TandeMD

Prelude

Welcome to #tandemd!

(read as /ˈtandəmd/)

 

We’re a dynamic duo of medical #duoctors, both born with the passion to write life prescriptions using no less than our stethoscopes!

Here we share with you our hopes, our faith and our love in our #tandemd walk with our God. We post stories of our lives as God writes them for us. Each unfolding is God’s handicraft and we believe these daily miracles are worth sharing. We pray that as you read through our posts, you discover your own hope, faith and love growing as you stay #tandemd with God!

We created this so we can reach out to more people like you! You can message us if you have consultations, prayer requests, promotions, medical missions and speaking engagements you’d like to invite us to. We’d be more than happy to pray for and respond to you the soonest we receive your message. 

Stay #tandemd with God –  in hope, in faith and in love!

 

Your #Duoctors,

Jerald & Ardys

P.S.:
#tandemd – is our official hashtag

© TandeMD 2017

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Hope · Life Rx · TandeMD

My Journey: Further and Higher

(Delivered at Taal Vista Hotel during the First Annual Adventist Medical Evangelist Network – Philippines Conference, June 10, 2018)

They say that a journey begins with a single step. But in my case, I believe that my journey began before I even took my first step. My journey started with God. Let me quote Jeremiah 1: 5 to clarify my point. “Before I formed you in the womb I knew you; before you were born I sanctified you; I ordained you a prophet to the nations.”

I hope I am not that too ambitious to claim that text as ascribed to Jeremiah. But I hope that when you listen to my story, I might convince you that it could be well applied to this lowly colleague of yours, as I believe that this text also applies to all of you.

Let me begin my simple story in line with our theme, “further and higher.” In our personal and spiritual journey, how far is further, and how high is higher? Considering our humanness, limitations, incapacities, incapabilities, and worst, our sinful human nature, how can we even think of proceeding a step toward that mark? That would be too ambitious, if not impossible. But before we get discouraged, let me bring you to an example of a journey- low, low behind, and far, far behind.

I was born third of us 4 siblings. Low, low behind our family’s humble past, we had meager funds for our expenses. Although my father was a public teacher, and my mother a midwife, it was not easy for them to provide us 4 siblings of our needs. But far, far behind us, we felt that the Lord was already leading us into a higher level of growth, further into a brighter future.

After graduating from my elementary education in my homeplace in Masbate, I followed suit to East Visayan Academy in Cebu for my high school education, after my two older sisters. Challenges became bigger, but somehow the Lord provided me with enough strength to hurdle those tests and grew better and stronger, but more dependent to God.

Off I went to Mountain View College in Mindanao to take up nursing. Of course, my personal mountains became bigger and steeper, paths rougher and bumpier, seas stormier and wilder, and I felt smaller and weaker. Sometimes, I felt that gloomy days seemed longer, and happy days seemed shorter. That was during those transitional days.

But in that mountain, I get to know God closer and deeper. There, God made me get acquainted with my self better- weak, inadequate, unready and unprepared to confront the sinfulness of the world. There I found that my real strength is outside of myself- It’s found in Jesus Himself, and the only way to have that strength is to welcome Him in my heart, which I did with all faith.

God’s gift of making me top the nursing board on 2011 was a major point in my life. My heart was swelling with joy and gratitude to the Lord for giving me more than desired, and covenanted with him where to pursue my medical training. That’s why I went to UERM.

Yes, with honest modesty, I felt good in achieving high academic honors since my elementary years until my college years. I thank my parents for that. But I found out later that unless God would let me receive those awards and accolades, I would not have those. Therefore, I concluded that these achievements are His ways to prepare me to do something worthwhile and special for Him- in a different capacity and level from the traditional ways that we normally know. Let me proceed further to emphasize this point.

It was already my childhood dream to become a doctor. And in my childhood innocence, or maybe some childish thoughts, I just want to be different from my other relatives and siblings- and be the first physician in the family. And I am glad that God worked on me even in that immature mind that I had. And now, I am a medical doctor.

Let me orate to you a poem composed by me and my girlfriend who is also a medical doctor who knows this medical journey by heart and by soul.

The Covenant Fulfilled

It started with a prayer from his childhood dream,
Commenced by a late application which he sent to UERM
And by God’s intervention the journey started unfolding,
The poor little boy was granted full scholarship for studying.

Burdening his heart were everybody’s expectations,
Obliging him to top the board, exams without objections;
He carried these all his own thinking he’ll be alright,
But he later realized that God was his partner in this plight.

In class, as an Adventist, he belonged to the minority,
With a day less to study, was disadvantaged, thought by the majority;
But he knew better than that, that he was not disadvantaged,
For great is his God, and having His wisdom, that was his advantage.

Asking for help from a classmate for Biochem laboratory,
That classmate turned his back, and said, sorry, for my group only;
His heart was broken but his will God had strengthened,
With his faith unwavering, He stood firm and was determined.

He busied himself not only with academics,
But also shared the gospel even with the atheists and agnostics;
He taught the discipline of prayer to his unspiritual roommate,
And invited to the church his distraught and troubled classmate.

God sent an anatomy student for him to mold,
And blessings from Him came back a millionfold
Her grade from 69, it rose up to the line of eighty,
And an unexpected reward came back worth a semester’s fee.

From doing all these he shared his time,
He learned from them a love so sublime
And more than teaching others, he was also taught,
That God is faithful and true, so His presence he sought.

The five grueling years of education finally came to a close,
And he ultimately faced the challenge that mattered the most.
He partnered with his God in every step of the way,
In every answer which he shaded, God had a say.

The board exam result was released, and God’s power was manifested,
With a mere 0.17 percentage, God put him in the lead,
Ladies and gentlemen, if it isn’t so obvious I am this lowly lad,
Relating to you all the journey I have just had.

Through the prayers of His people for my colleagues and me,
God granted His people this most assured victory!

When I passed and topped the medical exam board, and was interviewed left and right, I remembered that college realization I had- God is bringing me to this level because He has some job for me to do in this world’s stage. And the more I think about it, the more I shrink in humility because what I have now and where I am, is never ever because of me, nor because of my ability, nor because of what I have and nor because of my genes- it’s all because of Him. The farther and higher I get into, it’s because I am under His divine wings bringing me higher and higher and farther and farther into success which I have hardly known and expected.

This is confirmed by the stories of Joseph- the governor of Egypt during the regime’s golden years; of Daniel- Babylon’s governor, too, during it’s glorious days; of David and Solomon- making Israel a great kingdom during their times; and a lot more. Today, we also have our modern lay ministers in higher and extensive capacities- Ambassador Tejano, Major Espinedo, chaplains in the US Senate, government leaders in Papua New Guinea, and many more.

