i miss bending

I have no idea how I am gonna start this blog so I am just going to blurt it out and say it:  My left knee got dislocated yesterday.

June 26, 2008 | 7:50 PM

I’ve been at Maan’s house for almost a week now.  I missed working out at the gym so I suggested that we work out.  We did a few stretching exercises first and then started dancing when I got into this really unexpected event.  I was shifting my weight from one leg to the other, which really isn’t a big deal… I’ve gone to a lot of dance classes before!  So here I am, shifting my weight to my left leg when I just felt it give way.  I couldn’t stop myself from falling and so I just screamed and fell to my left side.  My left knee was obviously deformed and I didn’t make an effort to try to reduce it myself.  Maan was quick to try to find a makeshift splint for my knee.  By this time her parents and the house help were already running around trying to figure out what to do.  I couldn’t help but say sorry over and over because it was so embarrassing to bother these people with my injury.  Maan’s sister Macyl had a look of fright on her face and told me honestly that she didn’t know what to do… Maan rushed to my side as she tried pieces of wood and even a chopping board to properly fix it to my knee.   It took a lot of people who I didn’t bother to look at in embarrassment to carry me down to the first floor and into the van.

Before we left, Maan asked me if I wanted to bring something to the hospital, and all I could say was, “Bring my Surgery Recall book!”

As they drove me to St. Luke’s Hospital, I called my dad to tell him the awful news.  At first I didn’t want to call him until I came to the hospital but I knew I had to tell him eventually, plus I needed a name of a doctor that he wanted.  He was very calm when I told him and asked me to call him to report any progress.

As we were riding to the hospital, with most of the pain already disappearing, all me and Maan could talk about was what they were gonna do to my knee.  Were they going to manually reduce it or would I have to undergo surgery?  Both definitely scared me, but I guess I was braver than a lay-person would have been if he or she was in my shoes.  Lots of random thoughts were running through my head, like,

“Oh my God, this is the first time I am going to be sent to the ER as an adult” (the first time was when I was a kid and I could hardly remember that)

“Are there going to be interns interviewing me?  That’ll be cool…”

“Am I going to have to use crutches going to the boards?”

June 26, 2008 8:40 PM

We arrived at St. Luke’s Medical Center ER.  They instantly called for an ER resident and requested for a stretcher for me.  They took a quick history and got me on to the stretcher.  As they pushed my stretcher into the ER, all I could think of was “I’ve never seen the ER in this perspective.”  I’ve always been the one pushing the stretcher and looking down at the patient, and now here I am with only the ceiling in my view.  I didn’t get to see much of the ER since they immediately placed me in one spot that was covered with curtains of some sort on all sides.  They took my initial vital signs, fixed my splint and then left.  By this time we were already in a better mood.  I can’t believe they have a cushioned stretcher and a blanket for me!  Oh my gosh I have been working in a charity hospital for so long, everything else looks like luxury now.

June 26, 2008 9:00 AM

The first thing they did was to place a heplock on my arm.   This is again, my first time to officially have a heplock on.  The last time someone tried to place a heplock on me was when Maan was still practicing before clerkship started.  I was kind of disappointed because I thought an intern was going to insert the line, but a nurse did it instead.  All I could say was thank you for placing it in in one shot, I totally appreciate it.  She gave me one shot of Ketorolac through the heplock which was oddly painful even if it was given very slowly.  After the shot, we were already calling a lot of people about what happened to me.  Thanks to all of the people who called and texted

