Hulaan Portion

I think I’m getting the hang of conducting virtual consults. And I feel like some of my patients, once we get past the clunkiness of the synchronized “Can you hear meeah?!”, are getting used to it as well. I haven’t had anything anxiety-inducing happen during consults so far, like someone getting a seizure live, although I still get shookt when patients, (usually the grandmas) would just rip off their shirts to flash their breasts without warning.

I’ve been trying to innovate on physical examination, asking them to palpate their own necks and telling them to describe to me how the mass feels. All of a sudden I am an instructor teaching Physical Diagnostics– the forehead is hard, the nose doughy. Certain instructions sound terrible when taken out of context, such as “Sige kapain mo pa, sige pa, matigas?!” or “Touch your balls.” At some point I can only try to guess what is happening, the tele- in teleconsult actually meaning telepathy. Hulaan portion.

Photo by Terje Sollie on

The physical examination is the easy part. Disclosure of diagnosis and prognosis, explaining the effects of chemo, and trying to give comfort are more challenging to do through the screen. The soft elbow touch, the upper back rubs as you explain that the cancer has metastasized to the bones, can no longer be given. As we do this more often, and as the quarantines extend longer and longer, we will definitely become more adept at this. I’m pretty sure the art and science of bedside care has evolved through the years, and we have no choice but to evolve with it.

I have long resisted the urge to buy a ring light for use in video consults, but I’ve seen action figure dioramists using it for their toy photography so I just might get one!

Categories: Blogs

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

Rich Cervales Blog

Life snippets documented 😃


Personal blog of Jessica Zafra, author of The Collected Stories and the Twisted series

The Gastronomy Gal

Simplicity in food and travel


Beneath the nurse’s apron and soon-to-be doctor’s coat.

Snippets of our journey in life, love, and everything in between.

Coffee Cups and Waving Wands

I talk about a lot of things.

Brilliant Viewpoint

Discover • Motivate • Inspire

Jonas Diego

Write. Shoot. Sleep. Repeat.


Rantings, ravings & ramblings of a rollicking mind

Pinay Mama in Singapore

working mom. wife. student. ofw.


Observations, Reports & Remarks From Out Of This World & Beyond

Too Dangerous For a Girl 2

Comics reviews, chat and commentary


A space for all things pertaining to Asian literature & cinema, otaku culture, and self-care.

My Half-Baked Notes

A personal blog of a bewildered teacher


Full-time daydreamer, half-time paranoid.

Aggie's Amygdala

love, laugh and lore from the limbic system

A great Metropolitan Internet thing

%d bloggers like this: