Caesar Tin-U Boyd Spanish III Period 1

Gabriela Mistral (1889-1957)
Book: Love Poems: from Spain & Spanish America, selected and translated by Perry Higman, with Chris Jacox. City Lights Books, San Francisco, 1986.
Translated by Perry Higman

El AMOR QUE CALLA (Silent love)
Si yo te odiara, mi odio te daria
en las palabras, rotundo y seguro;
pero te amo y mi amor no se confia
a este hablar de los hombres, tan oscuro!

Tu lo quisieras vuelto un alarido,
y viene de tan hondo que ha deshecho
su quemante raudal, desfallecido,
antes de la garganta, antes del pecho.

Estoy lo mismo que estanque colmado
y te parezco un surtidor inerte.
Todo por mi callar atribulado
que es mas atroz que el entrar en la muerte!

————— English Version —————
If I hate you, I would give you my hate
In words, full and sure;
But I love you, and my love does not put faith
In mere words of men, so obscure.
You would like it changed to an outcry,
Yet its burning torrent of flame comes from such depth
That it has fallen apart, died,
Before reaching to my throat, before my breast.
I feel just like a brimming pool,
And to you I seem a lifeless fount.
All because of my painful silence
More atrocious than facing death itself.

oops...eh. oh well...the title is El Amor Que Calla

Eng for: Silent Love

Hora Tras Hora, Día Tras Día

de Rosalia de Castro

Hora tras hora, día tras día,
Entre el cielo y la tierra que quedan
Eternos vigías,
Como torrente que se despeña
Pasa la vida.

Devolvedle a la flor su perfume
Después de marchita;
De las ondas que besan la playa
Y que una tras otra besándola expiran
Recoged los rumores, las quejas,
Y en planchas de bronce grabad su armonía.

Tiempos que fueron, llantos y risas,
Negros tormentos, dulces mentiras,
¡Ay!, ¿en dónde su rastro dejaron,
En dónde, alma mía?

Translation:

Hour after hour, day after day,
Between Heaven and Earth that are
Eternal watchtowers,
As a torrent that opens
Life passes.

Opening to its flowery perfume
After withers;
Of waves that kiss the beach
And one after another kisses expire
Collect the rumors, complaints
And in bronze plates recorded his harmony.

Times who were crying and laughing,
Black torments, sweet lies,
Ay!, Where to track it?,
Where, [is] my soul?

Biographical Data:

Rosalía de Castro was born in Santiago de Compostela on 24th February 1837. She was born to an unmarried mother who made her an outcast from society. This fact left an imprint on the nature of her works. Due to the precarious situation of her mother, her childhood parental care was lacking and she spent the first few years of her life in with her aunt in a village called Ortoño, then later Padrón. As a result, she grew up in a rural Galician environment, imbibing its culture and experiencing its harsh living conditions.

In 1856, she moved on with her mother to Madrid for unknown reasons. A year later, Rosalía de Castro published her first collection of poems, which were celebrated by the writer and archivist Manuel Murguía. They later got married in 1858. In 1861 her mother died which affected her deeply and inspired her to write a collection of poems.

The last years of de Castro's life was spent in Galicia and after a spell of economic difficulties and profound bitterness, Rosalía died of cancer in Padrón in July 1985.

Poem Interpretation:

Pity and sorrow are the first feelings that come to mind when this poem is read, but are emphasized all the more when proper intonation, stress, and timing are integrated into the poem’s language when spoken from the lips of a skilled speaker. A feeling of empathy washes over the body when Rosalía speaks of her blossoming love, “Devolvedle a la flor su perfume” imagery is formed in the mind, along with the hint of scent of a first love, but then despair quickly takes its grasp as “Negros tormentos,” y “dulces mentiras”are the closing words to a quickening death of a loved one, a relationship, a life.

Basically she was feeling emo at the time. :P

References:

Alonso Montero, Xesús. 1972. Rosalía de Castro. Madrid: Júcar.

López, Aurora y Andrés Pociña. 1993. Rosalía de Castro. Documentación biográfica y bibliográfica crítica. Vol. I (1837-1940); vol. II (1941-1990). A Coruña: Fundación Pedro Barrié de la Maza.

