Thursday, July 15, 2010

HP Manager Died of HeatStroke during the Milo Marathon??

I was tagged in facebook with this story by my friend in Manila.
As I read through all these..my heart broke and feel sad about what happened to Remus, 
37 years old who joined the Milo Marathon and died 2 days after he went into a coma.


I can only pray...
Pls. read on and share to your friends and loved ones.



Remus Story as told by his Father






Note: This story has been received from Rudy Fuentes and slightly edited for public posting. If you want a copy of the original document leave a comment here with your email or email Rudy Fuentes directly at ruddi47@gmail.com



REMUS FUENTES died of multiple organ failures as result of heatstroke two days after he ran the 21K in the recent 34th Milo Marathon last Sunday, July 4, 2010.
His death was the result of fatal mistakes, sheer incompetence and gross negligence in the event organized by the Organizing Team.
My son, 37-year-old Remus ran the 21K together with a running buddy when he collapsed at 19.9 kilometer mark. There was none of organizer’s ambulance nor marshalls to respond in the incident. Policemen hailed for a taxi and they, together with his buddy, assisted in bringing him to the nearest hospital, Ospital ng Maynila. At the ER, the diagnose was suspected heart attack. My wife and me, upon being informed by his younger brother, Roy Fuentes, who also ran the 21K, rushed to the hospital and saw that Remus in coma, had seizures and struggled breathing in spite of hand-pumped oxygen and dextrose attached. His body temperature was 40 degrees C and when asked, the medical attendant told us he had fever. She introduced paracetamol intravenously twice at interval of about 15 minutes. Remus continued having seizures even until the arrival of Medical City doctor & ambulance attendants that we have arranged for his transfer. The Medical City doctor attending said his status was unstable, contrary to the earlier advice to her by the Ospital ng Maynila ER doctor. They rushed him  with the ambulance to Medical City at about 11:30 AM. There, a  series of tests were done, including blood chemistry, CT scan, etc. Cardiologist told us his heart was strong and no intervening medicine was necessary. Blood Chemistry results showed positive findings on creatinin level, an indication of  kidney failure. They suspected liver failure too. To stop his seizures, Remus was put on full sedation for 12 hours. Kidney functions further deteriorated after 36 hours. Blood pressure and heart rate went erratic. Doctors attending him in the ICU asked our permission to do dialysis and blood transfusion to stabilize his blood pressure.  Seven hours later, ICU nurse wake us up and asked us to rush to the ICU. We saw 18 medical people around him, several taking turn doing the CPR. Failing to revive him, the doctor asked our consent to stop the CPR after 15 minutes. We begged them to continue hoping for miracle. 30 minutes further, doctor told us again that all numbers in the monitoring “were bad” and asked again the consent to stop the CPR. Finally, we relented. Few minutes later, his heart rate monitor went flat. All these happened in front of my wife and me. We lost Remus 48 hours after he collapsed into coma which he has never recovered. His young wife and his eight-year old son took the news very badly.

About Heatstroke:
It usually happen in extreme sports like basketball, football, boxing and marathon.
Heat stroke is a life-threatening medical condition. The person’s cooling system, which is controlled by the brain, stops working and the internal body temperature rises to the point where brain damage or damage to other internal organs may result. The body temperature, usually at normal 37 C, goes up during the exertion of effort as result of the increased heart rate. When it reaches 40 C, the person is in danger of getting heatstroke. Above 40 C and mostly at about 42 C, the person can collapse into unconsciousness.  If nothing is done within few minutes, he can slip into coma and brain damage may occur. The proven first aid response for heatstroke is cooling the body rapidly in whatever means to the level of below 40 C before bringing him to a hospital.  Ice and water is the best way to do this, the same way it is done for a child having high fever who has convulsion.
Another way of understanding heatstroke is comparing it to the performance of car engine. At idling, the engine temp is low and safe. At sustained high speed, engine temperature increases rapidly but because of the cooling system, the heat is continuously dissipated in the radiator and safe temperature level is maintained. But when the water in the radiator is gone, Undissipated heat will rack up the engine temperature and ultimately exceeds the safe limits. At this condition, engine breakdown will occur in minutes starting with broken piston rings, rods, pistons, etc.
With the human body, perspiration cools down the body so hydration by drinking water is essential. Without water, perspiration stops and body temperature goes to critical level and into heatstroke and then organs and brain begin to fail.
Big obvious difference between human body and car engine is that you can always overhaul the engine but you cannot do that on the human body.

