April 5, 2012

Looking Through The Eyes.....

Literally. That's how we roll at Ophtha. Another loved rotation because, again, it made me learn things I didn't know before. I was inept at ophthalmologic exam so this was another challenge for me in gathering skills at looking at the back of the eyes called the retina and identifying the optic disc, the macula, the fovea and determining abnormal structures as a manifestation of a systemic disease.  

Googled photo. 
Ophtha residents' duty schedule has been envied by any other PGH residents. They're relatively the most benign training. Their patients are not benign but they got the most relaxed schedule. They don't run bloods for the surgery of their patients and they don't need much assists. So cool!!!   
Kaya pag tinamad ako, mago-ophtha ako!! Hehehe. 

Cataract extraction and insertion of lens. 



It was included as a bonus question in our end-of-rotation exam the best and worst part of our Ophtha stay. 

Best: 
a. The residents are so chillax. They're not always in a state of hurry, thus, not creating hypertoxicity among interns. They're intern-friendly as well. :)
b. The building. They're the only department with a separate building called the Sentro Oftalmologico Jose Rizal donated by the government of Spain in honor of our very own National Hero, Gat Jose Rizal, who is the First Filipino Ophthalmologist. 


Worst:
That the rotation lasts only for two weeks. :( It's so sad that it ends when we already get the hang of it (and the time I discovered how gorgeous this certain resident is. haha!)

**************

Internship update:
We are so back into the fragile arms of Pedia, the time when the clerks are off for their vacation in preparation for internship. Waaaahhh!!! I'm ready to be killed. 


April 1, 2012

"If I Should Have A Daughter"

I've been watching this video over and over again since Jing posted it on her blog. 


"If I should have a daughter, instead of "Mom," she's gonna call me "Point B," because that way she knows that no matter what happens, at least she can always find her way to me. And I'm going to paint solar systems on the backs of her hands so she has to learn the entire universe before she can say, "Oh, I know that like the back of my hand." And she's going to learn that this life will hit you hard in the face, wait for you to get back up just so it can kick you in the stomach. But getting the wind knocked out of you is the only way to remind your lungs how much they like the taste of air. There is hurt, here, that cannot be fixed by Band-Aids or poetry. So the first time she realizes that Wonder Woman isn't coming, I'll make sure she knows she doesn't have to wear the cape all by herself because no matter how wide you stretch your fingers, your hands will always be too small to catch all the pain you want to heal. Believe me, I've tried. "And, baby," I'll tell her, don't keep your nose up in the air like that. I know that trick; I've done it a million times. You're just smelling for smoke so you can follow the trail back to a burning house, so you can find the boy who lost everything in the fire to see if you can save him. Or else find the boy who lit the fire in the first place, to see if you can change him." But I know she will anyway, so instead I'll always keep an extra supply of chocolate and rain boots nearby, because there is no heartbreak that chocolate can't fix. Okay, there's a few heartbreaks that chocolate can't fix. But that's what the rain boots are for, because rain will wash away everything, if you let it. I want her to look at the world through the underside of a glass-bottom boat, to look through a microscope at the galaxies that exist on the pinpoint of a human mind, because that's the way my mom taught me. That there'll be days like this. ♫ There'll be days like this, my momma said. ♫ When you open your hands to catch and wind up with only blisters and bruises; when you step out of the phone booth and try to fly and the very people you want to save are the ones standing on your cape; when your boots will fill with rain, and you'll be up to your knees in disappointment. And those are the very days you have all the more reason to say thank you. Because there's nothing more beautiful than the way the ocean refuses to stop kissing the shoreline, no matter how many times it's sent away. You will put the wind in winsome, lose some. You will put the star in starting over, and over. And no matter how many land mines erupt in a minute, be sure your mind lands on the beauty of this funny place called life. And yes, on a scale from one to over-trusting, I am pretty damn naive. But I want her to know that this world is made out of sugar. It can crumble so easily, but don't be afraid to stick your tongue out and taste it. "Baby," I'll tell her, "remember, your momma is a worrier, and your poppa is a warrior, and you are the girl with small hands and big eyes who never stops asking for more." Remember that good things come in threes and so do bad things. And always apologize when you've done something wrong, but don't you ever apologize for the way your eyes refuse to stop shining. Your voice is small, but don't ever stop singing. And when they finally hand you heartache, when they slip war and hatred under your door and offer you handouts on street-corners of cynicism and defeat, you tell them that they really ought to meet your mother."

