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    November 20th, 2008 by janmihaelvaldez

    this happened last november 18, 2008.

    we had a patient in the ICU that was hit by a florida bus and suffered multiple fractures on the clavicle and on the ribs and the worst injury that he suffered was that he had a temporal contussion which caused his brain to bleed and eventually this caused his death. prior to his death, his respiratory rate reached 60 and above, his blood pressure reached an all time high of 200/70 (that’s what we call “widened pulse pressure”), moreover, the patient was restless the whole shift and his pupils slowly reacts to light, all in all, his neuro vital signs were down.

    a co-worker and i were performing bed side care on another patient when suddenly the relative of the patient called our attention and told us that the patient was no longer breathing. immediately, we called a code (red) so as to have other nurses help us revive the patient, but the patient’s case was (as we have foreseen) hopeless.

    we performed CPR (kahit may rib and clavicular fracture yung patient, hehehe, sabi nga ni betha “deadma na” hahaha), ambubagging and gave three ampules of epinephrine, asked the patient’s relatives if they would like to intubate the patient so as to provide a better airway and to help support his respirations, took the patient’s ECG so as to assess traces of heart activity, suctioned the secretions, reassessed the blood pressure, but all these were to no avail. it seemed that the bleeding inside the patient’s cranium worsened.

    —————

    death is but a normal occurrence with the profession i chose. i do not enjoy seeing people die (who would want that, right?) instead, i would like to see a patient have a cardiac arrest and be revived because of the interventions performed during such an event.

    with my line of profession, you have to get used to seeing people die, you do not let your emotions get ahead of you. you emphatise with the relatives of the diseased after, not while the patient is dying. you do not show any signs of weakness or panic so as to be able to show competence in your work.

    in the hospital, the protocol is to do all possible things to revive a patient, because in the end, when you face the family of the diseased, at the very least, you can tell them that you did all you can to bring back his life.


    and the very last thing that you can do if all methods of revival were to no avail, pray for the person’s soul. and i did.

    pero sana lang, wag ako (si betha nalang or si maam Abba hahahaha joke) multuhin nung patient kasi we performed CPR. eh the patient has rib fractures. so parang na-worsen pa yung condition nya, pero sabi nga ni betha and again i quote “deadma na” hahahaha.

    Posted in Rants, SCHOOL, election, work | tagged , , , , | | 1 Comments

    pizza part II

    November 12th, 2008 by janmihaelvaldez

    just recently, Hesper (annagram pala ng herpes ang hesper wahahahaha.) gave me a comment on my page sabi niya “sup kuya mike. hahaha. pizza!”  it was a box(es) of pizza nga pala that connected me to my old friends who still live (and no longer living) in my old dormitory. i miss the times when we would call yellow cab pizza to deliver us a box of New York’s finest kahit gabi na or umuulan, tapos paghihirapan naming ubusin kung ano man yung naiwan (kung may naiiwan nga! hahaha) and a cup of coffee and a stick of yosi after, disregarding the possibility na ma-stroke ang isa sa amin or ma-clog up yung arteries namin with fat and cholesterol. nyahahaha. happy times, happy times.

    i have written an entry before and it was all about the people i became friends with sa old dorm ko and the food that connected us all. nakakamiss, kaya ang sarap balikan ng mga memories… okay, let me update you on what i know is happening with their lives.

    first si monette and mae

    wala na din ako balita sa dalawang yan, they were the first ones i met, over breakfast, nice talkative girls from la union. si monette busy-busyhan with her career and so is mae. hope you’re  doing fine girls.

    si ate mhelai

    hmmm, what’s up with you and the ever mysterious “mr. dorm?” kayo na ba or what? hehehe. payatot.

    nath nath

    in a few months time, she’ll be leaving the country, i don’t know if its for good, pero one thing’s for sure, mamimiss ko tong konyo girl na to. two things will always make me remember nath, OMG OMG OMG OMG!!! and her Dunhill and oh yeah, Andro, the red haired boy na she’s deeply infatuated with wahahahaha, which makes it three things pala.

    si audryl

    wait, im confused

    , ikaw ba yung nagpagawa ng japanese something saken or si riezel? basta siblings sila ni ged, mabait and oist hinay hinay sa isoy, asthmatic ka pala.

    si riezel

    di ko magets kung emo siya or what? hehehe, cool girl. yosi tayo? dun mismo sa school nyo? hahahaha. apir!

    si steffy

    iniisue kami ni ate mhelai, ui may ganon, hahaha, oist steffy tumataba ka! wag muna pasok sa starbicks, ayt? hehehe. she’s on her fourth year na and soon she’ll be taking the board, good luck steff! follow my footsteps. lolz hahahaha.

    si kim

    oist tama na muna pagpapacute sa boys, hahahaha, kidding, stay sweet.

    si ate gemma

    the last time i saw her was at the SMX convention center at sm mall of asia, despite the number of new nurses there, nagkita parin kami, ate good luck with our careers! cheers!!

    si ate april

    no news…..

    si ate susan

    i guess she’s back in bacolod or somewhere, i hope she’s doing fine, she’s the nicest landlady ever.

    si beth

    just recently grumaduate na sa La Salle. ui conyo na rin siya. hehe

    my room mates

    joemar

    haven’t heard from him for quite a while now. but sometimes nakikita ko sinisilip nya friendster ko. oist if ever your retaking the exams this december, goodluck bro!!

    mikey

    what’s up mech eng? galingan, malapit ka na din umalis sa dorm.

    hesper

    tagumpay na ba? mahaba habang inuman pa kailangan mo para magtagumpay bro! oist pizza!

    si andro

    no news about him either, maybe his hair is still red and maybe nath still sees him in campus. hahahaha.

    si AA aka tesma

    lumipat na ata to ng ibang dorm.

    Ged

    no news, magkapatid parin siguro sila ni audryl? duh? hahaha

    jojo

    no news, taga davao parin siguro. lolz

    the seamanloloko group

    kuya omar

    kuya review ka ulit then sa dorm ka magstay, para may supply ulit ng yosi. hehehe and coffee, and pizza! hahahaha

    kuya eric

    the mysterious “mr. dorm” ni ate mhelai. ano na? kayo na ba? kuya eric was the one who brought me to GI! wahahaha, sayang there wasn’t enough time.

    kuya ferdie

    like i’d care for any news about him?


    these are the people and the sole reason why i keep on coming back and staying at my old dormitory whenever i have the chance… their a big part of my success over the board exam.

    Posted in Rants, SERIOUS, Sports | tagged , , | | 1 Comments

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