Bottled ※ Brain

My heartfelt gratitude to Jeff T, schoolmate from Notre Dame, who fixed the old battery of my seven or eight-year old MacBook Air. Jeff delivered it to the house yesterday. He did a clean job and even went as far as ordering a new charger for me. I paid a fraction of the cost I'd normally shoulder if I had brought my device to the Apple Store. I highly recommend him. Although I have a new MacBook Air, I won't let go of the old one, which has been with me in so many reports, presentations, and blog posts. The Japanese philosophy wabi-sabi comes to mind:  From an engineering or design point of view, wabi may be interpreted as the imperfect quality of any object, due to inevitable limitations in design and construction/manufacture especially with respect to unpredictable or changing usage conditions; in this instance, sabi could be interpreted as the aspect of imperfect reliability, or the limited mortality of any object, hence the phonological and etymological co...

Audrey Assad's Spirit of the Living God is in my head these days. It's one of the best music I've heard this year. The modern hymn is a prayer to God that is filled with expectation, faith, and hope. I love how the music illustrates the dynamics of Godhead: three Persons in one God.  O Spirit of the living God, thou Light and Fire Divine Descend upon Thy Church once more and make it truly Thine Fill it with love and joy and power, with righteousness and peace Till Christ shall dwell in human hearts, and sin and sorrow cease. Blow, wind of God, with wisdom blow until our minds are free From mists of error, clouds of doubt, which blind our eyes to Thee Burn, winged fire, inspire our lips with flaming love and zeal To preach to all Thy great good news, God’s glorious commonweal. So shall we know the power of Christ, who came this world to save So shall we rise with Him to life which soars beyond the grave And earth shall win true holiness which makes Thy children whole Till, ...

David Mathis writes about his morning devotions and how it has changed him over time . He follows the Navigators Bible reading plan , similar to what I use .  Not that this habit of starting each day with open Bible (and coffee) is always clean and easy, but it’s far more automatic and enjoyable and fruitful now, twenty years later, than at the beginning. It’s amazing how a longstanding, daily habit can change you — not just in terms of psychological pathways and external actions, but also how a soul can be formed and conditioned. We tend to overestimate how much we can change in the short run, and underestimate how much we can change in the long run. Unlike Mathis, though, I still check the boxes before the passages. It is habit I will not likely break because the check marks help me keep track. I read the Bible early in the morning, with coffee, fountain pens in different inks or a Blackwing pencil, and a Midori Traveler's notebook (passport size). In my journal, I'd rewrite ...

  This is Keith and Kristyn Getty, Matt Boswell, Matt Papa's Sing We the Song of Emmanuel , a joyful, expectant, theologically-infused hymn played on loop in our home. Enjoy! Sing we the song of Emmanuel This the Christ who was long foretold  Lo in the shadows of Bethlehem  Promise of dawn now our eyes behold.  God Most High in a manger laid  Lift your voices and now proclaim  Great and glorious,  Love has come to us  Join now with the hosts of heaven

  De Witt Talmage's words and our happiness in the reality of Jesus Christ's birth ! The music that broke through the midnight heavens was not a dirge, but an anthem. It shook joy over the hills. It not only dropped upon the shepherds, but it sprang upward among the thrones. The robe of a Saviour’s righteousness is not black. The Christian life is not made up of weeping and cross-bearing and war-waging. Through the revelation of that Christmas night I find that religion is not a groan, but a song. In a world of sin, and sick beds, and sepulchres, we must have trouble; but in the darkest night the heavens part with angelic song. You may, like Paul, be shipwrecked, but I exhort you to be of good cheer, for you who are trusting on Christ shall all escape safe to the land.

Marilynne Robinson on finding the right word . Writing should always be exploratory. There shouldn’t be the assumption that you know ahead of time what you want to express. When you enter into the dance with language, you’ll begin to find that there’s something before, or behind, or more absolute than the thing you thought you wanted to express. And as you work, other kinds of meaning emerge than what you might have expected. It’s like wrestling with the angel: On the one hand you feel the constraints of what can be said, but on the other hand you feel the infinite potential. There’s nothing more interesting than language and the problem of trying to bend it to your will, which you can never quite do. You can only find what it contains, which is always a surprise. Ah, the joys of language!

Ted Chiang's collection, Stories of Your Life and Others, is enjoyable. Always on the lookout for science fiction, I've heard about Ted Chiang's brilliance and gift from podcasts and friends. I'm more than halfway through the collection. Story of Your Life , from which the title of the collection, is as good as people say it is. I made the connection right away that this was the basis for the film adaptation, Arrival, which stars Amy Adams. What surprised me was The Merchant and the Alchemist's Gate, where a merchant named Fuwaad ibn Abbas retells the story of how he discovered a passageway to the future in a humble shop of Bashaarat, located in the City of Peace. It's a series of smaller stories that prove to be interconnected in the end. I love the story's last lines, and I'm sharing it here. Nothing erases the past. There is repentance, there is atonement, and there is forgiveness. That is all, but that is enough. Here's LeVar Burton , reading t...

