Nurses Who MADE A DIFFERENCE

Much has been said about Filipino nurses’ exemplary compassion, ability to provide tender loving care and their willingness to do the extra mile for their patients here and especially abroad. But during these trying times, Filipino nurses who are on the brink of giving up badly need a source of inspiration to go on and believe that Nursing is still a fulfilling profession to pursue. Success stories usually inspire a lot of people and urge Filipino nurses to hold on to their dreams and keep on moving. I’ve researched Filipino nurses who has made a name in the nursing industry overseas and has made a difference to the lives of their patients. And out of many, three stories stood out that will remind us that Nursing, still, is one of the best jobs in the world no matter how bleak the future might be:

 1. Angelica Ligas, recipient of the Palm Beach Health Care 2011 Nursing Distinction Hands and Heart Award in Florida, U.S.A.

Ms. Angelica Ligas, a staff nurse at Good Samaritan Medical Center at West Palm Beach, has a touching Cinderella story that has inspired thousands of people. After her father died and their house was burned down, young Ligas, together with her four siblings and her mother, had struggled to make ends meet and even forced to live in the piggery. To help her family, she sold vegetables, retail clothes, and a lot of other things. She was a consistent scholar and eventually finished high school at the Holy Angels Academy and her nursing degree at the Dr. Yanga Francisco Balagtas College. After graduation, she took the next bold step — to work abroad. In Canada, she worked as a live-in caregiver while earning another nursing degree.”Being alone in Canada was tough. There were nights when it felt like my loneliness is killing me,” Angelica frankly admits in one of her interviews. But she stood above all these trials and eventually moved to U.S. together with her husband and daughter. She was soon hired by the Good Samaritan Medical Center in West Palm Beach, Florida, where she made her mark for being one of the most caring nurses on staff. Just recently, she bested over 12,000 nominees and became the only Filipina nurse recipient of Palm Beach Health Care 2011 Nursing Distinction Hands and Heart Award. On her acceptance speech, she dedicated the recognition to other Filipino nurses who are still struggling in the dark: “It’s such a great honor to receive this award. I dedicate it to all my co-workers at Good Samaritan, to the members of Palm Healthcare Foundation, to my friends and family, and my patients. Without them the rest of my team and I would not exist. Also, I dedicate this to all Filipinos and I encourage them to pursue their dreams because nothing is impossible.” Her inspiring story is a wonderful reminder that dreams do come true with a little luck, humility, hard work, and determination.

2. Frank C. Jamandre, recipient of 2011 Bagong Bayani Award for Community Services.

Mr. Jamandre, an Ilonggo nurse who is working as a regulatory and accreditation coordinator at Hamad Medical Corporation in the State of Qatar, is a walking testament that nurses can be a nurse and a community leader at the same time. Also recognized as one of the best employees of Hamad Medical Corporation, the most prestigious government hospital in Qatar that employed thousands of medical staff from over 25 nations, Jamandre has led various medical-dental missions for OFWs in Qatar and also has helped in giving assistance for indigent Filipinos in the Philippines over the years. A recipient of Bagong Bayani Award (given last December 1 by President Aquino), Jamandre has helped tremendously to uplift our reputation abroad and has proved to us that making a difference is possible even beyond bedside care.

3. Mica Alcedo, recipient of “2011 Pride of Australia” award under the “Fair Go” category at the Crocodylus Park in Darwin, Northern Territory.

According to DFA, Alcedo, who has worked as a school nurse in Alice Springs and is now a child and maternal health nurse in Tennant Creek, arrived in Australia from the Philippines in 2004, and has dedicated herself to working with communities in the Northern Territory ever since. She commits herself to helping disadvantaged youth and has developed the Filipino community’s ‘Ladies of Alice Springs’ group. Although a permanent resident of Australia already, she still have her Filipino roots and values to thank for. Ever heard the phrase “You can take the girl out of the country, but you can never take the country out of the girl”? That is probably true in her case.

Filipino nurses are undoubtedly one of the bests in the nursing world though it saddens me that they find greater recognition and appreciation abroad. Our government are yet to find a long-term remedy for the struggling local nursing industry but what matters most is the precious heart and dedication of our nurses to serve and help those who are suffering. These three inspiring stories remind us that there’s no sure ticket to success but the passion to serve as a nurse will always remain as the greatest gift one can ever get. Dreams do come, all we need is faith in God, determination to master the art of nursing, and the resiliency to rise above all adversities. Good luck nurses!