Naya Pérez, Juan. 1953. Inéditos de Rosalía. Santiago de Compostela: Publicaciones del Patronato Rosalía de Castro.

Tin-U 1

Caesar Tin-U
Mrs. Kacher
HST Per 5-6
14 May 2008

Hospital Rehabilitation Vocabulary - Part 1

1. PICC Line – Pronounced as “pick line” in day to day speaking. The abbreviation means Percutaneously Inserted Central Catheter. - A long, very thin catheter inserted through the skin (hence… why its percutaneously) into a vein for the long-term administration of fluids and/or medications. In this case, it was inserted near the thigh running to the heart.

   1. “We are doing an insertion of a pickline into the patient’s lower leg vein so that whenever we need to administer meds, we don’t need to go through the trouble of poking the patient any more.”

2. Choloangiogram - A special (almost live) x-ray procedure that is done with contrast media to visualize the bile ducts after a cholecystectomy. In the case that I observed, the choloangiogram was used to determine blockage and where to balloon it.

   1. “This choloangiogram is taken with rapid, low-power x-rays in many pictures a second so that we get an “almost live” video of what we are doing, as well as see the contrast media flowing through the bile ducts’ surrounding vessels. The same technology with other cardiologists in this procedure are used to see such contrast media.”

3. “Coffee Break” – A term frequently used as a parody to the 10 minute waiting period of which there is a intermission for those doctors and nurses to take a break when waiting for the injected medicine to work. In this case, the patient was injected with heparin, a blood thinner.

   1. Me: “So… what are you doing now?” Resident: “It’s called a ‘coffee break’ where we wait 10 minutes for the medicine to work. Me: “Oh… too bad I can’t take any fluids as well…” Resident: “Why? Are you sick?” Me: “No… school regulations for professionalism.”

4. Catheter - A fine, flexible tube which is inserted into an artery or vein. It is made of material to which blood will not adhere.

   1. “The procedure involves an injection of dye to see how the blood flows through the vessels of the heart. X-ray pictures are taken of your heart and its arteries to determine if there are any blockages. To inject this dye into your heart, I need to insert a catheter from your thigh, running a guide wire first into your body, then the cath tube following thereafter.”

5. Guide Wire – Is a thin, flexible wire that is inserted into the blood vessel to act as a guide to facilitate the passage of a device. In this case with the patient, a guide wire was used to facilitate a balloon and a catheter.

   1. Doctor: “I am sorry if this hurts, but the guide wire is just a little bit stuck… here let me give you some local anesthetic while I try to get this wire down the right passage way.”

6. “Collision with Patient” – A term that I saw on the computer display monitor whenever the patient is being “live rayed” (A term I coined for the rapid x-ray photography). After asking later what this term meant, the technician said that it meant that x-ray particles are “in collision” with the patient – meaning that the x-ray machine is active and that all non-active personal must stay back in they are not shielded.

   1. Me: “Um… can I go into the procedure room to observe as well?” Nurse: “Sure, you will have to wear one of those lead aprons though, skirt included *giggle* to avoid any x-ray collisions and stray radiation. You don’t want to become impotent now… do you?”

The Body’s Defenses

I. Nonspecific Defenses Against Infection

 The skin and mucous membranes provide first-line barriers to infection.

 Phagocytic cells, inflammation, and antimicrobial proteins function early in infection.

II. How Specific Immunity Arises

 Lymphocytes provide the specificity and diversity of the immune system

 Antigens interact with specific lymphocytes, inducing immune responses and immunological memory.

 Lymphocyte development gives rise to and immune system that distinguishes self from nonself.

III. Immune responses

Helper T lymphocytes function in both humoral and cell-mediated immunity:an overview

In the cell-mediated response, cytotoxic T cells counter intracellular pathogens: a closer look

In the humoral response, B cells make antibodies against extracellular pathogens: a closer look

Invertebrates have a rudimentary immune system

IV. Immunity in Health and Disease

Immunity can be achieved naturally or artificially

The immune system’s capacity to distinguish self from nonself limits blood transfusion and tissue transplantation

Abnormal immune function can lead to disease

AIDS is an immunodeficiency disease caused by a virus.

