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Saturday, December 31, 2016

How to Fix Broken Lipstick

Let's end this year with a tutorial, I've raved about how good is the Happy Skin Moisturizing Lippie Disney Collecction.  One of its disadvantage however is since it's so buttery, it broke!  Most of my lipsticks can withstand the normal forces inside my handbag or shoulder bag.  So this is the first time I had a broken lipstick.

Materials you'll need

  • clean plastic
  • lighter/candle
  • refrigerator
Here's how my broken lipstick looks like

  1. Place the top broken part  (left part of the picture) on top of a clean plastic sheet and place in refrigerator for 2 minutes
  2. Once the part is cold, use the plastic to hold it, to avoid having your fingerprints when you hold the top part
  3. Hold the broken part over a flame.

  4. Once a little part has melted, you can attach it back to the tube.


  5. And it's fixed! If it breaks again, you can just attach it again with the same technique.
Happy New Year everyone!
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Friday, December 30, 2016

Happy Skin Disney Princess Moisturizing Lippie (Rapunzel) - Review

I've heard so much good reviews with Happy Skin Moisturizing Lippies, but I didn't have the chance to buy them since I have many lippies yet.

But when the Disney Princess collection came out, I can't resist! Disney has been a part of my childhood and I couldn't stop myself from buying one for myself.

I bought the Rapunzel, since this is the shade which I would likely to use, even though Cinderella was my favorite Disney Princess.



Packaging 
It comes in crayon-like purple, plastic packaging.  You can twist it from below to push up and down the product

Smell 
Unscented
Consistency 
Very buttery. It glides really smoothly

Application 
When you apply it on to your lips, it glides really smoothly.  It's really buttery, and you don't need any lip balm prior to application.  Color pay-off is also good.

Kiss-proof Test
It's not kiss-proof

Longevity Test
I was actually surprised of how well it lasted.  It lasted for around 6 hrs, even after eating pasta and roasted chicken, there's still a little stain left.

Overall the lippie felt REALLY REALLY COMFORTABLE! I don't even need to apply lip balm throughout the day.  It didn't dry my lips, really moisturizing, true to its claim.  


Duration of use1 month
Pros 
Moisturizing
Decent lasting
Cons 
Not kiss-proof
Relatively Expensive (Php 599)
Recommend?
Yes
Rating
9/10

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Thursday, December 29, 2016

A year of Struggles - Rising from Depression

This post is made for those people who are currently depressed, sad, or had undergone depression.  Hope this experience of mine may help you in your struggle in fighting this disease.

This year didn't start out as great, I had lots of struggles in my residency that I cannot say here for it may lead to me getting kicked out of residency.

My major source of unhappiness this year was when I lost my thyroid gland.  This is something you can't control.  You get sick, even if you never smoked in your life, you've never tried prohibited drugs, you're not an alcoholic etc. Nobody wanted to get sick. This experience had given me a lot to ponder.  I've experienced symptoms that made me question if I can still be a surgeon.  Changing specialties came across my mind numerous times not because I didn't want to be a surgeon anymore, but because I may not be capable to become a surgeon anymore.  

People started to judge you, "You can't do this.", "You can't do that.", "You're sick, you should stop."  If you're on leave for a long time, the hospital may kick you out, who needs a doctor who can't even function in a position he applied for? But I kept telling myself, "hang on", if a plastic surgeon who also underwent total thyroidectomy can be a successful plastic surgeon, then there's a possibility that you can still function as a urologist.

Crying became a normal routine, I cry any time of the day and more frequently at night everyday.  Your parents started to get worried everytime they see you cry, and you just feel guilty because you can't help crying but you wouldn't want to worry your parents.  You'll receive comments like, "Why are you crying? Crying won't help. You have to move on..." These words don't help depressed people, they only make things worse.

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Tuesday, December 27, 2016

Le Petit Souffle - Food Review

It's been a long time since I wrote a restaurant review.  Hope I have what it takes to make a review.  This review is in no way sponsored.  We weren't invited either.

Le Petit Souffle is a French-Japanese cafe that offers comfort food.


Ambience
The ambience is very comforting! It has a french cafe theme. It has a feel good vibe and is a perfect place to have dates.