We continued our Christmas Eve tradition of sleeping early and waking up fresh to a new day. Later today, after Sunday worship service, we are hosting our mother's side of the family at home. The cakes are baked, the food prepared, and tables set. In the midst of the preparations, Scotty Smith's prayer for December 24 is an example of how we can be more heavenward in our celebrations . Lord Jesus… As the Last Adam, you obeyed and fulfilled the law for us. As the Lamb of God, you bore our sin, and took our judgment. As the Grave Robber, you conquered death and arose to give us life. As the Lord of Lords, you are sovereign over kings, people, and places. As our Great High Priest, you advocate, care, and pray for us constantly. As our Loving Bridegroom, you are coming back for us with great delight. As the Grace Giver, you take on “the hopes and fears of all the years” (ours too). Hallelujah, and thank you. Jesus, as you lavish your love ...

Postcript by Seamus Heaney, from the The Spirit Level (Farrar, Straus and Giroux, 1996), captures what I feel about driving. It is a solitary, meditative exercise and a skill I have been mastering. The poem reminds me of my rides along the coastal roads of Sarangani, heading to the quiet towns of Maasim, where, fresh from medical school, I worked for a few nights as a doctor-on-call, and to Kiamba, where our church friend hosts the family for gatherings by the shore. And some time make the time to drive out west Into County Clare, along the Flaggy Shore, In September or October, when the wind And the light are working off each other So that the ocean on one side is wild With foam and glitter, and inland among stones The surface of a slate-grey lake is lit By the earthed lightning of a flock of swans, Their feathers roughed and ruffling, white on white, Their fully grown headstrong-looking heads Tucked or cresting or busy underwater. Useless to think ...

I dreamt of my friend Carlos two nights ago. In the dream, it was springtime in Paris. The sun was up, but there were a few people, without masks, riding their bicycles, along Rue de Rivoli. I was walking with him on the way to his apartment; I suppose, in my dream, I had lived a few blocks away from his home, and we were neighbors. Outside his building, I realized I hadn't eaten yet, so I invited him to lunch. It was something I would do in real life: Carlos always made time, and if he couldn't join me, he'd make the best excuses. I suppose it was 1 or 2 o'clock, just the right time to have le déjeuner. I suggested that we eat salmon with a glass of white wine in my favorite restaurant, Café Le Sélect, in Montparnasse, where my favorite short story writer Mavis Gallant once lived and dined. He would love it, I told him. We would take the Métro to Vavin Station, and walk from there. As we began our journey, he remembered that he had a repor...

I spotted Hilary Mantel's The Mirror and the Light, the third novel in her historical fiction trilogy about Thomas Cromwell, from a pile of books on sale at National Bookstore, SM Gensan. I didn't mind that I'd only read Wolf Hall (the first) and hadn't even gotten started on Bring Up the Bodies (the second). There's no method, other than my mood, that governs my choice of the next reading material—a novel, a short story, a poetry collection, a book of essays, a theological discourse, a biochemistry textbook. I started reading the novel right away. On page 223, Thomas Cromwell—now Lord Thomas Cromwell, Master Secretary to the King Henry VIII, Lord Privy Seal—talks to Robert Barnes, a Lutheran cleric. Hilary Mantel, one of my greatest discoveries this year, reimagines the internal struggle of Cromwell about his Protestant faith in the passage below.  It is difficult to be at ease, [Cromwell] thinks,...

I've been using  The Advent Project  of Biola University as my devotional for November and December. I learned about it through Paradox Uganda . The project draws from Scripture and supplements each passage with a music, a painting/graphic art, a short meditation, and a prayer. These artistic meditations, posted daily, stir the imagination and prepare the heart for Christmas. For December 22, the Scripture passage is Matthew 2:9-11. And behold, the star which they had seen in the East went before them, till it came and stood over where the young Child was. When they saw the star, they rejoiced with exceedingly great joy. And when they had come into the house, they saw the young Child with Mary His mother, and fell down and worshiped Him. William Carlos Williams's poem, The Gift, and Mercedes Dorame's sculptural "star map" (Orion’s Belt—Paahe’ Sheshiiyot) are also featured. Professor Luke Alecson writes: The Magi provide a map of so...

Jonathan Edwards writes a letter to his 10-year old son . It is dated May 27, 1755. Edwards shares the news of the death of a boy named David, who probably lived with the family.  The week before last, on Thursday, David died; whom you knew and used to play with, and who used to live at our house. His soul is gone into the eternal world. Whether he was prepared for death, we don't know. This is a loud call of God to you to prepare for death. You see that they that are young die, as well as those that are old: David was not very much older than you. Remember what Christ has said, that you must be born again, or you never can see the kingdom of God. Never give yourself any rest, unless you have good evidence that you are converted and become a new creature. We hope that God will preserve your life and health, and return you to Stockbridge again in safety; but always remember that life is uncertain: you know not how soon you must die, and therefore had need to be always ready. 

