Concert in the ICU

Inside ICU room 34* of our hospital, there is an ongoing musical performance. One young man is playing an instrument and another young woman is singing.

Music therapy is a burgeoning field of science. We have known since the history of man, that music has a healing property. During Biblical times, young David was summoned to play his harp whenever King Saul of Israel was stressed and troubled. Pythagoras, Plato and Aristotle all wrote about how music affects health and behavior.

Now, modern science and current medical studies back this up. In Harvard’s Health Blog, one article mentioned that music therapy can aid pain relief, reduces side effects of cancer therapy, restores lost speech in people who suffered stroke, and improves quality of life for dementia patients among other benefits.

One study from Austria conducted in General Hospital of Salzburg, has found that patients who are recovering from back surgery had increased rates of healing and reported to have less pain when music was incorporated into their rehabilitation process. I consider Austria a leading authority in music science, after all that’s the country where great classical composers like Mozart, Strauss, Schubert, Czerny and Haydn all came from.

Several years ago, when I was doing my Critical Care Medicine training in New York City, we had a music therapy team that plays to our patients in the ICU. The team, composed of a flutist, a violinist and a cellist, would go from room to room in the ICU and would play for about 5 to 10 minutes in each room. Even if the patient was medically sedated or comatose, they would do it anyway. It was soothing for us medical staff as well, when they come, as we got to listen to their music.

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ICU music therapy (image from wakingtimes.com)

Since music therapy is the in-thing right now, I even told my daughter to look into a career in this field, that is if she would be interested, since she is pursuing a music degree. Perhaps I can have my own therapy someday.

Back to our ICU 34, the mini-concert though is not done by our hospital’s music therapy team, for we don’t have an official team like that as of yet. The music is being performed by the patient’s son and daughter who are both college-age and are both enrolled in music degree.

The son is playing his French horn, and the daughter is singing. The daughter even composed a special song for her mother, our patient, and would sing it for this special occasion.

However, their mother, who is only 44 years of age, is not going to wake up again. Not even with the beautiful music rendition from her children or any music therapy session. She suffered a devastating head bleed which caused her to be in perpetual comatose with no hope of meaningful recovery. She is just being kept alive by life-sustaining machines.

The whole family agreed, that their mother would not choose to live a life in a vegetative condition like this. So they decided that they will take her off all life support. But only after they perform their mini-concert in her presence. They would like to dedicate their music as a send off, as she passed on beyond this world.

Sometimes music can be a therapy too for the broken-hearted and for those who are left behind.

(*ICU Room number was purposely changed)

 

Wasak!

Sa isang luxury car show, may mga tao mula sa iba’t ibang lahi ang nagkausap-usap. Habang tinitignan nila ang mga magagarang kotseng naka-display sa show, ay nagsimula silang magbidahan.

Taga-Europa: “Doon sa Europa, ang mga luxury cars, gaya ng Mercedes Benz at BMW ay hindi lang para sa mayayaman. Ordinaryo lang na pinanghaharabas at pinampapasada namin ang mga iyan bilang mga taxi.”

Amerikano: “Naku, walang-wala iyan sa Amerika. Doon sa amin, ang mga mamahaling kotse tulad ng Mercedes, BMW at Corvette, ay binabale-wala at linalaspag lang. Walang patumangga pa naming binabangga at pinapasabog ang mga ito sa mga pelikula.”

Pilipino: “Nakow, taghirap naman pala sa bansa ninyo. Walang panama iyan sa Pilipinas. Doon sa amin, ang mga bagong-bagong luxury cars gaya ng Jaguar, Mercedes, BMW at Corvette ay hindi ginagamit o sinasakyan! Pinayuyupi lang ng aming Presidente para ang bakal ay gawing tansan!”

Wasak!

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(*photo from dailymail.co.uk)

Question and Answer: Hindi Maubos na Ubo

May kanta ang Eraserheads na nagsasabi: “Hanggang sa dulo ng mundo, hanggang maubos ang ubo.” Pero ang tanong na tatalakayin natin ngayon ay ang hindi maubos na ubo.

Doc,

Good AM po. Ako po ay may ubo, matagal na po pero hindi pa rin naaalis. Akala ko dahil sa sumugod ako sa ulan kaya po ako inubo. Sumasakit na din po minsan ang aking likod pag ako umuubo, tas noong isang araw may bahid po ng dugo plema ko.

