Tag Archives: jag

OPLAN PAG-Aksyon Sa Altapresyon

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Team MediSinai has re-surveyed 149 households and was able to take the blood pressure of 223 individuals. Among the 223 individuals, 84 individuals were identified with pre-hypertensive blood pressure, 32 individuals with stage 1 hypertension and 54 individuals are considered to be with stage 2 hypertension.

This exposure, the group was able to meet with the core group and had a retraining on proper blood pressure taking. Some of the members were new, because the group decided to switch members due to their lack of compliance to the responsibilities. This time around, the members were asked to sign a contract stating their roles and responsibilities. They were even introduced to the people during the FDS meeting last October 3, 2018.

Another plan to control hypertension is to change or rather, improve their diet. The group decided to create a communal garden per purok. This was proposed to the barangay officials and was given a go signal. The group then visited the Department of Agriculture, Provincial office, to acquire seeds and other help they could offer. The group then inquired about vermicasting to be done in partnership with the Solid Waste Management health plan to better re-use biodegradable waste other than just dumping it in a compost pit.

Future plans include distribution of BP monitoring booklets and having a pill count for identifies hypertensives. Cooking demonstrations in partnership with the Malnutrition health plan will also be done to encourage hypertensives to cook a balanced meal with lesser salt, and basically present the DASH diet. Herbal plants would also be discussed and which of these are DOH-approved. Proper preparation will also be discussed.

Overall, hypertension is one of the problems that all communities face. Until the next update!

-Jayvalikka

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What’s the Hype on Hypertension?

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Hypertension is one of the scariest conditions any person could have. First, because it is generally asymptomatic. Second, it becomes a stepping stone for other diseases. Lastly, once you have hypertension, you’ll always have it.. (may forever sa hypertension). That’s why hypertension is a big deal! It not only causes problems to your heart and blood vessels, it also causes problems to other organs like the kidney, liver and even your eyes! We should not wait for the start of complications to set in..

KNOW YOUR BLOOD PRESSURE

..in that way, we can control and prevent co-morbidities to set in.

During our fifth community exposure in Barangay Sinai, we did a resurvey and was able to accomplish 50% of the total households. We found out that among the 159 people we checked, 117 were hypertensives. That’s roughly around 73%. The good news though is that 29% of these hypertensives are now taking medications and are allegedly, complaint. We are now working on creating or adapting an intervention that would help us monitor these hypertensives when it comes to taking their medications everyday. Although we now have 4 members in our core group, I doubt they would be able to monitor all hypertensive individuals taking medications. But aside from the medications, the members of the core group are now competent enough to detect and monitor hypertensives by taking their blood pressures.

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Logbooks were also given for each member for their corresponding purok assigned.

Pink for purok Mahogany

White for purok Kalobian

Orange for purok Mangga

Blue for purok Porungan

They were also given instructions on BP taking as well as notes on when to refer and what health teaching they could impart to hypertensives they encounter.

For the succeeding exposures, we aim to minimize uncontrolled hypertensives to 50% and I believe it’s doable since we’ll be living in the community for 10 months.

More updates soon.

Jayvalikka

 

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Matters of the Heart

Hypertension is really one of the most common illness we see in our society today. But it is also one of the easiest condition to control due to its widely available maintenance medication provided by the government for free. Despite this ray of hope, there are still a lot of people, who live in barangays found in the outskirts of the region, unaware of these programs. We are fortunate enough to be the bridges that allows awareness and knowledge to spread among the villagers. Our group has pondered upon what the heart and mind can conjure within the limits of what our hands can do, to make the citizens of barangay Sinai live a healthier lifestyle. We came up with simple but influential programs to get the people on fire about matters of the heart. Now we are on our fourth community immersion and still a lot of things are yet to be done. A month is nowhere near the ideal time period to inflict and assess change in a community who has lived comfortably with diseases slowly eating them away. That part is what makes our mission a challenge. We, a mere group of 8 medical students, envisions a community of cooperative, attentive, collaborative, and instinctive residents who looks out for one another. In order to achieve that, we must take one step at a time to encourage independence amidst dependence in the community and unite them as one.

Due to unforeseen events, our plans were cut short due to a terrorist attack targeting a neighboring city. The school decided to pull us out of our respective communities and were sent home with only 2 weeks shy of the originally scheduled arrival back to our city.

Alas, these were only some of the activities we had planned for this exposure and the rest are going to be rescheduled on the next exposure, which is unfortunately before clerkship starts.

BP

Bp taking activity during the Senior Citizens’ meeting for identification and monitoring of hypertensive individuals.

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We conducted a health teaching on vices during the Senior citizens’ meeting as  well.
Zumba

An exercise program dubbed Galaw, Sayaw, Hataw! that features similarities with Zumba which is defined as “an aerobic fitness program featuring movements inspired by various styles of Latin American dance and performed primarily to Latin American dance music.”. We only had 3 sessions out of the 10 we intended to have for the whole month of our stay.

