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.

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(*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)

Pinoy Transplant Visits the CIA

Yes, you read the title right. Take note of the “CIA” sign at the door, on the photo below.

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But it is not Central Intelligence of America. It is rather the Culinary Institute of America.

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CIA is a premier culinary school, and boast to be the best in the world. An institution specializing in culinary, baking and pastry arts. It’s main campus is located in Hyde Park in New York, which is the one we visited.

The school campus is nestled in a beautiful location near the Hudson River, with surrounding views that is conducive for learning and artistic inspiration.

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Touring the CIA campus is a gratifying experience in itself as you see the beautiful and clean premises and also take a glimpse of the students honing their crafts.

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Just watch out for crossing chefs.

But dining and tasting their food creation is another whole experience of its own. And that’s what we did.

The CIA New York Campus operates four public restaurants. If you don’t mind to be a “guinea pig” of these budding chefs, because in a sense their creation is part of their training and test, and your satisfaction could be a part of their grade. But I’m pretty sure these students are under the watchful eye of certified master chefs.

We dined at Bocuse Restaurant, which serves traditional French Restaurant. If there’s a restaurant there that serves traditional Filipino food, that’s where I’ll go, but there’s none.

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I was not disappointed. From the ambience, the service, the presentation and the food were all excellent. The food I ate there, is one of the best food I ever tasted. I have been to fancy restaurants before, but the appetizer, entrée and desert I had in CIA was a league of its own. An absolute gastronomic delight!

Whoever prepared my food, he or she definitely passed with flying colors, in my humble opinion.

By the way, their wine list is exhaustive as well. But since I dont’ drink wine or any alcoholic drink for that matter, for personal and health reasons, so I did not have any.

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One unique policy they have in their restaurants is that they don’t accept monetary tips from customers, as part of their student’s education is to provide outstanding service even without tips. To this I tip my hat.

From the CIA campus,

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Pinoy Transplant

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(*I did not receive any commission for the above post. However if CIA would like to give me a free dinner next time I visit, I will definitely accept it.)

(**Photos taken with an iPhone)

Old Friend

Hello friend.

First of all, I know it is your birthday tomorrow. Don’t be impressed that I remember that after all these years. It is just because you shared the same birthdate with my father, that’s why I cannot forget.

I know we have not seen each other in person for several years. But it is not a reason that we have not stayed in touch as friends. After all, we’ve known each other since our “uhugin” days of childhood. We even had that matching yellow shirt that we would often wear at the same time when we were kids, as if we were twins.

We played together. We ate together. We even got lost once together in a farm. We were so small then and cannot see beyond the tall plantation. But you told me that we should kneel down and pray right there in the rice field. After that, we eventually found our way back.

Remember how we played those tau-tauhan or toy soldiers? We would stand them up in the dirt while we were on our hands and knees on the ground, and we’ll hit them with marbles as if it was a war. I think I could hit more than you. And I’ll rub it in, mas asintado ako sa iyo.

Our lives were intertwined, as our families were good friends. We would go to parks and other places together. Remember how we would fit our two families in our “Ford Cortina” – all 4 adults and 6 young kids in one car? Who cares about seatbelts? Those were the good ole days.

Then your family decided to migrate to Papua New Guinea. I was sad that you were leaving us, but happy for you and your family that you would be going to a new country and pursuing a “better” life.

Yet you still came back a couple of times to the Philippines for a visit. You told me about your experience riding that big airplane and crossing the ocean. I was so envious! You told me how excited you were in going down the stairs of the plane that you slipped and almost fell down the tarmac.

Then after a few more years I heard that your family would be migrating to the US from Papua New Guinea. Again I was happy for you and your family for another new adventure. Though I honestly was saddened, as the chances that you would come back to live in the Philippines and we’ll be together again was nil.

But tadhana smiled again and our path crossed once more. Several years later I was given the chance to go to the US too. I remember how you and your family welcomed me with open arms. I even stayed in your place for a short time. You showed me around California in your new Toyota Camry. Your family toured me to Disneyland. And you even took me shopping for some muffler and gloves, as you learned I was going to New York City in the dead of winter to have an interview.

Then I too was able to chase my American dream.

One day you called and told me that you are quitting your job. Your stable, high-paying job. And that you were going to South America with your family as missionaries. I was surprised. But more so, I was so impressed with your admirable faith. I know it’s not easy to give up the comforts and luxuries of life, and leave everything behind, in the name of God’s higher calling. I don’t know if I can do the same.

I understand it took you some time getting used to the change. You told me how remote your location was in South America. That you live almost like in a jungle, and your home was like living in a big tree house. And how it would take you a couple of days to travel to the nearest city. Yet you never forget to call me once in a while when you have the chance. I know you can only make that overseas call whenever you’re in the city.

I heard you say that even though how meager your resources were and how simple your life was, you told me, that you love working in God’s mission. What a remarkable dedication. I have nothing but respect for you.

