Blunt

November 2. My five and a half year old daughter was perched on my lap and asked me all the sudden,"Where is lola Abing?"
She's in the cemetery.
"Why is she in the cemetery?"
She has gone to heaven.
"Why is she in heaven?"
I didn't want to say the word died, so...She got real sick and did not get better.
"Why did she get sick?"
Her body got this disease called cancer.
"Why did she get cancer?"
And I was grappling for the right way to explain when my daughter quipped,
""You know what, mama..I think she's in heaven because she is dead." "Yes", she said while nodding her head at me looking all knowing, "she died."
I really had no more words to say.

a shopping hazard

I went over to the Winners branch at College St. Winners is like Filene's basement, designer brands for less. I was hunting for two things in particular -- 1. a luxurious 800 count queen size sheet set (which I found for 79.00!!) and 2. a yoga mat (which I did not find but wound up instead with a pilates kit complete with figure of 8 ring and instructional DVD). I also wanted to get a pair (or two) of new khakis, in time for spring. Alas, a size 1 or 2 is a hard find in this part of the world. I did not give up so easily and the shopper in me wandered all throughout the store. Goodness, where did three hours go? I snapped out of my shopper's trance and made the beeline towards checkout. The guy infront of me had a pair of gray sweat pants in his hands. I spied that it was torn and had some dirt at the hems. Hmmm... Those sweats are either real cheap or is the latest rage in some odd fashion circles. Dare I alert this fellow customer to the consumer faux pas he is about to commit? His turn came up with the cashier. I was just about to call his attention but not before he reached from the inside of the pants he was wearing. It was a price/security tag. Ahhh....the dirty sweats are his, and now he is wearing his new pair. The checkout lady insisted that she needed the pants to unlock it from the security tag. Uh-oh. Without any qualm, the man pulls his new pants down and hands them over. Yikes!! He sought my eyes as he did his strip. I looked at him pointedly and raised an eyebrow, giving him a look that a schoolteacher might have given a naughty pupil. He shrugged back at me, got his pants back and sauntered away as if nothing happened. Thank goodness he wore boxers...easier to act unperturbed than if he was wearing jockeys. Whew!

breathe to your poses

Last month was harrowing for me. On average, neonatal transport requiring a fellow's attendance is three a month. I went to eleven. One of these days, I will make like a tourist and take pics of the equipment and huge packs we lug around...it really is a portable NICU. There is an adrenalin rush each time we are dispatched. However, out of the run, I feel my body complaining. It seems that each way I turn my neck and back, I hear a crack or crick or whatever. Tales of my woes reached Sabrina, a friend and an RT I work with in the team, and she introduced me to yoga. Vinyasa yoga. I have always known how I needed to tone up and strengthen but I did not appreciate just how much of a weakling I am...until now. Vinyasa yoga directs breathing as poses are assumed. You inhale as you do this then exhale with the following movement. It is supposed to be calming. My body was not a picture of calm at all. I struggled as I tremulously followed the instructor on the DVD. I swear parts of my body were fasciculating...including those which I thought incapable of any movement at all. Thank goodness, this all happened in the privacy of my apartment. I was in a sweat as I reached the end of the video. My body tingled most everywhere. What was I thinking? Well, now I am hooked...fascicuIating parts and all. I am on my way to pick out a yoga mat. Ohmmmm.....

ramblings

It always pays to be prepared.