I gave some friends copies of Yiyun Li's Where Reasons End, a novel in which the author reimagines a conversation with her 16-year old son who had committed suicide. I warned them that it could be a painful book to read, but the language is beautiful. I only finished it two days ago.  I love the mother-son conversation that happens in this page.  Yes, I said, but poems and stories are tying to speak what can't be spoken.  You always say words fall short, he said.  Words fall short, yes, but sometimes their shadows can reach the unspeakable.  Don't I sometimes imagine conversations with my department loved ones, too? These internal monologues dialogues happen randomly, and I welcome these quiet moments. People we love and remember seem to hover over us years after they have passed on. Their presence in our memories exist like photo filters of grief and longing. Then, we are able to see things with a bit more clarity.

I am absolutely loving my new ink—a Shikiori ink manufactured by Sailor. The color in Sakura-mori, evocative of the cherry blossoms in Japan. I am fond of writing in pink. For some reason, my journals are in pink, as well as many unconvential colors, like moss green, oxblood, chrome, and gray.

Yesterday I delivered a lecture on the examination of the abdomen. The second year medical students were a fun group. You may download a copy of the slideset, but please link to this page if you plan to use it.  It was the first time I learned that bruit, which I pronounce as "BROO-wee," may also be pronounced as " BROOT ."

Looking at the rare plants my other patients had given me, Mrs. KR asked if I liked cross-stitch. Years of clinical practice have taught me that this is one way patients ask their doctors what kind of gifts they like to receive. Those experiences have also taught me to accept their presents gladly, because giving is therapeutic for them. It also gives them a sense of control over their lives. So I told her, "Yes, I love them. My mother likes them. We have many framed cross-stitch designs at home."  She admitted that she does cross-stitch to pass the time. "I can't keep still. My hands need to be working, or I'll go crazy." She enjoys it. I asked if she has considered selling her works online. There might be a huge market for it. "There aren't any buyers any more. Cross-stitch isn't popular these days," she said. She couldn't let go of her works; they're too precious to her. Her husband complains that they don't have room for the...

I received the final manuscript draft of the book, "Bordered Lives No More: the Humanities and the Post-COVID-19 Recovery," edited by Prof. Dinah Roma and published by the DLSU Press. I co-wrote the chapter, "The Embattled Fontlines: Voices from the Field," with Drs. Dane Sacdalan, Elvie Victonette B. Razon-Gonzalez, and Joey A. Tabula. I wrote the essay, "The Evolving Ritual of the Physical Examination."  I'll let you know when the book is finally out, but I'm excited to read all the excellent pieces in the collection in print. 

Radio Silence , a beautiful essay in La Vie Graphite: The constant and compulsive clatter reminds me that many people are afraid of silence. And just as many are unaware of the existence of others in their midst. Aspiring to be compassionate, it is essential to be forgiving of the inconsiderate. After all, somebody needs to be aware of the unaware. As this life is in preparation for eternity, here is the time and place to refine the ability to forbear. But as a flawed mortal who finds forbearance unbearable, I try distracting with noise-canceling headphones (which I can hear through), listening to music, running a household fan, and turning to a lifelong friend: radio. As with any means or instrument, it is for each listener to discern and discover that which suits. Due to all the noise in the building, I’m applying a dulcet layer of classical music to try masking the din of disturbance. My less passive form of listening happens when I seek out noteworthy ...

During the closing program of the 3rd La Salle National Creative Non-fiction Workshop for Doctors last November 24, Dr. MJ Guazon Uy, speaking in behalf of the workshop fellows, said, This CNF Workshop felt like a pilgrimage to unknown territory, where we had to navigate the terrain with the craft of language and fresh perspective. As physicians, we are not strangers to rigorous training; we are actually comfortable with it. Will this workshop make us feel more comfortable now to call ourselves, ehem, writers? Who knows? Having been invited to share the company of physicians who write is a step in the right direction. But only until we continuously feed the unrelenting demands of this art, shall we be called its true followers. I spoke in behalf of my co-panelists, workshop director Prof. Marjorie Evasco and Dr. Joti Tabula.  I joined my first CNF workshop as a participant in 2020. It was the first real workshop I had attended, discounting the journalism seminars I used to atten...

Psalm is a beautiful poem by Michellan Sarile-Alagao, which I read this morning, after my quiet time. Psalm appears in page 37 of her collection, After the Sunstone . Prof. Marjorie Evasco referred to this piece in the foreword as her favorite.  I would like to you to sing over me a song of deliverance.  I am tired of singing to you, offering praises that don't get past the ceiling.  If this is presumptuous,  then I know I am forgiven already. I am a little girl—dancing, demanding: Look at me. Look at me.  I am a child ready to play hide and see, ready to be found. Oh Lord, remind us that we were loved into being.  Shout it, if you must. Let that fact be the music I dance to, and the song that finds me. The poem resonates with my personal Christian theological convictions. God sings and is happy. God forgives and justifies us completely, not on the basis of our goodness, but on His unmerited love. "We were loved into being"—don't you just love that line? ...