Food
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Monday, December 26, 2016

DIY Bangkok in 3 days

This post is for someone who:
  1. 1st time ever experiencing a diy travel
  2. 1st time in bangkok
  3. has 3 full days in bangkok - 5 days in total (1st and last day for departure and arrival)
  4. wants a combination of sight-seeing and shopping
  5. has someone with them who can not walk for long hours
This was my first time to make a diy itinerary in a foreign country which was also my first time there.  I think first-timers can get some useful tips from fellow first-timers as well. 

What I love about this DIY travel is its flexibility.  I was with my father, who has a knee condition, so cannot walk for long hours.  I recently just had my surgery, so I'm not too sure either of my strength in travelling either. Let's begin...

We were in Thailand for a total of 5 days.  1st day we left at 2:30 pm Philippine time and after 3 hours of travel time we arrived at Thailand's international airport.  There's a 1 hour difference in the time of Philippines and Thailand, with 1 hour advance in Philippines compared to Bangkok.
At Thailand airport

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Sunday, December 25, 2016

Sending Smiles this Christmas

Ever since I underwent surgery and in the process of recovering and struggling between the ups and downs of my thyroid hormone levels, I thought of doing an artsymed project.  I thought of giving christmas cards away to people who have come to touch my life in some way or the other.

I can still remember my teachers' smile whenever they receive delivered christmas cards in highschool.  In highschool, the student council has a project of delivering christmas cards to whomever you want it delivered.  And I can still remember how excited students were in waiting for christmas cards to arrive and their happiness when they receive these cards.

So this year's Artsymed Christmas Project was that I hope to send smiles to people.  As you could see in my previous post, while recovering from surgery, I experienced depression and making cards somehow helped me lessen my sadness.  I can still remember crying when I made these cards, they helped me through depression, when I was all alone. But I would smile everytime I can see these cards done, I hope these cards can send smiles to others as well.

Here are a few cards I made for this christmas season:

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Tuesday, December 13, 2016

Closet Costume: Mime

And so I went to another party and I only discovered that the party had a 'theme' 1 day before the party.  No time to make special costumes, not even have a time to rent some costume online.

I attended for the first time a christmas party from another institution besides UST, this was Cardinal Santos Surgery Christmas Party and it was titled: "Cirque du Surg".  Carnival was the theme of the christmas party.

Looking at carnival costumes, I would really love to be a ringmaster or a showgirl with all the glitters, sequins, wig and makeup! But with less than 24 hrs to prepare, I had to do with what I have in my closet.

Then this came to the picture:
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Saturday, December 10, 2016

Closet Costume: Gatsby

There's a trend to making themed parties here in the Philippines, not only children, but adults as well will be dressing up to parties.  One of my favorite costumes or theme is the Great Gatsby.  I love this theme because of its flexibility and it's all about the Accessory, and they look really great in pictures!

Let's be practical, there are some people who will not be willing to spend a lot of money to buy a costume to be used only one night or one party.  But you wouldn't want to be left out in the themed party right? So there should be a compromise between practicality and being true to the theme.

PS: I'll be tackling the female costume only here.

Let's first take a look what do gatsby-inspired costumes look like


Let's break this down, these are the basics:
  • The great gatsby has a general theme of: black, white, gold, silver.  You can use the other colors but generally these colors center on this theme.
  • Like I said before, this theme is all about accessory/props: feathers and pearls.
  • Makeup: Red Lipstick
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Wednesday, December 7, 2016

Lessons from Hector and the Search for Happiness

When you're sad, any topic that concerns happiness draws your attention.  I guess it's you're personal attempt to help yourself to be happy.

I was particularly withdrawn to this book, "Hector and the Search for Happiness", but it was really expensive, for a small book! P599!! Luckily I saw someone online that sells the preloved book, so I got one for P150.  Superb isn't it?



You may say that I'm way behind, since I think this was already popular in 2010 and a movie was made out of it in 2014 due to its popularity.

There may be spoilers in this post, so don't read further if you're the type who hasn't read it yet and plan to read it in the future.

I just thought I would like to place the happiness lessons here for future reference to remind me about happiness.

