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Saturday, August 13, 2016

Giveaway Winner!

Sorry this was late. I got sick and had to undergo surgery.  Currently I'm on leave and in the process of recovery, I can function as a normal person but I can not function as a resident as of the moment unfortunately.

Anyways, a promise is a promise, I just apologize for the delay.




 


The winner is : It's me Janine!!!!
Email sent!
 


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Wednesday, August 3, 2016

Ate Resident's Tips to Junior Interns: Take Care of Yourself

I read it somewhere that we doctors are abused in our work.  I thought during that time that it was kind of an exaggeration and didn't believe it.  Whenever did you hear that doctors are abused? They're rich anyways, they have their parents to back them up on their very big tuition fee, they don't have anything to worry with their food, their family can afford it. These are the things that people see, so they disregard the overtime work, your dedication and post anything harsh and cyberbullying comes in.

We doctors tend to forget our own selves in our profession.  It may be because we feel guilty because we can see our patients who feel worse than our simple flu, our simple diarrhea and we tend to continue on working as doctors, you just need to place and iv line and continue your work. You can see doctors with IV lines connected to them and they're still tending to patients, they're still making their rounds. This is our job.  We can't afford to be sick, there are more patients that need our help.  

So you just continue and continue to go on.  You work 30 hrs or more when you're on duty.  30 hrs really? that's more than a day.  Well yeah, can you imagine? You come in at 7am, but you go home 5pm the next day.  That's like more than 24 hrs isn't it?  Whoever told you that 24 hr duty exists????  Don't be fooled like the common people... we don't work for 24 hrs on duty? We work for 30 hrs at on duty.  And we don't get any overtime pay, because we're not employees... We're trainees right? There's no law to protect us of being overworked.  

So we go on and on... We're young, our bodies can take it...
And then we fall...

I think my introduction is a mess here. Hahaha, well I can't help it, currently I'm sick, I can't really organise my thoughts like before.  As a currently sick resident, here's my tips not to only junior interns but to senior interns and residents as well.

Always remember to take care of yourself. And how do you do that?

1. Buy your own protective gear
Yeah, you heard me, buy your own.  If you're tending to a TB patient, buy your own N95 mask.  No complaints, just do it.  I know it's unfair to use your money to buy the protective gears, but that's life, you either protect yourself or get yourself some TB as well.  Either way, you'll pay for your own medications.  If you get TB from your patients, it's not the hospital nor the patient who will pay for your medications, it's still you, or your family.  

Have a pair of gloves always at your pocket.  You'll never know when you'll be handling something gross or contagious.  You choose... buy a pair of P5 gloves? or buy thousand pesos medications kung nahawa ka na sa kung anong meron run pasyente?

2. Wash your hands before and after handling a patient.
You don't want to pass a contagious disease to you nor to your other patients.  So always take note of your hand washing.

3. Be careful
How many times have we been accidentally pricked by needles from our patients?  If you get pricked from a needle from a patient who has  hepatitis B or HIV.  We're on our own in buying our own antivirals anyways.  The hospital nor the patient won't buy the medicines for you.  They don't have money to buy their own medicines na nga e, what more to buy your medicines.

4. Take a rest
It looks heroic to see pictures of doctors making rounds with IV lines with them.  You get millions of positive comments and likes.  But what if your body just gave up one day.  You fall down, your millions of positive comments and likes won't be there to help you.  You and your family are on your own to pay your hospital bill, your medications, etc.  Your patients will not be there to help you, you will not get discounts from the hospital bill.  Because there's no budget for it.  Kasalanan mo yan, bakit ka pa pumasok e may sakit ka na nga?



5. Give yourself a break
We tend to forget on how to give ourselves time to relax, because we worry about our patients, our conferences, our research papers... We just don't have the time to relax.  When you feel so stressed out, do you think your patients will be there for you? No.  They're busy with their own diseases already. Go have a massage, go to karaoke with friends or families, go to malls and have shopping therapy.  You deserve some quality time outside the hospital.