Why Heatstroke is More Dangerous in Marathon than in other Extreme Sports?
In basketball, the player exerts extreme effort only in bursts, stopping or slowing down intermittently which slows down heart rate and cools down the body. At timeout, they drink to replenish lost body water hence you always have the waterboy. Heart stroke is rare but ask any PBA player what they do when a player collapse. They don’t move the body but cool them off with water or ice before bringing him to the hospital.
The same is true in football and in many similar sports.
In boxing, in between rounds of three minutes, boxer rests and drinks water. We can only wonder what will happen if the rule of the sport is drastically changed and will only end when one is down and out.
In Marathon, the risk of heatstroke is much higher for the following reasons:
1. The long distance runner aims for shorter time as a goal and therefore motivated to keep a sustained effort, not unlike cars at high speed in the highway.
2. Furthermore, the target minimum time set by the organizer adds more to the motivation to run faster. The cut-off time added more pressure to the marginal marathon runner, meaning if you are used to run above the target time, the tendency is to do better time, probably at pace unproven by your body in practice. (Milo Marathon set the target for 21K medal at 2 ½ hours or less. Remus collapsed at near 20th km. with time of 2 hours 10 minutes when his previous record was 2 hours and 27 minutes. ).
3. The more critical factor is that the hydration management is not in the control of the runner. He has to rely on water availability at the water stations provided and planned by the organizer along the route. ( In this 34th Milo Marathon, several runners including Remus brother, Roy and Remus running buddy asserted that practically there was no water to drink in the last 2~3 kilometers before the finish line, a fatal failure for Remus by the organizer when they changed the route resulting in over-traffic near the finish line. There were record 28,000 runners on that day and obviously the organizers failed to anticipate the complexity of hydration. Milo’s last year marathon participant was well below 10,000 runners.)
4. The correct life-saving response for heatstroke depends on few knowledgable people who may happen to be around the person. To mitigate this, the organizer deploys ambulances with water & ice for cooling heatstroke victims and is expected to respond within minutes. In addition, marshalls are provided along the route to assess runner situations continuously. (Obviously, the organizer failed again on this aspect because Remus was helped by policemen and his buddy instead. By this time, Remus is probably already brain damaged as evident by his seizure at the hospital. No Milo people knew of Remus case on that day until Roy, his brother, sent an email informing the organizer of the incident in the next morning).
5. The Sun Factor adds to the danger in Marathon. Running under the heat of the sun in tropical country like ours cannot be underestimated. To minimize the effect of the sunheat, Marathon run is planned to finish in the early morning avoiding the heat at later time. Organizers usually take this into consideration. (Milo organized the 21K to start at 5:30 AM , a departure of common practice of  other marathons which started at 5:00 AM.  Remus collapsed at about 7:57 AM. Roy who is a better runner than his brother Remus, complained that it was unusually hot that morning even if he was able to finish it earlier in 2 hours 45 minutes )
            Clearly, Marathon is an extreme and dangerous sport even to the young, healthy and trained runners. This is not the “fun run” many people confused of.
            The organizer has clear life-and-death responsibility to make sure that the conditions the runner will run under item 3, 4 and 5 above are done properly. Obviously they did not do their job properly in the 34th Milo Marathon. In my opinion, being the father of Remus, Milo Marathon Organizers have failed my son. It is their sheer incompetence and consequently the gross negligence in their duty that results in the death of Remus …an unneccesary death.

            About Remus:
            At the time of his death, he was an IT project manager of Hewlett-Packard (HP) responsible in computerizing big companies like Unilab, Coke,  etc. including installation of hardwares (servers, etc.) and software system. He used to worked for Intel for 10 years before he moved to HP 3 years ago. He graduated in Computer Engineering. He left a housewife, Takako and two children, Raphael, 8 years old and Therese, 4 years old. Raphael is enrolled at La Salle Greenhills. He played basketball with his brothers regularly on weekends. He has been running since his high school days in Lourdes School of Mandaluyong. He has run many 10Ks and two 21Ks before these, the “Freedom Run” in June 13 and “Nature Valley” in May 20 only this year. He has no history nor complaint of illness and he lived clean.