NLE Board Rating: Does It Really Matter?

I just don’t get it: Nursing graduates have always been advised to study hard and aim to be a board topnotcher by their schools and review centers only to found out afterwards that securing a nursing position is a pain in the ass even for the cream of the crop. I guess, unemployment is now the great equalizer amongst Filipino nurses.

Now the question is this: Does NLE Board Rating still matter nowadays? Is it fair to say that NLE will measure your potential and capabilities as a nurse here in the Philippines?

I won’t deny the fact that I once aimed to be a nursing board topnotcher. I even started pouring my time and effort in reading nursing books one year before the actual exam. I thought it would be a great way to give myself justice for not being hailed as our batch cum laude. It was painstakingly time-consuming but eventually, I was able to top various exams both in our school and in the review center where I signed up after graduation. I thought I was on my way to the top but after the results were released last August 2011, all I’ve got was a mere 81.20%, a board rating not even close to the top 20 slot. But I have moved on and realized in the long run that it’s not the true measure of one’s worth as a nurse and as a human being. I even know of someone who got an impressive rating although she always slept in class so what’s the point? Is it all a matter of luck? I don’t give a damn. And just so you know, I’m an underemployed nurse now, just like the other board passers and board topnotchers who took the same exam. I guess, I had a misconception because grades really won’t matter at all.

So what is my point here?

That most Filipinos have been trapped to the false idea that being on the top of the class will give someone a sure spot for employment and an easy ticket to success. We always love to rank people to know who is the best and who is the worst. We love to give recognitions and awards for the intellectually gifted and think that “studying hard” is the best cure for poverty. Well I’m telling you, we’ve been stuck to this deep-rooted culture long enough and its about time for us to meet reality face to face;we have to accept the fact that in Nursing, its quite easier to pass the NLE than to secure a decent job.It hurts but just like what they always say, REALITY BITES.

During these hard times, personality weighs more than the board rating. For instance, I had a clinical instructor before who got a 75% flat board rating but was able to secure a fulfilling job in Canada. Not only that, most of the nurses I know who work in the hospital have ratings that ranges from 75% to 80% and they were not even one of the top performers during their school days. Zig Ziglar once underscored that “It’s not the aptitude, but the attitude, that determines one’s altitude”.The point here is the success of a nurse doesn’t rely on his/her board rating but more on how he/she persevere despite adversities in nursing employment, negative attitudes of her co-workers, and almost unbearable responsibilities expected of a nurse. Board ratings are just written numbers and it only measure one’s entry-level competencies.

Nursing is not a battle of the brains, rather, it’s all about resiliency, flexibility, and positive outlook in life. If you got a low board rating, who cares? Grades won’t make you less or more of a person.

Only here in the Philippines that we rank board ratings and put so much importance to those who top the board exam. I mean, in NCLEX, you will be labelled only as either “pass” or “fail” without any rankings or whatsoever. I’m not bitter or sourgraping here so don’t get me wrong. I just want every Filipino nurses today to realize that employment will still remain as the most important goal for everybody at the end of the day. I’m not even encouraging nursing students to stop browsing their books and just sleep all day because I know that knowledge is still one of the three pillars of good nurse training. All I want to emphasize is this: your career as a nurse (if you really want to be a nurse) won’t stop if you fail the NLE or got a rating lower than you expected. There are a lot of challenging and fulfilling things that await you in the future only if you will learn to embrace your “calling”. And though I’m not an active nurse now, I will never forget the two things (far more important than grades and intelligence) that Nursing has taught me: LOVE AND CARING.

Five Common Mistakes That Nurses MUST Avoid

We’ve always been taught that in Nursing, you can’t afford to commit mistakes; that perfection is the name of the game because we are dealing with the most delicate of all: HUMAN LIFE.

Nonetheless, nurses, no matter how logical they might think and act, are simply human beings who are capable of committing certain errors every once in a while. In the local scene, our nurses seem to be more exposed than ever to certain mistakes due to extended hours of shift, heavier workloads, and replacement of experienced nurses by newly-trained and inexperienced young ones. With this in mind, Filipino nurses, especially the newbies, should always remember to always avoid miscalculations and mistakes.

