Wednesday, July 15, 2009

Cervical And Lumbar Radiculopathy

Definitely another day .....

Today I'm quite happy ....
Yesterday I felt really bad .... apart from a physical exhaustion that I felt for a long time (but I think it's normal after two weeks of forced labor), the evening is replaced by a strange feeling of anxiety ... a sense of oppression that at a certain time has flirted fear ....
account always calmly think the days have passed since it all started at the bottom and are now only 15 actually worked with and continue to tell me that they are still just the beginning ... yet the feeling is that net around me at work have created expectations that sometimes I can not bear .... just I realize that I have an absolute need to think about anything else .... TV is not talked about: the coin of my room and takes only Rai1 having the time I'd better see Porta a Porta (by the way ... except for some fleeting news learned from the Internet are in a phase of detoxification Italian news and terrestrial television since I left) Iero evening at the hotel not having internet I dug a bit in my archives looking for a song ..... It's called Praan, the word is taken from a poem by the Indian poet Tagore, the Garry Schymann music and voice (beautiful) is Palbalsha Siddique but above all is the song of this video this comedy starring Matt Harding of that makes the thing last night I wanted to do me ..... I listened
below do not know how many times trying to mentally reconstruct the images and video at the end was a bit better ....
My analysis was then that I think is normal, after a (!) Day of total immersion in work (beautiful), but for now anything but automatic, and that forces me to go over things over and over again and that This gets really tiring to have that little bit of desire to return "home" and talk about anything but work ... also what they have combined Francis Gabriele and Luca Carlo or even of the ODA (!) Any thing .... but with whom? I think it is normal and physiological affects that right now are so far away are vital if only to argue or exchange a look or have a laugh or comment on the misdeeds of the day .... Yesterday I realized I was missing just that little bit of communication "base" that went beyond those few minutes on the phone to say the same things at the bottom .....
... But today is a lot better .....
... Today I made my first diagnosis of "high" based only on clinical and not on the help of machinery or analysis ....
... Today I revisited a ciccio that "los padres" (the parents) reported surgery because I did ....
... Today I managed to leave the hospital at 16.30 and not 20.00 as I had happened so far ...
... Today I managed to swim in the pool without having to do the slalom in the carnage that is usually present at all hours ...
... Today I was able to sleep even for half an hour under the burning sun by getting a half since it gets dark here at half past nine at five o'clock in the evening and is still very very hot ...
... Today I could see my hotel room under a light a little different than usual ...
well to consider at this time has very little to a hotel room .... reminds me a lot more housing where I lived a student as there are books, various detergents and basically I think it's pretty neat and clean, especially since it is largely occupied only a small part of the day and now I have absolutely no time to cook ... who knows ... after ... boh ...

















.... Today I made another account ... perhaps it is more something like "cunottu 'de dads" ..... But ..... for the first time I've seen that in the end from the point of view of geography was not so marked a change because ... until proven otherwise come from an island ...
where are they now?
On an island ... of course ... and on an island with a volcano that is Mr. Teide which is even closer than it is our Etna in any town ... a situation more reminiscent of that of Vesuvius to the density and the proximity of villages to the volcano ....


E 'given as an active volcano, but frankly it seems to me an amateur ..... But never trust amateurs ....
... tell me that the park is wonderful to visit the Teide ... we'll see ... this could be one of the objectives for the coming months .....
... Meanwhile, tomorrow begins a new day of work ..... Good
night all .....

... Good night and, indeed nottebella, the Senator is engaged in a battle royal that I'm sure that will solve successfully ....

Monday, July 13, 2009

Olive Oil Can Wallpaper

Now we begin to do serious .... (But why? Far did you do?)

theory now begins my time "stable ".... the colleague is "vacaciones" until August 3rd and I remain on the ward and the other connecting .....
.... My colleague called and despite the name Francisco Niño is a huge man of almost 1.90 gruff-looking good-natured and at the right point. He also inspired a lot of confidence and has the air of knowing how to do a lot in his work ....
.... in this case the word "stable" is really a big word ... Until the return of
colleague I should do in the morning and alternate weeks of "guard" with his colleague and then basically from 9 to 16 with lunch in the middle that can be done easily in the "comedor" where they serve an honest plate of pasta, meat, chips , broth .... well ... a bit of everything to meet the tastes of a diverse population such as that which is present in Hospiten .... (I would not make mistakes but there are English ).... (Ghgh) ..
The organization should follow this structure: Visits to the nest, Primera Planta Cuarta planta, update folders in real time, therapies, and eventual resignation from 11 onwards till 16 consultas ..... But
WHERE ?????? in the time that my colleague put in making a visit to the primera cuarta and I still have to finish the visits to the nest reeling in an attempt to translate the directions of the fantastic nurses without any semblance of piety dishing in my ears, in a narrow English, a number of indications and reports that are inevitably are forced to repeat two or three times, especially those I meet for the first time ..... Luckily now I have established an excellent relationship especially with Mrs. Elisa ..... to frame the kind you imagine the classic old-fashioned nurse Catania with the only difference that speaks English ... (Just to be clear .... Gabr ... like Ms. Chiarenza )......
.... I realize that I still need my time to do well things and especially not to make fatal mistakes .... but I think it's physiological ...
... I think it is physiological as live a legacy instilled by our management system ... here is different ... things happen in real time and with a rapidity ...
diagnostic doubt ... request "Interconsult" on ENT and Neurologist, CT and lumbar puncture request all at 10.00 ...
the order at 10.20 consult ENT, Neuro consult at 10.45, 11.00 at lumbar puncture, CT scan at 12.00, at 13.00 result of lumbar puncture, at 13.15 report ACT, at 13.45 for therapy of meningitis in the young patient is set and administered .....
Try as I did to transfer it into a reality of our .... I think the result could be a little different and I would really like to be denied in this cosmic pessimism is probably dictated by my personal sense of inadequacy ....
My fear in a hectic day like this is to convey this "insecurity" to colleagues who do not, fortunately, I understand that my discomfort but parents of children who, especially in cases like this they need absolutes .... .
.....

