WANTED! BEWARE! MAGNANAKAW NA KATULONG! (aka RINA) Mag-ing... on Twitpic
WANTED! BEWARE! MAGNANAKAW NA KATULONG! (aka RINA)
Mag-ingat sa taong ito, magpapanggap siyang katulong kukunin ang iyong tiwala tapos pagnanakawan ka.
Pakikalat po. Naka-blotter na siya sa barangay at sa pulis.
Kung sakaling kilala nyo o makita niyo siya, Text or Call 09224386924 / 09223626635
Wednesday, June 23, 2010
Friday, October 17, 2008
sample transcription wavfile to microsoft word
DESCRIPTION: MRI brain and PET scan. Dementia of Alzheimer’s Type with primary parieto-occipital involvement.
CHIEF COMPLAINT: Memory difficulty.
HISTORY: This 64-year-old right handed male had had difficulty remembering names, phone numbers, and events for the past 12 months prior to presentation on 2/28/95. This had been called to his attention by the clerical staff in his parish. He was a Catholic priest. He had no professional or social faux pas or mishaps due to his memory. He could not tell whether his problem was becoming worse, so he brought himself to the neurology clinic on his own referral.
MEDICATIONS: None.
PREVIOUS MEDICAL HISTORY: Appendectomy, tonsillectomy, childhood pneumonia, and allergy to sulfa drugs.
FAMILY HISTORY: Both parents experienced memory problems in their 9th decade but not earlier. Five siblings have had no memory troubles. There is no neurological illness in his family.
SOCIAL HISTORY: Catholic priest. Denied tobacco or illicit drug use.
EXAMINATION: Blood pressure 131/74 mmHg, heart rate 78, respiratory rate 12, temperature 36.9°C, weight 77 kg, height 178 cm.
MENTAL STATUS: A&O to person, place and time; 29/30 on MMSE, 2/3 of recall at 5 minutes, 2/10 word recall at 10 minutes. Unable to remember the name of the president. Twenty-three words 60 seconds on Category fluency testing, which is normal. Mild visual constructive deficit.
The rest of the neurological examination was unremarkable the there were no extrapyramidal signs of primitive reflexes noted.
COURSE: TSH 5.1, T4 7.9, RPR non-reactive. Neuropsychological evaluation, 3/6/95, revealed: 1)well preserved in electrical functioning and orientation, 2)significant deficits in verbal and visual memory, proper naming, category fluency and working memory, 3)performances which were below expectations on tests of speed of reading, visual scanning, visual constitution, and clock drawing, 4) limited insight into the scope and magnitude of cognitive dysfunction. The findings indicate multiple areas of cerebral dysfunction. With the exemption of the patient’s report of minimal occupational dysfunction, which may reflect poor insight. The clinical picture is consistent with regressive dementia syndrome such as Alzheimer disease. MRI brain, 3/6/95, showed mild generalization of atrophy. More severe on occipital-perineal regions.
In 4/96, his performance on repeat neuropsychological evaluation was relatively stable. His verbal learning and delayed in recognition were within normal limits, whereas delayed in recall was moderately severely impaired. Immediate and delayed visual memory was slightly below expectations. Temporal organizations and expressive language skills were below expectation, especially in word retrieval. These findings were suggestive of particular but not exclusive involvement of temporal lobes.
On 9/30/96, he was evaluated for 5 minute spell of visual loss, OU. The episode occurred on Friday 9/27/96 in the morning while sitting in his desk doing paperwork. He suddenly felt that his gaze was pulled towards the pile of letters; then a “curtain” came down over both visual fields “like everything was in a shade” he said. During the episode he got fully alert and aware of his surroundings. He concurrently heard a grating sound in his head. After the episode, he made several phone calls, during which he reportedly sounded confused and perseverated about opening a bank account. He then drove to visit his sister in Iowa, without accident. He was reportedly “normal” when he reached her house. He was able to perform mass over the weekend without any difficulty. Neurologic examination 9/30/96, was notable for: 1)category fluency score is 18 items in 60 seconds, 2)VFFTC and EOM were intact. There was no RAPD, INO, loss of visual acuity. Glucose 178(elevated), ESR liquid profile, GS, CBC with differential. Carotid duplex scan, EKG and EEG were all normal. MRI brain on 9/30/96 was unchanged from previous on 3/6/95.
