The Abundance we Suffer

by Eugenio Jose F. Ramos, MD

With the horrible things that preoccupied us at the height of the COVID-19 pandemic, we probably didn’t notice that good things also happened. The sky cleared up, ambient noise disappeared, expressions of love came spontaneously and often, priorities were rearranged under forced discipline in a lockdown, and aggravations in our head cooled down. Today, after the worst is over, we are hopefully able to see the past and the present with more clarity. Bad things did happen to good people, and bad people are still around to put us on our toes. The rich are as comfortable as ever, and the poor have remained despondent. Regardless of the lessons, the good and the bad will flourish. Depending on the default mode of our orientation, we are either grateful for the blessings that we have or perpetually stuck in a recurrent state of inadequacy. When we think about it – if we give ourselves time to reflect- our needs are simple, it is our wants that confound us.

Back home, we have a 10-cu. ft.  frostless ref and a 10-cu. ft. freezer in our kitchen, and a smaller ref by the bar adjoining our living room. The freezer is north pole to me as well as my wife who is a busy physician like me. All 3 appliances are open for exploration, a source of both pleasant and unpleasant surprises when necessity beckons. One Christmas, my wife discovered a turkey at the freezer’s farthest end of the uppermost layer. Carbon-dating fixed its ice-age at 18 months. I had heard somewhere that a turkey becomes most tender when aged in the freezer, which saved the day for our cook. We had a tasty unplanned turkey – at least half of it – that Christmas; the unfinished half was probably kept in the ref beside the freezer – a half-way-house of sorts– for a few more days after Christmas, unless the people in the kitchen finished it off right after the dinner. (If nobody remembered a whole turkey, who would remember half a turkey!).

The big frostless ref is opened more frequently, of course; no ice to dig food out of. After I bought a separate hot-and-cold water dispenser, however, I have been opening it less. When I do, there again is another reason for consternation! When our children were very young, the ref chronicled their “unfinished business”, e.g., half-empty tetra-paks with straws sticking out, half-consumed cake slices and sandwiches, or unfinished glasses of milk from the breakfast table, perched randomly on containers and boxes the contents of which are eventually smelled, taste-tested and vetted for human consumption. Any ounce of doubt lands the food into the garbage bin. Since the ref is frostless, no ‘icebergs’ serve to remind us that another cleaning is in order. The memory of the last cleaning is not the basis for the next; there is no such memory. Cleaning the ref becomes imperative only when molds are discovered, and everything else inside quickly causes dread. The ref has become a parking lot for over-ordered food deliveries and uncompleted overindulgence, a snapshot of abundance that hasn’t travelled down the gastrointestinal tract. Last week, for instance, I saw 2 half-empty bottles of salsa of the same brand in 2 different locations inside. Since the salsa lover is my son and he would only open the ref to look for what meets his eyes, and since his mother seldom opens the ref herself, the likelihood that a salsa “out-of-stock situation” in the pantry would trigger a trip to the supermarket is real; it happens all the time.

The smaller ref by the bar is south pole to everyone because we rarely linger in that part of the house. It is an exclusive repository of fruitcakes, chocolates, and other sweets. Almost all are gifts and pasalubongs (by their glut, we no longer doubt why diabetes has become an epidemic). Our fruitcake collection is enviable – from the ones that look expensive by the nature of the nuts that they embed to ones that are given as a token of get-it-over-with thoughtfulness. A first-in-first-out policy in serving fruitcakes is employed, some of which have been in the ref for 2 years (not because we like to hoard, but because nobody remembers that they are there). I tell the househelp to serve the fruitcakes to people who drop by the house – especially their own relatives – along with the ground coffee from the hinterlands that has lately become another common giveaway. But they always forget because other than the fruitcakes (just half a dozen so far this season, welcomingly replaced this year by rum cake), there are still cakes in boxes on the kitchen table that must be given away first. Indeed, sugar is the common ingredient of most giveaways every Christmas, poison only to those who can resist putting a slice in their mouths. The cakes at home are in addition to the “thank-you” cakes that my wife and I regularly receive (with resignation) from well-meaning patients in the clinic and the hospital. We give them away to our secretaries, the nurses, and the residents, preferring to focus on the pleasure of giving instead of the adversity that sugar causes – something like offering present gratification over the health hazard that may or may not happen in the future. All in the spirit of Christmas!

