In February of this year, I had the rare opportunity to assist a world-renowned neurosurgeon as he clipped three intracranial aneurysms in a patient on the same sitting. Dr. Michael T. Lawton led his medical team from Mission BRAIN Foundation on a three-day visit to Philippine General Hospital, to give lectures and workshops for Filipino neurosurgeons and nurses, and to demonstrate surgical techniques on different neurovascular cases. Continue reading →
“Anong kuwento mo sa akin ngayon?”
“Ga-graduate na po ako, Dok. Sa wakas.”
“Talaga? Anong course mo?”
“Marketing po.” Continue reading →
It was a cramped courtroom, filled with wooden tables and benches that appeared much older and heavier than me. I suppose the weight was intentional, to prevent any plaintiff or defendant from hurling any of the benches in a moment of outrage.
I had been served a subpoena to testify in a case of frustrated murder. The plaintiff was a patient I operated on three years earlier and it was my first time to perform my civic duty as expert witness. I picked a seat in the middle of the first row. Continue reading →
This is the beginning of the end.
2014 is the year I expect to finish training as a neurosurgeon. Except for 2009, when I taught in medical school and practiced general medicine, I have spent most of my waking hours from June 2001 until today in this government-run university-hospital complex. That is 12 of the last 13 years.
While I sat in front of the TV in the comfort of my apartment as Yolanda (Haiyan) unleashed her fury in Central Visayas, these doctors to the barrios (DTTBs) decided to stay at the forefront instead of going back home when the super typhoon hit their respective municipalities.
Rather than point fingers and waste time ranting on what should have and could have been done, allow me to share the first-hand stories of my colleagues, so that the Filipino medical community and the rest of the nation can focus all effort instead on what can be done right here and right now, to create meaningful impact on the people who have been hardest hit by this catastrophe. Continue reading →
Every morning I would see Eric combing Ofelia’s hair with utmost diligence and meticulousness, it would put to shame shampoo commercial models who comb their tresses on national TV. His palms were coarse and the fingers stubby–toughened by years of manual labor in an automobile repair shop and occasional side jobs in construction projects here and there–but the hands moved deftly through the hair strands that reached his wife’s shoulder blades, one would think that the hands were made solely for this daily ritual. Continue reading →
Earlier today, I saw two of my brain tumor patients follow up in the Neurosurgery outpatient clinic. While both have made good recovery from their operations, their families’ worst fears had just been realized with the piece of paper that they brought with them, bearing the official pathology report stating that the tumor removed from the patient–as suspected from the start–was brain cancer. Continue reading →
Teenager Ofelia Reyes was born with a protuberant, midline fleshy mass at the junction of her lower back and buttocks. When her parents sought consult in PGH during Ofelia’s first month of life, the mass was assessed to be a myelomeningocele.
In this condition, part of the spinal cord and some its nerves, which provide sensation to and move the lower limbs, are exposed on the skin surface because of failure of the bony spine to develop completely. The parents were advised surgery to prevent the mass from rupturing and causing recurrent meningitis, but because of financial constraints, the patient was—as government physicians are wont to write in patient charts—lost to follow up. Continue reading →