Tuesday, June 30, 2009

GE Engstorm Carestation versus Drager Babylog review

Having been raised in the tradition of Sechrist, Bearcub Newport and VIP bird. Two hospitals have bought different mechanical ventilators recently. After using them in five patients each, here are my outcomes: GE carestation survival rate ZERO while Drager survival rate 75%.

Dragers vents are very user friendly. There are very few knobs to manipulate. The alarms sets in for a purpose.

The GE Carestation neonatal vent is part for a 3 in 1 machine that uses a software to convert the settings to a pressure vent. Its marketed as a ventilator needing no humidifier and uses only one size of tubings both from neonates to adults. It is so sophisticated that nobody could use it without setting off an alarm. My initial concern was really the tubings that are too big and is marketed as being able to compensate for the compliance of a neonates lung. its also marketed as a humidifier free respirator, eventually all my patients developed ET plugs. The alarms goes off for leaks that changes from10 to 60%, for a module that should be removed, for minute expiratory volumes. After reading the manual, the vent has settings that are not really possible when you are using the ventilator on a patient. take for example the RR, the brochure sets it from 3 to 120 but when I used it and wanted an RR of 70, the machine could not advance further for that setting even if you try to adjust the default. Maybe the carestation is a good adult ventilator, but as a ventilator for neonates, it still has to a lot to prove to me. Maybe it needs a good training program for end users because what is a sophisticated ventilator when nobody can use it.

Hands down its Drager.

Wednesday, June 10, 2009

Sex Scandal and ConAss


Both involved asses.

Madaling araw nang ipinasa ng kongreso ang resolusyon 1109. At sa pagkakahimbing ng tulog ni Juan de la Cruz, nalusutan na naman sya ng mga sakim at mapanlinglang.

Sa Pilipinas wala naman talagang pagbabago. Hindi na talaga tayo uunlad. At matagal ko nang natanggap na tayong mga Pilipino likas na tamad at nagpapaloko. Mabuti na lamang at may mga taong hindi napapagod na makipaglaban para sa katotohanan at ang pag-asang sana ay kahit papano ay magising muli ang sambayanang Pilipino. Mga bagong Juan Baustita.

Ganito rin siguro noong panahon bago mag martial law. Ang mga tao walang pakialam na unti-unting nasupil ang kanilang mga kalayaan at nagising na lamng silang wala nang natira sa kanila na pati kaluluwa ng bawat isang Pilipino ay nakasanla sa mga dayuhan para sa kapakanan ng iilan.

Masaya rin naman ako na kung sakaling magiging mapanupil ang rehimeng ng makabagong diktaturya, magliliab na naman ang kagitingan ng mga artista, direktor, ang hanay ng mga manunulat, magkakaron ng mga bagong tula, awit at nobela at makasaysayang pelikula ng bagong henerasyon ng rebolusyon sa landas ng paghahanap natin ng ating pagiging Pilipino.

Maligayang araw ng kalayaan sa kuko ng nagbabadyang diktaturya.

Tuesday, June 9, 2009

Easy Virtue, Miss Pettigrew Lives for a Day and Frozen Flower

Pirated DVDs galore from the night market of Cagayan de Oro over the weekend. Its a piece of Quiapo transplanted in the middle of Plaza Rizal in CDO's Divisoria. It has the vibe of Khao San Raod, the plaza coated in smoked from barbecue grills and rows of vendors selling ukay-kay clothes to plastic toys and kitchenwares. Outside the barricades are unpretentious upscale restaurants. We had dinner at La Tegola. The interiors is Italian but the lamps are so country inspired. The food needs a bit more work. The Bruschettas were dripping in olive oil. I wondered why the restaurants has to scrimp on good lettuce leaves when they are so near the farms of Bukidnon. The Quattro formaggio pizza has blue chees on it nice, but the crust was a bit too thick. And the pasta was ordinary. I suggest go look for other places to eat when in town. Check the nearby Gazebo or Centro which I haven't really tried yet.

Going back to the DVD galore. Among the three which I bought from the girl in turong at the plaza, it was the Miss Pettigrew movie which was original and surprisingly entertaining. The story of a last resort governess who took a job as a social secretary to a starlet eventually both finding their true loves is a heartwarming movie. Easy virtue may have been a good movie but it dragged on too long and aside from the good performance by Kirstin Scott thomas, everybody else especially Jessica Biel acted at their worst including Colin firth. The plot was so contrived and at one point I was thinking that the director just finished the movie for the sake of finishing it. A Frozen Flower is a Korean film a whole 4 hours of film. It was exciting at the start but the film has to drag longer to have an ending. Tragic ending that is.

If you have nothing else to do then go down CDO at night and drown yourself in DVDs.
The International Breastfeeding Symbol

May sasabihin ako sayo.

May sasabihin ako sayo.
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