Home » Archives » 12. August 2009
TO BE HALF-DEAD
August 12, 2009I loved a boy in my past.
He was 14 when he was hit by a car while trying to follow me home. We were walking as we always do across the park towards the end of the river. It was 6 o’ clock when I saw him trashed to the street as the vehicle screeched for a break.
It was not his fault. He was always careful. He was always mindful. It was just that afternoon that he did not think too seriously. It was just one afternoon that a group of college brats suddenly appeared from nowhere. They were car racing and that boy’s life stopped.
He has been dead for years. I have lost his smile, his laughter, his silly look. It’s been four long years since I heard him whisper secrets to me, since I heard him scream my name from the rooftop of our high school building. I’ve lost a beautiful part of me when I saw him filled with blood as he was pulled from the street and rushed to the hospital. I was there when he was hooked to a ventilator, when the doctors pushed some volts on his chest to revive him. Later did I realize it was called defibrillation.
It’s been years and I still love that boy.
He’s not dead dead though. His in comatose. Almost gone. I can still feel him, his warm face, his beating heart, his breath. I still talk to him; tell him stories about my escapades and my suitors; share him my dreams. I still wait for his advice on what to do with my life, on how to trust another guy. I still await to hear his voice whisper my name or just for him to look at me once again… or one more time.
The doctors could not assure if he will wake up. They could only say it is possible. They explained that recovery is likely if the cause is overdose of sedative; complete recovery is possible if the cause is low blood sugar that lasted for an hour. If it is head injury, substantial recovery may occur even if the coma lasts several weeks but not if it lasts more than three months. However, if the cause is cardiac arrest or oxygen deprivation, full recovery rarely occurs if after 1 week, the person is still unable to move his limbs.
They said that COMA is a state of unresponsiveness that a person cannot be aroused, even with vigorous repeated attempts. Under normal conditions, the brain can quickly adjust its own levels of activity and consciousness because deep within the brainstem are nerve cells and fibers controlling consciousness and arousal levels (the reticular activating system). The brain makes adjustments based on inputs from eyes, ears, skin and other sensory organs.
Impairment results when the nerve fibers connecting the brain and the sensory organ malfunction, when blood flow to the brain decreases or when toxic substances damage the brain. Levels of impaired consciousness can range from reduced alertness (obtundation) to stupor (hypersomia) and to coma (complete unresponsiveness). People in the deepest stages of coma need a ventilator because the brain cannot perform essential body functions, including maintenance of breathing.
Head injury directly damaged the area of his brainstem that controls consciousness levels. Antiarrythmic drugs (Adenosin or Nutaphake, Amiodarone HCL or Cordarone, Lidocaine and Phenytoin) are given to keep his heart beating normally. Although, the doctors explained that sometimes, bleeding in and around the brain (hemorrhage), hematoma (accumulation of blood), tumor or pus, can directly damage the area of the brainstem as they place pressure at the site.
My own research led me to understand that apart from vehicular accidents, neurologic (cardiac arrest, aneurysm, infection, severe lung disorder, seizures), toxicologic ( alcohol intoxication, drug overdose), and metabolic causes (hypothryroidism, liver encepalopathy, kidney failure, extremes in temperature, hypernatremia, hyponatremia, hyperglycemia and hypoglycemia) can also lead to stupor or coma.
Doctors look for signs of brain damage such as Cheyne-Stokes respiration (periodic breathing from rapid to slow to none for seconds); unusual postures such as DECEREBRATE rigidity (head titled back, arms and leg extended, hands flexed, arms pronated, extended and adducted, feet plantar flexed) and DECORTICATE rigidity (plantar flexion, lower extremity internal rotation, adduction and flexion of upper extremities. arms flexion). When there is widespread loss of activity in all parts of the CNS, however, there is usually a GENERAL LIMPNESS.
Through the years, I have tried to understand what he is into. A year from now, I will be in medical school because I have a lot of questions that need answers. I need to know the possibilities.
Yesterday, I talked to my uncle who is a physician and he explained to me something about Persistent vegetative state, wherein a person is awake but devoid of conscious content. It results after severe brain damage when the cerebrum (containing thought and behavior) is destroyed, but the thalamus and brainstem (controlling sleep cycles, body temperature, breathing and heart rate) are spared.
