Official Publication of the FAR EASTERN UNIVERSITY Dr Nicanor Reyes Jr School of Medicine Alumni Foundation ECTOPIC MURMURS Volume 27 Number 6 December 2014 Opinions and articles published herein are those of the authors anddo not necessarily reflect that of the FEUDNSM Alumni Foundation

th R Razonable MD is 37 FROM THE Dean Lauro Panganiban lecturer HOMEFRONT LINDA D TAMESIS MD85 Raymund R Razonablelecturer TAZARAN OPEN LETTER Dean, FEU-NRMF IM MD92, a The FEU-NRMF Medical Merry Christmas and valedictorian of Happy New Year! his Class, #1 Alumni Society will hold its th This is the topnotcher of the 40 annual Balik-FEU alumni homecoming, scientific seminar perfect time, right Philippine between medical board and Golden/ Silver Jubilee celebration on Thanksgiving and examinations that Christmas, to year, a prolific January 21-24, RAYMUND R 2015 with the express my RAZONABLE MD and prodigious theme Wellness gratitude for the medical writer, blessings, support, an outstanding internist, and an beyond Time. We invite friendships and joys infectious disease specialist, LINDA D th you to attend that I have received TAMESIS MD serves as the 37 annual Dean this year. Lauro H Panganiban MD JOSE RAVELO T the following BARTOLOME MD To the officers of the memorial lecturer during the activities: th Wednesday, January 21, FEUDNRSM Alumni 40 Balik-FEU. Foundation, I thank you for His topic is on emerging 8:00am - 10:00am FUN RUN, Barangay West Fairview, continuously thinking of our infectious diseases 2015. Alma Mater. I can assuredly say Dr Razonable is now a full Quezon City; 1:00 - 3:00pm ZUMBA at that FEU-NRMF has one of the professor of medicine at Mayo most generous, helpful and in Clinic College of the Dr Josephine C Reyes (JCR) Building, Fairview, Quezon touch US-based alumni Medicine in Rochester MN, societies. I am so fortunate to, capping upon various City Thursday, January 22, not only have the present appointments, including hardworking administrators, but as a program director of the 8:00 am registration 8:30 - 9:30 am Thanksgiving also the former executives that transplant infectious diseases have mentored and guided me fellowship program, associate Mass, FEU-NRMF Medical Center Chapel; down the correct path. program director of the general Donors have shared infectious diseases fellowship 9:30 - 10:15 am opening of th whatever money they could program, and associate chair for exhibits, 5 Floor, Dr Ricardo L Alfonso Hall; spare so that students and faculty development and faculty could be recognized and diversity division of infectious 10:15 - 10:30 am breakfast; th rewarded for their diseases. 10:30 am - 12:00 noon 37 Dean Lauro H Panganiban MD achievements. The funds have On his research program in been Gracefully managed by transplantation virology and Memorial Lecture by Raymund R Razonable MD, professor of the treasurer who diplomatically infectious diseases research he handles requests, juggles aims at advancing the medicine and infectious disease, continue to page 19 continue to page 19 continue to page 19

DECEMBER FAITH CORNER TENDERLY 65 REV MELVIN ANTONIO MD DONATION Christmas Eve is a time YOURS 62 A perpetual REMEDIOS R when the NOLI C GUINIGUNDO MD anticipation As promised, the following of Christmas is an account of our recent Day comes European trip. Some to a fever information pitch, provided are my especially comments and among observations and do REV MELVIN ANTONIO MD children. not represent facts NOLI C For months encountered during GUINIGUNDO MD DIVINA G AVERILLA the trips like the OBENA MD and now, we MRS REMEDIOS R have thought of receiving such airport, hotels, MERCURIO point of interest, etc. wonderful gifts that we tend to MERCURIO in Student forget the greatest gift of all. Late in the afternoon of day Achievement Award in Family Here are some actual letters 1, Monroe to Dallas Fort Worth Medicine, the first to be handed that were written to Santa: International Airport. It was a on Thursday, January 22, 2015, Dear Santa Claus, when you long wait since flights toward during the 40th annual Balik- come to my house there will be Europe leave in the early FEU Student Recognition cookies for you. But if you are evening with arrival at London ceremonies is donated by really hungry, you can use our Heathrow Airport in the mid- DIVINAGRACIA AVERILLA phone and order pizza to go. morning. You do not get your OBENA MD85 of Las Vegas. continue to page 18 continue to page 17

DECEMBER IMAGE FEUMAANI Christmas Party

The FEUMAANI members in red and high spirit at their recent Christmas party. MY PROFESSOR, CHRISTMAS CHRISTMAS his LEGACY and NEWSLETTER 2014 UPDATE PETE OBREGON MD60 ROGER ANG ME 65 72 JUDY OBREGON ELSA P ANG MD FERNANDO LAGRIMAS MD This Christmas, may His The year 2014 has been a When a professor did an good year for the Roger Tayson astounding job Ang family. educating his Last June 14, Roger and Elsa students to celebrated their 50th wedding become anniversary at Bali Hai Shelter competent Island in San Diego. Reverend physicians and Alfredo Baliad of Michigan his students officiated the vow renewal, would not give witnessed by their three him credit for a PETE OBREGON MD children, grandchildren, the FERNANDO C job well done, JUDY OBREGON LAGRIMAS MD Ang family, friends, the that was love be in every moment, may Penaranda family of Arlington shameful. His joy be in every celebration, TX and Bakersfield CA. But when the same professor may His peace be in every It was a memorable was even demonized by some heart. Let us always remember occasion, not only for Roger of his ungrateful students, that that Jesus Christ is the reason and Elsa, but also for every one was shocking. Unfortunately, for the season. who heard Reverend Balaid this was the kind of ordeal that Judy and I ended another homily on four reasons that held the late Dr Ernesto Rivera had year of medical ministry, our marriage strong and lasting. gone through when I was his th 27 year. The highlight of our FAME student at the FEU Institute of year was our induction into the F – for FAITH bound the Medicine in 1962. I was Medical Mission Hall of Fame couple together and guided intimately familiar with Dr at the University of Toledo last them to train their children in Rivera's case, because I was one March. It was a wonderful the right path. among the medical students occasion for us and many of our A – for AGAPE which is who, with much regret later, friends from the United States their unconditional love for vilified him with unrelenting and Canada, who have joined us each other helped them navigate animosity continue to page 13 continue to page 13 To insure that you understand what I am talking about, let me walk you through the grading system at the medical school during that time. Back then a medical student could obtain grades in any subjects ranging from (1) the highest passing grade, down to (2), and (3), the lowest passing grade, followed by (4) a condition grade and lastly (5) a failing grade. With a condition grade (4) one could either pass or fail on the subject by taking a removal examination. The ANG clan, from left, Tracy Pyles, Madeline Ang Heather Ang, continue to page 14 Dr David Ang, Dr Elsa P Ang, Amanda Ang, Dr Natalie Roy Ang, Roger Ang, Mace Peng, Dr Roger P Ang, and Drs Ming and Nalyn Peng. MERRY CHRISTMAS!

LETTTER TO THE EDITOR The re-issued best of FEUMAANI News is an awesome edition, enjoyed reading all of it. I cannot help but wish we were PATRICIO ANDRES MD there too. Not sure if you remember me, but anyhow Lyn and I

CESAR DFrom GERRY GUZMAN MD62 and VIRGINIA GUZMAN RN joined the FEUMAANI and CANDARI MD FEUDNRSM Alumni Foundation in 2012 when we moved to the Great Lakes from Sacramento CA. MORE I AM PROUD TO We were there only for two PHILIPPINE BE PILIPINO- years. I worked at USMEPCOM in north Chicago. PERSPECTIVE AMERICAN Part V I retired from the CESAR D CANDARI MD61 JOSE M T ANTONIO MD63 government Service in March Today, the country is being Globally the devils are all 2014 and relocated to Fort subjected by oddity around us. All Worth TX. of events that it is a of us must try to I thank you for including me less-attractive continue and in your emailing lists. place to live in contribute to I enjoy reading all the permanently. As a improve with articles and news. Even though retired physician, I unified cohesive we are far in distance, we often thought of our force for the think about you all and all the country as my goodwill of events that we attended while CESAR D we were there. CANDARI MD favorite place of mankind. My retirement; many JOSE MT beloved demised I hope to see you all again ANTONIO MD other Pilipinos father further sometimes, someday, working abroad have similar stated that money will follow somewhere, somehow. plans. We all now know that it when you are highly educated We also hope to be able to is a politically beleaguered with greater passion to serve join your future trips and homeland that several are first in their own respected humanitarian missions too, having second thoughts about it. professional expertise. But someday. The overwhelming events in educations are getting Best regards and best wishes the Philippines today…the expensive exponentially every for the holiday season to one civic, social, political and year. In case we have Pilipino- and all. economic pictures…convey a American with exceptional MERRY CHRISTMAS and sad story. talents (in music, paintings, A BLESSED NEW YEAR. The sentiments to go back sculpting, physical activities, MALIGAYANG PASKO to you home for Pilipino Americans as like playing soccer, all. 69 continue to page 10 continue to page 9 PATRICIO ANDRES MD Fort Worth TX

