Last Walk of a Fallen Jedi

(It’s Christmas season once again. Also in 10 days the new Star Wars movie will be out. I would like to re-post a story of one of our ICU patients. The original article was posted in December 2015, “When You Wish Upon A Star Wars.”)

I entered the room and stood silently at the foot of his bed, watching him breathe. He was hooked to a small ventilator that is connected to a mask covering his face with straps around his head, that he looked like a jet fighter pilot. Beside the bed was his father and his mother who were obviously distraught, yet trying to hold off tears.

Luke* (not his real name) was one of our ICU patients. Even though he was only in his 20’s, he had his fair share of surgeries and hospitalizations than many patients in a geriatric floor combined.

He had a genetic disorder that prevents the development of various organ system. This affects the skeletal system giving them a peculiar look and stature, that some people coin the term FLK syndrome: Funny-Looking Kid. Though for me, there’s nothing funny at all. This disorder also causes heart defects, and can involve other organs like the lungs, liver, gastrointestinal tract, lymphatic and blood system. Even so some people with this genetic disorder could live to adulthood, some would succumb to this disease early in life.

Luke had a number of surgeries to fix his heart problem, and other procedures too many to recall. He had been treated in well-known hospitals like Mayo Clinic, for his disease. But despite of all the technology and medical interventions, his body continued to betray him.

For the last several months he had been in and out of the hospital, usually staying for several weeks at a time, including ICU stay. I have taken care of him a number of times in the past.

In spite of his illness, Luke tried to live his life as “normal” as possible. His family gave him the opportunities and the best care they could. His mother, who was a patient of mine too, had the genetic disorder as well, albeit with a milder manifestation, thus I knew the family well.

One thing I learned, was that Luke likes Star Wars, even though the first Star Wars movie came out more than a decade before he was born. Perhaps he envisioned himself as a Jedi Knight. Yeah, he was a fan of this movie genre, just like the rest of us, I guess.

In this last hospital admission, Luke came in with a lung infection causing respiratory failure, requiring intubation and mechanical ventilation. He came on Thanksgiving Day.

After several days in our ICU, we were able to extubate (take out the endotracheal tube) him, only to place him on a non-invasive positive pressure ventilator (NIPPV) with a face mask, as he cannot breathe on his own. This is like a CPAP machine. At least he can stay awake and not be sedated on the non-invasive ventilator, and he can speak as well. He can only tolerate a limited time off the NIPPV, and had to be hooked right back on it. He would not survive without it.

As I watched him with his “jet-fighter mask” with his bed as his vessel, what came to mind was that in a cruel twist of fate, this kid who likes Star Wars, now breathes like Darth Vader: whoooh….poooh, whoooh…..poooh, whoooh…..poooh. Every breath, there’s a gush of pressurized air coming out of the ventilator and through his mask.

After one holiday, another one is approaching. Christmas is just around the corner. And Luke remains in the hospital, ventilator-dependent, with no clear sight that he’ll get better. He knows it, and his family knows it. Luke’s days here on earth is numbered.

With wishful thinking, maybe he can linger a little longer to see the new Star Wars movie which he was looking forward to seeing for the longest time. But how? Him in the hospital? On a ventilator?

But wait, isn’t it Christmas season after all?

Wish granted!

After making elaborate arrangements and collaboration, Luke and his family will be going to a movie theater, to be accompanied by some medical staff, for a special private showing of the “Star Wars: The Force Awakens,” when it opens this weekend.

After that trip to the theater, Luke will be going home for Christmas with his family, on hospice care. No more hospitals. No more ventilators. No more pain.

Perhaps he could stay home until Christmas. But if not, Luke could soar into the heavens and once and for all, walk on stars. His final home.

********

Post Note: Luke made it through Christmas. He eventually lost his battle few months later.

Weekly Photo Challenge: Transformation

Here’s my entry to the WordPress Weekly Photo Challenge.

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Transformation (transfərˈmāSH(ə)n): a thorough or dramatic change in form or appearance.

