tinted files

        "tint, Joel Wagan’s dad passed away last night."

today our class started at 1pm. syempre i prepared for school at 12 noon na. i left the house at about 12:30. nagkulitan muna kami ni jen at mark sa hallway. i gave jen the OC-OCness award. imagine, she took out the spring in her notebook, printed on the pages, then put back the notebook together again. then she proceeded to highlight what she printed. yun yung notebook nya. grabe. oc-ness at its maximum level. haha. kumain ako ng super thin biscuits. i’m starting to love those biscuits. then dumating ang mga favorite classmates ko na si diose, yohan at jologs. tapos tumambay muna kami sa labas ni jen and we sang the songs of josh groban and andrew lloyd weber’s musicals. then doc abello walked by at binati namin ang kanyang bagong hair-do.                                                                                             

the class started at about 1:30 pm. si Doc Salaya ung nag-lecture. she’s good. i can really understand her lecture. she spoke on CHF in children. at 3pm, we had our SGD, the last for the week. si Doc Gonzales naman ang aming tutor. she’s ok. my groupmates were better behaved than we have been in all our previous SGDs. we discussed CHF in our patient, the ECG results and the management of the CHF. our patient sa SGD has ASD with symptoms of CHF. she was admitted for shortness of breath. basta… masaya yung discussion. we interpreted her ECG and it showed she had atrial fibrillation, incomplete RBBB, and atrioseptal wall ischemia. her 2D-echo showed an ejection fraction of 40%, mild hypertrophy of the RV and LV, enlargement of RA and L-R shunt at the ASD with minimal reversal during coughing or straining. she was given powerful diuretics, digoxin, a nitroglycerin patch, and advised to have a low salt diet, among others.                                                                                                                        

after the SGD, kumain kami sa JD nila bimbo, jr, lorbs, leng, and pb. then dumiretso na kami sa UC to practice for the Christmas cantata. we went home at about 8:30pm siguro. then a little before midnight, hinarana namin si badet (who lives next door) kase 18th birthday nya. ayun.                                                                                                             

antok na ko ngayon.

                                                                                                 

this morning we had classes from 8am to 12noon. i was absent. i did not wake up until 10am. i am so not a morning person. <sigh> was able to attend the afternoon classes though. good thing bukas walang class sa umaga. i really need to reset my body clock.                                                                                                                    

these are things that i can’t do anything about, so hihinga na lng ako ng malalim, bibilang ng sampu, at pipigilan ang sarili ko na magreact ng hindi maganda:

> IVDay kanina sa Manila. just thinking about it makes me want to cry.

> may nagtanong nanaman ngayon ng ‘may boyfriend ka na ba’ question.

> ang malala pa, sinundan pa ng ‘nagka-bf ka na ba ever’ question

> at mas malala pa, nagtanong pa ng ‘bakit’

> may KL seat sale ngayon ang Cebu Pacific

> napaka-init ng araw kanina, sakit sa balat

> may exam kami sa monday

> may sore throat ako ngayon

> nagbrown-out

> i’m homesick. at ito ang bottomline ng lahat ng kairitahan ko. haha.

This semester opened with our Cardio Block and this week is our module on Pediatric cardio. We went to the hospital yesterday and we had a patient with a heart murmur. =) We think it’s only physiologic though. He is 9 years old and doesn’t have any signs that he has a CHD. But we do know though that he has Pott’s dse. <sigh> (Note to self: borrow the xray film.)

Wala ngayong patients sa pedia ward with a heart condition so mejo frustrating ang aming visit to the wards. But I had a wonderful pleasure and privilege of being able to listen to a VSD from a 9 y/o girl I sat with while I was waiting in front of the ultrasound room. =) She was there to undergo 2D echo. Hay, and sarap makapa-kinig ng actual na CHD. I know that sounds kinda morbid but I didn’t mean it that way. It’s just that it’s always a good thing for us students to be able to experience what we’re studying so we could learn better. Mahirap kase ang puro theories. So I hope I get to hear more of actual CHDs. Sabi ko nga tatambay na lang ako sa Heart Center sa Christmas break with my stet. Hahaha!

Kakaiba kami this week dahil puro letters lang halos ang mga maririnig mo sa mga usapan ng mga tao. VSD, ASD, PDA, TOF, TGA, PAPVR, DOB, ECG, 2D, PA, RV, LA, LV, etc… Ung mga notes namin para nang shorthand writing dahil puro ganyan lang ang mga nakasulat. haha. Katuwa.

Nakaka-wow ung management of the CHDs. I still cannot imagine how transcatheterization must feel like for the patients, and how the doctors must have studied and practiced hard to be able to perform those procedures. Imagine, galing pa femoral artery up to the IVC, to the RA, then make a hole through the atrial septum or pwedeng i-open ung FO, to the LA, and to the MV to dilate it with a balloon sa case ng MS. Kahanga-hanga. Grabe pati ung open-heart surgery procedures! Hay nako, naka-nganga kami lahat as our doctor was lecturing. Amazing talga ang mga nakaka-isip ng mga paraan na yun. Di ko maarok! Galing-galing nila!

Pero i don’t think i’ll go into Cardio…. hmm…. baka hindi siguro….