Hindi naman po ako nilalagngat. Sabi ng asawa ko pumapayat po raw ako, pero baka kulang daw ako sa bitamina. Ano pong dapat kong gawin? Sana po matulungan ninyo ako.

Toto

Dear Toto,

Maraming dahilan kung bakit tayo inuubo. Una sa lahat ang ubo ay hindi mismo sakit. Ito ay palatandaan o sintomas lamang na maaring tayo ay may sakit.

Ang ubo, ay isang reflex o protective response ng ating katawan sa isang bagay na maaring magdulot ng pinsala sa ating sistema. Tulad nang kapag ikaw ay nasamid, ibig sabihin, maaring may butil ng pagkain, o tubig, o laway o anumang foreign body ang nag-trespassing sa ating trachea or windpipe. Tayo ay uubo upang matangal ang anumang nakabara sa daluyan ng ating hangin.

May mga taong hindi makaubo o kaya’y mahina ang kanilang cough reflex, tulad ng mga na-stroke, o kaya’y mga nawalan ng malay, gaya nang sa sobrang kalasingan. Sila ay maaring mag-develop ng aspiration pneumonia. Ito ‘yung mga secretions mula sa kanilang bibig ay nakapuslit at naligaw papuntang baga. Dahil hindi sila makaubo ng maayos kaya nalulunod sila sa sarili nilang laway.

Umuubo rin tayo kung maraming plema sa ating daluyang ng hangin at baga. Ang ubo ay paraan upang maalis ang mga plema. Kaya’t hindi maganda kung atin laging pipigilan ang ubo. Kalimitan ang mga gamot na cough suppressants ay hindi kailangan, maliban kung talagang malala na ang ubo na para na tayong asong kumakahol at hindi na tayo makatulog.

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Isa sa pinakamalimit na dahilan ng ubo ay infection. Dahil sa inflammation na sanhi ng infection, tumitindi ang mucus production sa ating daluyan ng hangin. Kadalasan ay virus ang sanhi nito, at wala masyadong mabisang gamot sa viral infection. Lilipas lang din naman ito. May mga medisina na maaring magpalabnaw ng plema, lalo na kung malagkit na parang kalamay, upang mas madali natin itong ilabas. Makakatulong din ang pag-inom ng maraming tubig.

Minsan ang infection ay dahil sa bacteria. Ito ang sanhi ng bacterial bronchitis o pneumonia. Dito maaring kailangan na natin ng antibiotics upang labanan ang infection. Pero minsan hindi lang bacteria, pero maaring fungal (amag) o mycobacteria (tulad ng tuberculosis o TB) ang sanhi ng infection. Sa pagkakataong ito, kailangan na talaga ng subaybay ng duktor para malunasan ang mga infection na ito.

May mga sanhi rin ng ubo na ang dahilan ay hindi infection. Tulad ng asthma, allergy, at gastroesophageal reflux disease (GERD). Sa asthma, maaring ang ubo ay katumbas ng bronchospasm o paninikip ng airways. Maari ring mamaga ang daluyan ng hangin dahil sa hika, kaya mayroon ding plema. Inhalers o tinaguriang bomba de hika ang makakapagbigay ginhawa dito.

Sa allergy naman, maaring maraming mucus o sipon galing sa ilong ang tumutulo sa lalamunan (post-nasal drip), at ito ay umiirita sa ating lalamunan. Maaring makatulong ang mga nose sprays at allergy medications.

Sa GERD naman, ang maaasim na asido mula sa stomach ay maaring umakyat papuntang lalamunan at ito ay umirita sa ating daluyan ng hangin. Makakatulong ang mga antacids na gamot para sa pesteng ahem na ito.

Isa pa sa mga dahilan ng ubo ay ang paninigarilyo. Nagrerebelde ang ating airways, at ang ating katawan ay naglalabas ng maraming mucus para protektahan ang sarili sa umaatakeng iritante. Ito ang sanhi ng tinatawag nating “smoker’s cough.” Siyempre maari rin magkaroon ng COPD or emphysema sa paninigarilyo, at hindi lang ubo ang sintomas nito, kundi kasama na pati ang paghingal at maingay na paghinga na parang nakalunok ng pusa.

Maari rin magkaroon ng kanser sa baga dahil sa paninigarilyo. Ang kanser ay isang sanhi ng ubong hindi maubos-ubos, hanggang maubos pati hininga. Sa katunayan, kapag kanser ang sanhi ng ubo, kalimitan ang kanser sa baga ay nasa advanced stage na. Sa ibang salita, mi ultimo ubo.

