Learn the Logic of Medicine

Day 4 Cagayan de Oro Medical Center
May 15, 2012

Vitals:  (taken at 8:00 AM)
Blood Pressure – 130/90 – a bit high
Temperature: 37.7  – febrile
Heart Rate: 70
O2 Sat: 100 
Respiratory Rate: 22

Melit a few days before her stroke — dancing during the reunion

Our attitude:

With God, nothing is impossible.  All we need to do is pay attention to His promptings, obey the signs, and provide the best medical care within our capacity.

Our Observation:

People in comatose phase require intensive care, and that means round-the-clock attention. We were lucky that Melit started her journey with the best nurses who take care of her in three shifts per day.

We were very conscious that we, the family, are the primary caregivers, and we made a deliberate decision to enter into a trusting partnership with all the nurses.  Joy Capinpuyan is the head nurse of the ICU Unit and she is beyond excellent. She teaches, she takes care, and she exhibits all signs of a mature and responsible caring professional. The same goes to Amy, the ICU supervisor, and nurses like Girl and Macky.

Our doctors said:

Melit can now proceed without Dopamine, and this is a good sign.  Dr. Cadiz also removed the drainage catheter in her head as the brain stopped bleeding.

Our Action:

By the fourth day, we got some of the basic logic of medical intervention and nursing care. These are lessons that helped us in taking care of Lita and in making decisions for her future interventions.

These boil down to one thing: NORMAL RANGES and IMAGES. Medical science has proven that the human body has a normal range and a normal image for it to be considered healthy and functional, including vital signs, body fluids, blood counts,  lungs, blood sugar, and so on and so forth. All the medical logic, which are too common sense that we cannot refute them, stem from what is acceptable normal range,

  1. If it is too cold, apply warmth; if it is hot, apply cold. For example, the human body is 36-37 degrees, if the temperature is high, apply cold sponge bath. Simple. If a swollen part is cold, apply hot compress. In other words, do something to return it to normal.
  2. If it is lacking, add.  That is the logic of blood transfusion, vitamin supplements, and that is the reason why Melit is taking such pills as Kalium Durule (low potassium) and Sodium Bicarbonate (low in, you guess it, sodium).
  3. If it is too high, make it low, and vice versa.  This goes for temperatures and blood pressure, etc.
  4. If it is not good for the body, remove it.  The craniectomy was performed to allow the evacuation of  hematoma which created so much pressure on Melit’s brains.
  5. If the body is attacked by germs, help the body fight. Melit had been exposed to a series of antibiotic cocktails throughout her journey to recovery.
  6. If something seems wrong, run a diagnostic test.
  7. If it’s dirty, clean it. Of course, yet somehow, there is a proper way of cleaning.  This journey exposed us to various antiseptic substances including, who would have guessed, Zonrox.
  8. If it can be predicted, prevent it. Bedsores can be prevented, so we had various modes of prevention such as changing positions, providing an eggcrate mattress, and placing clean banana leaves in her back to keep her cool.
  9. Most importantly, listen to the body. The body regularly communicates to the outside world, so we need to pay attention, and to know what are the various modes in which Melit communicated with us.


Our Feelings:

More confident. The more that we understand what nurses and doctors were doing, the more that we trust them.

Our Conclusion:

Our patient cannot learn at this point, so we have to learn in her behalf.

Meds today: Mannitol,  RanitidineCiticolineLeviteracetamKalium DurulesOxacillin,Telmisartan, and Axera.

Diagnostic Tests today: HGT


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