Everyday we are witnesses to different transformations. Whether it be night turning into day, or day into night. Enemies into friends, or friends into enemies. Failure into success, or success into failure. But we can do something about how we want it written.

And the photo above? I transformed it. I posted it upside down! I’m not sure if many of you even noticed.

Here’s the original photo.

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(*photo taken during my morning run)

Turkey Trot

By now, you already know that I like to run. No, not running from responsibilities, but running as in road races. But I missed the annual Des Moines Marathon this fall, in where I usually run the half-marathon. It was because I was in New York during that event.

To scratch that itch to run, this Thanksgiving, I decided to join the Des Moines Turkey Trot. In this event you can either do a 5K or a 5-mile run. I did the 5 miles.

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You may say, I was crazy to run on a Thanksgiving Holiday, where one should just be resting and relaxing. But as you can see with my photo below, I was not the only crazy one.

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I was surprised on how many runners join this event. According to the official results, there were about 3,000 finishers. I’m not sure if there’s more that started but were not able to finish the race.

The event was more of a family affair, as I saw many parents with their young kids who participated in the run. Unlike in the marathon or half-marathon events, which definitely were longer runs, there were more “serious” runners or even elite athletes joining those runs. I’m not saying that I am a serious or an elite runner. Far from it.

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The course took us through downtown Des Moines. The most difficult part was the uphill climb around the Capitol building. Good thing it was in the first mile.

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After going around the Capitol, it was mostly downhill from there, or at least no more climbs.

I was slow, but I was not the slowest. See, I was already heading downhill while others are still going uphill (photo below). On second thought, maybe they were released much later, as runners were released in waves, and I was just among the first wave of runners to start, giving me my imagined advantage.

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I finished the 5-mile run under an hour which was my goal. However, when I checked the official results, I was indeed one of the slowest finishers. There were runners in the 5K and 5-mile that finished with a pace of 5-minute mile! I was wrong in thinking that there were no serious or elite runners joining that race.

At the end of the race, it really does not matter if we were slow or fast. We were all finishers, and that is what’s important. As in all other endeavors we participate in.

One thing for sure, running this event gave me a reason, or more of an excuse, to gobble (gobble, gobble!) more food. It was Thanksgiving after all!

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Me and the turkey (hindi kami bati)

(*photos taken with an iPhone)

 

Of Hawks and Turkeys

Last Saturday was gray, damp and cold. It was windy too with strong wind gusts all day. It was a dreary day. I hope Thanksgiving would be a better day as it may be hard to be in a thankful spirit when you’re freezing, fighting fierce winds and just trying to hold on to your hat.

As we were going out, I noticed a large bird hovering high above a field. It could be an eagle as we have eagles in Iowa, though rare. But I believe it was a hawk, as they are so many here in our area. Hawks and strong gusts of wind are what we have in abundance here in Iowa, so no wonder our two big State Universities’ sport teams are called Hawkeyes and Cyclones.

I know hawks or even eagles may not be the right bird to talk about during this occasion. We should be discussing turkeys, right? By the way, wild turkeys abound in our area as well. You can spot them just hanging out in the empty corn fields. Perhaps we can skip the grocery and just capture one of them and make it our dinner for the Thanksgiving.

Enough of the turkey, and back to the flying hawk that I saw. Maybe flying was not the right term, for it was barely flapping its wings. It had its wings open, and like a big kite, it was effortlessly gliding in the sky. It did not seem to mind the strong gusts of wind, and may even be thankful for it. For the stronger the wind, the higher it soared.

Sometimes the strong winds in our lives, those gusts that we think will shred our plans, and those storms that can blast our dreams away, may just be helping us soar to higher heights.

Last week, the lady in the gym’s reception desk, the one who greets me cheerily every time I come in, gave me a book. The book was entitled “Praise God for Tattered Dreams.”

I have observed this lady as always upbeat and has a sunny disposition in life, day in and day out. I am impressed on how she remembers all the names of the gym goers, as she greets everyone by name. And I mean everyone.

