Tag: Uncategorized

  • Cooking tinolang manok for the whole community: The unsung hero in our dinner table.

    Prologue:

    In the last few days I was finalizing my entry to this edition of The Blog Rounds (Unsung Heroes, hosted by Doc Gigi of Beyond Borders: The Lei Si Chronicles), I had a hard time choosing which one of my “unsung heroes” will grace this blog post. Not that I ran out of people to write about. In fact there are too many of them this blog couldn’t possibly feature them all. After finally deciding who shall I brag about, I Google-d for pictures to “carry” my post. Suddenly, a loud call hit my ears.

    “Kain na!!!!!!!”

    I smiled while “shelving” the post I previously wrote. I found my unsung hero right in our own dinner table.

    Disliking politics for a good laugh

    I woke up in this world hating the kind of politics our politicians is brandishing. So the whole time that I grew up and went to school, I stayed away from politics as far as I possibly can. I became one of those passive silent lurkers that hated politicians trampling at anybody to forward their own interests. Ironically, within my family, there exists a sphere of politics that made me gasps in complacency. My mom and sis are both staunch (read: right hand) allies of politicians belonging to two opposing fences. Like having a republican and a democrat one same party, only this time they both live interdependently within a family. Whatever circumstances that brought them into two opposing fences, be it values or principles, it is not my cut to remake. The fact that two seem to be the strongest allies in any major decision- making in the family made me think their political affiliations is just one for the good, educated laugh. I tersely smile in the kind of annoying democracy our family lives in. We only laugh about it during family dinners and night outs whenever talk hit politics!

    The early years of helping others

    My unsung hero’s story goes as far as my high school years. It all started with her aspiration of helping her fellow kabaranggays in what seems to be a common community bayanihan endeavor- leveling dirt roads and canal dredging. Her exhilarating feeling of “sarap pala ng makatulong sa kapwa no?” brought out a longing to help others help themselves. Catching up with the volunteer fever, she was so contagious and pervasive she never stopped since then. That “dirt road shoveling” started a barrage of so many other volunteer work she could get her hands into. She immersed herself into so many community work and training. Despite not having a college degree herself, she learned community health work, cooperative concepts and community organizing.

    Community work and voluntarism continues, politics or no politics

    There isn’t enough space to count her good deeds for the volunteer community work she gave in. While my Isko political education and sensitization probably has thought me about politics and service to humanity, this person is living service, on a daily basis, to her community. When I asked her what she knows about politics. She answered me this, in the bisaya vernacular.

    “What is politics? I do not even know what it means. I just know I wanted to help others. When our people will show any signs they don’t like me as a public servant, then I’ll stop with what you call politics but I will not stop helping others. Yan na siguro ang bokasyon ko sa buhay.”

    The day her name propped up in one meeting as a nominee for purok president, our family gathered to talk about the upcoming political litmus test. I was first to oppose aggressively about her running any public office at all. Politics, no matter how “small time”, is such an annoying field. In fact we had reservations because we knew politics is so darn dirty she might just get frustrated and that desire to help others will die a monumental death. We were wrong. She said she wanted to serve our community in any way she can, politics or no politics. Winning or losing this race will not hinder her to continue community work. So our family decided to let her have her way just this time. That was two and a half decades ago.

    The uterine CA survivor and diabetic patient, is a baranggay health worker first class, an on call baranggay tanod, charismatic women’s federation president, a tricycle driver and operator’s president, multipurpose coop board of director, a kapunungan president, a citizen’s watch officer and so many other things voluntary I couldn’t imagine she all could possibly take. Her track record will speak for itself. You can find her in any community information drive, health consciousness missions, women’s concerns, coop education drive or just in any shoveling on road widening projects, lipat bahay, injecting immunizations to dogs, etc . She graduated 4 community high school scholars, while sending 2 others now with her own personal savings.

    The politics of service

    She won a landslide that first time she “walked into” politics. Her opponents courteously bowing out of the race after her name would up as a nominee. That night was so memorable because it marked the day when she officially started as a public servant. The same person elected to office two and a half decades ago can be found in her “office” from 7Am till 5PM six days a week, on call at night and on Sundays and holidays for anything unimaginable for sane human beings. Her honorarium couldn’t even pay for her electricity bill. Four presidents, 4 top notch professionals and 8 grandchildren after, she is still is a public servant losing not any political race she joined.

    Not one.

    And those retirement signals seem to be nowhere in sight. In the last election, despite living in a community where we don’t have any single relative to boast of, not a political clan to rely, nor fame to put forth, and not even the money to run a well oiled campaign, she won a whooping third consecutive term, in second place, the highest and her biggest margin in all her run for public office.

    A mom, after all.

    I can only sigh in disbelief. Here was I, who can put a thousand words to malign “politics”. She was busy living one with public service unbesmirched for two and a half decade, My family is praying she retires next election. Her glucose swings is getting nastier. Her back, hips and knees showing signs of too much shoveling and cooking for the community. My unsung hero is human after all.