LETTTER TO THE About The LETTTER TO THE Cross by Dr EDITOR Tricia EDITOR FEUMAANI News Punzalan. Cong Thanks for reissuing the ratulations on FERNANDO S November 2010 is ERENETA November 2010 a beautiful renewing your FEUMAANI historical tour you vows in Cana. News, great for all had. I had Merry Christmas and God reminiscing that enjoyed the same bless. wonderful trip, in the mid -1990s... FERNANDO S ERENETA especially with all It is perhaps time Financial Advisor the turmoil in the for me to re-visit Registered Principal area. I don't think Raymond James Financial RENE JOSE MT the Holy Land. I we can duplicate it. ESTRELLA MD ANTONIO MD love history. Services Inc Please, include Thank you so Member FINRA/SIPC Tem Montes in your mails, he much for the attached re-issue 4200 Cantera Drive, Suite 221 changed his email to of the best of Warrenville IL 60555 [email protected]. the FEUMAANI News. 630-791-9226 Thanks again and Merry Likewise, may you and all 888-563-5524 (Toll Free) Christmas to you and Elisa and your love ones enjoy a Merry [email protected] the family. www.erenetafinancial.com Christmas, and healthful New Just in case you are in

Year. Manila during our FEU

Thank you, enjoy, smile and homecoming reunion in January take care, LETTTER TO THE 2015, please join us at the JOSE MT ANTONIO MD63 Legaspi's resort in Boracay Washington DE EDITOR February 1 to 5, 2015. Advent is coming and I RENE ESTRELLA MD68 consider the trip to Israel as the Milwaukee WI LETTTER TO THE EDITOR LETTTER TO THE Thank you for sending us EDITOR this reissue of FEUMAANI Nuvali Ayala development at News. Sta Rosa, which Have a Merry is further south Christmas and of Alabang, is considered Prosperous New ED HERNAEZ MD Year. NIDA B HERNAEZ MD second Makati in future with MAX BASCO MD MAX BASCO MD best trip I ever had. It was a both Los Angeles CA spiritual rejuvenation and my commercial and ANTONIO C ONG MD faith became alive and residential stronger. It was a trip to sections like Makati. Many LETTTER TO THE remember. It was a trip where I well known universities have EDITOR met real nice people. branches in there. Have a wonderful holiday The closest first class Thank you for the re-issued with you, Elisa and your family. hospital is the New Asia FEUMAANI News. I truly Love from your inaanak, hospital in Alabang. However, enjoyed reading about the trip ED HERNAEZ MD 84 there is a plan to build a new to the Holy Land. I also NIDA B HERNAEZ MD hospital there. enjoyed the article It’s All Niles IL My cousin bought that matter clean air clean water threepieces of 1000-square- are pre-requisites for healthy OBITUARY meter lot there. Four years ago I living and longevity. Just got visited Nuvali, and thought of back from Zhuhai, China, buying. But as an American Singapore and Indonesia citizen I did not qualify to buy (Jakarta, Java: Subaraya, Bali). realty property to build a house The contrasts of those cities are there; I could only striking. Zhuhai – the coastal buy condominium which was beautiful green city of not available then. Guangdong province 40 km