Few months ago this lady, after greeting me for years since I have been coming to this particular gym, learned that I am an ICU doctor. She then told me that she was a patient many years ago, in the hospital where I work, and even stayed in the ICU. But that was a couple of years before I came to Iowa.

Since then whenever she sees me, she would always try to convince me to write a journal about my experiences as an ICU physician. She said that it may be interesting to share those stories, and I may even make some money from it.

Last week, after coaxing me to write a journal every time we meet, I finally told her, that I was indeed already writing a journal. Well, sort of. I told her about ‘this’ blog. I rarely tell people I know, that I blog. Why? So I could write about them!

After learning that I write, she went to the back, retrieved a book from a drawer and handed it to me. She told me that she wrote and published this book, and it’s about her trying experience. She added that I can borrow and read it, but if I spill coffee on it, then I have to buy it.

She narrated in the book that she was a vibrant mother with two young boys, and with a promising career, when out of the blue, she suffered a near-fatal stroke. It was a large bleed in the head. She was only 33 years old at that time.

She was close to death when she was brought to the hospital. The doctors, including the neurosurgeon, gave her only 10% chance to live.

But she lived!

She was comatose for several days and spent 3 weeks in the ICU, and a total of 3 long months in the hospital. This does not include several more months of rehabilitation after being discharged from the hospital.

She described that half of her body was paralyzed and was unable to speak for a while. In that dark moment of her life, she found God and discovered a new purpose in life. When she felt that her dreams have ended, God showed her that she was only beginning to live a more meaningful life, for which she was very thankful for.

Now she is speaking and walking with almost unnoticeable residual of her stroke. She is happily working in the gym and encouraging people to be healthy and happy. She definitely has a story to tell. From tattered dreams to an inspirational life.

As we gather around our dinner table this Thanksgiving, with our roasted holiday bird, (the turkey, not the hawk), let’s thank God for everything. Including our trials and disappointments. For storms and strong winds can make us soar higher.

Happy Thanksgiving!

IMG_5638(*photo taken with an iPhone)

 

Huwag Kang Puputok

Siguro lahat tayo ay may kakilalang tao na malakas magpaputok. Hindi rebentador o kaya baril ang ibig kong sabihin. Ang tinutukoy kong putok ay iyong nakakainis na amoy mula sa katawan. Sa ibang salita, body odor o B.O.

Kung ikaw ang may putok, sana makatulong sa iyo ang artikulong ito.

Isang senaryo sa Pilipinas: nasa loob ka ng jeepney.  Dahil sa sobrang init at trapik ay tumatagaktak ang pawis ng lahat. Tapos, may mamang sumakay at sumiksik sa tabi mo. Pag-arangkada ng jeep, itinaas ng mama yung kanyang braso para humawak. Sakto naman yung kanyang kili-kili sa mukha mo. Pag-hinga mo, boom! Parang gusto mo nang tumalon sa jeep, o kaya’y ilawit ang iyong ulo sa labas at pipiliin mo pang suminghot ng maiitim na usok ng jeep at bus, kesa mamatay sa putok ng katabi mo. Naka-relate ka ba?

Ano ba ang sanhi ng putok?

Ang medical term sa putok o anghit, ay bromhidrosis. Ito at ang masangsang na amoy dahil sa pawis. Ang pawis ay mula sa sweat glands. Maaring tanungin mo, bakit ba ginawa ng Diyos ang sweat glands kung ang magiging sanhi lang nito ay anghit?

Ang sweat glands ay importante sa kalusugan at mismong buhay ng tao. Ito ay para sa thermoregulation ng ating katawan. Kung hindi tayo papawisan tayo ay mag-o-overheat at maaring mamatay, parang makina ng kotse na kailangan ng tubig sa radiator para hindi pumalya. Kaya’t sa ayaw mo man o gusto, hindi lang si Andres Bonifacio, kundi tayong lahat ay anak-pawis.

