Hail Grumpy

An old man thanking me profusely.

"Maraming salamat sayo Ms. Enriquez ha," he said. My attention was caught when he uttered that mentioning my name while leaving the room.

He is a retired lawyer with a distinct personality trait. I find him as very brilliant and witty. He came from a well-off family. It surprised me when he knows about his medical diagnosis. He kept asking questions to me about the prognosis of his disease. So I wonder what if I reverse the conversation and change it to another topic just to escape from all his queries.

While rendering the nursing care at his room with just the two of us, I tried asking him "Mukhang marami kayong nalalaman ha, matanong ko lang ano ho ba ang trabaho ninyo noon?", I uttered. Conversation went on as he said "Naku, I am a lawyer. I worked in a government agency. I've been to different places, USA, Canada, Autralia, bla bla bla." I knew that all he wanted is to have someone who can spare a little time to chitchat with and his life story to be heard.

As I went listening to his story, I forgot that I had to attend to other patients needs. I had to leave him for a while. When I was about to leave, he looked up my embroidered name on my shirt and said "Enriquez ka pala, ano kasing pangalan mo uli?" I said, "Alane po." He asked me what town did I grow up. I answered just in Manila. "Kung ikaw lang ang makakasama ko, siguradong gagaling ako eh," he said.

When this man is about to discharge and ready to go home, I couldn't imagine he would speak to me a sweetest poem I have ever heard. "Naku, si Sir talaga mabola," I said to him. "Basta ba ikaw lagi ang makikita ko, siguradong gagaling ako." The poem he recited will surely remain in my mind. Hail this grumpy old man.

So that's how it ended....

Miracle Happens

When I heard about the patient who was admitted in our institution diagnosed with Stage 4 CA (a full-blown cancer), we all know that there's a little chance of living for less than a year.

But when I've seen the CT scan plates of this patient, whew, it was overwhelming. I have never seen anything like this before of my entire practice. Even the doctors can't figured the image if it's for real. See the photo below. Photos were taken by some of my colleagues.

An image of Jesus Christ appeared with doves above on it. (Doves not visible)

It really gave me goosebumps when I saw the image and heard that patient after undergoing the procedure was all cancer FREE. As if like CT scan shows "unremarkable" no trace of cancer. I've also heard the news that prior to the procedure, patient came to a spiritual healer that made her free from cancer. All doctors were baffled. How I wish I might just have witnessed this kind of miraculous true story.

Either way, miracle happens to people who strongly believe in God without doubt and fear by offering oneself wholly to him. Proven and tested by me. =)

A Heritage of Smallness

Ganito ang mga Pilipino kaya hindi tayo umuunlad...

A Toxic Night

Shift started at 11pm 'til 7am when one of my patient, Mr. X, suddenly groaned into fire like reaching the edge of his breath.

I had the most exhilarating shift that I have ever experienced as if my mind thinking of another dimension.

Of course, everything should be noted in the chart. So here how it goes on my fdar charting. I was able to come up with 3 problems which made my shift extended.

F=Hemoptysis (4:30AM) (my shift would have been benign for all sake)

D= (+) hemoptysis, 300 cc blood

= c O2 via NC @ 6LPM

= c IVF patent and infusing well

A= ice cubes given orally (this is to stop bleeding orally)

= Tranexamic 2 grams given as ordered (this is an anti-fibrinolytic drug)

= referred to Dr. blabla; seen and examined

R= still c hemop

at the same time, patient experienced...

F= Difficulty of breathing

D= c O2 sat=81% BP=90/70 PR=120 RR=34 (this is already moderate hypoxemia i guess)

= gasping for breath

= use of accessory muscles

A= placed on high back rest

= seen and examined by Dr. blabla

Mr. X was still in distress...

F=Desaturation

D= O2 sat=41% BP= 90/60 PR=125 RR RR=28 (this is already severe hypoxemia, of course)

A= Code Blue activated (i believe it was a silent code, not like in USA its completely announced)

= Dr. blabla explained and consented for intubation

= Diazepam 5mg IV given as ordered prior intubation

= Intubation done by Dr. blabla

= ET inserted, size 8 @ level 22

= ambubagging and suctioning done while waiting for mech. vent. (this made me very exhausted, thanks God)

= foley cath (Fr. 16) inserted aseptically

= continuous monitoring of V/S done

R= responsive to calls (thanks God he can hear me singing, LOL)

= latest V/S: BP=140/70 O2 sat=96% PR=110 RR=28

= endorsed to 7-3 shift for continuity of care

that's how my charting ended in a concise and detailed manner.

will wait for another exciting shift to get my life miserable and exhausted...hehe lol

Puntos para recordar

Si se le dará a 10 pacientes en cada turno, qué hará?

