I matched!

5 04 2016

This will be the last time that I post from this blog. To end this chapter, I created a new blog which will start posting beginning June 2016 called https://ruraldoctorblog.wordpress.com/



5 04 2016

There’s a term going around the Internet called “Trypophobia”, which means fear of holes. I had to post my share of trypophobia induced by my husband’s pancakes. My husband just said “I can’t believe we ate that today.”

Must say this is one of the best trypophobia pancakes picture online.


An epiphany about residency training

2 03 2016

I was watching a TVB episode about the young girl who came back from her studies abroad and her company did not keep their promise to promote her to LE (Legal Assistant) status and tried to put it off for as long as possible. They then gave her a promotion, but held off and couldn’t give her any salary increase until 6 months later. It could be another empty promise.

This just cause me to have a epiphany about residency training. Is it like this where you cannot get promoted, your salary will stay lower than anyone elses’, and you cannot speak for yourself ever… ?

Ultrasound training

12 02 2016


Zika virus and microcephaly

3 02 2016


Ben Carson

3 02 2016

I had no idea that the first surgery went well, but the children did not have a normal life.


Binge Drinking is a form of alcoholism

8 01 2016

Had a heavy lecture today about Alcoholic Anonymous and it really got me to think that I haven’t done my best to convey the proper message to people I care about. I really believe there are a lot of people who are suffering in ways I will never understand, but I want them to get better and feel better about themselves. And more importantly stop the things that are hurting them lethally. But this cannot be done without themselves putting in the hard work. If you get through this: just know that I love you and am thinking about you.

Nothing else will help if we continue to promote what harms us.

I’m laying here thinking about people: of my father whose heart stopped… then of those with the liver issues, heart failure, kidney failure, pancreatitis; of the Russian woman in her late forties who literally turned yellow from hepatorenal syndrome and died from chronic alcohol. Thinking of the Hispanic male in his 40s who kept having a visual hallucination that his brother was bringing him a case of beer and how he tried to throw a chair at the window on the THIRD FLOOR to break the window in attempt to get down from where he’s at (in-patient Psychiatry hospitalization) and how he went into Delirium Tremens after that. Thinking of the skinny African American male in his 60s with alcoholic cirrhosis of the liver who kept having to come into the hospital with delirium and how his bilirubin levels could not be kept under control causing even further brain damage. The telephone cord now looks like a snake. Thinking of the African American male in his 60s who suffered three strokes from high blood pressure all his life ending up with paralysis in all four limbs from the stroke and he can’t even talk anymore and died with his fourth stroke. Thinking of the 30 years old female who was morbidly obese and how her body could not handle the fight against swine flu because her body was technically immune suppressed by the obesity causing her lungs and kidneys to fail from the swine flu virus… and death.

Thinking of others with who deny that there are eating disorders, mouth ulcers and sores even head and neck and mouth cancers, eye issues, and ….. finally myself and family.

This field of work isn’t cut out for us all. It is hard and depressing with deaths left and right and more so when you haven’t made a single dent to send the message. I get it: people die everyday. We can’t stop that, but we can help the ones we love feel better and get better.

So here it is: the fight against binge drinking. Let’s do smoking on another day: which is the leading cause of preventable health issues.


“Binge drinking causes brain damage faster and more severely than chronic drinking (alcoholism). The neurotoxic insults are due to very large amounts of glutamate which are released and over-stimulate the brain as a binge finishes. This results in excitotoxicity, a process which damages or kills neurons (brain cells).[8] Each binge drinking episode immediately insults the brain; repeat episodes result in accumulating harm. The developing adolescent brain is thought to be particularly susceptible to the neurotoxic effects of binge drinking, with some evidence of brain damage occurring from drinking more than 10 or 11 drinks once or twice per month.[9]”

I would still check-in with a health professional for Thiamine (Vitamin B1) deficiency to prevent neurological and brain damage in the long term. Visual impairment can be caused by alcohol. In Wernicke-Korsakoff in the later stages you get: confusion, ataxia, opthalmoplegia which is confusion, tipsy and imbalanced, and nystagmus or eye problems.



Binge drinking varies from state to state, and estimates of adults who binge drink range from 10.9% in Utah to 25.6% in Wisconsin. Binge drinking is most common in the Midwest, New England, the District of Columbia, Alaska, and Hawaii.


SOURCE: 2010 Behavioral Risk Factor Surveillance System Combined Landline and Cell Phone Developmental Dataset, Adults Aged 18 and Older, US


The average largest number of drinks within a short period of time among binge drinkers ranged from 6 drinks in the District of Columbia to 9 drinks in Wisconsin. The largest number of drinks consumed by binge drinkers is highest in the Midwest and southern Mountain states (Arizona, Nevada, New Mexico, and Utah), and some states such as Louisiana, Mississippi, and South Carolina where binge drinking is less common.

The average largest number of drinks consumed by binge drinkers on an occasion


SOURCE: 2010 Behavioral Risk Factor Surveillance System Combined Landline and Cell Phone Developmental Dataset, Adults Aged 18 and Older, US