Saturday, May 28, 2011

Old Dog Does New Tricks with Dialysis Machines

Abigail and Mon by Uberdoog
Abigail and Mon, a photo by Uberdoog on Flickr.

Everyone admires excellence when they see it. A pilot smoothly landing a plane. A ski jumper slaloming down a course. Or Roy, head nurse of the Hemodialysis Unit, setting up the arterial blood lines of the dialysis machines. 


What’s that? Did I say dialysis machines? Yup, you read right. You’ve heard of dialysis, right? That’s when your kidneys decide to go on ahead of the rest of you. The rest of you gets messed up because your blood builds up toxins and water builds up too. For that you need dialysis. Dialysis machines are machines the size of two personal refrigerators stacked atop each other and they do the job that two little kidneys, individually smaller than your fist, did. Better than any dialysis machine. But what choice do you have? 


Let’s get back to Roy. It's 4 in the morning, he's racing through the set up of the machines. Washing this, plugging that, pushing these buttons, inverting cartridges, purging excess, heck if I know.
Watching Roy is watching excellence. Working with an economy of motion, purposefulness and fluidity, he got one of the machines harnessed and ready to go in no time. 


Admiring excellence is like admiring the tip of an iceberg, 90% of their mass is out of sight. With excellence, what you don’t see is the hard work, perseverance from day to day, or the bad hair days with their terrible balls-ups. But I guess it that would be an unfair comparison. Excellence probably hides at least 99% of practice and work. 


“Great!” I thought to myself, I have 98 more days to get a little better, but most likely nowhere near as good as Roy. But I was just being flippant and was not actually bothered. The good thing about Nursing is it’s not a competition. At least, not in the usual sense. 


All I want these days is a new bag. While the rest of my contemporaries are packing up and looking forward to retirement, I’m moving into new and unexplored territory. I’m having to toughen up, physically and mentally. I’m having to become game, quick, flexible, alert and responsive. If you’re young, you’ll find it hard to imagine how inertia can slow down a middle-aged man. The habits of seeking comfort and familiarity, formed of earlier decades have to be gradually broken. It hurts, but then I have seen the changes to adapt.   And the changes feel good. I can see the banner in my head: Old Dog Learns New Trick. So Roy , how do you set up the dialysis machine again?


Originally posted Jan 6, 2010

Java Homecoming

Being Filipino, I have the tendency to think that all roads lead to the Manila, it being the center of the universe. I fail to add of course, my universe. And being the center of the universe, it builds its own reality, an overwhelming preponderance of seriousness and gravity which travels with me, along with the actual baggage that I have to weigh and check in. Can you imagine how much more the airlines could charge if they could only figure out a method of weighing the local worries and concerns that passengers bring with them when they check at the airport?



Fortunately, and with satisfying consistency, the premise that Manila is the center of the universe thoroughly shatters on each trip. There are, it seems, people and world out there that don’t give a hoot about Manila and could not care less if it sank like Atlantis into the sea. They have the right idea. The right
perspective. That release and relief is why I must travel. To get my head right, I need to break free of Manila’s mind-numbing concentricity.



The last trip I took was to Java. No, not the programming language which takes precedence when you Google up Java. No, not the hoary World War II-vintage term for coffee that’s quickly
going the way of the dinosaurs, if it hasn’t already. I mean Java, the island in Indonesia. Yes, it’s still there. No, it’s not an island off Bali. Bali is an island off Java. Java is much bigger than Bali. Yes, it is.



I enjoyed my trip to Java without once seeing Bali. I’m saving Bali for another trip. My trip to
Java was akin to a surprise homecoming. How could I have known that I actually had family – cousins twice, thrice removed if you like - living in other parts of Asia? They looked like me, they spoke a language that strangely sounded like mine but was just slightly on the edge of my comprehension, they had a similar
temperament, had rice with their meals, and wore shirts that looked like colorful renditions of the Filipino’s loose and ivory colored national costume. It was a great trip!



My first hint of familiarity was the language. There were so many words in Bahasa Indonesia that
meant pretty much the same thing in the Philippines. Its words seemed to be derived not just from Tagalog but from the entire gamut of Philippine languages.
Nasi from Kapampangan in Central Luzon, ikan from Northern Luzon, ini from the Visayas, putih from Tagalog and a slew of others. When I got back from that trip and did some research, I discovered that Tagalog and Bahasa Indonesia were actually sister languages that shared words and word characteristics, that my Tagalog had ties to languages as far away as Thailand, Vietnam, Cambodia, and Taiwan. Now that
is so cool!



For the longest time there had been this anguishing about how the Philippines had lost its real culture because it was all alone there in the middle of the water and the big bad Spaniards, Americans, Japanese etc. etc. had come along and had taken its soul away. But as it turns out, the Philippine languages continue to link it to its regional identity! I don’t have to go to one extreme where I am abashed about
being messed up by the colonizers, as one camp of social anthropologists would have me believe, and neither do I have to go the other way and get defensive about the fact that colonizers did have their way with the Philippines. Filipinos are still part of the Asian family. What a relief!



Then there’s food. Indonesians, like Filipinos, eat rice. It’s a staple. That solves more than
half the problem of having to adjust to the food. In my trip to Java, I discovered that they liked a lot of vegetables in their diet. Filipinos, the Manila Filipinos anyway, eat a lot more meat. Indonesians replace the protein requirement by a heavier consumption of tofu. Tofu is also commonly found in the Philippines but is not eaten as much. But all that’s a minor difference. Rice remains the staple food.