On 1/3/97 he had a 30 second spell of lightheadedness without vertigo but with balance difficulty after picking up a box of books. Episode was felt due to orthostatic changes.
On 1/8/97 neurological evaluation was stable and his MMSE score was 25/30, with deficits in visual construction, orientation and 2/3 recall at 1 minute. Category fluency score 23 items/60 seconds. Neurologic examination was notable for graphesthesia in the left hand.
In 2/97, he had episodes of anxiety, marked fluctuations in the job performance and resigned his pastoral position. His neurologic examination was unchanged. An FDG-PET scan on 2/14/97 revealed decrease uptake in the right posterior temporal-parietal and lateral occipital regions.
CHIEF COMPLAINT: Memory difficulty.
HISTORY: This 64-year-old right handed male had had difficulty remembering names, phone numbers, and events for the past 12 months prior to presentation on 2/28/95. This had been called to his attention by the clerical staff in his parish. He was a Catholic priest. He had no professional or social faux pas or mishaps due to his memory. He could not tell whether his problem was becoming worse, so he brought himself to the neurology clinic on his own referral.
MEDICATIONS: None.
PREVIOUS MEDICAL HISTORY: Appendectomy, tonsillectomy, childhood pneumonia, and allergy to sulfa drugs.
FAMILY HISTORY: Both parents experienced memory problems in their 9th decade but not earlier. Five siblings have had no memory troubles. There is no neurological illness in his family.
SOCIAL HISTORY: Catholic priest. Denied tobacco or illicit drug use.
EXAMINATION: Blood pressure 131/74 mmHg, heart rate 78, respiratory rate 12, temperature 36.9°C, weight 77 kg, height 178 cm.
MENTAL STATUS: A&O to person, place and time; 29/30 on MMSE, 2/3 of recall at 5 minutes, 2/10 word recall at 10 minutes. Unable to remember the name of the president. Twenty-three words 60 seconds on Category fluency testing, which is normal. Mild visual constructive deficit.
The rest of the neurological examination was unremarkable the there were no extrapyramidal signs of primitive reflexes noted.
COURSE: TSH 5.1, T4 7.9, RPR non-reactive. Neuropsychological evaluation, 3/6/95, revealed: 1)well preserved in electrical functioning and orientation, 2)significant deficits in verbal and visual memory, proper naming, category fluency and working memory, 3)performances which were below expectations on tests of speed of reading, visual scanning, visual constitution, and clock drawing, 4) limited insight into the scope and magnitude of cognitive dysfunction. The findings indicate multiple areas of cerebral dysfunction. With the exemption of the patient’s report of minimal occupational dysfunction, which may reflect poor insight. The clinical picture is consistent with regressive dementia syndrome such as Alzheimer disease. MRI brain, 3/6/95, showed mild generalization of atrophy. More severe on occipital-perineal regions.
In 4/96, his performance on repeat neuropsychological evaluation was relatively stable. His verbal learning and delayed in recognition were within normal limits, whereas delayed in recall was moderately severely impaired. Immediate and delayed visual memory was slightly below expectations. Temporal organizations and expressive language skills were below expectation, especially in word retrieval. These findings were suggestive of particular but not exclusive involvement of temporal lobes.
