ang sarap ng duty ko kagabi, not only did we have only 2 admissions and 20 consults, but nakasama ko ulit ang fav resident ko sa IM... si doc peter. puro lalaki kme kagbi kaya sobrang gulo namin (except kay dex na nagsilbing estatwa lang, na walang contribution sa mga jokes).
anyway, kagbi astig, star-studded ang mga patient namin. una dumating kamukha ni danny javier ng APO, may COPD, PTB at nag DOB. nag O2 kme, APL drip and hydrocortisone sa kanya. then dumating naman si buboy garovillo, same case and same management ginawa namin. sbi namin kulang na lang si danny javier. at sakto dumting sya! kaya ayun tatlo sila nakaupo, pareparehas ng kaso, pareparehas na may TB. ginawa ko pinakilala ko sila sa isat isa. tawa ng tawa si doc peter, tawag nya sa kanilang tatlo e "hAPO" kse tatlo sila hinahapo. hehe. later that night, nag disband din sila... nauna umuwi si danny kse di na sya hinahapo.
nun mga 10pm naman, dumating isang pateint na manakapony tail na ipit sa tuktok na parang 80's, pinanglan namin siyang tina paner, na mataas nga lang ang BP at laging nakakunot nuo. buti di nya inabutan ang hAPO hiking society kundi kinantahan sya ng: "nakasimangot ka na lang palagi, parang ikaw lang ang nagmamay-ari ng lahat sama ng loob..."
by 12am... wala na kme ginagawa kaya pinagtripan namin mga student nurse. syempre dahil sa aming lahat ako ang walang interes sa babae, kya ako ang ginawa nilang bait. taga tawag, at tga interview sa mga type nila. mga gago talaga, and si doc peter naman ayun aliw na aliw.
umabot hanggang sa surgery ang katarantaduhan namin kaya pag dumadaan ako dun pra mgpa-initial ng cxr films e, nagtatanong mga intern and residents kung kailan daw b ako mag rorotate sa kanila para may pangalanan din daw mga patients nila. hehe. dami interns gusto ako makasama kse masaya daw ako ka-duty... clown ba ako? its either that, o sasabihin nila sakin na sayang daw ako kse pogi pa naman ako kaso wala ko malisya sa babae. hahaha. well... mapapg-usapan pa yan. hehe. may isa pa pala sila tawag sakin sa ER... "carry-out boy" kse di pa inuutos ng intern ko or residents e, ngawa ko na. efficient di ba? well ayoko lang natatambakan ng gawain sa ER. kse nga di ba, ER un dpat mabilis ang trabaho or else, mamamatayan ka ng patiente, at maiipunan ka ng patiente na dapat e napauwi mo na.
however may isa akong blooper kagbi, nagpalista ako ng patient sa sobrang bibo ko, na dapat hindi kse mapupunta pa un sa service namin. ginwa ko lahat, nakiusap ako sa nagpapalista sa triage na magppalit ng time ung patient ko. sa awa ng diyos nakuha ko sa sweet talk. hehe.
mamimiss ko si doc peter... last duty na nya kagbi kse maaasign sya sa RITM... haay... crush ko pa nman sya. ako lang nga gising kagbi kse una wala ako mapwestuhang higaan, si doc peter nga e dun sa kotse nya natulog. actually nakalibre ako ng higa, but after 30 minutes nagising ako kse may pesteng patiente ang FM na suka ng suka. nakakabuwisit. gusto ko nga salpakan ng unan sa bunganga. hehe. bad ko no? anyway... 8am naman releived na kme kaya di ko na pinansin ang antok ko. nagtanong nga resident ko bat daw di ako natutulog. smile lang ako. hehe. kung pwede lang nga magpauwi nun madaling araw ng patient kahit di pa nakikita ng residente ko e ginawa ko na.
