Can You Read My Mind...?

The problem is, when we don't find a logical answer, we settle for a stupid one. Ritual is what happens when we run out of rationale.

Friday, May 27, 2011

TOP MOVIES QUOTES that Raul far :p

1. A Walk To Remember (2002) :
Love is always patient and kind. It is never jealous. Love is never boastful or conceited. It is never rude or selfish. It does not take offense and is not resentful.

2. With Honors (1994) :
You shall no longer take things at second or third hand, not look through the eyes of the dead, nor feed on the spectres in books. You shall not look through my eyes either, nor take things from me, you shall listen to all sides and filter them from yourself
3. The Lovely Bones (2009) :
If I had but an hour of love, If that be all that is given me, An hour of love upon this earth, I would give my love to thee.
4. Love in the Time of Cholera (2007) :
I discovered to my joy, that it is life, not death, that has no limits.
5. The Brave One (2007) :
I always believed that fear belonged to other people, weaker people, and that it never touched me. And then it did. And when it touches you, you know that it's been there all along, waiting beneath the surfaces of everything you loved.

Thursday, May 26, 2011

Pause Dependent Torsade de Pointes caused by amiodarone administration complicated by thyroid heart disease

31 years old female admitted
to ER with chief complaint syncope since 4 days ago. She just had undergone P1A0L1 spontaneous parturition 2 months ago, and in breast feeding period. She feels fatigue, palpitation and over-sweating since she delivered her baby. No history of congenital heart disease, hypertension in pregnancy, and this is the first time she got detected an arrhytmia.
Early VS :
Compos mentis, BP 90/50,HR 101x/min,RR 28x/min,Temp 36,0 C.
No detectable murmur, irregular pulses, no rhonchi, no wheezing. No enlargement of spleen and liver, with normal peristaltic sounds. No lower extremity edema.
ECG : VES bigemini running to Ventricular tachyarrhytmia.
Lab : Trombocyte=145.000;Ht=41%;
Random blood sugar=101mg/dl; Calcium=8.4mg/dl;
patient has administered Amiodarone 150
mg pushed;
continue with maintenance Kendaron drip 600mg
(start 2.1cc/hours) and suggested to check plasma
magnesium and thyroid function.
40 mins after admission, patient had undergone monomorphic VT followed by general tonic clonic seizure and GP decided to give cardioversion.
Neurology consultation suggested to prepare diazepam intravenous 10 mg pushed slowly. Neurologist recommendation to control metabolic deterioration and manage the tachyarrhytmia.
After 200 joules shock for 2 times, ECG changed back to VES bigemini multifocal but with worsening pattern of ECG that tend to show running VT.
After 5 hours treatment, patient developed to many forms of tachyarrhytmia :monomorphic VT-polymorphic, VT(Torsade de Pointes)-T wave alternans.

Result for plasm magnesium=1.9meq/l and
thyroid function:TSH=4.5 mcg/ml;
FT4=35 mg/dl;T3=2.8 mmol/l &T4=165 mg/dl.

In this scenario, General Practitioner had misdiagnosed patient without considering thyroid involvement in patient's arrhytmia. So, as a general guidelines for Ventricular tachyarrhytmia, GP gave amiodarone as drug of choice for this patient. Au contraire, Amiodarone worsening the patient's condition.
After Amiodarone's restriction, and 2 gr intravenous magnesium drip, patient start reducing her refractory Torsade de Pointes along the fits and back to the early ECG pattern when she came to the hospital.
Next question is, what are drugs that should she has for her arrhytmia.

Tuesday, May 24, 2011

By : Walt Whitman

You shall no longer take things at second or third hand,
not look through the eyes of the dead,
nor feed on the spectres in books.

You shall not look through my eyes either,
nor take things from me,
you shall listen to all sides and filter them from yourself

Friday, May 20, 2011

Sweden Tour with Frey's eyes :) PART 1 : Flower

Beautiful part of the world that I haven't seen.

Thanks for beautiful pics Uncle Jeff. I hope you won't be bored to send them to me.