On 9/30/96, he was evaluated for 5 minute spell of visual loss, OU. The episode occurred on Friday 9/27/96 in the morning while sitting in his desk doing paperwork. He suddenly felt that his gaze was pulled towards the pile of letters; then a “curtain” came down over both visual fields “like everything was in a shade” he said. During the episode he got fully alert and aware of his surroundings. He concurrently heard a grating sound in his head. After the episode, he made several phone calls, during which he reportedly sounded confused and perseverated about opening a bank account. He then drove to visit his sister in Iowa, without accident. He was reportedly “normal” when he reached her house. He was able to perform mass over the weekend without any difficulty. Neurologic examination 9/30/96, was notable for: 1)category fluency score is 18 items in 60 seconds, 2)VFFTC and EOM were intact. There was no RAPD, INO, loss of visual acuity. Glucose 178(elevated), ESR liquid profile, GS, CBC with differential. Carotid duplex scan, EKG and EEG were all normal. MRI brain on 9/30/96 was unchanged from previous on 3/6/95.
On 1/3/97 he had a 30 second spell of lightheadedness without vertigo but with balance difficulty after picking up a box of books. Episode was felt due to orthostatic changes.
On 1/8/97 neurological evaluation was stable and his MMSE score was 25/30, with deficits in visual construction, orientation and 2/3 recall at 1 minute. Category fluency score 23 items/60 seconds. Neurologic examination was notable for graphesthesia in the left hand.
In 2/97, he had episodes of anxiety, marked fluctuations in the job performance and resigned his pastoral position. His neurologic examination was unchanged. An FDG-PET scan on 2/14/97 revealed decrease uptake in the right posterior temporal-parietal and lateral occipital regions.
Monday, August 25, 2008
BODYCOMBAT
BODY COMBAT is a non-contact martial arts workout which involves different disciplines like Karate, Taekwondo, Kung Fu, Kick Boxing, Muay Thai, Tai Chi,etc. Moves are choreographed in advance for the enjoyment of gym addicts with accompanying music. Punches, kicks, blocks, fakes, karate stances, take downs, knee and elbow strikes are all taught. Proper execution is encouraged for maximum workout and safety. These moves are accompanied with music, totaling to 10 tracks which delivers maximum results in a minimum amount of time.
BENEFITS
Improves heart and lung function.
Muscle tone.
Burns calories.
Improves coordination, agility and flexibility.
Better bone density.
Core strength and stability.
Self-confidence.
Try it and you will surely love it. We did........
CELLPHONES
When i was young the only means of communication was in the form of letters, cards, telegraph, which usually takes time before the recipient receives the messages. You also have to shell out some cash in order to send your message and it takes time; days, weeks, months, sometimes years (believe it or not). And if worse comes to worse your letter or card may even get lost. I remember when you have to meet someone or if you have a date you just agree to meet at a particular spot or place, synchronize your watches and hope he or she doesn't arrive late. Some instances guys don't meet at all.
Well fortunately for todays generation, communication now is easy. We now have cellphones!!!! Our friends are just a text or a call away. We can meet without prior agreements. We can schedule meetings or dates on the spot without prior notices. Plus we can talk or communicate instantly without the hassle of looking for a payphone. Messages are also sent easily whether your greeting someone a happy anniversary or birthday. Near or far messages are received instantly in a matter or seconds without any hassles. The use of letters and sending of cards are now obsolete.
Thanks to modern technology communication is now easy and hassle free. Who knows what these brilliant inventors can think of next....
Well fortunately for todays generation, communication now is easy. We now have cellphones!!!! Our friends are just a text or a call away. We can meet without prior agreements. We can schedule meetings or dates on the spot without prior notices. Plus we can talk or communicate instantly without the hassle of looking for a payphone. Messages are also sent easily whether your greeting someone a happy anniversary or birthday. Near or far messages are received instantly in a matter or seconds without any hassles. The use of letters and sending of cards are now obsolete.
Thanks to modern technology communication is now easy and hassle free. Who knows what these brilliant inventors can think of next....
