Blogs from Shijiazhuang, Hebei, China, Asia - page 3

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Asia » China » Hebei » Shijiazhuang March 18th 2016

Today is the end of the second full week of classes. Student are still eager and very engaged in learning... read more
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Asia » China » Hebei » Shijiazhuang March 9th 2016

Today I thought I had an AM class, however I have a PM class, a little more time to rest!! Some pictures of students that I met - we were on the same flight from U.S.... read more
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Asia » China » Hebei » Shijiazhuang March 7th 2016

Today was my first day of class, a total of 39 students were in attendance. The class meets Monday and Wednesday 9:45 - 11:45. Good student engagement for the first session, even with the minor language barrier.... read more
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Asia » China » Hebei » Shijiazhuang March 5th 2016

The gated community residence :)... read more
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Asia » China » Hebei » Shijiazhuang March 4th 2016

I arrived to China, three days ago. The plan ride was well, I am sure that every couple of hours I was asleep; it appeared that everytime I woke up it was time to eat. I am spending a lot of time on campus watching and observing students. Today, is the first day that I actually did not have a problem getting on the internet. Goggle, Yahoo, Facebook, etc, are blocked, so I have e-mailed several of you using my Indiana Tech and/or Concordia University e-mail. My telephone is blocked, I can only face-time people who have a IPhone, or a IPad, but I will purchase a new phone on Monday. I will teach 36 students on Monday/Wednesday and 41 students on Tuesday/Thursday, no classes on Friday . . . . . so I can shop ... read more

Asia » China » Hebei » Shijiazhuang February 22nd 2016

A great opportunity to received some experience and exposure to the rich China world, while teaching aboard for 9 week. This week I will spend time prepping for the Hebei University students that will be apart of my Human Resource Management class.... read more

Asia » China » Hebei » Shijiazhuang February 6th 2016

My host family took me on a ski trip with them on Friday after Dr. Meng and I stayed overnight at the hospital for call Thursday night. It was a 45 minute drive from the city to the neighboring mountain that housed the 'Way of the Ancient Emperor' ski resort. Resort may be pushing it - Qinhuang Gudao (Path of the Ancient Emperor) this was 3 sloped ranging from beginner to less beginner and a cafeteria. With the warm sunny weather, it was a perfect day to ski with the family. To start, only the 2 beginner slopes were open with either the type lift or the treadmill type lift, which had a ditch being built around it when we first arrived and only opened later. The amount of klutz on these slopes was entertainment enough ... read more
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Asia » China » Hebei » Shijiazhuang February 4th 2016

Just like in the US, attendings that take care of in-patient units here have overnight call duties. Dr. Meng is on her first one this week tonight, so we're here until morning report tomorrow morning. Looks like many of the patients' families are camping out in the hallways to keep their inpatient loved ones company. Interestingly, this hospital requires at least one family member to be present with each patient at all times. It works for communication, accountability, and moral support. Leads to many cots and sleeping pads in the hallways!... read more
Sleeping mats in the hallway
Resident room at night on respiratory floor
Respiratory unit floor at night

Asia » China » Hebei » Shijiazhuang February 4th 2016

Diagnostics As a marker of bacterial infection, PCT (procalcitonin) is used as a marker of infectious disease Treatments As an antibiotic: Meropenem and Levofloxacin is the most commonly used to pneumonia Many bacteria here are Vancomycin-resistant Penicillins like Zosyn and Augmentin are available but not covered for patients with insurance from rural areas. Cephalosporins are not often available at this hospital Clindamycin, Doxycycline, Linezolid, and Vancomycin used more rarely, but mostly reserved for patients allergic to penicillins and cephalosporins or severe infections such as PCP Metronidazole used for GI infections As an antiviral: Foscarnet is used when viral infection such as viral pneumon... read more

Asia » China » Hebei » Shijiazhuang February 4th 2016

1st room: 3 patients Middle-aged lady with asthma now with pneumonia Elderly lady with pulmonary fibrosis now with worsening cough; Doing labs and tests to r/o PE; Chest CT (-) though spiral CT not available Middle-aged man with COPD now with pneumonia left AMA without discharge; Bed now available for patient transferring from ED with heart failure now with pneumonia 2nd room: 5 patients Elderly lady with TB now with resolving pneumonia, cachectic, ready for discharge today Young man with unusual pneumonia not resolving after antibiotic treatment, transferred from an OSH, with prior CD4 low found out today Middle-aged female with resolving pneumonia Elderly male with COPD now with SOB and elevated CRP, PMN, CPT (we'll get to why CPT is used in another post) Middle-aged male with COPD, emphysema now requiring facial mask ve... read more




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