And to better equip my fellow nurses with the knowledge they need to avoid such incidents, here are the 5 common nursing mistakes and foolproof tips on how to avoid them:

1. Medication Errors

Dispensing wrong medication, dispensing wrong dose of medication, giving a medication to the wrong patient, and failing to monitor patient’s condition are some of the errors under this category that are potentially life-threatening to patients. No one is excused to this kind of pitfall; you can either be a new nurse or a staff nurse with years of experience and still commit this awful mistake. For student nurses, common causes are lack of “presence of mind” , extreme pressure, and fear of their clinical instructors that will provide a barrier which will make open communication and learning between them impossible. Experienced nurses, on the other hand, usually commit mistakes due to overfatigue. According to a 2004 report in the journal of Health Affairs, the occurrence of nursing mistakes are three times higher after a shift has extended past 12.5 hours. I hope this will serve as a simple reminder for hospitals currently exploiting nurses.

How to Avoid: The moment you enter the hospital premises, you have to leave your ego behind, forget any personal/family problems that you have and deal with it later after your shift, and always have a presence of mind. Deal with your patients as if they are one of your loved ones and of course, don’t ever forget the 10 GOLDEN RULES/RIGHTS IN MEDICATION ADMINISTRATION. Remember, as a nurse, it’s a crime and a potential source of negligence to forget this essential information.

2. Patient Falls

Patient falls often occur when patients attempt to get up on their own to use the bathroom or pick up something out of reach. They commonly occur in patients without any relatives around to assist or attend to their needs. This might cause injuries or even death to patients if measures to avoid it are not strictly followed.

How to Avoid: Do nursing rounds to patients (especially those who are high-risk for falls) hourly during the day or every two hours at night, make sure personal belongings and things that are essential to patient are within his/her reach, follow safety procedures (e.g. raising side rails), and let patients know that you are always ready to help in case they need assistance from you.

3. Infection

I remember one time when our group was assigned in the medical ward of a public hospital, we encountered a morbidly obese stroke patient who suffered from a severe type of infected bed sores. What was appalling was the fact that her relatives were always by her side at that time and the incident could have been prevented had the attending nurse, who was obviously busy, taught the relatives how to perform  basic skin care and turning. I t will never be an excuse to say that infections can NORMALLY be found in the hospitals because we are agents of health and we have to uplift patient’s condition at all times.

How to Avoid: Never underestimate the power of hand hygiene and using techniques to avoid occurence of infections. Nurses should remember that iatrogenic infections are caused by nurses’ negligence most of the time.

4. Documentation/Charting Errors

Admit it. Your experience as a nurse will never predict if you will not commit documentation errors or not during the span of your career. Recording information in your patient’s chart is an important part of your job as a nurse. There are many ways that charting mistakes can be made. By making yourself more aware of these eight common pitfalls, you can not only avoid making these mistakes but you can also avoid being involved in a lawsuit.
a. FAILING TO RECORD PERTINENT HEALTH OR DRUG INFORMATION
b. FAILING TO RECORD NURSING ACTIONS
c. FAILING TO RECORD THAT MEDICATIONS HAVE BEEN GIVEN
d. RECORDING ON THE WRONG CHART
e. FAILING TO DOCUMENT A DISCONTINUED MEDICATION
f. FAILING TO RECORD DRUG REACTIONS OR CHANGES IN THE PATIENT’S CONDITION
g. TRANSCRIBING ORDERS IMPROPERLY OR TRANSCRIBING IMPROPER ORDERS
h. WRITING ILLEGIBLE OR INCOMPLETE RECORDS

How to avoid: Never stop learning. When in doubt, always ask your seniors or other staff nurses who are more experienced than you are. Always remember the basic reminder that says “Nursing procedure not charted is a nursing procedure not done“. Read books like “Documentation in Action” by Lippincott Williams & Wilkins ed 2006 to familiarize yourself more with the basics of documentation.

5. Treating Nursing as a “JOB”

Wondering why I included this on the list? Because none of the reminders I just mentioned will be effective if YOU don’t love what you’re doing. I know a lot of nursing graduates who were either forced to took up Nursing or took the course because of the promise for a better life abroad. These are the same people who take Nursing as a job and not as a vocation. In the long run, these people might commit fatal errors because they are not keen to details, don’t really love what they do, and always excited to go home and curse every second they spend caring for their patients.