Chapter 43 The Immune System

Overview: Reconnaissance, Recognition, and Response

• An animal must defend itself against unwelcomed intruders—the many potentially dangerous viruses, bacteria, and other pathogens it encounters in the air, in food, and in water.

• Two major kinds of defense have evolved to counter these threats.

The first kind of defense is innate immunity

• A second kind of defense is acquired immunity.

Concept 43.1 Innate immunity provides broad defenses against infection

• An invading microbe must penetrate the external barrier formed by the skin and mucous membranes, which cover the surface and line the openings of an animal’s body.

The skin and mucous membrane provide first-line barriers to infection.

Phagocytic cells and antimicrobial proteins function early in infection.

Concept 43.2 In acquired immunity, lymphocytes provide specific defenses against infection

• While microorganisms are under assault by phagocytic cells, the inflammatory response, and antimicrobial proteins, they inevitably encounter lymphocytes, the key cells of acquired immunity, the body’s second major kind of defense.

Lymphocytes provide the specificity and diversity of the immune system.

Lymphocyte development gives rise to an immune system that distinguishes self from nonself.

Antigens interact with specific lymphocytes, inducing immune responses and immunological memory.

Concept 43.3 Humoral and cell-mediated immunity defend against different types of threats

Helper T lymphocytes function in both humoral and cell-mediated immunity.

In the cell-mediated response, cytotoxic T cells counter intracellular pathogens.

In the humoral response, B cells make antibodies against extracellular pathogens.

Immunity can be achieved naturally or artificially.

Concept 43.4 The immune system’s ability to distinguish self from nonself limits tissue transplantation

• In addition to attacking pathogens, the immune system will also attack cells from other individuals.

Concept 43.5 Exaggerated, self-directed, or diminished immune responses can cause disease

AIDS is an immunodeficiency disease caused by a virus.

Terminology:

Non-self:
A widely used term in immunology, covering everything which is detectably different from an animal’s own constituents. Infectious micro-organisms, together with cells, organs or other materials from another animal are the most important non self substances from an immunological viewpoint, but drugs and even normal foods which are, of course, non-self too, can sometimes give rise to immunity.

Infection:
parasitic viruses, bacteria, protozoa, worms or fungi that attempt to gain access to the body or its surfaces are probably the chif raison d’etre of the immune system. Higher animals whose immune system is damaged or deficient frequently succumb to infections which normal animals overcome.

Natural resistance:
entry of many microorganisms is prevented or rapidly eliminated by aniticrobial defence mechanism. Others can avoid elimination and survive to cause disease.

Adaptive immune response:
the development or augmentation of defence mechanisms in response to a particular stimulus. Aka an infectious organism. It can result in elimination of the microorganism and recovery from disease and often leaves the host with specific memory, enabling it to respond more effectively with the same infections.

Vaccination:
a method of stimulating the adaptive immune response and generating memory and acquired resistance without suffering the full effects of the disease. The name comes from vacca – cow.

Autoimmunity:
the body’s own cells and molecules do not normally stimulate its adaptive immune responses because of a variety of special mechanisms which ensure a state of self tolerance, but in certain circumstances they do stimulate a response and the body is attacked by its own self.

NATURAL IMMUNITY

Interferon A family of proteins produced rapidly by many cells in response to virus infection, which block the replication of virus in other cells.

Lysozyme An enzyme secreted by macrophages, which attacks the cell wall of some bacteria. Interferon and lysozyme are sometimes described as “natural antibiotics”

Complement A series of enzymes present in serum which when activated produce widespread inflammatory effects, as well as lysis of bacteria, etc… some bacteria activate complement directly, while others only do so with the help of antibody.

PMN Polymorphonuclear leucocyte, a short-lived ;scavenger; blood cell, whose granules contain powerful bactericidal enzymes.

MAC Macrophage, a large tissue cell responsible for removing damaged tissue, cells, bacteria, etc… both PMN;s and macrophages come from the bone marrow and are therefore known as myeloid cells.