            My Questions for the Organizers:
            1. How many died in the 34th Milo Marathon last July 4? Is it true that there was another runner at 42K who collapsed at 33 km and later died?
            2. How many runner collapsed in that marathon due to heatstroke who later survived but now are no longer the same person as before due to partial brain injury? At Ospital ng Maynila, we saw a 2nd runner brought in unconscious and woke up later but he can no longer recognize his family. Do the Organizers of knew this? What happened to him. Are their more?
            3. Is it true that another 36 year-old runner, Fidel Camson, who ran the 42K 31st Milo Marathon in November 2007 collapsed near the finish line, brought to the Ospital ng Maynila and died later of undetermined cause? If true, what did they do avoid a repeat which apparently did not happen in this 34th Milo Marathon? If true, why do they still keep their Marathon organizer for 10 years until now?
            4.  Do they keep tally of deaths in the 34 years of Milo Marathon? Do they study the statistics and establish how many died of heatstroke, the preventable one?
            5. What is the corporate culture of the Organizers regarding its respect of the value of life? Upon knowing the death of my son Remus, A Senior Vice President of one of the organizing team, who head its Beverages Business Unit went to see me and among other things, he told me that the Marathon is continuously improved and but sometimes “lapses occur and they will learn from these lapses”. Lapse is defined as  a ‘mistake’. People learn from ‘error’, a deviation from being correct but a ‘mistake’ is caused by a fault: the fault could be misjudgment or carelessness.  We learn from ‘error’ but we take action on ‘mistake’ and more drastic action when people die of this ‘mistake’. So death in my son’s case is a mere  learning process for this person? Is this the culture that pervades in their Organization? or only in him?
            6. Is the measly “humanitarian” offer to help the family shoulder medical & funeral expense to the family had become an SOP too often? Was it their expectation that as appreciation of this help, the family will keep quiet about the whole thing? Do they really think that the waiver signed by the runners protect them from being liable? Do they know that this waiver won’t apply if negligence of their duty as organizer can be established?
            7. What did the Organizers do, if any, to keep the news of Remus death from appearing in the media even after one week? Not one news item of his death appeared in the newspaper, TV or radio. Could  the news  of “ HP Manager Died of HeatStroke during the Milo Marathon” not interest the public? Were they afraid that the bigger news is when the subline “Father charged Milo Marathon Organizer of Incompetence and Negligence” which may damage the public image of the company?
                        The answers to these questions will help enlightened the public whether Milo Marathon is safe or not for the runner. To the runners, their parents, wives and relatives…they all better asked these questions before the runners decide to run in Milo Marathon.

                        Last Words from Remus Father:
                        I am not condemning the sport but the organizer who failed to make sure runners will not die of heatstroke, when the risks can be grossly minimized with proper route planning, hydration management and quick medical response. I am condemning the contribution of the apparent culture of the sponsor of diminished value of human life as indicative of its senior executive’s attitude calling my son’s death a result of lapses. My hope is something good will come out of his death and as result of improved organizing of the marathon run,  few lives will be saved from heatstroke. My other hope is to get justice and for the Organizing team to  answer for his untimely death. I am working on it.
                        Rudy Fuentes, Father of Remus

                        Note: This story has been received from Rudy Fuentes and slightly edited for public posting. If you want a copy of the original document leave a comment here with your email or email Rudy Fuentes directly at ruddi47@gmail.com




                        Tuesday, July 13, 2010

                        JOKE time po!

                        On their 40th wedding anniversary and during the banquet
                        celebrating it, Tom was asked to give his friends a brief account of
                        the benefits of a marriage of such long duration.
                        "Tell us Tom, just what is it you have learned from all those wonderful years with your wife?" 

                        Tom responds, "Well, I've learned that marriage is the best teacher of all. 
                        It teaches you loyalty, forbearance, meekness, self-restraint, forgiveness 
                        --and a great many other qualities you wouldn't have needed if you'd stayed SINGLE."

                        HAHAHA!

                        Friday, July 9, 2010

                        CHIKKA for iPhone/iPodtouch

                        Wooow!
                        Finally, Chikka for iphone/ipodTouch has arrived !














                        - Posted using BlogPress from my iPhone

                        Tuesday, June 29, 2010

                        Kris Aquino: I have never controlled James


                        MANILA, Philippines - True to form, and out of respect for the presidential inaugural, James Yap, the shy and soft-spoken estranged husband of Kris Aquino, has opted to remain quiet on their breakup, which was confirmed by Kris on her farewell appearance on the ABS-CBN talk show “The Buzz.”

                        “Respeto lang po kay Presidente Noynoy,” James told The STAR in a brief interview yesterday. “He will take his oath of office tomorrow at ayoko namang agawan siya ng eksena. Our country has a lot of problems. Ewan ko ba kung bakit ang problema namin ng asawa ko ang pinagtutuunan ng pansin ng tao.”

                        A lot of people are taking Kris to task on why she has to steal the show from her Kuya Noynoy, who will be sworn in as the 15th president of the Philippines tomorrow at austere ceremonies at the newly-renovated Quirino Grandstand. He’s doing away with the parade to cut costs. “Kris said on The Buzz that she has kept quiet for two years about her marital problem,” said a disappointed Kris fan. “If she had waited that long, couldn’t she have waited two weeks or two months more until after Noynoy had taken his oath of office and gotten settled in office before she spoke out about her domestic problem?”

