AIDS not a hindrance to get a Heart Transplant

I have worked with heart transplant patients for the past 10 years already.

and its becoming often for me to see patients with AIDS get a new heart transplanted in them.

and so far they do well…

I know most heart transplant centers will deny you if you have AIDS, but at Baylor University Medical Center you can be sure you can still get a heart transplant. If your heart failure is not that way far advanced.

*I work at BUMC but i don;t get paid in writing this. so take this advice at your own risk. just dont want those lawsuit coming.

Avoid Sugar to decrease weight

avoid sugar- if you want to lose weight. Eat good breads instead like whole grain/wheat bread and not the white white bread.

Avoid Alcohol- basically it is a free glucose but coupled with side of food it could contribute to your gaining weight.

Exercise to lose weight.

Eat only when hungry and just enough, chew your food thoroughly and take time chew, because when you chew a food really good it sends impulses to your brain that you already ate a lot though just enough.

and Balance carbs and protien like eat more protien and less of carbs like rice, potatoes,pasta etc.

Real Estate Investment Tax Items to include

Since Tax season has started and coming to end, and since I have time to write this. I just want to share these tax perks you can get when you invest in real estate, sometimes tax preparers tend to forget to add this, all you have to do is prepare the following and your tax preparer will be happy to port this in so you can get tax the tax perks:

1. Interest Paid to your mortgage company- this can be found in your year end statement from your mortgage company, and usually this get sent to your address.

2. HOA fees or Management fees – if your real estate investment is managed by a property manager you can deduct that to your income as well as HOA fees.

3. Depreciation – this is one thing you need to add, your investment depreciates overtime and you can deduct that to your yearend income when you file your taxes.

4. Improvements- I dont know how this works but you can add this to the value of your property and I think this gets deducted also by using depreciation.

so far this is the items i used to to lower my taxes and as well let me get a fat tax refund- and thats sweet!

Things You Need to Do When in Philippines

Well these are the things I did when I was in the Philippines but will add things here that might be interesting to do too:

1. Drink Young Coconut Juice and eat the meat!
2. Eat out in restaurants that are really good: Dampa, Max, Aristocrat, Vikings, Dads Saisaki… Mang Inasal,
3. Eat Lechon Manok
4. Grill fresh fish
5. eat Panga ng Tuna
6. Kilawen
7. Pinapaitan
8. Eat Fruits
9. Go malling at SM, Robinsons, Harrison, Glorietta etc
10. eat BBQ by the streets
11. eat Street Food
12. Buy Pasalubong
13. nothing can beat an ice cold San Mig Beer and Red Horse Beer
14. ride a Jeepney
15. ride a tricycle
16. go to star city.
17. Go to anitpolo
18. Bar hoping in Malate
19. go to the beach
20.

32 things to Buy for Balikbayan Box from USA

 

1. Chocolate (M&Ms, Hersheys,Godiva, Sees, Snickers, Reeses KitKat)
2. Candies (Jelly Belly, Nerds,)
3. T-shirts (Gap, Old Navy, Abercrombie, North face,)
4. Magnets
5. Perfume (I like blue editions)
6. Electronics (iPhone, iPad, iWatch, Laptop, etc)
7. Shoes (Nike, Asics, Adidas, Under Armor, )
6. Toys (Disney,from Toys r us )
8. Food (bulk from Costco, Sams, Aldi, Walmart, Target, )
9. Nuts (Pecan, almonds, )
10. Fruit of the Loom and Hanes white shirts and products like socks, t-shirt, shorts…
11. Bible (nice bounded from Amazon)
12. Mug from Starbucks
13. Socks
14. Lotion
15. Watches
16. Jewelries
17. Microwavable pop corn packs
18. Mac and Cheese boxes
19. Canned goods (Spam,Campbells, any corned beef brand,)
20. Wine in boxes or bottle ( )
21. Pens and Pencil
22. Dollar Bill in $1 $5 $10 bills
23. Trader Joes Peanut Butter
24. Nutella
25. Trail Mix
16. Pistachios from Costco
17. Vitamins from Costco and Sams
18. Bags from Ross dress for less
19. Victorias Secret
20. Soap (Dove, Irish Spring,Head and Shoulders)
21. Make up and Lip stick
22. Stick Deodorants
23. Lotion (if you like bif containers, get it from Costco or sams)
24. Powdered Juice (Lemonade, Lipton Ice tea)
25. Pictures
26. Toys
27. Appliances
28. Jewelries
29. Towels
30. caps
31. Jerseys of your fav sports team
32. Wine, Liquor, and Beer

 

Where to buy Pasalubong in America

I am going home this December and I am starting to buy things for Pasalubong, I started to buy things for my Balikbayan Box and I usually use either Forex or LBC.

