Doctor to the Barrios - A Reflection

DOCTOR TO THE BARRIOS
Written by: Juan M. Flavier, M.D.


The Following is a part of my reflection paper back in college:

Far Eastern University

Institute of Nursing

“Doctor to the Barrios”

-A Reflection-

 

Bogasan, Christine Vanessa P. 
BSN 613 Block 1
Primary Health Care 2                       
Mrs. Rachel D. Laxamana

GETTING TO KNOW THE BARRIO FARMER

            While we aim to create a new society, we must not forget we are doing it with an old society.

-          James Yen

            I think, to gain insight into the life of the indigenous people in the community, and be able to completely understand and help them, one must first learn to live the way they do. Not just merely knowing what are the kinds of food they prefer but learning to eat with them; or not simply be familiar with their beliefs, but become skilled with their practices; and not only to be acquainted with their misconceptions, but to study and affirm that these really are fallacies and detrimental, making the first step to bring all of these to a halt. It is necessary that we make an immense effort to understand their ways. The way the workers should change the lifestyle of the Filipino farmers taking into consideration their values, preconception and adverse practice will be an impressive and effective means of advancing a supportive way of life.

 

THE WORKERS: SCIENCE MISSIONARIES

            Take your knowledge from the classroom and the laboratory out to the fields and homes where the people live.

-          Seaman Knapp

While reading the selection, I was imagining myself as one of those Rural Reconstruction Workers who are dedicating their lives refining these native people to help them dispose of their unconstructive idea and recognize other constructive means of having a better life. It is amazing that these people are willing to render community service in these far-flung and difficult areas of the country. I come up with preconceived ideas about the intrinsic worth of the RRW, how they facilitate to the needs of the farmers and other people in the community. They share something worthy to the community by applying what they’ve learned in the city, and they consider the appreciation and the gratitude that the barrio people give is enough to pay their effort. The government should give adequate financial incentives for the general practitioners to ensure continuous provision of quality health care service.

 

INCREASING PLANT PRODUCTION

Come, ye thankful people come,

            Raise the song of harvest home;

            All is safely gathered in

            Ere the winter storm begins.

 

            All the blessings of the field,

            All the stores the gardens yield,

            All the fruits in full supply

            Ripened ‘neath the summer sky.

-Henry Alford

Every people shall have the passion of using and cultivating his land to get the numerous benefits from it. Population in our country is rapidly increasing. This means that more people will need more food. Plant production will help provide for this need. Plants are important to man for many reasons. They provide food, shelter, medicine, clothing and many products useful to daily life. The RRW’s are doing a very important job teaching the farmers the primary and efficient way of increasing plant production. The farmers shall undertake practical application of concepts of raising vegetable crops primarily in their backyard. We will realize that plant production does not only supply fresh vegetable for family members, but it also provides a wholesome recreational activity and self-fulfillment for a profitable undertaking. They can also apply the techniques of harvesting and marketing farm products. Marketing plays an important role in the profitability of farm products. Profits can be realized through marketing schemes.

 

GROWING ANIMALS FOR FOOD AND PROFIT

            If you give a man a fish, you feed him for one day. If you teach him to fish, you feed him for many days.

-Kuan-Tzu

Enlightening the Filipino farmers about the importance of growing animals is one mean of replenishing his needs for food, nutrition and profit. It is because animal production does not only supply the family with protein food, but it adds greatly to family income. Basic information on the raising of animals will enable putting up a backyard project on animal production, considering other factors such as describing the prospects of poultry and livestock raising, and the ideal site for poultry and livestock projects. We should continue assisting the families until raising animals for food become common among Filipino community especially in the rural areas. Animal production wastes are sometimes detrimental to the health of the family members so it is very necessary to regard the maintenance and the cleanliness and sanitation of housing facilities, fixtures and equipment. Animal production also gives a sense of fulfillment for being productive. It may include the raising of poultry, swine, cattle, goats, sheep and rabbits for family consumption or for commercial purposes. Poultry production is a good business enterprise through which a family can earn a good income. The attitude of the neighbors towards the animal production enterprise must be favorable.

 

COOPERATIVES: A STEP TOWARD INDEPENDENCE

            The best charity is to prevent a man from having to accept charity; the best alms are those that enable a man to dispense with alms.