Whenever I’m in a new place I want to walk. Walking lets you see things and in Solo, Indonesia, I saw the national flower of the Philippines – the Sampaguita - growing by a wall. The Sampaguita (Jasminium sambac) does that in the Philippines. Grows by walls. But doing here what it does 1031 miles away in Manila gave me pause. A little later, I found Atis (Annona squamosa)happily growing near the Solo train station. Again, I had to stop. Later on, I discovered that these plants are endemic to the region. They were not my plants, they were our plants. Now how do you like that?


I didn’t get to stay in Indonesia very long. Just two weeks. But I’ll be back, longer this time, and I’m looking forward to it. I sure would like to poke around my cousin’s backyard and see what they’ve been up to all this time. There’s nothing like having family.

Originally posted on April 29, 2010 11:38 am

And They Said It was OUR National Flower

Melati a.k.a. Sampaguita a.k.a JasmineThere are many things we assume when we are given bare facts. One of them was when I was taught at school that the Sampaguita was the (Philippine) national flower. Oh, ok then. If it was the national flower, then it was ours. The unspoken premise was no one else had it.

In the course of my
travels however, reality has been chipping away at these hoary assumptions. One was when I discovered the Philippine roast pig called Lechon, happily existing in a Laotian marketplace. (Yeah, yeah, a Laotian Roast Pig). The latest to take a fall has been the Sampaguita (Jasminum sambac) which I encountered happily growing on a sidewalk in Solo, Java. Research on Wikipedia has since shown me that the Sampaguita ranges from Southwest, Southeast, and South Asia.
Great. I feel betrayed. I want to punch someone. Whoever led me to believe the Sampaguita was uniquely Filipino. Arrrgh!


Originally posted on Nov 1, 2010
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Man, Take a Hint!

Saturday, May 28, 2011

Life is not easy. That much is clear to most people. Nor is life fair. It has many circumstances that are not in our control that nevertheless have bearing on our lives. In any case, we have to deal and live with those circumstances of fate as best we can.
We need to be mentally strong. The waves that will batter us in life are not predictable and may come singly or in a long punishing spell. One cannot, must not, break. To break, to give in to the vagaries of fate is to squander one’s strength, will, and determination. Lose that and it’s a downhill spiral.
Man cannot live by himself alone. He needs his God, his family, his friends. In that order. When a man finds sanctuary in his God, then he takes on God’s power and might. You might physically destroy such a man, but you only deceive yourself. Such a Phyrric victory nothing against the greatness of God.
Man insists on living by himself. He eschews the company of God, spurns his family, and avoids friendships. He convinces himself this is proof of his strength. He takes great pride in it, much like a toddler wields a twig or a ball, filled with self-importance and accomplishment. He is proud of it until he loses it or it is taken away from him. And then he is dejected.
God would have man seek him. It was God’s plan that man should not go about this world stumbling about in ignorance. It was God’s good plan that man should come to the conclusion of his own inadequacy and the sufficiency…nay, the abundance, of God. Men who keep the counsel of God are those who accomplish the most in the life. The are the ones who are protected, guided, and rewarded with a full life. In contrast, those who seek their own way apart from the direction of God are those who eventually fail.
Psalm 91:1-2
1. He who dwells in the secret place of the Most High
     Shall abide under the shadow of the Almighty.
2. I will say of the Lord, "He is my refuge and my fortress
    My God, in Him I will trust.

The person who trusts in God and lives close to Him can dwell "in the secret place" or in the shadow of God within a secure fortress. Stop for a minute and think how comforting that "secret place" is.
Psalm 91:3-4
3. Surely He shall deliver you from the snare of the fowler
    And from the perilous pestilence,
4. He shall cover you with his feathers,
    And under His wings you shall take refuge;
    His truth shall be your shield and buckler.
An image of being saved from bird traps and various "perilous" diseases appears here. Stop and discover the feeling of complete protection that a baby chick feels when the mother hen tucks him under her protective wings. The shield and buckler indicates that God is the believers shield against all harm.
Psalm 91:5-6
5. You shall not be afraid of the terror by night,
Nor of the arrow that flies by day,
6. Nor of the pestilence that walks in darkness,
Nor of the destruction that lays waste at noonday.
God will protect us from all evil at all times of the day and night.
Psalm 91:7-8
7. A thousand may fall at your side,
And ten thousand at your right hand;
But it shall not come near you.
8. Only with your eyes shall you look,
And see the reward of the wicked.
Psalm 91:9-10
9. Because you have made the Lord, who is my refuge,
Even the Most High, your dwelling place,
10. No evil shall befall you,
Nor shall any plague come near your dwelling;

Psalm 91:11-13
11. For He shall give His angels charge over you,
To keep you in all your ways.
12. In their hands they shall bear you up,
Lest you dash your foot against a stone.
13. You shall tread upon the lion and the cobra,
Psalm 91:14-16
14. Because he has set his love upon Me,
Therefore I will deliver him:
I will set him on high, because he has known My name.
15. He shall call upon Me, and I will answer him;
I will be with him in trouble;
I will deliver him and honor him,
16. With long life I will satisfy him,
And show him My salvation.

Time and again, God asks me to trust him. To walk with him, to keep his counsel, to depend on him. God is no beggar nor is God an opportunist. Man is doomed to fail if he acts only by himself. It is the man who walks with God who is the complete man. The complete man cannot fail for God empowers him, shields him, and answers for him. The complete man cannot fail for God cannot fail. The complete man may die in the service of his God, but such a death would ultimately be a victory for God is the ultimate destination of the complete man. Meanwhile, the incomplete man, he is lost.
I should listen. I should do. And keep on doing what God wants me to do. Walk with Him through life.