Isang klase ng sweat glands ay ang apocrine glands. Maraming apocrine glands sa axillary area (kili-kili) at pubic area. Maliban sa pagse-secrete ng pawis, ito ay nagse-secrete din ng hormone, na ang tawag ay pheromones. Ito ay may kakaibang amoy. Ang pheromones ang siyang naamoy ng mga hayop, para ma-attrack sa kanilang ka-partner. Ito ang dahilan kung kaya kahit sa malayo ay nakakaakit ang paru-paro, baboy-damo, o aso ng kanilang kalaguyo.

Pagnagbinata at nagdalaga na ang tao, dumadami ang apocrine glands at secretion nito. Pero sa ating tao, hindi gaya sa hayop, hindi masyadong kailangan ang pheromones upang humanap ng ka-partner. Kasi may on-line dating site na (aha-ha). Isa pa, mas mabisa siguro ang bulaklak at chocolates kesa pheromones para sa tao.

Balik natin ang usapan sa pawis. Sa katanuyan ang pawis ay walang amoy. Ngunit kapag may mga bacteria sa ating katawan, na nagre-react sa ating pawis o hormone na galing sa ating sweat glands, lalo na sa apocrine glands, sa halip na walang amoy, nagkakaroon ng mababantot na mga chemical. Mga chemical tulad ng ammoniaE-3-methyl-2-hexanoic acid at 3-hydroxy-3-methyl-heaxnoic acid, (konting chemistry lesson lang po). Ito ang isang sanhi ng putok.

Minsan ang ating diet, gamot, mga toxins, metabolic disorders, at ibang sakit, tulad ng liver at kidney failure, ay nagdudulot rin o nagpapalala ng mabahong amoy ng ating katawan.

Ang bromhidrosis ay maaring makaapekto sa kalusugan. At sa kalusugan din ng ibang kawawang taong makakaamoy. Pero maliban sa pisikal na kalusugan, ang taong may bromhidrosis ay maari ring magdusa ng social isolation at low self-esteem. Sino nga bang gustong mag-hang-out sa taong may putok?

Anong dapat gawin, o ano ang mga lunas sa isang taong may bromhidrosis?

1. Maligo ng regular.

Malaki ang nagagawa ng personal hygiene sa putok. Dahil may kinalaman ang bacteria sa masangsang na amoy, mababawasan ang bacteria sa katawan kung maliligo ka nang regular. Hindi ko sinasabing maligo ka nang apat na beses isang araw, pero sikapin kahit minsan sa isang araw. Maari ring makatulong ang pag-gamit ng anti-bacterial soap.

2. Gumamit ng anti-perspirant at deodorant.

Ang anti-perspirant ay nagpapabawas sa pagpapapawis. Ang common ingredient ng mga antiperspirant ay aluminum salt. Ang “tawas” na popular na ginagamit para sa anghit ay hydrated aluminum potassium sulfate, at ito’y mabisang anti-perspirant. Ang deodorant naman ay mga pabangong nagkukubli sa mabahong amoy. Marami sa mga produkto ngayon ay magkasama na ang anti-perspirant at deodorant.

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Kryptonite? No, Tawas Crystal!

3. Hair removal

Dahil ang buhok ay maaring mag-trap sa bacteria, maaring makatulong ang pag-aahit ng buhok sa kili-kili. Kaya pwedeng slogan: May anghit? Mag-ahit!

4. Palitan kaagad ang damit na pinagpawisan.

Panatilihing tuyo ang katawan. Hindi sa dahil ikaw ay mapupulmonya kung matuyo ang pawis. Pero mababawasan ang mabahong amoy-pawis kung huhubarin mo kaagad ang basang damit na pinagpawisan mo. Isa pa, gusto ng bacteria ang mabasa-basang environment.

5. Iwasan ang mga pagkaing may maaamoy na spices.

Siguro naobserbahan mo na rin na may mga pagkaing amoy kili-kili. Hindi ko ikinakaila na masarap ang mga ito. Subalit kung amoy kambing ka na, bawasan mo na siguro ang mga maaamoy na spices tulad ng curry, cumin, sibuyas at bawang. Pero pwedeng rason na OK lang mag-amoy bawang, kasi at least walang aaswang sa iyo.

