Dealing with a Flat Tire

Today, July 6, 2017, at about 530 pm, after my daily walking exercise, I noticed one the tires of the car of my daughter seemed to lack air but not completely deflated and flattened.  I was deciding whether to bring the car to the vulcanizing shop before the tire becomes completely flatten.  I decided to observe further as I was not sure yet.  After I walked the dog which took me about 15 minutes, I saw the deflation of the tire was progressing.  Using portable air pump (usually used for bicycle and basketball), I tried pumping some air manually into the deflated tire hoping that I could inflate even a little bit to enable me to bring the car to a nearby vulcanizing shop without me having to change the tire.  However, I was not successful as there might be continuing air leak in the tire.  I decided the tire should be changed already.

I was looking around for external help such as drivers of other cars in the neighborhood. Unable to find someone to help me, I decided to change the flat tire myself, which I have not done for a long time.  I honestly dislike changing flat tire as it is difficult and dirty.

I had difficulty loosening the lug nuts of the flat tire using the usual L-shaped lug wrench.  I had to use a spider wrench and an additional long metal bar to be able to apply more force in loosening the lug nuts.   Then, I jacked up the car.  Then removed the flat tire.  Then, I got the reserved tire and finally changed the flat tire.

At one point, I was sitting on the ground already while I put in the reserved tire and released the jack.   I was tired.  It was really difficult and tiring for me to change tires nowadays.   At any rate, I made it.  I told myself (kaya ko pa pala,  I can still do it afterall).

After putting the spare tire, I noticed the spare tire lacked air to the point that it looked like I had another flat tire to handle.  I pumped in some air but was not successful as I noticed there was an air leak in the “pito”  or valve stem.

It was already past 7 pm and was already dark.  I was tired already.  I initially thought of  just parking the car properly along the side of the road and leave the flat tire alone and just fix it in the morning.  However, thinking that my daughter will use the car early morning the next day, I decided to take the chance (with still some air in the spare tire) and bring the car to the nearby vulcanizing shop (about 1 km away).  Bahala na or come what may.  Fortunately, I was able to reach the vulcanizing shop without destroying my spare tire.

In the vulcanizing shop, it was discovered that first tire had a long nail that penetrated it causing the flat tire.  The spare tire had a destroyed or leaking valve stem.  These were both fixed at the total cost of P400.00.

At 815 pm, I was back home physically tired and dirty.

Some lessons learned:

  1.  I should always have a spider wrench and a long metal bar (wrench extension) to facilitate lug nuts loosening.
  2. I will try using hydraulic jack rather than mechanical jack as the latter consumes a lot of energy.
  3. I and I will tell my daughter also to always have the spare tire checked regularly for functional substitution.
  4. I will continue  to have an air pump always available in the car.  It still useful as a temporary measure to pump air into the tire to enable the car to reach the vulcanizing shop (let the boys in the vulcanizing shop do the difficult and dirty work of removing and fixing flat tires.
  5. I will wear rubber gloves when I change flat tires to prevent my hands from getting soiled with dirt and grease.


Spider wrench

images (1)

L-shaped wrench



Wrench extension using a metal bar placed over a L-shaped wrench



Hydraulic jack


Hydraulic jack


Air pump


Posted in Car Emergencies | Leave a comment

ROJoson’s Facebook Timelines Has Reached Quota as of June 2017

My Facebook Timelines has reached the 5000 friends limit as of June 12, 2017.  I cannot add more requests.  Actually, I have reached the limit last May 2017.  I just did “unfriending” for the inactive friends.   There is a limit to my doing “unfriending.”


Thus, I decided to create a Reynaldo O Joson 2 Facebook Group and Reynaldo O Joson Page.

These 2 will be an extension of my original Facebook Timelines.

For the information of those interested to be my Facebook friends.



Posted in FACEBOOK PROJECT - ROJOSON | Leave a comment

Work, just work and keep busy

If you are poor — work.

If you are rich — continue to work.

If you are burdened with seemingly unfair responsibility, work.

If you are happy — keep right on working.  Idleness gives you room for doubts and fears.

If disappointments come — work.

If sorrow overwhelms you and loved ones seem not true — work.

When faith falters and reason fails — just work.

When dreams are shattered and hope seems dead — work as if your life were in peril.

Whatever happens or matters — work.

Work faithfully — work with faith.

Work is the greatest material remedy available.

Work will cure both mental and physical afflictions

— From the “Silent Partner”

Keep busy.

If you are unhappy, keep busy doing something.  Keep busy doing something for yourself but more importantly for others.   Chances are higher you will regain happiness when do something for others.