In this state, a person can still open his eyes, relatively have normal sleep and wake patterns, breathe and swallow spontaneously, and may even show a startled reaction to loud noises. However, he lacks all capacity for conscious thought and behavior and he would only manifest reflex responses like jerking and stiffening. If it persists for months, recovery is unlikely.
Some people, though, are in the locked-in state, a condition wherein they think, but are so severely paralyzed that can only respond by opening and closing their eyes. They are conscious and the brainstem is affected but not the cerebrum.
According to him, Brain death is the most severe form of unconsciousness because the brain has permanently lost the ability to perform all vital functions. The person is legally dead, while the heart continues to beat. A person is said to be brain dead if he is unresponsive to painful sensation, not reactive to light, unable to breathe without assistance. Pronouncement of brain death should be made only after medical problems are corrected and EEG is done to confirm absence of brain waves and Doppler ultrasonography to determine absence of blood flow to the brain.
I guess, there is a part of my life that will never be bridged.
Sometimes, I already want to give up. My life has been half-dead, too, the day he met an accident. I have no memories of him since the day they brought him to the hospital, except that he’s lying in deep sleep. He will always be a boy in my past because, in my mind, he never grew up to be a man. I have been trying to understand how a “dead” boy can be revived, how I can pull him from that sleep and show him a world outside his bed.
I will pursue neurosurgery after I finish medical school because I need answers that will help me cope, hope or finally let go. I have my life, too, you see. I was not hit by a car 5 years ago, but that same day I became half-dead as he is right now because I loved him. Something in me also died that day. And just as I have been trying to wake him up, I must also revive myself.
But he hasn’t waken up. And I couldn’t reach to where he is. We have grown up and through the years, I’ve kept myself near him. This boy in my past doesn’t know me anymore.
And he does not love me, of course.
How could he?
HE NOW EXISTS SOMEWHERE I COULD NEVER BE.
"GOGGLING FAITH"
I keyed in “God” in goggle. It took a while before the popular internet search engine to display what am trying to find. I searched in my relationships and even inquired in the most reliable person I know, ME, to explain what God is, but it took even more time to retrieve the data in my system. I hanged. My memory ran low. I realized my system was running virtually slow these days. I need upgrading…fast. The search was disappointing-ly sad. I felt like all those I knew, all that was significant about God has become passé and deteriorating and insignificant. Why? Because I’ve never asked the question before. I’ve always been sure my heart knows exactly what He is, at least to me, or where He can be found, and who He is amid life’s complexities.
I’ve never been befogged my whole life. I could give a long list of what God means and I would never ran out of “key words” for those trying to understand the concept of a Supreme Being. And it would always perplex me thinking of those who call themselves atheist and wonder why they are so. I would ask naively if they had never met God or had there been a totally significant event in their lives they were forced to cross the boundary of faith. Even so, I would respect them but I would always be an advocate of faith and I would completely surrender to the idea of an external power that guides us all. And I would always desire people to see God like I do. In my system, key in God and the “goggle” list would instantly appear because I know Him very well deep down the bone. But things have changed over time. I have.
I have changed. I seem to have stopped discovering Him. In turn, I’ve ceased discovering my faith because life turned tough I found it hard to decipher. The idea of Him seems to less impact on me these days and I find it odd to lose the connection when I thought I have tightened the rope so it would not break off. It pains me that I cannot see Him intervening in my life-events that I feel abandoned and isolated. I used to feel comfortable with the “rocking and splashing” because I know that whatever happens, somewhere Someone is aware that the wind is blowing harder on me or the storm is drenching me so much already. And He would be there to bring calm and keep me steady. But I am scared more than ever, now that God is so elusive. And the whole idea of a God rescuing a poor weary soul, or an anchor in a storm, or a refuge for the restless have come to be empty phrases, void and null. Although I know I am wrong about that, I just can’t find solace in that thought right now.