-          The Talmud

It is in the rural areas where low-income population is found. A barrio credit union is a very valuable tool and makes an important contribution to the common welfare. The barrio farmer will have to increase his effort managing livelihood programs to increase production, and consequently income so he will be able deposit into the union. It will also help the farmer to be more productive and cautious because it is their own profit that is in the union. It encourages the habit of saving and using the funds wisely. Productive projects like these strengthen the credit union, which can afford to lend money for small-scale purposes only.

 

RURAL HOME INDUSTRIES

 

            Be not afraid to do manual labor in your homes. Productive toil is conducive to economic security and adds to the wealth of the nation.

-          Jose P. Laurel

Rural industries are important source of employment and development in the rural areas and could provide a source of profits to rural populace. The government should continue to encourage families to start establish home industries especially in the depressed areas for self-employment opportunities. The people will learn to allocate their resources efficiently which can be used for additional output that is productive. Rural home industries provide the family with a wholesome recreational activity which contributes to good health and keeps family members together.

 

BETTER HEALTH FOR THE BARRIOS

            The sick have claims upon us, the well; the suffering on those without pain.

-          Dr. Tom A. Dooley

Good health is the most important factor that should be considered when one has to improve the standard of living of every Filipino family. The government should be fully aware of the problem and commence to explore the reasons behind the slow response of farmers to health practices and modern environmental education. I suggest that to encourage quality health care at all levels of the health system the government should give awards to outstanding facilities and maintenance in every health centers in the barrio. We should be one with the government in its goal to make healthcare more accessible to the Filipino people. We feel privileged to be given the opportunity to partner with the government in this endeavor and be a part of the solution to the problems of healthcare in the country.

 

 

SANITARY WASTE DISPOSAL

            Countries cannot release the full talents of their people unless they have healthy bodies.

-          Dr. M. G. Candau

There is the existence of the endemic diseases in the barrio in relation to their total population. This is due to lack of environmental sanitation and proper health practices to the doctorless and remote areas in the barrio. The PRRM should not only give focus to the “toilet” thing but also be aware of the other health-concerned matter like the provision of other basic human amenities and meeting the need for new and improved rural water and waste disposal facilities.

 

The expansion of a rural waste disposal facility that I am talking about includes the collection, and treatment of sanitary, storm, and solid wastes. The “reduce, re-use, recycle system”. It will not only lessen the waste outputs but will also contribute to the beautification, alleviation of health hazards and promotion of the orderly growth of the rural areas of the nation.

 

FAMILY PLANNING IN THE BARRIOS

            The growth rate of the Philippine population-one of the highest in the world-is adversely affecting economic growth.

-President Ferdinand E. Marcos

Larger family size means immense needs for family resources, such as large income for food, education for the children, house facilities and health maintenance factor. It can affect numerous aspects of women’s lives, including their health, their work inside and outside their homes, their roles within the family and their psychological well-being. Bigger family increases women’s workload since more children means additional household chores, such as cooking or washing clothes. I think family planning is the best answer to settle this problem. Many rural women are unaware of existing services, and those who are aware of them often find that doctors or hospitals are simply too far away. However, the need for quality reproductive health services is great. Urban and rural women's groups should work collaboratively to develop advocacy and education programs for women, including programs that provide counseling, information, education, and training on reproductive health, gender and sexuality.            

 

EDUCATION OF THE MASSES

            Hundreds of millions of men and women are tragic outsiders, held back from the mainstream of civilization by their inability to read, write and add.

-          Richard Grenough

The government should place health and education among the "key interventions" and basic social services necessary to reduce poverty among Filipinos..If only the government can provide effective and affordable education to all the people in the rural areas not only to the farmers but also to the children of which who cannot attend school regularly because of poor finances, or perhaps because they have to help their families make a living.

 

And also I suggest that the PRRM and the government will establish programs that give training to parents, teachers, community volunteers on the care and educational development of children with disabilities, particularly those living in depressed areas.

I believe that this is one way to protect and eventually empower the most vulnerable and disadvantaged sectors of society.

 

SELF-GOVERNMENT AT THE RICE ROOTS

            We are running a race with time. This race cannot be won by governmental action alone. It can be won only with active participation of citizens who can read the signs of our times.

-U Thant

TOTAL MOBILIZATION OF BARRIO MANPOWER FOR BARRIO UPLIFT is the ultimate goal of the program of self-government. Nevertheless, there seems to have been a very little chance to carry it out because most people believe that some of the officials are not doing their job well and know that a great majority of the commitments made are forgotten. This situation does not look after the call for good and conducive government anymore. In order to change the belief of the people, the barrio should produce a potential and effective leader again that will promote orderliness and establish a helpful and progressive community. That will be the only time that they can create an intelligent and effective followership.

