Showing posts with label Nursing. Show all posts
Showing posts with label Nursing. Show all posts

Wednesday, April 4, 2012

'In His Steps' Medical Mission - Mansalay, Oriental Mindoro


Patient outside Medicare Hospital


Eyes and fingers probed the chainlink fence surrounding Mansalay Gymnasium, Mansalay, and Oriental Mindoro. From the air, the hundreds of people gathered in the sun looked like a town fair. In reality, they were in the middle of a multi-day wait for free medical and dental care.

The Team

In one day, a team of 50+ doctors, nurses and supporting volunteers from United States, Manila, Iloilo and Mansalay performed 100+ surgeries, invited 1000+ patients into the medical mission area and Medicare Hospital and provided 200+ people with dental care. The main stakeholder for this mission is the “In His Steps” medical ministry from Texas, U.S.A. with the effort of our very own Doc Celia Maliwanag and of course the local government.

Doc Cel Maliwanag

Aniway Cusi, a member of Mangyan Hanunuo tribe and a mother of two-year-old Mikoy, said she and his son waited for hours to get into the free medical mission after traveling about a half hour from their home in town proper. She pointed at Mikoy’s face, which had a minor case of scabies and white patch near his eye. The sun had irritated it.

Aniway and her son, Mikoy

Now that they were entertained, an answer was near. A simple check-up, injection and medicines would solve what a quack doctor had told them many months ago he could not treat.
“It’s a relief having doctors come here that can do what the doctors can’t do in Mansalay,” Cusi said. “I just want the doctors to be able to fix it so my son’s illness can grow up and be healthy.”


Volunteer Doctor from Africa

Mikay’s story is one of thousands. There is the old man who walked hours to gain sight through free eyeglasses, and then returned after few hours year just to say thank you. There is the teenage girl who had her hands tumor removed after years of agonizing it so badly.

Collecting Patient Data

Taking Vital Signs

Each resident’s vital signs were first taken before they could proceed to the doctor. Medical complaints ranged from fever, cough or colds to hypertension or diabetes. There were also varied patients, from a day-old baby to an eighty-ish grandmother. After the doctor examined them, they were given the appropriate medication. Or, if they needed more intervention, they were referred to the nearest hospital via ambulance. Some clients however went to the medical mission without any ailment to complain. They said that they were just there to ask for multivitamins which they have rightly received.

Ongoing surgery

Working doctors and nurses

After a few minutes of resting, we went back our posts. I am assigned to surgery. Cries burst and tears flowed as the vaccinations began and blood pressure apparatus pumped and whistled. It was a bit tiresome but all worth it. The smiles and the words of thanks are all you need to wipe the sweat dry and boost you energy back to normal. These are the times when I definitely tell myself I love my profession.

Senior citizens

“We have found that much of the need exists in the countryside where people don’t necessarily have the money or cultural inclination to go into the big cities,” said Medical Mission Director. “As a result, those needs are unmet.”
Team Nurses

It’s weird but it’s amazing how on the mission field and doing God’s work everything seems to disappear. Worries, anxieties, and things that seemed to matter don’t really anymore. God has a funny way of reprioritizing your life but if we’re honest it never really stays like that after the God rush is gone.

Medical Volunteers
Team RNHeals 

Team Manila Nurses

New Friends

Access to healthcare should never be exclusive to those who can afford and to those who are living near the source of medications, etc. So, clap clap for activities like this. I’m so looking forward to the next. Everyone can make a difference in his/her own little ways. I hope to start changing the world. -shernan


Thursday, February 9, 2012

Why You Look Different in Photos Than You Do in the Mirror?


        Yesterday morning, you looked good. Yesterday evening, before you went out, you're pretty sure you looked real good. So who the hell is this schlub in the Facebook album from last night, tagged with your name?
         It's a phenomenon nestled somewhere between universal annoyance and urban legend: People see something different in the mirror than they do in photographs. More often than not, the former is controlled, predictable and palatable, while the latter is an endless source of nasty little surprises.
So, why the disparity? The answer is complicated, but it boils down to this: Your eyes, your brain, your mirror and your camera are all conspiring to sabotage your body image.