If I have a chance, I would west of Hong Kong has well- RICARDO DELA CRUZ MD73 also like to visit Porac, thought out urban planning and 1948 – 2014 Pampanga, and reminisce at the execution. In 2017 the longest A close friend and colleague, old US Clark Air Base Hospital bridge across the seas in the Ricardo dela Cruz MD passed in Angeles City where I had my world would link Zhuhai to away at the age of 66, internship and lived next to the Hong Kong and Macau creating surrounded by his loved ones on medical center in1967-1968. a giant megapolis and December 8, 2014, at William That was 47 years ago. unsurpassed economic Beaumont Hospital in Royal Wow, I am an old man now, opportunity. Oak, Michigan. retired and useless. Who would Singapore whose land area is Ric graduated from Far have thought that a young man less than the size of metro Eastern University Institute of as a nondescript Clark Hospital Manila has the best urban Medicine Class73. He intern would become a board planning that I have ever seen immigrated to the United States certified neurosurgeon, now with verdant immaculate and completed residencies in living and luxuriating in Hawaii trimmed tress and rainforest pathology and internal paradise island of clean air and releasing oxygen and absorbing medicine. blue sea, with a pretty woman at CO2 from their vehicles. Its He was an active member of his side, trying to be a Chinese streets are very clean, well- the FEUDNRSM Alumni Richard Gere, keeping a BMI maintained and certainly Foundation, including the below 25 all the time, and walkable. A car their cost 400% Michigan Chapter. He regularly hoping to live up to 100-year more than that in the U.S. yet attended the Balik FEU old ever trong. rich Singaporeans display their homecoming and regularly Cheer, to all the girls I have Rolls Royces, Mercedeses, participated in medical missions loved before! Aloha. Porcheses, BMWs. Their metro to the Philippines. ANTONIO C ONG MD subways are so clean, and He practiced internal Honolulu HI upkeep impeccable. medicine in Sandusky MI and There is an inverse served that community for 31 LETTTER TO THE relationship between years. government corruptions and He was known for his EDITOR world-class urban planning and infectious smile and as a hard- So for those livable cities. Manila and working physician, a devoted friends of ours Jakarta et al are at the bottom of husband and father to his three who bought what cities should and must be. children, and a loving lolo to residential Meanwhile pollution, dirty four grandchildren and a properties in water and sewage that drains forthcoming apo in March Metro Manila; it into clogged waterways are 2015. is investments causing diabetes, heart / Ric did everything for his that may not be respiratory diseases, cancers family, making sure not to miss and infections. As physicians well-thought of, birthdays, graduations or any ANTONIO Q since at our age we all know that. family gatherings. CHAN MD or any age for TONY CHAN MD Henderson NV CLINICAL IMAGES The final diagnosis was CUTANEOUS METAPLASTIC metaplastic synovial cyst or synovial metaplasia of the skin. SYNOVIAL CYST Long follow-up was negative for recurrence. COMMENTS and LITERATURE REVIEW. Cutaneous metaplastic synovial cyst (CMSC) is a recently defined entity characterized by a cystic space that is lined by polygonal Figures 1 and 2 – A poorly demarcated Figure 3 – An opened up inner cells and villous structures cystic lesion in the dermis and subcutaneous cystic surface shows striking resembling synovium. These tissue with nodular intraluminal papillations papillary excrescences, like structures are often hyperplastic noted on ultrasound. a bag of worms. and protrude toward the lumen as villous infoldings. Sometimes, it is labeled an intradermal nodule that usually occurs at the site of previous surgical trauma. In the first reported case of cutaneous metaplastic synovial cyst, there is an association with an Ehlers-Danlos syndrome. Cutaneous fragility and Figure 4 – The synovial cyst is located Figure 5 – The cyst lining mimics anomalous scarring typical of deep in the dermis, and more in the thick synovial membrane (HE stain, Ehlers-Danlos syndrome may subcutaneous plane (HE stain, x40). x400) be related to the development of a pseudocyst. If so, other These images are from an soft and doughy cystic lesion connective-tissue diseases with 86-year old woman who that measured 7 x 6 x 3 cm, increased skin fragility could be presented with a large palpable attached to an ellipse of skin, susceptible to development of right buttock mass of about measuring 4.6 x 1.4 x 0.3 cm such lesions. 8 x 7 x 4 cm size, of unknown and partially covered by Staining and immunohisto- duration. Trauma, surgery, and fibroadipose tissue. It contained chemical studies yielded results connective disease were denied. thick, mucoid and viscid similar to those reported in Ultrasound of the right colorless fluid about 5 cc. The cases of synovial cyst. buttock palpable abnormality inner surface appeared partly CMSC has been described demonstrated a poorly margina- membranous whitish tan, and around prostheses and breast ted complex mass, measuring smooth, and partly exhibited implant capsules and may occur 7.6 x 6.5 x 3.1 cm, containing florid short and long villous in postsurgical cutaneous scars, irregular fluid collections as luminal structures, like a bag of unrelated to prostheses or well as solid density (Figures 1 worms (Figures 3, 4 and 5). implants. and 2). Adjacent soft tissue and The lesion is located deep in the The lesion clinically appears overlying skin are grossly dermis with its bulk in the as a tender subcutaneous unremarkable. subcutaneous tissue; and nodule. Although the actual The lesion was completely surface is like synovial cause is unclear, a history of resected under local anesthesia membrane, complete with trauma usually precedes its as an outpatient. The specimen synovial cells. onset. was composed of whitish tan, This recently described surrounding silicone breast for metaplastic synovial cyst. cutaneous lesion arises most implants. Of 15 cases with Immunohistochemical often in areas subjected to resected periprosthetic breast observations also confirmed a surgical or other types of capsules, seven (47%) mesenchymal derivation for trauma, although one reported demonstrated true synovial the synovial like villous instance is closely associated metaplasia with capsule-implant structures but non-availability with a basal cell carcinoma and interfaces lined by typical of a specific synovial marker no history of trauma. Other synovial cells. Histochemical does not permit us to conclude associations include chronic and immunohistochemical with certainty the synovial inflammatory states such as staining reactions were nature of the metaplastic rheumatoid arthritis or heritable essentially identical to those tissue. disorders of connective observed in synovial control The presence of vimentin tissue such as Ehlers-Danlos tissues and featured positive and CD 68 positivity of the cells syndrome. reactions to Alcian blue- lining the cyst walls supports Similar lesions have been periodic acid-Schiff, reticulin, the similarities between normal identified in soft tissue, and vimentin. and metaplastic synovium. usually related to prior surgery Focal positive Constant pressure on or experimental induction. immunoreactivity was observed the great toe, repeated The differential diagnosis of with alpha 1-antitrypsin, alpha manipulation of the finger, and tender cutaneous cysts should 1-antichromotrypsin, lysozyme, chronic inflammation around include CMSC. and CD68. No mmunoreactivity the affected joints may play Projections from the cyst was observed with cytokeratin some roles in the pathogenesis wall may attain significant size AE1/AE3, S-100 protein, of some CMSCs. and give the intraoperative carcinoembryonic antigen, or In CONCLUSION, CMSCs impression of a bag of worms. basement membrane antigens. are unique lesions which The changes are characteristic Transmission electron deserve attention and should be and identified at varying microscopy of the lining cells included in the differential levels of the dermis and may confirmed their true synovial diagnosis of cutaneous cysts. extend to the cutaneous surface. nature with the type A The immunohistochemical These consist of cystic (macrophage-like) cells, type B studies showed strong staining structures with villous (fibroblast-like) cells, and with vimentin and scattered protrusions within lumens, lined intermediate forms or type AB positivity with alpha-1- by a thin fibrinous exudate and cells identified. antichymotrypsin and a connective tissue core It is now concluded that the lysozyme. No basement consisting of loosely organized cellular lining surrounding membrane antigens or elastic connective tissue, prominent silicone breast implants is a true fibers were demonstrated. vessels, and spindled to synovial membrane, that It is believee that the epithelioid cells. These changes synovial metaplasia may occur name cutaneous metaplastic closely resemble those of in nearly one half of all resected synovial cyst is an appropriate hyperplastic synovium. periprosthetic capsules, and that pathologic designation for this The formation of true awareness of this entity will entity. synovial-lined membranes at enable the surgical pathologist A list of REFERENCES is tissue sites not intimately to render an accurate available upon request. related or close to an histopathologic diagnosis. CESAR V REYES MD68 articulation or a tendon sheath Immunohistochemical has been described in a variety staining is generally negative of pathologic and postoperative except for vimentin among conditions. the lining and stromal cells. Until recently this phenome- Although some lesion slightly DECEMBER QUOTE non has not been well resembly digital mucous cyst, For ever I will sing the goodness of recognized to occur in tissue the constellation of these the Lord. Psalm 98 features is relatively distinctive ECTOPIC MURMURS December 2014 Volume 27 Number 6 page 9 I AM PROUD TO With our capitalistic way of would disappear in thin air. life in any forms or shapes by Hence, be humble and learn BE PILIPINO- Pythagorean principles, we will how to sleep in the floor, or be able to help improve and at learn how to mamuluktok ka (or AMERICAN least minimize all these evil assume fetal position) when you continued from page 4 empires encircling us that went down materially, but never football, basketball, tennis, etc) continue to devour our give up for health is wealth as and sacrifice, like the first unfortunate helpless people. she informed me that I should settlers of this great Now let me impart to all of always pray. Country. The latter you as legal American citizen I Lastly, and the least we refined their talents am very proud to be American. should never forget those who with hard work, Our next generations, and died, or those disabled when bravery, and succeeding generations should their blood were spilled for our persistence, and not forget their ROOTS. To Motherland, and in this great enjoying their talents learn, respect and love the Country during the Civil War, in any non-academic legacies of our roots, and so as the WWI, WWII, Korean endeavors so they hopefully they will not be war, Vietnam conflict, etc. JOSE MT ANTONIO MD could be lifted up stranded in any forest. Humbly I am real proud to from their slums and Let them know that in a be American. This land of the evil gangs. They had larger sense their travels would free for all us. I am really appropriate dress codes, using not be easy for there are always grateful whether you are appropriate language, and winding roads, at times with educated or not, but as long as etiquette --- developing their detours, and climbing up the you play the rules, and work characters and virtues. Then we mountain tops would not be hard as our brain-body have to help materially to easy for all of them, and mechanics would be able to increase Pilipino-Americans of survival of the fittest is to be tolerate with passion, and next generations’ opportunities applied; but with challenges of enjoyment for opportunity by increasing positively without courage, persistence, never ends. relying on government hand- perseverance, and hard work are When I first arrived here in outs. ingredients to reach the 1965, I had first observed the I am not preaching for I am mountain top. high dignity of labor. I did not not pretentious to serve and On their way to the mountain have that when I was growing swindle their fanatical top the sceneries of Nature will up. parishioners or their political be beautiful, and breathtaking. Let us be vigilant of our constituents. These were my Since, my childhood days I was liberties, and obeying our personal observations through Socratic, and my mother Constitution so are the Federal the years with historical facts imparted to me few words of and State Laws. Owning guns almost every single day. wisdom that along the way or weapons of mass destruction Every single day we may lift there would be beautiful roses (I by killing our law abiding, and them up with our materially- said I love that). But you have innocent peoples cannot be moral support for their children to be very careful for every right! and siblings, not by raping, and beautiful roses and stimulating Owning gun(s) and using killing, but by example of doing aromatic scent they were them for self-defense, defending good. Therefore, our children’s usually plenty of thorns beside our Country, and for children will be all in the same some poisonous snakes, and recreational activities should be playing field to minimize the leaves. (I said I do not like that the only purpose of owning devilish acts --- if we will be for its hurts and painful). guns. That is my own personal able to inculcate in their brain She further stated to me that perspectives. cells regarding higher degree of when you are materially Our unalienable rights education with normal brain wealthy you would have plenty should not be trampled upon by chemistries. of friends; but when you are anybody, friends and foes down your so-called friends alike. We, the first generations ECTOPIC MURMURS December 2014 Volume 27 Number 6 page 10

