Good morning, beautiful

The anxiety and sadness creeps in, but I choose to face the monsters and fight them through. It’s probably the rain, or my hormones, but the gnawing feeling of not being good enough is here again. Mornings keep me hopeful though, it is a fresh start, another chance to build on the hope that is left. I know that every time I wake up in the morning, it is a chance to create the life that I promised to.

A weekend at home takes me back to the why of my existence. Here, we take care of each other, talk, laugh and make jokes. I am currently having an early grey tea together with some good cottage core instrumental music. The air is still cold but after two weeks, there is no rain. We can now dry our clothes outside and enjoy the sunshine. Amidst the tumultuous emotions that I feel, I take the sunrise as a sign that no matter how yesterday went, there still is today.

I go back to the city later this afternoon since my shift is at 7 AM. It’s quite sad because I don’t go home that often but then again, this is for a bigger purpose. The license to heal is a dream that I have not just for myself, but for the community. I only have to think about today, not the whole staircase, just today. Overall, I am still grateful for the tiny bits of time that I can still carve for family and friends.

I hope you also have a morning filled with hope and the belief that things get better in time.

28 things I am proud of at 28.

I am proud of myself for:

1. Choosing to live.

2. Having the habit of reading.

3. Making time for writing.

4. Being a reliable sister.

5. Being a reliable friend.

6. Being a good listener.

7. Being a leader.

8. Being more disciplined than I was before.

9. Being a good daughter to Papa.

10. Making more healthy decisions.

11. Being a good dog mom and aunt to our four dogs.

12. Being in a healthy relationship.

13. Honoring the work that I do.

14. The integrity that I built.

15. Being a law abiding citizen.

16. Exploring.

17. Facing challenges.

18. Healing.

19. Choosing love.

20. Being responsible.

21. Chasing my dreams.

22. Being creative.

23. Following my bliss.

24. Carving out time for exercise.

25. Finding ways to be better than I was yesterday.

26. Being compassionate

27. Being relentless

28. Being more calm.

I’m writing this because, I’m often too hard on myself. I plan on reading this especially on days when I am filled with much self-doubt. I do have a long way to go and a lot of things to learn and improve on, but for today, only for today, I want to just take some time to appreciate how far I’ve come because I honestly believe that being an advocate for ourselves and giving credit where it is due is a must.

An empath’s growth

Last night I had dinner with two of my friends. The main topic of the conversation was the dilemma of being the person who is there for everyone. While I was listening to my friend, I thought about the past. I too, used to be that person.

I would be there for a colleague who needed money for a family emergency, until she ends up not paying. I was there for a friend who had big problems in her personal life, I would sit with her until 5 AM just to make her feel better and I would lose sleep for her. When my best friend broke down I would drop everything that I was doing and be there in a whim. In my past relationship, I would cancel on a prior commitment just to be there when he was in need. I was the person who would bend over backwards for anyone even if it means I would lose sleep, get sidetracked, and lose myself in the process. I was too much of an empath. I was too helpful, too kind, too compassionate.

I thought it was the right thing to do. I thought that always being there for someone is a basic human characteristic that we all should possess. Over time, I noticed that I would get sad randomly, and that I was absorbing the emotions of my friends. I was conflicted because I want to be a good friend, but constantly being there for others was taking a toll on my mental health. I found myself in a really dark place, for quite a long time. Can’t I just be present but not get dragged into the loneliness? Am I a terrible person if I establish boundaries on who gets to access the empath in me?

It took years of practice for me to not absorb the sorrows of the person I am talking to. I realized later on that I can both be be there for them but not be engulfed in their pain and sadness. I started establishing boundaries. I decided that my energy should now be intentional. Since I have a limited amount of energy, I have to be mindful of where I place it. I can be a good friend without suffering the side effects of being the reliable one.

I learned how to say no. I learned how to protect my time. I became more mindful when the energy starts to take a toll on my psyche. I now have an internal alarm system that tells me to take a step back and not go further, or just stay on my side of the fence. “Just listen, Kate. Be the knowing presence. Be present. It doesn’t mean that I should feel every single heartache. I can just be present. My friend’s story is not about me. What my friend needs is someone who will hold his or her hand while they are going through this painful process.”

When I started doing that, it was like a certain warmth came over my body. I felt at ease. I now know that I shouldn’t be losing sleep over someone’s suffering. I am an effective problem solver when I have a full night’s rest. I can still choose to keep my internal peace even if a close friend is going through a difficult time. My friend can count on me but I am now careful to not let other people’s state, affect my wellbeing. I still have people that I will run to on a heartbeat, however, I have limited that to my sisters and my partner. The rest would need thought before I bend over backwards to attend to them.

I can only give when my cup is full. I cannot give from an empty cup. This is one lesson that I have learned from Oprah. I am just one human being. I can’t save the entire world’s problems. But what I can do is be present in every moment and offer every person that I interact with that presence. I attentively listen to a person who is talking, I now keep my phone whenever I’m in a conversation with someone. I try to improve on being a better human, day in and day out.

I hope that you, reader, can also learn how to establish and maintain healthy boundaries with your friends and family. Our energy is limited, so we can’t go around and let everyone take from our limited energy pool. We have to be mindful.

The sound of rain and the scribbles that come along with it

It’s been raining for weeks here at our place.

I used to dread the rain. Every drop made me sad. It also means that I won’t be able to go outside and do errands. I used get really blue when the rain is nonstop. Ironically, I now love the sound of rain, though it’s still limited to mornings. It is comfortable to drink tea and write on rainy mornings. It is cozy, cold but not too much. Rainy mornings create the best environment for writing.

On PLE preparations

As I vowed, I will lessen going home on weekends. I’ll keep it to once a month since I have to get serious about reviewing. I’m still doing flashcards, and attending Pathology lectures. As far as the review goes, I was both amazed and overwhelmed with how much Robbins has updated. There were tons of revisions in the 10th edition. It is good because it means that Science is advancing but on a medical intern’s end, it is overwhelming. I’m a bit worried with anatomy as well so I guess I’d have to restart anatomy coloring book sessions. I plan on coloring one page a day. It’s baby steps but I know that in 286 days, this effort would come into fruition. To anyone reading this, please pray for me, I need all the prayers that I can get to let me pass and top the boards.

On turning 29

Yes, my dear readers, I will be turning 29 in a few days. It’s quite surreal because I never in my wildest dreams thought that I’ll be doing all the things that I am doing right now. Ten years ago, I was this confused teenager, sad and depressed, however, I knew that I wanted to serve the people by becoming a medical doctor. Back then, the situation was immensely difficult. I thought I wasn’t going to graduate in university because we just didn’t have the money to sustain my studies anymore. I was even sure that I was going to file a leave of absence for a semester. It was just too depressing and yet ten years later, I am a Post Graduate Intern. This life is fucking amazing. It feels surreal to think that I’ll be a medical doctor in ten months. I never would have guessed that this plot twist would happen. Life is beautiful indeed.

On weaning off of social media and streaming apps

If I would have to choose what would be the best decision that I’ve made last year, it is weaning off of social media. I deactivated my facebook account in the last quarter of 2022. I archived my instagram photos and deleted the app in my phone. Recently, I also lessened watching shows on Netflix. Getting off those platforms had such a positive change in my soul. It was indeed worth it. Was it easy? Definitely not. I would get depressed because I wasn’t interacting that much online. I felt extremely isolated. Looking back, the rewards are worth it. I could last a day without scrolling on facebook or instagram. I compared my life with other people less. My life did not crumble because I haven’t been posting anything. To make it simple, life went on even with one less human online. Addictions are hard to break but the reward is definitely worth it.

