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Guide to mental status examination

Mental Status and Behavior: Guide to Physical Diagnosis from LanceIsidoreCatedral Here's my lecture on how to perform mental status examination, which I'm delivering today. Feel free to download the slide set, but please link to this website if you plan to use some slides.
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Homecooked meals

Something to ponder in church today: James 2:1-4:  My brethren, do not hold the faith of our Lord Jesus Christ, the Lord of glory, with partiality. For if there should come into your assembly a man with gold rings, in fine apparel, and there should also come in a poor man in filthy clothes, and you pay attention to the one wearing the fine clothes and say to him, “You sit here in a good place,” and say to the poor man, “You stand there,” or, “Sit here at my footstool,” have you not shown partiality among yourselves, and become judges with evil thoughts? Whenever I visit a church for the first time, I'm always amazed at the warmth of the welcome extended to me. Hospitality is one of those rare, precious, often underestimated gifts that draw outsiders to the body of Christ. I was in Bangkok a few years ago when I was invited to a potluck lunch at a Filipino church. They do this to all visitors, regardless of status. The after-church fellowship over home cooked meals may be a key to t

P's wake

P's wake was at a funeral parlor along the highway. When I arrived at 7:30 in the evening to pay my respects, the parking lot was full. I turned right, parked by the sidewalk, and braved the steady rain with my jacket on. She was in the smallest room that could fit her casket, three wooden benches, and a small table at the back where packets of instant coffee and snacks were offered. I saw P's parents, sister, and some of our classmates I've not seen for years. We had our photo taken in front, careful to cover much of the casket and to show only her radiant wedding photo in the background. There was small talk and laughter. The only way to honor the dead is to bring them up in memory. I asked permission if I could tell the story of P's diagnosis, the difficulty of finding the right concoction of chemotherapy, the joy of seeing her respond favorably to treatment, the disappointment of learning the cancer had come back much stronger. Enyek, Yaya M, Pretty Shean, Dans, and

San Francisco, Camotes Island, Cebu

Rough translation:  Don't use the (toilet) bowl because it's clogged. Thank you for understanding.  Please don't leave your dirt in the restroom. Where should I urinate, if the bowl is off limits? 

Brief life update

Can't believe it's been a while since I'd last updated this site. Must tell myself to let go and let the sentences flow. This is, after all, a blog, where errors are expected because there are no external editors, no second pairs of eyes to read through the entries—the outputs are overflows of my thoughts.  A cloudy Monday today. No clinics today but must do rounds. Hoping to finish early so I can have the afternoon free. Been reading Ted Chiang's short stories and Thoreau's journals over the weekend.  Feeling under the weather, but God's strength sustains.

Radio interview and a classmate's death

Got off a radio interview yesterday. Forced myself to go, even if I was feeling down with something. Had already committed to do it weeks ago in behalf of the local medical society. The interview took place at the Brigada studio at 8:30 AM. Brigada Arjean asked pointed and smart questions. I talked about cancer and how to prevent and screen for it. My Hiligaynon needs work. Could do better if I listened to local radio more.  During the program, I thought of my high school classmate P who died early that morning. Metastatic breast cancer. She fought hard, with her everything. We’d been through different lines of chemo. Her family wanted to do everything. Saw P’s mother and sister, settling bills and arranging for the transfer to the funeral parlor. They said, “Thank you, Doc. At least we extended her life for two years.” Threw away all caution and hugged them.