encounter with a stage IV breast cancer patient unaware of her diagnosis. I don't know if I'll ever be ready to talk to these kinds of patients. Must make friends with people interested in Palliative care.

character witness na ba ngayon ang labanan?

good luck funding skeletons in my closet, actually, you need to find the closet first.

slogans another way to waste procrastinate. one more site to destroy once you realize you're going to fail compre. best slogan I got so far: "The World's Favorite Ado" and "Naughty but Ado" XD

The additional costs of med school. My classmates often complain of the cost of traveling to the communities we serve during community medicine, family medicine and COME posts. Although it would be ideal if the costs are included in the miscellaneous fees we pay, I think of it as a form of spending similar to how we spend for transes, medical equipment and hospital supplies. It's a necessary cost of our education and we should not be so angry about it. Truth is the cost of traveling to these areas are quite low and in all likelihood, will be well within a normal medical student's daily allowance. Maybe you won't have some money to spend on that iced drink or would have to defer that new haircut, but unlike those things, this is crucial to your education. It would be even cheaper if you use mass transportation like the train and jeepneys instead of riding cabs all the time.

so I will be facilitating a workshop on return service programs for physicians in 2 weeks and I don't have a concrete plan yet. The idea is to determine to what extent our organization will act on this issue: are we promoting the idea of a compulsory service for all medical graduates? do we limit it to public school graduates only? or do we just encourage it? I've been searching for good papers on the topic. I found one which looked at return service (also known as obligatory or required service) programs in 70 countries. They described various mechanisms to implement the program. Still, issues I have been contending over the past weeks were brought up. The most glaring of which: Why should graduates of private medical schools agree to this program? I don't have an answer for this question. Of course, another question that we pose in the workshop is what factors or reforms should be implemented in order to make the reform more palatable to graduates. Maybe I should leave it to the participants. But I have this thing. I don't like facilitating workshops when I don't have a definite stance on the issue. It's not that I try to influence the participants towards my position but it's a way for me to prepare for most of the issues that will arise during the discussion. If I know the issues, I know the questions to ask so participants will have an easier time discussing the issue.

day 2 sucks. --- Hello Carly!

even simple steps look brilliant if you have perfect control and swag. digging this movement away from the manic and big movements one often see in hip hop nowadays. (disclaimer: has not been attending classes since 2010)

from stitching a person up to getting stitches on my head. what a way to end ICC-year.

Difficult patients. I don't like them. It's not just kids who cry even with the slightest touch. It's the patient who refuses undergoing physical exams because the doctor at the other clinic already did that. It's the informant who keeps butting in because she thinks the patient is incompetent in answering our questions. It's the parent who doesn't say it out right but is clearly annoyed that they have to wait more for the consultant. It's the patient who refuses to answer history questions because they have been interviewed numerous times and it's already written on the chart.

Still, we must perform our task. I feel for their frustration at the system but that's the trade-off for consulting at a teaching hospital. When I'm in a bad mood, I become stern and just finish the damn thing as quickly as possible Or if we're working in pairs, I sign off and just volunteer for the PE. The best though is put on your best smile, provide a good explanation on the matter and project that you know your stuff. They'd often come around and at the end of the visit, they even thank you for all your help.

Although in one recent patient, the patient thought we were just playing around or something so she was angry and shit but then when she realized that we are going to be the actual "doctors," she became much nicer. Even thanked us after the visit.

Still difficult patients, I don't like them.

Tumblr's eating my life and I don't even have a Tumblr account!

Virgin coco oil great for sex and cholesterol

I highly doubt it but let's wait for full report. Excited to dive in and analyze the data. Hopefully, they'll publish it online and the paper is not behind a paywall.

Points that triggered alarms:
-n = 189
-no mention if healthy subjects or subjects with dyslipidemia were used
-unequal number of treatment and control
-just 4 months
-use of placebo instead of identifying which oil
-no change in BMI and weight
-a chemist as team leader

Still even if the study is true, I won't be advising use of VCO just yet.