Phagocytosis (Cell eating) Engulfment of a particle by a cell. Macrophages and PMNs (which used to be called microphages) are the most important phagocytic cells. They great majority of foreign materials entering the tissues are ultimately disposed of by this mechanism.

NK (natural killer) cell a lymphocyte-like cell capable of killing some targets, notably virus0infected cells, but without the recptor or the fine specificity characteristic of true lymphocytes.

ADAPTIVE IMMUNITY

Antigen strictly speaking, a substance that stimulates the production of antibody. The term is often applied, however, to substances that stimulate any type of adaptive immune response. Typically, antiguens are foreign (nonself) and either particulate (cells bacteria, etc…) or large protein or polysaccharide molecules. But under special conditions small molecules and even self components can become antigenic.

Specific Term used to denote the production of an immune response more or less selective for the stimulus e.g. a lymphocyte which responds to, or an antibody which “fits” a particular antigen. For example, antibody against measles virus will not work against mumps.

Antibody Serum globulins with a wide range of specificity for different antigens. Antibodies can bind to and neutralize bacterial toxins, and also, by binding to the surface of bacteria, viruses or other parasites, increase their adherence to and phagocytosis by myeloid cells. This can be even further increased by the abilisty of many antibodies to activate copmplent

HELP by T cells is required for the secretion of most antibodies by B cells. There are also “suppressor” T cells which have the opposite effect.

Chapter 43: Body’s defenses Quiz

1.An Rh-postive baby is born to an Rh-negative mother. The mother is treated with antibodies specific for the Rh factor in order to

a. protect her from an inappropriate immune response.

b.prevent her from generating memory B cells specific for the Rh factor.

c.protect her future Rh-positive babies.

d.induce an immune response to Rh antibodies.

e.both b and c

2.which of the following results in long-term immunity?

a.the passage of maternal antibodies to her developing fetus.

b. the inflammatory response to a splinter

c.the administration of serum obtained from people immune to rabies

d.the administration of the chicken pox vaccine.

e.the passage of maternal antibodies to her nursing infant

3.Which of the following is not part of the body’s nonspecific defense system?

a.natural killer (NK) cells

b.inflammation

c.phagocytosis by neutrophils

d.phagocytosis by macrophages

e.antibodies

4. Which of the following molecules is incorrectly paired with a source?

a.lysozyme-tears

b.interferons-virus-infected cells

c.interleukin-1-macrophages

d.perforins-cytotoxic T cells

e.immunoglobulins-helper T cells

5. HIV targets include all of the following except

a.macrophages

b.cytotoxic T cells

c.helper T cells

d.cells bearing CD4 and fusin

e.cells bearing CD4 and CCR5

6. Which of the following best describes the difference in the way B cells and cytotoxic T cells respond to invaders?

a.B cells confer active immunity; cytotoxic T cells confer passive immunity

b.B cells kill viruses directly; cytotoxic T cells kill virus- infected cells

c.B cells secrete antibodies against a virus; cytotoxic T cells kill virus-infected cells

d.B cells accomplish cell-mediated immunity; cytotoxic T cells accomplish humoral immunity.

e.B cells respond the first time the invader is present; cytotoxic T cells respond subsequent times.

7.Which of the following is a characteristic of the early stages of local inflammation?

a.precapillary arteriole constriction

b.fever

c.attack by cytotoxic T cells

d.release of histamine

e.antibody-complement-mediated lysis of microbes

8.An epitope associates with which part of an antibody?

a.the antibody-binding site

b.the heavy-chain constant regions only

c.the variable regions of a heavy chain and light chain combined

d.the light-chain constants region only

e.the antibody tail

9.Which of the following is not true about helper T cells?

a.they function in both cell-mediated and humoral immune responses

b.they recognize polysaccharide fragments presented by class II MHC molecules

c.they bear surface CD4 molecules

d.they are subject to HIV infection.

e.when activated they secrete IL -2 and other cytokines

10. Indicate whether each of the following choices is descriptive of a B cell, cytotoxic T cell, helper T cell, or macrophage. A single feature may be descriptive of more than one type of cell.