6. Huwag manigarilyo.

Hindi sa nagpapabawas ng pawis ang hindi paninigarilyo. Pero ang sigarilyo ay isang sanhi ng mabahong amoy. At mabahong hininga. May B.O. ka na nga, may bad breath ka pa, eh kawawa ka nang talaga.

7. Removal of apocrine glands.

Sa malalang bromhidrosis, ay maaring i-offer ng mga duktor ang pagtanggal ng apocrine glands. Maari itong tanggalin sa pamamagitan ng surgical excision, liposuction, o laser therapy. Hindi dahil nabasa mo rito ang laser therapy, huwag mo sanang tangkaing na sunugin ang iyong kili-kili. Please consult your doctor.

Hanggang dito na lang at sana ay may natutunan kayo. At tandaan, hindi lang sa Bagong Taon po bawal magpaputok!

(*photo of tawas from the web)

Hands Off the Ferrari

Being an immigrant in the United States, many times I feel that we are always going to be second-class citizens here. There will always be discrimination, whether it be deliberate or not.

It does not matter how successful we get in our field of endeavor. It does not matter how high the level of our education is. It does not matter how fluent we speak the English language, albeit with a different accent. It does not matter how we dress-up. It does not even matter if we are already naturalized citizens of the US or not. We will still be viewed as “lowly” immigrants. And its hard to break away from the stereotypes of being one.

This brings me to the story of my friend and former classmate, as narrated by his daughter, during his and his wife’s birthday celebration. Their daughter is in college now.

Several years ago, my classmate, while he was in Las Vegas to attend a physicians’ conference, went to a car show. Besides Medicine, his knowledge in other fields of science is remarkable. You can ask him anything under the sun and he has an idea about it. That’s why we nicknamed him Einstein back in our college days. He is also well-versed in car talk and is a true auto enthusiast.

While he was in the auto show, he was looking at all the beautiful and exotic cars on display and was happily engaged in discussion with the car representatives. With my friend was her daughter who was 7 or 8 years old at that time. Perhaps a car show was the only “safe” show he can bring his little girl to, compared to the other shows Las Vegas is famous for.

The daughter got bored and tired, according to her account, and so it happened that she leaned on one of the expensive cars at the show, that his father has a certain interest in. The car was a gorgeous red Ferrari. The car representative then told my friend to please tell her daughter to get her hands off the car.

It may be that it was a gentle reminder or a small request by the car representative. But to my friend, it sounds like a snub, a slight, and a downright slap on the face.

Do you think I am not a real customer and has no interest in buying this car? Do you think I am not deserving to see or touch this car? Do you think, just because I’m an immigrant, I have no capability of buying this car? Well, my friend did not retort that way, but according to the daughter, that’s what he should have said. Instead, he just took it in stride.

It’s not that we are ‘social climbers,’ or that we are forgetting where we came from. It’s not that we are denying our humble beginnings, for just like me, my friend also used to ride the bus and jeepneys when we were in college, back in the Philippines. What we only asked for, is give us the respect we deserve.

As my friend’s daughter recounted the story, she said that that day, his father made this resolution: that this child, this very child that has a snotty nose and slimy hands, will one day own, and ride on this very car that she was not even allowed to touch.

Several weeks later, a beautiful red car was delivered, and rolled in into the garage of my friend’s house. When the daughter saw the car, she asked his father: “Dad, is this the car?” The car that she was forbidden to lean on.

My friend then proudly said, “Yes, my beloved daughter, this is the car.”

 

Death by Chocolate

All she wanted was to taste the chocolate.

All these years she was strongly warned against having chocolates. It’s not that she’ll have pimples or she’ll get fat when she eats them. It is more morbid than that. Her parents said that she is allergic to it. Deathly allergic to it. The last time she tasted chocolate was when she was 5 years old. And that was more than 30 years ago.

But chocolate is irresistible.

Everybody likes chocolates. In fact it is the most popular dessert in the world. Perhaps many will consider it as God’s gift to men. Some pundits would even say that the food Eve fell for was chocolate that was in the Tree of the Knowledge of Good and Evil.

