Something embarassing…health insurance.

20 10 2011

I ran out of the doctor’s office today after waiting around an hour.  It’s a good thing about having second thoughts because I soon found out that my policy period was over and am starting a new period. That means I have to meet the deductible all over again before the insurance kicks in to cover the rest up to $5,000. The deductible last period was $250.00 just went up and is now $500.00

Why Obamacare, why? Instead of making healthcare more affordable for me, I now have to fork out additional money (which I don’t have) to pay the health insurance fees every semester on top of that take figure out a way to dish out $500 before insurance covers anything and then another $100 deductible on drugs prescriptions. $600 yearly …. on top of the $366 I pay every semester x3 = $1698 per year I have to pitch out.

If I consider myself unhealthy then insurance makes perfect sense. If you are a healthy med student you feel you can better figure out how to go to the doctor without spending any more than necessary. However, student health  insurance is a requirement that I cannot escape.

Yes, I feel embarassed but the next few days I will shop for doctors that have cheaper out-of-pocket fees that are still within network since I may not afford to live the next few months if I don’t budget carefully. It’s a good decision. I won’t allow my embarassment to take over my budget-wise conscience. I don’t buy phone plan b/c I can’t afford it either. Saving as much as possible.





Motivation to study

19 10 2011

I’m home!

My father used to close his door when he went to bed. However, due to his health condition he’s been sleeping with the door open. Once in the morning if I happened to pass by, I would peek in just to hear him snoring. That’s so I know he’s still alive. I’ve been away for two years. I looked at his meds and realize that some have expired and the plastic vials are just sitting there. Expired PhosLo?? Hmm …

Before that I was sort of lazy and didn’t study hard enough. Sub-par studying doesn’t do me any good!

The home is in such a mess. It’s almost uninhabitable, but as soon as my mom saw me, she started getting excited and cleaned & vacuumed. This is definitely not in any condition for a healthy person to live in. Sometimes I wonder how people can let go of everything and be so unenthusiastic about their home. Seriously though, this place is a hot mess! It looks like a shelter more than a home. In fact, it is worse looking than a shelter.

On the bright side, it is peaceful here. I promise I’ll make it … time to study.





Hopeless labor?

14 10 2011

http://www.jerichoschools.org/hs/teachers/lfischer/stranger/myth_of_sisyphus.htm

“Sisyphus was a cruel king of Corinth who, according to Greek mythology, was condemned for eternity to roll a boulder up a hill only to have it roll down again just before it reached the top. ”

At times while studying at Ross, this is how we feel.  Sometimes you wonder how it is possible that we can roll a boulder up the hill only for it to roll back down again.  It’s definitely going to take a lot of work and determination to get past this.





No arms, no legs? No worries.

11 10 2011

Inspiration from Nick Vijucic.





Pregnancy thirst

7 10 2011

During pregnancy we feel more thirsty because the body resets the osmotat to decrease regular osmolarity of 280-300 mOsm. Volume (water) for both mom and baby becomes more important than osmoregulation.





Gestational Diabetes

6 10 2011

Filtered load = GFR x Px

During pregnancy, there is increased in proteins, increased in Glomerular Filtrate Rate (GFR) in the kidneys and hence increased in Filtration load. This overloads the proximal tubule of the kidneys and so we see glucose in the urine. The question is how much glucose is right and how much is too much for a pregnant woman?

Human chorionic somatomammotropin (hCS) or hPL (human placental lactogen) could this be the culprit?

hPL is secreted by the syncytial trophoblasts from early pregnancy into maternal circulation. This increase in hPL provides glucose to the baby at the expense of the mother. hPL increases as mother’s glucose levels decrease.  hPL stimulates mom’s IGF-1 and could cause insulin resistance and carbohydrates intolerance. While the mom mobilizes free fatty acids, glucose, amino acids, and fatty acids are moved into the fetus to provide nutrition.  hPL could be the cause for insulin resistance in the second half of pregnancy. Playing a key role in increasing insulin production from islet cells,  causing amino acids to decrease while increasing triglycerides, free fatty acids, and cholesterol could further cause insulin resistance. (info from Kaplan review).

I read somewhere that postpartum this could go away for some. Maybe if they work on their diet and get back into healthy BMI range? There’s this concern that the mother would have future diabetes and the baby would be large.  If that is the case, should we monitor the size of the baby?