Now here are the three things I know to be true:


1. Right now, I'm crawling to the end of internship I want to end it so badly.
2. I want to go travel somewhere before the review for the board exam starts and try to find that missing piece I lost somewhere along the journey of life. 
3. I look at myself in front of the mirror and ask "What happened to you? Where are you now? Why do you not care?".



March 28, 2012

Fashion Eye Candy

“And say to the believing women that they should lower their gaze and guard their modesty; that they should not display their beauty and ornaments except what must ordinarily appear therof; that they should draw their veils over their bosoms and not display their beauty except to their husbands, their fathers, their husbands’ fathers, their sons, their husbands’ sons, their brothers, or their brothers’ sons or their sisters’ sons, or their women or the servants whom their right hands possess, or male servants free of physical needs, or small children who have no sense of the shame of sex, and that they should not strike their feet in order to draw attention to their hidden ornaments. And O you Believers, turn you all together towards Allah, that you may attain Bliss.” (Quran 24:31).

In accordance to the aforementioned Qur'anic verse, women in Islam should dress modestly--long dresses, hijab and long sleeves. Being modest though doesn't only mean the physical entity but this should also coincide with our behaviors. Others have this misconception that Muslim women are only to wear black abaya in order to fulfill modesty, BUT, my dear friends, that is so wrong. We, Muslimahs, can also be equally fashionable and modest. Yes, we can!! I have been so into Muslim fashion blogs, mostly are from Indonesia and Malaysia, whose garments are easily found in the nearby malls in our country, so I thought of sharing my ideal fashion that I've been dying to wear. All of these photos are from Dian Pelangi's blog, an Indonesian fashion designer, blogger and model.  











It's kinda difficult wearing these stuff in the metro due to the weather but Inshaa Allah, the humidity shall not hinder me from wearing such. In Marawi though, this is not uncommon because we got the coolest weather down in the south. :) 

AHEM. And this, my friends, is my European fashion and travel dream. *replace her face with mine* :p








Problem here in the Philippines is, aside from the weather, it's difficult to find tops that don't show at least 50% of your flesh. I always drool at pretty tops which are either bare back, sleeveless or transparent!! Waaaah!! I always end up buying nothing. :'(

Photo of a pretty top from Forever 21 which I wasn't able to buy because of the lace on the sleeves leaving my arms 90% bare!!

This is my fashion dream which, Inshaa Allah, shall be put into reality. *winks* :) 

HBD T'lowa!

My fraternal triplet sibglings: (L-R) Alexander, Amanee and Zul. Photo taken TWO freaking years ago! Too many changes took place but I can't find a recent photo of them together. 

Happy, happy birthday to this three people who added exponential joy to our family since they were born. They made our Mom famous for delivering them via spontaneous vaginal delivery with normal birth weights, all three of them have APGAR score 9,9. Yeah, beat that!! No noted prenatal and fetomaternal complications. All three of them have unremarkable growth and developmental history with complete immunization c/o private pediatrician. They were breastfed until 6 months of age (don't ever ask me how many boobs our Mom has. she has only one pair. now go ahead and ask her how she managed feeding them!), weaned thereafter with all the nutritious foods that our Mom can come up with. Indeed, she's a wonderwoman at that. 