6. Don't skip your meals
We can't give our 100% to a patient if our stomach's grumbling.  And we don't want a doctor to fall down due to weakness from hypoglycaemia.

7. Take care of your family relationships
We doctors tend to forget our own families.  We can't go home to our own mother's or father's birthday celebration because we're on duty, because we have to study for a conference, because we have papers to finish. Patients always come first. We spend how many freaking hours inside the hospital working our ass off.  And when we fall, when our bodies fall, it's only our family who will be there with you when you're admitted, it's only our family who will be there to pay for your hospital expenses, it's only our family who will be there for moral support. So treasure your relationship with your families.

As a sick resident, from the bottom of my heart, I can say that Health is Wealth. Because when the doctor is the one who gets sick, then we'll have one minus person who can help our patients.  And mind you, not any person can do our job, so just take care of yourself.
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Friday, July 29, 2016

Ate Resident's Tips to Junior Interns & Senior Interns: Don't Let the Patients Bully You

I'm always a pro-senior intern type of resident.  I may favour senior interns more than junior interns but I think this post will apply to both audiences.

In my 4 years as a surgical resident, I would always get irritated when some patients will bully my senior interns.  This usually apply to the private division.  There's a recent post here I read and discovered from social media of an intern writing about how the patient from a government hospital accused her or "Wala ka kasing Puso, Pinagpapapractisan niyo lang kami." Sometimes you even encounter patients who won't let you interview them. I was surprised actually that a patient from a government hospital would behave like this.  Because in our clinical division, we seldom encounter these patients.



We always encounter these patients in the emergency room.  Well you can understand, the stress of a patient or a parent for his/her child.  They would want always the best medical care be given to them. Because to them this may be a matter of life or death. So understanding their situation is a very important key area in these situations.

But you must understand also that being a junior intern and senior intern is a journey.  Every doctor undergoes this stage.  Even the most successful doctor in the whole wide universe did undergo that stage.  That stage when while young, your exposure to real patients after undergoing 3-5 years of theoretical books in medical school.  That most successful doctor you could think of will not be what he/she is today without undergoing this stage in their path of becoming a consultant.

Do you ever wonder why it's not the 1st year medical student, nor 2nd year nor 3rd year medical student who is inside the emergency room? or who is in the out patient department (OPD) interviewing the patient? Well it's because only a junior intern or someone who has completed 4 years of medical course is QUALIFIED to be inside the emergency room and inside the out patient department.  So don't feel too degraded when you're the youngest inside the emergency room and inside the  OPD. You're QUALIFIED to be there.

We all wished that we'll be in the ideal set-up, a 1:1 doctor:patient relationship.  But right now, in the Philippines, we sometimes can't always have the ideal set-up.  We're still a developing country.

So when a patient comes inside the emergency room and demands that he/she sees a resident or a consultant. Don't feel degraded or sad.  Because at that moment when your resident or your consultant is not around because they're attending to another patient or saving someone else more critical, or in the conference, you're the ONLY one there that's qualified to diagnose and to give first aid to that patient. Well you're the DOCTOR there right? You're the one in there that's most knowledgeable about diseases and how to treat them.

I'm not saying that you be arrogant.  You can always ask the patient, "Hi I'm Dr ____, I'm sorry but the resident/consultant is currently attending to a patient/attending a conference, is it ok with you that I attend to your concerns first before they arrive or are you willing to wait for their arrival?" Then let the patient decide.  For sure, if the patient thinks the condition is urgent, they will agree that a young doctor sees them rather than none. If they decided to wait, then let them wait, unless if it's critical.. like the patient has difficulty breathing or has a gunshot wound or a stab wound.  Do everything you need to do and render 1st aid and CALL your resident.