9:46 PM

It has been 46 minutes since I got my Ketorolac shot and I was already wondering why I haven’t been sent to the X-ray yet.  I know I was not a big priority in terms of an emergency, but I wasn’t hearing any codes happening or something like that.  I think we were overhearing that the patient next to me had a stroke, but other than that, there was no other major trauma cases going on at that time.  There wasn’t even a single clerk or intern interviewing me.  My friend told me that clerks and interns weren’t allowed to mingle with private patients.  I had to ask but then how are they supposed to learn anything?  All of the patients in St. Luke’s were private patients.  Most of the staff that I have seen so far were residents and the nurses.  I know St. Luke’s is a teaching hospital but where, I say where are the lowly clerks and interns?  I even told Maan to request that the intern or clerk be allowed to see me since I didn’t mind being interrogated by a student or something like that.  But no clerk or intern came.   Then a resident peeked into the curtains and asked, “You haven’t been x-rayed yet?”  And so a few minutes later a man came and pushed my stretcher to the radiology department.  Maan and Macyl let out there ooh’s and aah’s at the fancy couches at the waiting area at the Radiology department, which I found highly entertaining myself, as I recalled sleeping in the hard benches outside La Salle’s own Radio dep.  As the radio techs adjust my leg for the picture, they kind of unintentionally reduced my leg to its normal place.  After the x-ray we went back to our place in the ER and waited.

10:30 PM

It took almost another hour for the ER resident to come in and show me the x-ray.  I don’t think she knew that she was talking to a fellow health worker because she kept her terms very simple, which I appreciated and also found funny   She said, “So there are actually 3 bones on your leg plus your kneecap…” And I just kept nodding my head hehehe, so cute.  In short, my patella or kneecap was dislocated and needed to be manually reduced.  She still had to refer me to an Ortho resident and so she asked me to wait some more till he or she arrived.  She also gave me the option of getting admitted.

10:50 PM

The same nurse who gave me pain medication earlier came in and gave me Midazolam (Dormicum) to partially sedate me for the closed reduction.  In my opinion, the Midazolam hardly worked at all, but my friend told me that in some occasions I was talking like I was drunk.  She said I was talking slurred and I was talking nonsense, but all I could remember was talking to the Ortho resident who also came in at this time.  Dr. Domacena, the ortho resident, brought me to the Radio room again for additional x-rays (Skyline view).  By the time he saw my knee, it was already reduced because of all the adjusting and moving around that people did to it.  He asked me if there was any pain, and I said no, maybe because of the meds.  He asked me if I had an ortho who I can do some follow up with and I just said that I’d figure it out once I got to the province.  He then fashioned a knee immobilizer which covered my thigh up to my leg. 

11:48 PM

By this time a pharmacist came and gave me the prescription for my home medication.  It was Etoricoxib (Arcoxia (R)), a fairly common but expensive pain medication which I have to take 120 mg once a day as needed.  I was advised to keep the knee immobilizer on for 2 whole weeks.

June 27, 2008 12:10 MN

After all that, we were on our way back to Maan’s house.  All this time I thought I was finally going to be admitted, but in a lucky way, I wasn’t.  I was able to walk up the stairs to Maan’s bedroom, and I have not felt pain since the accident.

Today, the main stuff that was bothering me was how am I going to be able to take a shower without taking of the immobilizer, what are my dorrmates going to think when I return tomorrow with a broken knee, and how am I gonna get my stuff done.  I miss dancing already.

And I know I won’t be doing any of that anytime soon.  It has been a frustrating and amusing day for me.  I definitely miss flexing my knee!  It is so darn difficult to keep it straight.  And I feel awful to have to ask Maan to get stuff for me once in a while.  I told myself that maybe this is like one right of passage to become a doctor.  At least I got to experience being a patient of trauma myself before being a trauma doctor.  I still feel bad for the interns and clerks that I didn’t get to encounter.  If this happened in PGH, I would be handled by the single intern and clerk on duty, seen by the ortho resident the next day, and sleep on the floor or the metal stretcher.  My final diagnosis was: Patellar Dislocation, left.

I was so damn lucky to have gotten good service at St. Luke’s (except that I felt that things would have been done if there were clerks and interns around helping out).  It was kind of boring to be inside the ER with curtains all around me.  I wanted to see what was happening all around me!  Why wasn’t there a resident or a nurse checking me out once in a while?  I guess you can’t have it all.  But I don’t want you guys to get the wrong idea, I appreciate what the St. Luke’s staff has done for me.

