Monday, March 19, 2018


Follow Mike at Walk and Eat

If you like eating out in Metro Manila, I invite you to follow Mike at Walk and Eat. He visits restaurants almost every day and writes about food, interior design, and service. As far as I know, his job allows him some flexibility to roam around town, and maybe this is why his blog is called such. How he chooses the restaurants amazes me. A self-confessed obsessive-compulsive and completist, he follows a list of best restaurants for this year or the other year and ticks off the place once he has visited it. He also chooses randomly. Some of his best pieces are those when he stumbles upon a hole-in-the-wall restaurant and finds out that the food is amazing. Unlike many professional food critics, he writes simply, devoid of any pretensions. If he likes the food, he writes that he'll be back. Otherwise, he just says that burger, for example, is bad without sounding condescending. It has become a habit to scroll through his archives, or do a quick search in his site, so I'd have an idea where to dine in. I visited Assad Café in Paco because Mike recommended it highly.

Sunday, March 18, 2018

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Yellow is the color of the tennis ball

week 28 (UP Medicine Tennis Court)

What color is a tennis ball? My answer is yellow. I learned recently that this is quite a divisive question.

The seemingly trivial question tore apart our usually congenial group. Lines were quickly and fiercely drawn, team green against team yellow, as my colleagues debated the very definition of color itself. Swords were brandished in the form of links to HTML color codes or the paint selection at Sherwin-Williams. Attempts to broker a cease-fire, to consider that maybe tennis balls are actually yellow-green—or green-yellow, or chartreuse—were brushed aside. At one point, I lashed out at a colleague who then reminded me we were on the same side.

The article offers a theory on color perception.

When we’re looking at a given object in different types of light, our brains make substantial color corrections that allow us to see the object in a stable color over most lighting conditions. Conway’s theory is that some people discount cool colors in their perception, while others discount warm colors, in order to view objects consistently as the light changes around them.

It goes even further: one's perception of the tennis ball color may shed light into one's lifestyle.

When we’re looking at a given object in different types of light, our brains make substantial color corrections that allow us to see the object in a stable color over most lighting conditions. Conway’s theory is that some people discount cool colors in their perception, while others discount warm colors, in order to view objects consistently as the light changes around them.

In my second year of residency in IM (sometime in mid-2016), I enrolled in a tennis class. The court was a few steps away from my dorm room. Never mind that the interns saw me sweat it all out.  Weng, my young instructor, said at one point that I had a good backhand. The last I heard about Weng was that he got married and moved to the province.

Saturday, March 17, 2018



I was moved by this: former President Obama surprises Vice President Joe Biden with the Medal of Freedom, a spectacular display of generosity of spirit and a humble heart.

From the NPR:

The two have enjoyed an unusually close working relationship over the past eight years, and Obama himself even joked at the outset of the ceremony that "this also gives the Internet one last chance to talk about our 'bromance.' "

Throughout the ceremony it was evident not just how close the two men were but how close their families and staffs had become, and Obama said his "family is honored to call ourselves honorary Bidens."

You don't have to be friends with the people you work with. But if you are friends with them—well, that makes the work easier, the hardships more bearable.

Friday, March 16, 2018

Coffee impacts biodiversity

Another good news for coffee drinkers and environmentalists:

The impact of coffee on biodiversity has been intensively studied, particularly in Latin America. The conclusion of most, but not all, of those studies is that biodiversity impacts increase as more intense farming techniques are used. Truly rustic coffee, where coffee plants are grown interspersed with forest trees and understory, has the least impact on vegetation and birds. Shade-grown monoculture is a slightly more intensive technique, farming larger densities of coffee plants underneath the forest canopy. This impacts biodiversity more than rustic coffee, but still far less than sun coffee, which involves clearing the forest like a traditional farm, removing epiphytic plants from the coffee plants, and applying chemical fertilizers.