    One of my unsung heroes, going through all the difficulties of wearing a formal dress (outside her jeans and tennis shoes casuals), just so she can see her son earning a board certification!

    To, kain na!!!!” Shouted our hero.

    Epilogue

    Nga pala, kakain na kami. Nagluto si mamang ng tinolang manok. I was smiling going to our dinner table. I need not look outside for my unsung hero. She is actually amidst us cooking tinola and dining every night with us when she wasn’t on call. Politics or no politics.

  • The Blog Round editions’ 7 and 15 is up!

    The Blog Rounds 15th ed is up at Doc Manngy‘s blog No Special Effects. Head on to Manggy‘s blog and read an “I Wanna Sex It Up!” style of blogs’ round up that dissected gender issues in the clinics under scrutinizing eyes.

    Doc Ian‘s TBR 7 entitled Mission: I heart the Philippines, is up too, in his blog So far So God. This much awaited edition of TBR is a compilation heart warming stories and essays of MDs who love Philippines in so many special ways.

    The upcoming TBR 16 will be hosted by Doc Gigi in her blog, Beyond Borders: The Lei Si Chronicles. Call for articles is up in her blog!

    The Blog Rounds is a biweekly compilation of the best in Philippine’s medical blogosphere, written by physician bloggers (or the medically inclined bloggers) and hosted on a participating blogger’s weblog. Archives and edition schedules ( plus the host blogger) are listed here. The next edition of TBR will be up this Tuesday, July 22 ,2008 7am PST.

    Physicians and medically inclined bloggers interested in joining this blog carnival, please contact me through my email kokegulper[at]yahoo[dot]com or any of the participating TBR bloggers. Guidelines and updates are posted here in my website, The Orthopedic Logbook.


  • The Blog Rounds goes summer experience hopping!

    Summer fun?

    Check out what MDs do come summer time! Watch out for the upcoming fifth edition of The Blog Rounds, themed “I Know What You Did Last Summer!” to be chronicled by Doc Ness in her blog, At Random Ness!

    Deadline for submission of blog entries will be on April 15, 2008! Guidelines for submission can be read here. Visit Doc Ness blog for the edition’s theme and additional guidelines.

  • Our marvel of a survivor!

    “What??!!” was my bewildered reply to the nervous voice on the phone line. I stood silent for a minute, holding tightly to the phone on my ears and staring blankly on the corridors of ward 8. Feeling the cold sweat engulfing my consciousness, the world around me suddenly turning into a gyroscope of blurred images. The universe went dark.

    Doc? okey ka lang?” came the ward nurse’s faint voice. “I need you to sign this” handing me a patient chart needing an RIC’s signature. I cleared my throat and mustered enough energy to sign the chart with my hands shaking. “Sigurado ka okey ka lang doc?” She asked again. “Thank you” I said, motioning her to go away and making a gesture I’m answering a call.

    I haven’t turned off the phone yet.

    I’m seeing her face- short, gray hair that was always kept tidy by constant rearrangements. Her cheerful face look a bit weathered but is still wittingly sharp, beaconing years of endless struggle to survive a harsh, defiant world. Lately, wrinkles appeared in her forehead and no matter how she ‘tucked” those with make up, age seem to catch up with her indomitable spirit.

    She use to wake me up in the morning with “kain na!!!!“and then bang my door.

    She was just fifty and I just finished med school.

    She went into the provincial hospital without informing anyone about it. Not even us. I only found out when she called after the operation.” My sister’s nervous voice collapsed into sobs of frustration. Dumbfounded of the events unfolding, I can neither summon enough energy to console my sister nor think clearly about the situation we were in. It was a chaotic tug of war between uncertainty and frustration. I am totally dazed.The mixed emotions of grief, fear, anger and love, all bursting up front.

    What if we lost her? Are we prepared for this? Is she prepared for this? I shiver at these possibilities.

    A marvel of parental control and survivorship, she lost her husband while in her early forties. She took the cudgels of single handedly supporting their four children, sending them to through college and produced four top caliber professionals in their fields. For the longest time she was the family’s beacon, the passion, the inspiration. And now the danger of suddenly “losing her” lurks just around the corner.

    She is Helen.

    Helen is my mom.

    Well differentiated uterine adenocarcinoma,” came the histopath. Silent panic. The sudden gush of adrenaline made my heart thump louder I could hear them between my breaths. The phone almost slipped my hands while I froze in disbelief. Now, losing my mom is a grim possibility. What now?What shall I do? What shall we do? Med school had trained me for situations like this. But not if your mom (or any other close person) is the patient.

    Med school even made it more painful for us doctors. We often have an idea how disease progress and how it eventually ends.

    Sir can I file a leave starting tomorrow?” I told my team captain and chief resident. “My mom have uterine CA and will undergo surgery in our province“. My chief resident looked at me for a while and sensing some desperation said “Ok. You can file your leave and go home a soon as you endorsed all your patients. But come back !” He too can sense the frustration and hopelessness in me.

    Yes sir” I subconsciously answered . I was busy thinking about my mom.

