A Nurse Dad

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Posts by: mdeguayco12

Baraquiel – battle against AML

By on August 28, 2010

My cousin Froi Baraquiel R. Guayco 10 yo – diagnosed with AML (like Francis M.)

So many little things in this life that we complain about, even the inconvenience of waiting in queue for getting an MRT card, getting a cab, the itch that just can’t get rid  and just even when things go uncertain, people tends to escape.

My cousin here Bar, together with our family is beginning to battle this AML (undifferentiated type). He was diagnosed with this condition just this month. The truth to the matter is always has this stabbing ache when presented to you but still you have spacing out moments that brings you to the thoughts – are these really true?

Prayers – I truly believe is powerful. Bar would always say to our Tita Lea, “Tita, pray” he would shout this every time he feels something in his body. Last night, his platelet count was very low that he needed to be transfused with Platelet but had to wait for one whole day for the blood due to financial and blood donor reasons. His gums were bleeding as I was sponging him for his 40 deg fever, I knew something was not right. He needed the transfusion right away. His BP and heartrate shoot up, asked him to bite ice tubes and kept on sponging him that made his temp at 30 after 1 hour continuous sponge bath. Finally after waiting for so long the 3 bags platelet concentrate and 1 bag  pRBC came at almost half past 1 in the morning. Bleeding is the most symptomology of this type of leukemia and we know there will be more. But this happening because no available bags of blood for transfusion due to: No available cash to buy from the (blood) bank, No available donor to replace the ones available from the bank, NO cash, NO donor and NO available blood at all. Difficult – yes it is true but we have not gone thru the one month mark yet after the start of his treatments, and looking at this from the other side of the window, I am crying HELP for Bar.

The chemo drugs (cytarabin) has been temporarily stopped due to his infection. He needs to go for antibiotics first then boost blood levels then proceed with chemo again. As of the time of this writing, the blood transfusion (BT) has been given and hopefully his CBC would reveal responsive to the new platelets given. Now, we need the antibiotics for him and he might wait also another day before he receives his next dose. 🙁 I know God will make a way. And HE will guide Bar for his battle against this

To my friends and others that will reach this blog, I am asking for your Prayers that there will be people who will help us for blood donation and his immediate needs against this current infection so he can start with his chemo the soonest possible time.

AML just like FM

By on August 19, 2010

Case: AML – Acute Myeloid Leukemia.

It is a type of Leukemia  of the myeloid line of the blood cells as characterized by abnormal growth of WBC – white blood cells that accumulate in the bone marrow which hinders the production of healthy normal blood cells.

For the past days I have tried to read articles, blogs and read from my nursing books all the things about Leukemia and specifically about this AML. This type of cancer is popularly known from last year as this is the exact type of Leukemia that inflicted the Philippine’s Master Rapper – Francis M.

There was never a thorough discussion of Hematologic disorders back when I was in nursing school and so I needed all the readings that I can do to be well equipped with the real deal of this case.

It has been more than a month since I posted my last entry here. So many things have happened within just one month. There goes my 25th birthday, few other birthdays of friends and relatives – happy events. Reason to celebrate of another year of gift of life. Within the span of one month there are also things that we need to learn to accept. My cousin, a 10 year old boy named Baraquiel (named after angel barachiel) has just been diagnosed with the very same type of Leukemia AML.

References I have read and websites have said that AML is most common among adults and is much tougher to beat as compare to the other type which is the ALL – acute lymphloblastic leukemia. I have read Francis M’s happy battle and also Mr. Brokenman a filipino wordpress blogger and they have shared battles in fighting this AML. As we all know one of them have lost the battle though as he said it was a happy battle. I just can’t imagine those painful experience they have gone through will be the same agony my cousin Baraquiel will experience too.

My cousin lost her mother last April 2006 – he was only 6 at that time. His dad, my father’s brother is a tricycle driver and have not actually finished high school and so my Tita Leah the only sister of my father is the one who have cared and treated Bar as her own child since my tita doesn’t have any children at all.

Whew. That was heavy to unload. And there will be more entries that I will post about Bar’s battle to inspire others, for leukemia awareness and possibly for fund raising (I am working on a project about a blog for this).

Bar: Kuya Mark, bakit ako hihinto ng pag-aaral? Gusto ko makatapos, gusto ko maging chef! Pano yung grade 3 lang ako, ayoko naman nun.

My heart almost crushed right after he asked this direct statement because I know I just couldn’t give a direct answer to it.

Bar had his very first round of Chemo – Cytarabine 6mg/day. Will post soon Bar’s battle towards AML just like FM but this time it’s a 10 yo who has just started his own fight against AML.

Filipino Nurse: No Choice

By on July 10, 2010

Per PRC there are 187,000 unemployed nurses today and there are more numbers to add on this once the July Nursing Board Exam results will be out. The predicament of: No choice. As I posted my comment on ABS-CBN article The nursing profession under siege.

The predicament: No Choice. Most of these nurses would tend to jump over the catch of these Hospitals and private businesses that would take advantage of these nurses that would rather believe: “Kesa naman walang trabaho.”.