Thursday, March 15, 2018


The patients' narrative

As I prepare for my clinical fellowship in Oncology, I'm reading Siddharta Mukherjee's masterpiece, The Emperor of Maladies: A Biography of Cancer. As with any medical discipline, the patients remain central.

But the story of leukemia—the story of cancer—isn't the story of doctors who struggle and survive, moving from one institution to another. It is the story of the patients who struggle and survive, moving from one embankment of illness to another. Resilience, inventiveness, and survivorship—qualities often ascribed to great physicians—are reflected qualities, emanating first from those who struggle with illness and only then mirrored by those who treat them.

This book excites, challenges, and inspires me.



Dr. Jun Jorge, chair of the Department of Medicine at PGH, called me up at 9 PM, March 14. I passed the diplomate exam of the Philippine College of Physicians. I'm now a board-certified internist. I will remember this day with Sir Jun's sonorous tone as background. He was perhaps holding back his excitement that everyone in my batch made it, some with the highest scores.

My heart is bursting with joy at the past and the present and the future, all of my life bearing the indelible mark of God's faithfulness. If doubts assail me in the future, I will look back to this moment. This is yet another milestone in my life, a testimony of God's goodness and love.

Whenever I celebrate victories, King David's calming and humble prayer gives me the right perspective.

Not to us, O LORD, not to us, But to Your name give glory Because of Your lovingkindness, because of Your truth. — Psalm 115:1, New American Standard Bible


After the end of residency in December 2017, I spent the next two months at home in Marbel. My grandmother died, but I was able to squeeze in a few moments to read Harrison's, scribble a few notes, and manufacture mnemonics—the kind that I forgot after three days of having concocted them. People call that short-term memory loss, and I've been guilty of forgetfulness many times over. Interspersed with the flurry of activities, Netflix series, downloaded books in Kindle, and coffee sessions with high school classmates—many of them already married and with house-and-lots—I was able to work part-time as a physician in a coastal town in Sarangani and a company hospital where my parents had first met.

My family wasn't all that helpful. My father would drag me with him to the mall for his afternoon coffee or the farm for his morning appointment. My mother would volunteer my services to many of our close family friends. My brothers would question the validity of my studying: was I really remembering things when all I did was watch films and blog?


My go-to café was The Brew Project along Judge Alba Street. I almost always had the shop's excellent single-shot espresso which kicked my dwindling afternoon consciousness to activity. I took photos during some of these study sessions, yet another proof that cafés are the new libraries.

January 5. The baristas, who saw me enter the store between 2 to 3 PM, remembered what I always ordered.

January 21. My TWSBI Eco and Valiant columnar notebook.

January 22. Infectious Disease was the longest topic.

January 23. This reminded me of the Viennese kaffeehaus.

January 24. My kid brother Sean would join me.

February 2. I interrupted my break with a short visit to Manila, where I took an online exam. I was able to catch up with Carlos, Racquel, and Abby, all diplomates in IM now, too. Congratulations, guys.

February 10. At Bo's Cafe, SM General Santos. I later spilled the creamer.

February 22. Austin Kleon's calendar served as my short-term planner.

February 23. Another day at the cafe.


Thank you for all your prayers and words of encouragement. I haven't told my parents yet.

Wednesday, March 14, 2018


Three brothers, train rides across India, a spiritual journey

Darjeeling Limited is the Wes Anderson film about three brothers who travel across India with the pretensions of the trip being a spiritual journey. After their father dies, they search for their mother who has become a nun in the subcontinent. The film is a brilliant display of color, culture, and brotherhood, and a lot of it resonates with me. My brothers still wrestle with me, or we still argue about which seat in the dining table we should occupy.

Don't get me started with the movie's soundtrack. I loved Les Champs-Élysées by Joe Dassin. This Time Tomorrow by The Kinks is also a favorite.

