Tuesday, December 27, 2011


How Marilou Diaz-Abaya found health and healing in diving

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As writer, director, teacher and diver, Marilou Diaz-Abaya has never failed to astound. On every occasion where we have had the privilege to observe her, she has always revealed something new in her persona. We come home from the book launch of her latest project, “Reefs of Paradise, a Divine Gallery,” feeling blessed, discerning a holiness, a oneness with the Superior Being we have never yet experienced especially under such circumstances.
When we were done with the picture book she had come up with, in partnership with her medical oncologist, hematologist, bone marrowtransplant or stem cell practitioner, diver-photographer Francis Lopez, we felt having gone on a trip and having learned so many lessons from the deep. In Marilou’s sparse but incisively comprehensive text, she speaks of how the creatures of the underwater, from fishes to turtles, sea snakes and mollusks live together as “co-dependents,” which humans could learn to emulate, for a much more balanced ecological-social environment.
Like poetry, her words speak eloquently: “We move in cadence with all the other creatures, choreographed and orchestrated to share space and time in harmony, in symbiosis. There is much for us human to learn from reef life.”
At the launch, we saw a mingling of actors, film crewmen, musicians, nature advocates, medical doctors, relatives, friends. We spotted Jaime Fabregas, Jomari Yllana, Marvin Agustin, Sunshine Cruz, Marilou’s favorite actor Cesar Montano, guitar master Lester Demetillo, art lover and Chief Medical Officer of St. Luke’s Dr. Joven Cuanang, Margie Moran Floirendo (she produced Marilou’s “Bagong Buwan”), diver Ma-an Hontiveros, who’s also chair of the Reef Check Conservation Program, the cast and crew of Marilou’s elegy to the sea “Muro-Ami,” and Marilou’s writer-columnist friend Randy David.
Favorites
Page after page, while admiring the pictures and digesting the text, we find ourselves returning to certain sections, a particular photograph among the 142 in the book. A favorite of Francis is that of the yellow polyps (p. 55). Tita Cory, the most successful advocate of the color yellow, was his patient. He confesses to taking the yellow polyps photos during the last few months of her life. Without verbalizing it, this, too, is Francis’ tribute  to her indomitable spirit.
Like Francis, we also have our favorites. One choice perfectly demonstrates through color and variety the enviable co-mingling of God’s creatures (p. 32); while another (p. 93), which shows a family of fishes gliding peacefully among corals, is the perfect photograph in terms of sharpness, composition, light source and message. If we were a judge at a photo competition, I would select this as top winner.
Francis started diving with Marilou barely two years ago. “She brought our group to pristine dive sites in Anilao, places I have never seen before… I was simply awed and mesmerized. These feelings make me wonder that there must be a God who created these living creatures.”
He continued diving at least once monthly with Marilou, taking time out from his medical duties. He explains to patients that diving was his mental break, his means of recharging. For Marilou, it was her break from chemotherapy, after being diagnosed with breast cancer in 2007. In her intro to the book, she writes: “I am convinced that I’ve survived cancer this long partly because of the spirituality of diving in between chemotherapy cycles. Each dive somehow detoxifies me…”
It was only natural they both would conceive of a book of praise and thanksgiving for the gift of life underwater that they wanted to share with others. Ma-an Hontiveros, who wrote the foreword, affirms: “I believe this gem of a book will engender awe and respect for our marine ecosystem… as it gives us a glimpse, not just of paradise, of heaven here on earth.”