                        Kris left home last week with sons Joshua and Baby James, leaving James alone at the new house in Makati they bought last year from the money they got from selling their conjugal home in Valle Verde in Quezon City. Asked if Kris broke up with him so that she and her sons could move to Malacañang by themselves, James said, “It’s up to her.”

                        Would he have wanted to move with them to Malacañang if he and Kris hadn’t broken up?

                        “Bakit ako lilipat doon, eh, may bahay naman akong tinitirhan?” Asked further what he plans to do now that Kris has publicly confirmed their breakup, James said, “It’s up to her,” insisting that no third party was involved in the breakup as there was none in their previous fights.

                        Meanwhile, here’s Kris’ text message to The STAR in reaction to the STAR story that she’s a “controlling” and “domineering” wife:

                        “That snippet of a conversation you printed occurred on April 26. And that wasn’t the straw that broke the camel’s back – it was what James told Baby James in front of me. Sorry but I can’t make public what it was. That’s why I kept my silence on The Buzz last Sunday. At three-years-old, my son is vulnerable and can be emotionally and psychologically damaged.”

                        “May I make it clear that I didn’t provoke that fight. We were keeping our distance from each other for several weeks when James exploded. Yes, I am guilty of many times saying I wanted out. But I have never involved our son. I have never said words that would hurt Baby James and negate his value as my child. I am trying to be decent and proper.”

                        “It isn’t valuing my feelings. You of all people and after all you have witnessed in all your years of being Ricky Lo you would know that infidelity once accused and, may I add, broadcast on national television and with lurid details thrown at your face, somehow no matter how it is denied and no matter how hard you may try to believe your husband, the very fact that you needed to be publicly humiliated and privately mocked just puts wounds in your heart and mind that don’t heal.”

                        “I have never controlled James. More than one year na nga akong hindi nakikialam sa kanya. We have been living under one roof but totally separate lives. I honestly felt I was near my breaking point last week – that I could easily have a nervous breakdown because of presenting an everything-is-OK picture to the world when my home life has been so unhappy for so long. I was tired of lying to the world and lying to myself.”

                        “Our lawyers discussed with Dondon Monteverde (James’ manager) last Saturday and they will meet with James’ lawyers in the next few days. Under the law, because of the kids I do have a right to our condo in Makati but if he refuses to vacate, ayoko ng gulo. My Mom was insistent before that the practical thing to do was to ask for a prenup. James is smarter than you all give him credit for. He told me then na-i-insulto ang pagkatao niya and I was stupid enough to not insist.”

                        “I just want a chance to heal. Akala ng lahat ako lang yung madaldal at pwedeng masakit magsalita. Hindi niyo lang alam lahat ng insultong inabot na rin ng pagkatao ko sa years na pinagsamahan namin. I have shared all this with off the record. I am not asking you to take my side but just to see why I am firm in saying this is a separation that will be legalized and finalized.”

                        By the way, James said that he’s attending President-elect Noynoy Aquino’s inaugural tomorrow. After all, in spite of his and Kris’ domestic problem, he’s still very much a member of the family.

                        source: www.abscbnnews.com

                        Sunday, June 27, 2010

                        Jovit Baldivino singing Carrie at ASAP XV with Surprise Phone Call From Arnel Pineda [Video]

                        Asap XV 6.20.10-Jovit Baldivino*Surprise phone call from arnel pineda* Jovit Baldivino Surprise Phone Call From Arnel PinedaFirst Grand Champion of Pilipinas Got Talent Jovit Baldivino sing Open Arms during the Pilipinas Got Talent (YOU GOT IT) reunion concert 2010. a 16-year-old student from Batangas shared how his life changed after he auditioned for the country's biggest talent search "Pilipinas Got Talent."

                        Friday, June 25, 2010

                        Jesus is in a Tricycle

                        I was riding a "tricycle" ( a public utility vehicle )in one of my short visits in Manila when I saw this in front of my face.




                        Halleluyaaaaah!
                        Wherever I go, He keeps reminding me of His awesome presence.

                        Yes!

                        Jesus is Lord forever!

                        Ameeeeen!

                        Note:
                        Tricycle - Tricycles are motorcycles with side cars bigger than the pedicab, which has the legal capacity of 5 passengers including the driver. However, due to the oil price increase, some drivers will accept up to 10-15 passengers: squeezed in the sidecar and the backseat of the driver, hanging at the rear or sides of the sidecar and/or sitting on the roof top. Other times these vehicles carry loads of market goods, hardware or furniture and even appliances.


                        - Posted using BlogPress from my iPhone