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a Davao del Sur family. He wanted to be a pilot, but his adoptive mothers cancer made him decide to
take up medicine. He passed the board, and was on his residency when he was invited to work at an
air base in Saudi Arabia. It was easy for him to leave.
"I was more of an artist at the time. I sculpt, I paint, I performed in a band. I was known as an artist
more than as a doctor."
It was at the Middle East base that he discovered operational medicine; a field that he says isn't as
ripe in the Philippines as it is in other countries. He describes it as the umbrella for emergency
medicine, combat medicine, wilderness medicine, expedition medicine, travel medicine and disaster
medicine.
"I like it more in the field," he says. "I see people fresh in the field. I see how people react when they
are being pinned down, or under a collapsed structure, or inside a bus that has turned turtle. I've
seen how a man looks like he is the most unfortunate creature on earth. And when he sees you,
whoever you are, whatever your color is, he sees an angel in you."
That look is what brought a boy from Davao to the front lines of disaster. The man field operators call
Doc Ted has headed some of the most dangerous rescue operations in the country, including the
Leyte landslide and the aftermath of typhoon Sendong. He is a certified flight surgeon, and was the
expedition doctor for the 2007 team that climbed Mt. Everest.
"It makes it hard for you to go out with all the ugly things happening around when you are trained to
work in a neat, soft environment. And then you are in the midst of so many people wailing and yelling
and destruction all around."
He stops and smiles. "I think it's not very good for a doctor's psyche."
The car
When he was a boy in elementary school, Ted Esguerra broke the rules and went swimming with his
classmates in the middle of the day. The river was fast, and he almost drowned. It is why his goal
has always been to intervene. He was saved, and he hoped he could too. He says being a rescuer is
a way of life, that rescue works its way into how he thinks and acts. There are two knives just in the
cockpit of his car, and another two in his person. He keeps what he considers the basics of
communication here: glow lights, a satellite phone, a spot tracker that can triangulate his coordinates
in case he is taken, and an am-fm radio with a built-in GPS. He carries IDs from the international
disaster response network and accreditation for cardiac and trauma emergency rescue in case he is
asked on the field.
He has a helmet on the dashboard with a headlight that will burn safely even in methane-heavy
environments. He has a flashlight with a blood-tracking light, in case he is hunting for an injured
bleeder, a tactical light, to signal anyone with night vision, and a non-glowing map-reading light. His
other flashlight doubles as a blade. He also carries what he calls the loudest whistle on earth.
He saves packets of sugar from coffee shops to add to his emergency rations. He has medication for
itchy eyes, hand sanitizers, anti-fungal creams, anti-bacterial creams, creams with steroids, as well
as ear plugs for rescues with choppers. He also has a windshield smasher and a seatbelt cutter.
If there is an accident and I am slumped in my car, I can just cut and run, smash the windshield, or
cut out another victim.
And because he believes anything is possible, he also has backup.
This is a seatbelt cutter-windshield smasher-flashlight combo. Redundancy, always redundancy.
Rescue 1 has a built-in searchlight. Behind the drivers seat is a water purification system, an oxygen
pressure gauge, and another gadget to check on surface heat.
The bag
Esguerra has 16 hours of airtime as a helicopter pilot, and was once a professional scuba diver. He
drives a 99 Explorer Pajero he calls Rescue 1. Rescue 1 is responsible for saving a total of eleven
lives, including two infants he tossed into his backseat during waist-deep floods at the height of
typhoon Falcon. He says he gets bored outside the field. He trains in his spare time, while driving he
drills himself through possible emergency scenarios. Every chance he has he unpacks and repacks
one of his four backpacks, loaded with what he suspects is millions worth of emergency supplies he
financed for years using income as a trainer.
"When I open the bag, I know where I'm going to find my trauma kit."
His standard backpack, the 40-pound monster he carries everywhere, has a built-in c-collar and
pelvic sling for trauma victims. The bag has a section for hydration and other basics like trauma
scissors, power scissors, a pen light, a thermoscan for body temperature and a capnometer to
measure carbon-dioxide. Outside he has gauges for blood pressure and pulse rates. He has an
airway kit that includes all that is necessary for everything from needle decompression to suctioning
infants. He has a trauma kit, with bandages, hot and cold packs, a hypothermia blanket, bandages
and antiseptics. He has a laceration kit, an OB kitalthough he has only delivered two babies in the
fielda burn kit, and a kit for blood borne pathogens. He has emergency rations, and the treatment
necessary for everything from malaria to open chest wounds. A small black box holds invasive
medication: cordarone, epinephrine, dopamine, sodium bicarbonate, adenosine, morphine.
He carries condoms in his hydration kit, along with Betadine antiseptic. Eight drops can be used to
purify water. The condoms are for storage.
He flips over another panel. Ted Esguerra carries an oxygen tank. Daily.
His other backpack has a stretcher.
The doctor
Every rescue team, says Esguerra, needs a doctor.
"If I see my superior working with me in the front lines of disaster, I am more comfortable. And
believe me, I would render my salute. Not only to the rank, but to the person."
Esguerra is the Officer in Charge of the Philippine Coast Guard's elite rescue team, and is sent with
his crew to disaster zones, often rappelling down from helicopters to rescue sites. Their mandate by
law is to save lives.