Balik ako sa kaso mo Toto, sabi mo medyo matagal na ang ubo mo. Ito ba’y ilang linggo na o ilang buwan na? Isa pa, ikaw ba ay naninigarilyo? Nababahala ako sa sabi mong may bahid ng dugo sa iyong plema. Maaring magkaroon ng dugo sa plema sanhi ng infection o iritasyon ng daluyan ng hangin. Pero maaring mas malala rin ang sanhi nito, tulad ng kanser.

Isa pa sa kinababahala ko ay sabi mo, pumapayat ka. Maaring dahil wala ka lang ganang kumain, o dahil na rin sa iyong sakit kaya nahuhulog ang iyong katawan.

Sa aking listahan ng maaring sanhi ng iyong ubo, infection ang isa sa aking hinala, kasama na rito ang TB, dahil medyo palasak pa rin ang TB sa Pilipinas. O kung ikaw ay naninigarilyo, dapat natin isaalang-alang na puwede itong kanser. Hindi sa tinatakot kita, ako’y nagaalala lamang.

Kaya ang payo ko sa iyo, magpatingin ka na sa iyong lokal na duktor kung hindi mo pa ginawa ito. Siguro kailangan mo na rin magpa-chest x-ray. Itigil mo na rin ang sigarilyo kung ikaw man ay naninigarilyo.

Buti pa kanta na lang tayo:

Hanggang sa dulo ng mundo,

Hanggang maubos ang ubo,

Hanggang gumulong ang luha,

Hanggang mahulog ang tala.

(*photo from the web)

 

Once Upon A Time

Not too long ago while walking at the mall, I was captivated by the music being played. You might ask, on what occasion does mall music captivating? Many times the music is just blaring and quite annoying.

Not in this store. Actually I was in a large department store that you would consider old-school, a holdover from the classic era, if you will. Though it is in the mall, this particular store has a quiet and serene environment. The music is calming and not loud. Most of the time it is provided by a grand piano in the center of the store, near the escalators. And they employ a live pianist to play the piano.

So when I heard the certain song being played, I was drawn to the place where the piano was, to see the musician who was providing the music. Though I was not familiar with the tune, somehow it stroke a nostalgic chord.

When I came down the escalators, I was surprised when I saw the pianist.

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He was a bit older than what I was expecting. He was perhaps in his late 70’s or even 80’s. His mobility was not very good anymore, as substantiated by the presence of a walker beside the piano. Yet the dexterity of his fingers were still impeccable. And the emotion in his playing was still very much palpable.

I was enthralled that I had to sit down on one of the sofas near the piano so I can watch him a little longer. He has no notes or music piece that he was reading. He was playing by memory with his eyes closed. Perhaps he has played this song so many times, that he’s performing it all by finger or muscle memory. Yet I can feel the deep sentiments on those fingers as it runs through the piano keys.

Maybe he was reminiscing the good ole days. Maybe he was reliving bygone happy moments. Or maybe he was lamenting a lost Valentine’s.

What was the song? I didn’t know, so I asked him after he finished playing.

He answered, “Once Upon A Time.”

Such an appropriate piece.

(*photo taken with an iPhone)

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“Once Upon a Time” is a song composed by Charles Strouse, with lyrics by Lee Adams, from the 1962 musical All American. It has been sung by Bobby Darin, Frank Sinatra, Perry Como, Tony Bennett and Bob Dylan among others.

Here’s a version by Alex Bird (taken from YouTube):

 

For all the lovers out there, including those who loved and lost, and who loved once upon a time, may you have a memorable Valentine’s.

Lalamunang Butas

Bahagi ng pagiging isang masinop na duktor, ay ang pagkuha ng istorya, o aming tinatawag na history, mula sa pasyente. Dahil kalimitan, maaring ma-diagnose o malaman kung ano ang sakit sa pamamagitan lang ng history. Siyempre kailangan pa rin ng physical exam at mga ancillary testing, para makumpleto ang diagnosis. Pero napaka-importante ng history.