for our children were very cohesive force in politics, and pros and cons and proud when took an oath for our other important agendas like in retiring in the American Citizenship. government affairs, business, Philippines is no We must be proud education, science, mathematics different. immeasurably with the height like the Jews? Jews are the It is far more and depth to be an American. single minorities with strongest complicated. History will attest that the cohesive force that controls our According to the American colonization and war economy, our Congress, and Filipino American CESAR D CANDARI MD with the Pilipinos, thousands including our Executive Senior Health had died not in vain. In a larger branch. Therefore, if our house Assessment, a longitudinal sense we have to be proud also is divided we will be weak to study conducted by the Filipino for our contribution of human stand strong. Would all of you American Community Health lives to this new Empire when prefer to be like bamboo trees Initiative of Chicago, half of 35 our Pilipino soldiers side by that sway according to the immigrant seniors surveyed side with the American fought direction of the strong typhoon between 2008 and 2010 still and had died during the or wind? Remember the plan to return to the Philippines, Japanese Imperialism. So as our bamboo trees in your backyard The other half do not, and a contribution during Civil War, back home they continue to handful are not sure. and conquering the west; and stand erect when that winds dies Reality check: They want to Mexican-American War beside down for the resilient bamboo return to their home country to the Korean, Vietnam, Iraq & trees goes back in the original derive maximum benefits from Afghanistan wars as American position when the wind calms savings, says Leo Herrera-Lim, citizen our forefathers before us down. Ideally I would prefer all Consulate General for the had immensely contributed Pilipino-American to be Philippines. immeasurable without stronger with undying unified A drawback: The problem in boundaries for our love to cohesive force not falling going back to the Philippines is U.S.A.. behind from other ethnic that when you get sick, you Our great contributions in groups, because the European spend your own money. I prefer science, technologies, medicine, Caucasians are still the to stay in the United States etc. we’re something to behold majority. Hence, it had been because of health coverage. with the greatest pride as an stated that majority rules in A friend says. It is good that American. democratic form of when my husband got sick this Again, I am very proud to be government. If an African- year, we were here in the American with our blood that American was able to become United States. We have money runs the legacies from our President why not a second or from retirement, pensions, immortal seeds, and forefather’s third Pilipino-American social security and health heroism. Some of you may generation to be a President of insurance. These problems echo have known that three years ago this great Empire? those shared by other Pilipino Pilipinos in every States of the To be continued. Americans. Union must be proud that our Therefore, with my opinion contributions to this great of going home and enjoy your Country at last had been MORE retirement, consider the recognized by U.S. Senate following points to ponder: Congress passed, and approved PHILIPPINE You and your spouse must a resolution in October 5, 2011 continued from page 4 be in good health. designating that every October they age are varied. At the point Are you welling to leave should be “Pilipino-American of retirement, a notable your children and History Month.” percentage of Pilipino grandchildren in the U.S? Please ask ourselves if we Americans return back to the Those that came back to the need this accolade like Philippines. There is no doubt, US said relatives constantly “African-American Month?” like everything in life, there are having their hands out? Are majority of us with a Infrastructure problems, traffic, brownouts, outdoor world. Previously, the SM Mall Casinos and first-class hotels humidity, and lots of rainy days. of Asia in Pasay was the are all over. Public utilities like electricity country's largest mall, and When you are told that and water, telephone, Internet before it the SM Megamall in traffic in Manila is hellish, with and mobile phone, Ipad Ortigas Center in Mandaluyong jeepneys and all kinds of buses reception and access and not to held the distinction from 1991 and taxis – you will be mention the postal service, to 2006. impressed with the mingling of things that you are not used to. What impressed me most luxury cars, Pajeros, SUVs, and Perspective continued: are building structures mostly some Mercedes Benz in this Our country, the Philippines high-rise condominiums under horrible gridlock. appears to be on the move constructions. It is so amazing In the early 1990s, it was not forward. A few months ago, my to appreciate the presence of what it is now. It is a fast wife and I went home, stayed in retail stores and expensive growing city becoming like Manila for a few days in a five gourmet restaurants in every Hongkong, where astonishing star hotel with Casinos part of Manila and Makati, skyscrapers catches your eyes. occupying three of its floors. It where you can enjoy a buffet It is a picture perfect for a city is full of people, a mixture of service of unimaginable food on the go, a picture of richness, well-dressed and ordinary ranging from native Pilipino to progress and affluence. individuals. French or anything you like to What we saw are all signs of One night we were at Solaire taste. progress. News of the rise in Casino and Resort, situated near Vikings Luxury Buffet is a Philippine economy are daily the bay, this luxury hotel is contemporary and stylish covered in media and online. close to SMX Convention restaurant that overlooks the The world’s biggest financial Center, SM Mall of Asia, and majestic Manila Bay through organizations – Moody’s, Baclaran. It reminded me of Las its' vast windows. These Standard & Poor, the Vegas and Macao. restaurants are jam-packed with International Monetary Fund, Yesterday, a friend sent me a people, maybe the local rich, or the World Bank and major u-tube online about the the Balikbayans with their international banks – all predict Philippines Moves Forward. dollars or Overseas Filipino a 6.5 to 7 percent growth for the Stunning and awesome - Metro Workers and families. The country’s economy this year, Manila skyline photos of prices per person are more with Moody’s even calling the beautiful, progressive city! The expensive than one can have in Philippines a rising star and City of Manila forms only the M Resort and Casino and Reo S&P upgrading the country’s city proper of Metro Manila. Hotel and Casino here in Las credit rating. Consisting of 16 cities in 630 Vegas. A recent report by S&P even square kilometers, the metro is Urban centers abound such described the Philippine peso as the national capital region, and as Ortigas Center, The Podium, the third best performing the center of Philippine culture, Eastwood City, Rockwell, currency in the world, next only arts, commerce, industry, and Global City, the Fort and many to the Chinese renminbi and the tourism. more. The skyline of Manila is Singapore dollar. Taking a short tour of Metro comparable to Hongkong, with The Philippine economy in Manila, huge shopping malls skyscrapers; all these are in recent decades was dubbed as are crowded with people Manila to Pasig, Mandaluyong the sick man of Asia. Now, it is mallings and 90% with cell and Makati. It has the said to have finally caught up phones or ipods in their hands . semblance of a progressive with the Asian economic tiger – The rise of megamalls, was a country. the neighbor countries of phenomenon developed by Where can you find new Singapore, Malaysia, Thailand Chinese Pilipino businessman plush subdivisions built in areas and Indonesia. Henry Sy and his company SM. near the roads and freeways The stark contrast - Poverty: Three SM shopping malls are along Dasmarinas, to Carmona All these I just described are among the top 10 largest in the Cavite, Laguna and Santa Rosa? strong signs that the country – with its young population of nearly 100 millions people, the kills, maims and aborts life. But government has sent out a world’s 12th largest – has turned once you see it first hand, you strong message that it will not a corner? can never forget. I have to look tolerate corruption. Has President Aquino at facts that are, like the sun, too Thy will be done? determined and turned the painful for my direct gaze; Yet all said and done, the corner by instituting genuine, instinctively, I look away. government has not made a dent wide-ranging, meaningful The unreported deaths of the on its drive against poverty. The reform, and acting on its belief poor by reason of their lack of poor and the oppressed masses that good governance is the food, shelter, clothes, medicine in the Philippine society have bedrock of equitable progress? and simple hope are always gotten the worst of both Reality check, there are underestimated according to a worlds. With greater propensity, slums of Metro Manila where Philippine columnist. their political leaders have been six million poor survive — Skyscrapers, hotels and unresponsive to their economic barely. The faces on the city casinos, high rise plight, a dismal crisis that has streets told many sad tales. I condominiums are façade of been encumbered by the witnessed the travesty of 30,000 progress but beyond lies the deficiency of the country’s helpless, impoverished squatters stark of poverty in the democratic process. living around the waste dump in Philippines - a major obstacle to According to the report Payatas, the Manila's main the success of future recently by National Census waste dump; garbage is piled generations of the Pilipino. Statistics Board that in July seven stories high. According to the most recent 2012, the Philippine poverty Twenty-five percent of the data collected by international rate was at 27.9% which is inhabitants live in informal sources concerning poverty in practically unchanged from the settlements, often in places the Philippines, 44% of the 2006 and 2009 data. unsuitable for living. population survives on less that Twelve million Pilipinos Urban poverty is caused by $2 US per day! And yet we are were trapped in extreme poverty low household incomes and the reading conflicting reports of and surviving on less than P56 a internal migration of poor rural economic growth. day according to Asian families to urban areas. Here is what we are told: Development Bank. Social I saw a large slum area near First, the Philippines, after Watch Philippines and the the outlet of Pasig River with years of indebtedness, is a net Philippine Rural Reconstruction shanty houses; families living creditor. Overseas remittances Movement, in coordination with on carts under stinky bridges; it from the roughly 8 millions the United Nations, stated that was a heart-breaking sight to Pilipinos working abroad have the country’s poverty situation view the scores of gloomy steadily added to foreign was worse than in 2000 when it shantytowns along the banks of exchange reserves. At nearly started the Millennium the river, some precariously $80 billions, these are higher Development Goals that the UN constructed on stilts. than the external debt. designed to eliminate poverty. Somehow 800,000 people Revenues from back office The generation of increasing live there. Pasig River flows businesses have quintupled over jobs in the Philippines is not right through the heart of six years from $2 to $11 well addressed. Manila. Tons of sewage, billions. Apparently, the robust including human excrements Second, the country is growth failed to generate the was conveniently dumped into getting its fiscal house in order. jobs because it was fueled the Pasig River. Little wonder The deficit has narrowed from a mostly by the continued why the river stinks to high worrying 5-6 per cent a decade increase in remittances from heavens. ago to a manageable 2 per cent. eight million overseas workers The abject poverty lingers as Third, the political situation and the increased consumer poverty rapes and kills the spirit is vastly improved. Benigno spending generated by these of the poor. We all too often Noynoy Aquino, elected remittances. underestimate poverty’s president in 2010, has made a Despite the robust 6.6% complexity and cruelty, how it creditable start. For one, his economic growth, ECTOPIC MURMURS December 2014 Volume 27 Number 6 page 13 unemployment remains Roger had a successful time for Leyte to get back on its unchanged at 7.1% in January, surgery to remove a carotid feet in spite of the generous from 7.2% a year ago. artery obstruction in January. help of international donors. Whatever growth the country He celebrates 80th birthday in We also worked in the reports simply goes to the February 2015. northern Iloilo town of Barotac country’s wealthy few. Elsa is in her second term as Viejo. Part of the Philippine The number of unemployed president of the Pilipino team also worked in southern and underemployed is estimated American Military Officers Leyte and Palawan. We at 10 million. There is that Association of San Diego. performed hundreds of cases Conditional Cash Program by Both are active volunteers at and many surrendered their President Aquino which doles the Flying Leatherneck lives to the Lord. out cash at the rate of P1,400 a Aviation Museum, Miramar and Last October, we also month to poor Pilipino families. Ladie fellows for Feeding the worked in Kibogora Hospital in In my opinion, this will not Homeless. Kibogora, Rwanda, our 18th stamp out the chronic and They regularly visit fitness project there. We performed 88 widespread Poverty in the center and ballroom dancing to major cases and 46 people country’s 100-million keep them physically fit. accepted Jesus as Lord and population. The four grandchildren made Savior. The Philippines must good progress. Christian missed We were supposed to work develop industries that could the wedding anniversary there for 4 weeks but shortened generate more jobs, such as because he was on Maritime our work to only two weeks as manufacturing, tourism, Academy ship duty in Vallejo we came home to be with our information technology, and CA. He came to visit La Jolla daughter-in-law, Cathy, who agribusiness. during summer. had a bilateral mastectomy for It is our country’s leaders Amanda will be an Oxford breast cancer and is presently who can make the Philippines scholar in England come Fall undergoing chemotherapy. She to become an Asian Economic 2015. is doing well and tolerating the Tiger and join the First World; Our youngest gift of God chemotherapy. Please pray for otherwise it will still remain on Mace Zuoming Peng is our her. its reputation as The Sick Man 2011 miracle, now three and The rest of our family is of Asia. very active preschooler in Hilo doing well. We plan to drive up HI. His parents waited for 16 to Columbus in December CHRISTMAS for his arrival. to be with our children, We are very grateful for all grandchildren, and one great- 2014 UPDATE His blessing. grandchild for Christmas. continued from page 3 In January, Pete will work and survive all the hurdles in CHRISTMAS with Lyndell, our daughter, and the 50 years journey. her church team in Cuba. M – for MONEY that aided NEWSLETTER In April, we will work in San them to send all their children to continued from page 3 Carlos, Bolivia. doctorate degrees, and pay for in many of our mission trips, In June, we will be taking groceries, rent and gas. honored us with their presence. one of our granddaughters, E – for EDUCATION We worked in Palompon, Sydnie, and our niece, opened their eyes to the realities Leyte, to help treat people who AprilLyn, with us on a mission of life and enabled them to were victims of one of the trip to Panama; and in October achieve goals, which in turn world’s strongest typhoons, or November, we will again provided family stability and which hit the island very hard. work in Kibogora, Rwanda. financial security for them and Some 5,000 people perished May the coming year bring children. and thousands were rendered you much joy and happiness. FAME also gave strength homeless. It will take a long Love and prayers. and longevity. ECTOPIC MURMURS December 2014 Volume 27 Number 6 page 14