Tuesday, March 13, 2018

How it feels like to live in Antarctica

During tag-init in Manila, I dream about living in Antarctica, where there's ice in all of its material manifestations. I'd rather have gloomy skies than sunny weather, to be honest, but the sun is central, invasive, and critical in this equatorial life I've gotten used to. I'm not complaining, considering that people who stay in Antarctica likely feel "more isolated" than their counterparts in space stations.

Monday, March 12, 2018

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A case of publishing thirty-three papers from one study. From the Neuroskeptic:

“Salami slicing” refers to the practice of breaking scientific studies down into small chunks and publishing each part as a seperate paper.

Given that scientists are judged in large part by the number of peer-reviewed papers they produce, it’s easy to understand the temptation to engage in salami publication. It’s officialy discouraged, but it’s still very common to see researchers writing perhaps 3 or 4 papers based on a single project that could, realistically, have been one big paper.

But I’ve just come across a salami that’s been sliced up so thinly that it’s just absurd. The journal Archives of Iranian Medicine just published a set of 33 papers about one study. Here they are – this is a rather silly image, but it’s a silly situation.

Sunday, March 11, 2018

Animate me with joy

Lord's Day Evening, from the Valley of Vision.

Animate me with joy that in heaven praise
will never cease,
that adoration will continue for ever,
that no flesh will grow weary,
no congregations disperse,
no affections flag,
no thoughts wander,
no will droop,
but all will be adoring love.

Guard my mind from making ordinances
my stay or trust,
from hewing out broken cisterns,
from resting on outward helps.

Wing me through earthly forms to thy immediate
May my feeble prayers show me the emptiness
and vanity of my sins;

Deepen in me the conviction that my most fervent
and most lowly confessions, need to be
repented of.
May my best services bring me nearer to the cross,
and prompt me to cry, ‘None but Jesus!’

Saturday, March 10, 2018


Thirsting for Jesus

From Scotty Smith's Heavenward:

Lord Jesus, the image of thirst is fresh in my mind, for after my 12-mile bike ride yesterday, I couldn’t screw off the top of my water bottle fast enough. Thirst is neither patient nor polite, and we’re usually quick to slake its unrelenting demand, one way or another. Thirst will not be denied.

Because this is true, we join the psalmist in crying out: Jesus, intensify our thirst for you. As a deer panting after streams of water, cause us to pant relentlessly after the unpolluted, un-distilled, never-ending brooks of your grace. Only the draft you draw, the potion you pour, the life-giving libation; only living water can satisfy this God-given thirst.

Friday, March 9, 2018


Starting April, I begin my life as a cancer specialist in training


I just learned that I qualified for fellowship training in Medical Oncology at the Cancer Institute, UP-Philippine General Hospital. Thanks for all your prayers during this moment of "uncertainty" that only crossroads of life can show us. Since med school, God has instilled in me the interest and joy in caring for patients with cancer. This was further fueled by my Internal Medicine residency experience which revealed an important aspect about myself: I am drawn to patients with malignancies. That I have two more years or so of learning the ropes of chemotherapy and knowing when to stop; of breaking the news of cancer repeatedly to the patients and their families, without making it sound like it's the end of the road for them; of cheering for the blessing of another added month, week, or day added to already fragile lives; of waging war against the mother of modern-day diseases—the task overwhelms me. So I'll need your prayers and encouragement even more. May God be gloried in all that I do, especially as I pursue this career as a cancer specialist.

For Coke drinkers out there

Coca-Cola will launch an alcoholic drink. From the Irish Times:

Coca-Cola is planning a break with 125 years to experiment with its first alcoholic drink as the world’s largest soft drinks company eyes Japan’s growing market for “Chu-Hi” alcopops.

The gambit, which a senior Coke executive described as “unique in our history”, will propel the US company into a competitive alcopop market dominated by Japanese brands such as Strong Zero, Highball Lemon and Slat.

The plans, which Coke’s Japan head said “make sense” given the strength of the Chu-Hi market, have come to light almost four months after a US-based analyst at Wells Fargo speculated in a report that Coke might shortly announce a move into alcoholic drinks.