I was prayerful all my life; I was obedient; I have not faltered at will. I tried so hard to please Him. My whole life evolved with Him. My greatest desire was to love Him the most and never regret. He was my best friend, my deliverer, my radiant smile against the shadows, my umbrella under the rain, my blanket in the cold, my approving nod amidst disapproving faces. He was my patient teacher and my highest ideal. With Him, I need not explain my life. I was assured of His constant presence and I have never felt alone and un-armored as I am now. I have known compassion because He made me feel forgiven. I’ve learned how to love because I was loved first. And even though life turns out bad in some days, I know that it will clear up because He will be there. With Him, I can stand tall …and I can face anything bravely.
He is One I would not dare offend, the One I completely would rely on and tell my deepest secrets to. In Him, I entrusted my whole life with. The One I would completely be at home and I would never be so scared of the odds that are on the way because I know I would be protected. He used to calm me when I was afraid of life’s uncertainties and I saw Him moving my path. I thought that I have discovered so much in life because He was there. I was always standing tall. But now I have succumbed in the unfriendly events and disappointing twists in my journey.
And I walk mindfully each day, trying to goggle from life. Maybe the rain can teach me, maybe the sunset can awaken me, maybe a newborn child’s smile can enlighten me, and maybe the budding flower can show me how God loves… how God protects…how God preserves. And perhaps the grains of sand or the pebbles on my feet or the angry ocean waves can lead me to an understanding. Perhaps human friendships can teach me about God’s friendship and God’s fidelity. Perhaps the sky I used to look up to every night when I try to seek Him can evoke something. Perhaps it can evoke faith like it used to. And so I force myself to rediscover and re-learn everything about Him. My system was corrupted by the virulent distortions that got in and I am trying to redeem whatever that’s left in my database. I would have to begin inputting again. I would need to start over. I would need to reprogram. Retrieve old files. I need to figure it out. I don’t want to shutdown. It might take a while before my system runs smoothly again and before the “search engine ” displays exactly what there is to know.
PRAYER IS POWER
Some people come to “stretch” us. Some events happen to pound us. Like a metal we stretch with the pounding. Then we get into the fire to melt and mellow, only to bear the pounding again. Sometimes life cools down. Only to repeat the whole cycle. Only for us to be made into the fine form we are meant to become. Here is a prayer we can all share.
Dear God,
…don’t make me feel so bad that I should hate my life. Don’t stretch me so much, I might grow weary and turn into a thin weak sheet. Don’t pound me too long, I might break already. Don’t immerse me to too much fire, I might realize the dark element in me and burn in anger. Don’t make me wait too long, I might grow restless and ungrateful. Don’t make me dream too far, I might wander off and get lost. And please, do not dishearten me with too many of life’s complexities, I might rebel.
Please do not take me so high, I might forget the solid ground and choke with air. Don’t give me too much success, I might burst with unnecessary pride. Guard my emotions so I will not expect too much, nor feel so un-favored and brokenly unable to mend. Save me from my own harsh criticism, that I may see my own beautiful reflection. Spare me from too much pain, that I might become bitter and forget that I am just as special as the others. Teach me to refine my values, and never surrender my self-respect just to compromise. Help me bend when I need to bend. Straighten me whenever I feel low and small.Strengthen my will and rekindle my faith, that I may reach out to the heavens when it is hardest to pray.
Guide me in loving and teach me to love back. Help me keep my emotions on the right track and clarify my visions, that I may walk the path I always desire to tread. The good path. The better path. The only path I know could get to You. So grant me, I pray, a hand that helps, a heart that loves, a mind that envisions, and a chance to do what I am supposed to do.
Forgive me when I wane in faith, when the fire in me loses its valiant sparks, when I become disturbed and annoyed by the threats and hurdles that keep on growing. Comfort me when I dream too much and get frustrated and unworthy. Allow me to accomplish whatever good that is in my heart so I can have that inner peace of doing something beyond myself. And please tell the world not to dampen spirits of people like me who go after their dreams. Guide me out of the tunnel of self-doom and rescue me when I lose hope. And teach my heart to persevere even when the world turns unfriendly and disappointing.