So don't let the patients bully you and let you feel degraded.  They're just as agitated because of their concern with their lives nor their loved ones.  You just need to remember, you're not an INTERN LANG. You're an INTERN NGA. There's a reason why hospitals chose to place you there in the first place. You're a Doctor there, and it's part of your job to treat these patients.

Residents and Interns are a team.  We back each other's back.  Be sure though that before you give your treatment that you verify this with your residents and consultants, because you're still under their care by law, and it's their license which is at risk of losing if anything goes wrong.

Always remember, You're the Doctor there, and Don't let patients bully you.  You're the one who is most qualified to treat them when your residents or consultants are not around.

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Saturday, July 23, 2016

Ate Resident's Tips to Junior Interns: Proper OR Attitude

I always start with a disclaimer.  These are all my personal opinions and tips for you junior interns as a surgery resident.  They're not in any way endorsed or rules implemented by the Surgery Department.  These tips are most applicable to the UST Hospital Setting, since I had my junior internship, senior internship, and residency in the UST Hospital. Different rules may apply to other institutions.

Greetings my fellow junior interns =D.  Welcome to Surgery Department, here you'll experience lots of fun things and sad events, and these are important in your process of becoming a physician.  They say, that this department is one of the coolest department (nagbubuhat lang actually ako ng sarili kong bangko/lamesa) hehe. Anyways, let's get to the tips and enough lame intros.

Every year, there'll be an incident when a junior intern will be asked to scrub out of the OR.  This is a common thing, ever since I was a junior intern, may napapascrub out na.  As  a junior intern, you don't know why pinascrub out ka??? Then you come in to conclusion, residents are power tripping.  This is the stupid "hierarchy" in UST.

Now that I'm a resident, let me tell you "MY" side of the story as a Resident.




Being inside the operating room is a privilege, you know why? Because of all the 400-500+ junior interns in your batch, you're the one chosen by God to be involve in a surgical case, whether it's appendectomy, knee replacement, nephrectomy, thyroidectomy etc.  Not all are given the chance to go inside the operating room and be involve in a case to save the life of a patient.  So do you get my point? Treasure every case you have.  Because not all junior intern can see a person opened up to cut out his kidney, thyroid, breast, etc. Who knows, this may be your last chance to witness this case, you may never be able to go inside the OR again if you will not choose the surgical field.  So treasure this chance!

Now that you see that every case is a privilege, you should also accept that this comes with a responsibility.  With every privilege comes with responsibilities (Parang iba ata to sa Spiderman quote, great power comes with great responsibility ata sabi dun).  As being the JIIC (Junior Intern in Charge) of the patient, you have the privilege to go inside the operating room and be part of the surgical team.  You're PART of the surgical team. The patient has entrusted his/her life to the 'surgical team'.  So it's your responsibility as part of the team to study about your case.  

Let me stress this out more:
If you'll imagine, you're the patient, "Kanino ka magpapaopera?" 
  • To someone who is a summa cum laude who did not study about your surgery? or 
  • To a normal surgeon who studied every detail of your surgery/case?
Every time I ask this, to my junior interns, I always get the same answer.  And yes, your answer is their answer.

So it's just fair and just to the patient that you go inside the operating room, and cut open a part of his body but YOU SHOULD Have at least an Idea of what you are doing! Because I personally would never let another doctor who knows nothing about the surgery to do any surgery on me.

So now do you get my point? Study every case before going inside the operating room.
What do I have to study as a junior intern you'll ask....
  1. First of all, know your patient, meaning, you should have talked to the patient, interview him, why is he here admitted in the first place?
  2. Study the anatomy involve in the case.  If you'll do a nephrectomy, study the kidney anatomy, if you'll do breast surgery, study the breast anatomy. - You spent 1 whole year studying human anatomy, you spent a lot to buy Netter, might as well use it now.
Those are the 2 basic things that EVERY JIIC SHOULD KNOW.  Knowing the process of the surgery, why the surgery is being done are plus things you should know.  If you know the first 2, I guarantee you that you will not be asked to scrub out of the case.