 

 

MODEL FARM FAMILY PROJECT

            As eternal as men and a bedrock of human society, the family serves as the seat of human affections, a refuge from all forms of social and economic insecurity, a mainspring of strength, a sanctuary of al of that beautiful and good, all that is human and humane.

-Belen Enrile Gutierrez

This project of the PRRM will really encourage every rural family to endeavor to improve their status concerning livelihood, health, education and self-government. A continuing program for the "comprehensive and integrated" delivery of social services seeks to help target families and communities in addressing their needs. This will make them systematic and goal-oriented. It may also evolve into some form of recreational activity for the family. Self-government have taken several important steps to accelerate economic and social development and have encouraged community participation in development programmes.     

 

SOME FINAL WORDS

            Nothing ever built arose to touch the skies,

            Unless some man dreamed that, it should,

            Some man believed that it could, and 

            Some man willed that it must.

-          Eugene W. Kettering

 

This piece of account aroused my inquisitiveness about the thrilling way of life in different barrios. I think the problem in the barrios like these ones should be given focus by the government right from the start to improve the lifestyle and health condition of the people in the indigenous communities. Undeniably, the contributions of these people had greatly helped the growth of the economy. For, the country traditionally depends on agriculture. And one of the thrusts of the current administration is to strengthen agricultural production to attain food security. And the farmers are the first responsible in this sector. This will positively affect the health and nutrition of the Filipinos.

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Pathognomonic Signs

Disease	Sign
Addison's disease	Bronze-like skin
Angina pectoris	Levine's sign (hand clutching of chest)
Bulimia Nervosa	Chipmunk facies (parotid gland swelling)
Cholecystitis	Murphy's sign (pain on deep inspiration when inflamed gallbladder is palpated)
Cholera	Rice-watery stool
Chronic hemorrhagic pancreatitis	Grey-Turner's sign (ecchymosis in flank area)
Cushing syndrome	Moon face
Diphtheria	Pseudomembrane on tonsils, pharynx and nasal cavity
Duchenne's Muscular Dystrophy	Gowers' sign
Emphysema	Barrel chest
Hyperthyroidism	Exophthalmos
Hypocalcemia	Trousseau sign and Chvostek sign
Kawasaki Disease	Strawberry tongue
Liver cirrhosis	Spider angioma
Leprosy	Leonine facies (thickened lion-like facial skin)
Measles	Koplik's spots
Meningitis	Kernig's sign and Brudzinski's sign
Pancreatitis	Cullen's sign (bluish discoloration of umbilicus)
Parkinson’s disease	Pill-rolling tremors
Patent ductus arteriosus	Machine-like murmur
Pernicious anemia	Red beefy tongue
Systemic Lupus Erythematosus	Butterfly rash
Tetanus	Risus sardonicus
Typhoid fever	Rose spots in abdomen

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Expanded Program on Immunization (Philippines)

Introduction

The Expanded Program on Immunization (EPI) in the Philippines began in 1986 in response to the Universal Child Immunization goal. The four major strategies include:

1. Sustaining high routine Full Immunized Child (FIC) coverage of at least 90% in all provinces and cities,
2. Sustaining the polio-free country for global certification
3. Eliminating measles by 2008,
4. Eliminating neonatal tetanus by 2008.

Routine Schedule of Immunization

Every Wednesday is designated as immunization day and is adopted in all parts of the country. Immunization is done monthly in barangay health stations, quarterly in remote areas of the country.

Routine Immunization Schedule for Infants

The standard routine immunization schedule for infants in the Philippines is adopted to provide maximum immunity against the seven vaccine preventable diseases in the country before the child's first birthday. The fully immunized child must have completed BCG, DPT 1, DPT 2, DPT 3, OPV 1, OPV 2, OPV 3 and measles vaccines before the child is 12 months of age.