I hope you will keep all the information I have shared deep into your hearts and minds. Remember, we are handling lives so we should always try to keep the words “mistake” and “error” out of our vocabulary.

Ang Alamat ni Nurse Sungit

Bakit ba ang daming nurse na akala mo’y wala ng bukas kung magsungit?

Ewan ko ba. Nursing graduate ako pero hindi practicing nurse dahil mas ginusto kong ipagpatuloy ang matinding hilig ko sa pagsusulat. Kaya hindi ako ang ekspertong sasagot sa tanong sa itaas. Kasi nga, hindi ako staff nurse. Pero sabi nila, nasa kultura na daw ng mga nars sa Pilipinas na mag-iba ng ugali sa sandaling pumasok na sa masalimuot na mundo ng pagiging staff nurse. ‘Yun tipong mala-anghel ka pagkagraduate mo sa Nursing tapos mageevolve ka sa isang ubod ng sungit na nars pagtagal ng panahon. Parang pokemon lang ‘di ba? Ganun ba talaga yun? Parang hindi naman kapani-paniwala. Kaya ka nga naging nars dahil gusto mong mag-alaga ng may sakit at maglingkod sa mga mahihirap na nangangailangan ng kalinga ‘di ba? Tapos magtataray ka lang sa kanila? Ano connect?

Sa aking pagsasaliksik, napadpad ako sa isang online forum na may pinag-uusapang akmang-akma sa hinahanap ko:

Bakit Mga Suplada Na Ang Mga Nurses Ngayon????

Binasa ko ang iba’t-ibang kuro-kuro ng mga tao doon na nagbabatuhan ng kani-kanilang mga opinyon tungkol sa topic. Aaaminin kong natawa, nabwisit, at napukaw ang damdamin ko dahil sa ilang pahayag na nabasa ko. Ngunit nalaman ko na ngayon kung bakit may mga nars na ubod ng sungit……ang alamat ni Nurse Sungit. Ito ang mga sinasabing dahilan ng pagevole ng isang nars:

1. Ang mga nars ay Overworked, Underpaid at madalas (katulad sa panahon ngayon), Overworked, UNPAID!!!! – Kahit naman inis na inis ako sa mga nars na nagmamaldita sa mga pasyente (lalo na sa mga government hospitals), hindi ko rin naman sila masisisi kung magsungit sila ng todong todo. Bakit naman hindi? Bugbog na nga katawan mo sa trabaho, pinagagalitan ka na ng doktor, tapos meron pang mga pasyenteng pala-utos at feeling mayaman na akala mo kasama sa binabayaran nila ang service mo. Para malaman po ng lahat, KAWANG-GAWA lang po ang ginagawa ng mga nurse lalo na ‘yung mga volunteers, mga nars na nagbayad pa ng training fees imbis na sila ang bayaran, at mga contractual nurse (kagaya ng sa RNHEALS) na akala mo may trabaho na pero kulang pa rin ang sweldo tapos lagi pang delayed. Hindi po utusang-de-pindot ang mga nars. Subukan mo kayang magtrabaho ng walang bayad tapos 12-hours pa ang shift mo sa isang ospital na may 1:50 nurse-patient ratio? Kung unang sabak mo pa lang, malamang  may empathy ka pa sa pasyente, pero ‘pag ilang taon ka ng burn-out, ibang usapan na ‘yun kapatid! Kahit naman siguro sino magsusungit ‘di ba? TAO lang po kaming mga nurse at may mga sariling pangangailangan din. E kung 200,000 a month lang naman ang ibabayad sa akin, kahit 50 pwet pa ang linisin ko wala akong care..ngingitian ko pa kayo.

2. Mga doktorang nagmamaldita/ doktor na sobrang demanding/ doktor na nananantsing/pilosopong doktor - ‘Langya, dito lang sa ‘Pinas mo makikita kung gaano kalayo ang agwat ng nars sa doktor. Sa Amerika, parang doktor na rin ang turing nila sa mga nars. Hindi tulad dito na nakagapos pa din ang ilang doktor sa maling stereotype na “katulong LANG ng mga doktor” ang mga nars. Bakit? Nag-aral din naman tayo ng 4 year-bachelor’s degree ha? At saka, lahat ba ng mga doktor magaling? Katulad sa Nursing, marami din dyan ang tatanga-tanga. Isa pa, isang beses lang nilang nakikita ‘yung mga pasyente nila sa isang araw ‘pag nagrarounds sila, e tayo? BUONG stay nila sa ospital, mukha natin nakikita nila at tayo halos gumagawa. Kaya sa mga nars dyan, ipaglaban nyo ang propesyon natin. Hindi sa lahat ng panahon TAMA si Dok.

