purchases ....
The day had started very well today .... For the first time in nearly a month, I tasted the pleasure of a custom home that I almost forget ....
.... Now staying at the Hotel Columbus is about to end and in a few days I'll move to a house near here that I will share with Jose, a Portuguese nurses really nice ....
To prepare for the event I started to buy what I will be going to a house where the services you need to build them and so I started with the iron (the plancha para la ropa), a pair of plastic containers, various detergents, rags and sponges and finally .... a coffee maker.
found was not easy because there are no or coffee for 12 cups (those that are universally common household and using coffee to make a lot more like our American), or steel coffee makers. Of our aluminum moka intermediate size (2-3 cups) no trace. Only in a shop I could find a caffettierina 1 cup, however, totally unknown brand. "Pregunto" the saleswoman if by chance in the future may exist the possibility of having a larger size, apart from the 12 holes, not I know it looks strange to me ... useless groped to explain that in Italy there are other measures that ... I said very hastily and that if I want to inform you, however, could leave the phone number .... for information .... Bah ... I think it will be easier to bring from home or make me send ....
Meanwhile, I'm pleased with the micro coffee ... now I miss the coffee and sugar ... well step from the supermarket where I remember seeing some packaging reminiscent of coffee and here begins the difficult ... my quest begins with the vain attempt to find a mixture of Arabic, but a homegrown brand of ... anything ... then I try to decipher what is written in different packages of coffee and discover that are mixtures, variously measured, the "cafe natural" y "Cafe Tostado with azucar" in various shades of suave, normal, fuerte ... etc etc .... I decide to utter confusion in the old adage "In medio virtus" and take a package of "normal" .... The preparation of
caffettierina takes nearly 48 hours before its final use. ... Thorough washing, soak in hot water overnight, rinse, a whole load of coffee to wash the taste of metal left in for coffee last all night ....
Today was the most day ....
I get up and put a sling in the shower I start to make coffee .... I put the pot on .. If all goes as I always did have time to shave and shower without having to dash out with soap to turn off the stove ....
The calculation is right ... I leave the shower and the coffee is now almost completely gone up .... The scent is not bad and I must say that helps to give this a day that I was missing home ... ...
We sit outside on the balcony and start to enjoy .... It's not the taste I am used to but it is not too bad but mostly I find myself in a ritual that I was forgetting .... Of course I'll spare you all that I have crossed my mind in those few minutes .... I think inevitably some of Mago, however, the lingering scent of coffee in the room I was right. Do not even go down to breakfast ... if all is well able to eat something in the hospital at about 11 ...
Today, the nest is full .... It seems that here we do not do nothing but churn out children ... I reflect on the fact that an island like this could reach a critical point of the population sooner or later ... mah ... surely we are not at zero growth.
The morning proceed as it had started and that is fine, although exceedingly rich, until lunchtime ... after which all hell broke loose .... Eleven calls from
urgence two of which are very serious and when I was already gone .... the rest are the complications of the guard .... icing on the cake ... urgent call from "paritorio" for a C-section ..... the icing is a kind of Michelin man who weighs almost 5 pounds and with some problems of adaptation that resolves almost immediately .....
Between this and that I leave the hospital that are 7 .....
... I'm really tired today but I can not be said to be down ... The work is always full of reasons and I am faced rispettoe people who deserve to be where I am learning a lot ....
... The day started really well ..... I think tomorrow I will start with the ritual of coffee in the room .....
Wednesday, July 22, 2009
Tuesday, July 21, 2009
High Hematocrit In Dogs
Evening thoughts ....
After vain attempts to talk via Skype with my brother's regulars of Café Epoca we decided to take up a collection and buy a new modem to the owner now that connect to the internet from here has become essentially impossible. Fortunately
your blog page allows me to write without problems even without connection and so I decide to continue listening to some music that I brought back from Italy .... indeed from Sicily as the evening's playlist was based on two groups that I follow and I love a long time and that is the "Taberna Mylaensis " and " Lautari " (actually the link that I propose are not the best but there is no other network). I prefer the discography of these two groups is that which belongs to the tradition of the ancient Sicilian folk song and rooted to the '600 although more recent productions are worthy of note. So
connection between a drop and another rieste still listening to my continuously isolated from the good music that is pumped from the speakers of the Coffee Period ....