Contrary to my dream and expectations, being in the limelight is a challenge itself for me and I don’t know how to handle the situation without my God, without the support and guidance of my family and loved ones, and of course prayers of the entire church community. As there was a fourth person in the burning furnace, a companion of Daniel who shut the lions’ mouths, an Angel who was with Gideon in his victory, I believe that my God is my companion in all my undertakings from here and beyond.

With my few yeas of knowing, experiencing and sharing God within my sphere of influence, I have learned several countless lessons in life. I learned not to strive for recognition in this world. The Lord taught me to strive for significance in His vineyard. God impressed in me that topping the board exams is not an obligation; it is a gift from Him. I have also learned that true success is being who God wants us to be, doing what God wants me to do and finally hearing Him say “well done good and faithful servant”. Because for me, excellence is living out the best that I can offer according to the talents, skills and mental capacities that God has gifted us with and making it our way of life. Excellence is not only found in the result of the board exams. It is the result found in the lives of the people whom we have touched and changed for the better.

As your ordinary colleague in the medical field and in the medical missionary work, Joshua 1: 9 is my armor in my spiritual and professional journey going further and higher for the Lord. “Have I not commanded you? Be strong and of good courage; do not be afraid, nor be dismayed, for the Lord your God is with you wherever you go.” Let this be your strength, too, as you journey with me further and higher for the Lord. God bless us all.

#amensdaphilippines

Hope · Life Rx · Med2Love · TandeMD

A Message We’ll Never Forget & Always Remember

So we just heard a very inspiring message from our consultant in UERM and we, with Dr. Locnen’s permission, wanted our fellow physicians to also find inspiration in her message. This was given during the Testimonial Dinner for the New Board Passers last 02 May 2018. It was so inspiring that we can’t help but share this to you here, just so we’d have something to read again when we get fed up with life.

Each time we read this, we are always left with wet eyes and matted eyelashes but altogether feeling comforted, inspired and ready to take on a few more challenges when we go on duty. Read this when you feel down or lost or just simply worn out from the daily grind.Read on and be blessed, Doc!

(But if you’re not a doctor, this will still inspire you! Or at least you get a glimpse of how it is if you’re aspiring to be one someday. Or if you know someone, at least you could understand them better.)

(Emphasis by #tandemd)


Vice Chairman Young, Dean Uy, Secretary Quinones, ,VPAA Dr Aligui, SVP Carmelita Valdez, VP fro Treasury Ms Iris Militar, VP for Research Dr Nailes, my fellow teachers, my mentors, beloved staff of UERM and to the newest physicians in the room, who in all likelihood are also the happiest people in Cubao at the moment, a very good and warm summer evening to all of you.

To say I was surprised with the invitation to speak before you on this wondrous occasion is an understatement. After the initial emotion was the realization that I am indeed getting old. Wala na rin po kasing kumukuha sa akin mag ninang sa binyag. Puro na lang kasal…..But in truth, I am equally honored and horrified beyond words to be on this podium. I have spoken before graduating residents and fellows previously, so some of the things I will say are similar to what I told them. In spite of that fact, I felt that I have been unusually preoccupied the past days about this task primarily because during my graduation/testimonial ceremonies, the inspirational speakers were always individuals whose resumes were kilometric, whose wisdom were deemed unparalleled and whose characters were of solid repute. And also a bit older than I am. How would I measure up to that? How does one become inspirational? I think the best way for me to earn my keep this evening is to look back.

One September night in 1996, my best friend and I learned that the results of our Physician’s licensure exam will be coming out the following day. Unlike the present, we had to wait for a month to learn about the outcome of the boards. So, just before midnight, we drove to the Manila Bulletin Newspaper Offices in Intramuros, to get a copy of the paper hot off the press. As soon as we entered what seemed to be then a cavernous and imposing building, a security guard, who was standing at a corner with a pile of newly printed newspapers, asked us, in a bored monotone: “Board exam? 10 Pesos” and handed us a copy. We proceeded to nervously look for our names and began shrieking like high school girls when we saw that we made it. I can still vividly remember the feeling of joy and relief, the same way you are feeling right now. Finally, I am done after 5 years of grueling work. Or so, I naively thought.

Afterwards, as some of you might do, I moonlighted as a general practitioner while I studied for the USMLE. I went on duty in a small lying in clinic where I delivered babies and knew I could never be an obstetrician, sutured wounds and discovered I did not have a surgeon’s hands, did circumcision and looked at various medical cases. And during those times, I brought around my books for reference in case I would not know what to do. Walang internet, UpToDate or You Tube. I even taught chemistry to nursing students for one semester in the Philippine Women’s University. After passing the USMLE, I got letters for interviews in some US hospitals but as I was lining up to apply for a visa at the embassy, I received a message in my “Pocketbell beeper” (Yes, there was a time when we did not have ready access to a telephone) that I got accepted to UERM’s Internal Medicine Program. At that crossroad in my life, I made a split second decision to stay in the Philippines and pursue residency and fellowship here. What followed were several years of rigorous training — sleepless duty nights, endless preparation for conferences, specialty board exams, missed family reunions and Christmas or New year Eves in hospitals. This will also likely be your life for the next years. Do not be worried. For even if the road will be full of challenges, the joy and fulfillment of being a doctor will easily eclipse the hardship. During all these years, I have certain practices that I endeavor to remember. I may not succeed all the time but I try my hardest. I share them with you tonight.

One is to always strive for excellence.

Pour your heart and mind into everything that you do in work and in your personal life. When seeing patients, exhaustively look for answers to their problems. Ask for help when you need it but develop critical thinking. Challenge your peers and mentors when you have a different opinion. Just be certain that you do it respectfully and that your opinion is based on facts. Fake news are quite abundant these days. Developing excellence needs focus and attention to detail. Oftentimes, when I go on rounds with trainees, one or two of them would be looking down on their phones while I talk to the patient. The beauty of the digital world is that information can be easily handed but it sometimes removes us from pertinent human interaction. You learn a lot by observation. I remember a mentor telling me once that “diseases do not read books”. Ordinary illnesses may present differently and serious illnesses may seem initially mundane. So beyond reading, you have to hone your powers of observation. I remember as a CCU fellow, after consultants have done their rounds for the day, I would sit inside my patients’ cubicles and observe them quietly. I would just stare at the rise and fall of the chest, the steady or changing rhythm of the heart in the monitor, feel the strength of their pulse and collect a lot more tidbits of information that make the whole. During those brief yet important moments, it was just me and my patient.

Secondly, persist beyond adversity.

You will commit mistakes. That is a hard, cold fact because you are human. Show me a doctor who tells otherwise and I will tell you that he has not seen enough. What is vital is that you learn from your mistakes and you do not repeat them. The world of medicine can be seemingly cruel to those who occupy it. You will have mentors who are exacting and may have a small tolerance for mistakes. As a first year resident, I remember being told: “you are giving the right medicine for the wrong disease” in front of the clerks who were under my supervision. My service consultant was asking me whether the heart murmur was diastolic or systolic. I answered incorrectly and as such received a dressing down. Pagkatapos nga po ng rounds, sabi ko sa mga JI’s, pahingi ng tabo babanlawan ko muna ang sabon. I had several of similar encounters during fellowship, when I trained under one of the most demanding mentors I have ever met. But it prodded me to study even harder and take time to talk to and examine patients thoroughly. Honestly, I never developed any ill feelings against those who expected that I give my best. In the contrary, I thank them for having had faith in me even when sometimes, I have stopped believing in myself. I distinctly remember that incident in the medicine ward about that murmur as if it happened yesterday.

Exactly 20 years hence, I stand before you as a cardiologist. Of all the professions, I think medicine equates most to delayed gratification. I know most of you grew up and studied during an era when answers are found in a split second, when you do not need to go to the library for your research, when you can get a ride by a push of a button. Unfortunately or not, medicine isn’t like that because humans are much more complex. It is a test of your patience and resilience. Though your intellect matters a lot, it is your emotional quotient that will sustain you in medicine and mostly in life.

Thirdly, I try to always remind myself to be kind.

People are inherently good and I would like to believe that doctors in general are inherently kind. Patients come to us because of discomfort and pain so they are anxious and afraid. In the face of their suffering, their loved ones may become belligerent and turn to you in anger and frustration. Be patient. Answer questions objectively and in a language they will comprehend. Never, ever engage them in a fight. Walang papatol sa pasyente. There will be times when you would want to answer back but exercise that superhuman effort to keep your patience. When you feel that you do need to defend yourself, do it with class and with quiet strength. And not over social media, please. Stay above that fray. The world still needs kinder people. And kindness should not only be extended to patients. We try to be kind to our fellow doctors, nurses, other hospital staff and even to strangers. Kindness should not be equated with weakness. We can be just and kind at the same time. One of the most important people you have to be kind to is yourself. In a profession where expectations may become unreasonable, you have to get out of the pressure cooker occasionally. Stop and smell the flowers. Recharge. Watch a movie. Go out with friends. Sleep. Rest makes you better physicians and allows you to appreciate the work that you do.

Fourthly, doctors take a front seat in the face of human suffering and human joy.

You will have patients who would seem to recover miraculously and leave you heady with satisfaction but you will also lose a few in the most unexpected of ways and leave you broken hearted. To keep your grace in all of these, learn to laugh and pray. When the timing is appropriate, laughing with our patients brings the relationship to another dimension, something akin to friendship. Learn to laugh at yourself, too. It induces endorphin production. One of the best pieces of advice I received from a senior consultant was to pray for my patients. I do not consider myself very religious but I do ask help from above. It always gives me a sense of peace especially when I have to make very difficult clinical decisions. It emboldens me yet at the same time it humbles me into accepting that we too, are just human, that I could not make patients’ hearts beat forever, no matter how hard I try.

Now before I close, I wish to remind or reassure the honorees of certain truths. One is family is always the priority. When you have to choose, choose family. If you are not on duty, no matter how tempting sleep is, attend family reunions. Just bring a prescription pad. You will for certain conduct a med mission there.

On the practical side of life, I know you are concerned about making a living. For those going into further training, that is a big challenge. Makikitira pa kayo sa mga magulang ninyo.. Kasama sila sa delayed gratification. For those who will go into practice or a different path, I assure you that you will lead a comfortable enough life as long as you do good by your patient. I always tell my mother that I will not go hungry with the amount of food I receive from patients. You see what they are forbidden to eat, they will give you. Now if a fanciful life is something you wish for, you may not be in the right profession because the essence of medicine is truly service. Being a doctor does not entitle you to any privilege, only to a lot of responsibilities and accountabilities. But that can make your life profoundly meaningful.

Remember also where you came from, your old schools and mentors. Knowingly or unknowingly, they helped shape what you are today. And if you have the chance, teach. It will help ensure the future.

On this occasion when most of your sacrifice has come into fruition, I warmly congratulate you, your loved ones and most especially your parents, who if they are not doctors, never had any idea of what they were going into when you chose to go to medical school.

For all my self doubt and imperfection, I must have done something correctly, for you invited me here today. For that, you have my undying gratitude. Know in your hearts that wherever your fortunes may take you, you will always have a home in 67 Aurora Blvd, Brgy Imelda, Quezon City where one of the best medical schools is proudly located.

Go follow your bliss and Godspeed. Thank you.

Sue Ann Locnen, MD


Need we say more?

Just perhaps stay #tandemd with the Lord!

❤️

Ardys & Jerald

Your #tandemdDuoctors

Hope · Life Rx · TandeMD

The Case of the Dreamer’s Dream by Dr. Jerald L. Pelayo

Given during the UERM Testimonial Dinner at Novotel

May 2, 2018

Today is a celebration of the dream for which we were meant to live—a dream that was once but a figment of our imaginations. Today, we will finally #LiveTheDream #UERM2016. We are no longer medical students, clerks or interns but we are already conquerors of the Physician Licensure Examination. I would like to request my dear colleagues to please stand to accept my warmest and most heartfelt congratulations! Ladies and gentlemen, these were my co-warriors who shaded boxes, cried streams of tears, ate tons of food, gained and lost weight, gained and lost boyfriends and girlfriends, but fought the battle with me during the recent board exam. And they all deserve a round of applause. To our school administrators, mentors, teachers, consultants, residents and friends here in UERM who prayed for and with us, thank you! You deserve our utmost gratitude through our warmest round of applause. You have taught us to become 5-star physicians and rest assured that you have taught us well. This victory is also yours!

Last year, I spoke about the SOAP of the UERM 2016 class. Today, please allow me to share “The Case of the Dreamer’s Dream”.

The dreamer is a 20-something year old man from Masbate who once, as a child, looked up at the stars in the provincial night sky dreaming about becoming a doctor someday. He had seen his mother going about the barangay helping mothers deliver their babies. He mistook his midwife mom to be a doctor. And from that emanated the seed of his dream to become like his mom. He pictured himself—just like any other typical grade schooler would—as a doctor wearing a lustrous white coat with a fancy stethoscope harnessed around his neck.

About 2 decades ago, the dreamer, with his backpack, trod to his elementary school in Masbate through the muddy puddles with his drenched black shoes and almost-browned white socks. Rain fell and run down his face, clearing his tear-soaked eyes only to realize he only had slippers. He wished they were shoes though. He went on to take just a few more steps through the 9-km journey down the unpaved road. Halfway through, his teacher saw him walking alone and offered to bring him home because classes were actually suspended due to a storm. That day, he wasn’t only drenched from rainwater but he was soaked with ardor of living the dream.

After a few years, he went to Cebu independent from the care of his parents for his secondary education. In the stillness of the night, a thief broke in and stole all his clothes, (and by all, I mean including his underwear). The next day, he found himself wearing an ill-fitted uniform and shoes, both of which he borrowed from his cousin. He also had to study with just the flicker of an oil-trimmed lamp. The soot filtered by the vibrissae of his nostrils would collect, so he had to make sure to clean them before going to school. However, left in a shock from the incident the night before, he forgot to clean his nose. And he went to school ridiculed for the black soot in his nostrils and his ill-fitted suit. Despite these, he held onto the dream.

He spent his college years in an Adventist institution tucked in the verdant mountains of Bukidnon. He endured a month-long intermittent fever and chills because he refused to miss even one day of school. Only did he succumb to being hospitalized when he felt very ill and could no longer make it to class. Nonetheless, no atypical pneumonia could stop him from reaching for the dream.

Years later, he found himself shading the last number for his NMAT. Who wouldn’t remember the day they took the NMAT, how eager they were like this dreamer, to finally kick start their journey to the white coat? And not long after that, he was applying for medical school. As a late applicant coming from an unknown college in the mountains, he was grateful that he got accepted as a university entrance scholar in UERM. Finally wearing the white uniform of his dreams, he felt jocund at the thought that he can finally commence to live his dream. And even more so when he knew that the school is one of the few medical schools that didn’t hold any classes on Saturday Sabbaths, because he is a Seventh-day Adventist. This was one of his primary considerations when he chose to enroll in UERM. This dreamer was indebted to UERM for all the favors extended to him especially when academic activities fell on a Saturday. Because of this, he hopes to encourage more Adventist dreamers to experience UERM and how she respects freedom of religion.

As a medical student, he remembered going to the biochemistry laboratory for the first time not knowing what to do. He had to ask a classmate (not a groupmate) to teach him because during his college years, biochemistry was removed from the nursing curriculum. However, his classmate, belittling this space-occupying lesion, unidentified foreign object, simply looked at him from head to foot and turned his back on him, exclaiming “I’m sorry. I will only teach my groupmates.” The dreamer’s heart was broken but his dream never flickered even a single second. So he survived the first long exam simply memorizing some mind-boggling concepts without understanding them.

He also remembered sitting down that examination chair as he took the PLE. Several of his classmates had already conquered it ahead of him. He obviously had more time to prepare and great was the burden squatting on his shoulders. Everyone was expecting great things from him. He had no other stronghold but the Lord. He was his constant, his refuge. And the Lord was true to His promise, He never failed this dreamer. It wasn’t an easy a task as walking drenched through muddy puddles in the middle of the storm, or wearing ill fitted suits with black sooted nostrils, or enduring month-long fever and chills.

Ladies and gentlemen, the dreamer stands before you tonight in this podium ever grateful for the lessons that he was taught from the life experiences he gained. It must have been obvious to you from the very beginning that I was the dreamer. And coming to UERM to finish med school and becoming a licensed physician was the dream. More than classroom knowledge, UERM has taught me valuable life lessons that I will carry with me in my practice. And my sentiments of gratitude echo that of the rest of the newly licensed physicians present here tonight. To the UERM community, thank you for training us to be the kind of doctors we are today – with much empathy, skill, attitude, knowledge, competence and compassion.

To my colleagues, you may all have your own experiences and I may not know all of your struggles, but we share one thing in common, we now #LiveTheDream.

So what now?

From the time we held the pencils as we shaded our answers for the NMAT to finally holding the plastic cards with our names and license numbers, we’ve been taught priceless lessons. Our varied exposures in the hospital and community sharpened our vision and enabled us to have that acuity to see the needs of others and to act upon them. We’ve seen life in its beginning and in its end, and the more we witness these, the more fueled our desire is to make a difference.

Allow me to continue with discharge instructions and home medications.

Nurturepressin (instead of Torturepressin)

Bullying can take many forms and can happen irrespective of place and time. Unfortunately, bullying exists even amongst us in the medical profession and the culture is seemingly becoming a norm. The act becomes so customary that it attenuates our ability to recognize its harmful effects.

Dr. L.N. Dyrbye et.al, in her work entitled, Medical Student Distress: Causes, Consequences, and Proposed Solutions, mentioned student abuse as one of the many sources of stress and burnout among medical students especially those in their clinical years. Verbal abuse, in particular, profoundly affects students’ confidence and renders the learning milieu non-conducive. This adversely affects patient care, erodes mental health, and leads to depression, so to speak. But the gravest endpoint of all is suicide.

It’s ironic how much we try to save our patients’ lives and yet we turn a blind eye to the ordeal of those whom we share our calling with. This profession is too noble to be regarded as a mere platform for competition. So let us be catalysts by changing this bullying culture. Let us cut through the vicious cycle and replace torture with nurture.

Influencezosin (instead of Eloquencezosin)

The famous expression, “Do as I say, not as I do” is pretty much the motto of many health professionals—physicians included. The statement reveals the reality that humans are subject to err and thus shouldn’t be the basis of another person’s practices. But whether we like it or not, our patients look up to us and they associate us with healthy living. But it’s also a fact that many practicing physicians have indulged themselves into intemperate ways of life and have suffered the consequences brought about by various lifestyle-related diseases and even death. This kind of practice clearly misrepresents the profession we are bound to uphold. Our patients now are as keener as ever and our actions and practices pass under their scrutiny from which they also pattern their lifestyle. I think we need to be more responsible of taking good care not only of our patients’ health, but our health as well. It’s high time that we “walk the talk”. Seek to influence not by words but by actions.

Healazole (instead of Hurryzole)

Man is a composite of both physical and nonphysical elements. His physical entity makes him a tangible being subject to sickness and decay, while his nonphysical entity makes him a spiritual and rational being subject to evil and distortion. A person is beyond what our senses can perceive. With all of man’s complexities, a lifetime is not even enough to understand him. Hence to offer healing to a sick soul by talking to him for a few minutes would only give us but a glimpse of his true suffering. We must seek to heal the person instead of hurrying to our own appointments and neglecting to properly evaluate our patients and their needs. Quality still weighs greater than quantity.