haaay! sana bukas benign din... :)
Sunday, August 27, 2006
Thursday, August 03, 2006
not a good comeback at OM
just as i was about to go home, i was informed that i failed my SLH exit exams. it was a 50 item exam, i got 37, which is 75% of questions i answered correctly. but the catch is, my transmuted grade was only 73%. My other groupmates scored 41, 42 and 38 and their transmuted grade were 77, 75 and 74 respectively. It boiled up my temper to find out that Mike had to pay 100 pesos for a ticket to buy our way out of an 8 hours make-up in that institution. I would like to appeal the following:
a. kailan pa naging 73 ang transmuted raw score ng 37 out of 50? Anong transmutation table ang ginamit nila dun? di nagkakalayo mga raw scores namin but the transmutation was far 2 points far apart. Donna, asked Dr. Estollado to see our papers but they dont allow daw. and di raw 50 items un, it was 80 items daw. ngayon, san naman nila kinuha ung 30 items?
b. Dr. Romero of the OPD told Donna that he's sure maraming babagsak sa exams kse may binebentang ticket ang DOH. is that the reason why we failed unreasonably?
c. During my stay sa SLH, i learned that they give ERIG 0.2 ml/kg BW as first choice for rabies vaccine. But according to Dr. Estollado, HRIG daw. akala ko ba ung exams e about the things we learned in SLH according to their protocols. HRIG is very hard to manufacture and very expensive since the Ig is coming from a human cell culture. san ba nila kinukuha ung mga sagot nila?
d. according to another doctor, the exams they gave us was at the level of a Fellowship na, which is unfair. when we took the exams we were from-duty status, during our one week stay, we had a chance to attend 3 lectures, about viral exanthems, malaria, and rabies. only the rabies topic showed up in the exam questions. and their questions i did not learned from the lectures (the lecture given lasted only 45 mins), i based my answers from the protocols we do at the ER. come to think of it, eventhough the exam was hard and not in our level, we were able to answer more than 75% of the questions correctly and yet we failed. what the hell was that?
e. as i have written here yesterday, we were given merits of 8 hours by Dr. Lao, which from my ow understanding is enough to keep us away from the make-up had we failed the exams. But according to Dr. Estollado, as what she daw during our orientation, merits in the wards does not credit demerits. WHAT? then what are those merits for?
now i hate SLH. it makes me wonder what kind of a doctor that Estollado is. ganun ba mga doctor na tinitingala ko? parang hindi ata. parang ayoko ata. doctors should be professionals, we have all vowed in the Hippocratic oath. it looks to me that even as junior interns she does not acknowledge us as collegues, but just mere students who aim to pass. what good then is all the praises of other residents in that institution that we did a good job, that we were smart, and we literally ran the hospital successfully? ang masakit pa dun e, our scores were posted eventhough they have told Donna that we are already spared since Mike paid 100 pesos. that just crushed my ego. i would have rather accepted the fact that i failed the exams because i got 50% of the actual correct items, but no! i got 75% had they given us a fair judgement. im not BOBO when i took the exams, i took it confidently and i may not get a perfect score but the very minute i finished the exams and reviewed my answers, i knew ill pass.
what a shame that there are doctors who has no integrity... Dr. Estollado... you dont have integrity... i was not brought up by doctors like you and im glad i will not be... my training will and shall always be loyal to OM where my roots of discipline, integrity and expertise i have embodied. shame on you... you dont deserve your white coat... you dont deserve your title....
kamukha mo pa si Bituin Escallante.... pangit mo kse kaya inggit ka!
a. kailan pa naging 73 ang transmuted raw score ng 37 out of 50? Anong transmutation table ang ginamit nila dun? di nagkakalayo mga raw scores namin but the transmutation was far 2 points far apart. Donna, asked Dr. Estollado to see our papers but they dont allow daw. and di raw 50 items un, it was 80 items daw. ngayon, san naman nila kinuha ung 30 items?