He aquí cómo usted puede manejar mayor parte de las tablillas.

1. Después de la aprobación, beber mucha agua para compensar los electrolitos utilizados desde su cuerpo al hacer rondas.

2. Planear antes de preparar toneladas de meds.

3. Ore para que las cosas funcionan perfectamente hecho.

Primer Gráfico

I had a patient diagnosed with Foreign Body Aspiration secondary to fuse pin. Prior to admission, he coughed out bloody sputum with minimal DOB. I can't picture how was it look like when you have this kind of thing beneath the main room air of your body. Bronchoscopy done but failed to get this thing off. Surgical instead is the one last resort which is known as Thoracotomy. Hope this patient will get through this.

Nerves of Filipinos

Filipinos are certainly getting into mainstream America and into the world. With an estimated 4 million Filipino-American population (as of 2007), Filipinos are an emerging group in a diverse society in the United States .

Filipino talents like Manny Pacquiao, Charice Pempengco, Arnel Pineda, Lea Salonga, and Monique Lhuiller are doing a great job pitching in!

David Letterman, apparently used Filipino-Americans in one of his skits.

Here’s the recap:

Top 10 Reasons Why There Couldn’t Be a Filipino-American US President By David Letterman

10. The White House is not big enough for in-laws and extended relatives.

9. There are not enough parking spaces at the White House for 2 Honda Civics,2 Toyota Land Cruisers, 3 Toyota Corollas, a Mercedes Benz, a BMW, and an MPV (My Pinoy Van).

8. Dignitaries generally are intimidated by eating with their fingers at State dinners.

7. There are too many dining rooms in the White House – where will they put

the picture of the Last Supper?

6. The White House walls are not big enough to hold a pair of giant wooden

spoon and fork.

5. Secret Service staff won’t respond to “psst… psst” or “hoy.hoyhoy!”

4. Secret Service staff will not be comfortable driving the presidential car with a Holy Rosary hanging on the rear view mirror, or the statue of the Santo Nino on the dashboard.

3. No budget allocation to purchase a Karaoke music-machine for every room in the White House.

2. State dinners do not allow “Take Home”.

AND THE NUMBER I REASON WHY THERE COULDN’T BE A FILIPINO-AMERICAN U.S. PRESIDENT IS…

1. Air Force One does not allow overweight Balikbayan boxes!

In other words, Filipinos have subtle way of living.

how was my life going?

friends used to ask me how was life going?

my answers would be...

i can climb hundred feet away

i can run thousand miles away

i can hop ten feet above the ground

i can jump hundred times a day

i can soar the universe 200 miles per hour

i can walk right next to heaven

old friends used to say hello and ask me where are you at?

i am silently mocking at you....harhar

Nailed it

We always have a choice. Whatever we do, we do it by choice. Everything happens out of the choices we make and not by chance or sheer luck.

Life is sometimes unfair. No means of telling you of what will happen next.

In the duration of your existence, it would be inevitable to say that a lot of regrets keep haunting you and you shout how cruel this life is for making it follow you even in your dreams.

Apart from that, there are also made you feel overwhelmed and contented, however, achieving such fulfillment only keeps us wanting more which would lead us to another story.

What is it with choices always gets so hard to handle?

Part of me says, I am on a middle of a heavy decision-making dilemma as of this writing.

Either way, I think it's a matter of choosing between what you think is right from what you think is best.

In a simpler statement, live up to your words. It's the best and right thing to do.

MovieSoundtracks: I Am Number Four Soundtrack

Soundtrack of the Month. Yey!