Here were the Happiness Lessons of Hector
Lesson no. 1 Making comparisons can spoil your happiness.
Lesson no. 2: Happiness often comes when least expected.
Lesson no. 3: Many people see happiness only in their future.
Lesson no. 4: Many people think that happiness comes from having more power or more money.
Lesson no. 5: Sometimes happiness is not knowing the whole story.
Lesson no. 6: Happiness is a long walk in beautiful, unfamiliar mountains.
Lesson no. 7: It’s a mistake to think that happiness is the goal.
Lesson no. 8: Happiness is being with the people you love.
Lesson no. 8b: Unhappiness is being separated from the people you love.
Lesson no. 9: Happiness is knowing your family lacks for nothing.
Lesson no. 10: Happiness is doing a job you love.
Lesson no. 11: Happiness is having a home and a garden of your own.
Lesson no. 12: It’s harder to be happy in a country run by bad people.
Lesson no. 13: Happiness is feeling useful to others.
Lesson no. 14: Happiness is to be loved for exactly who you are.
Observation: People are kinder to a child who smiles (very important).
Lesson no. 15: Happiness often comes when you truly feel alive.
Lesson no. 16: Happiness is knowing how to celebrate.
Lesson no. 17: Happiness is caring about the happiness of those you love.
Lesson no. 18: Happiness could be the freedom to love more than woman at the same time. (later, hector omits this lesson from his list)
Lesson no. 19: The sun and the sea make everybody happy.
Lesson no. 20: Happiness is a certain way of seeing things.
Lesson no. 21: Rivalry poisons happiness.
Lesson no. 22: Women care more than men about making other happy.
Lesson no. 23: Happiness means making sure that those around you are happy.
  • Be very attentive towards others.
  • Take time to observe the beauty of the world.
One of my favorite quotes was: People whose glass is always half full are clearly happier than those whose glass is always half empty.

and we have to remember to ask ourselves:

  1. Think about the difference between the life you have and the life you wish you had.
  2. Think about the difference between your life as it is now and the best period of your life in the past.
  3. Think about the difference between what you have and what others have.
I'm just posting these here for my future reference 😆
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Monday, December 5, 2016

Doctor's Guide to Organizing an Appreciation Party

Whenever doctors have an event, we're challenged to do some event planning, which is not our forte, well, that's why we're doctors and not event planners... But we are usually on a tight budget, so we can't hire an event planner to make our lives easier and oftentimes, we have no choice but to do the organizing ourselves.

This is a resident's guide, since I'm still a resident and I would like to share what I've learned in becoming one of the organizing committee in a mini Appreciation Night.

Disclaimer: Things written here are product of collaboration of all the ideas of residents and consultants and not all of my own...

Two important things in any event are: MONEY & TIME, and more often than not, we don't have much of both. We'll just do what we can with what we have.
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Saturday, December 3, 2016

Poison Ivy Cosplay

The last of the induction series as a urology resident is the body painting contest.  The theme for this year was Pinagbenga, since the event was held in the beautiful city of Baguio.  I thought of how I can make this my style, and I had to consider certian 'things'.


  1. Since I'm the only girl in the UST Urology as of the moment, I can't let those boys paint on my body?! What would my parents think???!!!
  2. I don't like paint all over my body! It's difficult to wash off.
  3. I need someone to help me in the body paint and in putting on my makeup and costume etc etc
So I decided that I want a character that will feature flowers in her costume (Of course, has to be a she, I don't want to cross dress at least for this event.) I have to incorporate body paint into the costume as well.

So I decided on POISON IVY! I searched the net and found that I really love the version of Uma Thurman.
I was particularly drawn with the glitters to tell you the truth.  

Luckily, the OR staff had a party not too long ago wherein one of the staff nurses had a made to order Poison Ivy costume. I was lucky enough that it fitted me!!!!  Then for the wig, I had to look at olx and found a Baguio-based cosplayer who happened to have a poison Ivy costume for rent.  I just rented the red wig, since I was able to borrow the costume form the nurse already. Plus she helped me with the makeup and body paint as well!



Then I thought that the green part of arms and legs will be the body painting part.  It's easier to wash off since only my arms and legs will be painted, and I will not look ill-prepared since the costume was magnificent, and... it's not too revealing (that's the most important part).