Trivia: all throughout Mama's pregnancy, we thought there were only two babies in her tummy. That's what her OB-GYN said because that's what she saw in the ultrasound. "You got two boys in your uterus, Missus". That's what she told our parents. So when the nurse went out of the delivery room announcing that the second baby was a GIRL, my Dad couldn't fathom how the doctor mistaken her daughter for a son!! The problem was, he wasn't ready for a girl's name for he prepared two names for both of the boys. Haha!! 
Now, when the nurse went out again informing us of the arrival of the THIRD baby, I swear I was only five but the scene plays vividly in my mind, my Dad and I were jumping back and forth outside the delivery room screaming "We got triplets, we got triplets!!!" (In Maranao though, we don't speak English at home! Haha). I also remember my grandmother scolding my Dad for being overjoyed when we do not know if Mama was still alive. Alhamdulillah, Mama was fine all throughout her birthing period she didn't even look like she'd given birth to THREE PEOPLE every FIVE minutes! How crazy could that be? 

Growing up, I often tease my sister of being "ampon". Nyahahaha! I used to tell her that her real mother was the woman who was also inside the delivery room with Mama who cannot afford to raise her and since our parents are generous, we adopted her. Hahaha! Good thing she didn't took it seriously. 


Happy birthday T'lowa*!!! I wish you all the best in this lifetime. I hope and pray that we just don't grow old but we GROW UP too, that's more important because it entails maturity in dealing with the harshness and glories of life. Cling to what Papa keeps on teaching us, and Inshaa Allah, we will all be guided. I love you three and I miss you much!! 


*T'lowa is Maranao word for triplets. 

March 27, 2012

The Untold. :)

this whole idea of you and me is but a surreal tragedy.
i shall forever keep you in my secret malady.
never to unfold.
you'd forever be The Untold.

March 24, 2012


When the time comes, I want to have a kid as smart and as cute as you. Love you Sabreen! :)




Wrapped Up ORL

This is a two-week late entry for we were already done with otorhinolaryngology (ORL) a.k.a ENT for ears, nose and throat. I was a bit of having a cold feet for this rotation since we didn't have it back in clerkship. The last time I studied ORL was during the upper respiratory module in medschool freshman year!!! That was eons ago, my friends! This is a confession, but yes, I just learned about the thorough ENT exam here in PGH!! I compelled myself to master it in anyway that I can---identifying the normal tympanic membrane from the perforated ones and visualizing the vocal cords and the posterior nasopharynx no matter how the patient gags! And I'm more than glad that after two weeks of our rotation, I brought with me a lot of things I didn't know before. Naks!! Hail, ORL! Hail, ORL!

What we do at the OPD. I'm so sorry Suzie for capturing your awkward moment! Hahaha!


This is Fiona, 5/F, who came in due to a foul discharge dripping out of her right nostril. She's so makulit but very cooperative little girl. Children her age are expected to revolt and throw tantrums upon examination, but her? No, she gaily sat on the examination seat and followed every single step of instruction! I wish all kids are like her! Haha! After suctioning her nostril for a better view of the turbinates, we found a greenish rubber material that was inserted deep inside her nose!! Apparently, her classmate put it there and was accidentally pushed deeper when she inhaled that they could no longer pull it back. She didn't report the incident to her mom until that day we found the foreign body inside her nose. Hahaha! Kalokang bata ito!



This is Dr. Caparas. Being the FIRST alumnus of the Philippine General Hospital Otorhinolaryngology Department, he is an institution in this field. He graduated in the 1960s, the time when ophthalmology was still incorporated in ORL. He's also the author of the book I used to read back in medschool. It's kinda awesome hearing straight from the authors. I remember my OB-GYN days when the people who wrote the Clinical Practice Guidelines used all over the country are those consultants teaching us during the Malignancy or Trophoblastic rounds. Great. Great. :) 

For a speck of time, I considered ORL as a specialty field because it's both surgical and medical plus the cases are really interesting. However, upon realization that the field deals with all the most filthy and most despicable odor you will ever smell in your entire life coming from all the cavities of the head, my friends, I changed my mind. Hahahaha!!! I really enjoyed ORL, I must say, one of the best rotations ever!! :) 