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We visited Dipolog to coordinate with the regional agricutural district to coordinate with the department of agriculture for the procurement of seeds for our upcoming project next exposure which is the creation of a communal garden per purok. This is in line with our aim to make herbal plants known and used depending on their purpose as well as introducing a healthier diet for children to avoid malnutrition.

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We intended to create the hypertension core group during this exposure and were halfway done when we were sent home. We post-pone our planned meetings as well as the demo on the proper way of taking blood pressure unto the next exposure.

Overall, I had fun during this exposure. I never thought two weeks could go by so fast. It was a very eventful 2 weeks for me. I even got to lead a bible study for my fellow Christian brothers and sisters assigned in the same municipality. We finally have a refrigerator. I’ve made desserts for my second family. Cooked blindly. Scored fashionable pieces at a thrift shop. Got to experience our haunted barangay hall once again. Got to eat halo-halo at the new “IT” place called Dumpy’s cafe. Crossed of things and places I really wanted to see and do in Dipolog. The list goes on and honestly I just couldn’t enumerate everything. And because I am the leader for this exposure, I am also quite sad that we didn’t get to do what we planned and prepared. But at the same time I’m glad that we got home safe and is now thousand of miles away from the war.

Here’s to looking forward for the next exposure.

c’est la vie

-Jyvlkk

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I’m Home

 

As this semester comes to close, I realized that I’ve been dreading to go back to the community When I pondered why that was the case, it only made me sadder. I didn’t want to leave my family and my home for a month, not when the days we’ll be living together under that house are numbered. We are set to move into another house sometime soon and I wanted to be with my family. It only made me sadder when I found out they’ll be moving our departure date to a later day, the day before my 22nd birthday. I thought to mysel8f, “This will be the saddest birthday ever” since I’ll be far from family and my other close friends. I pushed that thought aside and kept thinking positively. A day before my birthday, some of my closest friends surprised me with a cake and a calligraphy set! I was ecstatic! I didn’t expect some people would bother preparing a surprise for me when they’re all too busy preparing for our month long trip. I was touched and happy.

More hurdles came along as I felt the all too familiar pain starting at my lower back and lower abdomen. We were still on the bus going to Sinai when I can’t deny the unmistaken sensation I was feeling at that time. I had my period early. It was fine if I got it early. What made it not fine was the pain though it wasn’t new to me. I always get cramps but having them on a bus ride for 9 hours was not fun at all.  What made matters worse was the fact that when we get to our house at Sinai, we won’t be able to sit pretty and relax because we’d have to clean the whole house! When we arrived, we drew lots to see who’ll clean which part of the house and with whom. I got the boy’s room with Denzel. I was moody and tired. I wanted to clean myself up already but the public comfort rooms we are using every time we stay there were so dirty you could barely recognize it as a comfort room for people, what, with all the goat poop lodged everywhere. You ca just imagine how smelly it was. It was a good thing I was not assigned there.

Kim came a day later than us because she’ll be brought by her family. Then I was surprised when my groupmates gave me cake and sang Happy Birthday to me. Eli and Yen also came and gave me gifts. All in all, it wasn’t a bad birthday after all.

The first week came by so slow but shockingly the next weeks passed by like a blur. It was so fast. Maybe because we were having so much fun. It is because of my groupmates that I began to look forward for meals because we’ll be laughing and joking and basically every meal was memorable, full of de amor!

This exposure was also different because the people already, somewhat, knew us. I got closer to my “family” in Sinai because David, the eldest son, always came by our house and play with us. I sometimes let him write his name on a paper or let him draw. He’s just 4 years old but the way he speaks is so cute, you’ll think he is old and matured but still, he couldn’t get in his slippers the right way. We also made friends with my neighbor’s baby, Ina, who shakes her bum every time we wave at her from a far. She’s about 2 years old and a little bit of a diva. Then there’s Anna Grace, the youngest daughter of our barangay secretary. She comes by whenever her mom is working and plays with David most of the time. She’s in first grade and prefers to play with her mom’s cellphone most of the time. Then of course, I won’t forget Justin, the half German kid who really got close to us all. He’s 11 years old and doesn’t have any siblings. He prefers to just hang out with us. The night before we went home, he stayed with us and tried to stay awake but we let him sleep even if he still wanted to play and bond with us. These kids are just some of the ones who made this exposure more memorable. I wouldn’t forget Lito the artist, Madeline the beauty and brains, Pierson the joker and CJ the reliable one. We had movie marathons, art sessions and games, it was really fun having them around. There was a time when I went to David’s house to talk with his mother when I saw how stressed she is with his 3 sons,  now that she gave birth to another one, Jay Jay, so close to the age of his younger son Ton Ton. They were both breastfeeding on her and I saw how Rose, the mom, was struggling so I volunteered to take David and Ton Ton out for a while, just to give her a breather. We bonded and Kim and I bought them food. By then end of the day, Ton Ton does not want to leave my side anymore, he cried when I left him back at his mother’s house and he keeps calling me “nanay”. I jokingly told my groupmates that maybe it’s my calling to be a pediatrician but they laughed and said no, and insisted it was calling to be a mother.

