Welcome to My Site

If this is your first visit, welcome! This site is devoted to my life experiences as a Filipino-American who immigrated from the Philippines to the United States in 1960. I came to the US as a graduate student when I was 26 years old. I am now in my mid-80's and thanks God for his blessings, I have four successful and professional children and six grandchildren here in the US. My wife and I had been enjoying the snow bird lifestyle between US and Philippines after my retirement from USFDA in 2002. Macrine(RIP),Me and my oldest son are the Intellectual migrants. Were were born in the Philippines, came to the US in 1960 and later became US citizens in 1972. Some of the photos and videos in this site, I do not own. However, I have no intention on infringing on your copyrights. Cheers!

Wednesday, September 5, 2018

Are there Optional Clothing Beaches in Marinduque?

Photo from DuaneBurnett.com

One of My Most Popular Blogs with more than 8000 Views: Enjoy!

marinduqueawaitsyou.blogspot.com/2010/08/are-there-optional-clothing-beaches-in.html

Sunday, September 2, 2018

Call Me By My Name( Not Your Name)


I am not talking about the Oscar nominated movie with a similar title(Photo above). This article is about several names that I have been called and addressed, depending on who is addressing me. I arranged it from the most formal and to the least formal as follows:


1. Dr Katague: From My former professional peers in FDA, clients and regulatory officers from Pharmaceutical Companies all over the world


2. Sir David Katague or Sir David: From My former students from the University of the Philippines from 1956 to 1959. From Younger Readers/Followers of my blogs


3. Mr. Katague: From people I just meet in social functions and that I am not well acquainted with


4. David or Dave: Almost from all my friends, neighbors and distant relatives and most of my FaceBook friends


5. Kuya or Manong Dave: From closed relatives on both Macrine's and my side of the family

and lastly


6. Nonoy, Noy, or Nonoy Dave or Tito Nonoy : From my closed relatives from Iloilo, Philippines

My closed relatives-who call me Dad, Lolo, and Kuya or Uncle Dave.

Note: In some rare cases, I have been called other names, such as Hey you!, Husband of Macrine or Husband of the Patient, Father of Ditas etc...Someday, I would like to be called GrandPa or Lolo of CarennaKT.

Incidentally, when I was a graduate student in Chicago in the mid-1960's, a stranger once called me a coconut, and a Chinese immigrant.

Here's a list of ethnic slurs referring to Filipino-Americans. Not in this list is coconuts-brown outside but white inside-refers to second or third generations Filipino-Americans who acts just like a normal white Caucasian Americans but with Filipino skin and physical features.

www.rsdb.org/race/filipinos


Friday, August 31, 2018

An LVN from Blossom Ridge and My Home Health Aides

Macrine had been under the care of Blossom Ridge(BR) Home Health Care** Employees for the last 60 days. Visiting Nurses, LVN's, Physical and Occupational therapists as well as a home care aide( bathing) visit us twice a week. In addition, I have hired on my own, two home care aides from two private agencies ( Helping Hearts and Partners-in-Care). Helping Hearts aide comes MWF for 4 hours from 9:30AM to 1:30PM. She is a Mexican-American lady(LS) in her mid-50's. Macrine likes her because of her Spanish and their common love for Julio Iglesias music.

On Tuesday and Thursday, a Filipina-American(MR) helps me in taking care of Macrine for also 4 hours. Macrine also likes her. On Saturday and Sunday, a Tongan-American Lady(MT) in her mid 40's help us for 8 hours. I am not paying agencies fees for MT services, since she is a friend of David's coworker. May I reiterate again all these expenses for custodial care are not covered by my insurance.

Interactions between BR personnel and my hired home health aides occurs every now and then. One day an LVN (S) from BR who specialized in wound care came to visit when my Mexican-American (LS) care giver was also around. After the wound care visit, LS was upset so I asked her why. LS informed me she did not like the attitude of S who ordered her to move Macrine and not trying to help. When LS asked help from S to transfer Macrine from her wheel chair to the bed, S told LS she is not allowed to move Macrine because she is not a physical therapist. I can not believe this statement so we reported it to the Nurse Case Manager. The next day when S came to visit Macrine her attitude has changed. She offered to help my Filipina-American(MR) aide transfer Macrine from the wheel chair to the bed. Currently, I like to tease LS by telling her S is her best friend. LS gets upset when I told her S is her best friend.