As you probably know, chocolates are made from cacao. Interestingly the Latin name for cacao tree is Theobroma cacao which means “food of the gods.” Theo is god, and broma is food.

Why does eating chocolate so irresistible?

According to scientific facts, chocolates contains several chemicals that can affect our mood. Especially dark chocolates. Caffeine and theobromine are among those substances, which can make us more alert and gives us energy. I’m sure you’re familiar with the “pick-me-up” effect from the caffeine in your morning brew.

Chocolates also contains Anandamide that helps stimulate and open synapses in our brain that allow “feel good” waves to transmit more easily. A similar chemical, tetrahydrocannabinol or THC can have the same effect. THC is from marijuana. And you wonder why you can’t resist your craving for chocolates?

Furthermore, both serotonin and endorphins, neurotransmitters or chemicals in our brains, are released when we eat chocolates, and in turn, this brings on a sense of well-being. Just so you know, exercise also can release those endorphins, that can give you a euphoric mood after a work-out. Many call it as the “runner’s high.”

Lastly, Phenylethylamine is a chemical that our brain releases when we fall in love. It also acts as an anti-depressant by combining with dopamine that is naturally present in our brain. And guess what? Chocolates contains Phenylethylamine.

So go ahead, give chocolates to your loved one. Send chocolates to the one you want to date. Give chocolates on Valentine’s. I know flowers are nice, but can they release Phenylethylamine? Eating the flowers is not suggested.

Chocolate production is a multi-million dollar business. Ghirardelli, Godiva, Lindt, Cadbury and Hershey, to name a few, are big-name companies that are successful in this trade. Though I am still biased to the Filipino Choc-nut.

Besides chocolate bars and candies, there are also several chocolate-flavored desserts. Like cakes, ice cream, mousse, cookies, shakes, drinks, and whatever you can think of. There’s even chocolate-flavored cigarettes! That’s evil.

Then there’s different confectionaries that are called “Death by Chocolate.” I’m not talking about the chocolate-flavored cigarettes, though that is an apt name for that. “Death by Chocolate” is an idiomatic term they use to describe various desserts that feature chocolate.

Death by chocolate IIIBack to our patient, as I stated in the beginning, all she really wanted was to taste chocolate again. So she took a bite of a chocolate cookie. And she liked it! She took another bite, and another. The chocolate tasted so good, she finished the whole cookie.

Not too long after, she felt that her body was getting numb. She got alarmed, she took Benadryl. Four of them. But the symptoms did not get any better. She then started having some shortness of breath. Soon her tongue and lips swelled up. Then she cannot swallow or breathe anymore.

Finally she was brought to the Emergency Room. She was immediately intubated to establish an airway and then was hooked up to a mechanical ventilator. That’s how she ended up in our ICU.

All because of chocolate.

For two days she was on life support. Her blood pressure also dropped to dangerously low levels. These were all due to severe allergic reaction.

But she improved. With intense supportive care and mechanical ventilation, plus IV fluids, steroids and anti-histamines, and some tincture of time, she got better.

On the third day, she was weaned off the ventilator, and was discharged out of the ICU. I then warned her, that in no instance ever, that she should taste chocolates again.

Death by Chocolate? Almost.

(*photo from here)

The Hills are Alive With the Sound of…

Cows.

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Here’s the story behind the above photo:

During our last trip to New York City, we planned a side trip to upstate New York to see the autumn foliage. However we were disappointed as the color of the leaves were not that colorful or have not peaked yet. It’s delayed this year for some reason.  So out of a whim, from the suggestion of our friend from New York, we drove to Vermont to see a “better” fall foliage.

And we were not disappointed. Vermont’s fall foliage was much colorful!

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With hasty plans we headed to Stowe, Vermont which was 6 hours drive from New York City. Well, 1 hour was just trying to get out of the city’s traffic. We found a place in the mountains called the Trapp Family Lodge. If you are familiar with the Von Trapp family, from which the movie “The Sound of Music” was based on, this is their property.

