(no subject)

The Upsilon Sigma Phi - the oldest born and greatest known fraternity - invites you to our culminating event: SYNCHRONICITY.

A concert featuring the Up Dharma Down, Pinikpikan, the UP Jazz Ensemble, and many more! Just go to the UP Theater at UP Diliman, 7pm this December 11.

See you there!

for all med students: what is your pwi? ddx?

General Data:

CH, 22/M, RH, med student from QC.

Chief Complaint:

Fever with Chills


Pt was apparently well until...

2 days PTC: Pt experienced low grade fever (38C), with associated malaise and chills. Paracetamol was taken with apparent relief of symptoms. (-) HA, nuchal rigidity. (+) rhinorrhea noted.

1 day PTC: Pt's fever increased to 39.6C, still with chills and malaise. Pt then noted multiple, nonpruritic, erythematous, maculopapular lesions all over face, torso and UE, with apparent cephalocaudal spread. Pt sought consult at private MD, was prescribed Ciprofloxacin 500mg BID x 7 days, and sent home.

day of consult: Pt had 2 episodes of nonbilous, nonbloody vomiting. There was intolerance of oral intake, and (+) anorexia, prompting consult.

(-) BOV
(-) n/v
(-) pruritus
(+) cough
(+) sore throat
(-) dyspnea
(-) chest pain
(-) palpitations
(-) orthopnea
(-) dysuria, hematuria, nocturia
(-) 3P's
(-) constipation/diarrhea

(+) dengue - 1990, 1991
(+) MMR vaccination (unrecalled)

(+) PTB - paternal grandfather
(+) DM - father, paternal grandmother
(-) CA
(+) BA - mother, siblings
(+) liver failure - father


Pt is coherent, ambulatory, NICRD.

BP 110/70
HR 104
RR 21
T 38.6
Ht 170cm
Wt 54kg

(+) multiple nonpruritic, erythematous, maculopapular lesions all over face, torso, both UE & LE, "islands of white in a sea of red"
(+) conjunctival injection, pink conjunctivae, (-) nasoaural discharge, (+) TPC, (-) ANM, (+) CLAD (multiple), (-) NVE
AP, (-) heaves, thrills, PMI 5th ICS LMCL, DHS, slightly tachycardic, constant S2 split, (-) m2
ECE, CBS, (-) r/w
Flat abdomen, NABS, (-) organomegaly, (-) m/t

any PWI's? Differentials?
this is an infectious disease case, so it really is a bitch.

emo, again

All That I've Got
-the used-

So deep that it didn't even bleed and catch me
Off guard, red handed
Now I'm far from lonely
Asleep I still see you lying next to me
So deep that it didn't even bleed and catch me

I need something else
Would someone please just give me
Hit me, knock me out
And let me go back to sleep
I can laugh
All I want inside I still am empty
So deep that it didn't even bleed and catch me

I'll be just fine
Pretending I'm not
I'm far from lonely
And it's all that I've got

I guess, I remember every glance you shot me
Unharmed, I'm losing weight and some body heat
I squoze so hard
I stopped your heart from beating
So deep that I didn't even scream fuck me

I'll be just fine
Pretending I'm not
I'm far from lonely
And it's all that I've got

So deep that it didn't even bleed and catch me
So deep that I didn't even scream fuck me

I'll be just fine
Pretending I'm not
I'm far from lonely
And it's all that I've got

death by inanity

there are lies that hide behind the truth that we speak to the world. lies within lies within lies. sometimes the stories we fabricate get so convoluted we lose the distinction between fact and fancy.

how well can you really know someone? how certain can you be that that person you know is actually that person, not some lie contrived to make the way you deal with each other easier? how much of the face we present to the world is convenience, and how much is it conformity?

it's a pretty depressing thought. people you think you know turn out to be total strangers. you can only see what they choose to reveal, and not all of that truth.

can we accept the truth for what it is? or do we continue to find solace in the lie that has been repeated so often, it has become indistinguishable from the truth? who really determines what truth is any way? is it you? or is it the world?

i hate moments of ennui. you end up thinking. that's why television has become a pleasant distraction: it numbs you, it kills all rational thought and leaves you an empty vessel to be filled with 30 second clips of advertising lies and fluff. welcome to the un-world, where the statistics and demographics of marketing prey on needs you never wanted to acknowledge you had.