You can see how I made the Headdress, Boot Cover & Arm Band & Leg Band in these respective pages.

I think this was a success even if I didn't win any prize, since I was able to make this into something that suits my style.  Losing doesn't hurt that much (your pocket especially) when you enjoyed doing the DIYs.


Here's an overview of the other contestants of the body painting contest.


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Poison Ivy Armband & Legband Tutorial

Another part of Poison Ivy Costume DIY
You can check the Socks Boot Cover Tutorial & the Headdress Tutorial to know how I made those accessory and you can check the overall look in here

Now let's start with my very childish introduction:
Of course Uma Thurman's version of Poison Ivy Costume wouldn't be complete without the glitters!!!!

I don't have time to put on body glitter, so I decided to make an armband and legband (if that's what it's called) instead.

Materials:
Green felt fabric (hard)
Paper & Pencil
Green & Gold glitters
PVA Glue
Elastics
Sewing Kit


Step 1 - Measure your arm width and your leg width and cut the appropriate elastic length.  Sew the two ends together to form a ring. Draw different sizes of leaves into your paper.
Step 2 - Cut these patterns and use them as guide to cut your felt fabric shapes.  Cut many shapes using the different sizes of leaves.

Step 3 - Place some glue onto your felt fabric and pour glitters over them!!  Allow to dry
Step 4 - Glue the pieces onto the elastics.  Remember to use only drops of glue, do not glue the entire elastic and just place the leaves on top, this will harden the elastic and it will not be elastic anymore. 


And you're done!


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Poison Ivy Headdress

This is a part of Poison Ivy Cosplay tutorial series. You can check how I made the boot cover using in this page: Socks Boot Cover Tutorial
The arm band and leg band can be found here: Arm Band & Leg Band Tutorial
The overall look can be found here: Poison Ivy Cosplay

Let's first look at our inspiration for the headdress:

The version played by Uma Thurman is one of my favorite versions of Poison Ivy Costume.

Materials needed (I bought everything in Dangwa, except for pliers and glue gun):
red headband
plastic leaves
fake fabric red roses
wire
pliers
glue gun
Fake red crystals / sequin flowers


Step 1 - Remove all the rose buds from the fake flower stem.  Remove also some small leaves from the leaf bouquet.


Step 2 - Using your hot glue, glue the roses into your red headband.
Step 3 - Wrap the wire of your crystals and sequin flowers in between the roses.


Step 4 - Glue in the plastic leaves.  

Step 5 - You're Done!!!!
Here's a picture when worn.

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Tuesday, November 29, 2016

First Impressions Review: Cathy Doll - Milky Splash Essence

As what you've read in my previous posts, I got sick, I wasn't able to put on some makeup while I was sick.

Anyways, let's try the beauty reviews again...

I brought this to convention, since this comes in affordable, travel-friendly sachets.



Packaging 
No comment on the packaging since I bought the sachet. But the sachet design is so girly and cute!



Smell 
Has a sweet floral scent, not too overpowering.
Consistency 
The consistency is gel-like consistency, then what's unique about this product is that it turns into milk droplets! True to its name, "splash" essence.  If you'll look closely, you can see some gold particles in it.
 
Application 
It's easy to apply, smooth, with no stickiness.  It's lightweight as well.  I'm torn between its milk droplets effect though, it's something really unique and this is the first time I've encountered a product that gives this interesting effect.  But I think the thing that sets it apart the most is a disadvantage on my part, since you have to rub your skin more than the usual to have the droplets be absorbed by your skin.  So if you're in a hurry, you can't use this product since you have to give extra time for rubbing and letting your skin absorb it completely.

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.




In terms of wear, I feel my skin to be well hydrated when I use this product.
Duration of use2 days, 1 sachet can be used for 4-5 days.
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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Sunday, November 27, 2016

Things to Consider in Planning Costume Party for Doctors

Recently I got a glimpse of what it is like to be a part of event planning service.  Not in a professional sense, but a part of an organizing committee for an intimate party.

There are lots of things I learned from this experience and I would like to share what I learned, and I think this will help event planners as well.