On the night of his first year with us, Paul resumed his open-pit mining activities in mother's garden. When we woke up the next day, we saw the horrific devastation to my mother's treasured flora. One would think he was digging to reach the earth's core.  " Hala ka, Paul," we told him.  " Wala abi siguro siya na -walking" was the prevailing theory. Because it had been raining that afternoon, he missed his routine with Auntie Nanic, who walks him around. Their ritual includes several rounds in the morning and a few more in the afternoon. They go as far as the plaza, where Paul greets his canine friend Vlad. He likes chasing frogs in the vacant lots and prefers to relieve himself by the garden of a community doctor. One morning, when nobody was looking, Paul had defecated there. The home's caretaker, who saw the deed, reprimanded them. Auntie Nanic's face must have turned red in embarrassment, and she apologized profusely. Paul looked ambivalent,...

The poet Gerald Stein , quoted by Chris Hedges: Your job is to read, read, read and occasionally write. I should be finishing a nonfiction piece I've been asked to contribute for a lit magazine (it is due later tonight), but when I should be writing my first draft, I'm immersed, once more, in reading. It seems that, to get my literary juices flowing, I need to be warmed up by Bible study, poetry, or book excerpts. The best time for writing is in the morning, after a good sleep, when everything is quiet and still, and the concerns of the world—the hospital and the clinic—remain at a safe distance. 

Last Thursday, I had the opportunity to listen to two important and excellent lectures.  The first was by Dr. Joti Tabula, who talked about creative non-fiction writing and narrative medicine. I call him Sir Joti because he was my senior resident in internal medicine. He has, in many ways, remained a mentor to me. Since the days of medical training, he has dabbled in his two loves, writing and healing, and has long since championed narrative medicine in the country, egging and encouraging physicians like me to share our works with the world. I am forever grateful. In his lecture, he used my piece, "Mother and Son," as an example, which was a great honor for me, but which made me extremely self-conscious. It is true that one's creative works take lives of their own the moment the author releases them into the world. I thought of this truth when he analyzed my works paragraph by paragraph. To be honest, I did not consciously think of using a literary device in this part, di...

I had the honor of moderating the open forum with Dr. Gideon Lasco, medical anthropologist, columnist in the Philippine Daily Inquirer, and author of The Philippines Is Not A Small Country.  His lecture, A Doctor's Craft of Writing, can be streamed here . His talk kicks off the Third Creative Nonfiction Workshop of the Bienvenido N. Santos Creative Writing Center of De La Salle University.  We asked him to read Requiem for "Pamana," one of his column articles and which also appears in his essay collection. I'm surprised to know that his influences and inspirations for writing include the apostle Paul, Gabriel García Marquez, Isaac Asimov, Yasunari Kawabata, JRR Tolkien, and works of science fiction.  Keep on writing, Dr. Gideon! 

Power outage in the morning, well into the church service, where the preacher talked about the sin of favoritism, expounding on James 4.  My brothers and sisters, believers in our glorious Lord Jesus Christ must not show favoritism. Suppose a man comes into your meeting wearing a gold ring and fine clothes, and a poor man in filthy old clothes also comes in. If you show special attention to the man wearing fine clothes and say, “Here’s a good seat for you,” but say to the poor man, “You stand there” or “Sit on the floor by my feet,” have you not discriminated among yourselves and become judges with evil thoughts? Then, communion, followed by first-Sunday-of-the-month lunch—a tradition from when I was a child, scolded by his mother for drawing and scribbling instead of listening to the sermon. I was, still am, easily distracted. I’m grateful for Sundays: to be in the company of brothers and sisters and saints after a tiring work week. The...

I love trains! Yes, even the LRT! (Freddie, if you're reading this, do you feel the same way?!)

Adrianna Tan, originally from Singapore, whose blog Popagandhi I have followed since college, writes about leaving Twitter and shares her thoughts on social media in general . I am done, I think, with the performative cruelty of early social media. No more dunks, no more subtweets, no more yelling. If I am angry about something, and there are many things to be angry about, I plan to log off and count to five and go for a walk and write about it later if I am still angry about it. Her term, "performative cruelty," hits it right in the spot. When Twitter and Instagram were starting, I found myself in a growing crowd of excited users. I itched to update my feed constantly. I followed writers, famous people, and random people I shared common interests with. But getting older has allowed me to gain better insight and to appreciate the value of restraint and privacy. I decided to "log off and count to five and go for a walk" instead of living my life online. I rediscovere...

