Hola :)   Hoy fue un buen dia- no observamos pacientes con Dra. Gonzalez- vemos unas pacientes: amigdalitis, otitis, dermatitis, infección de la orina, impetigo...y sintomas de menopausia, por ejemplos. Los primeros pacientes fueron un poco dificil porque además estabamos aprendendo cuales farmaceuticas actualmente estaban en la farmacia- y a veces tenemos dificultades con la lengua-- pero, los pacientes tenían muchas paciencia, y fueron muy amable. Mejoramos durante el dia.

Farmaceutica del dia:
       Ambroxol:
                        nombre comercial- Acitiviton, Muconorm,  Ambronorm
                         indicación: tos- es mucolitico, fluidacante, y expectorante. usa con bronquitis (aguda o crónica), neumonía,  o asma que hayan retención de los secreciones
                        No usa en el primero trimestre de embarazada.  Ten cuidado con mujeres lactando.
                        Efectos: Ocasionalmente náuseas, pirosis, dispepsia, vómitos y diarreas
                        Dosis: Niños menores de 2 años:  ½ cucharadita (2,5 mL) dos veces por día.
                                   Niños de 2 – 6 años: ½ cucharadita (2,5 mL) tres veces por día.
                                   Niños de 6 – 12 años: 1 cucharadita (5 mL) dos o tres veces por día.
                                   Adultos y mayores de 12 años: 2 cucharaditas (10 mL) tres veces por
                                   día.
                       Interacciones:  Ambroxol aumenta esos antibioticos en tejido pulmonar:            
                                   amoxicilina, doxiclina, cefoxurima, y eritromicina.  No aparece ser perjudicial.
                                   Toma con comida.
                       Información de monografia de Ambroxol.

En Inglés:  So, basically, Ambroxol is a mucolytic used to help loosen secretions.  It should not be used in the 1st trimester of pregnancy, and, with caution in lactating mothers because it is excreted in breast milk. It augments the above antibiotics in the pulmonary tissue, but this doesn't seem to cause harm. Side effects include N/V, dyspepsia, and heartburn, so it should be taken with food. I hope that no one minds the "drug of the day", but it helps me to learn about medications here.  We are planning a visit to a local pharmacy.
    
Today was a good, but challenging day- we did not shadow today.  It was a day to treat patients.
We saw several, although clinic was not terribly busy. We also learned which medications were actually in the pharmacy- although we had a list, there was still a little trial & error!  Fortunately, our patients were very patient- our language skills are growing rapidly, but there is still lots of room for improvemnet. As the day progressed, the language part got better, and when we really needed help, Dra. Gonzales helped us. 

Now- for Easter.  There seem to be 2 opposing view points on how to celebrate the holiday.  Some people choose to go to church and have a quiet dinner at home with family- and maybe go to a private (and quiet) beach.  Some choose to go to San Juan del Sur .... and Fiesta. There does not seem to be one typical Easter dinner- at least with the people that we know.  When in Granada, the main church was decorated outside with...not really stations of the cross, but scenes related.  We did not see any processionals, but there were some people viewing the scenes.