MY PROFESSOR, take the removal exam. Guess But I insisted, Then let me what? Nobody passed the take the removal examination HIS LEGACY removal examination but one, and let see what happens. continued from page 3 yours truly! As a consequence, I He repeated, Don't you get The safer option when dealing became an instant celebrity for it? I'm giving you a big favor. If with a condition achieving the dubious you want to remain in the grade was to distinction of having passed a institute, follow my advice. repeat the subject removal examination in Believe me, you won't regret it if it involved pathology, a terror subject! if you did. pathology. Why? Boy, it really was an I persisted, How can you do Because the exhilarating feeling to be this me? I was a member of our medical school somebody among nobodies --- intitute’s basketball team. I had had earned the --- the conditioners. to attend practice every other reputation as a In a triumphant mood I went night and played games on FERNANDO C to Dr Rivera's office to inform weekends leaving me no time to LAGRIMAS MD terror subject since most if not him that I would go for the study my lessons. But those all of the medical students who removal examination in efforts and sacrifices are not in were delayed or even kicked out pathology B, Sir, I have decided vain. Sir, we are the inter- of in the past was due to their to take the removal examination institute basketball champion in inability to pass pathology A in pathology B. FEU! Don't I deserve any credit and B. Of course there was a fee Dr Rivera answered, the for that, huh? for the removal exam--are you institute wants me to tell you Actually, it came up during kidding me--10 pesos per that you cannot take the the I meeting. But the student subject! removal examination for deliberation board cannot lose What happened to me was, I pathology B anymore. Your sight of the fact that you came got a condition grade in only option now is you must here to become a doctor, not to pathology A. Since I had the repeat pathology B. be a basketball player. The option to proceed to pathology That's not our prior institute has absolutely no B without taking the removal understanding! I vehemently objection of your playing examination in pathology A, I protested. We have a basketball as long as you can went ahead to pathology I gentleman's agreement, satisfy academically what is problem was I did not pass remember? You told me that if I required of you to graduate in pathology B either. I also got a passed the removal examination medicine. But the medical condition grade. in pathology A I could take the school will never lower its Dr Rivera, as the chairman removal examination in passing standard because a of the student deliberation pathology B. medical student happens to be a board, advised me that I could Well, the medical school member of the institute take the removal exam for I A. feels that it would be in your basketball team which much to If I passed pathology A, I will best interest if you just repeat his credit helps bring home the have to repeat pathology B, or pathology B. I assure you that if bacon. Is that clear? Dr Rivera he might permit me to take the you take the removal clarified. removal examination in examination in pathology B you I was stunned. I never felt so pathology B if I wanted to. The will fail for sure, he added. disappointed in my life before. consequence of failing the Excuse me? Convinced, that nothing removal examination in He retorted What I’m saying favorable will ever come out of pathology A was chilling: I is, you still lack the solid our talk, I reluctantly relented, must repeat pathology A and understanding in pathology All right, I will repeat pathology pathology B, one semester at a necessary to pass the removal B. time. examination and the solid Good, he said. Surprisingly there was a foundation when you practice How many subjects can I dozen of us who had decided to medicine later on. have in addition to pathology B? I asked. None, he murmured. absence. As he elaborated the pathologist in their hospital in What! Don't tell me I will wisdom of this principle, I felt California. Shortly, after he only have one subject for the so embarrassed realizing that I hang up, the phone rang; it was whole semester, I complaiend. still have a lot to learn if I no other than Dr Rivera himself Dr Rivera concluded, You wanted to become a better on the line. heard me. It is the opinion of physician. Si Dr Lagrimas ba ito? (is the institute that if you carry When I started practicing this Dr.Lagrimas?) more subjects you will end up medicine, I tried to deny that Dr Oho. (speaking) having condition grades again Rivera was never a factor in my Hinahanap mo raw ako. ( I and you'll be back on square being a competent physician. heard that you are looking for one again. The medical school The fact was, I learned valuable me). strongly suggests that you quit knowledge in medicine at the Matagal na po sir. (Yes Sir, basketball. Hijo, listen to me, I institute sitting on Dr Rivera's for quite some time now). commend you for passing the lap. Alam ko na kung bakit., removal examination in I realized further that other Galit ka sa akin. Marami na pathology A, that was not an faculty members had done far akong mga studianting easy task. Look, I see in you the more terrible injustice against tumawag sa akin para morahin making of a good physician, me. For instance, I got delayed lang ako. ( Now I know why. I strive to be a good one, will also for doing make-up in have some former students who you? There is nothing more to medical clerkship, not because I had called me before just to talk about. You can go now. could not satisfy the curse me.) Go ahead say what As soon as I closed the door requirements but because the you want to say, I'm listening. behind me, I silently unleashed instructor who was trying to I was shocked by the tone of the anger seething inside of me earn the dubious reputation as a his conversation. I told him that with a venomous vow, mga terror instructor, would I was sorry to hear the cruel walang utang na loob. May maliciously conduct the roll treatment he had been receiving araw then kayo, Lintik lang ang calls whenever most of the from us (former students). walang ganti. Ingrates! I will students were not around. I told him that I was really have my day……..) The result was, I and few mad at him but I realized, I was My ulterior motive to prove others incurred undue number wrong and I wanted to to Dr Rivera that pathology was of false absences and the only apologize. inconsequential and absurdly remedy was to make-up for the There was a long pause of overrated subject in medicine course, to the perverted delight silence, then I heard a muffled became an obsession. The of this miserable terrorist. sound which unmistakably opportunity came during a case When I met this former suggested that someone was presentation about a patient who tormentor in Michigan during sobbing. Indeed he was crying died of pulmonary tuberculosis. one of the FEUDNRSM Alumni as he was almost choking with With blatant display of Foundation annual reunions emotion when he finally arrogance, I led the opposition with continuing medical managed to speak up again. against the diagnosis of education, it was pitiful to see I never had the wildest tuberculosis for the obvious that he still looked miserable. expectation that I will ever be reasons that the patient's Silently, I forgave him and hearing a heartwarming call tuberculin test was negative, the sincerely wished him well. I from a former student. sputum smear for acid fast have never felt so good since I told him that I apologized bacilli was negative, and above that moment. I was free at last. further that it took me a long all the pathology report did not Repentant, the search for Dr while to accept the truth. Near show the pathognomonic Rivera began. I must apologize the end of our animated finding of caseation necrosis. to him. My search finally paid conversation, I informed him His comment which has off when a colleague and friend that I was one among the reverberated in my ears since of mine, Dr Marcelino Jubilarians of the upcoming then was the absence of proofs Dagdagan called me that my FEUDNRSM Alumni of a disease is not a proof of its quarry, Dr Rivera was the Foundation reunion – tontinuing ECTOPIC MURMURS December 2014 Volume 27 Number 6 page 15 medical education in Dallas I found out that he was already predicted then that, time Texas that year 1997.I eagerly playing tennis when he dropped will come soon when man will let him know that I would dead from cardiac arrest. I be able to tweak our genetic appreciate it very much if he learned further that days before structure. The implication as he could come as my personal his death, Dr Rivera was visibly put it was incredibly guest. Although very hesitant, upset by something parallel phenomenal. We could delete with persistence he gave me his with I myself would go through our susceptibility to diseases for word that he would come to later on. good! Dallas. There, I invited him and In 2007 when the never Introspect I realized that Mrs Rivera to lunch. When they ending rise in malpractice what he was talking about then came, he was not wearing a insurance premium ultimately was about genetic engineering bow tie, his trademark back put my solo obstetrics today. I wished we had been on then. I shook his hand and gynecology practice out of the state of human cloning hugged my erstwhile hated business in rural Virginia, I already, Dr Rivera would have mentor turned cherished idol ended up employed as a been a perfect specimen for after all these years. primary care physician, minus cloning. Had we done that We had a long and hearty obstetric care. before he died, we would have conversation once more. Before The reason that nobody been assured of unending we parted we discovered a would hire me, skilled and supply of competent physicians pleasant surprise: both of us broadly experienced and outstanding medical played tennis. We excitedly obstetrician gynecologist was, educators combined into one. arranged to play tennis early the my board eligibility had lapsed I was indeed fortunate to next morning. Amazingly, he long time before. Like Dr have been mentored by a was playing well for his age. Rivera, I compared myself to a challenging professor. Dr But at long last I exacted the wine mellowed by nature's Rivera aroused that dormant revenge I have been waiting for, finest aging process, but no one desire in me into one fiery in tennis. I beat the old man in a would want to drink it simply obsession that drove me to hard fought and heartbreaking because it was not contained in pursue far reaching goals in tie breaker. One thing I a fancy-looking bottle. life. Above all, I am one happier noticed though, every time we To avoid being accused of person today for one reason: changed court; he would glance sour grape, I say no more. I since I asked Dr Rivera to at his halter/ watch. I found out must add however that I put my forgive me. I have found what that he did not want his heart money where my mouth is. my restless soul had been rate to go out of bounce. This When I needed an open longing for, inner peace. observation proved tragically quadruple coronary artery To my fellow alumni who prophetic three years down the bypass surgery, I told my are still harboring animosity road. cardiologist in response to his against Dr Rivera, please The following year in question, that I would prefer an understand that unforgiveness is Anaheim CA, Dr Rivera was experienced surgeon who had a double-edged sword. It cut there and this time we did not done a lot of this surgery both ways. Someone said: have much time together. without postoperative Unforgiveness is like drinking a Almost everyone wanted to complications, and I stressed poison expecting the other reunite with him. He had the fact that, I did not care much person to die. become the most sought- after whether he was board certified Believe me, Dr. Rivera did colleague. or not. not intend to hurt us when he The year following When I was his medical acted the way he did. Dr Rivera Anaheim's reunion, I missed the student, the molecular did only his duty as an educator reunion. I was looking forward composition of human to the best of his God-given meeting him again the chromosome was only ability. Because his following year when I heard the superficially understood as a ingenuity was so far advanced tragic news. Dr Rivera had double helix strand of amino of his time, he was woefully died! acids. Yet Dr Rivera had misunderstood by many of us. ECTOPIC MURMURS December 2014 Volume 27 Number 6 page 17