March 22, 2012

3rd International Pyromusical Show

I've been dying to go to the 3rd International Pyromusical Show at the Mall of Asia since it started last February. It ran every Saturday and two countries showcased their world-class fireworks display accompanied by upbeat music. If you remember THIS post then you will understand my consummating desperation. Hehe. However, my duty schedule was so unfavorable for the weekly shows but I asked our block head during our ORL (otorhinolaryngology) rotation to spare me on March 17 which was the finale. I was so delighted for the show I invited people to go with me to witness the event. People = proximal friends. I guess I was jinxed, or perhaps God tested my hankering to see the hour-long fireworks, that, no joke, ALL OF MY FRIENDS WERE ON DUTY ON MARCH 17!!!! I mean, ALL of them!! Was it mere coincidence?! I was so appalled that even my housemates had an important event to attend to!! But thanks to my stick-to-it-iveness, I pushed my way for it even watching it ALONE was my last option. Haha!! Imagine yourself watching beautiful fireworks amidst sea of lovers and group of friends in full awe while you were standing there all alone with tears rolling down your cheeks, not tears for the beautiful sight, but tears of self-pity. Hahahaha!!! Alhamdulillah, I have the best cousin in the world! Ate Hannah texted a day before that she'd be going home from Laguna and was inviting me for a movie date. I thought of the Pyromusical show instead of a movie. What a brilliant idea I had! 


Our VIP tickets. Naks. Italy was the last country to expo what they got under their sleeve. Philippines, being the host country and champion in an international fireworks competition (Yes, I just learned about it that night. Magaling din pala tayo sa fireworks!! #morefuninthephilippines), was tasked for the finale which was fantastic despite the technical glitches!!


While waiting for the show to start, we were treated to a magnificent sunset at the Manila Bay. Mashaa Allah. :)


People were starting to gather up. The huge ferris wheel at MOA was at near sight.

Photo collaged by photovisi.com
And then after some introductory programs, our eyes indulged to the glittery explosions in the sky!!! I loved how the flickers hover us I can feel them on my skin! Haha! They're not the best fireworks but they sure filled my cravings to see magnanimous lights! Mashaa Allah. :) People were ahhh-ing and oohh-ing while dancing to the tunes, and then people behind and beside us were kissing as love songs started to play. Whitney Houston songs were also being played as slow fireworks blasted in the pitch-dark sky. Buti, hindi nagparamdam si W.H. Hehe. 

At about the same time I boasted the photos at Instagram and FB, my BFF Lily, who was at HK Disneyland  with her hubby, simultaneously posted this photo below. 

Photo stolen from BFF Lily's FB account. 
Walang sinabi ang pichur ko!!! Hahahahaha!! Knowing she took that using her iPhone while I used my point-and-shoot Canon, I melted in stark envy!!  I'm sure my best friend had a GREAT time with her hub-babe-by. :)
Oh well. Therefore, I shall save up for that. :) Save up for a hub-babe-by. JOKE!!!

March 20, 2012

She sits in the stillness of the afternoon, inhaling the humid air outside that leaks into the walls of this seemingly sound-proof building. She hears nothing but the grinding sound coming from the electric fan. She turned the radio on her phone, plugged her earphones and tried listening to the mainstream beat.

No. She wants silence. Turn off that radio, she commands herself.

She wants to clear her mind off these materials that continue to wreak havoc on her peace-loving mind. She needs that silence.

Think. Please.

Get your mind back to the groove, that inquisitive and creative brain you once had. She heard herself in utmost plea.

She closes her eyes and sees nothing but sheer darkness. She looks closer into the vast blackness. She sees shadows, glitters, lights. Everything that tells about what's to come. The pompous future that she imagines it to be. The future she has wildly created in her mind. The future that she holds on tightly. The future she knows will forever stay in her imagination. For she knows it will not happen.

She reluctantly opens her eyes as she gradually plummets back into reality.




March 15, 2012

That Perfect Day

We were having minor chit-chats with the residents and the clerk while doing excisional biopsy at the OPD-OR this morning. This junior resident told us that by default, he went to ORL (otorhinolaryngology, aka ENT for ears, nose and throat) for residency because his dad and his grandfather were ENTs themselves. In addition to that, he was told that in choosing for residency program, you should put yourself in your perfect day. Not really perfect, but the the kind of day you can live over and over again for the rest of your life. The kind of day that makes you happy that you want to re-live when your hair turned pepper and salt. If you imagine yourself in that situation and you believe you won't get fed up by the routine, then go for it. 

