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.
Tuesday, June 30, 2009
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.
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.
Sunday, May 31, 2009
Twilight
Late into the next movie installment, I have just decided to read the book by Stephenie Myers two days ago. The trouble is I am having nightmares the past few nights. Is it because the Cullens are actually on my case leaving Forks, to kill their next prey in a humid, unbearably sunny tropical island. Anyway, if I hadn't seen the movie, I think I would be bored to death by the book. If it were not a vampire story set in fog forsaken place near the north pole, it would be a novel straight out of the mils and boons collection.
My take, see the movie. The book sucks blood.
My take, see the movie. The book sucks blood.
Saturday, May 30, 2009
Katrina and Hayden Brouhaha
It was good copy. A sexy star with a illicit video circulating in the internet. Filmed secretly by a celebrity doctor whose claim to fame is being a boytoy of the owner of thecountry's leading plastic surgery clinic. After viewing the video clip, I could not hardly make-out the face of the woman straddling on top of the doctor with so much video noise, she could actually deny that she is the one on the video.
As of this writing, the issue seemed to have simmered down after a senate investigation, an NBI investigation and a PDEA investigation. I suppose if people didn't actually stop other agencies will follow suit and the issue will drag on and on like the telenovellas we Pinoys love.
So what's my take on this? It could have been a private matter between all the women the doctor taped during their sexual tryst. It could have been settled among matured grown ups without dragging the precious money taxpayers pay to the Senators and others agencies, when who knows what the end of this will be. We could have dealt with other issues like the still lost Italian ICRC worker, or the computerization of the next polls, the other issues of graft and corruption pending is all their venues. But we choose such matters which in my view are petty enough to be discussed in a showbiz talk show.
I pity Katrina because as of now I think she is loosing steam and her acting is not convincing enough to gain the sympathy of most. I pity Hayden because in the end it's still his fault that he took all those footages. I pity Bong Revilla because he does not know how to transfer videos and pictures from a dig cam to the computer and he is a senator. I pity the Filipinos that includes me because once again we got hooked into crazy, useless, mundane issue that actually will not change our lives for the better.
As of this writing, the issue seemed to have simmered down after a senate investigation, an NBI investigation and a PDEA investigation. I suppose if people didn't actually stop other agencies will follow suit and the issue will drag on and on like the telenovellas we Pinoys love.
So what's my take on this? It could have been a private matter between all the women the doctor taped during their sexual tryst. It could have been settled among matured grown ups without dragging the precious money taxpayers pay to the Senators and others agencies, when who knows what the end of this will be. We could have dealt with other issues like the still lost Italian ICRC worker, or the computerization of the next polls, the other issues of graft and corruption pending is all their venues. But we choose such matters which in my view are petty enough to be discussed in a showbiz talk show.
I pity Katrina because as of now I think she is loosing steam and her acting is not convincing enough to gain the sympathy of most. I pity Hayden because in the end it's still his fault that he took all those footages. I pity Bong Revilla because he does not know how to transfer videos and pictures from a dig cam to the computer and he is a senator. I pity the Filipinos that includes me because once again we got hooked into crazy, useless, mundane issue that actually will not change our lives for the better.
Wednesday, May 20, 2009
It's Kris Allen


This is the only American Idol season when I didn't care who would win. Either way I would still be happy. I love Adam Lambert. I could still see his performances in my mind long after the show. His first take on Mad World blew me off. And the Track of my Tears performance was so classic. This he again brought to fore in yesterdays A Change is Gonna Come. I love his performances, but the blogs are right, a lot of poeple may not be in to these things like screaming and rock and roll. Adam is a visual delight.
Kris on the other hand is more listenable. I could never recall any of his performances except for Heartless which was last week. But I do like his songs when I listen to my ipod. I guess it boils down to how still conservative America is. No matter how far we are into the twenty-first century, it's still the conservative straight guy next door who wins.
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