So last weekend we went to AlDI and I was amazed at how much my $200 loot gave me.

So here I am listing the store I will be going to shop and buy pasalubong this next weekend:
1. ALDI
2. Walmart
3. Target
4. Ross Dress for Less
5. Tuesday Morning
6. Big Lots
7. Macys
8. Gap
9. Old Navy
10. World Market
11.

and any discount stores…

if you know somewhere else I can buy my pasalubong please let me know, so I can add it to the list.

Pasalubong from Philippines

these are partial list an OFW can bring back abroad when its time to say bye to Philippines again:

1. Daing, Bulad, Dried Fish
2. Kakanin
3. Budbud Suman
4. Home cooked dish (you need it frozen)
5. Choc Nut
6. PiliNut
7. Delicacies from your town
8. Yema
9. Medications
10. Ointments
11. TShirt (shop at island TShirt)
12. Frozen siopao
13. Spices (Ginisa mix etc)
14. Guitar shirt(I like them because its cool and easy to wash but SM stock them in small pieces)
15. Tsitserya- tsitserya.com

tips:
1. freeze cooked food and cover the container with multiple pages of old newspaper.
2.

and sometimes your friends will tell you what they want so that will give you a clue of what to bring.

Pasalubong Ideas when going home to Philippines from US

Here are list of good pasalubong ideas and things you can buy before going home to the Philippines or  things to fill your balikbayan boxes:
1. Chocolate (M&Ms, Hersheys,Godiva, Sees, Snickers, Reeses KitKat)
2. Candies (Jelly Belly, Nerds, )
3. TShirt (Gap, Old Navy, Abercrombie, North face,)
4. Magnets
5. Perfume(I like blue editions)
6. Electronics (iPhone, iPad, iWatch, Laptop, etc)
7. Shoes (Nike, Asics, Adidas, Under Armor, )
6. Toys (Disney,from Toys r us )
8. Food (bulk from Costco, Sams,Aldi, Walmart, Target, )
9. Nuts (Pecan, almonds, )
10. Fruit of the Loom and Hanes white shirts and products
11. Bible (nice bounded from Amazon)
12. Mug from Starbucks
13. Socks
14. Lotion
15. Watches
16. Jewelries
17. Microwavable pop corn packs
18. Mac and Cheese boxes
19. Canned goods (Spam,Campbells, any corned beef brand,)
20. Wine in boxes or bottle ( )
21. Pens and Pencil
22. Dollar Bill in $1 $5 $10 bills
23. Trader Joes peanut butter
24. Nutella
25. Trail Mix
16. Pistachios from Costco
17. Vitamins from Costco and Sams
18. Bags from Ross dress for less
19. Victorias Secret
20. Soap (Dove, Irish Spring,Head and Shoulders)
21. Make up and Lip stick
22. Stick Deodorants
23.
24.

or just invite your family to dinner at your house.
or treat them in a nice restaurant.
or bring them to a nice beach
or bring them to a nice public swimming pool.

Watch for department store sale like macy’s dillards Nordstrom – you can buy signature tshirt for less there.
Don’t forget to visit Big Lots, Aldi, Dollar General, Walmart and Dollar Stores they can fill your box fast,

go to Outlet Stores are good place to shop too

and don’t forget to buy things you will need when you reach Philippines, some convenience here is not a convenience there.

and if you are an American and just visiting Philippines and just trying to look for things you want to give to friends/colleague when you get to Philippines my advice is to get them things that are priced around $50 to $100 range.

Earthquake in Dallas

Just as about 7:06 am today I felt earthquake I would say it’s about magnitude 3 to 4,

I was on bed when I felt it, I thought it was just a joke, but as soon as I see the ceiling fan string moving I think this no joke earthquake!