Matthew Henry on 1 Peter 4: Let the frame and temper of your minds be grave, stayed, and solid; and observe strict temperance and sobriety in the use of all worldly enjoyments. Do not suffer yourselves to be caught with your former sins and temptations ( 1 Pet. 4:3 ).

Snapshot of flowers by Nanay on our detour to Berry town, New South Wales.

John Bradford's A Meditation on Death, and the Advantages It Brings : What else do we daily in this present life, than heap sin to sin, and hoard up trespass upon trespass? So that this day always is worse than yesterday, by increasing our sins as our days, and therefore thy indignation, good Lord, is against us. But when we shall be suffered to go out of the body, and are taken into thy blessed company, then shall we be in the fullest safety of immortality and salvation; then shall come unto us no sickness, no need, no pain, no kind of evil to soul or body; but whatsoever good we can wish, that shall we have, and whatsoever we loath shall be far from us. Oh dear Father, that we had faith to behold these things accordingly! Oh that our hearts were persuaded thereof, and our affections inflamed with the desire of them! Then should we live in longing for that which now we most loath. Oh help us, and grant that we, being ignorant of things to come, and of the time of our death, ...

We present a rare case of melancholia, prolonged silence, and nervousness in a one-year old mixed breed named Paul. Heavy rains and thunder make him nervous and anxious. Otherwise happy, excitable, and tender-hearted, he was found crouching under the sink and was brought inside the living room on a dark afternoon. Paul is turning a year old this November, and he has brought to our home rampage, noise, and immense joy! 

In Hilary Mantel's brilliant historical novel, Wolf Hall , specifically in the chapter, "Alas, What Shall I Do for Love?" ,  Eustace Chapuys digs into the past life of Thomas Cromwell in the hope of defending Catherine of Aragon and preventing Anne Boleyn from being married to King Henry VIII. There's this paragraph where Mantel gets inside the head of Cromwell, who keeps his past in secrecy. ... It is no use to justify yourself. It is no good to explain. It is weak to be anecdotal. It is wise to conceal the past even if there is nothing to conceal. A man's power is in the half-light, in the half-seen movements of his hand and the unguessed-at expressions of his face. It is the absence of facts that frightens people: the gap you open, into which they pour their fears, fantasies, and desires. Interesting to read this, isn't it, in this age of over-sharing?

Rereading Confessions by Augustine, translated by Garry Wills, on this early Saturday morning.  I thank you, my God, for your gifts to me, may you preserve them, thus preserving me, so that everything you gave me may grow and be improved, and I shall be with you, whose gift it is that I exist.   Old, familiar books feel new to me when I return to them a few years later. I read this translation in 2013, when I was in med school. I bought it at Booksale, Robinsons Mall Manila, from my allowance. I was a prolific reader of non-medical literature, my way of coping. Being cooped up in the hospital, drowning in stacks of unread chapters of textbooks, I needed get a sense of being away from the hospital, from being a doctor-in-training. Books offered me that escape. Augustine was (and remains) a friend of my soul. That Booksale stall has long been replaced by stores that sold pastries and protein supplements, and so was the Ya Kun Kaya beside it, where I read my Booksale finds.

Thrilled to see these books in my library: Gideon Lasco's The Philippines Is Not a Small Country" and Will Liangco's "Even Ducks Get Liver Cancer." Dr. Lasco will be speaking in the upcoming Creative Non-Fiction Workshop for Doctors this November. Dr. Will, whose blog I follow , was one of our workshop fellows. 

Sunday afternoon found Auntie Nancy (Nanic to us) in Gensan. She lived with us when we were in kindergarten, then left Marbel to work elsewhere, and life happened. She met her husband Uncle Nonoy and together now have three kids, obedient and loving.  I played around with Hipstamatic, the iPhone app that I used in the early day of blogging, on our trip to SM. 

Stair [sic]. 

Was in Gensan the entire Saturday. During the two-hour break from a meeting, I walked to SM and bought five books, all on sale. Got myself a cup of coffee in a café and read a few chapters of Hilary Mantel's Wolf Hall, a retelling of Sir Thomas Cromwell's life. It's one of those books that make me scratch my head with the gnawing question, "Why didn't I read this sooner?" Mantel died this year; she was a formidable literary talent. Was too absorbed with my reading when I realized that (a) I had 15 minutes left before the next meeting, and (b) it was pouring outside. I carried my books by hand and fit the smaller ones in my backpack. Got myself a tricycle that took me to the meeting venue.  (I ordered Gideon Lasco's The Philippines Is Not A Small Country online; it arrived in the mail yesterday.) There was a dog inside the café who barked at passersby. Dogs are probably a lot like children: if they don't like you, you're likely a person with an evi...