b. Dr. Romero of the OPD told Donna that he's sure maraming babagsak sa exams kse may binebentang ticket ang DOH. is that the reason why we failed unreasonably?
c. During my stay sa SLH, i learned that they give ERIG 0.2 ml/kg BW as first choice for rabies vaccine. But according to Dr. Estollado, HRIG daw. akala ko ba ung exams e about the things we learned in SLH according to their protocols. HRIG is very hard to manufacture and very expensive since the Ig is coming from a human cell culture. san ba nila kinukuha ung mga sagot nila?
d. according to another doctor, the exams they gave us was at the level of a Fellowship na, which is unfair. when we took the exams we were from-duty status, during our one week stay, we had a chance to attend 3 lectures, about viral exanthems, malaria, and rabies. only the rabies topic showed up in the exam questions. and their questions i did not learned from the lectures (the lecture given lasted only 45 mins), i based my answers from the protocols we do at the ER. come to think of it, eventhough the exam was hard and not in our level, we were able to answer more than 75% of the questions correctly and yet we failed. what the hell was that?
e. as i have written here yesterday, we were given merits of 8 hours by Dr. Lao, which from my ow understanding is enough to keep us away from the make-up had we failed the exams. But according to Dr. Estollado, as what she daw during our orientation, merits in the wards does not credit demerits. WHAT? then what are those merits for?
now i hate SLH. it makes me wonder what kind of a doctor that Estollado is. ganun ba mga doctor na tinitingala ko? parang hindi ata. parang ayoko ata. doctors should be professionals, we have all vowed in the Hippocratic oath. it looks to me that even as junior interns she does not acknowledge us as collegues, but just mere students who aim to pass. what good then is all the praises of other residents in that institution that we did a good job, that we were smart, and we literally ran the hospital successfully? ang masakit pa dun e, our scores were posted eventhough they have told Donna that we are already spared since Mike paid 100 pesos. that just crushed my ego. i would have rather accepted the fact that i failed the exams because i got 50% of the actual correct items, but no! i got 75% had they given us a fair judgement. im not BOBO when i took the exams, i took it confidently and i may not get a perfect score but the very minute i finished the exams and reviewed my answers, i knew ill pass.
what a shame that there are doctors who has no integrity... Dr. Estollado... you dont have integrity... i was not brought up by doctors like you and im glad i will not be... my training will and shall always be loyal to OM where my roots of discipline, integrity and expertise i have embodied. shame on you... you dont deserve your white coat... you dont deserve your title....
kamukha mo pa si Bituin Escallante.... pangit mo kse kaya inggit ka!
Wednesday, August 02, 2006
The Pavillion of the Living Dead
it was called PAV10... home of the active TB patients in SLH, sila ung mga patients na isang bulate na lang ang di nakakapirma sa papeles ng kanilang kamatayan, sila ung mga sumusuka ng dugo, at mukha na silang zombie, sila ung mga taong nagshashare sa isang O2 tank kahit na lima-lima silang nakahook dun...
kanina, i was from-duty and day post ko (and luckily last post ko) ang pav10. it was a secluded place, ika nga ng isang urse dun, kung ang main building e syudad, ang pav10 ang probinsya. and totoo naman, may taniman ng kung ano anong halaman dun and feeling ko talaga nasa ibang dimesyon ako. pagpasok ko sa wards, amoy nabubulok na sugat, dumi, at impeksyon ang namaamoy ko (take note naka double mask na ko naamoy ko pa rin). madidilim yun mga kwarto nila, cgro sa isang kwarto mahigit 5 sila. kaya no wonder nagkakahawaan sila dun at nagkakainggitan kung sino ang unang mamamatay. according to those who have stayed long in that pavillon, pag may namatay sa isang kwarto tyak yun may mamamatay sa kabilang kwarto.