Thank you so much Maan, for managing me like a pro.

Thank you Macyl for staying with me even though I know you were scared most of the time.  Sorry for making you end up eating a lot of donuts

Thanks to Maan’s parents for being there for me, I promise the moment I get to an ATM I will pay for the bill.  I am sorry for making you guys worry.

Thank you to the people at Maan’s house for carrying me downstairs and for driving me to the hospital.  I know it wasn’t easy.  I was crying not out of pain but of embarrassment, really.

Thank you Papa for staying calm and not yell at me for getting into this mess.  I’m gonna be home soon.

Thank you James, Zi, Mel, Johb, and Nina for the calls and text mes

sages.  ^_^

Thank you Dave for that worried voice on the phone.  I’m ok now ^_^

I know it really helped being exposed to the hospital for a long time.  I didn’t have that fear of the unknown that most people had.   Of course I never wanted to be injured, but in some way this experience surely added to my desire to work on the trauma team more than anything else.

Still, I wanna bend my knee so badly… ^_^

thanks FlapJacks!

Yesterday, my dad and I were supposed to spend a normal day together… We just came from RCBC Carlos P. Romulo Auditiorium when we decided to have dinner before going home. I was confused on whether I should bring him to FlapJacks, since I promised him that I would show him the place that I am so proud about, or whether I should bring him to a new establishment to make my new review. But my instincts told me to bring him to FlapJacks anyway. To our delight, there was a Father’s day special; a free Original Hash Brown Burger was given to all dads who visited the establishment. I, on the other hand, chose the Beef Salpicao. My dad told me that he liked the Burger a lot, and I have now made the Beef Salpicao the best I have tasted among all that I have had there. We also ordered the Fruit cobbler, which was a combination of 4 scoops of vanilla ice cream, caramelized banana, and cake (We shared, mom, don’t worry about the calories hehehe). It was definitely a divine treat.

We were treated with the same great service and more! Apparently, the managers of the place already came across my blog, and so they have seen my review. They graciously offered their thanks for the review. I decided to have a picture taken with them in honor of this new friendship that we have formed ^_^ My dad generously took the picture for us.

Thank you again for the magical evening ^_^ I will be sure to come back to try everything on the menu!

Review: Avenue Q (the Farewell Run)

There’s a Fine, Fine Line… Between a hit and a flop.  And Avenue Q is definitely a BIG HIT here in the Philippines!

According to the Avenue Q official website:

AVENUE Q is the story of Princeton, a bright-eyed college grad who comes to New York City with big dreams and a tiny bank account. He soon discovers that the only neighborhood in his price range is Avenue Q; still, the neighbors seem nice. There’s Brian the out-of-work comedian and his therapist fianceé Christmas Eve; Nicky the good-hearted slacker and his roommate Rod — a Republican investment banker who seems to have some sort of secret; an Internet addict called Trekkie Monster; and a very cute kindergarten teaching assistant named Kate. And would you believe the building’s superintendent is Gary Coleman?!? (Yes, that Gary Coleman.) Together, Princeton and his newfound friends struggle to find jobs, dates, and their ever-elusive purpose in life.

Just to further push my promoting this musical, it is a fact that Avenue Q won the 2004 Tony Award for Best Musical.  It became a big hit on Broadway, and then it made its way to Asia at our own little country!

If you really want to know how desperate I was to see this, here’s what happened to me.  It took me a while to ask for money for tickets for the December 2007 run.  And when I did get the money, the seats were already sold out for all dates!  Then I learned that a cousin of mine actually went to see the musical with her husband, and I almost died with envy.  So I learned my lesson and bought the June 2008 tickets 4-5 weeks ahead!  It was worth every effort to get in that theater.  Even when I bought my tickets a month before, the tickets were almost sold out at that time!  Good thing I bought my tickets just in time!