Will Self writes about Dr. Simon Bramhall, the surgeon who inscribed his initials on his patients' livers. Writing and surgery have many odd congruences: each activity depends for its success on counterfactuals, since there can be no satisfying conclusion to a plot without a potentially unsatisfying one, and no sense of a life being saved unless it could have been lost. Moreover, while any writer may mutilate a text, so any physician may create complications rather than cures. But among medical specialties, only surgery entails such injury by its very nature: you wound patients, with the hope that they’ll both recover from those wounds and benefit from what this wounding has enabled you to do.

Had the privilege of being invited to speak about developing research proposals at Mindanao State University College of Medicine - General Santos City. This is the overview lecture. You may download the slides but please link to this website for attribution. 

Store seen along Yumang Street, General Santos City: Summa Cum Laundry. (Photo credit: my cousin Hannah Riza!)

It's the time of year again when I have the solid excuse (not that I need to have one) to immerse myself in the shared joys of the written word. I still experience impostor syndrome whenever I call myself a writer even if, sure, some of my literary pieces have appeared in journals and book chapters. But Prof. Ron Baytan, perhaps sensing this discomfort, said in last year's workshop that doctors who write can be both and are in a class of their own: they are called doctor-writers.  This list of fellows joining the workshop, just released yesterday, makes me look forward to the workshop.  Through their submissions, I am starting to get to know these doctor-writers, who come from all over the country. The process of close reading  doesn't feel like work but a respite, a quiet and contemplative retreat with like-minded people. Let me also say that it always amazes me how privileged I am to be invited to sit as panelist in this workshop. I'm with Prof. Marj Evasco, one o...

Picked up my new vintage frames from Farrofo Eye Center near Odi Street, Koronadal this afternoon. Had them replaced last week to fit my prescription. They look and feel great. Hadn’t bought new frames for years now but I couldn’t resist them when I spotted the displays in the weekend market in Montmarte, near Sacré-Cœur. I bought them for 4 euros. As the French say, “Pas mal.”

First time to see the river in Lamsugod, Surallah. When they were kids, Nanay and her peers (her cousin Auntie Nene Jasmin, her younger brothers Uncle Toto and Boboy) spent their summers here.

Mental Status and Behavior: Guide to Physical Diagnosis Here's my lecture on how to perform mental status examination, which I'm delivering today. Feel free to download the slide set, but please link to this website if you plan to use some slides.

Something to ponder in church today: James 2:1-4:  My brethren, do not hold the faith of our Lord Jesus Christ, the Lord of glory, with partiality. For if there should come into your assembly a man with gold rings, in fine apparel, and there should also come in a poor man in filthy clothes, and you pay attention to the one wearing the fine clothes and say to him, “You sit here in a good place,” and say to the poor man, “You stand there,” or, “Sit here at my footstool,” have you not shown partiality among yourselves, and become judges with evil thoughts? Whenever I visit a church for the first time, I'm always amazed at the warmth of the welcome extended to me. Hospitality is one of those rare, precious, often underestimated gifts that draw outsiders to the body of Christ. I was in Bangkok a few years ago when I was invited to a potluck lunch at a Filipino church. They do this to all visitors, regardless of status. The after-church fellowship over home cooked meals may be a key to t...

P's wake was at a funeral parlor along the highway. When I arrived at 7:30 in the evening to pay my respects, the parking lot was full. I turned right, parked by the sidewalk, and braved the steady rain with my jacket on. She was in the smallest room that could fit her casket, three wooden benches, and a small table at the back where packets of instant coffee and snacks were offered. I saw P's parents, sister, and some of our classmates I've not seen for years. We had our photo taken in front, careful to cover much of the casket and to show only her radiant wedding photo in the background. There was small talk and laughter. The only way to honor the dead is to bring them up in memory. I asked permission if I could tell the story of P's diagnosis, the difficulty of finding the right concoction of chemotherapy, the joy of seeing her respond favorably to treatment, the disappointment of learning the cancer had come back much stronger. Enyek, Yaya M, Pretty Shean, Dans, and...

Rough translation:  Don't use the (toilet) bowl because it's clogged. Thank you for understanding.  Please don't leave your dirt in the restroom. Where should I urinate, if the bowl is off limits? 

Can't believe it's been a while since I'd last updated this site. Must tell myself to let go and let the sentences flow. This is, after all, a blog, where errors are expected because there are no external editors, no second pairs of eyes to read through the entries—the outputs are overflows of my thoughts.  A cloudy Monday today. No clinics today but must do rounds. Hoping to finish early so I can have the afternoon free. Been reading Ted Chiang's short stories and Thoreau's journals over the weekend.  Feeling under the weather, but God's strength sustains.

Got off a radio interview yesterday. Forced myself to go, even if I was feeling down with something. Had already committed to do it weeks ago in behalf of the local medical society. The interview took place at the Brigada studio at 8:30 AM. Brigada Arjean asked pointed and smart questions. I talked about cancer and how to prevent and screen for it. My Hiligaynon needs work. Could do better if I listened to local radio more.  During the program, I thought of my high school classmate P who died early that morning. Metastatic breast cancer. She fought hard, with her everything. We’d been through different lines of chemo. Her family wanted to do everything. Saw P’s mother and sister, settling bills and arranging for the transfer to the funeral parlor. They said, “Thank you, Doc. At least we extended her life for two years.” Threw away all caution and hugged them. 