Unquestionably, the man was another security check with the going on in the chapel where brilliant, a genius, peerless, a TSA in Heathrow. Checking of the apparition happened. There consummate teacher, is a big area where you can buy regrettably the unrecognized candles of different sizes and be titan in the realm of medical lighted in the same area. Rest education. Please let it go.And rooms are not readily available do not fall into the trap of and had to look for them in the conditional forgiveness by area. demanding an apology. As my retreat master in cursillo said, conditional forgiveness is like burying the hatchet with the handle sticking up high above the ground. At St Benedict, Subiaco, Italy There is only one answer to hand carried luggage, x-ray of unforgiveness --- love. all personal belongings. Agents My friends, look inward in this Aiport are very rude. and you will see that even when They are mostly foreigners. We unforgiveness is firmly reigning finally left HR-London on within yourselves, you will still another American Airlines see a glow of love in your Flight to Lisbon (Lisboa), hearts. Make it shine and Portugal. We arrived at the embrace it. Love will brighten Hotel Florescente after a short In front of the Vatican, Rome your path toward a happy, ride in a Mercedes Van. It’s From this area we were fulfilling and meaningful also important you don’t leave brought to the houses of Jacinta, everlasting life. the Airport unless your driver Francisco, and Lucia. Their Good luck and God had seen you with your luggage. houses were quite small and bless! Allow adjustments on time rooms are shared by the three To sir, with love, Dr since Europe is at least 8 hours shepherds. We had the chance Lagrimas, eternally grateful ahead of US and depending also to meet the niece of Francisco student. on what part of the US you are and Jacinta but she was able to from. We arrived at the Hotel F communicate her relationship TENDERLY late the next day. Hotel with the shepherds. We also met accommodation is fair. Lisbon the niece of Lucia. She is up in YOURS is Lisboa locally. I am not sure age and unable to communicate continued from page 2 if we made it to church in in English but when you hug luggage at Heathrow since you Lisbon this weekend. Anyway her, she would kiss your hand are connecting from there to that Sunday, all 4 of us had a and smile. Most of the visitors Lisbon, Portugal. But you get to guided tour of Lisbon and free in the area does not know she is time after the formal tour this a relative of Lucia. This is the was day 2. advantage of having a guide in Day 3 Monday was a full the area since she can alert you day excursion to Our Lady of to whatever is to be seen or Fatima. It was a cold morning looked for. with some drizzle. The open The area is quite cold and space between the Cathedral you almost always prefer to stay and the church under indoors and you could just construction makes the weather imagine how the houses were cooler since there are no trees or heated other than the old At Lourdes Grotto, France buildings to stave off the cold fashion fireplace where the wintry wind. There was mass cooking is also conducted. ECTOPIC MURMURS December 2014 Volume 27 Number 6 page 18