It's the camera
         The camera adds ten pounds! At a certain point, this obscure TV adage became folk wisdom. While this particular effect probably refers specifically to television, and in particular the distorting effect of the convex curvature of older TV sets, it seems to hold true for regular folks, sometimes in still pictures as well as video.
          Cameras sensors may be absorbing the same photons as our eyes, but they're doing so through a complex lens that can actually change the way you look. Most cameras, from the dumpiest point-and-shoots to high-end DSLRs, ship with lenses capable of adjusting to wide, zoom-ed out perspective, and tight, zoomed-in views. At both extremes, the lens plays weird—and potentially ugli-fying tricks.
        A wide angle lens does as its name suggests, capturing an image spread over a wide angle. The field of view in a wide-angle shot is wide—wider than that of your own eyes. In pulling this off, some lenses create a sort of fisheye effect, which can bloat subjects in the middle, and stretch those on the outside. This, however, is instantly recognizable, and probably won't cause too much anxiety. In other words, If the shot looks like a still from an episode of Jackass, you probably shouldn't let it figure into your self-image too much.
        But there's a subtler effect of wide lenses called wide-angle distortion: Since the field of view is super-wide, objects close to the camera will seem large, while objects just a bit further away will seem very small. Here's a scene from Lock, Stock and Two Smoking Barrels that illustrates the effect, starting a 4:18. (NSFW, sorta.)
        The net effect is an illusion of size, both width and height. Subtle, sure, but it's there.
Telephoto lenses are usually seen as more flattering, giving the impression that the subject is flattened, and slightly compressing the width of your foremost features, like your nose or breasts. So you might want to think twice before fleeing the pesky paparazzi and their fancy zoom lenses; it's the tourist with the pocket cam whose snaps will make you look fat on the Internet.
       Lens distortion isn't the only way a camera can screw with your visage. Flash illuminates subjects harshly, turning elegant faces normally accented by soft shadows into a flat, shadowless, cadaveric horror shows.
      Whether these effects are annoying or used to advantage, they mean that what you see in photos is different than what you see in the mirror.

It's the Mirror
          I don't mean to imply that the camera is the only liar, here, because mirrors are just as guilty. For one, they flip your image. The You you're most familiar with, then, is actually an exact opposite of how you look to others. Granted, it's an intuitive reversal, so it doesn't bother us when we see it, but it implants a self-image that's intrinsically wrong.
       On top of that, there's the problem of perspective. People stand close to mirrors, but see their whole selves. This provides a reasonable perspective, but a unique one: it's the perspective of a person standing near to you, eyes proportionately closer to your head than to your feet. This is the perspective of a partner in conversation, not a photographer. Looking a certain way from three feet away doesn't mean you'll look the same from 15.

It's you
      The physics of lenses and mirrors offer solutions to specific problems, i.e. OH MY GOD SO THAT'S WHY MY WONDERFUL BUTT LOOKS SO FAT ON FILM! However, these explanations don't speak to a more relatable weirdness about photography. It's a feeling of uncanniness. It's a sense that something about the photographed self seems unquantifiably different than the mirrored self. It's in your head.
       Think about the act of looking on a mirror. It's incredibly limited You pretty much need to be facing forward, or else you can't see. You will always be looking slightly down at the rest of your body. You will pose for yourself, to achieve the most flattering look. You will hide fat behind folds of clothes, or minimize a strange facial feature with a tilt of the head.
        Other people, including photographers, don't see this version of you. They see a version that you are rarely privy to, and that can seem wildly foreign to our ingrained sensibilities. As Slate explains, it's a bit like how people hate their own voices on tape, doubly so because we know that those foreign, goofball intonations represent that way that everyone else hears us. In photos, we see ourselves in various states of motion, in different contortions and from uncaring, neutral perspectives. Lenses may distort, sure, but in a powerful way, these uncomfortable photographs are closer to reality than our carefully images in the mirror.  (J. Herrman, gizmodo.com)