Kaya naman kasama sa aming training o pag-aaral bilang duktor, ay ang kung paano kumuha ng tamang history. Katulad nang kung masakit ang tiyan ng pasyente: aming itatanong kung kailan pa nagsimula, o anong oras ng araw lumilitaw ang sakit, anong klase ng sakit, anong maaring nagpapalubha o nagpapaginhawa sa sakit, kung saan mismo ang sakit, o kung ito ay gumagapang sa ibang bahagi ng katawan, kung kumain ba ng panis na pansit, at kung anu-ano pa.

Huwag ninyo sanang isipin na makulit lang ang inyong duktor dahil napakaraming tanong, na pati pagkain ninyo ng pansit ay inuusisa. Ang mga tanong na ito ay kailangan para malaman ang tamang diagnosis.

Oo nga’t mayroong mga pagkakataon na hindi kami makakuha ng tamang kuwento o history mula sa pasyente. Tulad ng mga pasyenteng tuliro o walang malay na dinala sa hospital. Marami kaming ganyang pasyente sa ICU. O kaya naman ay ibang wika o dialect ang kanilang salita, o kaya’y pipi ang pasyente, kaya’t kailangan pa namin ng interpreter.

Mayroon din namang mga pasyente na hindi makapagbigay ng tama o accurate na history, dahil lito sila, o talagang magulo lang silang kausap. Para silang laging lasing. Kaya naguguluhan tuloy pati ang duktor kung ano talaga ang nangyayari.

Saludo ako sa mga Pediatrician, na kayang malaman kung ano ang iniinda ng mga bata o sanggol nilang pasyente, kahit hindi pa ito nagsasalita. Siyempre nakakatulong din ang history na ibinibigay ng magulang ng mga bata.

Mas saludo ako sa mga Veterinarian, kung paano sila kumuha ng history. Siguro ay naiintindihan nila ang bawat kahol, meow, o huni ng kanilang pasyente. Buti na lang at hindi ako pinag-beterenaryo ng nanay ko, at baka kumakahol na rin ako ngayon.

Isang kuwento mula sa matagal na panahon nang nakalipas ang aking isasaysay sa inyo. Ito’y nangyari nang ako’y intern pa sa Pilipinas.  Isang araw ay sabik na sabik na nagkuwento sa amin ang isa naming co-intern, ng kanyang karanasan mula sa hospital ward.

Sabi niya, may pasyente raw siyang may butas sa lalamunan o tracheostomy. Siguro dahil sa cancer sa larynx, pero hindi niya ito sigurado.  Kaya’t kailangan pa rin niyang kunin ang history ng pasyente.

Kung hindi ninyo alam kung paano ang may tracheostomy, sila ay hindi makapagsalita ng maayos,  dahil lumalabas ang hangin sa kanilang tracheostomy at hindi dumadaan sa vocal cord. Minsan, yung mga may tracheostomy, ay wala na ring vocal cord, at tuluyan na silang hindi makapagsalita.

Gayun pa man, desidido pa rin ang aking co-intern na kunin ang history ng kanyang pasyente.

Intern: Kuya, ano po bang dahilan bakit ka pumunta sa ospital?

Pasyente: Heh, hasi hirahp ahoh humingah.

Intern: Ganoon ba? Eh bakit ka nagka-tracheostomy?

Pasyente: Heh hasi, hanito hiyan. Halahas haho hahihahiho. Hayah haghahooh haho hang hanser sa lahlahmunah.

Intern: Teka, teka kuya. Hindi po kita maintindihan.

Luminga-linga ang aking co-intern at nagbakasakali na may kasama o bantay ang kanyang pasyente. Inisip niya, baka makakatulong ito na magbigay ng kuwento.

Sapak naman at naroon sa may pintuan ang isang kabataang lalaki. Tinanong ng intern kung kilala ba niya o siya ba ang bantay ng pasyente.

Tumango naman ang lalaki. Natuwa ang intern.

Tinanong uli ng intern kung alam ng bantay ang kwento ng pasyente. Tumango ulit ang bantay. Lalong natuwa ang intern.

Intern: Ano ba ang nangyari sa kanya?

Bantay: Ngabi ngiya, malangas naw ngiya mangingangiyo, ngaya ngagngaroon ngiya ngang nganser nga lalamungan.

Toink!

Sa kabila nito, nakuha pa rin ng intern ang wastong history. Kinailangan lang ng konting tiyaga at pangunawa.

*********

(*Ang kuwentong ito ay tunay na pangyayari, at hindi ko po intensiyon na laitin ang may mga tracheostomy o cleft palate.)