1. Consider the characteristics of your target audience/participants/guests


Guests play a major role in any event.  Consider their personalities in your event.  Doctors in general are very busy people, and when I mean busy, really busy.  Surgeons for example may start their surgeries as early as 6:00am, they also have to take care of their patients in their clinics.  So when they say their busy, they're not lying.  Some may have time to as late as 9:00 pm to 10:00 pm. So if you're an event planner, you have to be in constant communication with the doctor in charge of the event and ajdust to their schedule also.  When I was just a medical student, I don't understand why doctors are always late in some events, well sometimes, they're 'pasaway' but oftentimes, it really is because they're attending to a patient.

2. So if you're planning for a themed party.....

These doctors will not have time to buy the props.  If your budget will permit it, you have to provide the props/costumes for all your participants.

During planning for a theme, think of costumes that are easy to find or already part of their wardrobe.  Like a "Gatsby" themed party, wherein you know that the doctors have black suit already in their wardrobe since they use these in their conventions.

You'll have less chance of succeeding if your theme involves taking time to look and buy for the props and costumes.

3. Offer them to buy their costumes

Since doctors don't have time, and if you can't avoid to have a theme that requires a lot of time to prepare the costume, you can offer your service to look for their costume and I'm sure they're more than happy to pay you for your services.

4. Consider your time frame to prepare for the event

Event planning is not one of the strengths of the doctors, so more often than not, you'll be given so little time in preparing for the event.  This could range from 1 week to days to prepare for it.


5.  Shy guests

Most doctors are shy when in comes to these kinds of stuffs, they're not used to dancing in public, not used to singing in public and they may see games as embarrassing.

6. Elegance and Sophistication

Most doctors prefer the simple elegant and sophisticated themes than wacky themes.



7. Music

Most doctors are at least in their 30s and above, so the type of music should be taken into consideration, music during their generation will gain more acceptance than current trending music.
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Sunday, September 11, 2016

Pig Sliding Card

When you receive anything handmade, you get this feeling of 'special-ness'? (I think this word doesn't exist, hahaha).  Don't you? That I believe is the power that handmade has vs the commercial products.  But I've always believed that to get this maximum effect of handmade gifts, the person receiving it must be capable of appreciating handmade.  Not all people can appreciate handmade gifts, do you agree?

I think my thyroid hormones are giving me hope already, since I can make something crafty already.  I was depressed and weak the past few days and unable to make anything crafty or artsy.  

This project is inspired by Stamparadise. I don't have the stamps available here, so I just used my computer to make the template, and traced the outline w/ waterproof ink since I used watercolor pencils for my color and Faber Castel Gelatos

Materials used:
Watercolor paper
Faber Castel Gelatos
Faber Castel Watercolor Pencils
Cutter
Scissors
Wet wipes
Printer
Adobe Photoshop CS6
Unipin Pin Pen 0.01 mm Black
Sakura Pigma Micron Pen 01 Black
Butterfly foil stickers (From National Bookstore)

Here's the Card in action:




Aren't the pigs so adorable??

If you want to have a copy of the template, just comment down below, I can email the file to you.








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Thursday, September 1, 2016

Hypothyroid Experience - Doctor's vs Patient's Point of View

I was searching through the net to see if the one who invented levothyroxine received a Nobel prize for his/her significant contribution to the field of medicine. Edward Calvin Kendall was the surgeon responsible for isolating thyroxine.  But he did not win a Nobel prize for this discovery.  Although he did receive another Nobel Prize for his other discovery.  Charles Robert Harington and George Barger were the two chemists who synthesized  thyroxine, also to my disappointment, they did not receive a Nobel Prize for this. Well from a doctor and patient's point of view, if I could travel back in time, I would have probably personally thanked them for their discovery.

I was supposed to try and attempt to go to hospital today and try if I can already function as a resident.  But as I woke up this morning, I felt really dizzy and nauseous that I've decided that it will be best for my sake to just stay at home for the day.

I underwent total thyroidectomy, and it's been more than a month since surgery.  I was contemplating if I should share my experience of being a thyroid patient.  One of my mentors commented in my Facebook page that I was chosen as one of the few surgeons to go under the end of the knife as a patient.  At that time I don't know if it's a good thing or a bad thing.  As a doctor and hopefully soon to be surgeon, I think I gained better understanding of how a surgical patient feels.