On being with love of my life

I rarely write about my partner because he is a very private person. But since it’s our monthsary I have to at least mention him in this blog, he doesn’t even read this Every single day, I can’t help but think about what I did right to deserve him. He just provides me the blanket of safety and the source of warmth that my soul requires in order to function in this chaotic world. He is the best gift that the Universe gave. It’s funny because I can write about my previous relationships before easily. I can describe every single detail of every moment, but the instant I’ve been with my partner, I was literally out of words to describe how loved, supported, and contented I feel. I also never thought that it was possible to be in a relationship with such a beautiful human but, I am one lucky girl. He was the best choice, the best gamble that I bet on. I didn’t expect that I would find myself in a healthy relationship. But thankfully, I worked on myself and found someone who also did the homework, and when we met, it just clicked and the rest is history. I hope that any person reading this would believe that genuine love exists. My advice: Keep on living your best life and somehow the Universe will send your soulmate when you are ready.

That’s it for today’s ramble. What are you up to, reader? I hope you are in a good place, and if not, I hope you have the courage to live even just for the day. Everything takes one step at a time.

January

On multiple streaming subscriptions

It’s true that the happiness you get in new things only lasts in a blink of an eye. Lately, I find myself getting overwhelmed with having multiple streaming subscriptions (Netflix, Amazon Prime and HBO) and not knowing what I really want to watch. This is probably why I end up falling asleep whenever I open these apps. It seems like the movies are just too much and it feels like my life is not enough to see all the movies and TV shows that I want to.

On simple living

So far, simple living suits me. I ate hospital food that was served yesterday instead of ordering online. I still have trauma from the whole food poisoning thing that occurred last week but healing takes time lol. Mental note: always smell the food. You have an insanely sensitive gut, Kate.

2023 Vision Board

I am also on the process of creating my vision board. It actually takes me quite an amount of time to create my yearly vision board because I take every step into heart. I just love the Everything is Possible planner. It’s actually my third year using it and it just matches with my vibe. I am loving the habit tracker feature. As I wrote a week ago, I’m experimenting on building one habit at a time. So far, my January habit is waking up at five in the morning. It actually feels nice to be able to rise before the whole world runs after you.

On health and physicality

Writing on my 2023 planner made me aware of how much I’ve neglected my health and finances last year. I put working out on the back burner. I haven’t lost weight and I still have frequent migraines. This year I’ll be prioritizing my health. I’ll be getting lab tests, imaging, and bloodwork done. As a future physician, I have to walk the talk and have integrity. It is time to face my fears. So far I have have been carving out time for exercise. I’ve been doing yoga, Nike Training Club and dance fitness workouts. It feels nice to take care of your body. I hope I can continue this streak.

Hospital Rotation

I am currently rotating at the hospital’s Public Health Unit and we had our orientation yesterday. It’s a positive step forward that the hospital has this program since health promotion is a must. So far, I am leaning into this work of bringing health and medicine closer to the community. I just feel like this is the work that matters. Again, as much as I love the other specializations of medicine, I also want to help in giving access to basic health services to those who are in need.

On PLE review

For the Physician Licensure Exam review, I do as much reading and listening to lectures since this is our group’s last month of being a free elf. My current efforts are: answering Pharmacology and Biochemistry flash cards on Ankidroid on my idle time at work and attending Expert MD’s lectures. So far, I am enjoying learning. This is what matters for me. More than my goal of topping the boards, I still want to find the joy in learning information that will help my patients.

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This is it for the first few days of January, I hope we all have a peaceful and fruitful year ahead.

Waking up before the sun rises

I am experimenting on living a simple life for 2023. It’s kinda ironic because, being a doctor almost doesn’t support that lifestyle but here I am trying to live differently.

This month’s habit that I am practicing is waking up at 5 AM. I don’t want to fool myself in waking up at 4:30 AM so I decided that 5 AM is the magic number. It’s not too early because I can still get 7 hours of sleep, and it’s not too late for me to not be able to do my morning routine.

There’s just something about waking up before the world does that I find peaceful. No dogs are barking. I can hear the birds chirping. I can make and drink my tea in silence. I can write on my blog. I feel so primed and ready to face the coming day. I hope that I can maintain this habit in the whole January.

Amidst all the challenges that will come ahead, I know that the only step that matters is that I live my best life, and and that is one that is filled with peace. As long as I am doing what I love and finding as much balance as I could, I’m good. In 2023 I will wake up before the sun rises. I will choose to spend time listening to nature. I will live simply and love fully. I will keep on keeping on.

2023 is the year I become a licensed medical doctor. This is the year of growing, one habit at a time. It is a year of letting go of what brings you down and focusing on what matters. It is a year of little steps. This is about living a full inner life rather than doing things for the gram.

I wake up before the sun rises.

Let’s be better humans

Are we alone?

We can be surrounded by so many people and yet feel alone. Sometimes we advocate for something, and it’s just frustrating to see that not everyone operates on the same values as you. We all were raised in different environments after all. In whatever we do, I hope we make it a conscious effort to examine if what we’re doing is truly the real us, or if we’re are doing something just so we can please other people. I hope and pray that we all get better at being who we are. Personally, I do feel good. I sleep at night knowing that I contributed, that I gave the day my best shot, that I’ve been kind to my friends and that I did something that was true to myself. Although there are just moments when I still feel so alone, having a spiritual practice, such as writing makes me feel more aligned, and makes me evaluate the things that I do.

Love and belonging

Love and belonging are two things that is a necessity for us humans. We need to love and feel that we are loved, and we want to feel like we belong wherever we are. In my work, I do my best to exude that love and to be honest, I feel it reciprocated as well. Whenever I am rotating in a certain department and I sense negative energy, and too much gossip and doing work like it’s just another transaction, I get instantly turned off. There are departments though that I feel like I belong. It’s like my DNA knows that this is the right place for me. I still have time to think about what path I’ll choose, but so far I do feel that love and belonging in a specific department. They are the right combination of intellect, kindness, and warmth. The residents are nice to each other and they have weekends and holidays off so there’s no constant stress. No matter how enamored I am by other specialties such as OB-Gyn and Internal Medicine, I still see myself doing other things than being a hospitalist. I want time with family. I still want to go on nature trips, go the gym, play with my dogs, and travel. I still want to sing, dance, and write. All those things, I just couldn’t do while I was rotating on the other departments. I want to be in a place where there is love and belonging. I want to live again.

On rehumanizing and dehumanizing

Last May was a sad month for us kakampinks. I really wanted Leni Robredo to win the presidency. I just don’t understand how people could support someone who’s not even familiar with the Filipino’s suffering? Living in this world is just crazy. One of my friends even wrote an offensive comment on my facebook post. I have unfriended quite a number of people because of their political beliefs. However, I realized that we are all humans. We have to stop dehumanizing each other. My God, it is so difficult to do this. It is hard to understand when we can’t comprehend something, it makes it a lot harder to love.

I want to preserve my humanity and not engage, so I deactivated my social media accounts and decided to just stay still and be present in my life. No matter who is the president, no matter who the leaders are, I know that our lives will not drastically change in a snap. I am still a broke postgraduate intern living in a third world country, trying her best to survive and be of service. Aren’t we all just trying our best? No matter what we believe in, don’t we just all want to have a better life? Isn’t that something that’s common among us? I hope we treat each other as human beings again. I don’t want to base how I treat people according to their political beliefs. I want to be better at seeing everyone as a human being. Inhale. Exhale.

I’m not gonna do it perfectly.

As I was hosting a Christmas party last night, I remembered my first few hosting gigs way back twenty years ago, my goodness I started doing it at eight. I was very nervous. I even cried one time because one of my so called friends told me that I was just repeating what I was saying. When I was a kid, I was laughed at because I incorrectly delivered the closing spiel.

