When in Rome, do as the Romans do

The thing with travel—to make it work, to make it actually happen—is to plan ahead with reckless abandon. You don’t know what will happen in the future, except that you will grow old, your knees will give up on you, and you will eventually die. So book an overly discounted ticket months earlier, free up your calendar, and see what happens.

My college friend Jef and I did all of the above. I’d last seen him in December 2024, when Manong and I went around New Jersey and explored New York City—that “concrete jungle where dreams are made of.” Jef met us in San Antonio, where I attended a breast cancer conference. He drove us around Texas, and we met some of his family. I tell him to this day, Texas is my favorite state, a statement he finds fascinating, understanding, perhaps that pretty much of the United States remains unexplored territory for me.

I remember I was in between rounds, and he was at work in Dallas, when we made a video-call. This was in 2025. As with many of my friends, who think the same way as I do, we both came up with the idea of meeting halfway, somewhere in Europe. He did his graduate studies there; he is conversational in Italian and Spanish and French. How he learns languages quickly, how he managed to get straight unos in subjects many UP freshmen failed in despite spending the night playing table tennis in the basement with me instead of studying, are proofs of his brilliance. His face and voice brightened up, “I know a lot of good places there.” Soon, Manong would move to Sweden to do his graduate studies, and we decided he could join us in the tour as well.

The tickets were booked. Immersed in the daily routines of clinics and classes, I saw the email reminders for the upcoming trip to Rome as a kind of a reward, a beacon of hope for the future. I hadn’t been to Rome, but it was the closest city to Naples, which fascinated me more. Naples is where the characters of Elena Ferrante’s Neapolitan Quartet lived and breathed. I prayed that the trip would push through. Weeks before the trip were flight cancellations because of the war in Iran.

During a brief layover in Abu Dhabi, which is geographically closer to the Strait of Hormuz than my home, a fact that led me to more intense prayers for safety, Jef sent me a photo of Manong eating carbonara in a Michelin-rated restaurant near the Airbnb that he had booked previously. (Jef asked us where we’d like to stay: in the city center, or in a typical Roman apartment, where real people lived? We chose the latter, “Gusto ko ng real.”) Jef said it was so good, meaning the food, possibly my brother’s company. I would meet them in about eight hours: a six-hour flight to Fiumicino Leonardo da Vinci Airport, then immigration, the luggage counter, and the Leonardo Express that would take me straight to Roma Termini, the central train station.

Jef asked me where I was. I said I was near the Swatch store, a few meters from the turnstile. He said I must have walked passed him.

There I saw him—my dear old friend and brother of many years—smiling, walking towards me in a blue shirt, shorts, and Islander slippers, how he had looked when we ate breakfasts together in Kalayaan Hall or walked to AS Lobby in 2004, with no care in the world that the people who were passing by were in tailored suits and shiny shoes in typical elegant Italian fashion. He remained unchanged and untouched by time. His boyish laughter could be heard in the entire hall when I said something piercingly witty. So much has changed, and yet, as he and I would realize, we are still the same people.

He asked me what I’d like to do in Rome. I said I hadn’t thought about it, so much so that I got worried I’d be asked for an itinerary during the immigration check. He mentioned coffee in a pasticceria, a walk around the Vatican, a visit to the ruins, a hike to the Monumento Nazionale a Vittorio Emanuele II, and many more, interspersed with comments about where we’d eat and have coffee. He assured me, “We’ll figure it out.”

On our way to Baldo degli Ubaldi, where we’d be staying, he said, “Oh, and I’ve made reservations to Romanè, where Manong and I had dinner. The carbonara with guancale—so so good!”

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Closest view to the Vatican

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My student Hannah weaves her Tnalak into a white coat

week 22, 2012

Teaching is my happy job. The classroom is a balancing mechanism for an otherwise tedious clinical practice in cancer care. (The heaviness in oncologic practice emanates from an almost daily proximity to death and dying. There are days when meeting five patients in a day feels like a lot. Some of my friends will agree with this.)

Interspersed in my otherwise packed Google Calendar are lectures, seminars, and meetings. Behind them are the quiet tasks I often do after clinic hours: preparing my lectures, crafting my evaluations, grading my students' research protocols. These academic routines activate another part of me that is separate, but somehow still related, to my day job. In a sense, clinic work is my vocation; teaching my avocation.