But this is not just about food in and out of refrigerators, we can check our closets, too. We see clothes and neckties, scarves and barong materials, hats and accessories, and shoes and belts – all gifts – in random states of disarray, some still in boxes, used no more than once or never at all. Among many of us, our living rooms, bathrooms and bedrooms, too, are a repository of air purifiers, scented candles, Occitane hand lotions and soaps, kitschy decors – accoutrements of style that clutters the senses. Every Christmas, we exchange gifts with friends and family; we give, and we receive. In some instances, we give because we received. The usual giving-and-receiving cycle becomes a closed loop among friends and colleagues – an picture of urbanity that conjures exclusivity and inaccessibility to many Filipinos who have to work for daily wage. It is, in fact, an insensitive exchange among materially blessed people with big refrigerators that are seldom opened, and closets that are full of unused clothes and dusty boxes. We in the medical profession give each other gifts because we refer patients to each other. We love to give gifts to people we appreciate; we relish receiving gifts from people who appreciate us. But the gifts, themselves, we seldom need, rarely use, or eagerly consume.

But, of course, it is the thought that counts!

As we elevate humanity from the pits of materialism and captive utilitarianism, and acquire the sophistication for simple decency and civility, how we wish that in time people would learn much simpler ways of expressing profound gratitude, and to expect nothing more than the sincerity and sufficiency of such a gesture, without having to give or receive in excess that contributes to  waste and clutter. Waste aggravates global warming and environmental degradation, not to mention molds in refrigerators, poor health and obesity, decadence and misaligned values.  Why can’t we give because it is the right thing to do, and not because we must? For whom do we give, really, when we give away what we have in excess, what we don’t want, or when we no longer have space in our homes for the next batch of gifts and purchases for the holidays? What joy is there to give away what we don’t value other than it saves us space?

I still practice, on occasion, a ‘panata’ to load my car’s front seat with fresh goodies – even the ones I like to keep (good fruitcakes, included) – and drive around during the Christmas season. At traffic stops, as the street-children swarm around the car, I bask in the opportunity for redemption. In their younger years, my children would join me in the car – with the toys that they initially did not want to give away. Seeing their faces glow as they handed over their favorite toys to the street children was bliss. Giving to refresh our values and reorganize our priorities is not really a selfless act, but it’s a good start. They say it is wrong to give to these mendicants; it will spoil them. Mother Teresa had a rebuke to this: “What’s wrong with spoiling the poor? We have been spoiling the rich all these years!”   

We, physicians, have been spoiled for a long, long time more than we care to admit. We have been receiving blessings that are easily overlooked because we mix them with – or mistake them for – what we think we are entitled to receive. The pandemic seems to have evolved a new way of adapting to the virus of materialism that sets the lucky ones apart and further spurs social inequity. No doubt, the medical profession makes us more comfortable than most. The rest of our fellowmen are not as fortunate, hanging by the clutches of inequality and uncertainty amid our abundance. We now see blatant greed undisguised, as colleagues give in to the vulnerability of their needs and the vagaries of their want.

Perhaps, we should be less dependent on freezers and frostless refrigerators so we could discern what is fresh from what has molds, what we should preserve from what we should let go.  Unless we find the time to reexplore where we came from and how we began, who can tell how many succulent turkeys there are buried in the thick ice of insensitivity, just waiting to be rediscovered – to awe and transform us!

We have more than what we need, yet wanting more keeps us distracted.