I don't drink soda anymore, but I felt I had to, during the one hour-lunch break of the diplomate exam. The soda was Coke Zero. My friend Racquel scoffed at me.

Thursday, March 8, 2018

You cannot by any works merit eternal life

John Calvin quotes a prominent Catholic scholar, Bernard, Sermon I in Annunciation (1596):

I believe that the testimony of conscience, which Paul calls the rejoicing of the pious, consists in three things. For it is necessary to believe, first of all, that you cannot have remission of sins but through the mercy of God; secondly, that you cannot have any good work unless he bestow this also; lastly, that you cannot by any works merit eternal life, unless that also be freely given.

Wednesday, March 7, 2018



After the barrage of exams—the Internal Medicine Diplomate Exam and qualifying exam for fellowship—I figured I should take the day off for the next few days. I watched Flame of Recca on Youtube, preferring the version dubbed in Filipino, as it reminded me of childhood. I watched Red Sparrow, a movie about ballerina, spies, and Russia. I watched Little Men, a film about childhood friendships, a coming-of-age story that's pure and devoid of sex. I wish there were more films like that.

Tuesday, March 6, 2018

Making sense of awards

Gideon Lasco on the "Anatomy of an Award."

How do we make sense of such awards and their significance? Using the sociology of Pierre Bourdieu, we can think of them as a form of “academic capital” that awardees can use to boost their status or legitimize their positions . . .

Meanwhile, for the award-giving institutions, academic capital can be exchanged for political capital (i.e., closer relationships with people in power), financial capital (i.e., getting a donation or higher budget), or even just symbolic capital (i.e., prestige of being associated with a famous person).

Always spot on, Dr. Lasco's column in the Inquirer offers a balanced analysis of things. I may disagree with him, but it's hard not to see reason in his arguments. (Also read: Why Filipinos have a sweet tooth and 'Doctors to the Barrios.')

Monday, March 5, 2018

Sunday, March 4, 2018

Saturday, March 3, 2018

Stories from trash

Erica Cirino, writing for National Geographic, on plastic pollution: a message from nature, an opportunity for art.

On the beach I collected plastic for about an hour, focusing mostly on its tall cliffs. That’s where a lot of lighter trash blows—things like balloons and rope and plastic bottles. The beach was generally covered with household trash: lots of food wrappers and containers, lighters, pens and construction debris. When I finally got down to the wrack line, my backpack was bulging, but I wanted to see if I could find any unusual items that had recently washed ashore.

Immediately my eyes were drawn to something that wasn’t plastic: a decaying rose bouquet that had been tossed on the beach. Was it to memorialize someone? Was it to celebrate a Valentine? Was it from a wedding?

If I see trash along the shore, I think of the irresponsible people who once frolicked there. Erica Cirino's is an interesting perspective.

Friday, March 2, 2018


Growing old in Japan

Tokyo Times posted this photo collection of Japan's aging population.

A Generation in Japan Faces a Lonely Death, written by Norimitsu Onishi, is one of the best pieces I've read in a long time.

She had been lonely every day for the past quarter of a century, she said, ever since her daughter and husband had died of cancer, three months apart. Mrs. Ito still had a stepdaughter, but they had grown apart over the decades, exchanging New Year’s cards or occasional greetings on holidays.

So Mrs. Ito asked a neighbor in the opposite building for a favor. Could she, once a day, look across the greenery separating their apartments and gaze up at Mrs. Ito’s window?

Every evening around 6 p.m., before retiring for the night, Mrs. Ito closed the paper screen in the window. Then in the morning, after her alarm woke her at 5:40 a.m., she slid the screen back open.

“If it’s closed,” Mrs. Ito told her neighbor, “it means I’ve died.”

These pieces resonate with me. My parents aren't getting younger, but I want them to live a joyful life. After all, isn't the best yet to come?

Thursday, March 1, 2018

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