These are professional nurses that have studied so hard to earn this degree and it is only right and just that the new Aquino government will help uplift the nursing profession of the country.

P-Noy must also remember that most of these young nurses were born during the mid to late 80’s which means that we are the product of his parent’s fight for democracy. I myself was born 1985, and I have enjoyed the rest of the democracy and freedom that the Aquinos have started years back. And again, we are hoping that another Aquino will help us one more time.

True, it’s not only the hospitals that take advantage to Nurses like me. Also, other businesses can just easily create a trap for these professionals to work and get underpaid if not, be  underemployed on the notion of being medically related. I have posted in my previous blog posts (click here) that there are still few good reasons to continue our parent’s dream in becoming a pinoy nurse in the land of milk and honey. But then again, the there is the reality of how to start achieving that american dream. We need experience to hone our nursing skills. It’s either we work without compensation volunteer or spend at least Php 3,000 up to Php 20,000 to get a certification on specialized skills training.

Moreover, I wanted to  discuss the vulnerability of these nurses from exploitation. Back in 2008, I along with fellow volunteer nurse friends applied in an agency for a placement in KSA. Since at that time, we only had less than 6 months of post-grad clinical experience the manager of the agency have offered that they can fabricate documents for us to get a 2 year hospital-work certification so long we will accept the job offer which was around Php 22,000 a month in a military hospital in KSA. No one from us accepted the offer even after the final interview with an Arab national and have personally offered the jobs.

I continued getting hospital experiences and pursued becoming volunteer. I must also say that up to now,  AFP Medical Center and PNP General Hospital offers 6 months nurse residency program and 3 month OJT RN program for FREE respectively for new nurses. Which I have attended both programs last 2007 and 2008. I of course have tried attending “Skills Training” in a private hospital in Quezon City where I had to pay about Php 3,000 for a month of training.

Now, I am working in a BPO/KPO company that is “somehow” medically related field. It’s teleradiology business but the job is more concentrated on customer service. And let me just simply say, a nurse like me, who after 4 years since graduating from nursing school, at the age of 25, married with one child – cannot simply make the best career move. But, I truly believe that like those 187,000 unemployed nurses, I am bigger than this. The uncanny situation of Filipino nurses now can [should] simply not stop me to be successful.

But at the age of 25, young nurses should be wiser and make the best career move. Volunteer in a hospital or BPO/Call center job? It depends on the need (on the personal level). State-wise, the profession is under attack by opportunists and money-centered institution but we should help not to let this happen. It’s high time that the media is helping us to move the issue in the center of everyone’s attention especially the new government.

OJTRN 02-07 the batch of Volunteer Nurses I attended last 2007-2008

An interview about Nurse Exploitation

By on July 6, 2010

First, I would like to give the figures as detailed below:
June-06 17,821
Dec-06 19,712
June-07 31,275
Dec 07 28,924
June-08 27,765
Nov-08 39,455
June-09 32,617
Nov-09 37,527
TOTAL 235,096

Source: Philippine Board Exam Results click here

Since I graduated last April 2006, there has been almost quarter of a million Registered Nurses in the Philippines. And what happened since then? Most these RNs wanted to work abroad, major destinations US, UK and UAE. Wondering how many of these nurses have gone out and have started to repay their families for their investment? The Philippine Nursing Community have evolved too. The law of supply vs demand hit us big time. Watch this interview with the former PNA President and former Dean of Trinity University of Asia and Founder of Colleges of Nursing of Adamson University and STI Colleges – Dean Leah Paquiz

Originally posted from my Multiply account last Apr 09 2010


Pasada ni Haring David

By on July 6, 2010

Oo nga naman, bakit ba hindi ko nalaman na maaring tagalog ang base language ng blog account na to.

Hindi man hitik sa tagalog ang bokabularyo ko, mayaman pa rin ang mga salitang maaring maihayag sa sariling wika natin. Naks! Malalim! Pero lahat naman nakikisabay sa uso kahit kung pano tayo mag text. Kaya nga meron ng mga taong tinatawag na jejemon.

Pero sa konteksto na pagiging Pinoy, bilib ako sa isang banyagang kano na naging interesado sa kultura and pulitika ng ating bansa. Hindi ko pa nauusisa kung ano talaga ang naging pakay o trabaho nya dito pero ang sabi nya ay minsan na syang nagtagal tumira dito sa Pinas at nagustuhan daw nya ang Pilipinas. Inisip ko nga baka pinoy lang din to na nagpapanggap na amerikano. Pero hindi, kano nga sya. Sana gaya din ng isang banyaga sa atin eh mas mapukaw sa ating mga isipan at damdamin ang pagiging makabayan o patriotism. Itong si Banyaga eh gumawa pa ng sariling blog na naghahayag ng mga current political events and happenings dito sa pilipinas. Click here.

Bilib din ako sa trip nitong tao na to na hindi man siya Pinoy eh nagpapakita pa rin siya in interes sa mga nangyayari dito sa bansa natin. Ang alam ko nasa america na yata siya ngayon pero active pa rin ang blog nya sa mga current events natin at sa tingin ko mas madami pa syang alam about our political turn of events kesa sakin.