Doctor's Point of View:

We as doctors are taught in medical school what are the functions of thyroid hormones, its importance and what are the symptoms of hyperthyroidism and hypothyroidism.  We were taught on how to recognize the symptoms and how to treat them.  Since in this field, the pharmaceutical drugs have been developed, this has gained little attention in terms of its importance.  What I'm trying to say is that, when you diagnose hypothyroidism or hyperthyroidism, at the back of your mind, and you'll tell your patient, oh! that's ok, we have drugs for your disease and we can treat your illness.  We don't see it as a disease that can really affect a patient's daily life.

As a surgeon, you have no choice, you have to take out the thyroid gland because you're trying to save the body from a more grave disease or complication if we don't treat it now.  Once you take the thyroid gland out, we tend to refer the patient to endocrinologists and the endocrinologists will then be responsible post-op in the long term care of the patient since this is already their specialty.

As surgeons, we were taught that thyroid disease has a relatively good prognosis, as long as patient can take the thyroid hormones, and that our job besides the care of our patient's wound is to reassure the patient that the worst is over and that they're on their steps to recovery.

We surgical residents in UST when asked by other people, what in your life as a resident ang "Di mo na babalikan kahit bayaran ka ng P1 million pesos." All residents will answer the same thing, even consultants will answer the same thing, "Yun maging 1st yr GS resident ulit, kahit bayaran ako ng P1 million, d ko babalikan yun."  I had the same answer until recently.  For mine is changed, I'm willing to go back as GS resident even for 2 years, than to experience again my more than 1 month feeling of hypothyroidism.

Patient's View
I was hypothyroid for 32 days. I think this picture will pretty much summarize what hypothyroidism really feels like.

1st week Post-op
My neck was numb, I honestly couldn't feel a thing.  There's a little hoarseness of my voice. At day 3 postop I was discharged.  At home I feel like normal, except for the numbness, actually I had diarrhea and as a doctor also I just replace my losses with my regular diet.

3 days after having loose stools, I woke up in the morning really dizzy and nauseous, I was light headed and my vision is like spinning, but I know it's not vertigo.  No one was in the room, I had to go out to find some adult or someone who can help me.  And that's when things went wrong, I fell hitting my back to a corner of a cabinet or chair, I can't remember.  I was rushed to the hospital and admitted for electrolyte imbalance.  Moral of the story? Always have an adult or someone with you at all times.

2nd week Post-op
Now I'm beginning to feel the symptoms of hypothyroidism.  Everyday, you wake up differently.  You're unsure if you will feel ok, or you will feel dizzy, or weak, or you just want to vomit.  This time you'll realize in your previous years that I'm healthy pala that I can wake up everyday even with lack of sleep as a medical student, intern, resident and function as a normal person.  This is the time when I realized that we should be always thankful that we were able to wake up carefree everyday before we had surgery. You get hungry easily also, and you get fat easily also. Moral of the story? Thank God everyday for being able to wake up to a new life.  As a resident, we should always listen to our bodies and not abuse it.  We tend to push through and continue our hectic life as a doctor that we abuse our bodies even if our bodies are telling us that they're tired.  As a hypothyroid patient, we should listen to our bodies and not push ourselves too hard.

This is also the time, when I started feeling blankness of my thoughts.  I'm a type of person who always has something on my mind, whether it be worrying over stuffs, or daydreaming about some things in life.  This is the first time in my life that my mind went blank.  I can't think, I tried making myself useful by doing some research paper that I need to pass for a research paper contest, but it was really hard, I can't formulate a sentence properly. I was just staring blankly at the computer screen.

This is also the time you feel really weak, you can't open a jar properly, you body is so heavy you wish to just sleep all day, but you can't sleep.  During this time, I also had trouble sleeping, I would stay awake up to 2am with a blank mind, you feel really uncomfortable, you know something is wrong with your body but you can not pinpoint exactly what it is.  And what's worse, there's nothing you can do about it.  Sometimes you'll wake up in the middle of the night because you feel uncomfortable and you can't tell what it is, basta you feel there's something wrong with your body.