After this encounter we were avid art collector. He had auctioneer responded, No, we brought to the cafeteria, where priceless works by Picasso and have to sell this one first. Now you fall in line and select your Van Gogh on the walls of his who will take the son?” lunch. I got the baked chicken mansion. His one and only son Another long silence. which was really good and shared this passion for art. Finally, the family gardener tender. We saw several visitors As winter approached, war offered $10. That’s all I have, from the Philippines on tour engulfed the nation and his son he said, I have known the boy also. Of course the trip is not left home to serve his country. for most of his short life and I’d complete unless you are brought After only a few short weeks, like to have his portrait to to gift shop to look at all the his father received a telegram. remember him by. nice religious articles. His son had died. He faced the The auctioneer said, Going It was late when we reached most painful and saddest once, going twice, gone. Sold our hotel in Lisbon. We got to Christmas he could ever for $10. And the gavel fell. have a good rest for the next imagine. On Christmas Cheers erupted around the room day’s trip. Next one will be the morning, he was surprised by a and someone exclaimed, Now trip from Lisbon to Toulouse, visitor. It was a soldier carrying we can bid on the real France on our way to Lourdes, a large package. He said to the treasures. The auctioneer Frances old man, I was a friend of your looked around and announced son. I was the one he was that the auction was over. trying to save when he died. I Everyone was stunned. What do FAITH CORNER have something to show you. It you mean the auction is over? so happened that the soldier was someone said. There’s millions continued from page 2 an artist and the package was a of dollars worth of art here. phone and order pizza to go. portrait of the old man’s son. What’s going on? The Dear Santa: I The portrait hardly qualified as auctioneer replied: It’s very want a puppy. I a masterpiece, but it featured simple. According to the will of want a playhouse. the son’s face in striking detail. the Father, whoever takes the Thank you. I Overcome with emotion, the old Son gets it all. have been good man placed the portrait as a If we read the Nativity story most of the time. centerpiece to his multimillion from the Gospel of Luke, we Sometimes I am dollar art collection. He spent place ourselves in the same wild. many hours gazing at the tradition as Christians of all REV MELVIN Dear Santa: I ANTONIO MD portrait of his son. time who have heard the same will take The following Spring, the old story for centuries, as they anything because man died. The art world waited gathered together on Christmas I have not been that good. in anticipation for his estate to Eve. The Nativity story as Dear Santa: I am not going to auction off his art collection. presented by Luke is so simple ask for a lot. Here is’s my list: According to his will, all his art yet surprisingly powerful – the the etch-a-sketch animator, 2 collection was to be auctioned story of a young girl giving packs of #2 pencils, crayola fat off on Christmas Day, the day birth to her first child, in a markers and the big gift – my he received his greatest gift of stable, after a long, rough trip. own color TV. Well, maybe all. The auction began with a The impact of the story is that you could drop the pencils. I do painting that was not on any this child born to this young not want to be really selfish. collector’s list. It was the mother would change the course Let me share with you a painting of the man’s son. The of history, and the fate of all Christmas story that has made auctioneer asked for an opening people in all stations of life the rounds many times but has bid of $100. No one spoke. from the highest to the lowest, always touched my heart. It is Finally, someone spoke up and will hang in the balance of his entitled: Whoever Takes the said, Who cares about that destiny. Modern science claims Son. painting? It’s just a crude that babies in the womb can Many years ago, there was a portrait of his son. Let’s move sense what is happening around very rich man who was also an on to the real stuff. The them and are affected by what ECTOPIC MURMURS December 2014 Volume 27 Number 6 page 19 the mother is going through understanding, gently reminds sponsored by PREVENAR; during her pregnancy, her joys, me of my promise to write for 1:00 – 4:30 pm 1st day of her fears, her pains. If we are to ECTOPIC MURMURS every scientific activities believe in this, we may then month; thank you. You 5:00 pm onwards, welcome start to believe that this child in painstakingly edit, arrange and reception on the 5th Floor, Dr Mary’s womb senses the distribute this publication Ricardo L Alfonso Hall hardships, the deprivation and electronically to so many. It is Friday, January 23, the rejection that his mother has because of your perseverance 7:30am – 1:00 pm 2nd day been going through. In short, that our alumni are well scientific activities we may conclude that the informed and connected. Saturday, January 24, Passion of the Christ actually And last, but not least, 6:00 pm grand alumni and begins even before he is born. thanks to all the alumni who Jubilarian night, at the Crowne Luke’s account of the have opened there arms, homes, Plaza Galleria, Ortigas Center Nativity (Luke 2:1-20) is and hearts to welcome me and Also please help us reach strikingly simple yet leaves us other administrators, faculty and your classmates and other with many things to ponder in graduates when we are in the alumni by giving us information our hearts. The story captures US. It is because you that we of their whereabouts. This will the essence of who Jesus is and are becoming a more united and help us a lot in sending them what his birth, ministry, death stronger family. information of our future and resurrection means to us. Postcript. The Student homecomings. God gave us his only Son so Recognition / Student We look forward to seeing that whoever believes in him Achievement Awards you at this event. shall not perish but have eternal ceremonies will be held on JOSE RAVELO T life. Because of the Father’s Friday, January 23, 1:00 pm, at BARTOLOME MD89 love, whoever takes the Son, the Dr Ricardo L Alfonso Hall. FEU-NRMF MAS President gets it all. The outstanding alumni faculty awards and the Mupas professorial chair in pathology DR RAZONABLE FROM THE will be handed on Saturday, January 24, during the continued from page 1 HOMEFRONT Jubilarians grand ball. management of infections that The second annual Dr occur after solid continued from page 1 organ and resources and keeps the alumni Josephine Cojuangco Reyes lectureship is on Tuesday, hematopoietic foundation afloat. To stem cell you I express our January 20, to be delivered by the Philippine College of transplantation. sincerest gratitude To achieve this for your generosity Physicians president Antonio Leachon MD. goal, he conducts and dedication. laboratory-based On the behalf of RAYMUND R projects that RAZONABLE MD our characterize the scholars, I thank Drs AN OPEN LETTER interaction between the human LINDA D Nany Tansuche and continued from page 1 host and the invading microbe; TAMESIS MD Robert Arias who Mayo Clinic School of translational research projects took the reins of the Medicine, on aimed at applying our scholarship program from the Emerging laboratory data into the clinical late, great Dr Arsenio Martin. Infectious arena; and clinical projects that Our student scholars are Diseases 2015; are aimed to assess the current encouraged to do their best, 12:00 - 1:00 state of clinical practice and inspired by your commitment. pm luncheon generate relevant questions that To Dr Cesar V Reyes, who, symposium need further laboratory-based with great patience and JOSE RAVELO T investigations. BARTOLOME MD The laboratory-based aspect transplantation. Make a donation… of his research activities is In addition, he and co- based in the medical sciences workers have ongoing and make a difference. building where he assesses the clinical trials aimed at Student Achievement Award biology of Toll-like receptors in assessing antiviral therapy $50 response to various pathogens for various infections, such as cytomegalovirus, fungi, including the use of FEU-NRMF Professorial Chair and hepatitis C virus; using investigational drugs for $15,000 viral reactivation and the prevention and Tree of Life FEU-NRMF replication as a measure of the treatment of medical intensity of immune cytomegalovirus disease center building sponsorship suppression; and assessment of after transplantation. Indigent patients fund cytomegalovirus-specific T Dr Razonable’s cells in immunologic publications Arsenio Martin MD reconstitution following are voluminous, with over Scholarship Legacy Fund transplantation. 150 papers now, all in peer- His clinical research reviewed, prestigious and program is based in the division international journals. He Interested? of infectious diseases office in writes several papers every Please inquire with Cesar V Reyes MD Marian Hall where several month. He also has [email protected] 630-971-1356 ongoing projects include the authored and edited assessment of the risk factors, national and international treatment and outcomes of guidelines for the management cytomegalovirus and other viral of infections after and fungal infections after transplantation. - CVR

Preliminary List of volunteers Over-all coordinators: Ramon G Lopez MD, Obstetrics - Susan Liboon MD, Alfredo Sy MD, Naty Bernardino MD, and Atty Percival Claridad Tan MD, Leticia Zita Yorro MD, C Casaclang Claridad MD, MD Israel Labao MD. Tacloban Likang Chao MD, Pediatrics - Anita Avila MD, Internal Medicine/ Family Practice - Cesar Mario Reyes MD, M Nida Blankas-Hernaez MD, Cumba MD, Remedios Escalona MD, Malou Escalona MD, Rina Galvez MD, Laya MD, Laarni Moreno MD, Simeon Sevandal Ligaya Marasigan Gloria Reyes MD, Susan Nunez MD, Cornelio Casaclang MD MD. MD (1/26-28/15), Lynn Lopez Pediatrics - Anita Avila MD, Gloria Internal medicine - MD Reyes N Bernardino MD, Psychiatry - Luz Cuaresma Outpatient surgery - Meneleo Avila MD, C Juanito Baladad MD, MD and R Escalona MD Cumba MD, Manuel Escalona MD, Ed Relucio Rogelio Cave MD, Pharmacy - Marizon Relucio MD Jose Delfin MD, Lito RPh, Mia Kim PhD Optometry - Narcing Cruz, Leo Cruz Fernandez MD, Nutritionist dietitian - Espie Critical Support - Lilia Cumba, Marylyn Lopez Malou Laya MD, Vasallo RN, Marizon Relucio RPh, Lourdes Sevandal Leilani Mon MD, Optometry - N Cruz, L Cruz, DDM, Engr Fred Tsai, Nora Tsai RN, Erlinda Richard Mon MD, L Letty Tuazon Casaclang, Corazon Reyes, Cora Moreno Moreno,MD, S Medical technologists - Evelyn . Sevandal MD, Fajardo MT ASCP, Elena L Dionisio Yorro MD, Virgilio Wijangco MT ASCP Lopez MD, and Judy Wu MD. Dental – Lt Col. Abraham Laguna Family practice - Aurora Bayan MD, six Armed Forces medical mission Atienza MD, R Escalona MD, of the Philippines dentists, L Surgical leaders - Luis Jose Guevara MD, Rogelio Sevandal DDM Mangubat MD, Leo Avila MD, Eugene Salazar MD PMAC medical mission, January 2015 Anesthesia - Emma Salazar MD, Delilah Tacloban, Leyte medical mission Tapia MD, Yoly de la Wednesday, January 21, 2015, to Thursday, January 22, 2015 Cruz MD, Lito Air PAL, leaves Manila Wednesday, January 21, 2015, 4:45 am, Fajardo MD, Nap be at the airport 3:30 am Cuaresma MD, Fare P3,473 ($80) Manny Sanchez MD, Hospital Bethany Hospital of Tacloban Madhaviah Singa Billeting Z pad Residencies MD. Mini Pad $30 Single Pad $33 General surgery - C Queen Pad $51 Twin Pad $51 Suite (sleeps 3 – 5) $150 Cumba MD, E Return Air PAL, departs Tacloban Thursday, January 22, 2015 at 4:30 pm Relucio MD, arrives in Manila 5:45 pm Reynaldo Sarmiento MD, Barry Summers Calamba, Bay, Los Baños, Laguna MD, Luis Mangubat medical, surgical, dental mission MD, Francis Tapia Bus Trip from designated Manila/ Makati meeting place to Laguna MD, Richard Zhou (bus provided by Laguna Governor) MD. Monday, January 26, 2015, arrives in Calamba (Solemar Homes and Campus) Plastic surgery - Tuesday, January 27, 2015, Calamba Jesse Corres MD, and Wednesday, January 28, 2015, Bay Jim Sanchez MD Thursday, January 29, 2015, Los Baños (1/29/2015) Dr Jose Rizal Provincial Memorial Hospital Ophthalmology - Friday, January 30, 2015, - Saturday, January 31, 2015, R&R Eric Lohse MD Visit Calamba Rizal Family home Gynecology & Visit at the IRRI UP Los Banos campus, Villa Escudero, Tiaong, Quezon, Waterfall luncheon and Filipiniana stage presentation