Saturday, August 9, 2008
I love cars
I love cars. I think I started liking cars when I was in my college years. Maybe because girls dig guys with cars. Off course a hot chick would like to go out with a guy with wheels. And during those days I believe that one can be famous if you own a nice car. I had college at CEU. This is a school located at Mendiola, Manila, and I live in Quezon City. My travel time was 1-2 hours depending on the condition of the traffic. Bringing my heavy bag filled with school paraphernalia like notebooks, books, and dental materials. I was in dental school. At first everything was ok with me ‘cause I am gifted with a lot of patience. Traveling to school for 1 to 2 hours while hanging on to my big bag was no big deal to me. But as the years pass, I started to wonder how great it would be to have a car in going to school. Imagine, I don’t have to rush early in the morning in order to get a ride (most of the time the transport vehicles are full to the max during rush hours). I won’t get wet during rainy days. I won’t have to carry my heavy bag ‘cause I can just place it in the compartment and go.
And so after graduating from college and passing the dental board examinations my primary goal was to be able to buy a car. I started saving my earnings. It was not easy. Actually it took me 8 years before I could buy my own car. Haha. But it was worth it………
And so after graduating from college and passing the dental board examinations my primary goal was to be able to buy a car. I started saving my earnings. It was not easy. Actually it took me 8 years before I could buy my own car. Haha. But it was worth it………
Wednesday, April 30, 2008
MILK TEETH
Kids eruption of their first teeth (a.k.a. milk teeth, deciduous teeth, primary teeth or more commonly baby teeth) is considered as one of the developmental milestones of each and every person. A child's smile with the presence of their first teeth (doesn't matter if there's only 1 or more) is always a mainstay of the baby's first few pictures. Joy always fills the hearts of adults whenever there are signs of teething. But the big question is "does one know what to do when teething comes or how does one know that teething is coming". Here are a few tips.
AGE OF THE BABY.
Basing on my experience as public health dentist most front teeth erupt first. This usually occurs from 6 months to 9 months according to dental books. But it is most common at age 9 months (charge to experience).
However, every individual is different. I have seen some had teeth at 4 months, and some as late as 12 months. Others even had their eruptions at 13 to 14 months.
Some parents worry when there is a delay in the eruption of their baby's teeth. Some even inquire what they should do to speed up the eruption of their baby's teeth. Well my advise is to always be PATIENT. It's not an abnormality if your child had an early or late eruption. Heredity is said to have a role. Environmental conditions, health and nourishment of the mother during conception MAY also play a role.
Baby teeth total to 20. Ten on the upper jaw and another 10 on the lower jaw. The incisors or the front teeth are usually the first to erupt, followed by the 1st molars, the cuspids or canine, and lastly the 2nd molars. Baby teeth should be complete by age 3.
The incisors are composed of 2 kinds of teeth. The central incisors and the lateral incisors. Their function is for cutting food. The canines or the cuspids are for tearing the food. These are found on the corners of the mouth. The 1st and 2nd molars are for grinding the food. Each tooth has its own location and function in the oral cavity or the mouth.
SIGNS OF TEETHING
Each individual experiences different signs and symptoms. Some had a hard time during the eruption stage while others feel nothing at all.
1. BITING. Most babies bite at anything they can get hold to. This is to relieve the pain or pressure they feel during teething. The counter pressure helps relieve the pain the baby experiences. This can be managed by providing a teether to the infant. Just make sure it is clean to prevent diarrhea.
2. FEVER. Sometimes fever is present during the teething process. However, I always advise my patients to have a check-up from their pediatrician. It is wrong and maybe dangerous to believe that your baby's fever is due to teething. Sometimes it is due to the eruption of the milk teeth but sometimes it may be due to other conditions or illnesses. The child may already have a fracture due to a bad fall which is the reason for the fever and treatment is delayed because of mis-diagnosis.
3. APPETITE LOSS. Sometimes infants loose their appetite due to the pain felt. This can be managed by giving soft cold food. This is very helpful.
4. DROOLING OF SALIVA. This is very common in infants during teething. This is usually the cause of rashes on the chin. Manage this by wiping the saliva and by maintaining the chin dry.
5. DIARRHEA. This is also common, however, there is no medical proof that diarrhea is caused by teething. To be sure have a check-up from your pediatrician to rule out other diseases.
Subscribe to:
Posts (Atom)