Henry David Thoreau on work-life balance: The really efficient laborer will be found not to crowd his day with work, but will saunter to his task surrounded by a wide halo of ease and leisure. There will be a wide margin for relaxation to his day . . .  Those who work much do not work hard.  Always on the lookout for the most efficient way of doing things, I read about productivity tools and skills more often than most people I know. But there came a point when my responsibilities and the tasks that went with them crowded my day, forcing me to sacrifice regular lunch times, even sleep. My recent trips, and Thoreau's journal entry when he was 24, remind me once again to take it slow. I remember the Freestyle song, which may not be appropriate to the context I'm referring to, since the song pertains, on closer textual analysis, to tensions of erotic love.

After my week-long trip, Sean will have moved out of the house. All of a sudden, my kid brother, who's more mature than me in the practical ways of life, will no longer be a constant presence in the house. Among my brothers, he is the one who reminds me the most of Tatay. They share the same humor. They like constant company. They think of coming back as soon as they step out of the gate. They always bring back something—a loaf of bread or some random pasalubong —when they return.  A few weeks ago, I joined him and the wonderful Hannah to look for an apartment, where they will start a new life. It is a few blocks away from St. Gabriel and is near the vet and our favorite car wash place. On cooler days, it is reachable by walking. There is ample parking space, with a wide view of the mountains that surround the valley. The street is quiet, since it leads to a cul de sac. Vehicular and foot traffic are minimal such that it offers a feeling of isolation from city life.  I have ...

From  Though My Flesh May Fail: Reflections on Chronic Suffering from the Hospital Bed by Brett Fredenberg :  For the Christian, God saves us not only from our sin, but He also saves us from all other saviors.

Went with Sean and his wife, Hannah, to visit an apartment they'd been eyeing to rent. Loved the place: a studio type arrangement, with yellow walls, plenty of parking space, and with just the right distance to their workplaces. Asked if I could take a photo of the landlady's shirt. She was happy to indulge. Oh: we're wrapping up the end of the first academic year of MSU Biochemistry. Met with the team last night. Ended the meeting on a high note. I still owe them dinner.

My mother's photos are automatically uploaded to my Flickr account. I ask her permission if I can post some of them here. 

My mother’s high school friends are coming over for dinner. On this Saturday evening, they will eat at 6 before they visit their classmate’s wake. It’s going to be a simple dinner, she assured her Notre Dame batch who didn't want to impose. Earlier today, however, Manong, Sean, and I got our instructions to buy a tub of ice cream, prepare lasagna at the last minute, and make sure the house is spotless. We have thrice the amount of food we need. Clearly this will be a party. There have been many deaths this week, Nanay observed. A dentist she knew from another town passed away. Her distant nephew, who was my age, died in his sleep. I told her that a thirty-something doctor also died because of stage four cancer. She internalizes these news with, “Nauna pa sila sa akon.” To escape the Batch 73 crowd, I am in the neighborhood café where I reviewed for the internal medicine board exam. I’m rarely here, because the place reminds me of my late father—a weird term to call Tatay, who w...

Reading several books this season. One of them is Dane Ortlund's Gentle and Lowly. Beautiful words from the first chapter: But all Christian toil flows from fellowship from a living Christ whose transcending, defining reality is: gently and lowly. He astounds and sustains us with his endless kindness. Only as we walk ever deeper into this tender kindness can we live the Christian life as the New Testament calls us to. Only as we drink down the kindness of the heart of Christ will we leave in our wake, everywhere we go, the aroma of heaven, and die one day having startled the world with glimpses of divine kindness too great to be boxed in by what we deserve.

Spent the early morning meditating on 2 Corinthians 6:3-13. Remembered pastors, Bible study teachers, and campus ministry workers who have labored hard for the gospel so I, and others like me, could grow in the love and knowledge of Jesus Christ. I miss them. Have not seen many of them in years. I treasure and cherish them dearly, and continue to pray for their health, protection, provision, and progress in their spiritual walk and ministry. Matthew Henry writes: They were slighted by the men of the world as unknown, men of no figure or account, not worth taking notice of; yet in all the churches of Christ they were well known, and of great account: they were looked upon as dying, being killed all the day long, and their interest was thought to be a dying interest; “and yet behold,” says the apostle, “we live, and live comfortably, and bear up cheerfully under all our hardships, and go on conquering and to conquer.” They were chastened, and often fell under the lash of the law, yet not...

