My social life recently has been limited to visiting patients, interaction with the friendlier consultants (I try to hide from the scary ones), and playing PSP (actually an alone-activity, but at this point, any respite from hospital work would qualify as socialization). Of the three, it is obviously the last that I enjoy the most. Especially since I rediscovered that the PSP reincarnated one of my favorite Playstation games of all time… PaRappa the Rapper! In this video PaRappa is being taught by Instructor Mooselini to drive and rap at the same time (my personal favorite, Stage 2):
Starting today, I’ll be posting interesting stuff related to my chosen specialty (Neurosciences) that I find on the net in a series I’ll call neuroyloy in aloyloy. This serves two purposes: 1. to promote Neuro as an alternative to boring old residency programs (calling all medical interns out there still deciding where to go after the Boards… join us in Neuro na lang!); and 2. to prevent this blog from CODING (ie, flat-line) while I am in first year (ie, while I am the slave of all slaves in the department, at the bottom of the totem pole, jingle lang ang pahinga). So, even when I’m too busy with hospital work or too tired to post, you, dear loyal readers (yes, the 3 or 4 of you) will have something to aloyloy about.
The first of this series is a very interesting article from The Guardian about what I think is one of the most complex diseases known to man, epilepsy. I remember that there were many instances in the past when, while I was in Church, or at a dine-in, or even while I was lounging at the beach (yes! true story!), a PWE (Person-with-Epilepsy) near me suddenly seized. All these events I took to mean that I really belong to Neuro. Here’s the article, pasted without permission from The Guardian’s website (I cite Fair Use):
Aloysius Domingo, MD
A> Neuro first-year resident
Chronic fatigue syndrome
Admitting Orders
January 1, 2008
> Admit to Ward 5 under PGH Adult Neurology service
> Secure consent for admission and for 4 whole years (and possibly more) of toxicity
> Diet: diet as tolerated but mostly PGH canteen food or fastfood
> IVF: none for now, will insert once with dengue secondary to callroom mosquito bites
> Monitor NeuroVSq3days (ie, everytime mag-postduty), WOF decrease in sensorium
> Monitor I&O qshift and record, refer if already urinating coffee
> Diagnostics: [ ] CXR-PA upright — baseline, in case mag-pulmo eff 2dary to PTB
[ ] plain cranial CT Scan STAT – R/O first-duty stroke
> Therapeutics: start ChartRounds 25mg tab 1 tab PO bid x forever
ServiceRounds 100mg cap 1 cap PO q3days x forever
ConsultantRounds 1 amp IV qweekly, WOF hypersensitivity rxn
OPD neb 1 neb twice a week
> May give diazepam 1 amp IV PRN for frank seizures during rounds
> Self to ensure meds are given, else will be kicked out of program
> Limit social life
> Refer to Psych for evaluation and co-management
> WOF hypertension (when in Charity Svc), WOF pedal edema (when in Pay Svc)
> Close watch please, for standby intubation
> Inform family and friends once admitted, because they might think he disappeared
> Refer PRN