Dapitan participants Cornelio Casaclang, Erlinda Hilda Sy RN, Nora Tsai MISSION UPDATE Casaclang, C Cumba, L Cumba, Rey RN, Carlota Sanchez RN Elazegui, R Escalona, M Escalona, E Critical support - Laguna (Calamba, Bay Representative from the and Los Banos) Fernandez, L Fernandez, I Labao, L Laguna Association of the Marasigan, Cora Moreno, L Moreno, accommodations at Solemar del Midwest USA, Calamba Pansol Compound in Pansol, M Relucio, E Relucio, Ester Azurin, Chicagoan Edna Pavel, Calamba. E Wijangco, J Wijangco, M Lopez, Atty P Claridad, Engr Fred 1. The accommodations are and R Lopez. Tsai, Andy Abadilla, Jose resort-type houses. There is no Wijangco, Ester L. Azurin traditional hotel lodging. It is as local Calamba Bay and Nurses - Pauline Abadilla RN anticipated that all missionaries Los Banos liaison, Virgilio (OR), Dr Puring Baladad RN, can be accommodated in several Villarruz of the Pugad Marilyn Baltazar RN, houses at the Solemar. Late Lawin Club of Calamba, Honor Estela Cave RN, Mrs Amy registrants may not be able to Cesar, Paring Cesar Dan Delfin, Clarita Distor RN (OR), get their choice houses and Nantes, Lydia Nantes Pepito Elvie Fernandez RN, Linda companions. Couples and akin Tiangco, Paula Tiangco, Cora Guevara RN, Cora Guzon RN, arrangements will be given Moreno, azon Reyes, Erlinda Rosalie Lim RN (OR), Marylyn preferences. Casaclang, medical student Joel Lopez RN, Fatima Maglaya 2. The resort houses are Rosiene, and Alexander Frehse. RN, Faye Mendiola RN (OR), rented at P30,000 per day/ per house (to dollar exchange 1:50). Each house has six rooms; each Dapitan, Zamboanga del Norte room can accommodate two to A historical shrine/ tourist destination four persons. The rental is Sunday-Tuesday, February 1-3, 2015 P5,000 per room per day. Example at one day/ one night

stay, at two persons per room PAL air express, departs Manila, Sunday, February 1, 2015, 10:10 am times six rooms. 12 persons per Arrive Dipolog 11:35 am house times per day, at $50 per 3D2N Dakak De Luxe Full Package person per day equals $600 per P13,264 per person ($294) day per house, $2,400 total for Roundtrip airfare and taxes four days/ four night stay, and deluxe rooms $3,600 for a six-day/ six-night two days buffet breakfast stay. River cruise lunch Please understand that the Tour of Dr Rizal shrine and other sites, houses are rented for the whole One buffet dinner stay of four nights. Payments Dinner at Inato Lang will be the collective Dampa responsibility of all the people Aqua Marine Park staying in the house. Fantasyland rides, and There will no discount for Gloria de Dapitan leisure complex those staying less than four

nights. However, we will try to Dapart Dipolog, Tuesday, February 3, 2015 12:15 pm find accommodation for those Arrive Manila 1:45 pm who will stay for less than four

nights. Pleased make your own reservation 3. Most of the rooms are on (Frontline & Travel Inc, agent Tess Q Ege, 8514631 to 33, the second floor. There are only mobile 092285514633, [email protected]) a few first floor rooms; they

have their own bathrooms.

Some bathrooms are shared by two adjoining rooms. Some Shell Petrol rooms are dormitory-style for Pump Station in six people, with communal Makati, COMMENTS bathrooms. Metro-Manila Editorials, news releases, letters All rooms are air- For to the editor, column proposal conditioned. Please specify RAMON G lunch (right and manuscripts are invited. your preference: own, shared, LOPEZ MD across the Email submission, including or no preference for bathrooms. gas/pump station) MAX figures or pictures, is preferred. Each house has its own Restaurant, #1 Humabon Street swimming pool with hot or Magallanes Village, Makati, warm water, jacuzzi, karaoke, Metro-Manila, telephone (+63 PMAC News and pool table. 2) 852-3390-91, or (+63 2) 728- Deadline for January 2015 issue 4. Beddings are provided. 4104. We will leave for Laguna January 7, 2015 Please bring your own towels NO LATER than 2:00 pm. and toiletries. Daily breakfast To those with dual Please address submission to have been sponsored, and will citizenship, please bring your [email protected] be free. proof, passport, and/ or your 5. The resorts require a Seniors' card. deposit equal to one day’s rent To the physician missioners, of the assigned house. please bring your proof of Therefore, the PMAC requires a Specialty training as sometimes non-refundable deposit of $50 there are spot checks. from each occupant/ participant To the OR and RR nurses, COMMENTS and is due no later than please bring proof of your Editorials, news releases, letters November 14, 2014. current/ updated State licensure. to the editor, column proposal 6. Full payment for the fixe- To everyone concerned, and manuscripts are invited. day/ four-night stay will be please bring your stethoscopes, Email submission, including collected on or before sphygmo, penlights, etc. figures or pictures, is preferred. December 31, 2014; otherwise, Marylyn and I will share accommodation cannot be with you our Philippine guaranteed. telephone numbers as soon as ECTOPIC Require pre-mission available. My sister in Manila, reservation remittances. Mrs Ester Lopez Azurin will MURMURS Please know that in early always know how to contact November 2014, our me. Her telephone are (Home) Deadline for January 2015 issue accommodation liaison, Dr 826 6158, (Cell) 919 922 7829 January 21, 2015 Emma Yee Salazar will leave Off 779 8006 for the Philippines to finalize Marylyn and I will be Please address submission to accommodation arrangements, leaving for the Philippines [email protected] and to make the required December 26, and will be back housing deposits. to the United States on February God bless! Good luck and December 19, 2015 safe travels. Merry Christmas! FINAL UPDATE RAMON LOPEZ MD PMAC President Our Mission meeting place en route to Pansol/ Calamba on DECEMBER QUOTE Monday January 26, 2015 will For the LORD delights in you be at 11:00 am. and makes your land his spouse. Location: For transfer of As a young man marries a virgin, luggage, the Magallanes Village your Builder shall marry you;

and as a bridegroom rejoices in his bride so shall your God rejoice in you. Psalm 62:5

FEUMAANI BOWLING It is planned to be monthly and a fund raising to benefit future medical surgical missions.

Venue LISLE LANES, 4920 Lincoln Avenue (Route 53), Lisle IL 60532 Telephone 847-338-9299 (Cesar Canonigo)

Everyone, friends, families and colleagues are all invited for fun and physical fitness.

Sunday, November 23, 2014 Registration 11:00 - 11:45 am Practice 11:45 am - 12:00 noon Bowling 12:00 noon – 3:00 pm Donation $50 per couple, includes, bowling shoes, foods and beverages

Contacts Lito/ lvie Fernandez 815-674-6643 [email protected]

Gerry/ Gigi Guzman DECEMBER QUOTE 630-677-1289 [email protected] In the beginning was the Word, Richard/ Leilani Mon: and the Word was with God, 708-275-3168 [email protected] and the Word was God. [email protected] He was in the beginning with God. All things came to be through him, Future activities What came to be through him was life, Sunday, February 16, 2015 and this life was the light of the human race; Monthly 2015 thereon the light shines in the darkness, and the darkness has not overcome it. The true light, which enlightens everyone, was coming into the world.

He was in the world, and the world came to be through him, DECEMBER QUOTE but the world did not know him. Let the heavens be glad and the earth rejoice; He came to what was his own, let the sea and what fills it resound; but his own people did not accept him. let the plains be joyful and all that is in them! John 1: 1-5 Then shall all the trees of the forest exult. Psalm 96:11-12

FAR EASTERN UNIVERSITY DR NICANOR REYES SCHOOL OF MEDICINE

ALUMNI FOUNDATION

th 36 ANNUAL REUNION

& SCIENTIFIC CONVENTION

HONOREES Class60 (Emerald Jubilee) 65 Class (Golden Jubilee) Class90 (Silver Jubilee) Class70 (Sapphire Jubilee) 75 Class (Ruby Jubilee) Class80 (Coral Jubilee) Class85 (Pearl Jubilee) 95 th Class (20 Anniversary) Class2000 (15th Anniversary) 2005 th Class (10 Anniversary)

CLINICAL PRACTICE ADVANCES 2015

ACCME accreditation provided by the PHILIPPINE MEDICAL ASSOCIATION in CHICAGO

July 8 - 11, 2015

Caesar’s Palace Las Vegas

3555 Las Vegas Boulevard South, Las Vegas, NV 89109 (866) 227-5944 or (855) 901-0002 FEU- NRMF School of Medicine group code SCFEU5 or via Caesar’s Palace hotel website https://resweb.passkey.com/go/SCFEU5 Room rates $109 for Wednesday and Thursday, July 8 and 9, 2015, and $169 for Friday and Saturday, July 10 and 11, 2015. Cut-off date Sunday June 7, 2015