My navigation has fixed points inalienable Facebook, my inbox, my blog and of course the blog " Odacataniamuore "....
Not a day goes by that follows the story of who and what I left in Catania, my affections, my dearest friends and a job that for so long has given me so much human and which, I believe I have given so much as a person and as a doctor.
Every post I read is an alternation of mixed emotions ranging from rage to nostalgia to the sense of "distance from ...", the joy of seeing a marriage that I would not have waited until some time ago even if stimulated by the circumstances ...
listening to the music of my land I would not read the whole blog and are immersed in a vortex that is dragging me into a bit of sadness.
I think what I wrote a dear friend a few days ago .... "Maybe you ran away just in time .... ".... I think and think about these words .... is not the first time someone uses the word "escape" just aware of my decision to look to other shores ....
It 's true I ran away .... I ran away from a situation of absolute uncertainty to a situation of almost total uncertainty ... I fled just before he started a fight that has taken the fundamental right to work in the best possible conditions and continue to be denied ... I fled from a land that does not guarantee his children the most basic rights ....
.... nevertheless I can not blame me.
I can not do because I'm conscious that what I'm doing is an attempt to offer something better for myself and my future ... that's not me .... is a kind of investment capital at risk that I have never liked but which I believe the only viable way right now .... it is true I could follow the path of one of the (few) competitions in Italy ... but apart from the virtual impossibility of access to a competition and you have to study a lot and also when you work almost 14 hours a day if not more time to study it remains very little ....
It 's really an evening of reflection ... are flocking to me in the head so many thoughts and considerations that I'm throwing down a bit ..... pass ....
After vain attempts to talk via Skype with my brother's regulars of Café Epoca we decided to take up a collection and buy a new modem to the owner now that connect to the internet from here has become essentially impossible. Fortunately
your blog page allows me to write without problems even without connection and so I decide to continue listening to some music that I brought back from Italy .... indeed from Sicily as the evening's playlist was based on two groups that I follow and I love a long time and that is the "Taberna Mylaensis " and " Lautari " (actually the link that I propose are not the best but there is no other network). I prefer the discography of these two groups is that which belongs to the tradition of the ancient Sicilian folk song and rooted to the '600 although more recent productions are worthy of note. So
connection between a drop and another rieste still listening to my continuously isolated from the good music that is pumped from the speakers of the Coffee Period ....
My navigation has fixed points inalienable Facebook, my inbox, my blog and of course the blog " Odacataniamuore "....
Not a day goes by that follows the story of who and what I left in Catania, my affections, my dearest friends and a job that for so long has given me so much human and which, I believe I have given so much as a person and as a doctor.
Every post I read is an alternation of mixed emotions ranging from rage to nostalgia to the sense of "distance from ...", the joy of seeing a marriage that I would not have waited until some time ago even if stimulated by the circumstances ...
listening to the music of my land I would not read the whole blog and are immersed in a vortex that is dragging me into a bit of sadness.
I think what I wrote a dear friend a few days ago .... "Maybe you ran away just in time .... ".... I think and think about these words .... is not the first time someone uses the word "escape" just aware of my decision to look to other shores ....
It 's true I ran away .... I ran away from a situation of absolute uncertainty to a situation of almost total uncertainty ... I fled just before he started a fight that has taken the fundamental right to work in the best possible conditions and continue to be denied ... I fled from a land that does not guarantee his children the most basic rights ....
.... nevertheless I can not blame me.
I can not do because I'm conscious that what I'm doing is an attempt to offer something better for myself and my future ... that's not me .... is a kind of investment capital at risk that I have never liked but which I believe the only viable way right now .... it is true I could follow the path of one of the (few) competitions in Italy ... but apart from the virtual impossibility of access to a competition and you have to study a lot and also when you work almost 14 hours a day if not more time to study it remains very little ....
It 's really an evening of reflection ... are flocking to me in the head so many thoughts and considerations that I'm throwing down a bit ..... pass ....