Comments

comments

torrent
Very good post. I absolutely appreciate this site. Continue the good work! Jonell Nester Etrem
access
My partner and I absolutely love your blog and find the majority of your post's to be precisely what I'm looking for. Does one offer guest writers to write content in your case? I wouldn't mind publishing a post or elaborating on a number of the subjects you write with regards to here. Again, awesome website! Alfy Forster Ahmed
access
This information is priceless. How can I find out more? Elissa Welch Wootten
filmkovasi
Only a few blogger would discuss this topic the way you do. Danica Leonerd Burrow
Eugene Ramos
Such a long comment, unfortunately I do not know how to read your language.
Williamcep
<a href="https://hydra1onion.com" title="гидра сайт ссылка" rel="nofollow">гидра сайт ссылка</a> доступна в тор Браузер, тор браузер это свободное и открытое программное обеспечение для реализации второго поколения так называемой луковой маршрутизации. Это система прокси-серверов последовательно связанных между собой в длинную цепочку интернет соединений, позволяющая устанавливать анонимное не оставляющее следов сетевое соединение. Рассматривается как анонимная сеть виртуальных туннелей (VPN), предоставляющая передачу данных в зашифрованном виде. Свою актуальность получил как инструмент для “свободного” интернет-серфинга, в частности посещения заблокированных сайтов таких как Гидра и аналогичных ресурсов из теневого интернета (Darknet). Используя тор браузер Вы остаетесь анонимными только до того времени пока не начнете сохранять свои личные данные, не нужно забывать о своей безопасности, поэтому мы рекомендуем Вам не сохранять пароли и иную информацию, используя которую злоумышленники смогут Вам навредить, чистите кеш, куки и удаляйте историю.
Eugenio Ramos
The crisis is still with us and will likely persist longer than hoped for. Months have passed, the impact now includes an increasing manifestation of mental exhaustion, alleviated perhaps by a more deliberate effort to practice mindfulness amid the mindlessness of situations around us. We are likely going to be stronger if we are able to survive.
Eugenio Jose Ramos
Ella, I think things can really get better once we all find the time to grant ourselves the gift of solitude - to situate ourselves in the overall scheme of things, to decide where we can contribute more and make a difference, to become part of the solution rather than add to the problem. Getting deep into ourselves is just as fulfilling as exploring the vast possibilities in this crazy world filled with all sorts of creatures.
Ella
Purpose and pride by serendipity... To reflect and not miss out why humanity is so inspiring... Reveals a profound understanding of ourselves... The power of the collective emerged... Opporunities for genuine leadership... Period of profound cleansing and renewal... Health for the Filipino people... Too many beautiful lines to mention. Despite our efforts to control the outcome of our future, life finds a way to surprise us. This pandemic taught us to embrace uncertainty and find a sense of peace, clariity and purpose amid the chaos.
Eugene Ramos
Avery, education can entrap us; in fact, a lot of what's wrong with our society is because of the education we receive from the academe. Then from medical school where the student gets basic education, he starts residency with all the idealism to help humanity. Something happens in residency; he loses that idealism as he experiences frustrations, finds ways to go around them, develops a liking for role models that perpetuate the fabulous lifestyles of doctors with successful medical practice. From taking up medicine to help his community back in Surigao, he trains to become a specialist that can only succeed by staying in Manila.To begin with, there are no hospitals in Surigao to train in, and there are no hospitals there that offer what Manila offers. This is the reality. More than 50% of medical specialists are practising in NCR. So where does the crisis start and how can we end it?
Avery
thought the article was something only you could write. I am not a doctor and neither do I have the slightest idea of how the leadership system in the PCP works, let alone the ideology and values that the leaders possess. When I examined the problems that you have pointed out it made me realize that clearly it will take a ton of effort to reconcile everything, from the opposing ideologies, political inclinations, values, interests etc... not to mention emotions and temperaments. the part were you mentioned "acquiring breadth tempers restlessness." Really struck me because it is one hard truth. I know because it's in my nature to be restless when presented with challenges or when my idea is put out on the open. My insight is that, isn't it the point of education to have you ready to negotiate your ideas and to allow your beliefs to be broken down wih the hope of having it rebuilt stronger? I guess you are right doc, the reason why a system is so stricken with conflict is that not one individual or one group for that matter is willing to negotiate for the common good, pudpud na pero totoo. No one is willing to take a deep breath, we are just at it like a dog chasing a freesbee, no thinking just all bark and aimless running.
Eugene Ramos
Edgar, There is actually so much pleasure - a rare kind of fulfillment - in sharing not what is easy to give away but what is part of ourselves. It is great that at 47 you already have that in your mind.Believe me when I say that the things that we are so attached to are the ones that give us most fulfillment, when we are finally able to detach from them. Such is happiness; the more you give it away, the more it stays with you. Gene