Birthday cake randoms:

80% of expiratory volume is used to blow out birthday candles in the 1st second. The rest is distinguished by water coming from spit …





Strength

6 10 2011

Proverbs 24:10
“Saying 25 If you falter in a time of trouble, how small is your strength!”

Pray for strength and wisdom to get you through all difficulties. I know no one would have known the types of challenges I’ll have to deal with (as if anyone cares). But in order to be strong, we ask not for assistance and to find our own way out.

  • Be happy for the warmth and love that your family gives you, because there are those who don’t have it.
  • Be happy that there are friends who care for you, because there are those who are lonely.
  • Be happy that you live in material comfort as there are those who lack them.
  • Be happy for loving parents who have planned all their lives to take care of you, because there are orphans who live inside a full home when parents don’t plan.
  • Be happy for a sibling who have ambition and taking care of themselves rather than see a sibling leech off others.
  • Be happy that you know a sober person because in your life there will be those you care for who’s addicted to drugs and wishes to die using drugs.
  • Be happy for the father who provides for the whole family because there are those who don’t.

For all the bads and negatives in our own life, someone else is having it worse. We should be happy for something even if it is the smallest something good in our lives. To do so, I pray for strength and wisdom and for those without.





Tan Le’s mind control

3 10 2011

http://www.ted.com/talks/tan_le_a_headset_that_reads_your_brainwaves.html

Getting there.  Finally something that reads brain signals to input to devices to control them.

 





Inconsiderate

2 10 2011

I. Some people in this world, they just keep going out and spending on themselves.  They feel entitled to do so as if they deserve to treat themselves to something wonderful after putting in hard work.  Some people like to go out to hang with friends so that they won’t have to feel so lonely, in which they usually refer to the term “bored”. What I don’t understand is how some people continue to venture out having fun without a word of concern towards a family member such as a grandfather who’s going to have surgery soon.

Is that person bitter because when she was hurt, that extended family never asked about her? At the same time, she chose never to tell anyone whether she is in trouble or not and chooses to handle the problems herself. Is it because she feels guilty maybe she’s done the damages to herself and that problems doesn’t concern anyone else? At the same time that one keeps going out and spending wrecklessly on others are they hoping that the friend will give them a word of concern when the time comes when they fall ill? At that point in time, will the person truly know who matters most to them?

II. Some people in this world want to care and they come out to be with their extended family. The thought is nice, but have they considered that during challenging times of hustling back and forth between hospitals and getting only few hours of sleep is really stressful to those who could do something for the sick? So at the same time that a person tries to be considerate and want to visit, they’ve only become an unnecessary burden? While this is true, if they don’t come to visit they are seen as being inconsiderate. So another way to show your concern is only a phone call away. It is the thought that counts.

III. Some people in this world go out socializing like crazy to gain popularity because they can’t bare the thought of being nonexistential. Other than the popularity agenda, they are thinking of something really big to build their own personal portfolio of either self-promotion or some  social agenda, to gain mass attention for some bigger venture.  All the effort to popularize oneself is it for social status or just some personal gain? At the same time that this person is so busy trying to become popular, at the same time they’ve created an image of isolating oneself into the image of a person who is inconsiderate. Because frankly, of the hundreds of acquaintances you’ve accumulated in your social network, how many can you truly care and ask about?

In this profession, I see how sad it is. Sometimes you can’t really help a person and you feel so compelled to blame yourself and in the end hurt yourself.

IV. Some people in this world are obliviously happy. They see no farther than what they need to do to get through another day.  Happiness is a bliss, but on altruistic levels have they stopped for a moment to show someone their concern?

V. Some people are very narcissistic believing that there is only a few right ways to get things done. They try to overempower others and tell them what to do.  You don’t know what is best for someone else all the time.  Believing that one is always right and praying to God doesn’t make us righteous. It only makes us self-righteous and destructive in our own course.  And this person wonders why he has so very little friends.

VI. Some people in this world are truly hurt. Sometimes they can never get out of a depression or bad habit. Their only concern is still about themselves and how hurt they’ve been. It seems they dig a hole so deep that it feels impossible to climb out.

The bottom line of this story is everyone have their own life to live. The profession we go into does not entitle us to stick our nose into people’s business.  But we are available resources when the time and need comes when the sick come to us to seek help.  This is a time when we have a chance to show some consideration if any.