It’s funny because last night two surgeons told me that I was so good at this. Damn, that felt good. Looking back, I had epic fail performances, I’ve lost count of many embarrassing moments onstage but I learned how to laugh at it. Whenever anyone gives a negative comment, I just tell myself, “They can’t even do what I do. They don’t even have the courage to stand onstage, in front of so many people and make sure that everybody’s having a good time. Their opinions are valid when they can replace me and do what I do, better, onstage.” That was the trick. I rarely had panic attacks afterwards, and everything just felt natural. I was just being me. I am not perfect. I am not the best. But I am the only one who is absolutely good at being Kate. No one could ever out-best me at being me.

Even in my job as a doctor, I accept that I’m not gonna do it perfectly. But I sure as hell do my best to get better everyday so that I can deliver excellent work. Again, for those seniors who belittle us newbies in the medical field, “We’re not gonna do it perfectly.” Just watch us work and I swear we’ll keep on improving. I hope you see how we try so hard be good. I know for myself, that one day, I will be good, and this will all be just like breathing, it will be very natural and my patients will feel it.

On speaking out

This blog is my way of expressing my thoughts. It’s actually hard for me to type this but I am having an internal battle about the things that I see and experience in the hospital. Harassment is common in females. I don’t want to normalize it, and I am trying my best to put light into these issues. I get sad that I hear stories about female co-workers who get harassed in the hospital. I just get triggered when I think about it. I cannot and will never accept a world wherein men think like it’s okay for men to touch you without consent, and to comment on a woman’s body or anything that suggests sexual things. As an intern, I have personally experienced this and when you are in this situation, it sucks, because you can’t do anything, you just freeze. This person is your senior and as a powerless woman, how do you respond? Why can’t all men respect women? I am speaking out here because this is the only place that I can freely do this but, I just hate that almost all women have to go through this.

On important conversations

As hard as it is to talk about certain topics. I want to live in a world wherein we’re not afraid to have honest and vulnerable conversations especially about things that matter. Even if it is uncomfortable to talk about politics and abuse, I want us to talk about it. This is just a tiny effort on my part, but on my last breath, I know that I helped move the needle forward. Even if it’s a few inches, I want to know that I did something. I hope we don’t opt out, and that when we are in a position wherein our voice can be loudly heard, I hope we choose to engage in these conversations with utmost respect and curiosity.

On shame

Nobody wants to be shouted at, period. I wonder why this is normalized in some fields of medicine. As I am now choosing the next step in my career, my choice is based on values that I firmly believe in. I want to go to a field wherein seniors don’t shame their juniors for their mistakes. Being called stupid or dumb, is a big no for me. People who lash out instead of verbally articulating their needs is also a big no. Why is shaming juniors normalized? I understand that doctors have a high stress job, but it’s just not an excuse to be rude. So thank you to all the seniors who have treated us juniors like a human being, I will do my best to pass on what you have started. We are going to change medicine. We are not going to be monsters.

That ends my ramble. Hope we all live better.

The negativity bias

Hi there my dear readers, today I want to talk to you about negativity bias. Ding, ding, ding! We all have that and to be honest, I do experience that on a daily basis. Here in the Philippines, it is so easy to get inside that vortex. You just have to scroll and voila, you are in for a treat.

Anyway, how do we fight negativity bias? I have intentionally deactivated social media, because I found myself absorbing the energy that is just so rampant out there. I asked myself, who am I without all these influences, be it negative or positive? So far I felt a bit isolated, but the positive outcome of having spent more time being present than spending it scrolling, is, I am more mindful of my surroundings. I can bask in what is really happening in the immediate environment that I am in.

Negativity will always be there, and we have evolved to expect the worst because we used to be hunters, and there used to be all these wild animals that could eat us. But now, do we still need to be that way? Do we still have to protect ourselves the way our ancestors did?

