Makomed's Weblog

Posted by: makomed on: April 26, 2011

Whether you deal with people who have been paralyzed by diseases like multiple sclerosis, amyotrophic lateral sclerosis (Lou Gehrig’s disease), or by a severe spinal accident, there’s one thing that nurses must keep in mind. The patient will express their frustration by overcoming for their lack of control

What that means is that if you are the nurse, then you must exercise extreme patience. Do not invoke the patient’s anger, even if you know he is wrong (I have only dealt with male patients). Tread carefully & without making any waves. In my experience, those who have very little control over their physical status will have a hard time controlling their frustrations when you make any error–regardless of how bad it is. Only competent nurses should choose to serve these patients as they need more than just medical attention. They deserve the care of those who are extremely sensitive to their mental needs.

The worst part about these patients’ situation is that when they get mad at y0u, I believe that they also feel ashamed for getting mad. Therefore, it starts a vicious cycle of shame & anger that is hard to pull out of. Therefore, it is best never to cross these patients without a very good reason. If you have any questions about their care it is best that you direct it to your supervisor or get assistance from your medical peers. Never bother the patient with trivial things that could give rise to irksome behavior, as this could spell trouble for you both.

What Vte Means for LTV1150 Vents

Posted by: makomed on: April 8, 2011

LTV ventilators are the newer models for patients who are dependent on vent machines to assist with breathing. They have digital settings, instead of knobs. They are also more compact, but patients who have been vent dependent for a while oftentimes stick with the older, more dependable models.

LTV1150

The LTV1150 is a newer, more compact ventilator since 2011

Vte should be as close to the prescribed amount. For example, if tidal volume setting is on 550mL, you’ll rarely get that same amount back, but if it starts to lower to around 400, then ask patient if he wants more in his cuff. Reaching at exactly 550mL means there is a complete seal formed by the cuff and you don’t want that either cause that will cause necrosis of the vocal chords.

Lestat’s on Park

Posted by: makomed on: March 30, 2011

Lestat's on Park by cowboytrix
Lestat’s on Park, a photo by cowboytrix on Flickr.

Mother’s Day Card Message 2010

Posted by: makomed on: May 11, 2010

Dear Mom,

I remember when I accidentally hit your breasts with my elbow. You cried for days like Nancy Kerrigan. I felt so bad, I vowed never to be near those things again. Happy Mother’s Day!

Arizona’s Ruling is a Repeat of the Past

Posted by: makomed on: May 11, 2010

Author’s Note: At first I wanted to turn a blind eye towards the Arizona ruling by stating to friends that battles must be picked wisely & this matter, to me, was inconsequential. Having been an illegal immigrant myself, I had it in my head that my own citizenship had been earned through long petitions & military service and therefore Arizona’s plight was dissimilar to my own. However, the Civil Rights Law class I’ve been attending here at UCSD has enabled me to have a broader view of our behavior in history. Apparently, Chinese immigrants & even U.S. born minorities were once under the same hammer of exclusion. In light of this, I don’t see how today’s modern Arizona is any different from the gold-rush days of yesteryear. This is my essay response.

—-

“Exclusion” (photo from theabrine.com)
ETHN152
Professor Grace Kim
May 5, 2010

The United States condones minority immigration when economic exigency occurs, but renounces it when resources become limited. In the cases of Chae Chan Ping v. United States, Fong Yue Ting v. United States, the federal government initially welcomed the presence of Asian workers & citizens until it suddenly felt pressured to turn on its own denizens in an attempt to preserve jobs and property interest. The Supreme Court decisions in the aforementioned cases also contributed to the racial formation of Asian Americans in the late 19th and early 20th centuries by categorizing them for separation, effectively isolating the very culture of diversity that was one of the strengths of the nation.