I already knew the songs before actually watching the musical, but just to make myself more excited, I abstained from listening to my avenue q playlist 1 week before the show.  It took a lot of effort for me not to sing along (because I wanted to hear every BIT of not come from them).  My favorite songs are, “Schadenfreude”, “Fantasies Come True”, and “If you were Gay”.

I was kind of nervous for the cast, because even if I ADORE Philippine actors and actresses, there’s always going to be some comparisons with the originals that I have been listening to on my iPod right?  But me, my friend Maan, and my Dad, fell in LOVE with all of the cast members.  As in ALL.  I wasn’t able to get a copy of the playbill, and so I did some research on the names of the cast on the net.

Carla Guevara-Laforteza played the character of Kate Monster and Lucy the Slut.  Her voice was pure… absolutely flawless.  If I just looked at the puppets and not the controller, I would have thought that Kate and Lucy are two different people!  I am now an official FAN!

Felix Rivera played Princeton and Rod… Who could have thought that talent and good looks can really be rolled into one person?  Then I researched his profile on the Internet and found out that he was a former Kundirana singer…   No wonder you are so talented!

Frenchie Dy (who played Christmas Eve) really got into her role!  She is made to be in Broadway!

Joel Trinidad is seen controlling the puppets Nicky, one of the Bad Idea Bears and a crowd favorite, Trekkie Monster.  I was really impressed by his flexibility and versatility.   Rycharde Everley and his wife Thea Tadiar were also part of the cast.  Rycharde played Brian, Christmas Eve’s comedian-wannabe husband, and Thea played One of the Bad Idea Bears and also helped control some of the puppets that needed two people as controllers.  I saw the couple coming out of RCBC but I froze and couldn’t ask them for a picture.  DARN IT!  I was THIS close!!  Aiza Seguerra played the character of Gary Coleman.  I have been a BIG fan of Aiza since she got into showbiz from Eat Bulaga, but this is the VERY first time that I watched her perform live.  I felt my eyes sparkle as I watched my favorite singer perform, and she didn’t let me down at all.

So I came out of the theater with my heart so full of joy.  My dream of watching this show has finally come true, and it didn’t let me down one bit.  In show of my support, I bought two T-shirts, one that said “Homo-whatever!” and another that said “It Sucks to be Me”.  My friend, Maan, bought the T-shirt that said “Schadenfreude”.  I also bought a pin with the picture of Trekkie Monster that said “The Internet is for Porn”.  I wanted to buy the poster and the playbill, but it was past my budget.

Not even this article can contain the amount of happiness that came with this day.  It has been a long time since I really fell in love with a musical.  Now, this musical has made it to the number one spot in my heart.  The show is still ongoing, but I can’t assure you all that there are still tickets left (Remember what happened to me?)  But I am glad to say that the cast has made such an impact that they are now scheduled to bring Avenue Q to Singapore on October 31 to November 16, 2008.  Break a leg guys!  (I still can’t wipe the grin off my face ^_^  I am gonna be singing Avenue Q songs for weeks and weeks!)

Disclaimer: I am already confused with the MANY internet websites that I visited looking for pictures to share with my readers… Of course I don’t have pictures of my own to share since I don’t know anybody in the cast personally… So I hope you forgive me if I fail to mention your site’s name or your ownership of the pictures on my blog.  The only pictures that I claim as my own are my pics of my t-shirts and the pin.  ^_^

Review: FlapJacks

Ok, time for a mouth-watering review care of yours truly! I truly LOVE blogging for this reason, getting my words out there, as representative of the common mallrats. I am certainly not a professional food critic, but I think I have enough life experience to know what’s delicious or not, right?

Our restaurant on the spot for this evening is FLAPJACKS.

