True Stories From the Hospitals of Bohol

The Philippines has a rich medical history blending indigenous healing traditions with Western medicine introduced during the Spanish colonial period. Traditional Filipino healing, practiced by the albularyo (herbalist-healer) and hilot (massage healer/midwife), draws on extensive knowledge of the archipelago's medicinal plants and is still widely practiced, especially in rural areas. The Spanish colonial period established formal medical education, with the University of Santo Tomas Faculty of Medicine and Surgery, founded in 1871, being the oldest medical school in Asia. Filipino physician José Rizal, the national hero, was trained as an ophthalmologist and exemplified the deep connection between medicine and national identity.

Modern Philippine medicine has produced notable achievements despite resource constraints. The Philippine General Hospital (PGH), established in 1907 and affiliated with the University of the Philippines, remains the country's premier public medical center and training ground for physicians. Filipino doctors and nurses serve healthcare systems worldwide — the Philippines is the largest exporter of nurses globally, reflecting both the excellence of Filipino medical training and the economic pressures that drive emigration. The country has contributed to tropical medicine research, and Filipino physicians are recognized for expertise in managing diseases endemic to the tropics. Dr. Fe del Mundo, the first Asian woman admitted to Harvard Medical School (1936), revolutionized Philippine pediatric care and established the first pediatric hospital in the Philippines.

The Philippines possesses one of Southeast Asia's most vibrant and enduring supernatural traditions, reflecting centuries of layered cultural influence from indigenous animism, Spanish colonial Catholicism, and broader Southeast Asian folk beliefs. The aswang, the most feared creature in Filipino folklore, is a shape-shifting monster that can appear as a beautiful woman by day but transforms at night into a winged, viscera-eating predator that targets pregnant women and the sick. Belief in the aswang remains strong in rural Philippines, particularly in the Visayas region, where specific towns — such as Capiz province — are historically associated with aswang activity. The manananggal is a related entity: a woman who can sever her upper body from her torso and fly through the night with batlike wings, trailing her entrails as she searches for victims.

Filipino ghost lore includes a vast array of supernatural beings drawn from pre-colonial Austronesian mythology. The tikbalang is a creature with the head and hooves of a horse but the body of a man, which lurks in bamboo groves and leads travelers astray. The duwende (from Spanish duende) are dwarf-like earth spirits that can bestow fortune or cause illness depending on whether they're treated with respect. The white lady (multo) — a female ghost in a white dress — is among the most commonly reported ghostly apparitions in the Philippines, with sightings associated with specific locations throughout Metro Manila and the provinces. The tiyanak, the ghost of a dead infant or aborted fetus, takes the form of a crying baby in the forest to lure victims.

The Philippines' unique religious character — it is the only predominantly Catholic nation in Asia, with over 80% of the population identifying as Roman Catholic — creates a fascinating duality in supernatural belief. Filipino Catholics commonly integrate indigenous spiritual practices with Catholic devotion: attending Mass in the morning and consulting an albularyo (folk healer) in the afternoon, or wearing Catholic scapulars alongside anting-anting (protective amulets rooted in pre-colonial shamanism). This syncretic spirituality means that belief in ghosts, miracles, and supernatural healing coexists seamlessly with devout Catholic practice, creating one of the world's most spiritually layered cultures.

The Philippines, with its deep Catholic devotion, is one of the most prolific sources of miracle claims in Asia. The Santo Niño de Cebú (Holy Child of Cebu), an image of the infant Jesus given by Magellan to the Queen of Cebu in 1521, is venerated as a miraculous icon, with the Basilica Minore del Santo Niño maintaining extensive records of attributed healings. The annual feast of the Black Nazarene in Manila draws millions of barefoot devotees who believe that touching the centuries-old dark wooden statue of Jesus carrying the cross can heal illness and grant miracles. Marian apparition claims have occurred at multiple Philippine sites, including the 1948 apparitions at Lipa in Batangas, which generated claims of miraculous rose petal showers. Faith healers in the Philippines, particularly the psychic surgeons of the Cordillera region, attracted international attention in the mid-20th century with claims of performing surgery with bare hands — most notably Eleuterio Terte and Tony Agpaoa — though these practices have been widely criticized as fraudulent.

