Alexeis' Blog

Documenting adventures and random thoughts
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Watched these movies today (Buried, Seven) and yesterday (The Game)

This list was taken from a list in the couchpopcorn website, and I’m glad to say I wasn’t disappointed. 

The Game was an enigma the whole movie. My mind kept switching back and forth throughout the movie, whether Michael Douglas was just being toyed with, or if he really was deceived. Watch it for yourself to find out.

Buried was bizarre in the sense that you wouldn’t think that an hour and thirty minutes would pass with the entire movie depicting just a single actor, and a single location, and you would be at the edge of your seat for every new element introduced in the film. And factor in the social and cultural undertones in the film, about war and injustice. Commendable acting by Ryan Reynolds.  Simple, brilliantly executed. 

Seven isn’t just your usual detective story. Another Fincher masterpiece, it will keep you guessing at how the story’s going to turn out in the end. The theme of the movie was intelligently utilized, especially at most climactic scene of the movie. Made almost two decades ago, but a marvelous film to watch even in this day and age. 

I also watched the Layer Cake but didn’t find it as spectacular as the aforementioned ones. The author of the list told me to pay attention while watching the movie to fully appreciate it. But I’m guessing that even if I did, it wouldn’t trump or even be at par with the other movies I mentioned. I felt like the movie was half - baked, if you take it within the context of being an action film with a subtle pinch of mind warping. 

Three great movies, and one average one. 

These past two days also made me realize that I enjoy watching films that make you think, that have a dark and foreboding element to them, not pure thriller types, or movies that mess with your mind. Inception, Eternal Sunshine of the Spotless Mind come to mind, along with the aforementioned ones. 

I think the only problem I have is that there are a few times in the film when my patience or attention span wavers, and I end up pausing the movie countless times to tinker with my phone or check facebook. To really enjoy these films, you have to be focused and follow the plot with utmost concentration.

Perhaps tomorrow would be a rest from all these enigmatic movies.  Avatar would be a good substitute, the one released 5 years ago, directed by James Cameron. After that, perhaps I’ll feast my eyes and ear on “Memento”, another movie on the list. 

Praise to the actors for wonderfully bringing life and death, sorrow and joy, alive; to the writers who craft the conversations beautifully with their words; and directors for their discipline and skill to masterfully fuse elements of both, and prune what is unnecessary, like a game of trial and error for a palatable cake recipe. 

“Certain things leave you in your life and certain things stay with you. And that’s why we’re all interested in movies- those ones that make you feel, you still think about. Because it gave you such an emotional response, it’s actually part of your emotional make-up, in a way.” 

― Tim Burton

Almost done! Abstaining from playing has led me to spend my free time on reading. 

After this, I’m considering reading A Thousand Splendid Suns, because I find Hosseini’s style captivating, direct yet fluroushing with poignant, trivial details that reveal the deep under the mundane. 
Although trivial, any mention of medical jargon in the book livens me up, because I can understand how he can describe medical terms and  ideas with vivid simplicity. My friend told me that he is a doctor. Upon further research, I learned that he abandoned his practice of medicine ten years ago to become a full - time author. 
And then, perhaps another different author or genre. Open to suggestions. 
A question mark, so the tumblr community can respond. .

”?”

Almost done! Abstaining from playing has led me to spend my free time on reading. 

After this, I’m considering reading A Thousand Splendid Suns, because I find Hosseini’s style captivating, direct yet fluroushing with poignant, trivial details that reveal the deep under the mundane. 

Although trivial, any mention of medical jargon in the book livens me up, because I can understand how he can describe medical terms and  ideas with vivid simplicity. My friend told me that he is a doctor. Upon further research, I learned that he abandoned his practice of medicine ten years ago to become a full - time author. 

And then, perhaps another different author or genre. Open to suggestions. 

A question mark, so the tumblr community can respond. .

”?”

sheenalovessunsets:

image

When Jesus was asked what the greatest commandment was, He replied that it was to love God and the second was to love others (see Matthew 22:36-40). It was all about relationships. How do your relationships fare in your life?

I’ve always said that it’s all about balance and priorities.

Today, I delete the program from the computer. 

I’ve done it twice already, but reinstalled the game immediately. By putting it in writing, I hope that I can internalize some finality to this decision. 

This is in light of the resumption of classes, which is three weeks away for me, but hopefully would be used to prepare for my first rotation , OB. 

Goodbye hearthstone, for now.

Greetings, clerkship.

mynotes4usmle:

ANTIBIOTICS CHEAT SHEET :)

Also, REMEMBER!!!!