Vaccine / Reason for Administration	Minimum Age at 1st Dose	Number of Doses /  Amount of Dose	Minimum Interval Between Doses / Route/Site
Bacillus Calmette-Guérin -BCG given at earliest possible age protects the possibility of  TB meningitis and other TB infections  in which infants are prone.	Birth or anytime after birth	1 dose -0.05 mL	Intradermal -Right deltoid region of the arm
Diptheria-Pertussis-Tetanus Vaccine -An early start with DPT reduces  the chance of severe pertussis.	6 weeks	3 doses -0.5 mL	4 weeks interval Intramuscular - Upper outer portion of the thigh
Oral Polio Vaccine -The extent of protection against polio is increased the earlier  the OPV is given. Keeps the Philippines polio-free[	6 weeks	3 doses -2 drops	4 weeks interval Oral -Mouth
Hepatitis B Vaccine -An early start of Hepatitis B  vaccine reduces the chance of being infected and becoming  a carrier[ Prevents liver cirrhosis and liver  cancer which are more likely  to develop if infected with Hepatitis B early in life. About 9,000 die of complications  of Hepatits B. 10% of Filipinos  have Hepatitis B infection.	At birth	3 doses -0.5 mL	6 weeks interval from 1st dose to 2nd dose, 8 weeks interval from 2nd dose to third dose.   Intramuscular -Upper outer portion of the thigh
Measles Vaccine (not MMR) -At least 85% of measles can  be prevented by immunization at this age.	9 months	1 dose -0.5 mL	Subcutaneous -Upper outer portion of the thigh

General Principles in Infants/Children Immunization

• Because measles kills, every infant needs to be vaccinated against measles at the age of 9 months or as soon as possible after 9 months as part of the routine infant vaccination schedule. It is safe to vaccinate a sick child who is suffering from a minor illness (cough, cold, diarrhea, fever or malnutrition) or who has already been vaccinated against measles.
• If the vaccination schedule is interrupted, it is not necessary to restart. Instead, the schedule should be resumed using minimal intervals between doses to catch up as quickly as possible..
• Vaccine combinations (few exceptions), antibiotics, low-dose steroids (less than 20mg per day), minor infections with low fever (below 38.5º Celsius), diarrhea, malnutrition, kidney or liver disease, heart or lung disease, non-progressive encephalopathy, well controlled epilepsy or advanced age, are not contraindications to vaccination. Contrary to what the majority of doctors may think, vaccines against hepatitis B and tetanus can be applied in any period of the pregnancy^].
• There are very few true contraindication and precaution conditions. Only two of these conditions are generally considered to be permanent: severe (anaphylactic) allergic reaction to a vaccine component or following a prior dose of a vaccine, and encephalopathy not due to another identifiable cause occurring within 7 days of pertussis vaccination.
• Only the diluent supplied by the manufacturer should be used to reconstitute a freeze-dried vaccine. A sterile needle and sterile syringe must be used for each vial for adding the diluent to the powder in a single vial or ampoule of freeze-dried vaccine.
• The only way to be completely safe from exposure to blood-borne diseases from injections, particularly hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) is to use one sterile needle, one sterile syringe for each child.

Tetanus Toxoid Immunization Schedule for Women

When given to women of childbearing age, vaccines that contain tetanus toxoid (TT or Td) not only protect women against tetanus, but also prevent neonatal tetanus in their newborn infants

Vaccine	Minimum Age/Interval	Percent Protected	Duration of Protection
TT1	As early as possible during pregnancy	--	--
TT2	At least 4 weeks later	80%	infants born to the mother will be protected from neonatal tetanus gives 3 years protection for the mother
TT3	At least 6 months later	95%	infants born to the mother will be protected from neonatal tetanus gives 5 years protection for the mother
TT4	At least 1 year later	99%	infants born to the mother will be protected from neonatal tetanus gives 10 years protection for the mother
TT5	At least 1 year later	99%	gives lifetime protection for the mother all infants born to that mother will be protected

In June 2000, the 57 countries that have not yet achieved elimination of neonatal tetanus were ranked and the Philippines was listed together with 22 other countries in Class A, a classification for countries close to maternal and neonatal tetanus elimination.

