Cavalier Lily's Diary



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26/09/05  My daughter Jolyna went to Midena Hospital
26/09/02  My daughter Jolyna driving the car
26/08/28  My niece Joyjoy evening job
26/08/27  Zion Spider-Man
26/08/26  Jolyna is going to Medina University
26/08/25  My wife brother's child, my niece Joyjoy
26/08/21  Zion's kindergarten school event Buwan ng Wika
26/08/16  My daughter Jolyna's boyfriend, Jim
26/08/08  Going to a party at Jolyna University
26/07/05  Jolyna's bedroom and study room
26/05/28  Jolyna's Nurse Capping Ceremony, Part 2
25/08/17  Jinny and Jolyna are sisters.
25/08/15  Purchased Jolyna's nursing textbook.
25/06/03  Zion will be starting daycare.
24/09/02  Jolyna's Nurse Capping Ceremony
24/08/07  Jolyna's white coat and stethoscope
My daughter Jolyna went to Midena Hospital (2026/09/05)
Jolyna had been feeling unwell for the past three days and had a fever, so I took her to Midena Hospital.
That said, Jolyna is the one driving.
From 3 days ago
She can't stop coughing
She have phlegm and there is blood in the phlegm.
She have a slight fever and chest tightness.
She was experiencing these symptoms.

I suggested going to the hospital on September 4th, but She was told "'Wait and see'".
But her boyfriend Jim also told her to go, and it seems she's decided to go today.
We arrived at Midena Hospital and went straight to the ER.
After the nurse checked my vital signs, the doctor conducted a consultation.
 
Chest X-ray and blood test

Chest X-ray Results
According to the doctor, there appears to be a slight shadow on the X-ray...
blood test
Explanation by ChatGPT

Based on the two laboratory test results, most of the findings are within the normal range.
However, in the white blood cell differential count, the neutrophil percentage is slightly low.

① CBC (Complete Blood Count)

Test Result Normal Range Assessment
WBC (White Blood Cells) 6.8 5.0–10.0 Normal
RBC (Red Blood Cells) 4.4 3.69–5.90 Normal
Hemoglobin 13.2 g/dL 11.70–14 Normal
Hematocrit 39.2% 34–44 Normal
MCV 89.2 fL 70–97 Normal
MCH 30 pg 26.10–33.30 Normal
MCHC 33.6 g/dL 32–35 Normal
RDW 12.7% 11–16 Normal
Platelet Count 201 ×10⁹/L 140–440 Normal

Most importantly, the hemoglobin level is 13.2 g/dL and the hematocrit is 39.2%,
which means that there is no evidence of anemia in this blood test.

The platelet count is also normal at 201 ×10⁹/L. Since she has been experiencing blood in her sputum,
this is important because the results do not suggest that the bleeding is caused by an abnormally low platelet count.

② White Blood Cell Differential

  • Neutrophils: 51.5% — slightly below the hospital's reference range of 55–62%
  • Lymphocytes: 34.9% — normal (20–40%)
  • Monocytes: 7.1% — normal (4–10%)
  • Eosinophils: 5.9% — within the normal range, but close to the upper limit (1–6%)
  • Basophils: 0.7% — normal (0–1%)

Although the percentage of neutrophils is slightly low, the total WBC count is 6.8.
Therefore, a simple calculation of the absolute neutrophil count (ANC) gives:

6.8 × 0.515 ≈ 3.5 ×10⁹/L

This is generally considered to be within the normal range. Therefore,
the neutrophil percentage of 51.5% alone is not a result that would normally suggest neutropenia.

③ PT and INR (Blood Clotting Tests)

The other laboratory report shows the results of blood coagulation tests:

PT: 11.8 seconds (normal range: 11.1–13.2 seconds) → Normal
INR: 1.0 (normal: less than 1.5) → Normal

This means that there is no apparent abnormality in the time it takes for her blood to clot.

Since Jolyna underwent these tests because of blood in her sputum/bleeding,
these results are important. At least based on these tests:

Low platelet count → No
Blood clotting abnormality → No
Anemia → No




Jolyna was prescribed three different medications.

  • Zegen 500 mg (Cefuroxime):This is an antibiotic (cephalosporin).
    It is used for respiratory infections caused by bacteria, etc.
    This time, the prescription was given based on the assumption of bacterial bronchitis or respiratory infection,
    given the cough and sputum.    is.

  • Hemostan 500 mg (Tranexamic acid):Hemostatic agentsis.
    It helps to stop bleeding by inhibiting the breakdown of blood clots.
    Medicine for bloody sputum/hemoptysis    It is thought that...

  • Levare 60 mg (Levodropropizine)This is a cough suppressant (antitussive).
    It suppresses the cough reflex peripherally, reducing severe coughing.
    The prescription appears to indicate a dosage of three times a day.

In short, this prescription is, 'Antibiotics + hemostatic agent + cough suppressant' That's the combination.

Jolyna had been to the hospital about a year and a half ago for similar symptoms, including a persistent cough.
She seems to have a weak respiratory system.

Expenses
 X-ray and Blood Tests  2,127 Pesos  $38.09
 Doctor's Fee  500 Pesos  $8.95
 Medication  2,481 Pesos  $44.22
 Parking Fee  25 Pesos  $0.45