Amish and Mennonite communities near Bohol, Visayas don't typically report hospital ghost stories—their theology doesn't accommodate restless spirits. But physicians who serve these communities note something that might be the inverse of a haunting: an extraordinary stillness in rooms where Amish patients are dying, as if the community's collective faith creates a zone of peace that displaces whatever else might be present.

The Midwest's one-room schoolhouses, many of which were converted to medical clinics before being abandoned, have seeded ghost stories near Bohol, Visayas that blend education and medicine. The ghost of the schoolteacher-turned-nurse—a Depression-era figure who taught children by day and dressed wounds by night—appears in rural medical facilities across the heartland, forever multitasking between her two callings.

Research at the University of Iowa near Bohol, Visayas into the effects of ketamine and other dissociative anesthetics has revealed pharmacological parallels to NDEs that complicate the 'dying brain' hypothesis. If a drug can produce an experience structurally identical to an NDE in a healthy, living brain, then NDEs may not be products of death at all—they may be products of a neurochemical process that death happens to trigger.

Pediatric cardiologists near Bohol, Visayas encounter childhood NDEs with increasing frequency as survival rates for congenital heart defects improve. These children's accounts—simple, unadorned, and free of religious or cultural overlay—provide some of the most compelling NDE data in the literature. A five-year-old who describes meeting a grandmother she never knew, and correctly identifies her from a photograph, presents a research challenge that deserves more than dismissal.

County fairs near Bohol, Visayas host health screenings that reach populations who would never visit a doctor's office voluntarily. Between the pig races and the pie-eating contest, fairgoers get their blood pressure checked, their vision tested, and their cholesterol measured. The fair transforms preventive medicine from a clinical obligation into a community event—and the corn dog they eat afterward is part of the healing, too.

The Midwest's tradition of barn raisings—communities gathering to build what no individual could construct alone—finds its medical equivalent near Bohol, Visayas in the fundraising dinners, charity auctions, and GoFundMe campaigns that pay for neighbors' medical bills. The Midwest doesn't wait for insurance to cover everything. It passes the hat, fills the plate, and does what needs to be done.

The psychological transformation that follows a near-death experience has been documented with remarkable consistency across four decades of research. Dr. Bruce Greyson's longitudinal studies at the University of Virginia show that NDE experiencers demonstrate reduced fear of death (92%), increased concern for others (78%), reduced interest in material possessions (76%), increased appreciation for life (84%), and a shift toward unconditional love as a life priority (89%). These changes persist for at least 20 years after the experience. Importantly, these transformations also occur in experiencers who describe their NDE as frightening or distressing — suggesting that the transformative power of the NDE lies not in its emotional content but in its revelatory nature. For therapists, psychiatrists, and pastoral counselors in Bohol who work with NDE experiencers, these documented trajectories provide essential clinical context for supporting patients through the integration process.

The neurochemistry of the near-death experience has been explored through several competing hypotheses, each addressing a different aspect of the NDE. The endorphin hypothesis, proposed by Daniel Carr in 1982, suggests that the brain releases massive quantities of endogenous opioids during the dying process, producing the euphoria and pain relief reported in NDEs. The ketamine hypothesis, developed by Karl Jansen, proposes that NMDA receptor blockade during cerebral anoxia produces dissociative and hallucinatory experiences similar to those reported in NDEs. The DMT hypothesis, championed by Dr. Rick Strassman, suggests that the pineal gland releases dimethyltryptamine (DMT) at the moment of death, producing the vivid hallucinatory experiences characteristic of NDEs. Each of these hypotheses has some empirical support, but none can account for the full range of NDE features. Endorphins can explain euphoria but not veridical perception. Ketamine can produce dissociation and tunnel-like visuals but does not produce the coherent, narrative-rich experiences typical of NDEs. DMT remains hypothetical in the context of human death, as it has never been demonstrated that the human brain produces DMT in quantities sufficient to produce psychedelic effects. For Bohol readers interested in the neuroscience of NDEs, these hypotheses represent important contributions to the debate, but as Dr. Pim van Lommel and others have argued, they are individually and collectively insufficient to explain the phenomenon.