But more importantly, before we are able to heal, we must seek healing from Him whose streams of mercy and life floweth freely and ever so abundantly. We cannot heal others until we seek to heal ourselves.

Hence, I leave you with this question:

Beyond the dream of wearing a white coat, what else do we #LiveTheDream for?

While you may dream, dream bigger dreams

And seek to live it, building streams

Of influence, healing and nurturing

To live the purpose of the white coats we are wearing

To our dear UERM mentors,

This glorious victory is for you

Your years of labor for us, now bid adieu

Gracias from the deepest recesses of our ventricles and atria

We’ll follow your footsteps, Pro Deo Et Patria!

To my classmates,

We’ll soon part ways to find our niche

And in our practice, extend our reach

I’ll surely miss our yesteryears

But let’s find joy despite our tears

Great are the tasks and challenges that lie ahead

We’ll sometimes be enfeebled and defeated

But in God’s guiding hands we must have confidence

For higher is His calling and greater is His providence!

Thank you!

TandeMD

March 2018 Oathtaking Speech by Dr. Jerald L. Pelayo

#PLEMarch2018 #OathtakingSpeech

To our highly esteemed guest of honor, Dr. Montoya, PRC commissioners Hon. Reyes and Dr. Cueto, Chairman and Members of the Professional Regulatory Board of Medicine, dear parents, my fellow 5-star physicians, and everyone in attendance, good afternoon!

Kindly accept our gratitude for joining us in our celebration, as we take our oath to finalize our profession; to which we offer our commitment and dedication; as to the society, that is our humble contribution.

To God, we offer our heartfelt adoration, for giving us life, blessings and daily protection; to our professors, our flaws they combat with patient consideration, and to our parents, for their stubborn love, prayers and sometimes “tough” affection.

Today, I stand before you not because of my rank, nor because of mental tank, but because I am your colleague and teammate, your partner and mate. We stand shoulder to shoulder, our hands enjoined together, equipped with the same training and education, having the same purpose and resolution. We have one heart, one mind and one goal, in the business of saving lives, we have one spirit and one soul.

Having higher scores than most of you never give the topnotchers an edge in real life practice, because excellence, as I would like to reiterate, is not only found in the result of the board examination, but in the result found in the lives of the people whom we have touched, taught and changed for the better.

Therefore, now, let me speak to you and to your behalf, my dear colleagues, and treat this speech as your own.

I am a medical doctor. I save lives, and health care I provide, to the pledge of my profession I fully abide. My best efforts I do guarantee, to every patient within my community, regardless of their color, language and ethnicity, their system of beliefs, and even sanity. I am their refuge of healing, and for their life, I am ever supporting. I am their remedy and their therapy, like blood supplying oxygen to the entire body.

I am a medical doctor and I am an instrument of peace. I bring healing to the sick and the wounded, soothing to those who in heart are afflicted, hope to those who are deprived of proper treatment, a miracle for those who cannot afford quality medical management. Let me paraphrase this prayer by an unknown Catholic priest, “Lord, make me an instrument of your peace; where there is hatred, let love will I give; where there is injury, pardon or amnesty; where there is discord, unity shall I afford; where there is doubt or suspicion, I initiate faith or conviction; where there is despair or dejection, I influence hope and optimism; where there is darkness and gloom, light and brightness from me shall bloom; and where there is sadness, I shall deliver lasting happiness.”

I am a medical doctor, and I am an instrument of peace.

I am a Filipino medical doctor. I am the hope of my people for their health needs, and on this, I shall not disappoint them indeed. I will not hesitate to cross rivers and seas, conquer heights, and mountains shall I traverse, to deliver remedial treatments and medical care to the people of my land, and sincere services shall they receive from my hand. I will surgically close wounds brought not just by bullets and bolos, but even emotional wounds brought by differing philosophies and personal views.

I am a Filipino doctor, and I am the doctor of my own people. I am their source of healing, the feasible unifier of differing ethnicities, religious ideologies and philosophical standpoints. By my caring hands, I shall bring them all together. From my hands, they shall receive the same kind of treatment and care. From my own hands, they shall understand that I am not just a doctor who is Masbateño, nor Ilokano, nor Chavacano, nor Ilonggo, but a full-bloodied and full-pledged Filipino. I was asked what can I do to change the health care system of our country. All of us know what to do when given that authority. We can’t all be secretaries of health, but we are all Filipino doctors who are great. And for me, that’s all that matters to implement proper and sincere change to our health services. For what use it would be for an excellent system without doctors identifying themselves with their own people?

I am a Filipino doctor, and I am the doctor of my own people.

I am a moral doctor. I value each patient and their future, their opportunity to favor our country, that I ensure. I am drunk of my passion to heal and restore the person, and not of money, luxury and corruption. I prioritize my patient’s right to life and health, and not my comfort nor for my monetary wealth. As the Master Physician put it, “What profit it is when you gain the whole world but you lose your own soul?” let me put it in our own medical vernacular, “What profit is it when you gain the money but lose a soul?”

I am a moral doctor, and I am a doctor of the highest integrity. I value my profession with nobility, and I shall wear my professional plate with dignity. I shall never tarnish my calling with greed and rapacity, and I will forever abhor exploitation, fraud and bribery. I shall never corrupt my integrity with money, but show nobility and righteousness in all opportunity.

I will always do my best in treating every person, regardless of the monetary compensation. In me he is confident of restoration, his life shall experience restitution. As Stephan Grellet put it, “I expect to pass through this world but once; any good thing therefore that I can do, or any kindness that I can show to any fellow creature, let me do it now; let me not defer or neglect it, for I shall not pass this way again.”

I am a moral doctor, and I am a doctor of the highest integrity.

We are these kinds of medical doctors, my dear colleagues. We are God’s instruments of peace, the assurance of healing, restoration and life of our own people, and the community of the highest integrity. If changing our system is our desire, then let’s change for the better, that should we aspire, because we are the system. The best batch of our kind, let us show our countrymen.

To our professors, trust us that we can carry our insignia. We will stay true to our pledge, and to follow your steps is our privilege. You are our guide, and to your advice we shall abide. We promise that in your sunset, you are confident that our sun shall never set. But it will continue on shining and gleaming, and to the future generations, it will forever be staying and abiding.

To our parents, you are our strength and inspiration. Trust us that we shall carry your name with dignity and honor, with an additional of meaning of love, compassion and grandeur. Stay by us.

To the Filipino people, here we come. Welcome us, your medical servants, your humble healthcare givers. Some of us may proceed to further trainings abroad, but we will come back so the best health care services to you we can afford. For our poor but passionate young people for this profession, with God’s help you shall have a scholarship foundation. We want to be assured that also in our sunset, through you our sun will never set.

