Thursday, November 13, 2025

Surgery: it's like riding a bike


Soon as I arrived at the airport, I rushed to the hospital because I had a patient with ovarian new growth in complication, and we had to do remove the ovarian mass, the uterus and the contralateral ovary.  I realized that even after a long time bot doing surgery, I still know how to operate.

The next night, my pregnant patient who was term, was supposed to have routine non-stress test.  In the end, it was her doctors who got stressed because the baby's heartbeat dropped 70 beats below the baseline, and we had to do an emergency cesarean section.  Just like my midnight operation the night before, it was the same team: same anesthesioiogist, same scrub nurse, same circulating nurse, different patient.  I realized that I still know how to do cesarean section!

There is muscle memory and once you learn it, you know it for life. It's like riding a bike!

Wednesday, November 12, 2025

Digital Transformation

 


Our top management is wondering why with a lot of manpower, the hospital cannot still submit insurance claims on time compared with a private hospital that only assigned 13 staff as claims revirwer and insurance processing staff?

The answer:  electronic health records!

Thursday, November 6, 2025

Treeplanting part of Disaster Risk Reduction Management

Doing a root analysis of the flash foods that ravaged most of Metro Cebu, the forests in the uplands have been denuded to pave the way for development of housing projects.

How do we encourage people to plant trees and continuously care for these trees if they keep asking "what's in it for us?"

It's not enough to do tree planting because the people who live in the mountains just cut off trees for firewood.

Saturday, November 1, 2025

Overachievement


This post I came across on Instagram got me thinking about what I think is emotional constipation.


Everybody says I am a workaholic, and I find that it is abnormal that when my time is suddenly freed up of meetings or workload, there are times I suddenly feel lost or that the rug was suddenly pulled out from under me... is this the reason why? Have I been using work as a clutch to fill in the void of love and self-worth?  Do I feel safe so long as I am productively achieving goals?





Is this sense of independence of not needing anyone or choosing not to connect so as not to be hurt a way to self-regulate, a coping mechanism?


Exhaustion is how I sleep.  There lies an urge to maximize the waking hours to be productive and not to waste time.


This resonates so much in me because of the childhood trauma of hearing "why are you so incompetent?" which pushes me to try harder to become better and opening the idea that I am not enough as I am.



My worth is not earned.
I am enough.




I am loved.
I am enough as me.
I don't need to meet expectations other than my own.   At the end of the day, I don't have to be strong or to achieve.  I can be soft and be accepted for all my flaws and scars.  It's ok.


Sunday, October 26, 2025

Survivor


Sometimes the negative thoughts can weigh you down and the hurt is too painful to bear that one considers what if this could all end in a blink of the eye?

What if unknowingly I am the one causing and spreading negative vibes to others?

What if after always talking about non-violent communication, I am the one causing hurt to others with thr way I speak?

What if something that's a small mistake made bigger by my words and thoughts and actions?

What if I could simply give up and retreat and not try too hard?

What if my passivity is what makes the environment toxic and unbearable?

What if I wasn't meant to be where I am now and that I should just leave?

What if?