3. Mga pasyenteng feeling ANAK NG DIYOS – Sana lang malaman ng mga pasyente na TAO rin po ang mga nars at hindi ROBOT. Sabi nga nila, ang makina nga nagloloko kapag sobrang gamit eh, tao pa kaya? Tayo pa kaya? Sa dami ba naman ng pasyente, hindi sa lahat ng oras ay masusunod ng nars ang mga hiling ng pasyente. Maalala sana nila ang kahulugan ng salitang PRIORITY para maintindihan nilang kailangang unahin ng nars ang pasyenteng naghihinalo bago palitan ng diaper ang kamag-anak nilang natae. And besides, hindi ba nila kayang palitan ng diaper ang kamag-anak nila. Kaya nga sila nandoon ‘di ba? Hindi naman tayo nagsunog ng kilay para maging alila at maging “taga-linis ng pwet” gaya ng akala nila. Ang Nursing po ay isang special field at hindi synonymous sa “taga-linis ng pwet”. Kung gusto nilang ituon ang lahat ng atensyon sa pasyente nila, alamin nila ang pagkakaiba ng salitang staff nurse sa PRIVATE NURSE. Respeto lang po at konting pag-unawa ang hinihiling namin.

Alam kong may mga nars talaga na masungit at bastos makipag-usap sa pasyente. Karamihan makikita mo sila sa mga pampublikong ospital kung saan mismo ang doktor ay parang hindi na “tao” ang turing sa mga pasyente. Kung sigawan at sungitan sila parang ganun na lang. Kahit naman ako, maiinis sa mga nars na walang modo at respeto sa mga pasyente. Lalo na ‘yung mga akala mo kung sinong maganda. Ewan ko ba kung bakit kung sino pa yung mga mukhang pwet ng manok ay sila pa ang may ganang magtaray. Mapapaaway talaga ako ‘pag ganun.

Sa kabilang banda, hindi naman po lahat ng nars ay masungit. Meron pa rin namang mga mababait at may respeto sa pasyente. ‘Yun nga lang, sana maintindihan nila na TAO lang ang mga nars na may mga sariling pinagdadaanan sa buhay. Hindi porket nagsungit sya ng isang beses ay masama na sya. Respeto lang at pag-unawa sa isa’t-isa ang kailangan natin para umayos ang buhay.

Marahil nakasalamuha mo na si Nurse Sungit. Ito ang kanyang alamat. Sana naiintindihan mo na sya.

USAPANG I.Q.

For a change, I want to post a blog entry today in Tagalog. This is an article I made two years ago and was published in our school newspaper. Although not related to Nursing, I hope that you will be inspired by its message. It is currently posted on Definitely Filipino blog. Please support it fellow nurses!

“Ang isip ay hindi isang sisidlan na kailangang punuin kundi upang papagliyabin.”–Greg Laconsay

Saan nangingitlog ang peacock? Sa puno o sa lupa?

            Kung ang sagot mo sa tanong ko ay sa puno, nagkakamali ka. Kung lupa naman ang hula mo, mali ka pa rin. At kung isa ka sa mga pilit naging mautak at ‘pugad’ ang sagot, sampalin mo na ang iyong sarili dahil hindi naman nangingitlog ang peaCOCK!

            Isipin mo ito: Lahat ng tao’y may isip ngunit hindi lahat ay ginagamit ito. Ngayon, makatarungan bang gawing sukatan ang mapanlitong tanong na nasa itaas upang malaman kung ang isang tao ay matalino o bobo? Matalas ang isip o mapurol ang utak? Kung hindi, ano nga ba talaga ang tunay na sukatan ng katalinuhan o kamangmangan ng isang indibidwal?

