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My Photo Blogs while in Yamagata
By: dennis cabato

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Tuesday, 22-Nov-2005 00:00 Email | Share | | Bookmark

From PDI Nov. 22, 2005
Hmmmm....what do you think?

Doctors see no hope 
for Philippine health service 
By Agence France-Presse


DOCTOR Jose Sanchez is a leading surgeon in his field but like thousands of Filipino medics he has had enough and is leaving the country... not as a doctor but as a nurse.
In a quiet coffee shop in Manila's Quezon City he contemplates his future with two colleagues in a country where the medical system they say is in terminal decline.
The 50-year-old surgeon with 25 years experience as a lung specialist is just marking time.
Sanchez, not his real name, and two other surgeons agreed to talk with Agence France-Presse on the condition they were not named or photographed.
Nursing a cup of black coffee Sanchez says the profession today is not the same as the one he entered in 1980.
"It was different back then. Medicine was a respected profession and money was being spent on healthcare. But what we have today is a health system in terminal decline," he says.
Of the 40 doctors he graduated with 25 years ago Sanchez says over a third have emigrated.
"I don't know of anyone who is happy. It seems like everyone is leaving and the government for it part doesn't see that it has a problem," he said. "We are just another statistic among a growing list of professionals who see no future in this country."
Sanchez says a lack of new recruits is reinforcing the problem.
"When I started it was so difficult getting into medical school. The competition was fierce and the top medical schools set very high standards. Today the standards are still high but the medical schools have difficulty filling places," he says.
"The question people ask me is: why? Why, after all the years of study and 25 years of practice am I leaving, not as a doctor but taking a step back wards and leaving as a nurse," he said.
"I honestly don't see any future in this country and it is easier to leave as a nurse than as a doctor. The demand for nurses far outweighs the demand for doctors."
He says three of his colleagues, all surgeons, are now in the US as nurses and one is now the medical director of a hospital in California.
Sanchez said his salary averages around 100,000 pesos (1,780 dollars) a month. That isn't bad by Filipino standards, but the average salary for a nurse in California is around 4,000 dollars a month.
Sanchez denies his motivation is money.
"I have just lost faith in the ability of our political elites to run the country and run it efficiently. You don't have to be a rocket scientist to see that this country is just marking time," he said.
"It's going nowhere. Look around the region and our neighbors are leaving us behind. Even Vietnam is starting to overtake us," he said.
One of Sanchez's colleagues, a 39-year-old surgeon, agrees.
Graduating in 1993 many of his classmates have left the country, some as nurses and some as doctors for international aid agencies.
"Our politicians have no interest in the plight of doctors in this country. Successive governments have become complacent to the erosion of the health system," he said.
"Working conditions in the public sector are appalling. It has reached a point where doctors, many doctors, are finding it hard to make a living in the provinces where doctors are leaving in droves because they can no longer afford to stay," he said.
"I am not talking about luxury living, fast cares and big salaries. You have to understand that most of this country's 80 million or so population is poor. I have colleagues who have left the provinces, and I must add reluctantly, as they were mostly working for free," he said. "Doctors have to eat and educate their children too."
A 35-year-old obstetrician who graduated in 1995 says about half of the 300 doctors she graduated with have left, mostly after retraining as nurses.
"Medicine is my life," she says. "I think you enter this profession wanting to make a difference. But here in the 
Philippines we just don't have the tools to administer quality health care," she says.
"It's pathetic. Pathetic that we have a system where hospitals are closing simply because they do not have enough doctors. I have worked in both the private and public sectors. In government hospitals a doctor can work 14 hours or more a day," she says.
"The hospital I work in has a 78-bed maternity ward but only 50 beds and it is not uncommon to see three women share one bed.
In the private sector it is an eight-hour day, one patient a bed and a room. If you have the money quality health care is not a problem even in poor countries. But having said that it is getting more and more difficult to find good specialists. Even they are leaving," she says.[b]


Friday, 4-Nov-2005 00:00 Email | Share | | Bookmark
my current audiobook files

Trace
godfather returns
if and when i have the time, i would love to hear these two critically acclaimed novels....


Wednesday, 2-Nov-2005 00:00 Email | Share | | Bookmark
Before you play poker (pusoy 2 or tongits....

Autumn
my boss emailed me this wonderful piece and i would like to share these to all....

Talking to God with a Deck of Cards

A young soldier was alone in his bunkhouse one Sunday morning over in
Afghanistan. It was quiet that day, the guns and the mortars, and land mines
for some reason hadn't made a noise.

He knew it was Sunday, the holiest day of the week. As he sat there, he got
out an old deck of cards and laid them out across his bunk.

Just then an army sergeant came in and said, "Why aren't you with the rest
of the platoon?"

The soldier replied, "I thought I would stay behind and spend some time with
the Lord."

The sergeant said, "Looks like you're going to play cards."

The soldier said, "No sir, you see, since we are not allowed to have Bibles
or other spiritual books in this country, I've decided to talk to the Lord
by studying this deck of cards."

The sergeant asked in disbelief, "How will you do that?"

"You see the Ace, sergeant, it reminds that there is only one God.

The Two represents the two parts of the Bible, Old and New Testaments.

The Three represents the Father, the Son, and the Holy Ghost.

The Four stands for the Four Gospels: Matthew, Mark, Luke and John.

The Five is for the five virgins, there were ten, but only five of them were
glorified.

The Six is for the six days it took God to create the Heavens and Earth.

The Seven is for the day God rested after working the six days.

The Eight is for the family of Noah, his wife, their three sons and their
wives. God saved these eight people from the flood that destroyed the earth
for the first time.

The Nine is for the lepers that Jesus cleansed of leprosy. He cleansed ten,
but nine never thanked Him.

The Ten represents the Ten Commandments that God handed down to Moses on
tablets made of stone.

The Jack is a reminder of Satan. One of God's first angels, but he got
kicked out of heaven for his sly and wicked ways and is now the joker of
eternal lake of fire.

The Queen stands for the bride of Christ, which is called His church, or
body of believers that wait for his return.

The King stands for Jesus, for he is the King of all kings.

When I count the dots on all the cards, I come up with 365 total, one for
every day of the year [???].

There are a total of 52 cards in a deck; each is a week, 52 weeks in a year.

The four suits represent the four seasons: spring, summer, fall and winter.

Each suit has thirteen cards; there are exactly thirteen weeks in a quarter.

So when I want to talk to God and thank Him, I just pull out this old deck
of cards and they remind me of all that I have to be thankful for."

The sergeant just stood there and after a minute, with tears in his eyes and
pain in his heart, he said, "Soldier, can I borrow that deck of cards?"

"If My people, which are called by My Name, shall humble themselves, and
pray, and seek My face, and turn from their wicked ways; then will I hear
from heaven, and will forgive their sin, and will heal their land." II
Chronicles 7:14[img]


Tuesday, 1-Nov-2005 00:00 Email | Share | | Bookmark
my ulam last night

before
after
this is my first blog...its about my ulam for last night...never
really thought the two dish complemented each other...

btw, i was watching my rice intake....



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