Lastly, I want to reiterate to you my dear colleagues. We are the system of the Philippine Heath Care. We are God’s instruments of peace, we are the assurance of healing and life of our own Filipino people, and we are the doctors of the highest integrity.

Let God’s healing love be our proclamation, as we carry out our services in full devotion; let our hands initiate complete restoration, healing the world shall be our utmost consecration.

Let us enjoy the art of healing. Let us heal ourselves. Let us heal our people. Let us heal our country. And let us heal our world.

-Jerald Pelayo, RN, MD

#TandemdWithGod #TandemdDuoctors

Faith · FBs · Sabbath Joys · TandeMD

FB Series 5: God the Holy Spirit

These are taken from the Signs of the Times Magazine Special Edition “We Believe”, where we share brief explanations of the 28 fundamental beliefs of the Seventh-day Adventist Church, where our faith continuously grows with our Lord. May the Holy Spirit give you enlightenment as you read through the articles. Should you have any questions, we will be glad to answer them and we are willing to talk to you about our faith. Contact forms are at the end of this article. Thank you and may God bless you more abundantly today and always!


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Lights from the lamps flickered in the upper room as the disciples conversed with their Master. The questions they still asked, even after being with Him for three years, made it obvious that they did not have a clear understanding of His mission on earth. They clung to their hope that He would liberate their nation from Roman occupation. Recognizing their misunderstanding, Jesus tried to prepare them for the events that were all but upon them. He quieted their fears of the future by speaking to them of the Gift of the Holy Spirit that He and the Father would give the world.

“Don’t worry about the future,” He said in essence. “Through the Holy Spirit, you will have My presence with you to guide you and sustain you in everything you experience, regardless of how difficult or painful it may be.”

As One of the Members of the Godhead, the Holy Spirit is a Person, fully Divine. He had an active part with the Father and the Son in the creation of the world, and since then He has been intimately involved in the plan of salvation.

WHAT JESUS SAID

Jesus’ teaching about the Holy Spirit is recorded in John 14, 15, and 16. He is called ” ‘the Spirit of truth’ ” (John 14:17), whom the Father will send in Jesus’ name (John 14:26). He ” ‘will teach you all things,’ ” Jesus said, ” ‘and [He] will remind you of everything I have said to you’ ” (John 14:26). He came specifically to testify about Jesus (John 15:26). And because He is not limited by neither time nor space, He can represent Jesus to the world anywhere, anytime.

In addition to working with the disciples, enabling them to carry out their mission, the Holy Spirit is among unconverted people, convicting them of ” ‘sin and righteousness and judgment’ ” (John 16:8).

We tend to understand less about the Person and work of the Holy Spirit than we do the other Members of the Godhead. That’s because the Spirit’s work is to make known Jesus and the Father rather than Himself. It was through the ministry of the Holy Spirit that holy men wrote the Bible, which bears witness to Jesus (2 Peter 1:21). He filled the life of Jesus with power. Because of the Spirit’s ministry, the Bible comes alive for us, making Jesus real, sensitizing our hearts to Jesus, and equipping us to live for Him.

WHAT THE SPIRIT DOES FOR US

The Holy Spirit is involved in every aspect of our Christian life. When we come to God, it’s because the Spirit has been working on our hearts, giving us the desire to learn about God and to live the way He wants us to. Any time we want to know more of what the Bible says about God, all we have to do is ask for understanding, and the Holy Spirit will guide us to the passages that we should study. The Spirit will impress our minds, leading us to a clear understanding of the Bible and how its lessons apply to our lives today. Then He will give us the power to live the truths we have learned. When we feel guilty for our sins and repent of them, it’s because the Holy Spirit has been at work in our lives. Everything we know about God and Jesus we understand more clearly because the Holy Spirit, quietly and humbly, has been carrying out in our lives the work that He was sent to do.

The Spirit also strengthens the church and its members through spiritual gifts. Some of these gifts are quite  spectacular while others are less dramatic. Yet, all of them are equally essential. Several of these spiritual gifts are mentioned in Ephesians 4:11: “It was he [the Holy Spirit] who gave some to be apostles, some to be prophets, some to be evangelists, and some to be pastors and teachers” (see also Romans 12:6-8; 1 Corinthians 12:4-11, 28:31, 13:1-3). Both the Old and New Testaments tell us that the Spirit had an active role in both the creation of the world and its redemption. As the personal Representative of Jesus, the Spirit accomplishes in the world what Jesus would do if He were physically present today.

(For further study: Luke 1:35; 4:18; Acts 10:3; Romans 1:1-4; 2 Corinthians 3:18; Ephesians 4:11, 12.)


Until next Saturday for the sixth FB Series.

Got any questions? Message us in our facebook page: http://www.facebook.com/lovetandemd.

God bless and stay #tandemd with God!

Love,

Your #Duoctors

Jerald and Ardys

Happy Sabbath!

Faith · Hope · Sabbath Joys · TandeMD

Impossible to Possible!

Love · Snapshots · TandeMD

Lightning

“Hear attentively the noise of His voice, and the sound that goeth out of His mouth. He directeth it under the whole heaven, and His lightning unto the ends of the earth.”

Job 37:2,3

#tandemdSnapshots

Faith · FBs · Sabbath Joys · TandeMD

FB Series 4: God the Son

These are taken from the Signs of the Times Magazine Special Edition “We Believe”, where we share brief explanations of the 28 fundamental beliefs of the Seventh-day Adventist Church, where our faith continuously grows with our Lord. May the Holy Spirit give you enlightenment as you read through the articles. Should you have any questions, we will be glad to answer them and we are willing to talk to you about our faith. Contact forms are at the end of this article. Thank you and may God bless you more abundantly today and always!


 

Our hope of salvation centers exclusively in Jesus Christ. One of the titles by which we know Him is “Son of God.” This title reflects His place in the plan of salvation – a role that was established before the world began. He was born on our planet as a human (Hebrews 1: 5, 6). Prior to His incarnation, He existed from all eternity as God in the most complete and exalted sense. He is God by nature, power, and authority (John 1:1, 2; 17:5, 24; Philippians 2:6).

Christ is the Creator of all things (John 1:3; Colossians 1:16, 17; Hebrews 1:2). After Adam and Eve sinned, Christ had intimate and constant contact with our world. He was the Member of the Godhead who would divest Himself, be “made in human likeness,” and would become “obedient to death – even death on a cross” (Philippians 2:7, 8). Through Him the character of God is revealed to fallen humanity, human salvation is consummated, and the world is judged (John 5:25-29).