Corazon Devera
Life is too short. So you have to give time to your self and people around you. Material things are not the answer to one's happiness. Making others happy is what counts most.
Elvira Lastimosa
Belated happy birthday doc!
Eugene Ramos
Thank you, Professor Rudy, there is actually a big difference between complicated and complex, just as simple is not the same as plain. Language makes us homo sapiens different from the apes; the ability to organize our thoughts in a way that is clear, elegant, and with impact is far too important to be expressed just by yes and no.
Eugene Ramos
Coffee with you will be a great honor! We all will have our own time to experience what you are experiencing, there is never any doubt that everything is transient. Temporary. Impermanent. What we can do is to use all opportunities that come our way to do good in the remaining time that we have, to be thankful for everything that makes this journey such a joy!
Rhiza F. Valdes
Gene, your gifts are immensely abundant and now you should realize you have shared a lot to your family, friends, colleagues,and to those who care for you and those you care for( patients included) At age 53, I was faced with a health crisis that made me reflect and think , asking myself, what next? Plans were shelved, opportunities missed, heart aches occurred, made me realize the temporary state of life. Nothing permanent except for Change. Disappointments V's happy conclusions. Real friends, kindred spirits V's those who are just passing by, through my life. All are important and left impressions and have life changing marks in my life.. My world and that of my family's were affected by a life changing, strong event a year and a half ago. I was thrown into panic and confusion at first but I realized there is a plan for me. Struggling through all the changes in our lives, my family held on to our faith.. For hope and happy acceptance for what will come. My last treatment will hopefully be this July. I was staring at the sculpture in the garden last Saturday and I realized the answer has always been in my heart--- a heart that longs to give out love, to care for family, friends, colleagues, and patients, in a way that goes beyond what my mind tells me. If I don't make sense, Coffee ?
Rodolfo deG Ibanez
Hi Doc Gene, Ma'am Jopie is right. People with your intellectual acumen tend to complicate simple thoughts. You see complexity with answers limited to yes or no or one liners that seem to give no meanings because in their simplicity, the suppleness of the limited words hide the sincerity in its meaning. But this how the likes of Aristotle, Descartes, or even the language of Shakespeare able to reach out to people of higher intellect. Reading your thoughts written in well crafted prose expressed the sentiments of a man who has complete command of the English language. Your reflection led me to the thoughts of Jostein Gaarder, author of Sophie's World, "If we were never ill we would not know how it is to be well; if we never knew hunger, we would take no pleasure in being full; If there were never any war, we would not appreciate peace; and if there is no winter, we will never see spring." And it is in the opposite that we live life
Edgar Lerma
https://twitter.com/edgarvlermamd/status/751949087490973696
Eduardo Vicente S. Caguioa, M.D.
The crisis being referred to in the first part seems to be totally different from that referred to in the second part. In brief, the first part may be attributed substantially but not totally to poverty driven needs and uneducated population still stuck in old beliefs and lifestyle that filter into the political landscape during elections so that elections become mere extensions of a political dynasty rather than a mechanism of change for the better thru meritocracy!! Needless to say, the incumbent and past incumbents have made measures to ensure that this mechanism will not change. So why blame the clueless "mass population " who have not been educated better purposely - history is replete with this type of strategy on how to control a population and maintain power from the time of the Romans up to the present - the recent news about lack of classrooms and schools not being and the budget not being spent in certain areas speaks for itself! Reminds us of certain countries now and states that are in turmoil because of this long acting mechanism! The second crisis, referring to Doctors, is more complex and cannot be put in the proper light in just a few comments! It must be viewed on how medicine advanced with technology and how training had to keep up with the advances. It must also be viewed thru the eyes of generation x and now thru the eyes of Generation Y - the millennium generation who have starkingly very different characteristics amongst which is the "me interest" and lack of regard for "hierarchy or authority " and that they succumb to stress quickly. The role of PCP has evolved as it used the products and minds of many different training mechanisms. As internal medicine became more demanding because the knowledge base from sub specialties grew, PCP naturally had to get more sub specialty members - the growth in internal medicine is fueled by the explosion of knowledge in all of its sub specialties - it is the training institutions all over the world that have changed the landscape, not PCP. The trainee now has more choices and opportunities to choose where to put his skills to the best use! The question you are asking is why are the trainees that have long trained and spent much not willing to go to a place where they cannot use what they chose to train for ... That needs a long discussion