..... as an absolute certainty is not always the tradition, even the most entrenched, are always slavishly follow ..... the case is that of a Ciccino China's 9 years admitted to the ward for a couple of days to a bad pneumonia ...... Unfortunately, his condition is added to the father who, as the mother works, "thinks" his son ... mainly because they do eat the food "West" should not be absolutely fine for Ciccino .....
... The fact is that despite all the delicacies brought to the hospital the diligent parent (all in Box) The CICC continues to not eat in the ward and frankly we're a little worried .....
.... cuarta planta arriving at that now are 10 ... the father of Ciccino went home, leaving the child alone .... to do what is not will never understand .... is a moment .... We looked at the nurse who follows me and in one second saved before the cub Chinese man a tray filled with a typical Western desayuno ... milk, yoghurt (without the "t"), biscuits, a "bocadillo" (sandwich) with ham (jamon cocido), mashed manzana (apple ).....
The surprising thing is that the Ciccino must be a very well-educated because it is quick, with the same swiftness with which he was brought back to the tray desayuno also completely cleaned up the crumbs ......
ciccio Enjoy .........

Sunday, July 12, 2009

Stop: C000021a And C0000005

And they say that one is racist ......

... I can not ... do not like them .... I've always been an anglophile
for all .. for music (mostly), literature, and for that mythical "aplomb" that has always been a kind trademark of the children of Albion .... After
yesterday that surely the physical point of view was not the best the only thing I had dreamed of being able to spend a night's sleep worthy of the name .....
... obviously I had not reckoned with the Saturday Night Fever, which unfortunately did not consist of rituals, accompanied by rhythmic music that, ultimately, I might have to endure ....
my neighbors room ... indeed rooms ... as it is to my left to my right that there are components of a single group of children of Albion (though in this case I am not aware that Albion did "that" job) who attacked the sign on their door "On Steroids "and that obviously decided to move the furniture all night .....
... now .... rooms in the hotel that I know do not have much furniture and above all this are made, as in my case, to contain a certain comfort with two, maximum three people and not the twenty or so different voices I've heard all travel to the holy night from room to room with attached outline of wrestling at 4 because they have even tried to tear down the wall .... I call the "reception" and I make my complaints .... the clerk tells me that seguridad there and still call the rooms indicted ......
distinctly heard the phone ringing in the first one and then in the other room .... it seems to work the hotel because it magically falls into a normal silence of the night .... well .....
.... well my ass .... I realize that it's five in the morning and a couple of hours my alarm will sound ... patience .... I think to myself that this too will pass sooner or later ....
I console myself by thinking that after all these hotheads over England has produced things like the Beatles, Iron Maiden, Susan Boyle (hehe), Shakespeare, Milton, Celtic music .....

The question comes to mind ..... but our guys are on vacation like this? I sincerely hope not but if so I'd be ashamed if this could very well be an argument to excuse the stereotype about the rudeness of the much heralded Italian .... However

breakfast this morning was wonderful .... not for the thing itself but to the fact that for the first time I did not attend the ceremony with eggs, bacon and other kinds of food out of the ordinary for us .... obviously continue to be on holiday marked the rhythms dictated by the week .... only then I realized that today is Friday ....

...... about .... I was right ..... the chef is Italian .... called Hugh and today I caught him whistling "princess "......

The morning's work for fortune took place in the best way possible ... although there were no long special cases .... the baby is born by caesarean section yesterday very well and I'm very happy .....
.... in all this there is also the "time" to eat a "turtle" offered by a colleague who is celebrating his Urgence "cumpleaños ".... "Time" in quotes because the celebration consisted in wishing you and enjoy your slice of "turtle" on a sheet of paper with a tongue ....
... On this occasion I find one thing that leaves me amazed, and which so far had not noticed ..... Apart
Luis calls me by name now that all the other colleagues call me with the title "doctor ".... until now I thought it was due to the difficulty of remembering the name of the newcomer until I do that in case of any sentence construct I get asked is the ibericissimo "usted" ... that is the formula to give the "you" ... it really leaves me dumbfounded because by nature I feel very embarrassed when colleagues give me of her .... I try to quickly put things right with a timid "We no hay problem PODEMOS tutear "....
"¡Vale!" is the answer ..... "Okay ".... However, immediately after "¿usted podra por favor doctor value value niño esto ?".....
will not be easy .....

Side note.
I devoured news of the ODA on the blog and I can not help but feel a taste for less, but with the consciousness that something is changing ..... I am close as I have been for all these years ....