ONE OF US

As God for all eternity, Christ also became a genuine human being in every sense of the word. Hundreds of years before He came to our world, the prophets predicted His virgin birth and the place where He would be born: Bethlehem (Isaiah 7:14; Micah 5:2). Conceived by the Holy Spirit and born of the virgin Mary, He grew up in Nazareth, a mountain village in Galilee.

During His life on earth Jesus experienced temptation as a human, yet He never sinned. Thus, He modeled God’s love and His justice in a most outstanding way, giving us a perfect example to imitate (Hebrews 2:16-18; 1 Peter 2:21, 22).

Christ lived a humble and generous life. As a child, as an adult, and as a youth, He helped at the carpenter shop in Nazareth. He was always friendly and took an interest in others. At about the age of thirty (Luke 3:23), He was baptized by immersion in the river Jordan by John the Baptist (Matthew 3:13-17). However, He was not baptized in order to cleanse Himself from sin, for He never sinned. Rather, as He put it, He was baptized in order to “fulfill all righteousness” (Matthew 3:15). Through baptism He identified Himself with sinners, walking the path we must walk and doing what we must do.

God the Son

JESUS’ MINISTRY

When Jesus was baptized, the Holy Spirit descended on Him in visible form as a dove, and God’s voice from heaven pronounced these words: ” ‘This is my Son, whom I love; with him I am well pleased’ ” (Matthew 3:17). Following His baptism, Jesus ministered unselfishly for three years, sharing God’s love and the message of salvation with rich and poor, Jew and Gentile.

Jesus’ teachings were unmatched in their simplicity yet filled with a power that drew people’s hearts to Him and changed them. Even the guards who were sent to arrest Him as He was teaching the people were unable to take Him into custody, so powerfully did His words affect them. When they were asked why they hadn’t apprehended Him, they could only reply, “No one ever spoke the way this Man does.”

Even before the foundation of the world, the Godhead devised a plan to deal with the possibility that sin might arise on planet Earth (Ephesians 1:4). Through Christ’s death, all those who accept Him become sons and daughters of God and heirs of eternal life (John 3:16; I John 5:11, 12).

When Jesus was ready to begin His ministry, John the Baptist pointed Hi out as “the Lamb of God, who takes away the sin of the world!” As the concluding act of His ministry, Christ submitted to the supreme sacrifice: He gave His life to secure for human beings the possibility of escape from sin and the eternal death that is its inevitable result.

Jesus suffered and died voluntarily on Calvary’s cross in our place, for our sins. Yet, He was raised from the dead, for neither death nor the tomb could hold the Creator of the world in their grasp. After appearing several times to His disciples and commissioning them to carry on the work of saving souls that He began during His short ministry, Jesus ascended to heaven. Yet, He did not abandon His people who remained in the world. Rather, He entered upon an intercessory ministry to prepare them for a place in the kingdom that He plans to restore on earth.

HE’S COMING AGAIN

Soon Jesus will come again in the clouds of glory, accompanied by holy angels, to free His people and restore to them everything they lost because of sin.

The heart of the Bible is Jesus Christ. He is the Center around which all the teachings of Seventh-Day Adventists cluster. “In Him we live and move and have our being” (Acts 17:28). Our love for Christ motivates us to obey His commandments, follow His example and give Him our lives so that He can live in us through the Holy Spirit.

(For further study: Luke 1:35; John 1:1-3, 14; 5:22; 10:30; 14:9; Romans 5:18; 6:23; 1 Corinthians 15:3, 4; 2 Corinthians 5:17-21; Hebrews 4:15; 7:25; 8:1, 2; 9:28; Revelation 22:20.)


Until next Saturday for the fifth FB Series.

Got any questions? Message us in our facebook page: http://www.facebook.com/lovetandemd.

God bless and stay #tandemd with God!

Love,

Your #Duoctors

Jerald and Ardys

 

Happy Sabbath!

Faith · FBs · Sabbath Joys · TandeMD

FB Series 3: God the Father

Many people, tired of the culture of self, are looking for something better, something more satisfying. They want to know God. Fortunately, God wants us to know Him. For that reason He has revealed Himself in many ways, the most important of which is the Bible.

The Bible writers made no direct effort to prove the existence of God. They took that much for granted. The Bible's first words, "In the beginning God created the heavens and the earth" (Genesis 1:1), speak volumes about Him. Before the world came into existence, God existed. He's the Creator, the Source of life and every material blessing.

What We Can't Know

Nevertheless, there's much about God's basic nature that we don't understand because He hasn't revealed it to us. Among these unknowns are God's eternal nature and His capacity to be everywhere at once. We can never understand the essence of God's nature. But we understand what He has revealed to us, at least to a point, and this revelation centers around His unfailing love.

The New Testament presents God to us as a loving heavenly Father (Matthew 5:45; I John 4:8). Because Jesus has adopted us, we have become God's sons and daughters (John 1:12, 13). God, our heavenly Father, is not a mere impersonal force.

Jesus told the woman at the well of Sychar that " 'God is Spirit' " (John 4:24) to suggest that God has a form, a shape. This statement has to do with more profound aspects of God's divine nature. He's above nature and beyond the capacity of our minds to imagine Him. He lives on a plane far superior to ours.

God Is A Person

The Hebrew concept of spirit was more concrete than abstract. God dwells in that realm. We cannot see Him, but we were made in His image (Genesis 1:27), which suggests that He also has a specific form. Throughout its pages, the Bible presents God as a Person.

The words the Bible uses to describe God were chosen to make it easy as possible for us to understand God as a Person. He "talks," "hears," and "writes." He suffers and feels sadness, and He also expresses both anger and joy. He has free will (see Psaln 40:8; 2 Corinthians 1:1). God judges (Psalm 7:11; Romans 2:16) and pardons (Isaiah 55:7). Nevertheless, He is above all. He created and sustains everything (Hebrews 1:1-3). God us omnipotent (Revelation 19:6), sublime (Isaiah 57:15), omniscient (Ephesians 1:8), eternal and immortal (1 Timothy 1:17), and omnipresent (Psalm 139:7; Jeremiah 23:24). He's free of time and space limitations in all His actions.

Everything that happens on our planet is under God's control. He understands our plans, but He acts in ways that ensure the ultimate fulfillment and consummation of His will.

The qualities and powers that we see in God the Son and God the Holy Spirit also reveal to us what the Father is like.

(For further study: Exodus 34:6, 7; Revelation 4:11; John 13:16; John 14:9; 1 Corinthians 15:28.)


Until next Saturday for the third FB Series.

Got any questions? Message us in our facebook page: http://www.facebook.com/lovetandemd.