The research of Dr. Bruce Greyson on near-death experiences spans four decades and over 100 peer-reviewed publications, making him the most prolific NDE researcher in history. Greyson's most significant contributions include the development of the NDE Scale (1983), a 16-item validated questionnaire that assesses four domains of NDE features — cognitive, affective, paranormal, and transcendental — and provides a quantitative score that allows for rigorous comparison across studies. The NDE Scale has been translated into over 20 languages and is used by virtually every NDE research group in the world. Greyson's research has also established several key findings about NDEs: that they are not related to the patient's expectations or prior knowledge of NDEs; that they produce lasting personality changes (increased compassion, decreased death anxiety, reduced materialism); that they occur across all demographics and cannot be predicted by any known variable; and that the quality of consciousness during an NDE often exceeds that of normal waking consciousness. In his book After (2021), Greyson synthesizes his decades of research and argues that NDEs provide evidence that consciousness is not produced by the brain — a position he acknowledges is controversial but maintains is supported by the accumulated evidence. For physicians in Bohol, Greyson's work provides the scientific gold standard against which NDE claims can be evaluated, and Physicians' Untold Stories benefits from this rigorous foundation.

The question of whether near-death experiences provide evidence of an afterlife is one that Dr. Kolbaba approaches with characteristic humility in Physicians' Untold Stories. He does not claim to have proven the existence of an afterlife; he presents the evidence and allows readers to draw their own conclusions. This restraint is both intellectually honest and strategically wise, because it allows the book to be read and valued by people across the entire spectrum of belief — from devout theists who find in the NDE confirmation of their faith to committed materialists who are nonetheless intrigued by the data.

For the people of Bohol, where the spectrum of belief is broad and deeply held, this ecumenical approach is essential. Physicians' Untold Stories meets readers where they are, offering each person a different but valuable experience. For the believer, it provides credible medical testimony supporting what faith has always taught. For the skeptic, it presents data that challenges materialist assumptions without demanding their abandonment. For the agnostic, it offers a rich body of evidence to consider in the ongoing process of forming a worldview. In all three cases, the book enriches the reader's engagement with the deepest questions of human existence.

The out-of-body experience (OBE) component of near-death experiences presents a particularly significant challenge to materialist models of consciousness. During an OBE, the experiencer reports perceiving events from a vantage point outside their body — typically from a position above and slightly behind the location of their physical body. In the NDE context, these OBEs occur during cardiac arrest, when the brain is receiving no blood flow and the EEG is flat. Despite the complete absence of the neurological conditions required for conscious perception, experiencers report observations that are subsequently verified as accurate. A patient in a Bohol hospital describes the specific actions of the resuscitation team, the arrival of a family member in the waiting room, and a conversation between nurses at the station — all of which occurred while the patient's heart was stopped and brain activity had ceased.

Dr. Michael Sabom's research, published in Recollections of Death (1982), was the first systematic investigation of veridical OBEs during cardiac arrest. Sabom compared the accounts of cardiac arrest survivors who reported OBEs with the accounts of cardiac patients who had not had OBEs but were asked to guess what their resuscitation looked like. The NDE group was significantly more accurate, often providing specific details about equipment, procedures, and personnel that the non-NDE group got wrong. For physicians in Bohol who have encountered similar veridical OBE reports, Sabom's research and the accounts in Physicians' Untold Stories provide a framework for taking these reports seriously.

Dr. Sam Parnia's concept of 'Actual Death Experiences' (ADEs), published in his 2013 book Erasing Death, reframes NDEs as experiences that occur during actual death rather than 'near' death. Parnia argues that modern resuscitation has blurred the line between life and death — patients who would have been considered dead a generation ago are now routinely revived, sometimes after extended periods of cardiac arrest. The experiences they report during this period are not 'near' death; they are death. For physicians in Bohol who perform CPR and manage cardiac arrest, Parnia's reframing has practical significance: the patient on the table may be experiencing something profound even while their heart is stopped and their EEG is flat. This understanding may change how resuscitation teams communicate in the room, recognizing that the patient may be aware of everything being said.