Forgive me for the darkness in my soul, for my cynicism, for my stubbornness and even for my skepticism. Forgive me for my wanderings that take me off the road. Protect me from my fears, from getting drowned in self-pity and even in too much hope in something that’s too far off. Forgive me for my insecurities and incapacities. And talk to me please because I need you. I need you because I love you. And I love you because that‘s what I’m here for.
Make me brave when I am afraid, when I get frustrated, rejected or isolated. Help me to be kind even when my own pains teach me to be selfish and bitter. Encourage me to fight fairly knowing that You will also fight for me when the world beats me unjustly. Teach make to stand up for myself when I am battered and injured. And heal me of my wounded scars and enliven my spirit to continue forward even when the climb is steep or the road is wearing me off. Help me when I am helpless, heal me when I am beaten, inspire me to do good. Intervene in my life events that I may not feel abandoned and unloved. And love me please sometimes in the way I could also recognize it. Your ways are mysterious God but help me connect.
Please don’t hide too long or let me wander too far, I might get tired looking. Allow me the chance to live my dreams and “get there” so that every pain or sorrow or hardship or disappointment could make sense to me. Allow me to find my own footprints that I may be happy. Help me find my own “place” that I may feel complete. Dearest God, help me push my boundaries that I may strive to always become better. Surround me with people who will make a better person out of me. And inspire me to pray and please teach me how, that I may always reach out to you… be it in joy or in despair.
"COMMUTERS"
There are many things to write about. They come like manna from heaven. They occur just when it’s inconvenient to record them. Just like a while ago, while I was seated in a multi-cab, another town’s version of a jeepney. I was the third passenger, who was getting bored awaiting the multi-cab to be full so we could finally hit the road. And one by one the commuters occupied the empty seats but the one in front of me who came in first got me thinking. I looked at her with compassion but also with intrigue. Observing her made all these thoughts flood in. She looked emaciated while holding a plastic bag full of ripe bananas. Then she began to eat one voraciously. Her eyes sunken and her cheeks could not have been so noticeable had she been pounds heavier. She looks as if she could need an early good night rest. No, I’m not depreciating her. I can never look at someone with condemnation. I value people with same self-respect. I was simply intrigued by the story of her tired, gloomy eyes
The other passenger who boarded before me was at the far end at my left. She was just behind the driver’s seat. Carrying a plastic box that used to be a large biscuit container, I presumed she was out on the streets all day selling bibingka, or puto or some ”lutong bahay” just to have extra cash for the family’s “salo-salo” later in the evening. She also caught my attention because just as the woman in front of me looked as if she skipped lunch just to save money, the other woman at my left seemed more pitiful. I was really moved and deeply hurt by this insightful pictures of two women who obviously have had rough years of their lives.
Then the second woman started to open a plastic full of bread that she must have brought from home as a “baon” to help her satiate her gnawing stomach. They both started to munch while the rain started to pour. And I just couldn’t help myself from being moved by what I was seeing because just before I came to the multi-cab, I had a good appetizing meal at one of the best restaurants in town. I dined on an expensive meal. And seeing them just filled my heart with gratitude and I just felt blessed. I didn’t feel blessed because I had more compared to them, but because a larger Power was telling me I should find contentment in what I have. But you see, all the more that I saw God in their experience. The ride was made more dramatic with the presence of two
women in their mid-30s who looked older than their age and who
both seemed impoverished. But they seemed to be uncomplaining people. They are less fortunate, yes, but they continue to struggle with their lives, working, earning, selling out on the streets so they could provide for their families.
That ride taught me the virtue of gratitude and it’s such a life-transforming feeling that made me realize more how fortunate I am. Yes, how grateful I should be for not walking under the heat of the sun just to sell some goods or preventing myself from spending too much because I only earn a day’s work and tomorrow, I would have to go out again and woe my prospect buyers just for my family to have something to eat by midnight. That experience also made me more sensitive of others and it reinforced my belief that no matter what our societal status is, every person is our equal. When we are a bit better than others, all the more that we have to be sensitive and respectful of them. Our being “better” does not give us the right to look down on anyone.