 

Pahabol na tula:

Mga lalamunang butas,

At ngala-ngalang bukas,

Mga boses na gasgas,

Hirap silang bumigkas.

H’wag batuhin ng pintas,

Bagkus tratuhin ng patas,

‘Pagkat ‘di man sila matatas,

Isip nila’y matalas.

Chasing Sun Dogs

Last time I posted about sun dogs (see earlier post this month), I just borrowed a photo taken by a friend, for I did not witnessed it personally.

Sun dogs are atmospheric phenomenon that consists of a pair of bright spots on either horizontal side of the sun. Most of the time it is part of a luminous ring around the sun known as a 22° halo. These beautiful glowing spots are created by the sunlight refracting off the plate-like ice crystals in the cirrus clouds.

Since it needs ice crystals in the clouds, sun dogs occur when it is harshly cold. My take on this is, even in unpleasant situations, beauty can exist. We just have to open our eyes for it. As in most life’s circumstances.

We are experiencing nice weather in Iowa this weekend, but last week our temperature was below zero Fahrenheit. To make up for the extreme cold, we were delighted with the appearance of sun dogs during one particularly frigid day. That time, I saw them with my own eyes and even able to capture photos of them.

Below are photos of the sun dogs that my wife and I took.

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(*my wife and I traveled on separate errands that day, me – an hour and a half drive south, she – two hours north, so we were able to capture sun dogs in different times and locations)

Ang Tandang at si Uncle Tom

Ako ay may tiyuhin na Amerikano. Siya si Uncle Tom.

Tatlong dekada na ang nakalipas nang isa sa aking mga tiyahin ay nagka-penpal ng isang Amerikano. Uso pa noon ang ballpen, magsulat sa papel, at maghulog ng sulat. Matagal-tagal din silang nagkasulatan, at dumating sa yugto na gusto nilang magkita. Wala pang Facebook at FaceTime noon, kaya’t nag-planong lumipad papuntang Pilipinas ang Amerikanong penpal ng aking tiyahin.

Dahil kami ay may bahay naman sa Maynila, at para na rin tuluyang makaliskisan, este makilatis pala ang ibig kong sabihin, ang kanyang penpal, kaya pinakiusap ng aking tita na sa bahay na namin tumuloy ang Amerikano.

Itanggi man natin o hindi, marami pa rin sa atin ang nagnanais na makakilala ng isang banyaga, at mapangasawa ito. Dahil sa isip natin ito ang ating magiging pasaporte para lumisan ng bansa. At kung tayo ay medyo tag-hirap, ito ang ating pagkakataong umunlad at makaahon sa buhay. Darating kaya ang panahon na ang mga Pilipino ay hindi na mangangarap na umalis ng bansa?

Kaya nang dadalaw na ang Amerikano, hindi kami magkandaugaga sa aming paghahanda sa kanyang pagdating. Para kaming naghanda sa isang official state visit, gaya nang dumalaw si President Trump sa Pilipinas. Kulang na lang ay umarkila kami ng banda ng mga musikero at magpa-piyesta sa aming kalye sa pagsalubong sa kanya.

Lumuwas pa ng Maynila ang aming lola mula sa probinsiya at nagdala ito ng mga buhay na manok, para raw ipanghanda sa Amerikano naming bisita. Siyempre, mas masarap pa rin daw ang lasa ng native at free-range na manok. Organic pa at siguradong hindi sinaksakan ng growth hormone at antibiotic.

Isa naman sa aking tiyuhin ang sumundo mula sa airport. Hindi na ako sumama dahil puno na ang sasakyan at baka wala pang maupuan ang aming bisita. Pagkasundo sa airport, ay sa bahay na namin sa Sampaloc Manila tumuloy ang Amerikano.

Sa aking silid pinatulog ang bisita. Malaking tao pala itong Amerikano. Hindi ko alam kung paano siya nagkasya o kung naging kumportable siya sa aking munting katre. Aaminin ko medyo masikip ang aking silid, pang-Petite (Palito?) size lang ito at hindi pang-Jumbo size. Hindi ko rin alam kung naglagkit sa init ang aming bisita, dahil wala naman kaming air conditioner. Pero may bintana naman at bentilador ang aking kuwarto.