The days flew by so fast. I didn’t even get to call my mother the way I wanted to, which was every day. Maybe because I was also scared to know what’s happening. This community exposure was my one shot at “vacation” and de-stressing out from med school. Even if this is still part of our requirements and we had a lot of work to do, still it was better than the pressure of passing exam after exam. Speaking of exam, I had my very first R1, Gastrointestinal. That means I would have to study in the community alongside the projects and classes we were conducting for the people of Sinai. I wasn’t alone on this, both fortunately and unfortunately. There were five of us who failed this exam and we helped each other remember stuff by asking questions to each other.

All in all, I really had fun in this exposure, it’s the best one yet! I finally learned that, a house is a material thing. Insignificant, temporary, replaceable. But the people I love? No. They are the ones who make a house, a home. Home is where your heart is. Home is the people you love. They make a house, a home. And these 7 people? They made Sinai my second home. When I boarded the bus going back to Zamboanga, I looked back at Sinai and said “I’ll be back” and I know, once we come back for our next exposure, when I will go down the bus, I’ll say “I’m finally, home.”

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The greatest wealth is to live content with little.

It’s amazing how life is so dynamic. There’s no such thing as an identical life. Each one of us has a unique way of experiencing life and various ways on how we view life. Each moment we experience, can never be the same with that of others. What makes us happy won’t matter to other people because it’s just not who they are. We are all different. But it’s our differences that makes building friendships worthwhile. I am just so glad that I get to experience a one of a kind friendship. My group mates and I have grown so close that we treat each other like family. I am so lucky to have a family that learns to love the good as well as the bad parts of you. What more could I ask for? Clearly God knows what’s best for you and truly, having these people as my family is one of the greatest things that happened in my life.

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Preparing to survey Purok Mangga

Our second exposure at Barangay Sinai didn’t just paved a way for us to grow closer to each other. It also created a way for us to know the people in a whole new perspective. We were very fortunate to hear their stories. No matter what their status in the society, they still manage to fix a smile on their faces every day. I felt so thankful that our school offers an opportunity like this. Becoming a doctor should not mean that we are just in for the money. We become doctors because it is what we are called to do. Our main concern should be helping other people and putting aside our needs to address theirs first. This experience is both humbling and satisfying because you learn to appreciate what you have and realize how petty your selfish desires or “wants” are. Just like what Plato, one of the greatest philosophers, have said, “the greatest wealth is to live content with little”.

We often think about how we, merely civilians, could help save the world like a superhero could do. We couldn’t be Iron Man and create an army of suits, nor be Captain America who can defeat a multitude of men in just a single throw of his shield. We can’t all be like Thor who is a god in Norse mythology who controls thunder and we can’t all be bitten by radioactive spiders and become Spiderman and shoot webs out of his body. We can only be us. There’s no shortcut to become anything. No experiments, no gamma rays, no weird suits and no mutated genes. We just have to exhaust every single energy we have to become extraordinary. Becoming a doctor is one of the closest thing in being a superhero. We get to save lives and help those who needs it the most. What better way to study medicine than being subjected to save a whole community filled with living, breathing subjects? I am in a situation wherein I can become the bridge who can sort out the possible problems this community is facing. It may seem like a burden to carry but oftentimes these things become a blessing in disguise.

Jayvalikka A. Garcia

Batch 2020

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Leaving nests

There will always come a time where baby birds could leave their nests and live for themselves. But just before they could do that, they need a little push from their parents to learn how to fly. That was how it felt to live on our own at Sinai, Sergio Osmeña. We were oriented and was asked to travel light for our safety and convenience. By the time we passed its borders, it suddenly felt so real. It was not a dream anymore. The place felt so surreal, quiet, peaceful but mostly very green. The people were also very kind and every day I found myself thanking God for giving me another day to appreciate this place. Sinai was not the only thing that found a place in my heart. The seven other people living with me pretty much grew on me too. Not only have I found new friends for life but a family I can depend on as well.

Sinai is one of the barangays in Sergio Osmeña and has four puroks. Not only is it known for its beautiful resort Butanas but also for the rivers that flank it named Layawan and Sebulan. It also has a waterfall named Busay falls and the water that is being sold in Pob. Alto and Pob. Bajo came from Sinai. The people here are mostly farmers with a few exceptions that own their own business or is employed in the government or a private institution. The people are also taking care of various animals like swine, cows, goats, horses, chickens, dogs and cats.

Jayvalikka A. Garcia

Batch 2020

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