During this time mild depression also comes in.  I can still remember that I cry every night for losing my thyroid gland.  You come to think, how can I be a resident if I feel this way. How can I keep up with the challenges of being a doctor? Should I have chosen a specialty with less stress than surgery? As a female surgical resident, we exert extra effort vs a male surgical resident, because by default, females have weaker smaller bodies compared to male.  We have to exert twice or thrice the effort to keep up with male surgical residents.  But how can I do that if I can't think 4x or 5x more, how can I do that if I c don't have the strength to do it?

3rd Week Postop
I get weak more easily as time goes by.  Applying simple make-up can make you feel dizzy and want to vomit.  You started feeling the numbness of your neck to be less numb than earlier post-op.  This was also the time that I feel I no longer have my thermoregulation, meaning I get cold easily, your hands and feet will feel cold easily.  And it will take 3 layers of blanket to protect you from a normal air-conditioned room. You wake up in the middle of the night because you feel uncomfortable.  You get hungry and weak more easily.  You get fat easily.  These are the things you'll experience the whole day.

This time my mind is always blank.  I can't do anything academic anymore, you'll just get frustrated.   I watch lots of tv series during this time, since it's the only thing that can you can do. I even attempted to watch a movie with my sister.  She felt I was walking really slow compared to a normal average person walking.  After watching a movie, after walking out of the movie house, I felt dizzy that we had to sit and rest in a restaurant.  It took around 1 hour for me to recover and we just decided to go back home.

During this time you'll feel guilty as a daughter.  Here you are, a resident, a doctor, but you're salary isn't even enough to support your own daily living.  You can't even pay your own hospital bills, and as a resident you don't have any benefits given by your hospital in terms of hospital fees. You envy those nurses, cashier employees, lab technicians, they have benefits when they get sick that the hospital give them discounts, and they work on 8 hour shifts, while as a resident, you spend 30 hrs in the hospital and you get nothing when you get sick.  Thankfully doctors have their own norms that we don't charge fellow doctors, so I was able to save money from professional fees of all my attending physicians.  You're at the age where you should be the one supporting your parents financially or at least help them financially, but you can't do anything about it, and you still get sick and be a bum and a burden to them, because your body can't freakingly help you, you can't think, you don't have the strength to do so.  It's really so frustrating for a young patient.

4th week
I had my TSH results: > 100.  My gosh! I'm really really hypothyroid beyond reasonable doubt! When will this end?  Finally I was scheduled for RAI

6th week
I received my RAI and after 2 days I was allowed to take thyroid hormones.

After taking thyroid hormones
3  hours after taking thyroid hormones, I felt the heaviness lifted from my body.  Though still weak, I can feel lightness already.  I felt a really BIG difference.  After 2 days of taking thyroid hormones, I was able to wake up without feeling dizzy or nauseous.  I can now see a little hope on my condition.

I feel normal for the next 4 days, that I thought I can go back to the hospital already.  I've been on leave for more than a month already.  And gladly I was able to go back to crafting and I was able to little by little do some research paperwork.

Until yesterday, I woke up at 2am and unable to sleep after.  So I just surfed the internet.  By 6am I'm already feeling dizzy and nauseous.  I'm feeling the same symptoms of hypothyroidism again, my body is a little heavy despite taking my thyroid hormones.

This morning, I woke up feeling dizzy and nauseous that I decided to stay at home instead of attempting to go back to work.  One thing I learned from this whole experience is to always listen to your body and take your steps to recovery little by little.  If you feel weak and not comfortable you should take a step back and relax and rest first.  Because your body is no longer the same as before, you have to take care of it more and listen to it more than ever.  You wouldn't want to fall again for which if you hit again your back you may no longer be lucky again to have no fractures. And the spine is one of the things that can change your life when affected, you can be paralyzed just because you were so stubborn on continuing with your activity despite your body telling you to pause for a while.

I'm still battling my hypothyroidism, but at least I'm less depressed now than before thanks to thyroid medications.  I sincerely would like to thank people and drug companies who made these drugs available for the patients.

This is really long.... Sorry... but I hope this post can help fellow junior interns, senior interns, surgical residents, patients in understanding hypothyroidism especially after thyroidectomy.
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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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