As I was holding the retractors, my mind flew ten years forward. A perfect day for me would comprise of waking up early in the morning, preparing breakfast for my hubby and the kids after Fajr prayer. That would also include preparing hubby for work (whatever he does) and my grade-schoolers to school. I would be left with the household maid doing her chores while I go for a few-minute jog and then I will prepare myself for the morning rounds of my patients. That will take around an hour or two. I will then head to my clinic to see well-babies or follow-up check ups. By noontime, hubby will arrive for our daily lunchdate. Nyahahaha! I'm actually laughing right now. A lunchdate is a must, okay? Alright, clinic will continue in the afternoon where I will probably be reading a good book in-between patients. I will probably have coffee date with my friends after clinic and get back home before sunset. At night, I will be helping my kids with their school stuff while hubby watches the news. Weekends will be spent at my parents' home where weekly reunion with my siblings and their respective families will be a part of our routine. (I will impose that to my siblings. Haha!)

I'm contemplating on the residency program I will have to pursue in order to attain my would-be Perfect Day. My God, all I want is a simple and contented life. A balanced life between family and career. When I achieve that, that would be the real meaning of success. :) 

You, how do you picture out your perfect day?  

March 12, 2012

Of Faith

I oftentimes find myself hanging for words whenever I attempt to write about my faith--the Islamic faith. I can't seem to discern the words that would create cohesive statements. I never wrote anything about how adherent I am to my religion because I don't wanna sound too-good-to-be-true or you know, be like some people who tweet or facebook stuff like "Just finished praying Maghrib" or "Going to read the Qur'an" or something like that. There's NOTHING wrong with praying or reading the Qur'an, of course, that's how a devout Muslim should do but the wrong thing is actually tweeting it or putting it in your FB status. That sounds more like "Hey, look at me, I'm such a religious person" to me. Because you don't tweet or facebook your faith, you put it  in your heart and you act according to it. You shouldn't say you're a Muslim, you should act like a Muslim. Those are different and people should understand that.

Another reason why it's difficult for me to write about my faith is the fact that I'm in a complete struggle in maintaining the practices of a true Muslim. When I say true Muslim, this is the one who performs the 5 pillars of Islam with pure and sincere intention such as: a.) The recitation of Shahadah, that is witnessing that there is no god but Allah (subhana wa ta'ala) and that Prophet Mohammad (salallahu 'alaihi wasallam) is His messenger, b.) performing five daily prayers, c.) fasting during the holy month of Ramadhan, d.) giving Zakat or charity to the needy, and to those who can afford, e.) performing Hajj at least once in a lifetime. Aside from the five pillars, we are also to believe in the 6 Articles of Faith which are: a.) Belief in the Oneness of Allah, that you do not attribute any other god to Him b.) Belief in the existence of Angels, c.) Belief in the Books of Allah (Torah of Prophet Musa (alaihi salam), Psalms of Prophet Dawud (alaihi salam), Gospel of Prophet Isa (alaihi salam) and Qur'an of Prophet Mohammad (s.a.w)), d.) Belief in the Prophets of Allah, e.)  Belief in the Day of Judgment, and finally, f.) Belief that everything that happens is Willed by Allah. 

Moreover, a true Muslim also adheres to the sunnah of the Prophet Mohammad (s.a.w). The Holy Qur'an tells us to pray but it wasn't stated there how to pray, so there enters the sunnah or the hadith. It comprises of laws and practices of the Holy Prophet for mankind to follow suit. The Holy Qur'an tells the women to lower their gaze and cover their bosoms, now the Hadith tells us to cover our body showing only our faces, hands and feet. That's why we wear hijab and draw them on our chest, we are also not supposed to wear skimpy clothes, we should avoid laughing boisterously in public and most importantly, we are not supposed to go out with men who are not our mahram. 

