Lessons from a Feisty Little Dog

Tsiken is our tan and black teacup Yorkie. He was bought with a hefty discount somewhere in Ortigas because he was already old for a pup (4 months) and no one wanted to buy him, for reasons unbeknownst to us.

He was energetic, his fur was a mess, but we loved him anyway. He would be me and my husband’s first dog – and first foray into taking care of a warm-blooded living being.

His name was intentionally misspelled – the Filipino derivative of the word and animal – “Chicken”, with whom our Yorkie had a close semblance to when he was first bought. He weighs 3 pounds, stands a proud 8 inches tall and is a little more than a foot long from snout to his short bushy little tail.

Tsiken is a social media darling for his sheer cuteness. Videos and photos of him shaking hands, staring at a TV and choosing a meal garner an average of 50 likes in a span of 4 hours (better than my post about “why I chose Endocrinology as a field of specialty in medicine”). Heart/dog/smiley/kiss/hug emoticons fill the comments section – people apparently prefer to express their reactions to cuteness with drawings than words.

He is a hit at home too. His diminutive size demands that he be handled with care. This also means he is the most portable dog – one you could easily bring to a visit to a family friend who lives a block away for instance. His head turns sideways when you talk to him – like he is trying his darnest to understand the English language.

But what I most love about Tsiken is his daily show of GUMPTION. If anything ever embodied that word, I believe it would be Tsiken.

He shares our home with his larger brother – Weiner Dog (literally, a weiner dog), who almost always beats him to the ball, the bone, the toy dog, the race to the ocean, the capacity to stay in the water longer without feeling cold, the couch, the lazy boy…but Tsiken is not bothered. AT. ALL.

sweet doggies

Tsiken playing with Weiner Dog


Tsiken just keeps at it! He keeps joining that race, that swim, that quest for the squishy toy. He adapts. For instance – he cannot jump onto the couch like Weiner Dog can, so he manages to find the corner of the couch, squeeze his body sideways and claw his way up like his most hated animal, a cat, until he finds himself successfully a top the couch (which thankfully is made of sturdy, claw resistant material).

doggies on couch

The red couch of power


This feisty little fellow lives an UNFAZED life. His bark is a tiny, high pitched one that is easily drowned out by the rest of the five bigger dogs in the compound whenever they decide to morph into a canine chorale. But he still barks with all his might.

What’s my point here? If you feel you are small, whether in stature/influence or clout, don’t feel bad. Small does not necessarily mean useless. Small can mean you can show the world just how you intend to beat the seemingly ginormous odds against you. Small is a platform for greatness, for innovation, for resilience, and most importantly, for the cuteness that you’ll need to raise an army of loyal followers…


“I dare you to not hit the like button…”

Rockin’ the Limbo Status

Between having to adapt to a freer schedule (yay!) and lack of tenure and hence uncertain economic capacity to feed oneself (yikes), having the status of a “recently graduated subspecialist or specialist” can feel like being stuck in a hazy intermediate state as I am recently discovering.

For most of us who will trail blaze the path of a physician for their families, it will be daunting. For those who will have a pool of patients to be inherited along with their family heirlooms, the challenges may be different, but not necessarily less difficult. As my current status is that of the former, I feel more qualified to speak for them.

Having been immersed in training for a good ten years, where academic and clinical skills were the focus of learning, I discovered a whole new world out here. For those who are still on their way, here are a few general tips from one who is right in the thick of things:

1.Save up NOW.

Practice not living from paycheck to paycheck while you are still being given a regular salary. If you have connections and/or are lucky, your first job comes right at the heels of your graduation given you also send out your CVs early (check out item #4 later). If you are neither, then at least you’ve saved up. You’ll be surprised at how fast money dwindles as the cash flow ebbs during the first few months.

2.Do NOT burn bridges.

This is not the time to go around saying “May the bridges I burn light my way”. One senior physician commented: “Not everything is WHAT you know, it’s also WHO you know.” While garnering awards and honors give prestige, a good work ethic and cultivating harmonious relationships while still in training will also score points, and sometimes matter more with your bosses and colleagues, who might eventually give you the break you need.


Put your laptop or smartphone or tablet to work and network away! Headhunters lurk in professional networks like LinkedIn. Attend medical conferences and mingle, your friend might have a friend of a friend who needs someone with your credentials. Various specialty and subspecialty societies post their calendar of events on their websites, take your pick.

4.Know and pay your TAXES

To paraphrase Ben Franklin, only two things in life are certain – death and taxes. With recent public pressure placed on the profession, we young doctors ought to take measures to not let anything besmirch our reputations – invaluable to clinical practice. Check out: www.bir.gov.ph for downloadable forms and their primer – more on this on my next blog ☺

5.Options for sustenance other than your mom and dad

Clinical practice
– Hold clinics near your residence to save up on commuting/gas money, if you have only one patient in a clinic that requires you to shell out 100++ for miscellaneous travelling expenses, your take home might be a pittance…worse if no patients come, which will happen every so often…
– Multispecialty clinics abound in the metro and are also budding in many regions in the country – drop in on one and talk to the clinic manager to know their vacancies and fees
– Be patient with your patients, they will be an important source of referrals.

Clinical trial. Try your luck as a medical monitor in one of the CROs (Contract Research Organization) in our country, like Parexel, Quintiles, Covance and Exodon. Those who’ve had experience working on a trial will have an edge here. The pay is considerable and part of your job may involve travel abroad.

Company retainer physician. Check out http://www.aventusmedical.com. For a fixed fee, the hours may be exacting and the number of patients to be seen many, but this is one job that pays regularly so it works for the meantime.

Industrial clinics, Hospital-based wellness centers, Ambulance conduction, Emergency room physician.

Medical school lecturer/preceptor. A welcome break for those who miss the academe. When pursued seriously, you might find yourself part of the faculty. This means tenure and benefits.

6. Endure

Be prepared for the times when your savings and mood dip. You’ll catch yourself thinking: “After 10 years of missing family events, wrecked sleeping patterns, physical, mental and emotional torment, this is what is waiting for us??” Just keep in mind that this limbo will not last. You are most definitely not completely helpless and you have the capacity to get out of it. They say all it takes is time, patience and the right attitude.

Occasional self-pity is normal but do soldier on, once you start earning and are able to give back to your family and the community at large, I am certain it will all be worth it.

For those who are or were in the same boat, feel free to add on to the list!