The branch of FlapJacks that I went to is located at the 1st floor of the Midtown Wing of Robinson’s Place Manila. The place is brightly colored with an orange and yellow theme. They specialize in cooking breakfast meals which they serve morning till night. But don’t fret because they also serve desserts, salads and dinner type food. The place is really clean, and as you can see from the picture above, the cooks are seen by everyone and they are all well groomed, as expected.

I like this restaurant for so many reasons. One reason is the service. I love that the waitresses and the hosts were not ROBOTIC. By that I mean they are not like those other people that says “Hello Maam/Sir welcome to (insert restaurant name here)!”. First a woman (who I assumed to be the host) approached me in a non-predatory way (some people actually look like they are gonna attack you), and asked me if I would like to see the menu for that day. When I confirmed that I was interested in eating there, she told me her name (a flaw of many restaurants is that they don’t introduce themselves anymore) and led me to my chosen table. Before leaving, she told me that a waitress will be there to assist me with my order in a few minutes. While waiting for the waitress, I looked around and saw that the place was well decorated, from it’s beautiful paper placemat which had Good Morning written in different languages all over it to the beautiful artwork on the ceiling and the wall.

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A beautiful waitress then came up to me and introduced herself and smiled as I told her what I would like to eat. She pleasantly repeated my order and told me to wait for a while, while the chef cooked my meal. It was morning on my first visit, and so I ordered brewed coffee which is refillable at a neat price of 85 pesos. This went perfect with my day of reviewing for the boards. I also want to take note that the waitress NEVER waited for me to ask for a refill, she always seemed to know when I wanted more, because she automatically came to me and asked, “Would you like me to brew another pot of coffee for you?”. I am telling you, the service at FlapJacks was flawless. They obviously had tedious training. The waiters and waitresses were always smiling, even when they weren’t talking to a customer. They are always there to answer your questions and requests, unlike other people who avoid to make eye contact with customers as much as possible (now you guys are finding out my pet peeves when it comes to restaurants huh?).

Now, about the food…

The food, was delicious, as predicted. They made the eggs fresh and not too dry. It wasn’t that salty, but it wasn’t bland either. Everything was just right. I was able to take a picture of the dinner that I had the other night, which was Country Style Chicken Steak. It is a combination of breaded chicken fillet with gravy, scrambled eggs. griddled potatoes, and corn and rice on the side. There were so many things to choose from in the menu, from healthy salads to guilty pleasures like ice cream and shakes. When I go back there I promise to sample the famous pancakes or the waffles, I cannot wait!

For the parents and kids out there, you are in for a treat. The owner of this place must have thought of so many scenarios to be THIS ready. As I was waiting for my food, I saw 3 kids fidgeting and playing around while their parents took their orders. Out of nowhere, their waitress walks up to them and gives them some table toys to play with. This may be not that big a deal to most of you, but I thought it was plain genius. They also placed in a TV where they show some movies ^_^

I give another plus point to FlapJacks for the way they take care of their customers!

Seeing as I took a long time to leave during my first visit, I was able to see the waiters and waitresses interact with their customers. What really surprised me was what my waitress did next. She went to my table with another waitress beside her and told me,

“Ma’am I will be taking a break for a while, my co-worker (I forgot her name sorry girl!) will be taking my place for now, is that alright?”

She actually ENDORSED to her co-waitress. That is the first time that that has ever happened to me! What service! She endorses better than all the nurses in the wards! Applause for the greatest waitress!

However, with all these perks taken into account, it is obvious that this place is not just your usual fast-food restaurant that you can visit everyday. The prices are a little steep but are worth it. It’s that kind of place that you go to to celebrate! Or a place where you can treat yourself to go to every month for a job well done. It’s the kind of place where I’d wanna eat with my good friends or when my dad comes to visit (We WILL eat here when you come to visit ok Pa?).

So here is your grade:

Cleanliness: 10/10

Service: 10/10

Food: 8/10

Price: 8/10

Overall: 4 stars!