Kahit payak ang aming bahay at masikip ang aking kuwarto, ay siguro naman ay lumutang pa rin ang aming pagiging hospitable sa aming panauhin. Kung tutuusin hindi lang ang Amerikanong penpal ng tiyahin ko ang banyagang natulog sa aking munting silid. Minsan ay nagkabisita kami ng galing Papua New Guinea na tumuloy din sa aking kuwarto. Marami ring kaming mga bisitang lokal ang nanuluyan dito. Kaya puti, itim, o kayumanggi – walang kinikilingan ang aking silid.

Balikan natin ang mga manok na dala ng aking lola. Isa dito ay puting tandang, pero hindi ito pang-sabong. Dahil hindi lahat ng manok ay ihahain kaagad, kaya’t ang iba ay hinayaan munang buhay. Kasama dito ang tandang na itinali sa veranda ng aming bahay.

Unang gabi ng aming bisita, maaring pagod na pagod sa biyahe ang Amerikano, at may jet-lag pa, kaya hahayaan lang sana namin siyang matulog kahit tanghaliin pa siya ng gising. Subalit may ibang balak ang puting tandang.

Bago pa magbukang liwayway o maaninag ang liwanag ng umaga, at bago pa magsipag-byahe ang mga traysikel ay simula nang tumilaok ang puting tandang. Walang patid at masigabo sa pagtilaok ang pesteng manok. Pumwesto pa ito malapit sa bintana ng aking kuwarto.

Hindi nagtagal ay nagising ang aming bisitang Amerikano. Galit at mainit ang ulo nito. Masama ang pagkakagising. Sino nga bang hindi mauunsiyame kung mabulabog ka sa iyong mahimbing na pagkakatulog.

Paglabas niya sa kuwarto, ay ako ang kanyang nasalubong. Sabi niya sa akin: “Where is that #&*@^! rooster, I’ll wring it’s neck!”

Sa halip na sa ilang araw pa sana kakatayin ang pobreng tandang, noong araw rin na iyon, naging tangahalian na namin ito. Nahimasmasan naman ang init ng ulo at natuwa pa ang aming panauhing pandangal, nang matikman niya ang masarap na luto na inihain namin sa kanya. Tinolang manok!

Nang malaon na ay nagkaigihan naman ang aking tita at ang kanyang penpal. Sila ay nagkataluyang magpakasal, at siya ay naging aking Uncle Tom. Hindi na nagtagal pa ay nakalipad na rin ang aking tita papuntang Amerika.

Maaring sabihin na dahil kay Uncle Tom, ay naging masuwerte ang aking tiyahin dahil siya’y nakarating ng Estados Unidos. Kahit man ako ay nabiyayaan din, dahil ang tiyahin kong ito ang isa sa tumulong sa akin sa pinansiyal nang ako’y nag-a-apply na papuntang Amerika para sa aking Medical Residency Training. Dahil sa ako’y natanggap sa isang academic hospital para mag-training, ito naman ang naging daan para ako’y makapangibang-bayan.

Noong nakaraang Pasko, maliban sa aking pagtawag sa mga kamag-anak sa Pilipinas, ay tinawagan ko rin ang aking tiyahing ito na naninirahan na sa California. Siya ang pinakamalapit kong kamag-anak dito sa Amerika. Ang California ay mahigit na tatlong oras na biyahe sa eroplano o dalawang araw na drive mula sa amin dito sa Iowa.

Sa pag-uusap namin ng aking tita ay nabanggit niya na medyo lumulubha na raw ang kalagayan ni Uncle Tom at nagiging makakalimutin na rin ito. Sa katunayan, may mga ilang taon nang may sakit si Uncle Tom. Salamat na lang kay tita na tunay na nagmamahal sa kanya, at hindi niya ito pinababayaan. Isa pa, dahil nurse ang aking tiyahin, naaalagaang lubos si Uncle Tom.

Sa aking tingin at palagay, kung naging masuwerte ang aking tiyahin, mas naging masuwerte si Uncle Tom dahil nakilala niya ang aking tita at ang aming pamilya. At hindi lang ito dahil sa nakakain siya ng tinolang manok.

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(*photo taken during our last visit to the Philippines)

8 Years of Blogging

Eight years ago this day, I launched myself into the wide and far-reaching space of the blogosphere. And Pinoy Transplant In Iowa has been in orbit since then.

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Eight years in existence may be deemed a milestone, especially if you consider the fact that according to research (which I also read from a blog), the average lifespan of a blog is less than 100 days. Perhaps I’m just more stubborn. Too stubborn to quit.

Though in all honesty, I seriously thought of walking away last year. I even have a “swan song” article written already, though it remained unpublished. Again, too stubborn to quit.