Care for the Vaccines

To ensure the optimal potency of vaccines, careful attention is needed in handling practices at the country level. These include storage and transport of vaccines from the primary vaccine store down to the end-user at the health facility, and further down at the outreach sites. Inappropriate storage, handling and transport of vaccines won’t protect patients and may lead to needless vaccine wastage

A "first expiry and first out" (FEFO) vaccine system is practiced to assure that all vaccines are utilized before its expiry date. Proper arrangement of vaccines and/or labeling of expiry dates are done to identify those close to expiring. Vaccine temperature is monitored twice a day (early in the morning and in the afternoon) in all health facilities and plotted to monitor break in the cold chain. Each level of health facilities has cold chain equipment for use in the storage vaccines which included cold room, freezer, refrigerator, transport box, vaccine carriers, thermometers, cold chain monitors, ice packs, temperature monitoring chart and safety collector boxes 

References

1. ^ (2007) Public Health Nursing in the Philippines. Manila, Philippines: National League of Philippine Government Nurses, Inc, 141. ISBN 978-971-91593-2-2. 
2. ^ "Six Out of Ten Children 12 to 23 Months Are Fully Immunized", Final Results from the 2002 Maternal and Child Health Survey, National Statistics Office, 2003-06-02. Retrieved on 2007-05-11. 
3. ^ Puvacic, S. (2004-02). "Protective effect of neonatal BCG vaccines against tuberculous meningitis.". Bosnian Journal of Basic Medical Sciences 4 (1): 46-9. Retrieved on 2007-05-11. 
4. ^ (1987) "Immunisation". Dialogue on Diarrhoea Online (30): 1-6. Retrieved on 2007-05-11. 
5. ^ Centers for Disease Control and Prevention (2001-10-12). "Public Health Dispatch: Acute Flaccid Paralysis Associated with Circulating Vaccine-Derived Poliovirus --- Philippines, 2001". Morbidity and Mortality Weekly Report 50 (40): 874-5. Retrieved on 2007-05-11. 
6. ^ Ni, Y. H.; M.H. Chang, L.M. Huang, H.L. Chen, H.Y. Hsu, T.Y. Chiu, K.S. Tsai, and D.S. Chen (2001-11-06). "Effects of Universal Vaccination for Hepatitis B". Annals of Internal Medicine 135 (9): S53. Retrieved on 2007-05-12. 
7. ^ A Look at Each Vaccine: Hepatitis B Vaccine. Vaccine Education Center. The Children's Hospital of Philadelphia. Retrieved on 2007-05-11.
8. ^ Chang, MH; C.J. Chen, M.S. Lai, H.M. Hsu, T.C. Wu, M.S. Kong, D.C. Liang, W.Y. Shau, D.S. Chen (1997-06-26). "Universal hepatitis B vaccination in Taiwan and the incidence of hepatocellular carcinoma in children. Taiwan Childhood Hepatoma Study Group.". The New England Journal of Medicine 336 (26): 1906-7. Retrieved on 2007-05-12. 
9. ^ Salazar, Tessa R.. "Cancer Preventable Says US Doctor", The Philippine Daily Inquirer, 2004-05-24. Retrieved on 2007-05-11. 
10. ^ Orenstein, WA; L.E. Markowitz, W.L. Atkinson, A.R. Hinman (1994-05). "Worldwide measles prevention". Israel Journal of Medical Sciences 30 (5-6): 469-81. Retrieved on 2007-05-11. 
11. ^ Measles (Catch Up Campaigns) - Toolkit for Volunteers. Health Initiative 2010. African Red Cross & Red Crescent. Retrieved on 2007-05-12.
12. ^ Zimmerman, Richard Kent. "Practice Guidelines - The 2000 Harmonized Immunization Schedule", American Family Physician, 2000-01-01. Retrieved on 2007-05-12. 
13. ^ Management of the Traveler: Vaccination. Travel Medicine. Portal de Saúde Pública (1997). Retrieved on 2007-05-12.
14. ^ General Recommendations on Immunizations (PDF). Epidemiology & Prevention of Vaccine-Preventable Diseases--The Pink Book 10th Edition. Centers for Disease Control and Prevention (2007-02-14). Retrieved on 2007-05-12.
15. ^ Department of Vaccines and Biologicals. "WHO Recommendations for Diluents", Vaccines and Biologicals Update, World Health Organization, 2000-12, pp. 3. Retrieved on 2007-05-12. 
16. ^ Hoekstra, Edward. "Immunization: Injection Safety", UNICEF Expert Opinion, UNICEF. Retrieved on 2007-05-12. 
17. ^ Tetanus - The Disease. Immunization, Vaccines and Biologicals. World Health Organization. Retrieved on 2007-05-12.
18. ^ "Maternal and Neonatal Tetanus", UNICEF, 2000-11. Retrieved on 2007-05-12. 
19. ^ "Temperature Sensitivity of Vaccines", Immunization, Vaccines and Biologicals, World Health Organization, 2006-08. Retrieved on 2007-05-12. 
20. ^ "Handle Vaccines with Care", British Columbia Center for Disease Control. Retrieved on 2007-05-12. 
21. ^ (1995) Expanded Program on Immunization Manual. Manila, Philippines: Department of Health, Philippines.
    

