First Flatline

After my day off yesterday, I am welcomed by a critical patient needing continuous monitoring. We divided the patient load and I was assigned to one critical patient alongside three others requiring moderate care. It was 2 o’clock.

I knew the patient since I was the one who received her for admission the other day. She was stable then. But now, she is on assisted ventilation. tsk. This would be a hard day (or afternoon)  I should say.

After 2 hours, the patient had respiratory arrest, but was revived. Thankfully, the CPR and the medications given worked their way and kept the baby alive. Monitoring was every 15 minutes.

After an hour or so, comes the second. CPR was done again and more meds were given. The doctors were exhausted this time. The mother was breaking down. She was the only one there. Her husband was still at work and have just been informed about it. She started to cry. With each round of chest compressions, the baby is slipping slowly to death.

More medications were loaded and the baby showed signs of life.

It was around 8 when the baby had another arrest. The baby received her last allowable dose of the medicine. It was slowly dawning on me. We are loosing the Baby. It was at that moment, when the doctor decided it’s over. The mother broke into a scream and caressed her first born.

Time of death: 8:10pm.

It is of these times that it comes to me that we are never owners of our lives. Yes, take care of our body, but it is He who decides when will we die.

As for me, I just started the post mortem care. Good thing the baby have been baptised this afternoon as a lay minister came. It was heart breaking to see a mother hugging her baby never letting go. I gave her time. Till then, I slowly removed the IV lines, and all other attachments, changed the baby’s clothes, and cleaned her body. All the while, trying to separate the thought that I was nearly teary-eyed.

After we wrapped the baby in cloth, with ties on the head, hands and feet, wearing an elegant white baby dress, the mother carried her to the morgue. All I could give her is a pat in the back.

And that’s my first time after 3 weeks, to have a patient die.

God bless you baby ______!  There’s one more angel in heaven now.

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Paano maging slim?

Lampayatot (lampa+payat) ako mula noong bata pa ako. Bata pa din naman ako ngayon ah! Pero hindi na ako lampa. Hindi na rin ako payat. Sakto lang. Naiinggit nga minsan ang ibang mga kaklase ko sa laki ng lamon ko, bakit parang hindi daw ako tumataba? Salamat sa metabolismo kong walang katulad. Ang hindi nila alam, may sikreto ako. Heto ang ilan.

1. Kumain sa tamang oras. Wag na wag mag skip meals. Bukod sa sasakit ang tiyan mo sa gutom, babagal ang metabolismo mo. Tataba ka pa lalo.  Tama na ang tatlong beses sa isang araw kumain.  Lima pala, isama mo ang morning at afternoon snacks. Matulog ng maaga para makaiwas sa midnight snacks.

2. Uminom ng maraming tubig. Minsan kasi, nami-misinterpret ang uhaw sa gutom. Kapag walang laman ang tiyan, feeling mo gutom ka na agad. Punuin mo lang ng tubig yun. Hindi porke’t hindi ka nauuhaw ay hindi ka na iinom ng tubig. Maiging maya’t maya ay umiinom ka. Pampatanggal antok din yan sa trabaho.

3. Gumamit ng maliit na plato. Ayon sa isang research, mas konti ang nakakain mo kapag maliit ang plato mo. Siyempre, hindi ka ba mahihiyang nag-uumapaw na ang plato mo sa dami ng gusto mong kainin. Makakailang rounds ka rin babalik muli sa buffet table kung gayon. Mainam din na gumamit ng maliit na kutsara.  Mahihirapan kang kumain, mawawalan ka ng gana.

4. Mag-toothbrush agad pagkatapos kumain. Sa ganitong paraan, sarado agad ang gana mo dahil sa mint ng toothpaste. Saka,  kung may bagong pahabol na mga kakanin, hindi ka na kakain. Gugustuhin mo bang masira ang ‘fresh breath’ mo?

5. Galaw galaw. Hindi naman necessary na mag gym ka talaga at pilitin ang sariling mag jogging. Tama na ang kumilos ka sa gawaing bahay, maglakad-lakad minsan, magliwaliw kung saan, magbantay ng makulit na bata, maglaba, mag-igib, magsibak ng kahoy, mag-aral (oo, nakaka-burn din yun ng calories! sobra!), o gawin ang best exercise *wink* .

 

Para-paraan lang yan. Ang pag-aalaga sa katawan ay parang pagpapatakbo ng isang makina. Kailangan may palagiang maintenance. Kailangan linisin minsan. Kailangan din gamitin para hindi kalawangin.