Monday, February 6, 2012

RN Heals Batch 3: 13,000 Nurses, Midwives to be Deployed Next Month



         The Department of Health (DOH) announced yesterday that 10,000 nurses and 3,000 midwives will be deployed next month to the various provinces in the Philippines to augment the inadequate nursing workforce in DOH hospitals and other health facilities of local government units.
        According to the report, the government deployed the first batch of 10,000 nurses last year and another batch of 11,500 nurses and 1,000 midwives last November.
        This year 2012, the recruitment of 10,000 nurses and 3,000 midwives is already ongoing and is expected to be completed by the end of the month.
        “The recruitment and selection shall be done by the respective Center for Health Development (CMDs) to be completed by February,” the DOH said. 
         Under the RN Heals 3 program, newly hired nurses and midwives shall undergo general orientation scheduled on the first week of March before the actual deployment.
       Those who were previously hired under the same program and rendered satisfactory services until the end of their contract next week can re-apply. (Nursingcrib.com)

Wednesday, November 9, 2011

How To Quit Nursing in One Day


(Originally Posted at http://narsako.wordpress.com/)

No one can deny that the progress of the nursing profession here in the Philippines is on a downward trend. I’ve known this phenomenon ever since I have opened my eyes to the realities that surround our profession and I’m sick of it already. And when I say “I’m sick of it”, you better keep your mouth shut and don’t ask me why. Just look around and you will know the answer right away. I saw it coming back then but I still took the risk anyway. To this day, I can’t count how many times people have asked me this same 7-syllable question over and over again:

“Bakit ka ba nag-Nursing?”

It was asked by a co worker when I decided to file my resignation in a BPO company two months ago. It was asked by my sister who also just graduated this year and earned a bachelor’s degree in Radiologic Technology, which she boasts to be more financially rewarding  than Nursing abroad. It was asked by my high school classmates, friends, relatives, and virtually every people who knows I’m a registered nurse. Kung puwede lang irecord ang sagot ko para di na ko mapagod kakaexplain sa kanila, ginawa ko na noon pa. But I have no choice but to tell them honestly that I took the nursing course because it was in demand back then and that no one had forced me to do so. It is a typical answer that doesn’t make any sense as far as the present state of nursing employment is concerned. I remember when I shifted  from Biology to Nursing way back in 2006, I was bombarded with ideas  like “Hindi ka yayaman sa pagdodoktor”  , “Mag-nursing ka na lang” , and all that kind of ‘practical suggestions’, so to speak. I eventually took up Nursing, survived the gruelling studies coupled with rigorous clinical duties, and graduated early this year. I have discovered two things almost 5 years after I decided to take up nursing: One, I’m glad that I didn’t  take up Medicine because I fell in love with Nursing in the process and lastly, the idea that Nursing would lead to greener pasture was a trap and an eye-opener at the same time. It’s as if a reversal of nature is happening and the same people who gave me the aforementioned ‘practical suggestions’ are now telling me that  “Hindi ka yayaman kung magnunursing ka lang”, “Magdoktor ka na lang”  and all that kind of crappy stuff. Sometimes, I feel bad for earning the nursing degree at the wrong place and at the wrong time. I envy those nurses from the early generations  who got a lot of opportunities for them and I wonder if they are even aware that the words “volunteer” and “contractual” now represent the current batch of Filipino nurses.

 ”Bakit nga ba ako nag-Nursing?”