IMG_5999.jpgAfter the Von Trapp family left Austria, they settled in Stowe, Vermont in the 1940’s. They built a home on an enchanted farm surrounded with beautiful mountains reminiscent of their beloved Austria. Later on they opened a lodge for visitors for some Austrian-inspired hospitality.

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IMG_5979This is a place where the hills are alive with the sound of music. And cows.

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By the way, those cows are owned by the Von Trapp family. I wonder if there’s a cow named Moo-ria.

*******

(*photos taken with an iPhone)

 

 

In New York State of Mind

If you have been reading my blogs, you probably already know that I once lived in New York City. I left New York seventeen years ago, though I came back once for a visit, and that’s seven years ago too.

But now it’s time to visit New York once more.

When you hear New York, you picture in your mind the big crowded city. But in reality, a large part of New York State is mountains and forested areas. And that’s where we started our visit.

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Yes, the above photo is New York.

We did some not-so-serious hikes up the mountains, and the view there was breath-taking. Breath-taking, not just because we were panting after the climb.

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It’s not all work though, for we did some relaxing as well. Lots of relaxing. Especially beside a lake. We even went for a calm boat ride.

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Beautiful mountains, trees, a lake, and some quiet time. What could be better than that?

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Well, this: to enjoy it with the love of my life.

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While in upstate New York, we also visited the Culinary Institute of America. Besides touring the place, we also ate a sumptuous meal there (see previous post).

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Another place we went to is the Walkway Over the Hudson, in Poughkeepsie, New York. This is the longest elevated pedestrian bridge in the world, spanning 1.28 miles over the Hudson River. It is actually an old railroad bridge that they converted into a pedestrian bridge.

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After spending a couple of days in upstate New York, it was time to visit the city.

We decided to stay not actually in New York City, but across the Hudson River, in New Jersey. So we can sleep with a view like this (photo below). And going into the heart of New York City is just one ferry ride away.

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Though we stayed a few days in the city, I’ll just chronicle here a one-day trek that we did through the city.

We started at the new improved Chelsea Market. It is an enclosed food hall, shopping mall and offices all rolled in one. It was built at the old Nabisco factory complex, where Oreo was invented and produced. They transformed the factory, but kept many of its original structures.

IMG_5733IMG_5734IMG_5737IMG_5736There were places that we visited that were not existent yet when we were still living in New York. Like the High Line Park, a long elevated linear park at the West Side of New York City, which opened in 2009. This is again an old elevated rail road track that was repurposed into a park and walkway.

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Walking this park gives you a unique perspective of the city, as well as get interesting stories as you peered through buildings, neighborhood and people’s backyards.

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And yes, we walked the whole 1.45 mile span of the High Line Park.

The photo below shows typical New York. That means construction never stops in this city.

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Besides walking inside the city, we also rode the ferry to get a different “feel” of New York City. That is, to view it without the noise, the hustle and the bustle.

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United Nations Headquarters (white building)

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The Empire State building from afar

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Midtown Manhattan

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Brooklyn Bridge and Lower Manhattan

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Statue of Liberty from a distance

We got off at the Brooklyn port from the ferry, and then we crossed the Brooklyn Bridge by foot back to Manhattan.

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the city view from Brooklyn Bridge

As you can surmise from my account, we did a lot of walking that day. In fact, according to my phone app, we walked 7 miles or more than 18,000 steps that day.

After all that walking, I got hungry so I got something to eat. Iconic New York City’s street food, of course!

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We ended our tour at the One World Trade Center, which has become the emblem of New York City’s tenacity and resolve. Photos below show the One World Trade Center and the Oculus NYC.

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Finally I stopped at the 9/11 Memorial and spent some quiet moments besides the reflecting pool. I uttered a prayer and paid respect to the thousands of lives our nation lost there.

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After visiting the 9/11 Memorial, we decided to call it a day.

On our way home, we rode the subway. Though for some reason, it was not crowded at all. Is this is the World Trade Center’s ghost subway train? Nah!

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From New York,

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Pinoy Transplant

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(*Photo credit: Pinoy Transplant and his unofficial photographers)