IM looks good on me

Yes, Internal Medicine looks good on me. Even if asteroid-like zits would erupt over my cheeks and forehead, dark circles would surround my eyes, and haircut deprivation syndrome would occur after each and every duty… I love IM.

They say, you will knoe “it” once you get there. So true.

OB-Gyne and Dermatology are fun but it’s more of a female-ly type of specializations. Although I knoe a number of male consultants under these specs, skin lesions and labor-ing are not really my thing. And I heard that guys applying for a residency training should really be very very good to be accepted. And also, who would want a male OB-Gyne?! Hello?

Surgery is likewise fun, and is forever a fad; but I think it’s kinda overrated… and I honestly am not a big fan, really. Cos the fun stops after a week. Yes. The fun ends in a week. I was excited and giddy when I first got in to the OR wearing my still firm-ish scrubs. But like I said, the fun ends in a week; realized the OR is a bore after all…

I love kids. But ion’t like sick children. It makes me sad especially those under chronic diseases such as malignancy and connective tissue diseases. And I can’t tolerate loud screeches and wails. Pediatrics has long been crossed on my list.

Pathology is my first love. I think everyone who took medical technology as their pre-medical course share the same sentiment. I love how they get the final diagnosis even if at times it can never benefit the patient anymore. Although pathologists don’t have patient interaction, almost all the pathologists I’ve met are really really good.

Radiologic Oncology got me thinking… Oncology’s been one of the IM subspecs I’m targeting into. When I rotated in Rad-Onco, I realized that there is actually life aside from being a doctor. Residents in Rad-Onco don’t have overnight duties, holiday duties and weekend duties. Awesome, right? It’s like an office job or some sorta like that. But come to think about it? That doesn’t sound so right, right? When we entered this profession, we committed ourselves into serving people whole heartedly. Our time is not ours anymore, it becomes our patients’ time. We serve them 24-7, we check on them round the clock. I’m not saying that Rad-Oncos doesn’t give their time much to their patients cos in fact their schedule just makes sense. But what I’m trying to say is that I love the traditional physician’s schedule. The usual on-call, on-duty, overtime, bam! IDK, it’s just me, maybe? And according to my friends, Rad-Onco doesn’t fit me much, a lot of them prefer IM for me. And I’m effin pressured. ROFL.

Yeah still, IM looks good on me. And I love IM. It’s something mutual I think. The spec is sexy… I think. It makes me analyze situations extensively. It doesn’t bore me. I get excited during the long ward rounds. And I love to converse with patients cum relatives. I desire the individualized treatment we give to patients. Unlike in surgery, for example patients with appendicitis will definitely all undergo appendectomy. But in IM, one disease entity will or may have different treatment modalities or plans for each and every patient; Patient A with diabetes will be treated differently from Patient B who happens to be diabetic as well.

As of nao, IM is where I am most comfortable at. But who knoes? It might change sooner or later, right? I still love the rush, the intensity and toxicity of IM but remember I am also a practical person. So who knoes?

IM looks good on me… But will it look good on me forever?

Dahil Kay

by the Neruda Band. This is one of my favorite songs in their Insignias and Enigmas album which was released in 2007.

Enjoy!

Click, click, click to play…

Nagkita tayong muli kaibigan
Batid sa iyong mga mata
Na parang ang ala-ala ng kahapon lamang
O anong saya
Tila walang kaba
O bakit ba
Parang malayo and tingin
Bat hindi sabihin sa akin.

Pasensya na
Hindi ko kaagad napunang nagiisa
Pasensya na
Hindi ko kaagad napunang nagiisa.

Sinabi ko nuon sa aking kaibigan
At nakita ko sa iyong mata
Na parang ‘di na matapos ang kaligayahan
O anong sumpa
Akala’y walang hanggan at kailan ma’y
’Di na lalayo ang tingin
At ngayo’y sabihin sa akin.

Pasensya na
Hindi ko kagad napunang nagiisa
Pasensya na
Hindi ko kagad napunang nagiisa

Nasaan ang anino mo?
Paano mo haharapin ang bukas?
Kaibigan ko
Sa mundong dating hilo umiikot sa palad mo.

Kaibigan ko
Kung ang iyong mundo ay tatsulok saan ka pa tutungo?
Kung ano ang sasabihin, sa halip ay siyang gawin
Lumingon, tumalikod, huwag lang sa salamin
Ito’y harapin…

Hanggang sa huli…

Twenty Ten Planner

If you happen to be reading my blog ever since its advent, you likely knoe that I religiously claim the Starbucks yearly planner since it first came out several years back cos I have shared them all in here.

TBH? This was supposed to be an earlier post (I knoe, right?) however, since I lack time I procrastinate a looot… owell let me put it this way, oral revalida is already an inch close to my sleeve so as much as possible I give most of my golden time into re-reading what I’m supposed to be reading in preparation to this “event”…so I barely open my lappie cos it sucks time bigtime.

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The cover or box.

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Opening…

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There.. I love the color and texture, grayscaled and rough like sandpaper. Cover is available in 3 variants.

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Every page makes you write more.

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Freebies? Yes. They’re back.

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Hand and ring not included. I love how the dates are arranged in each and every pages. More spacious.

***

BTW, Orange Mocha Frappucino is now available!