Monday, July 20, 2009
Spinal And Bulbar Muscular Atrophy
First day of the second week .... (Guard)
begin by saying that if a good morning starts in the morning this week will open in a very positive way ...
The funny thing is that there was nothing special (apart from the fact that tonight I managed to turn them over without feeling to be on a bed of nails ).... is simply started well ....
usual round ... nest, planta, see, and watch ...
... But there is something different ... I realize that this morning I do not have the usual dread answering the phone with the fear of not understanding something or make me miss something important ... I certainly can not say that my understanding is perfect but is growing day by day and realize it is also my most frequent contacts ... that my colleagues in the urgence today did not have to repeat more than twice their diagnostic questions .... are very happy ....
the dialogue with nurses is more fluent and even today one of them I have also asked for an explanation a disease that could not frame .... I think my explanation was satisfactory even in exposure technique in English because for the first time I have not noticed those looks (always bestowed with the utmost courtesy and understanding) between perplexed and compassionate to those who expected a partner with more structured frastica ....
... well ... I hope it continues so long ....
The day goes on so smoothly and without jerks ... I'm seeing lots of cases of respiratory diseases in children and some of those really serious ...
I say it's the first summer where there are so many cases of pulmonary disease in spite of the very climate favorable and here you live the nightmare of "Gripe A" given the huge influx of people from anywhere for a while ...
... between resignation, new inputs and babies today I passed under the hands of nearly 20 Ciccino .... eventually look at the clock and have made the six ... I'm going to hand over the list of inmates to the colleague who seems happy with the work done .... I'm happy too because France is also a very competent and I think I can learn a lot from him ... I have never taken a critical ... is always available to the comparison and I think he likes the way I work ... I hope not because it is just back from holiday .... but do not think so ...
Done .... the day "inside" the hospital seems over ... the hope is what I did by mounting medical call and say "let's hope they're all good "....
Arrival at the hotel that are half past six ... as usual I'm tired but my mind is very light .. I have the time to get in the room (which by the way ... here is the 517 does not exist in Italy pointed out in the hotels where the rooms are missing 17 and sometimes 13), put my stuff on the couch and on time the phone rings. .. course is Hospiten Sur ....
"Doctor Nicholas Hospiten Sur es para ... desculpe harassment but I want to phone a pharmaceutical para a prescripcion ...." "Vale ... no hay problem ..." Basically
begins at this point, my first "quarrel" with a pharmacist on the English ...
In Italy it was not uncommon to argue with those who Beppe Grillo in a memorable show on TV called "pushers catheters ... I've had different tones and almost always unpleasant except in very rare cases ...
In fact, this was not just start a fight but he was assuming the features ... what he had immediately given the attitude of annoyance was almost enough of my interlocutor who is aware of the other end of the phone finding a "non-Iberian, began to scold the English Pharmacopoeia .... In essence
reproached me that my prescription did not exist in a given preparation of a drug while there is another another brand ...
... damn .... In that moment I thought I combined the first drug shit of my career but also English ...... then I remembered that this was not the first time prescribed the drug in the preparation and until now nobody had come back to complain .... I do not think he died because in the meantime .....
I do this thing to my interlocutor, saying that even in my judgments, I always refer to the handbook that I always keep at hand when you view the full diversity of pharmaceutical preparations between here and Italy ....
... Please check my answers but that is absolutely sure of what he says and do not even dream of giving me satisfaction .... ok I say .... Get it back to the hospital my mother that I correct the prescription .... impossible, to answer me .... must start tonight .... proposes as an alternative drug equal ... at the same dose ... Rate double ...
... at that time not having the tools at hand I see no alternative and confirm your choice .... "Hasta Lueg", "hasta Lueg ... and close ....
... now the worm is gnawing on my brain .... how can I make a mistake like this?? I can not give me peace ....
I get off the internet point down the hotel (1 euro per 10 minutes connection) and do a google search .....
PORCACCIA BUT MISERY!! I WAS NOT WRONG!! The drug is well the dosage form is ..... I feel more peaceful .... much more peaceful .... but I am pissed off black .... Tomorrow, as all incoming calls and outgoing calls are tracked by the hospital, I will try to trace the pharmacy and see a bit .... Evidently
smuggling of catheters also arrived here ....
begin by saying that if a good morning starts in the morning this week will open in a very positive way ...