Likewise, proclaims Francis: “We have an obligation to be stewards of God’s creation and respect these creatures or ‘gifts’ that were given to us.”
Beginnings
We all know of God’s hand in His Kingdom under the sea. We know little of how this kingdom came about. We go to the Internet for assistance. We learn that coral reefs, dubbed the Rainforests of the Sea, were formed after the last glacial period, and are less than 10,000 years old. Yet they are among the most diverse and biologically complex ecosystems on earth, supporting 33 percent of marine species. They grow in tropical waters which are clear, warm and shallow near the equator, which includes us.
Each coral colony is composed of tiny animals called polyps, which stay fixed in one place, providing food and shelter to a large variety of species. These reefs provide adjacent coasts with protection from destructive tsunami waves; serve as environmental indicators of water quality; prop up economies through tourism; serve as important sources of new medicines. We also learn of how the coral reefs deteriorate and die, many times through man’s irresponsibility and greed.
We are confused as to the difference between reefs and atolls, and go to Marilou for clarification. Apparently, reefs are coral structures and trenches along coastlines, while an atoll is a huge rock formation encrusted with corals, standing alone near coastlines. We read from the book that it takes the Creator a year to form corals horizontally from 1-3 cm, and vertically from 1-25 cm. They have been evolving over the past 200-300 million years to become the largest living structures on our planet, and the only living structure visible from space.
From space? we ask astounded. “Yes, reefs, especially the Great Barrier Reef in Australia,” continues Marilou, “are the only living structures visible from space.”
Darwin’s discovery
Amazing. But there is even more to discover. Marilou writes in the book: “Darwin is known to have described tropical coral reefs as ‘oases in the desert of the ocean.’” Some 500 million years ago, plants and fungicolonized the land from the sea. Amphibians first appeared 364 million years ago; birds, 155 million years ago; mammals, 129 million years ago; homininae (gorillas and humans), 10 million years ago; and modern man, 0.25 million years ago. However, despite the evolution of these large animals, smaller unicellular organisms continue to be highly successful and dominate the Earth.
In 1842, Darwin published his first monograph entitled “The Structure and Distribution of Coral Reefs” where he set out his theory of the formation of atoll reefs, an idea he conceived of during his trip aboard the HMS Beagle at age 25. He began collecting corals in the Chilean Andes which so excited him. Darwin’s “geologizing” led him to theorize that coral reefs and islands were remnants of a sinking landmass.
Another book, “Reef Madness: Charles Darwin, Alexander Agassiz, and the Meaning of Coral,” talks of the rivalry between Agassiz and Darwin. A famous natural philosopher and scientist, Agassiz believed that the species was created only by God. This ran counter to Darwin’s theory of evolution. Both parties engaged in heated personal insults and attacks. We never imagined that scientists could have been this emotionally violent.
Reading the book has opened up numerous impressions and possibilities, some humorous, some divine. If, indeed, the creatures of the deep evolved through centuries from a single cell or fungus, there is still that question as to who created that solitary cell.
At book’s end, Marilou has written a Seaman’s Prayer with this excerpt: “Lord, let me marvel at Your reefs resplendent in the colors of salt and light, encrust them in me. Dolphins, whales, mantas, sharks, octopuses,sea horses, lobsters, angel fish, and I sing to your Glory!”
For orders and purchase of books, please call Rowena Francisco at 0947-9493054, 7245678 or 7228489. E-mail bibsy_2011@yahoo.com.