a.develops into an antibody-secreting plasma cell

b.is phagocytic

c.bears antigen receptors called immunoglobulins

d.bears the surface molecule CD4

e.bears the surface molecule CD8

f.is an important component of nonspecific responses

g.produces cytokines such as interleukin-2 that boost both humoral and cell-mediated responses

h.mediates specific recognition of and response to a particular antigen

i.bears surface TCR and CD3

j.kills virus-infected cells

11. Indicate whether each of the following statements is consistent or inconsistent with your understanding of immune reactions.

a.when antibodies bind to a bacterium, they directly kill it within seconds

b.autoantibodies are a normal response to one’s own biological molecules

c.complement activation

d.invertebrate immune systems can distinguish self from nonself

e.the secondary immune response is slower and weaker than the primary immune response.

f.one way that antibodies mediate the death of bacteria is by activating the complement system.

12.What is hemophagia?

13. What causes hemophagia?

14. What are the treatments for hemophagia?

By: Jenesis Burton

By attending the Summer Bridge Program, I hope to gain not only new knowledge, but also new friends, experiences, and opportunities that will enrich my college experience at the University of Houston. I hope that by joining this program I can take advantage of the scholarships, enrichment workshops, computer/study facilities, and especially the mentorship program offered by the Summer Bridge Program. By taking advantage of all of these opportunities I feel that I can reach my goal of becoming an oncologist will be ever so more in reach than if I had not had the opportunity to join this program.

The student organizations are also a plus in the program, since I am hoping to fully immerse myself into the college society upon my exit of high school. In college I want to make new friends and colleagues, but I feel that because of my freshman status it will be difficult to socialize with people outside of my field of study. The various student organizations offered by the Summer Bridge Program will be an excellent opportunity to become immersed in the diversity of the University of Houston.

I know that I will be a financial drawback for my parents sending me to college. Knowing that the Summer Bridge Program will enable me to be eligible for various scholarship/stipend opportunities related to my field of study, has greatly increased my hope for attending college as a full time student – and to concentrate more of my resources towards preparation for the entrance into medical school so that I can achieve my goal of becoming a doctor.

Finally, the many conferences and symposiums – especially the Baylor College of Medicine Houston Premedical Academy Research Symposium – has caught my interest in the program like a fish hooked by a worm. Ever since I was a child, I have always had an interest in medicine. After attending my first medical conference in 2003 at Baylor during my high school entrance ceremony I have always enjoyed attending such gatherings ever since. By joining the Summer Bridge Program I hope, above all, that I will be able to attend such conferences and symposiums as the benefit of being accepted.

Student: Caesar Tin-U

Supervising Teacher: Mrs. Hicks

3100 Shenandoah Street
Houston, TX 77021
Phone: (713) 741-2410

Email: zawmintu@gmail.com

If I Were a Programmer Analyst, What a Difference I Would Make

If I were a programmer analyst, I would make Houston’s networking communication problems disappear! I would make Houston known for not only its number one medical center, but also for the renowned “mainframe city.”

Our world today is getting more technologically advanced by the millisecond. With these technical advances comes a greater need for instantaneous communication, faster computers, and more advanced computer systems to keep our lives going. As a programmer analyst I would make internetworked “hub” of computers that are able to design and implement data to reduce redundancy in communication problems between workers and enable them to increase their working capacity.

Unfortunately, in this world there are always problems that arise when great achievements are placed. Such a problem will be the widespread infection of computer viruses, since most personal computers are now connected to the Internet and to local area networks, thus facilitating the spread of malicious code. As a programmer analyst I will be responsible to ensure the safe keeping of Houston’s newly built computer mainframe, and to protect it and all of the precious data stored I will take countermeasures such as programming more advanced anti-viral programs based on code taken from previous infectious viruses, and be modified so that the program can automatically detect the presence of an unforeseen virus. The surrounding conjunctive setup of proxies, firewalls, and separated mainframes will also allow for the greater prevention of infectious programs.