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Love Story in Harvard - A Reflection

Love Story in Harvard

Description:
Love Story in Harvard portrays the dream and love pursued by foreign students studying in Harvard. It demonstrates bright, hard-working, and romantic characters and storylines.

A young love story set at the famed Ivy League school in the United States. Kim Hyun Woo (Kim Rae Won), a 1st year law student at Harvard Law, enters into a rivalry with classmate Hong Jung Min (Lee Jung Jin) for the affections of beautiful medical student Lee Soo In (Kim Tae Hui). The two men are both from prestigious families, while Soo In is from a poor family. Can the trio resolve their romantic differences and chase their dreams at the same time?


The following is a part of my reflection paper back in college:

Far Eastern University

Institute of Nursing
 

Bogasan, Christine Vanessa P.                    
BSN 604                                           
Ethics and Jurisprudence
Mrs. Alma Hernandez
 

- A REFLECTION –

“Love Story in Harvard”

            The story was very inspiring. Different scenarios gave a picture of different kinds of love. A love between a father and a child, a love of a woman to her man (the two main characters) and vice versa, the love of a lover (the lawyer) to the woman who does not love him back, and the love of an aspiring woman to her principles and chosen profession. Each of these, I think, leaves different messages to the viewers, especially to me. But the latter was the one which really caught my attention…

In one situation portrayed one courageous act of a woman. Although this woman knew that saving a dying man with her own hands would charge her of committing malpractice on her profession - even if it could mean to be the end of her ambition to be a doctor, she still did what she knew was right – to preserve a human life. I believe she was indeed very compassionate of having to think of somebody’s welfare first before hers.

I strongly affirm to the Good Samaritan Law. If I were in her position, I WOULD NOT HESITATE TO DO THE SAME THING, given the same situation – I have a knowledge of the procedure, and there was no licensed (or more competent) person available who could give the most immediate intervention that would save the man from possible death. I may be alleged of the act of negligence by the authority, but I know in the eyes of the Lord, I become a hero…which I feel is the most important thing and the moral lesson in the story.

I think the girl was given even a little right to be heard which facilitated her to express her side and let others in the courtroom hear one ethical and splendid point of view and philosophy in life.

I really do not have an idea why the hearing of the case was done on a small room like that. What I am familiar to is the large courtroom where there are the judge, lawyers of both parties and some other authorities.

I am not against any law regarding the nursing or medical profession because I think it is made as a guideline for nursing and medical practices and also safeguards not only the rights of the patient, but also our rights. That is why we have legal process wherein a certain case is being studied and analyzed as to what is right and just. And in relation to the story viewed, I think justice was observed when the woman was acquitted of the case filed against her.

If only I belong to the production of this episode, I would have suggested to them to also tackle about the ethical position of the rule of Beneficence, under of which is the “principle of double effect”. With this concept, the secondary effects (further complications or death) may be foreseen, but can never be the intended outcomes. The woman just ETHICALLY INTERVENED by trying to help the dying man (no more competent individual was present in the incident), while understanding that she would less competently perform a newly known procedure which put the client at risk of possible complications – so long as the intended effect is the former and never the latter. Furthermore, the good intention (keeping the man alive) equal or outweighs the harmful effects (death or further complications).

This movie gave me more initiative to study and strive hard on my course and made me love my chosen profession even more. Recently, because I experience difficulty and complicatedness on my studies, and also sometimes our professors relate to us some stories of indisposed malpractices and negligence of few registered nurses, I came to think of my future job – what if I happened to do a wrong procedure?; what if I also unintentionally cut my patient’s finger?; what if the child of the mother whom delivery we supposed to attend, accidentally fell down the pail receptacle?; what if my licensed was impounded (the termination of my nursing profession) because of such inadvertent mistake? – and my more other “WHAT IFs”. It really bothered me for a while. But just after I saw the movie, I was greatly enlightened, that in this vocation, what matter are putting into practice the knowledge of the ethics and jurisprudence of nursing and also the care, empathy, love and compassion I could give to whoever would need my service, then everything I will do may somehow turn out to be nothing but for their (and even my) own good and safety.

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