For three nights, I have been panicking about so many things, PLE, my health, all the bad shits that could happen. Believe me when I say I have worked so hard to be in a good mental state but still there are times when, it just slips. I get anxious and scared, even if there is no literal threat that I am facing. So far, what helps me get out of this spiral are these:

1. Meditation.

2. Exercise

3. A solid morning routine

4. Talking to a friend for distraction.

5. Cuddling the dogs.

6. Spending time with my partner.

7. Writing.

8. Reassuring myself that everything will be okay.

9. Going for a walk.

10. Writing a gratitude list.

Ten years ago, I never would’ve thought that I will be working in a hospital because of how chaotic life was back then. There are times when I just can’t believe what’s happening. I can’t believe that it is possible to feel calm and at peace. I find myself waiting for the next shoe to drop, when there actually isn’t.

I made bold choices to have this kind of life and I worked hard and sacrificed, and toiled. I know that. Sometimes I wish I could erase all the trauma and scary things that I’ve been through just so that it doesn’t slip my mind and appear in my nightmares, but I guess I have to live with this. I have to accept the scary past and create happy memories, so that all the trauma would just occupy a small fraction of my brain.

Everything will be okay, Kate. You are doing what you can with what you have. You just finished another rotation in your post graduate internship, damn, you have finished medical school. You have the best support system, the best partner in life, good friends, and all that. I can’t ask for more. You can’t erase the past, but definitely you have created a beautiful present, and you can still keep on painting on this canvass.

I believe in you. You got this.

Of dreams coming true

I still don’t have a concrete reason as to why I chose this field. I just know deep in my heart that I am exactly where I am meant to be. To you, who’s reading this: Dreams do come true. As Oprah Winfrey once said, “Luck is when preparation meets opportunity.” I believe that every tiny step, bump on the road, curve ball and chaos that has happened in the past, has led to this moment.

A week ago, I just graduated medical school. Yes, finally, after four years of sleepless nights, unlimited exams, a global pandemic, here we are. Med school is now over and done. Hooray! I have been patting myself in the back for God knows how long because (if you have been following this blog since its early days) I really never thought that this day would be possible.

To be honest, I don’t know what to feel. I am happy, grateful and relieved. I am happy because, at least the bulk of studying is temporarily over. I am grateful because of all the people, who made this caveat possible. I am also relieved because, it is now less exhausting, at least senior internship will not require me to go on duty for 36 hours.

Junior internship was exhausting albeit life changing overall. If there is a word that is more extreme than that, please tell me because as far as I know, I reached my limit in terms of overall exhaustion. Medical school was hard. Medical school stole so much time that I could have spent with the important people in my life, but aah why is this still so fulfilling.

This brings me back to one of the toxic shifts in the medical ward wherein I had an epiphany. When I was still in my undergraduate days in UP, I used to love watching Marvel movies. I would download and watch every character’s movie, Iron Man, The Hulk, Thor, Captain America, etc. To be honest, I do not understand why I loved those movies, but for some unknown reason, I revel in watching Superheroes. 

Maybe because they give hope in impossible situations. They have principles that they try their best to live up to. They use their intelligence in thinking of the best strategies to combat the bad guy or to solve a problem that could lead to the annihilation of human race. I know it’s quite romanticized, but I hope you understand what I am trying to say. They try their best even if it means giving their lives in the pursuit of the greater good. I love those storylines. 

Is that related to me wanting to be a doctor? Is that why no matter how hard it gets, I’d still do this anyway? I am not a superhero with special powers. I know for a fact that I am just a simple human being who’s trying to help out sick people. I’m just a random human who loves Science, and gets a high in making strategies that solve health issues of people. As compared to those fictional superheroes, I am boring.

I still don’t have a concrete reason as to why I chose this field. I just know deep in my heart that I am exactly where I am meant to be. To you, who’s reading this: Dreams do come true. As Oprah Winfrey once said, “Luck is when preparation meets opportunity.” I believe that every tiny step, bump on the road, curve ball and chaos that has happened in the past, has led to this moment.