* Sulfonamides compete for albumin with:

  • Bilirrubin: given in 2°,3°T, high risk or indirect hyperBb and kernicterus in premies
  • Warfarin: increases toxicity: bleeding

Beta-lactamase (penicinillase) Suceptible:

  • Natural Penicillins (G, V, F, K)
  • Aminopenicillins (Amoxicillin, Ampicillin)
  • Antipseudomonal Penicillins (Ticarcillin, Piperacillin)

Beta-lactamase (penicinillase) Resistant:

  • Oxacillin, Nafcillin, Dicloxacillin
  • 3°G, 4°G Cephalosporins
  • Carbapenems 
  • Monobactams
  • Beta-lactamase inhibitors

* Penicillins enhanced with:

  • Clavulanic acid & Sulbactam (both are suicide inhibitors, they inhibit beta-lactamase)
  • Aminoglycosides (against enterococcus and psedomonas)

Aminoglycosides enhanced with Aztreonam

* Penicillins: renal clearance EXCEPT Oxacillin & Nafcillin (bile)

* Cephalosporines: renal clearance EXCEPT Cefoperazone & Cefrtriaxone (bile)

* Both inhibited by Probenecid during tubular secretion.

* 2°G Cephalosporines: none cross BBB except Cefuroxime

* 3°G Cephalosporines: all cross BBB except Cefoperazone bc is highly highly lipid soluble, so is protein bound in plasma, therefore it doesn’t cross BBB.

* Cephalosporines are ”LAME" bc they  do not cover this organisms 

  • L  isteria monocytogenes
  • A  typicals (Mycoplasma, Chlamydia)
  • RSA (except Ceftaroline, 5°G)
  •  nterococci

image

* Disulfiram-like effect: Cefotetan Cefoperazone (mnemonic)

* Cefoperanzone: all the exceptions!!!

  • All 3°G cephalosporins cross the BBB except Cefoperazone.
  • All cephalosporins are renal cleared, except Cefoperazone.
  • Disulfiram-like effect

* Against Pseudomonas:

  • 3°G Cef taz idime (taz taz taz taz)
  • 4°G Cefepime, Cefpirome (not available in the USA)
  • Antipseudomonal penicillins
  • Aminoglycosides (synergy with beta-lactams)

* Covers MRSA: Ceftaroline (rhymes w/ Caroline, Caroline the 5°G Ceph), Vancomycin, Daptomycin, Linezolid, Tigecycline.

Covers VRSA: Linezolid, Danupristin/Quinupristin

* Aminoglycosides: decrease release of ACh in synapse and act as a Neuromuscular blocker, this is why it enhances effects of muscle relaxants.

* DEMECLOCYCLINE: tetracycline that’s not used as an AB, it is used as tx of SIADH to cause Nephrogenic Diabetes Insipidus (inhibits the V2 receptor in collecting ducts)

* Phototoxicity: Q ue S T  ion?

  • uinolones
  • Sulfonamides
  • T etracyclines

image

* p450 inhibitors: Cloramphenicol, Macrolides (except Azithromycin), Sulfonamides

* Macrolides SE: Motilin stimulation, QT prolongation, reversible deafness, eosinophilia, cholestatic hepatitis

Bactericidal: beta-lactams (penicillins, cephalosporins, monobactams, carbapenems), aminoglycosides, fluorquinolones, metronidazole.

* Baceriostatic: tetracyclins, streptogramins, chloramphenicol, lincosamides, oxazolidonones, macrolides, sulfonamides, DHFR inhibitors.

Pseudomembranous colitis: Ampicillin, Amoxicillin, Clindamycin, Lincomycin.

QT prolongation: macrolides, sometimes fluoroquinolones

For future reference!

(via inthewards)

Clerkship mantra

Clerkship mantra

Such an amazing live performance

Spent the weekend at Pinsal Falls in Sta. Maria, Ilocos Sur. 

It was another adrenaline - filled weekend. Again, I relished every moment that my bare feet found rock as I clambered atop boulders and descended the rocky terrains. 

I also developed a new skill: skipping stones. :) I figured out some principles in the 20 minutes we threw rocks.

  • Find rocks that are flat
  • Throw the stone as parallel to the water’s surface as possible
  • Throw hard! Use your entire arm, but time the throw to come from the wrist

Here are some photos of our second water - filled excursion this summer. 

The last shot was also taken atop the waterfalls. Behind and below me, unseen in the picture, is where we came from, a deep open void where water falls.

My brother has some really nice shots. Again, I’m either just smiling or pointing my thumbs up. Hahaha.