The Last Mon Standing

I was walking home again and as usual daydreaming (if you can call this hour day)… but then while i was walking onthis street with three grocery stores competing for passing people, like me, I momentarily stopped fantasizing when I overheard this boy, about three or four year old boy, singing (i mean screaming) on top of their house by the window holding a stick pretending to be strumming it like a guitar.

What really amazed me was when i found out that i was not the only one who was fascinated by the young out of tune singer. It turned out that the whole street, all the passing people, the owners of the stores and all their customers were craning their heads, absolutely amused by the little boy’s serenade. They wre smiling at one another. And the child was so much clueless of what was just happening down the street.

i wonder if he got an applause after he was through with his.. erm… little concert.

I was walking home when I heard a gang of kids (3to 5 years old kids) bullying this little girl I think was named Atay.

They were singing a jingle based on Wowowee’s song BoomTarat…

It was like this:

BOOM Puwit puwit

BOOM Puwit puwit

Si Atay…

Si Atay…

Mabaho ang Puwit…

Imagine how evil the kids are becoming… hmpf

This was a scene in my class in Medical Nursing…

Clinical Instructor: You kids should know what to tell your clients when they ask you about things. Giving health teachings can be classified in the three levels of Preventions (Promotive, Curative, and Rehabilitative). Do you know what to say when your patient who had just a heart attack asked you when he is allowed to have an intercourse? You can’t just giggle or say "no Comment" or "kayo naman kuya". And you can’t prohibit him from doing it, it’s one of human’s vital needs.

Neil Raised his hand. He was called.

Neil: I think I can tell him about the position he can do.

The whole class laughed. Positioning is done for Respiratory patients for proper drainage and better breathing mechanism, but with… ermm… wel… about sex.. positions means many things… a great array of things.

Neil: (explained) classmates, I think, if the guy and his wife change their positions, that is the wife on top, the guy won’t have a hard time doing the deed, thus less muscle contractions ergo less cardiac output.

Clinical Instructor: That is if they are not going to climax. But during orgasm, no matter how different they are positioned, the deviation in Vital Signs (Blood pressure, Respiratory and cardiac Rates and even Temperature) is overwhelming. Risking the guy to another set of heart attack. Have you heard of the joke (she told a joke that is I think too… well… too much that only pervert and medical personnels need to hear it)

The whole class laughed again. When nobody cannot answer her, she told us how.

Clinical Instructor: You can tell the patient to climb a three story building’ stairs within 20 seconds. If he can do this without panting then he’s ready for a round.

Unfortunately, our two week long preparation for our comprehensive case study was a failure. We have to make a total, WHOLE, revision of the paper that we ftailed to defend. There were so many loopholes and the judges thought that we just made up alkl the medical info of our subject. Which is really understandable since my groupmates who made the physical assesment of our patient really did a bad worrk.

Plus our data were all incoherent. I was the one who made the Anatomy and Physiology and man, I was asked so many questions that i didn’t imagine they are going to ask.

Today, the clinical instructor of the first year Midwifery students, who are having their first time duty in the hospital, asked us if we can look at them and let do them some of the  nursing interventions that we can easily do. We happily took them. Actually, i was very lucky since I was able to handle two of them (Leah and Aysha) and my patients were just having a constipation and the other was about to go home.

Instead of me taking the Vital signs, I gladly let them have the honor of taking the blood pressures and temperatures and pulse and respiratory rates.

This morning I forgot to bring my thermometer so I just borrowed Angelo’s thermometer. I gave it to Leah, but when she finished taking the temperature of our patient, I was surprised that she pulled a different thermometer, a yellow one (and it was a rectal thermometer). I asked her where my thermometer is… she was just clueless. It was just a thermometer anyway, and i can just pay Angelo for it so I did not make any fuss.

But after break, we had another Vital Signs taking for 12:00 (we have our break at 11:00) I did not find the Midwifery students since earlier that time, there was a mass in the chapel and my patient’s bed was put inside the hospital’s chapel since there are too many sick people today. As I was about to put the thermometer that i borrowed from Lorenza, they came back so I had a little chat with them. i even taught them how to compute for the IVF (dextrose) drops per minute.

My Clinical Instructor called me for some errands about my other patient’s recxords. When I came back they gave me the results so I hurriedly went back to the Nurse’s Station to plot the vital signs and write my chartings.

Fast forward… when we were about to go and we were now inside the Nightingale’s hall (a place for us, student nurses can go and can keep our things in our first-come-first-served lockers) Lorenza asked me about the thermometer… and I remembered… the midwifery students were dismissed an hour ago.

I only have one subject on Wednesday, Pathophysiology, from 10-1:00 straight.

Though our professor dismissed the class at 11:30, I went home at 3:00. I spent the remaining time inside the library doing my assignment in Medical Nursing. I now consider myself cramming even though its deadline is still on Tuesday.

Man, it is so long. And he’s asking us to handwritten it, yes HAND WRITTEN, in long bond papers. So I bought a whole ream of 500 pieces of bond paper for my assignment saince I know that there will be longer ones coming weeks.

Here’s the assignment by the way, I put my explanation in parentheses.

DIRECTION: Write the following in long bond paper;

1. 25 Diseases of the respiratory system.
2. Write the etiology (what caused the disease) then identify each if it’s modifiable or non modifiable factor.
3. List of the disease’s signs and symptoms.
4. Pathophysiology of the disease (how the person get the disease).
5. 15 Nursing Managements for each disease (what should we do to a patient with such disease)
6. Drugs for the Illness.
7. 5 Nursing Care Plan for each disease (this is the hardest part. This is what we actually right in our patient’s records in our duties, this includes-Subjective data, Objective data, our Nursing Diagnosis, Our nursing plan, our interventions).

That’s it… the nest week, according to him, my professor, he’ll add 5, so that’ll be 30 diseases. SIGH I am so exhausted. I am by the way doing my case study to be defended on Saturday. We’ll have this kind of defense every two weeks in front of a panel of judges.

Though it’ll sure hard, I’ll do my best to really want to study this sem…. Something that I haven’t done before, to really study.

Breathe in for luck, breathe in so deep,
this air is blessed, you share with me.
This night is wild, so calm and dull,
these hearts they race from self control.
Your legs are smooth as they graze mine,
we’re doing fine, we’re doing nothing at all.

This was written by Leah (Click Here)

Please read her blog… I honestly like her poems. How I wish I can write as good as her.