Saturday, December 17, 2011

CaviteƱo doc is worldclass innovator


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OUTSTANDING INNOVATOR Dr. Melvin A. Sarayba (second from left) receiving the Oustanding Innovator award for his work in eye laser technology. Cheering him are top officials of The Medical City (from left): Professional Staff Development Office head Dr. Blesilda E. Concepcion, Medical Services Group head Dr. Eugene F. Ramos, and Dr. Victor Caparas, chair of TMC Department of Ophthalmology
“It’s nice to be back home.”
Home to 43-year-old Dr. Melvin A. Sarayba is The Medical City (TMC) in Pasig City where he finished his residency training in Ophthalmology in 1999.
Sarayba came back to the Philippines early last month in time for the awarding of The Medical City Outstanding Innovator Award. The award was presented to him in recognition of his outstanding contributions and innovations in Ophthalmology, particularly in laser eye surgery.
During the awarding, TMC’s Chair Dr. Augusto P. Sarmiento told Sarayba: “You have given the country and TMC great honor because of your dedication and devotion.”
Sarayba is a research scientist in the United States. He is currently the Director of Clinical Affairs of LenSx Lasers, Inc, which developed the first femtosecond laser to receive US Food and Drug Administration (FDA) clearance for use in cataract surgery. Located in Aliso Viejo, California, LenSx Lasers, Inc. is now owned by Alcon Laboratories, one of the world’s largest eye care companies.
Femtosecond laser technology is considered among the most advanced and precise methods available today which could revolutionize minimally invasive eye surgery.
Exciting opportunities
Sarayba left for the US in 2001 for a research fellowship in cornea and refractive surgery at the University of California at Irvine (UCI).
After completing his fellowship, he joined Intralase Corp., the developer of the first femtosecond laser system for LASIK eye surgery, a procedure to correct near or far-sightedness.
“The plan was to do my fellowship training in UCI for one year and return to the Philippines to rejoin my group practice. It was during my fellowship training when I met Dr. Ron Kurtz, the cofounder of Intralase who presented me with the opportunity to pursue a career as a clinical scientist,” he said.
At first, Sarayba admitted he and his wife were hesitant to make such a bold move so they decided to give it a try for six months.
A backstage pass
“My experience took me to a place that I was never exposed to while I was back in the Philippines. It was like a backstage pass in the world of Ophthalmology. I got to see how the products I used as a clinician were developed and commercialized. I was hooked,” he said.
Sarayba narrated how he and Kurtz, his boss at Intralase, met and subsequently became partners. Kurtz was a retina surgeon working at UCI while Sarayba was then completing his cornea and refractive surgerysubspecialty training.
“He (Kurtz) asked for my help on a small research project and I provided a quality research study. That initiated our collaboration.”
Sarayba then progressed from clinical consultant to Clinical Scientist to Senior Scientific Product Manager while he conceived and developed clinical applications of IntraLase-Enabled Keratoplasty (plastic surgery of the cornea) and advanced keratoplasty techniques.
He became Global Marketing Manager for Advanced Medical Optics when it acquired Intralase Corp in 2007.  After a year, Sarayba rejoined Kurtz in LenSx, Inc., a start-up formed to develop a femtosecond laser for cataract surgery.
The femtosecond laser
He was the key man in developing the clinical applications for the LenSx, running multi-nation clinical trials, and eventually getting it through FDA approval. Alcon Laboratories later on acquired LenSx with Sarayba staying on as Director of Clinical Affairs.
The development of a femtosecond laser for cataract surgery is indeed a remarkable achievement considering the prevalence of cataract cases worldwide. Cataract refers to the clouding of the lens inside the eye. Cataracts generally occur as part of the aging process, but they can have other causes as well. In the Philippines, researches reveal that cataracts are one of the leading causes of blindness in adults.
Refractive cataract surgery allows the patient to be free or minimally dependent on eyeglasses after surgery.
Looking Back
Sarayba recalled that in 1997, when he was just a resident at TMC, the residency program was in its infancy.
“I was part of the 4th batch. We wanted to be a world-class training facility and we took it upon ourselves to make the change. The residents and the consultants in the Ophthalmology Department rolled up their sleeves and got to work. We wore many hats. It was like a little start-up company that showed great promise,” he said.
Sarayba believes the traits he acquired during his residency were instrumental in his success. He was always motivated to think outside the box. Thus, the term innovator fits him perfectly. His thirst for continuous learning brought him to UCI for fellowship training. And clichƩ as it is, the rest is history.
On being a Filipino
“Working in a start-up company required employees to wear many hats. Since Filipinos are known to be ingenious and resourceful, I fit right in. I found working with other nationalities easy. In fact, I can see many Filipinos would fit in well working with other nationalities because of our pakikisama(camaraderie, a traditional value)” he said.
Working alongside foreign engineers, doctors, and research scientists, Sarayba said “I never doubted my skills while working abroad. My training in the Philippines and further training in California provided me with superior knowledge in the field I was working in.”
On being an innovator
“Ask yourself this question: Can you live with the best things the world has to offer? If the answer is no, then you have the mind of an innovator,” he said.
The California-based doctor and research scientist said he would often hear people say, “I had that idea before” or “I could have invented that.”
“There is a big difference between coming up with an idea, turning that idea into concept and successfully commercializing a product. You have to go through all the stages,” he explained.
Sarayba likewise belied the common belief that opportunity to develop products is only available in advanced countries.
“That is not true. Doctors in the Philippines can be innovators too. They can find other applications for already available products and be innovators,” he said.
He stressed that being an innovator was not exclusive to people working in his field or in medicine.
“I would urge other people to ask themselves the same question. It doesn’t matter what you are: politician, public servant, entrepreneur, employee, etc. There are many things, I’m sure you’ll find, that need change. No one will do it for you. Wear the hat and take it all the way,” Sarayba advised.
Cavite born
Sarayba was born in Cavite City. He and his family visit the Philippines every two years. They spend time with family, relatives and friends, enjoying the Filipino food they terribly miss when they are in the US.
“My wife and I grew up with strong ties to our families and we would like our children to have the same experience. My kids enjoy spending time with their cousins while we are here, and we miss them terribly when we return to the US,” he said.