The funny thing is that there was nothing special (apart from the fact that tonight I managed to turn them over without feeling to be on a bed of nails ).... is simply started well ....
usual round ... nest, planta, see, and watch ...
... But there is something different ... I realize that this morning I do not have the usual dread answering the phone with the fear of not understanding something or make me miss something important ... I certainly can not say that my understanding is perfect but is growing day by day and realize it is also my most frequent contacts ... that my colleagues in the urgence today did not have to repeat more than twice their diagnostic questions .... are very happy ....
the dialogue with nurses is more fluent and even today one of them I have also asked for an explanation a disease that could not frame .... I think my explanation was satisfactory even in exposure technique in English because for the first time I have not noticed those looks (always bestowed with the utmost courtesy and understanding) between perplexed and compassionate to those who expected a partner with more structured frastica ....
... well ... I hope it continues so long ....
The day goes on so smoothly and without jerks ... I'm seeing lots of cases of respiratory diseases in children and some of those really serious ...
I say it's the first summer where there are so many cases of pulmonary disease in spite of the very climate favorable and here you live the nightmare of "Gripe A" given the huge influx of people from anywhere for a while ...
... between resignation, new inputs and babies today I passed under the hands of nearly 20 Ciccino .... eventually look at the clock and have made the six ... I'm going to hand over the list of inmates to the colleague who seems happy with the work done .... I'm happy too because France is also a very competent and I think I can learn a lot from him ... I have never taken a critical ... is always available to the comparison and I think he likes the way I work ... I hope not because it is just back from holiday .... but do not think so ...
Done .... the day "inside" the hospital seems over ... the hope is what I did by mounting medical call and say "let's hope they're all good "....
Arrival at the hotel that are half past six ... as usual I'm tired but my mind is very light .. I have the time to get in the room (which by the way ... here is the 517 does not exist in Italy pointed out in the hotels where the rooms are missing 17 and sometimes 13), put my stuff on the couch and on time the phone rings. .. course is Hospiten Sur ....
"Doctor Nicholas Hospiten Sur es para ... desculpe harassment but I want to phone a pharmaceutical para a prescripcion ...." "Vale ... no hay problem ..." Basically
begins at this point, my first "quarrel" with a pharmacist on the English ...
In Italy it was not uncommon to argue with those who Beppe Grillo in a memorable show on TV called "pushers catheters ... I've had different tones and almost always unpleasant except in very rare cases ...
In fact, this was not just start a fight but he was assuming the features ... what he had immediately given the attitude of annoyance was almost enough of my interlocutor who is aware of the other end of the phone finding a "non-Iberian, began to scold the English Pharmacopoeia .... In essence
reproached me that my prescription did not exist in a given preparation of a drug while there is another another brand ...
... damn .... In that moment I thought I combined the first drug shit of my career but also English ...... then I remembered that this was not the first time prescribed the drug in the preparation and until now nobody had come back to complain .... I do not think he died because in the meantime .....
I do this thing to my interlocutor, saying that even in my judgments, I always refer to the handbook that I always keep at hand when you view the full diversity of pharmaceutical preparations between here and Italy ....
... Please check my answers but that is absolutely sure of what he says and do not even dream of giving me satisfaction .... ok I say .... Get it back to the hospital my mother that I correct the prescription .... impossible, to answer me .... must start tonight .... proposes as an alternative drug equal ... at the same dose ... Rate double ...
... at that time not having the tools at hand I see no alternative and confirm your choice .... "Hasta Lueg", "hasta Lueg ... and close ....
... now the worm is gnawing on my brain .... how can I make a mistake like this?? I can not give me peace ....
I get off the internet point down the hotel (1 euro per 10 minutes connection) and do a google search .....
PORCACCIA BUT MISERY!! I WAS NOT WRONG!! The drug is well the dosage form is ..... I feel more peaceful .... much more peaceful .... but I am pissed off black .... Tomorrow, as all incoming calls and outgoing calls are tracked by the hospital, I will try to trace the pharmacy and see a bit .... Evidently
smuggling of catheters also arrived here ....
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