Behind the scenes there are many computer systems and software that are created by programmer analysts tirelessly hard at work to create thousands of lines of flawless code. Creating such lines of code is a painstaking process that cannot effectively be done alone. To help, I will start various college programs targeting prospective computer science students to build and maintain Houston’s mainframe. To be able to work on such a massive computer system will be any computer-science major’s dream, and what more gratification will a student have to be able to test their creation on a grand scale. It could be sweet success or discouraging defeat. Hopefully this program will encourage public involvement in the growth of the city as a whole.

Providing assistance to our fellows with their malfunctioning computer system has always been a job for those who were a tad bit more “tech-savvy” than their co-workers. Understandably, a programmer analyst is not exempt from this duty. As a programmer analyst, I will help, to the best of my ability, educate as many of my co-peers how to use the new computer system that I have created, as well as address any problems or issues they might have ran into.

I look forward to doing this job, because it allows for me to physically interact with people on a one to one basis as well as be able to commit to a job that is both my hobby and passion… passion to make Houston not only the best medical center in the United States, but also the most technically advanced city.

Caesar Tin-U

Ms. Hicks

AP English Per. 2

16 February 2008

Poem Analysis Re-Write

Emily Dickenson and Robert Frost’s poems, “We grow accustomed to the Dark” and “Acquainted with the Night,” are poems of loneliness and how different people come to cope with loneliness in two different situations. Both poems are told from the author’s eyes, a first person point of view, but both are radically different in the sense of feelings associated with it. Dickenson’s poem conveys a sense of uncertainty and change while Frost is far darker, in the sense of having a stark meaning to the words that he put down on paper.

Dickenson describes her darkness such that her darkness is only presently temporary; knowing that at any time in the poem she can always turn back towards her friend’s house and go back towards the light. Even so with this fact in mind, Dickenson decides to continue on despite “Those Evenings of the Brain” otherwise known as a writer’s block. Dickenson’s poem conveys a more hopeful tone than Frost by how she is able to metaphorically “go around” obstacles as with her description of accidentally bumping into trees “Directly in the Forehead” but still being able to go on her way. Dickenson’s faith and ability to adapt to the situation also contributes to the hopeful tone of the poem that she will someday be able to see the light again, though contrasting sharply with Frost’s drudging throughout the streets.

Imagery is a very important part of both poems, though differing in presentation. Frost’s depicts his point of view in a more gothic fashion. He uses the imagery of walking in a dark, dangerous city to help the reader connect. "One luminary clock against the sky proclaimed the time was neither wrong nor right." This shows that he has faced depression and now he accepts his feelings, his chemical predisposition, though he doesn't mind the unfortunate connection. Dickenson on the other hand contrasts with Frost’s idea by how she fills her poem with images of uncertainty and doubtfulness of the road ahead of her by putting in images of her neighbor holding out the lantern at night, letting Dickenson to walk the path alone in the dark. Contrasting her from Frost though, is the fact that Dickenson inserts a glimmer of hope. She does this by saying that even though light may not be there, the moonlight luminescence will be able to guide one’s eyes when one has finally adjusted to it.

The structures of both poems place at a juxtaposition by how Frost takes on a more rigid, structural approach, consistently holding a ABAB rhyming scheme while Dickinson uses a free verse, frequently offsetting ideas with dashes, giving the poem a more thought feeling, as if the reader was with Dickenson in her thought processes.

Caesar Tin-U

Mrs. Pesin

HST Per. 5-6

10 February 2008

Journal Entry for the Week: (2/4/2008) – (2/8/2008)

(References: Courtesy of UpToDate)

Entry 1 | Tuesday, In 8:31 AM – Out 11:05 AM (2/5/2008)

Doctor Shadowed: Dr. Solomos

Pt 1: White-F-68 (Hemorritis)

Brief: The patient has multiple hemorrhages on her left leg that bleed and pus when irritated. “It itches tremendously” says the patient. Dr. Solomos recommended some over the counter Benadryl to counter the itchiness along with Epson salt and warm water to wash the wound out and stop the bleeding.

Pt 2 Whte-M-71 years (Neck Pain)

Brief: The patient complains of back and neck pain, along with a swollen lump that has been on the patient’s neck for years. Dr. Solomos, upon examination, says that the neck pain is caused by the lipoma, a benign tumor, that has started growing slightly again, and has created nerve compression in the patient’s upper neck.