Another responsibility is being the JIIC, you should know the schedule of your surgery: Meaning, you should be the first one inside the operating room, you should be the one accompanying the patient from the ward to the operating room.  As a patient, isn't it nice to see that one of your doctors is with you all the way from the ward to the operating room??? This is what the UST Compassion is about.  You are how old already? 20+ right? You're an adult, you're freaking going to do surgery already, so you should be disciplined enough to be there on your own.  It's not the nurse's, not the resident's, not the consultant's responsibility to call you why you're not in the operating room yet.  It's YOUR OWN responsibility to be there on time.  For me, this is responsibility and discipline, this is NOT hierarchy. Besides the surgery can start without you, and it's not the residents nor the nurses loss that you lose that opportunity to see a surgery.

Oh yeah... another thing, please eat before you go inside the OR.  You falling down and contaminating the surgical field is the last thing the residents/consultants need to worry about.  Not eating your breakfast or your lunch prior to OR and going hypoglycemic will only endanger the patient and predispose the patient to infection if you fall down the operating field.  There's nothing martyr in not taking your food prior to the OR.

Lastly, bring your proper gear.  Be responsible enough to bring your own scrub suits, your own hair net, your own mask, and don't forget your smart phone.  Who knows you might need to call your runner to get some things needed.

These are some tips I could think of as of now.... I'll add more if I thought of more. Enjoy surgery rotation =D Remember, we've been there... Nagawa na namin yun kalokohang ginagawa ninyo ngayon. =D Naging junior interns din  kami dati =D.
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Sunday, July 17, 2016

Canmake Mermaid Gel - Review

It's really nice for certain companies to give trial kits, so you can try them out and check if that product will work for you or not without breaking your pocket.

I got this freebie when I bought some Canmake Products.



Packaging 
No comment on the packaging since this is a freebie trial sachet.
Smell 
Smells like fragrance-free lotion.  This has the similar smell of VMV Sport Sunscreen.
Consistency 
The consistency is your typical cream, a little sticky.

Claims

  • Powerful, yet delectably moist, 
  • SPF50+/PA++++
  • smooth gel without that roughness or stickiness characteristic of most sunscreens. 
  • Recommended for those who prefer a light, refreshing sunscreen
  • Gel breaks down into a watery texture as you smooth it over your skin
  • After using face wash, this is all you need for complete skincare and UV protection, can also be used after your usual facial lotion and other skincare products, serves as a moisturizing make-up base with UV protection
  • Infuses your skin with moisture, helping your foundation to sit better and last longer
  • Use it on your body, as well as your face, this pleasant watery gel contains 85% beautifying ingredients
  • Sunscreen is most effective when reapplied frequently
  • Comes in an easily portable tube that makes it simple to adjust the amount you apply, so it's perfect for reapplying sunscreen when you're out and about.
Application 
It's easy to apply, smooth, with minimal stickiness.  It's lightweight, doesn't give a white cast when applied.  I've never used a make-up base before, so I don't know what to expect and I don't have a baseline product to compare to.

So to put this to the test, I compared this to The FaceShop Rice Ceramide Moisture Emulsion, this is my go to moisturiser prior to applying any make-up
I did not see any difference compared to the rice ceramide.  There's no difference with the color of my eyeshadow and blush comparing the two.  So I think as a make-up base, it's not in any better compared to a moisturiser.

Let's test the longevity...

In terms of wear, there's no difference also compared to the moisturiser. It's long-lasting, lasting for 11 hours.
Duration of use4 days, 1 sachet can be used for 2 days. I used 2 sachets before writing this review
Pros 
SPF 50/PA ++++ - The sunscreen is what I love most about this product, it protects you from sun damages without giving you the 'white' cast that most sunscreens give.
Lightweight
Cons 
I don't think it's any better vs moisturiser as a makeup base.
Recommend?
So-So (Probably during the Summer)
Rating
7/10



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