I've been teaching since the launch of the College of Medicine (COM—as in "see-oh-em") of the Mindanao State University - General Santos, a fact that gives me much pride and joy. I find it a privilege to interact with bright students who would otherwise not have the opportunities to become doctors if not for government support. Half of our student population are from underprivileged Muslim and indigenous communities, many of them from Mindanao. COM is my happy place: the faculty members I work with, the college's support staff, even the canteen owners who give me an extra helping of pastil. 

A number of our students are scholars of the CHED Medical Scholarship and Return Service (MSRS) program, part of the provisions of the Doktor Para sa Bayan law (RA 11509). One of them is Hannah Joy Bento-Billones, one of my mentees! Dr. Popoy de Vera features her in his Philippine Star Column, Edukampyon. The article is entitled, "Weaving her T’nalak into a white coat," which you can read in full. 

Here are some excerpts. Dr. de Vera writes this about Hannah:

I met Hannah Joy Bento-Billones, a bright, articulate and self-effacing medical student. A T’boli from Lake Sebu, South Cotabato, she is the first in her community to study medicine and become a doctor. I told myself her story had to be told.

He continues:

Like the T’nalak, medicine was once a distant, impossible dream. When I first told my family I wanted to pursue medicine, my father grew quiet. I sensed both fear and disappointment – not in me, but in himself, for not being able to support his daughter’s dream. His line was, “Kaya ng utak, pero hindi kaya ng bulsa.” It was beyond what we could afford. For a time, I convinced myself that maybe medicine was not meant for me – maybe it’s for my children to fulfill someday.

When MSU GenSan opened its College of Medicine, it gave me a chance to revisit a dream I had once buried. I carry the reality of being a first-generation doctor in the making – the first pure Lumad in our family to pursue this path. My education has always been supported by scholarships, from high school through college. Still, there were moments when even that was not enough. At one point, my family had to sell a portion of our land just to sustain my studies.

I am also a product of a learning environment that prioritized inclusivity. At MSU-GSC COM, opportunities were never withheld because of ethnicity, social background or life circumstances. This support, together with the MSRS program, made it possible for me to continue even in seasons when continuing felt hardest. Tey bong slamat! Thank you very much!

Today, I am one step closer to becoming a physician. I will graduate this June. This milestone is not mine alone. It reflects the impact of programs like MSRS that invest in students who are willing to return and serve. It is shared with my tribe, the T’boli, and with every Indigenous community striving to be seen and heard.


We're so proud of you and your class, Hannah! 


In 2012, during a day trip to Lake Sebu with classmates, I took several photos and stitched them in an imperfect panorama.

Some books

I read with curiosity the personal diary of Dr. Michihiko Hachiya, who ran a hospital in Hiroshima, when the atomic bomb exploded. The incident would usher the end of World War Two. He did not intend for his personal diary to be published, but he wrote with vivid description and clinical accuracy. So much pain and compassion could be gleaned from his daily account. I loved that most of his entries started with descriptions of the weather. Despite his personal injuries, he kept working, ignoring otherwise sound advice to recuperate. What struck me was how much Dr. Hachiya loved his country and his people. He also loved science. In the midst of so much work of caring for the ill and dying, he continued to pursue clinical questions, particularly on why patients who did not suffer obvious physical injuries deteriorated after a few days or weeks, often of internal hemorrhage.

 The Doctor of Hiroshima

I'm preparing my creative non-fiction piece for an anthology I'm also co-editing. To get my brain pumped up, I'm turning to John Jeremiah Sullivan's Blood Horses: Notes of a Sportswriter's Son. I thoroughly enjoyed Pulphead, Sullivan's collection of essays. I'm also revisiting the Jia Tolentino's Trick Mirror, which the wonderful doctor-writer Dr. China Castillo gave me last year. So, so good. 

Blood Horses

I'm writing all about these to remember and to inspire you, dear reader, to get away from your smartphones and read a proper book. 