Tylenol Extra was recommended for the pain, along with Omega 3 fish oils that not only have cholesterol lowering properties, but also clinically proven anti-inflammatory properties.

Pt. 3 White-M-62 years (Pain in R. Testis)

Brief: The patient came in complaining pain in his right testis, accompanied with tenderness while walking and pain while lifting. Dr. Solomos felt for the area of pain with assistance from the patient to direct him. When Dr. Sol located the region of pain, he diagnosed it as epididimitis; inflammation of the epididymis, the region right above the testis provides anchorage to the vas deferens that leads to the urethra.

Dr. Sol said that the reason for the inflammation was due to a bacterial infection that has settled in the testis. Antibiotics were prescribed.

℞: 1) Floxacin– ( Noroxin®), Norfloxacin is a DNA gyrase inhibitor. DNA gyrase is an essential bacterial enzyme that maintains the superhelical structure of DNA. DNA gyrase is required for DNA replication and transcription, DNA repair, recombination, and transposition.

Pt. 4 White-M-49 years (Physical)

HOPI: Allergens, repaired hernia

Brief: The patient, after his physical, had a conference with the doctor about the various TV ads that he has seen and what Dr. Sol’s opinion was on the validity of those advertisements. Dr. Sol explained that the drug companies and advertising agencies who produce those TV ads have to cram as much as they can in those 30 seconds they have, and therefore explain the absolute minimum of what needs to be said, thus giving the “vague” train of thought that the medication works, and works like it should.

As with any medication, “works like it should” is only a saying that varies from patient to patient…

Pt. 5 White-M-60 (Physical)

Brief: The patient just came in for a checkup of his self for the annual physical. Everything was normal except for the fact that the patient has been off of his medication for quite some time since the patient was not able to get his prescription refilled. Dr. Solomos made sure to fill the patient up so that he was good for another whole year.

℞: Zocor – Chemically known as Simvastatin, it is a is a methylated derivative of lovastatin that acts by competitively inhibiting 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase, the enzyme that catalyzes the rate-limiting step in cholesterol biosynthesis.

Pt. 6 White-M-46 years (Head Trauma)

Brief: The patient unexpectedly came into Dr. Solomos’s clinic for head trauma. His forehead was covered with two bandages and gauze that covered the gash made by his van’s sliding door. It was a simple skin wound that had no major complications. Sometimes, patients question whether or not to go to the ER or not… so I am guessing they came to Dr. Solomos in doubt.

Entry 2 |Thursday, In 8:34 AM – Out 11:06 AM (1/30/2008)

Doctor Shadowed: Dr. Sandoval; Dr. Solomos was busy with administration work.

Pt .1 White-F-41 years (Physical / WWE)

Brief: The patient came in for a well woman exam, and medical counseling for sexually transmitted diseases. The patient was slightly obese, which is an important factor in diagnosis of any possible diseases that the patient can be predisposed to.

Dr. Sandoval pointed out that the patient’s neck appeared chap and rough, precursors to that of diabetic patients, though the cause of this rough neck is unknown. With this in mind, Dr. Sandoval advised the patient to monitor her diet and exercise more frequently.

Pt 2 Hispanic - F - 18 years (Anorexia / bloodwork)

Brief: The patient is an 18 year old female that attends Lamar high school. 2 months ago, she has been clinically diagnosed as anorexic with an eating disorder, though the eating disorder has been in occurrence for well over five years.

Talking to the patient, Dr. Sand learned that since the 7^th grade (13 years) she has always had been chubby, and was frequently poked fun at because of her chubbiness. She had tried to stop eating, but would get hungry; eating as much as she can (binging) and then vomiting it all up so that she will not get fat from the foods that she has eaten. (due to the fact that she “felt guilty” for what she has done and what she is trying to accomplish)

Upon first look, one can see that the patient’s teeth are eaten away from the gastric juices that the patient has had pass though her mouth by induced vomiting. Other than that, she looks like a perfectly normal teenager from the outside, with a normal weight (110 lbs) and normal body tone. Only thing abnormal is her stunted height (5’2’’) which is probably genetic rather than growth deprivation.

