MD: Mind Dump @geminifive - Tumblr Blog

My car’s first battery change

Last night, when my family and I set off to leave home and dine out, my car wouldn’t start. Every twist of the key into the ignition just resulted to a wheezy sound. Luckily, my brother, who was in a separate car with his wife, was still in the garage. We had to jumpstart my car by connecting cables in each others’ car batteries.

My car battery is probably draining away. It’s been more than two years since I got my brand new car. It was time to have the battery checked.

Today, after work, I drove with A to a shop selling car batteries. The brand popular in our area was Motolite. And what my car had was Motolite Gold. From visiting the shop, I found out there were several types of Motolite car maintenance free batteries: Excel, Gold, and Enduro. Excel is the high-end one, Gold and Enduro are built for hot or tropical climates. To be safe, I had the battery replaced with the same subtype of Motolite. Maybe next time when I don’t want to spend, my next replacement will be the Enduro subtype.

mrcalisthenics

Our bodies are museums containing all of our history. They are ecosystems of competing personalities from each person that has been in our lives, particularly our primary relationships. Personalities are infectious. We internalize them right from birth. And they have a capacity to be far more damaging, crippling and dangerous to us than sugar or poor movement patterns could ever be. This is why it matters so greatly as to who we decide to spend our time with.

Image by 📷 @icreatelife_ (at Fulton Center) https://www.instagram.com/p/COFqIWprd3N/?igshid=mjlf8tzb185i

zackisontumblr

staying up late with other humans is such a weird thing like you get this special bond and like a what is this feeling

bloominflowers

Mushroom witch and her little mushroom friends

lezpleasure

When you are attracted to people, it’s because of the details. Their kindness. Their eyes. The fact that they can get you to laugh when you need it the most.

Jodi Picoult (via theperfeqtquotes)

Bruce: I like saying ‘no’. It lowers their enthusiasm.

----

This is mostly when I go shopping for stuff and the salespeople offer their wares.

never-obsolete

Microsoft Office 97 assistants

geminifive

How nostalgic.

cattloverss

silver-onyxx

i do not know anything about hollow knight but my friend has been streaming it a lot recently so here’s a screenshot redraw

(reposts allowed WITH CREDIT)

super epic speedpaint: https://youtu.be/pGe4fDY5MzA

valdotpng

heres the one thing that i managed to finish today :)

geminifive

So cute!

doodleofboredom

*blep*

My first rigid esophagoscopy as an otorhinolaryngology - head & neck surgery graduate

Cassey referred a 33/M epileptic patient who swallowed his dentures during a seizure the night prior. I received the patient 18 hours after his ingestion of the dentures. He also sent the photo of the patient’s soft tissue lateral neck x-ray. Seen there is thickening of the prevertebral area with some air pockets at the level of C6-C7. This would be the presumed location of the foreign body.

Drawings of the dentures showed a palatal part with two teeth in one, and a palatal part with three teeth in the other. CBC showed a WBC of 19.0. The patient underwent the procedure at 20 hours post-ingestion. When I began my rigid esophagoscopy, at 15cm from the incisors, I was able to see the palatal portion of the dentures and it took a bit of gentle tugging and rotating to be able to dislodge the foreign body until extraction. Upon re-inspection, I did not see any perforation though I saw swelling and pus. I wanted to have an nasogastric tube inserted so I asked the nurse to put it… But I did not specify that the tube should be inserted before the patient emerges from general anesthesia. We tried inserting the NGT when he woke up. But it kept coiling on our four attempts. Being cautious from actually perforating the esophagus, I decided to hold off from attempting any further. His post-operative medications were Cefuroxime IV, Dexamethasone IV.

The day after the surgery, I decided to put the patient on liquid diet. However, he began having fever along with his neck/throat pain… I was nervous for an esophageal perforation. I decided to put him back on nil per os for the time being. I switched his antibiotics to Ciprofloxacin 400mg IV and Clindamycin 300mg IV

On the his 3rd day of antibiotics I repeated CBC and his WBC went down to 12.0. Still not normal but at least it significantly improved. I still kept him on NPO. Fever was still occurring and I requested for an esophagogram with water-soluble contrast to which the mother refused because of financial constraints. I had to keep myself calm and just observe his fever pattern.

By his 5th hospital stay, he only had one episode of fever, so I allowed him to have liquids. And ordered that he may be discharged.

I still advised him and his mother though, to still watch for his ability to swallow and his neck pain. But it looks like his prognosis is good. I hope he goes home soon.

#ent #surgery #dentures #foreign body #esophagoscopy #esophagus #medicine #swallowed #otolaryngology #otorhinolaryngology #head and neck #Head and neck surgery

onlinecounsellingcollege

Some Things to Remember…

1. Waiting and not knowing is a large part of life.

2. Often, what we fear doesn’t happen in the end.

3. We all have our flaws; everyone is on a journey.

4. Expect to get it wrong and to mess things up at times.

5. A good and trusted friend truly is a gift and treasure.

6. Treat yourself and others with kindness and respect.

7. Be patient in your struggles as they teach important lessons.

8. Believe you have the grit to create the life you want.

bettykwong

Botw Link cooking mushroom stew with Kirby– and gets very confused.. 😆

mintsdraws

breath of the wild 🍄shrooms!

geminifive

Yummmmm!!!

When family become your patients

You forget you’re a doctor.

At about two o’ clock in the morning, my mother woke me up asking me to check on my father. “He’s vomiting and having loose stools.” My eyesight started to clear as I was becoming more and more awake. I rushed to their bedroom and saw my dad with his eyes closed. He narrated what happened...

His last meal was a snack of potato chips at 11PM. And then he went to bed. He woke up in a cold sweat, feeling dizzy already and nauseated; he also had the urge to take a number two. He woke mom up and then asked to be assisted to the bathroom. He vomited and pooped, one episode each.

When I examined him, he was conscious, not in respiratory distress but he was slightly tachycardic with a heart rate a little bit above 100. His nail beds were pale but with good capillary refill. Breath sounds were heard but I was detecting some crackles on the right lung field base. What worried me was that when I was listening to his heart, it wasn’t beating regularly. His blood pressure was 150/90 mmHg. His normal is 110/70. We gave him an Amlodipine 5mg. His blood pressure decreased to 130/80 mmHg.

Eventually, after my sister also saw Daddy, we decided to bring him to the hospital. He vomited 3 episodes more which relieved his dizziness prior to getting into the car.

The dizziness was attributed to the uncontrolled hypertension.

He’s better now, so he will be coming home tomorrow.

When you’re managing your family member, you are afraid. You doubt your abilities. You suddenly do not know what to do, even after years of studying about the human body and how to treat it. Gah!

#medicine #physician #doctor #life