Nanay's kamuning

Kamuning

My mother's tiny garden is awash with fragrance. When I opened the windows at 5:30 am, I was treated to a sweet-smelling aroma coming from the garage. The source: her two kamuning trees (Murraya paniculata), offering their flowers this month of May, traditionally their blooming period. Their flowers are short-lived, which makes their existence even more special. As soon as the bees hop on them, or when rain drops fall from the sky, the flowers detach, falling to the ground like snow.

I wake my mother up from sleep. I pour her a cup of coffee and tell her to enjoy the lavish treat from the kamuning.

She tells me that she once overheard a Tagalog-speaking lady who walked by the street asking around, "Saan ang mabangong hardin?" It's a story Nanay keeps repeating.

"This is my Father's world," I sing in my soul...

And to my listening ears
All nature sings, and round me rings
The music of the spheres.
This is my Father's world:
I rest me in the thought
Of rocks and trees, of skies and seas--
His hand the wonders wrought."


Kamuning
Kamuning
Kamuning
Kamuning
Kamuning

Dot com

May is the month when I get reminded to renew my domain name registration. Web addresses are temporary. One rents them, until such time that the subscription expires and, if another party is interested, this web-based real estate can be owned by another entity. 

For me, the ritual of renewal signals the passing of yet another year. The domain name, bottledbrain.com, has been registered under my name since 2010. Previously, this blog could only be accessed through the address, http://bottledbrain.blogspot.com. (If you type the address in the web browser, you will be redirected to the dot com page -- which is essentially the same website.) It was Manong Ralph's gift to me. I was unemployed, penniless, still in med school. I asked Ate Kate, sister of my friend Wegs, for ideas on how to set up the domain name, and she gave me a referral to a Cebu-based company called Dreamcode Domains, to which I'm still subscribed.  A minor glitch happened in 2018: my domain name registration had expired, I couldn't contact Dreamcode Domains, and was forced to register a dot org address

But those were glorious days of the internet. People wrote in their websites. They got to know each other and made connections through shared interests. They left comments and linked to other sites. The internet was a growing, vibrant community. Blogs, or personal websites, in other words, were an important component of that ecosystem. That community began to crumble when social media replaced these personal websites. Many blogs became silent, or were replaced by companies that profited off them. People posted and interacted in Facebook-gated communities. Blogs were essentially forgotten. I'm oversimplifying things, of course. We know the internet's history is more nuanced than what I had outlined, but I believe that's the gist of the story: the blogs were taken over by social media, people simply got disinterested in them. 

But I kept on blogging because I like having a space in the web, a little corner I can temporarily own. Hardly anyone visits here now, I suppose. I stopped checking the web traffic years ago. I actually like the silence. 

I still check blogs. I read them regularly. I enjoy them and learn so much from them. These blogs are quiet islands in an algorithmic sea of social media falsehoods, hate, and pride. They are quiet cafes playing jazz music and serving hot coffee personally prepared by the owner, not run-of-the-mill, machine-prepared, AI-generated Americano. I'm over-dramatizing, but I hope you get what I mean.

Here's to blogs! May they survive another year! 


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On Psalm 40

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You have multiplied, O Lord my God, 

your wondrous deeds and your thoughts toward us;

none can compare with you!

I will proclaim and tell of them,

yet they are more than can be told. (Psalm 40: 5)

 

As for you, O Lord, you will not restrain

your mercy from me; 

your steadfast love and your faithfulness will

ever preserve me! (Psalm 40:11)

 

I meditate on the Psalms because they are real prayers of real people. They don't hide anything. They instead expose the realities of the human heart, including mine.

David wrote Psalm 40 where he "looks both backward and forward as he considers his need for God," according to Dane Ortlund. Birthdays, or any milestone in one's life that's worth remembering, offer someone a space for instrospection. What has one done with one's life? And what does the future hold?

My friend Hazel reminded me this year would be our last as thirty-something-year olds. I celebrated my birthday a few days ago. I chose a quiet celebration -- meaning, no grand celebration, save for a coffee chat with high school friends the day after. 

David's Psalm resonate with me deeply. My life is peppered with the grace of God multiplied many times over. His mercies towards my sinfulness and shortcomings are not restrained; they overflow.  What a real blessing to be alive in and for Him.