I am thankful for all of you, my readers and followers. The silent majority of you are not bloggers. The past year has been the most successful year yet, with regards to readership, as I got more than 70,000 visits last year. But I know, that’s nothing compared to some popular blogs that can garner that same stats in just a few days. For me, it took me eight years to establish that level of audience. That’s fine, Rome wasn’t built in one day.

Speaking of Rome, do you know that the Colosseum in Rome took 8 years to build? It was completed in 80 AD. Given the available technology and equipments they have during that time and considering how colossal (sorry, pun intended) that structure was, which can hold 50,000 people, eight years was really not long, but was rather quick. So a period of time can be short or long if you look at it in different perspectives. Anyway, we know that the Colosseum is still standing today after almost 2000 years.

Don’t get me wrong, I am not having the delusion that this blog will have the same longevity as the Colosseum. But at least I can say that with the number of visits I have, I can fill the Colosseum in a year.

To all of you, again, I am grateful and humbled for your continued visits.

Sincerely yours,

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(*first photo was in Ilocos Norte 2012, the second was in Tel Aviv 2017)

 

Oh My Deer

I thought deer usually roam all their life, like pilgrims or wayfarers that don’t stay in one place. But that is not the case. They can stay in one area for an extended period of time, as long as they have food and they deemed that the area they are in is safe. And I have photos that chronicles this.

It started one morning last summer, when I opened the garage door as I was about to go to work, I saw this deer standing in my lawn near our driveway basketball hoop. She just stood there as our eyes met, as if she’s saying “hello there!” Or maybe it was that deer-in-the-headlight look.

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I tried not to scare her, though she ran away as soon as my car pulled out of the driveway. However few days later, I saw her again and this time she brought her family along. There’s three of them.

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Since then, like a regular visitor, she comes and greets me.

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Her fawn also plays fearlessly in our front lawn.

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All summer I spotted them in my yard, all three of them. They are a regular fixture at my place.

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Summer turned into fall, but they remained. I even saw them resting comfortably in my yard. You may even think they are decorative statues in the lawn.

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Then the cold air came, the leaves have all fallen to the ground, and the grass have turned brown. My sightings of them became few and far between. But they hang around, all three of them.

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Finally winter arrived, the arctic wind blew, and the snow fell. For a long time I have not seen them. Days passed. Weeks passed. Two months passed. And there’s no sign of them.

Maybe I was just not going out of the house that much anymore as it is too cold, so I have not spotted them. Though I see tracks in the snow. Or maybe they really have moved away to find food and relocated to a safer haven for this harsh winter. Did they give their final goodbye?

But this morning, they came!

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All three of them still. Perhaps telling me, that they’re here to stay. At least for now.

(*all photos taken with an iPhone)

Three Wishes for the New Year

I know January is almost half-way, but I hope this New Year’s wishes are not too late. My wishes for you, yes you who are reading this, are:

1. To remain in good health.

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Being healthy though is not an accident. It is a constant choice of having healthy habits and lifestyle. It is well-known that the top new year’s resolution is about getting healthier. We also know that membership to local gyms spikes in January. Unfortunately, some of the people who were so eager to “live healthy” at the beginning of the year fall off the wagon, so to speak, in a few months or even weeks after their resolution.

Joining a local health club might help motivate you, but it is not really needed to stay healthy, as there are a thousand other ways to do it. The key is sticking to whatever resolution you made.

2. To experience warmth and love in your family.

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In today’s society, in our pursuit of our dreams, sometimes we forget the more important things in this life. What does it mean to have a job promotion, or a better pay, or a bigger house, or a more luxurious ride, if our relationships with our spouse, or our children, or with our family in general are wanting?

Invest more time with your family, for that’s what really matters. Nobody in their deathbed wishes that they should have spent more time in the office or that they could have had a bigger TV. It’s the failed relationships that they are regretful of.

3. To live a life with a purpose.

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To have a meaningful existence, we should have a purpose in this life. Whether that be to climb Mount Kilimanjaro, or to save the Galapagos penguins, or to be the best shoe repairman in the world, or be the best dad to your children are all good ambitions.

That purpose in life cannot be decided by somebody else. You have to determine that for yourself.

Actually the above wishes and aspirations are for myself. But I’m glad to share them with you. May we all have a prosperous new year.

 

(*all photos taken with an iPhone)