Sean's wedding is a few days away. He is my first, and perhaps only, brother who will be getting married. It is a small beach wedding in the afternoon, along the shores of Glan, with close relatives and friends expected to attend.  I have no idea how to plan for weddings and largely leave that to others, in the same way I do not interfere with cooking lest the gas range explode. So I was amused to overhear Nanay talk to her friends at 4 am that we—Manong and I—don’t contribute ideas. Because she and her friends meet every day, except Sundays, through Facebook for Bible study and prayer; the upcoming wedding continues to be a concern being lifted up to God. What would we contribute then, except a few typographical checks in the program print out and some food tasting notes for the reception? And there’s the invisible but palpable brotherly support—which really means letting Sean and Hannah decide, until they specifically ask us to do something. Preparations are underway. Last we...

Lola's lansones trees ( Lansium parasiticum ) showed up with fruits that left many visitors for her 40-day death remembrance awestruck. We miss Lola Ugol and still look for her when we drop by her home, now silent and solemn, the way houses become when their owners leave them for good.

At 4 am, working in the living room with only my laptop illuminating the darkness. Windows wide open to let the morning coolness in. Birds chatter and sing outside, like housewives on the street catching up on the latest news. What are they talking about? Their plans for the day? Their dreams last night? Their excitement for the weekend? Sing this with me. This is my Father's world And to my listening ears All nature sings, and round me rings The music of the spheres  This is my Father's world The birds their carols raise The morning light, the lily white Declare their maker's praise And also:  This is my Father's world Oh, let me never forget That though the wrong seems oft so strong God is the ruler yet

From Behind the Scenes at the Museum by Kate Atkinson, p. 61: What a line. Definitely off-topic but still related: I picture Stephen, the first martyr of the Christian church, as smiling, as he was stoned to death, slowly being welcomed into the arms of his Savior. 

Was hungry the other day, looking for restaurants for lunch. The less people, the better. There was a graduation nearby; people flocked to the mall to celebrate. While going around, saw Kate Atkinson's novel displayed at National, on sale! Forgot about my stomach pangs and snatched it right away.  The author's foreword: If you were to ask me what the book is about (which is the most loathesome question you could ask—why bother write the thing if you have to explain it? It is what it is) and if I were forced to answer, I would say, "It's about things." The book is a repository for the past: for mine, for other people's, for the city's, a place of safekeeping for the fragile.

In the final chapter, The Train to Tibet , Paul Theroux writes:  An early European explorer to Tibet burst into tears when he saw one lovely mountain covered with snow. When I saw the landscape of Tibet that did not seem to be an odd reaction. The setting is more than touching—it is a bewitchment: the light, the air, the emptiness, the plains and peaks . . . It is a safe and reassuring remoteness, with the prettiest meadows and moors buttressed by mountains. It was, somehow, a mountain landscape with a few valleys—a blue and white plateau of tinkling yak bells, and bright glaciers and tiny wild flowers. Who wouldn't burst into tears? This is one of the best books I've read, and I will likely get back to this piece of art and history soon enough.  It goes without saying that this chapter, too, resonates deeply with me. My hometown, a piece of paradise inhabited by proud, happy, and smiling people, may disappear soon. A huge mining project in a nearby town has been approved. Tha...

As I return to Paul Theroux's Riding the Iron Rooster on this cool Saturday morning, the feeling of calm-after-the-storm descends upon me. After a tiring week of my kind and gracious grandmother's passing away, I can go about my day without anything urgent floating in the air. I want to tell you more about Lola Ugól, of course. I can start with the story of why nobody—not even her children—knows why she was called Ugól when her real name was Trinidad Zamora Garcenila. But not today. Of course, there are patients to see and faculty work to be done, but those can wait until 10 am.  For now, I want to savor this moment: the possibilities of a weekend. A quiet morning in the porch, the vanilla-smell of old book pages, the exquisite gray strokes of my Blackwing Palomino, the minimalistic design and engineering of my MacBook Air. These small things and habits allow me to both dwell on and forget about grief. The running joke in the family is that May is a particularly harrowin...

It's too bad that, as a canine, he is perpetually disenfranchised from participating in democratic exercises.

Driving at 6 AM along the Gensan-Polomolok border, I see a tricycle on the outer line. It is jam-packed with five people, excluding the driver. As I inch closer, I notice that a motorcycle, propped up vertically on one wheel, is strapped on the tricycle's metal sidecar. Yellow ropes keep the motorcycle from falling off the road. The men reinforce the motorcycle to the tricycle with their arms. In their late twenties, wearing shirts and denims, they grin, smile, and laugh. Are they bringing home this brand new vehicle at home? If that's the plan, why don't they ride on it? Perhaps I'll never know. In the meantime, an olive-green Vios, which I'm presently trailing, slows down. A window opens. A teenager, her hair tossed by the wind, emerges with a camera phone. Realizing they are being recorded, the men wave in the light, intermittent rain. They are having a great time. As soon as I arrive at home, in time for the Sunday service, I receive a text message that M has di...