the functions of our kidneys is to maintain that pH within normal range, our 14 year old male patient is in acidosis because there is a defect in his kidney functions making it unable to maintain normal pH. The patient appeared to be breathing fast and irritable, corrections were done and patient was noted to be improving. Rest of the day was unremarkable, I had a good long sleep last night devoid of ward calls. The morning was a breeze, had bread for breakfast then after a couple of hours had lunch before heading home. Another day has ended and another experience gained.


Don't mess with your kidneys... :D

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Looks like Gout, Smells Like Gout, Feels Like Gout, then it must be Gout

>> Saturday, August 9, 2008

Saturday pass by fast, whew I'm face with another full day at the hospital tomorrow, hopefully admissions won't be that big of a number. I'll check on my Hypoplastic Heart patient, hope he is doing ok. I attended a review lecture this morning regarding "Gout". Gout is caused by hyperuricemia (elavated uric acid levels). We discussed a 62 year old male presenting with a tender and swollen left big toe. The discussion was lively among us interns, and it was given by one of our hospital rheumatologist. He left us with a saying "Looks like Gout, Smells Like Gout, Feels Like Gout, then it must be Gout." Too bad the COPD(chronic obstructive disease) lecture which was scheduled in the afternoon was postponed. Well, another day awaits me tomorrow, patients and relatives to face, hopefully no morbidities nor mortalities will occur.


Here is a comic presentation of gout, it usually affects the big toe and is cause by uric acid deposition. It could get really painful and indeed great when it comes to swelling

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Hypoplastic What!?

>> Friday, August 8, 2008

It's Friday here, just came home from the hospital. I'm currently in my rotation in pediatrics. I just finished my 29 hour duty at the hospital and we had a total of 9 admissions. Well, it was quite tiring seeing all this kids get sick. One of our admissions struck me, he was a 7 month old, male infant diagnosed to have a Hypoplastic Left Heart(a congenital heart disease) and he was admitted to the ICU. It was so distressing in a way that such a young child has to suffer a very serious condition. Hypoplastic Left Heart is wherein the patient's left heart chambers are underdeveloped. Patient came to the ER presenting with Cyanosis (bluish to blackish discoloration due to dec. oxygen)and he was indeed struggling to breathe. It was my 1st time to see such a cyanotic patient and its one that I wont forget. The patient was eventually admitted. The patient had an uneventful night with occasional crying. As i visited him again in the morning, he was still irritable but with stable vital signs. I also saw his half-asleep parents, standing by the boy's side. Hopefully this child will survive this ordeal. Before I left the hospital, I passed by again the ICU to have another look, still with the same status, I headed out of the hospital and went home.

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