Therefore I would not blame my blockmates if they say it is difficult to become a Muslim. Lahat na lang bawal, they would say. Yes, it is difficult from the point of view of non-Muslims as they are not accustomed to the practices and they are not aware of the rationale behind the practices. They find it weird and inhumane. For them, wearing the hijab is a sign of oppression as women in Islam cannot reveal their true selves--that rockstar in them. For them, fasting during Ramadhan is a punishment. For them, not being able to party and drink alcoholic beverages is a form of inhibition. But I am not here to preach about my religion, I leave them at that. Nor do I tell them that what they do is wrong because as my colleagues, I hold high respect for their beliefs and their own faith. Walang basagan ng trip, ika nga. 

I feel lucky to have been born in an Islamic household, where both of my parents are devout and pious Muslims who serve as the best example for us, their children. I believe that every Muslim should stand firmly  to being labeled a Muslim, that we should strive to become the best of what we are. However, in a world where our religion is badly stained by people who claim to be Muslims but are doing the exact opposite of what the religion teaches, it is difficult to prove them wrong. Nevertheless, the least we can do is to show them the image of a true Muslim. The real one. Not the one projected by the media. And there enters my own struggle in keeping my faith firm and consistent. I confess, among the abovementioned five pillars of Islam, I am only consistent with the recitation of the Shahadah and fasting during the Holy Month. As for the daily prayers, I am not able to complete the five daily prayers. I pray whenever I am at home, but I dismiss my prayers or even forget about the waqtu whenever I'm outside. But my conscience is eating me up inside. If you remember this, , then I still feel that way. It's not just about the prayer that boggles me as well, it is the whole conduct and behavior of a true Muslim that I cannot meet. Allah knows what is in my heart, how I try to become the best Muslim that pleases Him, because everything that I do is in accordance to worshiping The Almighty. That's how it should be. 

In retrospect, I still thank Him that He gives me this feeling of guilt, this eagerness to renew my faith and to seek and understand more about my religion because if He closes my ears, my sight and my heart then, boy, I'm in big trouble. So please, Ya Allah, strengthen my faith in You and continue leading me to the straight path. Ameen. 


I ask Allah's forgiveness and turn to Him in repentance. 


March 11, 2012


All you gotta do is lift your chin to recognize the lovely nature shining down at you. :) 

Taken: March 11, 2012. In front of CAMP building on my way home.
#postduty

February 28, 2012

BURN For Me Baby.


This is where we literally skin people alive. Does that made you cringe? I do, too, upon seeing and hearing them scream as we peel of necrotic tissues from their burnt skin while begging us to do it slowly and gently. Indeed, we do it as slowly and as gently as we can but it is really painful. Ideally, burn patients should be sedated during debridement, but what can we do? It is literally painful to be poor. :'( 

February 25, 2012


Rumors about my crush couldn't be true or my world will begin to crumble. Therefore, I must face this with a bias-free and an open mind. An investigation must commence. 

Seriously? Haha. 

PedSx


My surgical subspecialty of choice. Too bad I only have one week to bask in the subjects of Intussusception, Hirschprung's disease, Imperforate Anus and other pediatric surgical cases. It's frustrating though that subspecialty rotating interns do not assist in their ORs. :'( I wanna see how PSARP (posterior sagittal anorectal plasty) procedure  and pediatric intestinal anastomosis are being done. :'(
I don't have plans of pursuing surgery but this sparks some curiosity in me. 


The only pediatric surgical OR I assisted was herniotomy at the Major OPD OR which was done in like 30 minutes, my gloves weren't even stained!! 

By the way, we have a rotating German intern  from a certain university in Germany. I don't talk to him much like I would do to someone I can easy-breezily have a conversation with mostly because I have difficulty understanding his accent!! Lol! German-English accent!! Nakaka-nosebleed!! So I would usually allow him to do his thing while I do mine and ask him once in a while how he's doing. Awkward? Hahaha!


We had a laparoscopy workshop along with PedSx residents and consultants. It was fun manipulating beads and rubber bands by using the graspers just like in an actual laparoscopy although it takes huge amount of patience and good hand-eye coordination!!! If I would become a surgeon, I would most probably opt for an open laparotomy than laparoscopy!! Haha!! 