Commit to the Lord whatever you do and your plans will succeed.  Proverbs 16:3






Posted in Work | Leave a comment

Preparedness to Respond to Destructive Earthquake

With the spate of earthquakes in Philippines lately, particularly in Batangas, we should be reminded to review and reassess our preparedness to respond to destructive earthquake.
How prepared are we individually? for our family? as a priority!
Self-assessment questions:
– Do we know how to anticipate collapse of a building or falling of objects so as to avoid injuries for ourselves and for our family?
– Do we know how to protect ourselves from collapse of a building or falling of objects?
– When do we do duck, cover and hold?
– When do we evacuate a building?
– Where do we evacuate?
– When do we go back to the building?
– Do we know how to protect ourselves when we are driving or riding in a vehicle when there is an earthquake?
– Do we know how to protect ourselves when we are in the beach when there is a danger of tsunami?
If you have comprehensive and correct answers to the above questions and you have a plan even mental plan, then you are prepared to respond to destructive earthquake.
If you are not prepared yet. prepare now to be prepared!!!!!!
Posted in Earthquake | Leave a comment

Watch and Wait in Medicine and Earthquake

April 8, 2017 – afternoon – I experienced an earthquake situation while I was attending a lecture in Asian Institute of Management.

One of my insights is on Watch and Wait.

Watch and wait, watchful waiting, wait and see and wait and watch are phrases one sees in the Internet.  They carry the same concept. They are applicable in medicine and non-medicine setting.

In the medical setting, watch and wait, watchful waiting and the like is an approach to a medical problem in which time is allowed to pass before medical intervention or therapy is used.

In the non-medical setting, wait and see, wait and watch, and the like is an approach to a problem in which one wait to find out what will happen before doing or deciding something.

In the earthquake that I experienced on April 8, 2017, in the midst of the lecture, we saw the slide on the screen quivering (I saw it moving up and down rather than sideways). We initially though it was due to a computer or LCD glitch.  After a few seconds, we felt the earthquake or shake.  The earthquake stopped for a while.  After a few seconds, we felt another shaking of the building and also we saw the quivering of the slide.   Note: This was slide that quivered.


During the second shake, some participants were thinking of ducking until a table. However, there was only one table (there were about 50 participants).  I decided to stand up and duck under the frame of the door.  After the second shake, the group decided to vacate the building and went to the open ground outside the building of AIM.  After 30 minutes, the facility building officer declared safe to return to the building.

So, essentially, during the earthquake, the group did watch and wait or wait and see. During the second shake, the group was deciding to duck under a sturdy structure. After the second shake, the group decided to vacate the building, went to the open ground and waited for the building officer for advice.

Watch and wait, watchful waiting, wait and see and wait and watch carry the same concept.  They are applicable in medicine and non-medicine setting.

What are important to know are that there should be very closed watch or monitoring to enable timely and hopefully correct action and that this approach is not foolproof (does not guarantee 100% good outcome but it is most practical at best – as the building may collapse while doing wait and see or in the medical setting, the patient may suddenly develop severe complication during watchful waiting which may not be controlled anymore).


Watchful Waiting as a Treatment Modality for Medical Conditions


Posted in Earthquake, Watch and Wait | Leave a comment

5S on my digital files

April 8, 2017

With the Holy Week coming up, I plan to spend the holidays doing 5 S again (sort, set in order, shine, standardize and sustain) on my digital files in my USBs, external hard drives, laptop, and cameras.

I have 29 USBs as of April 8, 2017.  I currently have files in 25 USBs.


I use the USBs as folders for my digital files.  For example, one USB for hospital administration files; one for safe hospital initiative; one for personal files; one for breast files; one for thyroid and parathyroid files; one for gallbladder files; one for medical education files; one for Ospital ng Maynila Medical Center Department of Surgery files; one for Medical Anecdotal Reports; one for skin and soft tissue files; etc.

I have 4 functional external hard drives.  One is used for backing up files in USBs. One contains my videos of yesteryears. One contains archived files (non-active files). One serves as a back-up of the videos and archived files.

I have files in my laptop which I have to transfer to the USBs.

I have camera files which I have to transfer to the USBs.

With so many files, starting this year, there will be files which I will put in the cloud without a copy in my USBs.  As much as possible, there will be back-up copies in the cloud (Facebook, Google Site, and

Lately, I lost some files due to corruption of the USBs.  I have to reconstruct the files which I was not to back-up right away.   SAD.  😦


  1. Have to back-up all files right away.
  2. Have to fix the USB hubs which may be corrupting my USBs.
  3. Have to read on how to retrieve files from corrupted USBs before re-formatting.
  4. Have to discard the defective USBs (not to re-use it anymore after re-formatting).

Note: I still have a lot of hard copies of documents that I used in teaching medical education and surgery circa circa 1991 that I have to digitalize.  I plan to scan the hard copies hopefully before the year ends again (I was not able to complete this task last year).


Posted in Clutter Management, Digital Files, Uncategorized | Leave a comment

Patient Delight Manifested in Food Gifts

April 8, 2017

Patient delight manifested in food gifts – 17apr8 – Saturday clinic – from 5 patients – 3 under the ROJoson’s Patient Assistance Program (one from Samar, one OFW from Jordan, and one from a nearby province) and two patients greatly relieved that they didn’t have to be operated on their breasts after all.





Posted in Patient Assistance Program, Patient Delight | Leave a comment