1. Radioactive-Kings of Leon


Free Mp3

2. Tighten Up – The Black Keys


Free Mp3

3. Soldier On – The Temper Trap

Soldier on (alvaroxx)

This MP3 was found at Dilandau MP3

4. Shelter – The Xx


Free Mp3

5. Invented – Jimmy Eat World

	Jimmy Eat World - Invented .mp3
	Found at bee mp3 search engine

6. Letters From The Sky – Civil Twilight

	Civil Twilight - Letters From The Sky .mp3
	Found at bee mp3 search engine

7. Curfew – Beck

8. Rolling In The Deep – Adele

9. As She’s Walking Away – Zac Brown Band

	Zac Brown Band - As She's Walking Away (Feat. A .mp3
	Found at bee mp3 search engine

I was rolling

This song is almost killing me. Every time i hear this song, my nerves start to burst. Gee, this really rocks. Even my mom got crazy of this song.




There's a fire starting in my heart,
Reaching a fever pitch and it's bringing me out the dark
Finally, I can see you crystal clear.
Go ahead and sell me out and I'll lay your ship there.
See how I leave, with every piece of you
Don't underestimate the things that I will do.
There's a fire starting in my heart,
Reaching a fever pitch and it's bringing me out the dark
The scars of your love, remind me of us.
They keep me thinking that we almost had it all
The scars of your love, they leave me breathless
I can't help feeling...
We could have had it all... (you're gonna wish you, never had met me)...
Rolling in the Deep (Tears are gonna fall, rolling in the deep)
Your had my heart... (you're gonna wish you)... and soul in your hand (Never had met me)
And you played it... (Tears are gonna fall)... To the beat (Rolling in the deep)
Baby I have no story to be told,
But I've heard one of you and I'm gonna make your head burn.
Think of me in the depths of your despair.
Making a home down there, it reminds you of the home we shared.
The scars of your love, remind me of us.
They keep me thinking that we almost had it all
The scars of your love, they leave me breathless
I can't help feeling...
We could have had it all... (you're gonna wish you never had met me)... Rolling in the Deep
(Tears are gonna fall, rolling in the deep)
Your had my heart... (you're gonna wish you)... and soul in your hand (Never had met me)
And you played it... (Tears are gonna fall)... To the beat (Rolling in the deep)
Could have had it all
Rolling in the deep.
You had my heart inside of your hand,
But you played it to the beat.
Throw your soul through every open door (Whoa)
Count your blessings to find what you look for (Whoa-uh)
Turn my sorrow into treasured gold (Whoa)
You pay me back in kind and reap just what you sow.
(You're gonna wish you... Never had met me)
We could have had it all (Tears are gonna fall... Rolling in the deep)
We could have had it all ( you're gonna wish you... never had met me)
It all. (Tears are gonna fall)
It all
It all (Rolling in the deep)
We could have had it all (you're gonna wish you, never had met me)
Rolling in the deep (Tears are gonna fall rolling in the deep)
You had my heart inside... (you're gonna wish you)... of your hand (Never had met me)
And you played it... (Tears are gonna fall)... to the beat (Rolling in the deep)
We could have had it all ( you're wish you never had met me)
Rolling in the deep (tears are gonna fall, rolling in the deep)
You had my heart... ( you're gonna wish you)... and soul in your hand (Never had met me)
But you played it
You played it.
You played it.
You played it to the beat.

Years after me

I come to think of something...

what would be my life after 20 years?

I had 10 facts. To be...

1. A professional nurse

2. A non-stop singer

3. A passionate musician

4. A business tycoon

5. A dean of the school

6. A promising nun

7. A geek researcher

8. A traveler of the earth

9. A computer wizard

10. A hot momma

Facts can be true..

But nothing can unleash what the future holds...

Right Time, Right Place =)

Why is being on time so challenging for some of us? Even when we start early. something gets in our way to make us late.

But God is always on time! We should know what time is best for us. If you're waiting for answered prayer or the fulfillment of one of his promises, don't give up. If you think he has forgotten you. think again. When the fullness of time is right for you, he'll show up and you'll be amazed by his brilliant timing!

In other words, God's timing is always perfect.

Not ours to know the reason why

Unanswered is our prayer,

But ours to wait for God's own time,

To lift the cross we bear.

NEW FACES...NEW YEAR....NEW LIFE....

2010 - a remarkable year that I will never ever forget. I faced some major changes in my life that helped me better to understand what "growing up" means. I got through it and learned from it. I'm so thankful to God in spite of hardship in life that was thrown to us we were able to overcome all of it. Years from now I will look back at 2010 as a very pivotal year in my life. Thanks for all the memories. For all the pain and laughters. Kudos 2010!