There is another incident involving S that involved MR just today. When S came to the house this morning I was outside in the garage. MR was taking care of Macrine and was the one who opened the door for S. When S did not see me around she asked MR my whereabouts, asking MR where is the husband of the patient ( I guess S does not know that my name is David). Before MR could reply, she heard S murmuring that this visit is a waste of her time. MR did not like S attitude. When MR told S that I was just in the garage, S stopped murmuring and complaining about the visit as a waste of her time.

Overall we are happy with the other BR employees. We enjoyed the services of the Physical therapist (C) and the Bath Lady (A). We are also thankful for the services of the Nurse Case Manager(SB) who has ordered clinical supplies for Macrine in a timely manner. Special mention to C for arranging in a timely manner for the rental of the hospital electric bed. And to H -the occupational therapist for her short visits.

**https://blossomridge.net/

Wednesday, August 29, 2018

FDA Approved New Drugs for 2018- New Anti-Malarial Drug


A new drug as prophylaxis for malaria was approved three weeks ago-Arakoda. It is manufactured by 60 Degrees Pharmaceuticals, LLC. As a retired FDA Chemist and Team Leader, Anti-malarial Drugs was one of my expertise (for my GS-14 rating), so this approval still interests me, even though I have been retired since 2002(http://davidbkatague.blogspot.com/2011/12/fda-years-and-maryland-1990-2002.html).

Here's the announcement from www.pharmacytimes.com dated August 9, 2018.

"The US Food and Drug Administration (FDA) has approved tafenoquine (Arakoda) tablets manufactured by 60 Degrees Pharmaceuticals, LLC, for malaria prophylaxis in patients 18 years and older. This is the first new drug approved for the prevention of malaria in more than 18 years.

The approval comes on the heels of GlaxoSmithKline (GSK)’s tafenoquine (Krintafel) approval last month, which was the first single-dose medicine for the prevention of Plasmodium vivax malaria relapse in patients over the age of 16 years who are receiving antimalarial therapy. Krintafel is the first drug to be approved for the treatment of P vivax in over 60 years.

Both approvals were made under the contingency that GSK, and now 60 Degrees, complete post-marketing studies on the safety and efficacy of the drug formulations. Specifically, according to the FDA, GSK is required to "conduct an active pharmacovigilance study to evaluate safety, including hypersensitivity, neuropsychiatric, and hematologic adverse reactions, in patients taking Krintafel (tafenoquine) for the radical cure of P vivax malaria." Likewise, 60 Degrees is required to conduct "postmarketing studies to assess the drug's efficacy in children, older adults, and heavier individuals, and to answer questions about psychiatric safety and other adverse events."

Arakoda (tafenoquine) is an 8-aminoquinoline antimalarial drug indicated for the prophylaxis of malaria in patients aged 18 years and older.

Dosage and Administration

Loading regimen: (for each of the 3 days before travel to a malarious area)
200 mg (2 of the 100 mg tablets) once daily for 3 days

Maintenance regimen: (while in the malarious area)
200 mg (2 of the 100 mg tablets) once weekly – start 7 days after the last loading regimen dose

Terminal prophylaxis regimen: (in the week following exit from the malarious area)
200 mg (2 of the 100 mg tablets) one-time 7 days after the last maintenance dose

Warnings and Precautions

Hemolytic Anemia: G6PD testing must be performed before prescribing Arakoda due to the risk of hemolytic anemia. Monitor patients for signs or symptoms of hemolysis.

G6PD Deficiency in Pregnancy or Lactation: Arakoda may cause fetal harm when administered to a pregnant woman with a G6PD-deficient fetus.