i thought makakatakas ako sa gawain dun sa wards na un sa pagkulong ko sa sarili ko sa quarters... hindi pala. tinawag ako para mag double line sa isang old lady na kakatanggal lang ng CTT tube nya. maldita pa un kse ayaw nya na tinitigil ng mga anak nya ung pagpaypay sa kanya. nahirapan ako mag IV line sa kanya buti na lang andun ung isang nurse sya pinagawa ko. hehe. anyway pagtapus nun eeskapo na sana ako, kaso maaga pa, wala pang 12 kse. at 12:15 naghanap ako ng kasama ko mag eskapo. nakita ko si Nell, co-clerk ko tga EAC, kasama ko din dati sa RR ng OM when she rotated in there for her ENT. we asked permission to our residents, but gusto nya hintayin namin ung mga nauna nang kumain. HELLO! kung hihintayin namin un di na kme makakakain. we just said na pupunta kme ng triage to look for other clerks and we never looked back. tagumpay ang ESKAPO.
by 1pm, kumain muna kme sa labas, then ung dalawa kong kasama e naghanap ng magpapapirma sa kanilang grading sheet, kaya nauna na ko.
again i was on duty sa ER nun, and i was proud to say me and my partner was commended again! we have two residents sa ER, one of them is Dr. Alba. i was referring a patient to her, syempre batang OM ako, and kme kse sa OM pag nagrefer e kumpleto. todo: "doc, this is a case of 15/m who came in due to ek ek ek... with vital signs ek eke... PE showed ek ek ek.... my diagnosis is ek ek ek" aba! ang lola mo natuwa. sabi nya " like kita and yang kasama mo... very smart kayo" syempre palakpak tenga naman ako. hindi ko na lang sinabi na tga OM ako baka sabihin e mayabang ako... medjo lang. haha. anyway, very benign ung duty namin, we had less than 20 admissions... and usually, naiiwan kme ng partner ko sa ER, kse natutulog mga residents namin. ginigising lang namin sila matapos namin i work-up ung mga patients in batches. kaya siguro natuwa din sila kse maganda tulog nila, not-to-mention, efficient ung mga clerks nila. actually nun post assignments nun hapon nagpresenta talaga kme na mag ER kse ka duty namin mga UST, e hello! pag sila nag ER malamang e toxic kme sa taas kse walang mga swero ung mga patients nila bago i admit. kse di marunong mag IV ang mga Uste, and admitted nila yun, kse sa kanila mga Interns ang gumagawa nun. no wonder sbi ni Dr. Lao, senior house officer ng SLH, na ang training namin sa OM e parang mga residente. hehe and its true. sa SLH ko lang nga naramdaman na mahalaga kming mga clerks and dun ko din naramdaman ung sarap ng feeling na pupurihin ka. kse sa OM, bihira ka purihin ng mga residente mo, most of the times youd think na sobrang BOBO mo pa and wala kang kwenta. fortunately, di pa naman ako namumra or nababato ng mga instrumento, wag naman sana. sobrag higpit kse sa OM, pero ang maganda dun, eventhough hindi vocal mga residente mo, e pupunuin ka naman nila ng merits, which is different sa SLH, kse dun demerit lang ang alam nila. kaya when i asked Dr. Lao to sign my form, i asked him to give me merits and talagang kinapalan ko na mukha ko. hehehe. and he did gave me 8 hours merit... enough to save me even if i fail their exit exams. YIPEE!
anyway, tulog na ko... tom ER na ko sa OM... goodbye wards! see you on last weeks of August!....
kanina, i was from-duty and day post ko (and luckily last post ko) ang pav10. it was a secluded place, ika nga ng isang urse dun, kung ang main building e syudad, ang pav10 ang probinsya. and totoo naman, may taniman ng kung ano anong halaman dun and feeling ko talaga nasa ibang dimesyon ako. pagpasok ko sa wards, amoy nabubulok na sugat, dumi, at impeksyon ang namaamoy ko (take note naka double mask na ko naamoy ko pa rin). madidilim yun mga kwarto nila, cgro sa isang kwarto mahigit 5 sila. kaya no wonder nagkakahawaan sila dun at nagkakainggitan kung sino ang unang mamamatay. according to those who have stayed long in that pavillon, pag may namatay sa isang kwarto tyak yun may mamamatay sa kabilang kwarto.