Pomelo

A friend of mine went back to Davao to celebrate the new year with her family. I told her not to come back without my “Suha” AKA Pomelo or else imana break her bones into pieces. LOL. Of course I will not that do that, I am not that brutal. Well, it’s one of my favorite fruits but I only eat pomelos that came all the way from Davao cos they’re easy to eat. I think you knoe the reason why I said that; Yes they’re very easy to eat despite the thick rind.

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After 10 minutes… (Check the wall clock)

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Actually, I can do better than 10 minutes. Maybe 5? Owell… Let me do it again next time. Tee-hee!

2009 Recap

2009 has been my entry point to the real world of doctors; Gone are the days of everyday exams. But going through medical clerkship is like chewing on pearls. Hard, may even chip your teeth off but precious.

As they say, we’re the lowest life forms in the hierarchy of doctors. Some, don’t even consider us as doctors, yet. Well it’s relatively true, but I believe that in the 4 years of medical education, we gained sufficient knowledge to treat and take good care of patients even in our slightest and most simple ways. Right? Right.

It’s hard to be a medical clerk. --- ?? Erm… ??? ---- Right. True.

So true, I recall that there were even points in time when I felt like already giving up and that my body wanted to quit on its own; especially in those occasions where I experience sleepless nights of trying to survive or revive patients; of continuous ambubagging, of non-stop hospital errands, episodes of successive code blues and subsequent resuscitations. But those were JUST mere feelings of quitting. It never occurred to me to really quit, leave the hospital and never go back. It never happened cos I was lucky enough to work with the nicest people on earth who believe in me; those who motivated me, encouraged me to be stronger, to persevere harder and to never give up cos giving up doesn’t make it a lot easier either. It doesn’t prove anything greater nor escape me from perceived dilemmas. Cos I am but a doctor.

I also remember how old friends would complain about how hard I became to invite into gatherings, even during the weekends. Our usual free weekends turned into 24-hour hospital duties, and some even up to 36. My life became a boring Cori Cycle (Muscle-Liver-Muscle); Apartment-Hospital-Apartment Cycle. Socialization became an entirely foreign event for me. As I pass by the streets of T. Morato and Timog and visit places like Eastwood or Greenbelt or anywhere else where people would just hang out and do nothing very intelligible, it would always feel so surreal and new. I stopped watching TV, then I never watched TV again (not until today, i think…). I can’t relate to stories of popular TV ads and shows. Thanks to the internet (woo-hoo!) I can somehow update myself from what’s happening around the world.

Did you knoe that the hospital is a place of emotional salad? There has been a lot of emotional fluctuations that had happened not only to patients but also to us. Think about Grey’s Anatomy, minus the hook-ups e? There were times when we would be happy, sad and mad all at the same time! I knoe, right? Call us crazy but it happens. There were UP-moments like receiving gifts of appreciation from very cool patients and relatives and seeing them go out of the hospital stable and improved. Also, the happiness we gain after an enjoyable ward round with our awesome residents, fellows and even consultants. DOWN-moments as we encounter deaths, permanence of disabilities and just mere palliation to cancer patients. Sometimes worse things happen like being yelled by our not-so-impressive residents during rounds and in front of our patients. Let me add the SIDEWAYS if you knoe what I mean; the misunderstandings with co-clerks and the harder to deal with… the bitchy patients and relatives who would always complain and well, complain and complain. Need I say more? Complain. Urgh!

This year, I witnessed awesomeness of life in general, and I also acted accordingly as a doctor which for me, is very much considered as a medical breakthrough; I watched lives come out and caught babies out from the vajayjay, I assisted to various types of cesarean section, sutured surgical wounds, bore holes into a patient’s skull, held a scalpel and cut off one’s appendix, inserted a Trocar in a laparoscopic cholecystectomy, amputated a rotting leg, zapped a bleeder with a cautery, assisted in microsurgeries, saw an entire length of a patient’s colon, do proper CPRs, encountered rare cases, wore an N95 mask for an entire 30 hours, handled a big group of TB-patients and yellow-people (Leptospirosis outbreak).

Even removal of ingrown toenails still amazes me up until now.

I became an expert on alooot of things; IV insertion, catheter insertion, NGT insertion, arterial blood extraction, ET suctioning, and more.

Medical clerkship can either be a good experience or a nightmare but it is my most eventful part of this year. It’s not yet over but I can now say, this is it, this is the start of my life.

Like I said, medical clerkship is like chewing on pearls; hard, may even chip your teeth off but precious. It taught me how to handle toxicities, multitasking, medical and work ethics, to work under pressure, to be more compassionate, to be more committed, and to become a more competent physician.

So there… That was my 2009. How about yours?

***

I want to thank God for the slaps and for the blessings, I praise You; to my loving family who’s been very supportive – never failed me; to my witty-spontaneous-and-cool medical friends; to my gorgeous non-medical friends; to all who became my hard-working duty-mates; to all the doctors who taught me and enhanced my knowledge about the art that we knoe, who trusted in me and inspired me in so many ways; to my patients for giving me the chance to learn. Thanks! Really.

And I also want to say sorry for all the inconveniences I made. Those were truly unintentional.

2009 was a tough year! But I say cheers! Thank God! I had fun. It was a blast!

Let’s make 2010 (say twenty-ten) tougher, e? Yay!

Happy New Year Earthlings!

***

Let’s cross our fingers for our upcoming Oral Revalida! Wish us all luck!