Arakoda is not recommended during pregnancy. A G6PD-deficient infant may be at risk for hemolytic anemia from exposure to Arakoda through breast milk. Check infant's G6PD status before breastfeeding begins.
Methemoglobinemia: Asymptomatic elevations in blood methemoglobin have been observed. Initiate appropriate therapy if signs or symptoms of methemoglobinemia occur.

Psychiatric Effects: Serious psychotic adverse reactions have been observed in patients with a history of psychosis or schizophrenia, at doses different from the approved dose. If psychotic symptoms (hallucinations, delusions, or grossly disorganized thinking or behavior) occur, consider discontinuation of Arakoda therapy and, evaluation by a mental health professional as soon as possible.

Hypersensitivity Reactions: Serious hypersensitivity reactions have been observed with administration of Arakoda. If hypersensitivity reactions occur, institute appropriate therapy.

Delayed Adverse Reactions: Due to the long half-life of Arakoda (approximately 17 days), psychiatric effects, hemolytic anemia, methemoglobinemia, and hypersensitivity reactions may be delayed in onset and/or duration.

For more information read the drug product insert.

For a list of other drug approvals for 2018 read the following site:

https://www.drugs.com/newdrugs.html

Monday, August 27, 2018

Kindness of a Stranger-Free Haircut for Macrine

Photo by J. Jesus
My barber is a young South Korean lady probably in her early 30's. She told me her parents immigrated to the US about 2 decades ago and she is a Roman Catholic. This is all I know about this personable young lady who cuts my hair every 4 to 6 weeks.

One day, I mentioned to her that my wife who is home-bound in a wheel chair needs a hair cut. I asked her if she does home service haircuts and if not if she knows of any one.

Without hesitation, she said she does this kind of work but for free as her humanitarian and charitable project. I insisted I pay her. She said if I pay her she would not come. I gave her my phone and home address.

The other day she called and dropped by our house after her work at the Barbershop. She complained she had a busy day with dozens of kids having haircuts all day and getting ready for the opening of the school year.

She came to the house just a few minutes after our dinner. The smell and aroma of the Kare sa Pata *( Pigs Feet with peanut sauce) that I cooked that afternoon was still permeating the whole kitchen and dining area. David III asked her if she eats pig feet.

Without hesitation she blurted out this response: I am Asian you know that so I eat anything. What a sense of humor.
David packed her a sample of my Kare with shrimp paste(bagoong) and orange juice to take home. She plans on cutting Macrine's hair every 4 to 6 weeks.

Thanks a million Agnes Chung for your generosity. I hope what you give will be returned a thousand fold!

For my other blog on Kindness of Strangers please read:

https://davidbkatague.blogspot.com/search?q=kindness+of+a+Stranger

Read this site for the recipe of my Kare: *myfavoritepinoydishes.blogspot.com/2016/04/my-simple-recipe-for-kare-de-pata-pork.html

Saturday, August 25, 2018

A Brief Tribute to Olga Nieva Luarca Quiazon


I just read on Facebook today that Olga Nieva Luarca Quiazon - Macrine's first cousin on the Nieva side of her family died early this morning. I was so shocked I wish it was faked news. Immediately, I called Lito Quiazon, Olga's beloved husband. He confirmed it. Olga was very close to Macrine and me, since she was the only first cousin that kept in touch with us via telephone call regularly. I do not have the courage to inform Macrine yet. I am scared that this shocking news may trigger her to deep depression since she is suffering from Parkinson Disease. Here's the announcement in FB from Benny Luarca-Olga's brother:

Facebook Relatives and Friends, It is with deep sorrow and sadness that we announced the passing away of our eldest sister Olga Blanca Nieva Luarca Quiazon in Richmond General Hospital in British Columbia, Canada.

She died 5:40 AM 25 August 2018 due to pneumonia and infection. She had a long battle with Cancer. She was 72 years old. We requests for your prayers for the Eternal repose of her soul. Rest in peace Ate Olga.

Here'a a photo tribute of Olga with us: We will missed you very much, Olga. Rest in Peace. Amen!





Funeral services and arrangement will be announced soon!
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