The medication she is currently on is Fluoxetine, an anti depressant, and an anti-reflux pill that is a beta blocker to enable to her eat and keep her food down. Because of her 5 year habit, her body has a habit of vomiting anything that she eats.

℞: Fluoxetine – (U.S. BRAND NAMES — Prozac® Weekly™; Prozac®; Sarafem® ) It works by inhibiting CNS neuron serotonin reuptake, a hormone involved in controlling the emotions of the human body. It tries to stabilize and balance the effects and reception of this hormone. The FDA has just recently posted a request that all physicians must also take into account that this drug has suicidal properties if administered incorrectly. This request involves extending the existing box warning concerning suicidality in children and adolescents to include young adults 18-24 years of age during therapy initiation (generally first 1-2 months).

Pt 3 Hispanic-F-42 years (Medical Counseling)

Brief: The patient came in for advice on what to do about her urinary bladder problems. After having bladder surgery to correct her dropping bladder, she now has trouble holding urine, especially when she coughs, or does certain movements on impulse, such as sneezing or lifting heavy objects.

Dr. Sandoval referred her to an iridologist.

Pt 4 Hispanic-M-47 years (Physical)

Brief: Basic physical. Please cough, breathe normally, hold tight, but relax, your prostate is smooth, thank you. Only twist of this examination was that its whole entirety was that it was in Spanish.

Pt 5 Hispanic-F-57 years (Physical / WWE)

Brief: Another, but lengthier physical. Again its whole entirety was in Spanish. I learned a few new words though: Traigue – swallow, respite – resperate, otro vez- again, and others that do not currently come to mind.

℞: Zantac – clinically known as Ranitidine. It is a over the counter reflux medication that works by the competitive inhibition of histamine at H₂-receptors of the gastric parietal cells, which inhibits gastric acid secretion, gastric volume, and hydrogen ion concentration are reduced. The important thing to note and keep in mind for the patient is that it does not affect pepsin secretion.

Relation to school: During these clinical rounds, I met a lot of Hispanic patients who preferred to speak only Spanish when with their doctors. Understandably enough, I had to know, to some degree, some Spanish so that I can keep up with the patient – doctor conversation. If I had not known any Spanish at all, I would be completely lost, and if I was confronted with such a case in the future with my own patients, I would be rendered a “fool” for not being able to communicate with my own patients. Knowing how important it is to overcome a language barrier with patients, I now know how important it is to pay attention to my Spanish class so that I can do a better job in the future.

Caesar Tin-U
Mrs. Hicks
English Per. 2
5 February 2008
Hamlet Film Response

After watching Hamlet in class I was able to finally understand most of the plot and attitudes depicted by Shakespeare and those actors that tried their best to imitate the attitude that Shakespeare had intended for each character they played. What I liked especially was the acting of the protagonist actor, Hamlet, which supposedly let me see how in a real life production how Hamlet would have acted when he was feigning / was in madness. The movie also let me bring forth the characters from the text to a being, a moving picture, which enables me to better remember the character based on names and faces. The movie also helped me clarify certain aspects of the textual play that remained vague to me when I was reading the play, such as exactly where Polonius was murdered in the Queen’s chamber. At first I thought that Polonius was slain with Hamlet thrusting his sword through the bed curtains while he was in bed with the Queen, but after watching the movie it was shown that he was killed while still in hiding. Watching the film Hamlet is a very good experience that was provided since it enabled us students to learn about the various customs and traditions that had taken place during the time setting of the play that was not mentioned in the textual component of the play, but rather in the background of the motion film. Such customs and cultural aspects is the freedom of kissing on the lips within a family, a custom that is frowned upon in today’s society, the often violent duels that had taken place during the time, and the wonderful architecture of the castles that royalty lived in. The beautiful landscape that was overlaid in the background was also a wonderful supplement to the plain white background of reading black text on paper. All in all, watching the film Hamlet provided a supplemental learning experience to the textual bore of a lesson that constituted of only the book.