I must say that it was a very inconvenient evening because it made me feel awful about their condition. I can sense their pain — the pain that arises from lacking so much in life. Let’s say maybe an opportunity for a better livelihood or source of financial income. You can say just by observing them that life is hard. I don’t bring “baon” when I go out just to economize. I would feel awkward and embarrassed if I put out in public a plastic of bananas or a 1-peso worth bread and then eat them while others watch me. I cannot do that unless I went on a hunger strike for days!
I remember at one trip, there were kids offering packs of fried peanuts worth 5 pesos. And the old woman probably at her 60’s said jokingly to the insistent boy that if she buys the peanuts, she wouldn’t have anything to pay for the 8-peso ride! So it got into me that she might have only ten pesos to cover for the ride home or an exact fare! And was she dreadful about it? No! She was okay with it. Amazing isn’t it? That she could still manage to laugh about it. While you maybe (as one of the commuters) have a heavy pocket full of coins! At time she had barely ten pesos to get home, I had my allowance to cover for an entire month of bearable living. Am not saying that I didn’t have my “down moments,” that I never went out “penniless,” that I was always abundant and that having “almost nothing” never occurred to me. Am not saying I have never known poverty or the feeling of lacking or the state of inadequacy. All I’m saying is that I was grateful to see my blessings through others that day. It is through others that I appreciate more what I have. And it makes me sensitive more of what others might need. And if I can help, then so be it.
Here’s one last thing. And it is not about a commuter. It’s about a shopper, an old man whom I always see in school before. His relationship with his 80-year old wife is just amazing. He is just as old as her but because of his love he would still drive his “padyak,” a tree -wheeler “bicycle” so that she wouldn’t walk while they sell snacks in the campus. One day, I was shopping and HE SAW ME and he asked me if where can he get a chocolate “hello” pack because his wife loves it very much. And so, I pointed to him where to look and I overheard him asking the saleslady if he could buy only two bars as he could not afford the 80-peso pack. He was declined of course! I was paying already for my groceries then as I was looking at him while he continues to bargain. I don’t know but I guess, I just loved the couple well enough to think twice of getting the whole pack of chocolate. “Tatay” came to the counter and I told the cashier to charge it on me. The old man said he’ll buy only twp pieces from me as has nothing to pay for everything, I just said it’s my birthday so it’s my gift. I was just so moved by his passion to please his wife that when he couldn’t find the same chocolate from the nearby grocery, he kept on looking until he came to the store where I was. And he blessed me and I left the place hurriedly because I do not want people seeing me do stuffs like that. Anonymity is genuineness. It was enough to know that some people are made happy because of a little kindness.
They were blessed, yes! Because God wanted to give them something through me. But was I blessed, too? Definitely!. I walked out from the grocery store, overwhelmed with good feeling. And the feeling was of peace and joy of acting on a Divine prompting. And God used them and their “need” to reach to me and bless me with an opportunity to do good. Now I know more clearly that I have an eye for people’s needs. I “see” people. Before, I used to hate the feeling of “seeing” people because it hurts me especially when I couldn’t respond when I feel helpless myself. Now, I see it as a gift. Not many people has this gift of sensing silent pain, of seeing untold needs.
Who would have thought that I, among many people, would be approached by the old man? Who would have thought that God would put an extra 80 pesos in my pocket so I could buy this old man’s grocery? Who would have thought that I would spend two birthdays in a year? Yes, I gave the same couple groceries on my real birthday prior to our second meeting in the grocery store. They were the couples I wanted to treat that day but when the old man saw me in the grocery store, he never recognized me as the same person he met months ago. It did affect me, human as we are we want a bit of recognition, but I snapped out of it soon. Who cares if no one remembers or knows? It is enough that both sides have been blessed: Mine and theirs.
And so we are all commuters in this thing called LIFE. We encounter people along the way. Some we meet once, others we ride with again. Have you ever prayed for those you ride with in a jeepney or bus? I used to do that often when I was younger. I look at everyone who joins me in my ride to school or home and say a silent prayer for each of them. They did not know. And I don’t know how those prayers affected their lives. All I know is that those prayers were heard.
DATE WRITTEN: jUly 17, 2008