Tuesday, May 17, 2011

Folktales you've had

Uncle Jeff said :
How we can expect us to believe that the children listening to their parents………when TARZAN living half-naked, CINDERELLA coming home after midnight, PINOCCHIO lies all the time, ALADDIN is the king of the thieves, PRINCESS AURORA is lazy and SNOW WHITE living together with 7 dwarfs.
We shouldn't be surprised when the children mismanage themselves, they get it from the folktales.

Monday, May 09, 2011


If you can keep your head when all about you
Are losing theirs and blaming it on you;
If you can trust yourself when all men doubt you,
But make allowance for their doubting too:
If you can wait and not be tired by waiting,
Or, being lied about, don't deal in lies,
Or being hated don't give way to hating,
And yet don't look too good, nor talk too wise;

If you can dream---and not make dreams your master;If you can think---and not make thoughts your aim,
If you can meet with Triumph and Disaster
And treat those two impostors just the same:.
If you can bear to hear the truth you've spoken
Twisted by knaves to make a trap for fools,
Or watch the things you gave your life to, broken,
And stoop and build'em up with worn-out tools;

If you can make one heap of all your winnings
And risk it on one turn of pitch-and-toss,
And lose, and start again at your beginnings,
And never breathe a word about your loss:
If you can force your heart and nerve and sinewTo serve your turn long after they are gone,
And so hold on when there is nothing in you
Except the Will which says to them: "Hold on!"

If you can talk with crowds and keep your virtue,
Or walk with Kings---nor lose the common touch,
If neither foes nor loving friends can hurt you,
If all men count with you, but none too much:
If you can fill the unforgiving minute
With sixty seconds' worth of distance run,Yours is the Earth and everything that's in it,
And---which is more---you'll be a Man, my son!

Friday, May 06, 2011

Friday Contemplation


"So today no soul will be wronged at all, and you will not be
recompensed except for what you used to do." (Ya-Sin 36:54)

O Allah the Creator of the sky and the earth the Knower of the hidden and the apparent, the Most Kind (and) generous. I promise Thee that I had been all the time giving evidence that there is no God except Thee and Thou art One that has no partner and that Muhammad (blessings of Allah be on him & his progeny) is Thy servant and Thy Prophet. And the Day of Resurrection will definitely come. And there is no doubt about it that the people who are dead and buried, You will give them life once more. And Your taking account is justified, and Paradise is justified, and all the rewards which are promised in Paradise whether they are concerned with eating or drinking & Nikah are all justified and Hell is justified and faith is justified, and faith is as you have made it. Islam is as You have sanctioned according to Shariat, whatever things you have said remain as they are, Quraan-e-Majid remains as You have revealed. and verily You are the Almighty and Justified God and in this world I once more take an oath that Thou, I agree, art the only God, Islam is the religion, Muhammad (Blessing of Allah be on him and his progeny) is the prophet, and Ali is the Imam and the Holy Quran is the Book and Verily Ahlul Bait of your prophet (peace be on them) are the imams. O Allah Thou art my Trust during my hardship; and my Hope during my trouble; and my Reliance for my matters which befall me and You are my Guardian in my bliss; and my God and God of my parents Send blessing on Muhammad and his progeny and do not leave me to my self for twinkling of my eye at any time; and grant me safety in my loneliness; and make for me with Yourself a Pledge on the day I meet you on being raised up.

Today, I saw a death of my neighbor that makes me think that life really can be so hard to lived for. He left a very beloved wife and 5 children. And, how a woman without having experience in financial responsibility can handle all aspect of their life, children's education, daily needs, emergency saving, and all of household equipment.
If it happened to you, how scared are you?
The most thing that can calm me only Allah's promises that I read on Al-Qur'an. Allah will never give a trial to humans if they can't face it. So, it have already answered that people who been given suffers are the people who believed by Allah can pass it. Be strong brothers and sisters. You may cry, you may upset, you may grieve, but you may not lose your hope. When you have no hope, that's the end of your life. Hope that always make human survive till now. Hope that can relief your pain, and hope that can make you open to other humans. Among those hope, you must pray to God, and ask your particular wish that will make your life better, and don't forget to give many dua s to your beloved family that had left you. Hopefully Someday, if your good deed save you in afterlife, may we can meet each other. Amin