i thought makakatakas ako sa gawain dun sa wards na un sa pagkulong ko sa sarili ko sa quarters... hindi pala. tinawag ako para mag double line sa isang old lady na kakatanggal lang ng CTT tube nya. maldita pa un kse ayaw nya na tinitigil ng mga anak nya ung pagpaypay sa kanya. nahirapan ako mag IV line sa kanya buti na lang andun ung isang nurse sya pinagawa ko. hehe. anyway pagtapus nun eeskapo na sana ako, kaso maaga pa, wala pang 12 kse. at 12:15 naghanap ako ng kasama ko mag eskapo. nakita ko si Nell, co-clerk ko tga EAC, kasama ko din dati sa RR ng OM when she rotated in there for her ENT. we asked permission to our residents, but gusto nya hintayin namin ung mga nauna nang kumain. HELLO! kung hihintayin namin un di na kme makakakain. we just said na pupunta kme ng triage to look for other clerks and we never looked back. tagumpay ang ESKAPO.
by 1pm, kumain muna kme sa labas, then ung dalawa kong kasama e naghanap ng magpapapirma sa kanilang grading sheet, kaya nauna na ko.
again i was on duty sa ER nun, and i was proud to say me and my partner was commended again! we have two residents sa ER, one of them is Dr. Alba. i was referring a patient to her, syempre batang OM ako, and kme kse sa OM pag nagrefer e kumpleto. todo: "doc, this is a case of 15/m who came in due to ek ek ek... with vital signs ek eke... PE showed ek ek ek.... my diagnosis is ek ek ek" aba! ang lola mo natuwa. sabi nya " like kita and yang kasama mo... very smart kayo" syempre palakpak tenga naman ako. hindi ko na lang sinabi na tga OM ako baka sabihin e mayabang ako... medjo lang. haha. anyway, very benign ung duty namin, we had less than 20 admissions... and usually, naiiwan kme ng partner ko sa ER, kse natutulog mga residents namin. ginigising lang namin sila matapos namin i work-up ung mga patients in batches. kaya siguro natuwa din sila kse maganda tulog nila, not-to-mention, efficient ung mga clerks nila. actually nun post assignments nun hapon nagpresenta talaga kme na mag ER kse ka duty namin mga UST, e hello! pag sila nag ER malamang e toxic kme sa taas kse walang mga swero ung mga patients nila bago i admit. kse di marunong mag IV ang mga Uste, and admitted nila yun, kse sa kanila mga Interns ang gumagawa nun. no wonder sbi ni Dr. Lao, senior house officer ng SLH, na ang training namin sa OM e parang mga residente. hehe and its true. sa SLH ko lang nga naramdaman na mahalaga kming mga clerks and dun ko din naramdaman ung sarap ng feeling na pupurihin ka. kse sa OM, bihira ka purihin ng mga residente mo, most of the times youd think na sobrang BOBO mo pa and wala kang kwenta. fortunately, di pa naman ako namumra or nababato ng mga instrumento, wag naman sana. sobrag higpit kse sa OM, pero ang maganda dun, eventhough hindi vocal mga residente mo, e pupunuin ka naman nila ng merits, which is different sa SLH, kse dun demerit lang ang alam nila. kaya when i asked Dr. Lao to sign my form, i asked him to give me merits and talagang kinapalan ko na mukha ko. hehehe. and he did gave me 8 hours merit... enough to save me even if i fail their exit exams. YIPEE!
anyway, tulog na ko... tom ER na ko sa OM... goodbye wards! see you on last weeks of August!....
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