So yeah, FlapJacks has made me an official fan of their resto. And now, I give back by recommending their restaurant to my beloved readers. Till next time!

As the picture says, “Famous Breakfasts, Super Lunches, Great Dinners.”

fitness goal

I am fat. Yes, my dear readers, I do not look at ALL like that girl on the right side of the screen, but it IS my dream to have a body like that. I have known this my entire life, and I just keeping getting bigger and bigger no matter what I do. I love to eat, and I STILL love to eat. Best body function ever.

I have always made my busy schedule as an excuse not to work out in a gym. 2 years ago, when I was in 3rd year of medical school, I started to go to Fitness First Alabang twice or thrice a week. My best and regular reason for going there is because of the Les Mills Body Jam sessions. But Alabang being 2 hours away from where I live also kept me from going everyday. Excuses excuses… And when clerkship started, I quit going to the gym altogether.

But this time, because of my controlled personal schedule, I get to go to the gym everyday! I love the fact that I have already psyched myself to think that going to the gym, working out, and eating properly is already my WAY of living and not a chore that has to be done. I think that by thinking that way, it makes it less painful than it seems. Most of the group exercises that I attend are scheduled in the afternoon, which gives me the time to wake up late, and study before and after my sessions.

Right now, I am active in 2 classes. Les Mills Body Jam and Body Balance. Les Mills is a program from New Zealand, and it is being taught in all Fitness First branches. You can read about the Les Mills programs at Totally Les Mills website. They release a new set of songs every 3 months, and so If you work out in FF alabang and then go to Manila, you would probably end up dancing the same thing. But it is NEVER boring. They mix it up with different tracks after 2 weeks of introducing a new track. Unlike other group exercises, they use new and hip songs all the time. I particularly LOVE dancing the hip-hop tracks. I also ADORE the body jam instructors, especially the ones here in FF Manila. They are to funny and energetic, like they should be. I love it when they let us dance the tracks that I learned 2 years ago, it brings back good memories!

The new thing that I tried is Body Balance and Pilates. It is like a combination of yoga, taichi, and some other body bending exercises that really really challenged me! I realized how much my joints have tightened over time. I could hear them clicking as I changed positions.

I was challenged with the fact that I could no longer balance with one foot, and I told myself, that ONE DAY I will be able to look graceful as I participated in the class. Right now, I look kinda stupid, but I gotta start somewhere. I hardly look like this:

Isn’t that beautiful? I could hardly straighten my legs and waist to do that. But i really really REALLY want to. You can’t expect me to be looking like a graceful swan anytime soon. Another thing I love about Body Balance is the 10 minute meditation session at the end. It was so calm and relaxing. It’s a great thing for a board reviewer like me.

I am still not seeing the fruits of my labor physically, but I DID notice a change in me in other ways:

- I feel more energized. It’s 12:30 midnight right now, and I am not sleepy at all. even after 2 hours of gym time, I don’t feel tired. I feel like I can absorb more of my notes and books now than before I went to the gym!

- I eat healthier. Forget the 3 big big meals a day. I know that exercise is just half of the solution. Eating healthier means not starving, but making the right choices. More salads for me!

I still feel discouraged sometimes, especially when I go try on some of my old pants and realize that they don’t fit anymore. I feel awful when I go to a clothes shop and I love a certain dress, but I couldn’t wear it because I didn’t look good on me or it didn’t fit at all. But I turn myself around and tell myself that one day those clothes will be mine, and I would look good and feel good wearing them. I remember my other good traits (I have a good voice they say, and I rarely get pimples, and I look younger than my age) and feel accomplished already.

So yeah, I LOVE Fitness First. I’d be a member for LIFE if I could. The membership fee is through the roof though. I’m so grateful that my parents are willing to pay for this. They are the ones who badly want me to get thin after all. So good luck to me, and good luck to all of the people wanting to have a healthier better looking body! ^_^ We can get through this, and MORE!