On another news,  I found the perfect place for studying!!! Taaadaa!!!

It's a walking distance coffeeshop near our place where everybody goes not to chat but to read! Awesome! So you get to read books with pure serenity, plus the high-ceiling structure of the place allows enough light for ventilation. :) This place is a huge help for me to avoid many temptations at home: TV, internet, bed, and fridge. :) 


Also, our photo with a cardiac pacemaker recipient patient was published in Heart and Health Magazine. This was taken during my MICU (medical ICU) rotation, and together with the resident-in-charge, Ma'am Gelay, we posed for this photo which was sent to Heartbeat International Foundation and Pusong Pinoy Foundation for the purpose of seeking funds for this lucky patient. 
Credit goes to my blockmate Alaric Salonga for taking this one. If you look closely, he manually wrote his name underneath the photo while bantering why his name wasn't on it. Lol! 

*All photos were taken using my iPod. Such poor qualities, my point-and-shoot Canon should have been used for that DSLR-like shots I'm so proud of. Haha. 


"While we are robust and in the prime of life, we imagine our deathbeds, the wisdom we mean to impart, and the precious words, like jewels on a necklace, that we intend to bequeath to those around us. 
But it is rarely to be.
We perish quickly on the battlefield, or in an accident, or in a lingering illness that will not announce its schedule for our destruction. 
And so our words perish with us, and those left behind are condemned to clutch at memories, at what they imagine we wished to say."

-Margaret George's Helen of Troy. 



February 20, 2012

A Hearty Prayer

I swear I do not know how to start the forewords for this entry because I feel so shy about actually putting this into writing. Fine. So, I wrote a letter to God. These are the words that were sitting silently in my head but were uttered with difficulty by the tongue. Since He is Omnipotent, the All-Seer, the All-Hearing, I know He recognizes my unsaid prayers. This was inspired by the people who painted the town red during Valentines Day. Thanks to them, I got reminded how lurve has been elusive to someone like me. I hate musing about the state of my hearty flakes. I am so contented with this extended adolescence and having plain crushes, but I keep a secret prayer which is to be divulged now. Oh well. Here goes. 

Dear God,

I pray that You guide my heart to the right person, the one who will be courageous enough to wall off this coldness that envelopes me, the one who will help me strengthen my faith in You, the one who will fill the puzzle of my being, the one with whom I will share my happiness and all the success I will have to acquire while we wander in Your beautiful earth. 

Please guide me to the person who will cherish, love, honor and respect my parents and my siblings as much or even more than what he shows me. The one who will value and love me unconditionally. Inshaa Allah, we will bring out the best in each other.  Ya Allah, please guide my heart to the person who will never do anything that will break my heart and that of my parents'. 

Ya Allah, please spare me from loving someone who will only bring misery to me and my family. I pray that whoever You choose to be my future better-half would be someone that my parents and I also desire. If this person will only bring me misery then please take back all my feelings. I'd rather live with a stale heart than cause havoc in my most prized possession---my family. 

However, if this person will prove that he is worth his salt then allow our fate to meet at the soonest appointed time. I know You've been designing all of these in perfect manner for the past 26 years of my life, Inshaa Allah this person will emerge in the perfect moment perhaps near to what I have imagined. Only You can fashion a love so excellently that can be hindered by no one. Hence, I leave it all up to Your care. 

Please guide our hearts as all of these shall become futile without Your Holy Guidance. 
In the Name of Allah, the Most Merciful, the Most Beneficent. 
Ameen. 




You, what's your prayer? :)

February 14, 2012


Cefazolin 2g loading dose now then 1g Q8.

PGH Intern does:
IV insertion
blood extraction
drug administration
vital signs monitoring
paperworks: clinical abstracts, discharge summaries
first in line at the ER
triaging
pushing stretchers and wheelchairs
chest compressions and ambubagging if patient has no bantay

Anything amiss?

Remorseful? NOT.
I say, grateful. :)






February 12, 2012

TRAUMAtized.