He takes his team through repeated training. The situations change, and include earthquake,
hazardous materials, flood, bombing, combat and trauma. He admits he has gotten into trouble for
hiring prostitutes for demonstration work.
"I used a prostitute--sorry for the word--and she earned money in the right way, not hanky-panky
things on the bed."
In Esguerras program, the prostitutes are paid to act as casualties all the way to the second
assessment on the field. Esguerra's students work as if the ambulance is still on the way. They are
required to strip the prostitute and make a full patient assessment of injuries set up by Esguerra. It is
training especially for situations with multiple trauma victims. He says students are more confident on
the field after handling real people on training instead of dummies and diagrams.
"In EMS, we have a rule. You cannot treat what you cannot see. How can you treat me if I split my
testes and am wearing dark pants? If I'm bleeding, will you see the blood? You have to open up the
pants, look at the testes and look at the anus if there are injuries there as well."
Esguerra's technique became an issue. He stopped hiring prostitutes, and paid ex-cons instead.
They volunteered for the work when they found out Esguerra was looking. He was responsible for
training many of them into volunteer firefighters.
The man
The worst, he says, is when there are children on the field that he cannot save.
I cant stand by and watch when children are hurt. Its like I dont see the justice. I deserve being
hurt, being injured, with all the ugly things in my head, all the evil intentions and all the ways of
waging war against somebody. But not these young, innocent children.
Meet the Unsung Hero during every major and minor disasters that hit our country,
name it, he's there, been there and done that. Let this page serve as a tribute to him
and an affirmation of his greatness specially in this time of Typhoon Yolanda Disaster .
Me with Doc Ted's Rescue Pajero, loaded with full battle gear
By Henrylito D. Tacio
Wednesday, April 14, 2010
DOCTOR Teofredo T. Esguerra, a flight surgeon who is an expert on emergency medical services, part of which is
high altitude medicine, said those words in 2006 when he was part of the Filipino team who scaled the world's highest
peak, Nepals Mount Everest. He stayed for the most part at the base camp, which is 18,000 feet above sea level.
"We stayed for three months around the Himalayan ranges to acclimatize our bodies to high altitude," he tells M. "We
climbed lower peaks to train and adapt to the environment where we were in. Nobody just climbs the highest peaks
there without acclimatizing."
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Aside from taking care of the health of everyone, Doc Ted as he is popularly called by his friends and colleagues -also took charge of the nutrition, the safety procedures, the rescue evacuation if something happened, and the
acclimatization training before the climb.
Doc Ted became the most popular figure in the mountain when he rendered medical treatment for free (where
charges were as much as US$75 for checkups and treatments). "Along the way, I ended up a doctor to everyone
Tibetans, Spanish, Italian, South African, Israeli, Belgian, Indonesian, Singaporean, Malaysian, American, French,
German, Swiss, everyone!"
Doc Ted had his initial studies in Davao Medical School Foundation (from 1989 to 1991). "But I was so active in the
world of activism and music which cost my studies," he admits. "I stopped for a year and concentrated on pursuing
music and arts."
Then, he had the chance of going back to school. He attended the Bicol Christian College of Medicine, where he
finally graduated in 1994. He took his medical board examination in 1996. He had his aviation medicine training
when he was working at the Armed Forces Hospital Southern Region in Saudi Arabia. "I was an ambulance doctor
there handling both ground and air," he admits. "I like flying. My childhood dream was to be a pilot."
Today, Doc Ted is with the Philippine Coast Guard Medical Service handling air medical evacuation, remote and
wilderness rescue and conducting training anywhere.
"I usually handle the difficult advance life support interventions," he says. "Right now, I am busy teaching rescue and
humanitarian operations to several local composite rescue teams. I found glory in that. Well make each day a safer
one by training anyone how to save lives."
He is also part of the Balangay team as assistant expedition leader. Balangay is a wooden watercraft adjoined by a
carved-out plank edged through pins and dowels. It was first mentioned in the 16th Century in the Chronicles of
Pigafetta.
Unknown to many, Doc Ted considers himself "a hard core humanitarian worker." He is connected with the
Knightsbridge International Humanitarian Organization, which extends works particularly in the hostile areas of the
world.
"I always render and facilitate humanitarian support locally and internationally," he says.
Indeed, Doc Ted has a long, long way since he was a little boy growing up in Bansalan, Davao del Sur, where he had
so many fond memories.
"I biked around the town," he recalls. "I played along the Miral River and took a bath. I feasted on durian during its
season, watched waling-waling blossomed at the backyard, and hunted wild ducks on some occasions."
But there were some regrets though. When he became a man of his own, he left his family and went to Luzon.
"I never had the chance to visit my parents often while they were still alive," he laments. "The time I went home, they
were already gone not your way of saying goodbyes. Worst is that I am a doctor and my parents died not in my
arms. I could have extended some skills I have on them. I mean my expertise is saving lives in the field. I could have
done it on my parents."
Although he is now a practicing Muslim, he respects other religions. "In the humanitarian world, we dont talk about
politics and religion. We just talk how we can redeem the poor."
Doc Ted is also song writer and poet. In one of his poems, he wrote several lines about his existence in this world.
Part is this rhyme: "Saving life is my sole game, Careful teaching is my fame."
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