God bless and stay #tandemd with God!

Love,

Your #Duoctors Jerald and Ardys

Happy Sabbath!

Hope · Life = Hope · Life Rx · Med2Love · TandeMD

The SOAP of UERM Class 2016

THE SOAP of UERM Class 2016

By Jerald Pelayo

 

I am truly honored and humbled at the same time to receive this award today, knowing my limitations as a post-graduate medical intern. To everyone who believed in me, and in what God can do through me, from the deepest recesses of my heart, thank you so much.

I will not be referring patients to my residents or to any consultants present today. Instead, allow me to refer Class 2016, with whom I have, in so many ways, braved the rigors of 4 years in Medical School and 1 year of medical internship. Allow me to present our Class SOAP today.

 

SUBJECTIVE

Class 2016 is a 5-year-old, multicultural group, who has come together from all parts of the world, with different co-morbidities and personality traits. The Class came in for thoughts and feelings of anxiety of 6 months duration.  Life was apparently well for the class until…

5 years prior to graduation, we accepted the challenge of a lifelong education, entering with a naïve but energetic spirit. We were lost in our own anxious thoughts, and were culturally shocked in the new environment we were immersed in. We were faced with the complexities of Anatomy, Biochemistry, and Physiology. From the ground emanated budding emotions of love and hatred, successes and failures. During the process, some left, some were left behind but still many survived.

4 years prior, more paper works were added to the already long list of subjects to study. Our time was consumed by preceptorships and interviews, thus studying had to be left in the crevices wherever they could fit.

3 years prior, the amount of paper works escalated exponentially to the point of neglecting the need to study or even listen to lectures. We kept on chasing deadlines that we forgot what really mattered – the very long examinations. For some, this was probably the most academically challenging year of all. If we recall, we were all instructed to attend clerkship orientation, clueless as to whether we actually made it or not. The rest was history, until…

2 years prior, we came to the end of classroom education and we were residing in the hospital as junior interns, living in a far different world where we slept in a cramped up or a make shift “lungga”. The class had its fair share of being addressed as “Ate/Kuya/Nurse/Miss/Mister/even worse simply a ‘Psssttttt!’”. We had endless duties day in and day out, sleepless nights because of bedside monitoring, referrals which were either torn or accepted, paper works, rounds, codes, OR/DR assists, labor watch, sleep-wake monitoring and the like. We weighed diapers, drained urine and colostomy bags, inserted and re-inserted IVs/NGTs/foley catheters and so much more. The time we spent together may even be longer than the time we spent with our own families, hence we got to know each other at a deeper level, allowing us to see each other’s good and bad sides during those good and bad times. These varied experiences shaped us and our perspectives, and with these, some inevitable twists and turns transpired along the way, where some old relationships and friendships were made stronger, some new ones formed and some old ones unfortunately came to an end. Nevertheless, we journeyed as one family until…

1 year prior, we had to be matched to our hospitals of choice, some of us were lucky with first matching, while the others were not, who were matched only until the first day of our official duty. Whether we were wrongly matched or not, we all went our own ways, separated by our choices. And here are the few that remained in our home base – whether chosen, forced, or left with no choice at all, who were ever ready to stand by the idea that we made the right decision when we chose to stay, ready to be enslaved once more! And finally, we got to wear the white coats, now as senior interns. We received referrals from our JIs and taught them what we learned from the previous years. Some of us enjoyed the blessing of authority through suggesting demerits and merits, crossing them out in their attendance logbooks, giving them quizzes, and sometimes doing midnight rounds with them. #ForYourLearningPurposesOnly #WalangPersonalan. This time, it was less physical work and less monitoring, but we had more censuses to edit and more responsibilities. We were actively involved in patient care under the supervision of our residents. It was a steep growth curve, but the class survived! And together, we conquered PGIship.

On the day of graduation, the class experienced ambivalence with a heightened feeling of anxiety hence this SOAP.

Review of systems revealed irritability, palpitations, muscle tension, sleep disturbances, and polyphagia.

 

PERTINENT OBJECTIVE DATA

                …showed that the class is awake, alert, conversant, coherent but restless, not in cardiorespiratory distress. Vital signs are relatively stable, save for tachycardia. Other pertinent findings include cold clammy extremities and diaphoresis. Mental Status Exam revealed that the class is in a state of heightened anxiety as verbalized. PE findings of other systems are unremarkable.

 

ASSESSMENT

Generalized Anxiety Disorder secondary to pending PLE 68 days from now

s/p 4 years of Medical School, s/p 1 year of Medical Internship

 

PLAN

  • Give BOLUS Signatures for clearances STAT. Please DO NOT DELAY!!!
  • Diagnostics:
    • ECG to check for residual heartaches and fears that need to be dealt with or resolved before the boards
    • 2D echo to check for emotional abnormalities that need to be stabilized
    • Electrolytes – to check for imbalances in doubts and self-confidence
    • CBG – to check for acute spikes of panic attacks
  • Treatment:

Allow me to share my treatment plan for Class 2016.

The first prescription is FAITH. “We have nothing to fear for the future, except as we shall forget the way the Lord has led us in the past.”* Remember, “man’s necessity is God’s opportunity.”**

The second prescription is DISCIPLINE. We are to discipline ourselves by gathering up every jot and tittle of knowledge and experience. Discipline also entails temperance and focus. Prioritize! Remember that the time we spent can never be brought back or re-lived.

Hence, remember this formula: FAITH + DISCIPLINE = EXCELLENCE

Do not settle for mediocrity. If best is possible, then better is never enough. God requires of us nothing but our best. Let us then strive for a rock-solid 100% passing rate. Class 2016, are you up for the challenge?

Excellence, after all, is not a skill but a habit; it’s not a destiny but an attitude; it’s not a seasonal aspiration but a way of life. Keep the faith, exercise discipline and achieve excellence.

Then lastly, follow-up with God. Make Him your FIRST, LAST and BEST in everything!

As difficult as it will be for any of us, I will miss and treasure the beautiful memories that we have spent together as a class. As we go on our separate ways, let us remember to look back to where we once were and move forward with greater hope that we can live the reality of our greatest potentials. Now, go and #LiveTheDreamUERM2016!

 


 

*Taken from EGW Writings, Life Sketches, p. 196, paraphrased

**Taken from EGW Writings, Testimonies for the Church, volume 4 p. 530

 


This was delivered by Jerald L. Pelayo at the UERM PGI’s Graduation (July 4, 2017) at the UERM Physio Auditorium. May this ever inspire our dear classmates, colleagues and friends!

With much love,

Jerald and Ardys

Your newly graduated Post-graduate Interns