"Oi Aisha, sobrang sorry kanina ah. Zero sleep kase ako kagabi tas nag-assist ako til umaga kaya pagdating ko jan knocked out ako. Tapos andami dami tumatawag na nanonoxic na wala ko kaalam-alam sa mga sinasabi nila kaya natoxic kita dun sa charts. Sorry talaga ah."


That apologetic text message came from my resident after an incident at the ER when he sort of raised his voice at me when I delayed gathering the patients' charts for him. After the morning rounds with the Trauma* team captain, she instructed me to give all the charts to the nurses so they can immediately carry out some of the orders and I did what I was just told. By and by, this resident arrived at the ER slumped on the table to steal some naps after, I guess, weeks of being on straight duty!! Once in a while, he would raise his head to ask if we have referrals but it was obvious that he was half-asleep half-awake. He spoke as if he's sleep-talking. Hehe. I heard his phone ringing several times but he was still in deep sleep. I hesitated disturbing him as I fully understood how it feels to be sleepless. Later on, I guess when he was fully awake, he sprung his head from the table and was reading his text messages. He then asked me to gather the charts. I bet the senior residents were asking him stuff about the current status of our patients and since he wasn't present during the morning rounds, he's not updated about anything. That's probably why he wants to see the charts. Problem was, the nurses were in the middle of carrying out the orders and they wouldn't give the charts to me. If I steal those charts, the carrying out of doctor's orders will be put off and if that happens, I will answer to the team captain. I thought the resident can wait, I even showed him our logbook where we wrote  patients' updates but he insisted on me collecting all our charts. I told him the nurses won't give the charts and that's when he got mad and raised his voice, but not to the point of shouting. I didn't answer back as it is not my habit to answer back to people older or senior than I am. I kind of giving in to their whims with all due respect to the position they hold over me. So without any words, I returned to the nurses' station and started begging for the charts. I saw him stormed out of the room, he was probably called at the ward. I was disgusted by him that morning I didn't wanna see him again.

At around afternoon, my co-intern Sherwin and I were conducting patients to Radiology when that resident called him up asking for my number. I told Sherwin not to provide my number as I assumed he would just give me series of orders nanaman. Do this and do that. Plus, I'm loathing him pa, I told Sherwin. A few while later, I kept wondering ano nanaman iuutos niya so I decided to just phone him. He said he'd just text me. Gah, mahaba-habang utos nanaman siguro 'to, I thought to myself. That's when I was surprised by that text message. I am humbled by the humility he has shown. Very few residents would have done that. They'd just assume we understand what they're going through and would never bother to apologize. That's one of the things I like here in PGH, residents do not terrorize interns as much as in other hospitals do. At least, we are not being treated as slaves to them like the stories on asking interns to buy them food, or groceries or withdraw money for them. You know, stuff which are no longer hospital-related. Those don't happen here in PGH. You will get terrorized if you cannot explain what happened to your patient. Nothing of those monkey businesses. 

All Trauma first year residents (3 of them) had been on what seems like a perpetual duty. They don't have the leisure time to go home to even change their clothes. They were either at the ER, at the ward or at the OR assisting at operations. They are the first people to be called regarding patients' status. These three residents help and cover for each other, so nobody among them goes home. That would explain their mood. Seeing them in that state discourages me to go into residency in a government-owned hospital. I'm not sure if I can devote that much time, or rather, if I can devote my whole self in the spirit of training when I can have the same learning if I go into a private tertiary hospital. I do not know yet. I haven't made up my mind yet where to go for residency for I am yet to take the boards!! Hahaha!! 

If you wonder what I replied to that message, I said. "No probs, Sir" and a smiley. He again said sorry. My crazy co-intern Issa suggested I should have replied just a plain and simple "K"!!!!!!! I wonder how the resident would react to that!! Seriously, apology accepted. I admired the humility. It's either humble lang talaga siya or ayaw lang niya masunog at the end of the year!! Either way, apology accepted pa rin. :)

*After everything I said about Trauma, yes, I ate my words and now I am a Trauma intern! Grrr! I had to shift over to Trauma because they lack one person in the group so I volunteered after realizing it might be of help in my future practice as doctor to the barrio. The way I feel for Trauma is just the same.