            Sa lipunang ating ginagalawan, tila kasing-nipis ng papel na iyong hawak-hawak ngayon ang mga oportunidad na maaaring matanggap ng isang taong walang pinag-aralan o natapos. Umiiral pa rin ang kinagisnan nating konsepto ng isang ‘matalinong tao’: May sangkaterbang medalya, maraming kursong natapos, at magaling mag-Ingles. Malayo daw ang mararating mo kung mataas ang taglay mong ‘I.Q.’  Samantalang kung ikaw ay ‘low I.Q.’, ‘slow’, o sadyang ‘gifted’ lang talaga sa kapurulan ng utak, mahihirapan ka raw na makahanap ng puwang sa ating lipunang puno ng matinding kumpetisyon sa trabaho at mga oportunidad. Dahil dito, ilan sa mga taong hindi pinalad na mabiyayaan ng katalinuhan at sapat na edukasyon ay tila nawawalan na ng pag-asang magbabago pa ang kanilang katayuan sa buhay….

            Kasi mahirap lang kami kaya’t hindi nakapag-aral. Kasi hindi ako magaling mag-Ingles. Kasi kulang ako sa iodized salt. Kasi BOBO ako. Kasi. Puro na lang kasi.

            Hindi ganito ang taong gustong may marating sa buhay. Oo nga’t hindi lahat ng tao’y nabiyayaan ng katalinuhan at pagkakataong makapag-aral ngunit lahat naman tayo’y binigyan ng isip. Isip na hindi lamang magagamit sa pag-aaral ng Anatomy, Algebra, at History ngunit maaari ring pag-alabin upang baguhin pa ang ating buhay at makatamasa ng magandang kapalaran.

            Mekaniko lamang si Ramon Magsaysay ngunit naging presidente ng Pilipinas. Itinuring man na mangmang, si Andres Bonifacio ay isa na sa mga dakilang bayaning kinikilala natin ngayon. Tindera lamang ng tsinelas si Socorro C. Ramos ngunit siya na ngayon ang may-ari ng tanyag na National Bookstore. Ilan lamang ito sa mga kuwento ng tagumpay na nagpapakitang maaari ring umasenso ang mga taong salat sa edukasyon.

Ngayon, masasabi mo bang ang mga taong nabanggit ko ay mga walang alam? Hindi. “Sapat nang may isa kang nalalaman”, wika nga ng presidente ng Executive Development Academy (EDA), “ngunit dito mo ibubuhos ang iyong kakayahan”.

Hindi sa dami ng kurso o medalya mo makikita ang ikinapagtatagumpay ng isang tao, kundi kung paano niya pinaunlad ang kanyang sarili sa gitna ng kanyang mga kahinaan at kakulangan sa buhay. Atin ring tandaan na hindi lahat ng matatalino ay gumagamit ng isip at hindi lahat ng mangmang ay hindi gumagamit ng isip. May mga matatalinong nauwi lang sa wala dahil sa kahinaan ng loob at kawalan ng tiwala sa sarili. Hindi kasi nila ginamit ang kanilang isip na nilikha upang tayo’y makapag-isip ng mga paraang makakapagpaunlad ng sarili at lipunan hindi upang ipagyabang, sayangin, at gamitin sa kasamaan.

            Marami ang matatalino ngunit iilan lamang ang henyo, sabi nila. Naisip ko naman, marami nga ang matatalino ngunit hindi hamak na mas marami pa rin ang mga “tunay na henyo”. Sapagkat ang bawat taong nilikha ng Diyos ay may karapatan at pagkakataong maging ‘henyo’. Papaano? Simple lang: Gamitin mo ang isip mo. Ang mahalaga ay hindi kung ano ang nasa iyo, kundi kung paano mo ginagamit ang nasa iyo. Tandaan mo: WALANG TAONG BOBO. Mangarap ka’t abutin mo ito ilang beses ka mang madapa. Pilitin mong iwaksi ang iyong mga kahinaan at pag-igihing mapabuti ang iyong mga katangian. Maniwala ka sa bisa ng paniniwala sa Diyos at sa iyong sarili. Huwag na huwag mong ikukumpara  ang sarili mo sa iba. Magkaroon ka ng tamang prinsipyo sa buhay at piliting magpakatao.

Higit sa lahat, palagi mong tatandaan na peaHEN ang nangingitlog, hindi peaCOCK!

Kung susundin mo ang mga nabanggit, maniwala kang malayo ang iyong mararating kahit sabihin pa nilang “below sea-level” ang I.Q. mo!