it's my younger (the term "little" does not apply to him) brother's 13th birthday. happy birthday, brother mine.

missing pieces

i don't feel like writing.

i need a coke. or C2. or something to jumpstart my brain. anything.

caffiene, i am your slave. rouse me from this torpor of mine that i may go to sleep content with the knowledge that somehow, in a moment of wakeful clarity, i have done something to enrich mankind.

our official hospital rotation as clerks (officially, we still are icc's, but we have clerk status---that gives us all the responsibilities but none of the *absent* perks of being a clerk) in the outpationt department of the PGH begins on the 31st of june.

it's scary. from the controlled exposure of ward work, we will be thrust into an environment directly interacting with the patients. this already makes us de facto doctors, with what little medical education we may have retained from the massive overload given to us for the past two years. unfortunately, i seem to have forgotten all of it. tests really won't prepare you for the wards.

wuh. pre-rotation jitters. i have no idea what to expect, but hopefully it turns out to be as enjoyable as i try to imagine it to be. which is, of course, not an entirely encouraging picture.

on a few beers


3 beers in a span of an hour. all taken straight. more than i'm used to, at a pace previously unheard of.

anyway. there. a lot of stuff has happened since the last update, stuff that i can't mention for fear of [deleted] expulsion. i've realized what a double life i do lead, and how little truth i have in my life. i'm afraid that the lies between lies and half-truths and reality has blurred so much so i fail to distinguish them at all.

anyhow. i'm writing this slightly inebriated, so i guess that the coherence and cogency (is there such a word?) of this particular entry would be lacking, the relevance made up for by the relative honesty that only partially metabolized ethanol can give excuses for.

mavs lost, contrary to all my expectations. which was quite painful, really. i literally lost my appetite when i found out they had lost the series to the team that does not effin' deserve to be mentioned in my blog. for all intents and purposes, i strongly identify with the mavs... at least in the sense that the parallel the upm debate circle: everybody acknowledges that they are a team to watch out for, yet they always seem to fall short of the championship.

this parallelism is made even more obvious with all the circle has achieved (and i am proud to say that for once, i have contributed in some measure to my beloved org's success) this year. we've proven ourselves worthy of the recognition that we have worked hard to achieve over the years.

of course, the parallelism would be stronger if the mavs lost to, say, the pistons, rather than another finals virgin like the spurs. hehehe. but then again, no story is perfect. heck, nothing in this world is perfect. but then again, if you find meaning in the imperfections, if that is what you seek, then you find more meaning than you can ever have hoped to see in what your mind came up with.

i know i am making a horrible lack of sense now, but then again it's my blog and any discomfort you may feel at reading it is a fault entirely your own. you can always stop, you know.

another reason why the mavs loss cut so deep was that they were second best. i'm sick of being second-best to other teams and even people that i know (or at least like to believe) i can beat. this is not even about debate anymore. it's about things that are closer to home, but cannot elaborate on for fear of abject persecution.

haha. i make no sense. probably am more emo now than ever before. blame the seniors, but thank them nonetheless for their unflagging generosity.

dashboard confessionals
anyone, anyone

I'm not sure of
Anyone, Anyone
But I've got plans
I'm not asking
For everything
But sure I could
Use a hand

Get a little anxious
Sometimes you'll be gone
And I'll be left behind
Get a little nervous
Sometimes it'll be my turn
And I'll forget my lines
Get a little lost
And some staring from
The corner of my eye
Never really mastered

I can't see how
The way you leave me alone
Makes us close
I must be out of touch
I won't ask you
To give up on the things
That seem to keep you gone
But I can be gone too

Feel a little sorry
Sometimes you're not here
When I am writing
Feels a little awkward
Sometimes you won't talk
But we're not fighting
You hold onto your secrets
And I'm not privy
To what is on your mind
I can't help but feel tired

So tired...

So tired...

emotive value


Where do we go from here?
The suspense is a thrill
To me your feel, your taste is still so clear
I run, but my legs can only take me so far
It’s beating me down, it’s tearing me down.

Well tonight I’m feeling emotional
Lonely here tonight
It’s not helping me at all.

It doesn’t make it better that you’re gone
It doesn’t ease the pain at all
That you’re gone.

I scratch against the walls
I drown myself in tears
Imagine your hold, but it doesn’t feel as real
And I, cry myself dry
It’s all over now and you’ll never be around.