In 1868 the United States attempted to befriend China by bridging its borders and inviting the Chinese to live and work in the country in the hopes of changing their luck and increasing their finances by either discovering the precious one for themselves, or providing services in support of the other miners. Unfortunately, the scarcity of the precious metal was what determined its worth. With such a limited prize, competition began to mount, much to the chagrin of white settlers. Chae Chan Ping sought to return to the US after visiting China and found that he was no longer welcomed there. He became the victim of a new order and was unable to sufficiently prove that he was a denizen of United States due to so-called insufficient evidence: His papers were outdated and his witnesses were not credible due to the fact that they were not white. It was the first instance in which the “Plenary Power Doctrine” was explicitly evoked. It expounded on Congress’s inalienable right to expel any class of aliens, “absolutely or upon certain conditions, in war or in peace.”

Fong Yue Ting’s case reinforced congressional authority over noncitizens free from judicial review. It was stated that “[t]hose [Chinese] laborers are not citizens of the United States; they are aliens. That the Government of the United States, through the action of the Legislative Department, can exclude aliens from its territory, is a proposition which we do not think open to controversy. Jurisdiction over its own territory to that extent is an incident of every independent nation.” This was revisited in “ARTICLE 6. Citizens of the United States visiting or residing in China, . . . and, reciprocally, Chinese subjects visiting or residing in the United States, shall enjoy the same privileges…in respect to travel or residence as may there be enjoyed by the citizens or subjects of the most favored nation. But nothing herein contained shall be held to confer naturalization…in the United States.”(16 Stat. 740.) And this explicit denial of naturalization has served to advance a “property interest” in whiteness due to the fact that refusal of citizenship synonymously disables one from owning property.

In more recent times, Fred Korematsu had an awakening during the attacks on Pearl Harbor when he found himself subject to classification and warrant to subjection to being ushered into a Japanese internment camp. His case reinforced the constitutionality of Executive Order 9066, that was signed by Franklin D. Roosevelt. This came as a surprise to Korematsu since he was born a U.S. citizen in Oakland, California in 1919. He was even dating a Caucasian woman at the time of the attacks on Pearl Harbor. Apparently, he had fallen prey to the assumption that because he had Japanese-American parents who were citizens, his ethnic ancestry would take a backseat to his place of birth. Again, Plenary Power Doctrine was evoked, stripping him of his so-called indelible rights i.e., habeas corpus. The Supreme Court’s decision had augmented whiteness for the sake of harboring a false sense of national security.

Whiteness has unwittingly become a limited and desired resource, thanks to the actions of these US Supreme court decisions. It has manifested itself by taking advantage of immutable differences characterized by Asian Americans.

—-

Also, let it be known that we are taught that “whiteness” is not exclusive to only white people.

I’m starting to react to Atripla with a rash

Posted by: makomed on: May 4, 2010

These small lesions started appearing out of my arm a few days ago. At first I thought it was from seafood that I ate, but now I’m starting to suspect it was because I started Atripla roughly two weeks ago (since April 22, 2010).

1st Day of Treatment

Posted by: makomed on: April 22, 2010

I just took my first Atripla pill tonight. I can already feel it working

Just Ignore Stupid People

Posted by: makomed on: April 22, 2010

Going to college at 30 years old surrounded by a student population ten years younger than me makes me often want to throttle their necks. But I came up with a good solution to keep me from losing my cool. IGNORE THEM. I completely make annoying and obnoxious kids disappear from my thoughts and voila! I calm down.

Sunset in La Jolla

Posted by: makomed on: April 18, 2010

How Men Apologize

Posted by: makomed on: April 15, 2010

ME: Just realized when dudes want to say something super nice/apologize to you, it’s usually during unexpected moments like midway thru buying chicken pita. Or falling down the stairs.

FRIEND: Or when they’re about to…ummmm.. wait, what are u talkin about again??? ;)

ME: i…don’t…know. Lol. I just meant that macho guys do try to express their feelings but they do it quickly and in public (not like the movies) so if you blink, you might miss something profound. I was upset at a buddy for a while and today, in one sentence, he basically apologized & told me he valued our friendship while we were standing in line ordering food. Huh.

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