I can’t even think of a single best answer to satisfy this question but ironically, I can think of a lot of reasons (can even reach thousands!!haha) why I should quit NOW and pursue other rewarding career. How to quit Nursing in one day? Very simple: Always be pessimistic and know the following reasons by heart:

1. It’s tough to be a USRN. We all want to work in the US if given the chance. American nurses, they say, are one of the most financially blessed nurses nowadays but how the heck can someone like me become a USRN if the US is closing its doors for foreign applicants and even struggling to provide jobs for its own American nurses. I heard that they are now processing Visa applications from way back 2005 but this is more of a discouraging news for someone like me who doesn’t even have a financial capability to take NCLEX and pay for all the requirements not just for US and for other countries as well. Kung puwede lang na mag-asawa ako ng Kano..kahit girl, boy, bakla, or tomboy man  yan, papatusin ko na maging US citizen lang ako….
2. It’s tough to be a USRN but its even tougher to be accepted as a nurse in the Philippines. They always say every nurse should start from scratch and struggle to move upward. But how on earth can I start my career if I’m competing with thousands of nursing graduates for a hospital position that doesn’t even guarantee of a long-term employment? Ma-hire ka man,utang na loob mo pa sa hospital na may experience ka pero wala namang bayad. In addition to that, there will always be these so-called “backer system” and expensive training requirements to stand in my way. It’s quite frustrating that the government wasn’t able to regulate nursing schools during those times when nurses spread out like  gremlins, increasing it’s numbers over the years. And what do I do now? Taking endless search and endless trainings that will just lead me to an endless waiting time.  Kung meron lang sanang magic potion na puwede kong ilagay sa resume ko para iprioritize agad ng mga hospitals application ko….
3. It’s tough to be accepted as a nurse in our country but its tougher to stay working in the hospital. Nurses have a lot of issues why they quit working in the hospital. They are burned out, unpaid or underpaid, exploited, neglected, abused , and degraded by the hospital management. The dismal condition of nursing employment and the unfair nurse-patient ratio are  pests that will keep on recurring unless properly addressed. Nursing is a tough job so we can’t stay doing charity works for the rest of our lives. I’m tired of hearing cliche like “I want to be a nurse because I want to save lives” because there a lot of jobs out there that will allow you to save lives without even becoming a nurse. Admit it, we all want to be a nurse because we want better lives for our families one way or the other. And nurses didn’t spend thousands of pesos for their nursing studies para lang magtrabaho dito at kumita ng halagang mas malaki pa sweldo ng katulong.  Kung puwede lang na mabuhay uli si Florence Nightingale at maging presidente ng Pilipinas…..
4. It’s tough to be a nurse, period. I remember during the last day of my IVT Training at a Marikina hospital, the Director of Nursing shared how, at one point in her 20 years of professional life, she almost gave up and think of quitting Nursing for good. I was taken aback by her story and felt the hardships and trials she has faced during the span of her career. “Napakahirap maging nurse..tandaan nyo yan!” was her rant that has kept me thinking hard if my decision of quitting a high-paying job to go back to Nursing is the best decision for me. But look at her now and how her life turned out. She has climbed her way to the top and have realized that she has survived those tormenting days at the Pediatric Ward not because she had no choice but because her love for her profession is insurmountable. Kung puwede lang na lakas ng loob, sipag at diskarte na lang ang labanan sa Nursing, eh di sana marami na ring umasenso tulad ko…..
Again, one can quit nursing and decide to leave it for good in just one day. How? By just allowing oneself to get discouraged easily by those reasons above. I, at one point in my life, hated Nursing and almost quit. But in the long run, I have realized that not every one can be a nurse and I couldn’t see myself doing other jobs in the future. I love caring people and I want to grow professionally even if the promise of working abroad is bleak for now. Are these reasons enough to make me a genuine nurse? I don’t have any idea. I just love what I’m doing and I know that Nursing is not all about money and benefits in the first place. It’s about being human and following what your heart wants you to do. I have a lot of what if’s and doubts about the future. Can a weakling like me have the courage and skills to withstand the rocky road of the nursing profession? I can’t answer it myself. The future might be gloomy for now but at the end of the day, it’s not who I was in the past but who I choose to be for the rest of my life that will matter significantly. I have the choice to quit Nursing in one day but I choose to love Nursing and it’s one decision that will stay unbreakable for the rest of my life. -Nars A. Ko

(Credit to Nars. A. Ko - http://narsako.wordpress.com/)