    I’m still lost in “what ifs”

    Arriving early in the airport next day, I went directly to the hospital and into my mom’s room. Asleep with IV lines jutting out of her forearm she looked pale from the blood loss of prolonged menstrual bleeding before. She is cachectic and visibly weakened . “She lost this much…” I whispered. I looked at her teary eyed. I wanted to hug her tightly, but never had the courage to do so. Her sunken, gray rimmed eyes suddenly opened. She was surprised to see me there and hugging her. My mom is not used to this hugging thing and she hates being pitied upon. “Bakit?” was all she said. I didn’t answer. I just sat in the chair beside her bed.

    We’d be doing a Total Hysterectomy tomorrow. She won’t need her ovaries too so we’d take it as well. Problem is she has diabetes.” Her OB Gyn told me. “Diabetes???” I remembered my mom siblings got diabetes too, so it is really possible my mom has diabetes but she was mum about it. My heart melt in pity for my mom. She couldn’t just take all these diseases in one single hospitalization! If she is lucky enough to survive the CA, she has to contend with another equally debilitating chronic disease!

    After all she had done for us?? This is all she will get??! It’s not only unfair but entirely painful!

    I sprang into a robotic action, called all the MDs I know, asked for advices and called a family meeting. That family meeting seem like eternity. I could feel the tons of weight that stood on our shoulders. “I am the doc and I know what to do.” That’s what is expected of me and that what I’m hypnotizing myself with. Hopefully it will work out.

    My brother and sisters all waited silently, visibly grief- stricken. We abruptly “lost” our dad before too. Such sudden turn of events not only traumatized our poor souls but made us grappling for lifelines too. The fact that none of them has had any medical background added more to their uncertainty. The burden is so heavy. “You decide because you are the doctor and you know what to do” said our eldest. I always dread this phrase. It makes me feel like dying too.

    We will all suffer and grieve, If we will all just cry here and do nothing ” I said in a crackling obviously pretending voice. But we’re ready to strike a deal with fate just to extend my mom’s life. She was our lifeline.

    Hiding the panic in me, I went organizing a support group for my mom. “We have to adapt to the current situation or we will suffer. “ I made roles and schedules for each of my siblings- preparing food, relieving hospital watch, even informing contacts. I was busy arranging for the OR, finding the necessary meds, medical needs and preparations. I pretended to be the “in charge guy” but deep inside I’m cracking up in panic and fear.

    I’ll advised” said my friend.

    I decided to scrubbed in the OR next day. My mom’s surgeons let me in and used my “surgical” hands too. It was an all star surgery for a routine hysterectomy. An OB gyne doing the surgery, a general surgeon assisting and an orthopod on the second assist and another MD on third assist. We have an internist watching over my moms medical condition the whole OR There two anesthesiologist working behind the bags and machines. Outside the operating theater were hordes of close friends watching the show.

    I don’t know, but whenever I went into the surgical room, my panic temporarily stops. I feel as cold as any steel as the scalpel I’m holding, perhaps a result of years of training. The team went into robotic precision the entire surgery. I distracted myself not to think about the patient on the OR table, so I don’t clutter or be jerky assisting. The surgeons were meticulously well oiled and systematic. After swiftly removing the uterine and ovaries, we inspected all the nodes and noted for gross metastases. We did the routine inspection three times. None were suspicious. My mom’s appendix is “inflamed” so the surgeon removed it also. I was totally engrossed in the procedure I didn’t notice we were already an hour into the surgery. “Wash!” Woke me up and made me realized the surgery will soon end. After final last minute check of organs, bowels, instruments and sponges, we closed the incision. It was an uneventful procedure and we were all happy the team is through these emotion filled surgery. I made a little speech to the OR team thanking them for helping my family all out and making this surgery safe and succesfull for my mom. I was surprised by the round of applause the team gave each other.

    Two days after, my mom was already walking and taking her bath alone. She was visibly rejuvenated but is still weak to walk unassisted. Her blood sugar stabilized and she was eating quite well. There is this smile on her face already. My pamangkins were all around her playfully tagging their lola. Helen is all smiles facing and talking to all those visitors she had like nothing happened.

    We were happy too. She went to live another lifetime we believed. Perhaps several years more who knows. For once we were suddenly reminded of our moms loving presence. That in the process of us growing, we never had noticed she was getting old also. And as me and my siblings looked at each other, we knew right then we’d be better off showering our mom with love or we won’t have time for that at all!

    The tumor margins were negative for mets. The review of slides were the same adeno CA initially diagnosed in our provincial. I brought my mom to a well known gyne-oncologist in Manila for another follow up check up. He said that my mom luckily survived the ordeal. He advised yearly abdominal CT Scan. For 8 years now, my mom has been symptom free. She had her swings of glucose intolerance but this can be adequately controlled medically.

    She still hates being pitied upon or being thought of as weak. If my dad “thought” of everything he wanted us to become, my mom carried the four of us to an unbelievable life struggle, never hinting for  moment about quitting or saying “I can’t”.

    My mom is a marvel of a survivor.