I hope everyone around Dallas and DFW area are doing ok

Dopamine RN Review

Dopamine
Tradenames: Dopastat, Intropin, Revimine
Classification: Autonomic Nervous System Agent; Apha and Beta Adrenergic sympathomimetic; Vasopressor
Pregnancy Class: C

Baylor Concentration:
–Standard concentration- 800mg/500ml
–Max Concentration- 3200mg/500ml

Uses:
–Low cardiac output
–hypotension
–Poor peripheral perfusion when adequate intravascular volume and stable rhythm
–treat shock, kidney failure, trauma, Surgery,

MOA:
— Alpha1 Agonist
–positive inotrope catecholamine
–increases urine output without increasing creatinine clearance in a number of settings.
–Improves the pumping strength of the heart by stimulating beta1 receptors and improves blood flow to the kidneys by stimulating Alpha1 receptors

Low Dose: Dopamine Receptor Agonist
–1-5 mcg/kg/min
–Vasodilatation of capillary beds, reduced systemic vascular resistance and increased cardiac output
–predominantly stimulates DA1 and DA2 receptors in renal, mesenteric and coronary beds causing vasodilatation
–SE: Tachyrythmia
Medium Dose: Beta1 Agonist
–5-10mcg/kg/min
–Increases contractility and heart rate, stroke volume and cardiac output
High Dose: Alpha1 Agonist
–10-15mcg/kgmin
–Vasoconstriction increasing afterload, peripheral resistance and blood pressure.

Contraindications:
–Tachycardia and VFIB
–MAO – intensifies the effects of dopamine
–Buergers Disease
–Raynaud’s Disease
–CAD
–Hx of Blood Clots
–Asthma
–Pheochromocytoma

SE/AR
–Arrhytmia specially svt and vt’s
–Pulmonary vasoconstriction
–tachycardia
–increased oxygen demand of the myocardium
–hypertension
–local is ischemia and necrosis if extravasation of PIV
–inactivated in alkaline solutions
–painful difficult urination; blood in urine
–weakness, confusion, urinating less than the usual or not at all
–weak shallow breathing
–burning, pain, or swelling around the iv needle
–cold feeling, cyanosis in your hands and feet
–darkening or skin changes in your hands or feet.

10Roberts Nursing Considerations:
–Starting, Titrating, Weaning and Discontinuing gtt needs v/s q15x4, q30x2, q1x1 then q4 or each dosage change
–Needs a back up line and must be used with central line.
–Max dose 15mcg/kg/min
–2RN checks during titration,starting,changing bag and DC
–must be admitted in telemetry or icu or acute care unit
–Patient needs to be in the ICU if drip is more than 5mcg/kg/min
–Must be administered using iv pump.
–Actual weight on the day of initiation should be used for calculations.
–Patient admitted with their own infusion pump needs to be shifted to BUMC iv pump within 24 hours.
—Get the dose and dosing weight of the Dopamine infusion then Obtain an order.
—Change infusion using BUMC concentration as soon as possible

–Cardiovascular failure and shock occur when tissue oxygen delivery is inadequate to meet tissue
oxygen demand.
–Early recognition of the signs of shock is difficult.
–Early treatment of shock is crucial to avoid irreversible cellular hypoxia.
–Cardiac output and arterial oxygen content must be optimized before commencing vasoactive
therapies.
–Inotropes increase myocardial contraction and cardiac output.
–Vasopressors increase systemic vascular resistance.
–Patients on inotropes and vasopressors should be managed on a critical care unit.
–Monitor blood pressure, pulse, peripheral pulses, and urinary output at intervals prescribed by physician. Precise measurements are essential for accurate titration of dosage.
–Report the following indicators promptly to physician for use in decreasing or temporarily suspending dose: Reduced urine flow rate in absence of hypotension; ascending tachycardia; dysrhythmias; disproportionate rise in diastolic pressure (marked decrease in pulse pressure); signs of peripheral ischemia (pallor, cyanosis, mottling, coldness, complaints of tenderness, pain, numbness, or burning sensation).
–Monitor therapeutic effectiveness. In addition to improvement in vital signs and urine flow, other indices of adequate dosage and perfusion of vital organs include loss of pallor, increase in toe temperature, adequacy of nail bed capillary filling, and reversal of confusion or comatose state.

My AT&T Unlimited Data Plan

Recently I received a mail from AT&T saying that they will retain my grandfathered unlimited data plan for my iPhone but with one catch they will increase my rate from $70 to $75 all inclusive and to me that’s not bad since I really use a lot of data from watching movies and youtube.

and now the unlimited plans is coming back to AT&T and I think that’s great!

 

American Girl Doll Truly Me #60

 

 

Recently my daughter got her wish come true— a Truly Me American Doll #60 and she loved it very much!

 

How to fry dried fish!

This is how to fry dried fish one commenter asked if its ok to microwave them, yes it’s ok and will be ready to eat but it will make a smell that you don’t like your visitors or other people don’t like and actually it makes if you microwave it first prior to frying it, it will make the dried fish crispy and faster to fry.