I have lately been searching for Philippine or any local data about the rates of late preterm (34-36 completed weeks of pregnancy), preterm births and other disease states in neonates, like jaundice, asphyxia, etc. The way I figure, I might as well focus on what would be the most common neonatal condition locally. I know, I know...Sepsis (systemic infection) would likely be reported as the most common. But is it early onset (< 7days of age) or late onset? Also, after this stint, I have full realization of why in residency, it pays to also consider the other stuff like a cardiac condition, metabolic problem, etc. (Yes, yes, by some miracle, I know have a general understanding of inborn errors of metabolism :)...ergo, it is not always sepsis!! I digress now. As I was saying, where is the data? I cannot really find it. The Philippine census lists some but clearly it is vague. There is nothing particulary specific with neonatal conditions. Does anyone know of where this repository of data is? Or is there even one?

cocoon

In less than three months, I will be back in the tropical climes of the Philippines for good. I have been looking forward to this ever since I came here to Toronto in June 24 2006 to start my fellowship. I look back now and I can't get over the fact that almost three years have gone by so quickly. I remember my first few weeks here thinking that I would never last. I have. Now my thoughts are filled with home. Time to catch up with family. Time to start my life again. I must admit that I now feel quite at ease with the system here at SickKids. I have found my niche and ensconced myself in this environment. Do I dare flee? I do. I am now close to breaking out from what has been my cocoon. Hopefully, when my wings have spread, it will be radiant as the coulours of the Monarch -- not only to uplift my own self but also those who will be around me.

a flying tale

Sudbury is a city in northern Ontario. Way North. When the deep freeze was here in January, Toronto temp was in -20'sC and Sudbury was in the -30'sC almost -40'sC, I think. This past week I have flown round trip for patient retrievals thrice now. It is a 45 miute flight with clear weather but conisderably longer if the weather is a not. Like today. I got woken up close to 7am to fly there with a team member. A five week old with a tachyarrhythmia unresponsive to adenosine and amiodarone. At the Toronto Island Airport, we were met by the flight crew (the pilot, his first officer and the air medic). We were told it was not the best weather. Hmmm.... The plane was tiny. Just three seats in the passenger cabin and an empty row for our 300 lb transport incubator and other equipment. The flight itself was smooth enough. Midway, the medic, who sat in the back with us, said that visibility in Sudbury was zero and we may have to land in an alternate airport. About close to an hour later, I felt the landing gear going down. I looked at the outside. Hmmm...it was all a white haze. Very thick cloud cover? I motioned to my partner who just woke from her nap. So, are we going to even attempt a landing? As I thought this, I felt the wheels hit land (thank you Jesus!). I swear, even though as the plane taxied on the runway, I could still not see much outside except for the thick white haze. I could not help but right then exclaim a thank you to the pilots. They were doing their own high fives. Apparently, there was another plane who attempted to land before us but aborted the landing as they had missed their spot for touch down. Whew! Now, the flight back is a whole different story. The short of it is, however smooth the flight coming in to Sudbury was, the trip going back to Toronto was a tad turbulent. With such a small plane, I felt every sway and bump. What's eerie too is to hear the propeller and the machine. I closed my eyes. Childhood memories flood into my mind. Paper airplanes. It sure felt like I was a passenger in one.

And I live to tell the tale...

small planes and the police car

My head is in a whirl.
I started my clinical service rotation for neonatal transport on the first of the month. What a first week.
I have been out on "runs" six times now. On two occasions, the venture was in northern Ontario so that we had to ride in a 6 seater plane...not the best thing in the world especially when there is a lot of turbulence in the air. Good thing, I was able to keep my insides in.
In another instance, the team was already out for a baby with a difficult airway, I was summoned in for assistance. The hospital was about a good 40-45 minutes away from the downtown Toronto core. So, how did I get to them in 25 minutes? Call for police assistance, of course. This was at 3 in the morning. As I approached the car, I said that I would not ride at the back. Who knows who and what has gone on in there. It looked pretty menacing. The patrol car "flew" on the hi-way 401 at 160 kph. The officer casually remarked about how fast we were going, looking sideways at me to check if I was alright. No sweat. Ahh..finally, someone who drives like a Pinoy!!
As he slowed in front of the hospital emergency room entrance to let me off (lights and sirens on), the ER staff jumped on to their feet...awaiting the worse, but then out came little me.
I write this now and I think, what awesome memories....