Then more than a couple of years ago, I learned that you and your family came back to the US. Though I understand, you were still live-in volunteers in a small Christian academy. At least you don’t have to fight anymore, those pesky mosquitoes and poisonous snakes that sneak inside your home.

Once in a while we’ll talk about our families over the phone. And how we would open up about our “little” problems raising our family, just like any parents have. I called you few weeks ago, and I told you that I would be praying for you and your family. I also got your “thank you” card about two weeks ago.

Then I got a phone call from your sister yesterday. What an awful news! A heartbreaking news. That you had a tragic car accident. And in an instant, you were gone.

I don’t know what to think. My finite mind cannot rationalize it. I don’t know why God called you home too soon. But I just have to trust Him. As you always did.

I cannot imagine how your family and children are taking this. I am praying for them. I would continue to support them in whatever way I can, just like I promised you the last time we talked.

I guess I will never hear your voice again. We will never have that heart to heart talk again. At least not here on earth. But hoping someday, somewhere, beyond this earth…….

Goodbye my old friend.

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(*in loving memory of Boying)

(**photo taken with an iPhone)

 

 

Barriers

He was always there.

Constantly standing outside the ICU room, that is closed by a sliding glass door. He looked worried. The expression on his face was if he was begging for any news or information to any hospital staff that goes in and out of that room. Except that even when we tried to talk to him, he does not comprehend any word we say.

He does not speak English. Yet I believe he had a sense of what was going on. I think he somehow knew that something very bad was going on. Except nobody can really confirm it to him in a language he can understand.

His wife was inside that ICU glass room. Lying in bed hooked to several monitors and to a life-sustaining machine. Infusing into her veins were several liquid medications in upside down bottles hanging from poles. Coming out of her body were several tubes and catheters – some in natural body orifices, and some in surgically made openings.

The room was a negative air-pressure isolation room. Meaning, that all air droplets were being suck out of that room to a special outlet to prevent from spreading. And all personnel that go into that room needs to don a gown, a mask or a respiratory hood, and gloves.

As he stands outside that glass room looking in, several barriers are separating him from his sick wife, and from the world.

First is the physical barrier of being in an isolation room. This is being done as we suspect she has a highly contagious disease that can spread not just to the other hospital patients, but also to the hospital staff. If only he can be constantly at her bedside. Of course he is free to go inside the room, as long as he wear all those protective gear.

Second is the language barrier. Being a new immigrant to this country and not understanding its language can be very isolating. Not able to communicate even the simplest of questions is already difficult, how much more understanding a very complex situation.

Perhaps he and his wife came to this country to escape hardship or persecution. Perhaps they came here to pursue a dream and to begin a new life. Then, this happened. Which leads me to the biggest barrier of all, the barrier of the unknown tomorrow. What will happen to his wife? To him? To their dreams? And their future?

For the past two days we have been talking to him only through a phone interpreter. Due to the circumstances’ limitation, most of the conversation with him was to explain a procedure or a test that is needed, and to obtain his consent. Consent for blood transfusion. Consent for the CT scan and MRI. For the spinal tap. For chest tube insertion. For percutaneous abdominal drainage catheter. For bronchoscopy. And other more. But sitting down and explaining to him every nitty-gritty details of her wife’s illness and its prognosis, we have not done yet.

Finally, the social worker was able to get an interpreter to come to the hospital. Being an obscure dialect of a certain language, it was hard to get an interpreter in person.

So I sat down with him, and with a live interpreter, explained in as much as I could, the gloomy situation. I explained to him the severity of her wife’s condition: with overwhelming still-to-be-determined infection, plus the ravaging systemic lupus affecting almost every organ including the brain, the odds were plainly against us.

As I converse with him through the interpreter, I learned that he has no relatives and the only family he had here in the US is his wife. I also learned that at night he still goes to work at a meat-packing factory so he can keep his job, and then come and stay in the hospital all day. Somehow he just tries to sneak some naps in the ICU waiting room during the day. No wonder he looked so haggard. Life can be tough at times.

Then he asked me the crucial question, “Would my wife get better?”

I gave him my honest answer, “I don’t know.” I told him that there’s a possibility that his wife may die. Even though she’s only 22 years old.

His face became more saddened. Perhaps that’s an information that he was afraid to learn. Now through the interpreter, he fully grasps the gravity of the state she’s in. Sometimes I think, that not knowing is better. Perhaps not understanding, is bliss.

Two more days passed, and he was there most of the time. Outside the glass door. Looking. Pleading. Hoping. I almost wanted to avoid him, for there’s no comforting words I can say, with or without the interpreter.

But today is different. I cannot wait for the interpreter to arrive so I can talk to him. I needed to tell him the news. I think we have found an answer. I think she is slowly getting better.

I needed to tell him, that I believe she will live.

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(*photo taken with an iPhone)