Kindergarten and Elementary
MD 1-1 Biochemistry E-Portfolio
ElynnJoshua Ali G.Nicdao
From laboratory precision to the deeper molecular language of medicine.
Enter the record
Identity file
Who I am
Many interests.
One direction.
Hi, I’m Elynn Joshua Ali G. Nicdao, but most of my family and friends call me EJ.
I’m the eldest of three siblings, and I’m from San Fernando City, Pampanga. I grew up in a family where medicine and business have always been a big part of our lives. My father is a physician, while my mother is a businesswoman.
I wouldn’t say I was the smartest or most talented growing up. If anything, I’d describe myself as a “jack of all trades, master of none.” I’ve always been interested in different things and enjoyed trying and learning something new rather than sticking to just one.
Basketball, going to the gym, running, and cars have been interests of mine for years, and they are still a big part of my life today.
“Becoming a physician has always been a dream of mine. I want to earn the title while becoming someone who can genuinely make a difference in other people’s lives.”
Academic trajectory
Built through
every stage.
My educational journey has taken me through different schools and experiences that helped shape who I am today.
Junior High School
Don Bosco Academy of Pampanga
Grades 7 to 10Senior High School
University of Santo Tomas
Health Allied StrandUndergraduate
University of Santo Tomas
BS Medical TechnologyPresent
MCU College of Medicine
Doctor of Medicine, Year 1Completing my Bachelor of Science in Medical Technology gave me a strong foundation in the medical field and further strengthened my interest in pursuing medicine. I am now continuing that journey as a first-year medical student.
Clinical experience / April to June 2026
Accuracy is
part of care.
Working in a small clinical laboratory gave me firsthand experience with the responsibility behind every specimen.
I collected blood specimens, made sure samples were correctly handled and labeled, and helped prepare and organize them before processing. Patient identification, the correct collection tube, infection control, and an orderly work area all mattered because even a small error could affect a laboratory result.
The role improved my confidence and technical skills in venipuncture. It also taught me that healthcare requires more than technique: patience, clear communication, compassion, attention to detail, and professionalism are equally important.
That experience gave me a deeper appreciation of how laboratory work contributes to diagnosis and management, making it even more meaningful as I continue toward becoming a physician.
Two terms / One evolving record
Choose the
next record.
The foundations, the pathways, and the work of becoming a physician.
Viewing Midterms · 2026
01FoundationWater, pH, and My First Impressions
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Water, pH, and My First Impressions
My first few Biochemistry discussions made me realize that I was entering a subject that would require a different kind of studying. I had already encountered laboratory concepts during my undergraduate years, but studying Biochemistry as a medical student required me to see what happens inside the human body.
Water and pH showed me that I could not rely on memorization alone. Equations and concepts had to be understood before they could be applied. Eventually, I saw why these ideas appear so early in Medicine: water influences countless processes, while even a small shift in pH can disrupt normal physiological function. Dehydration, vomiting, and diarrhea made fluid and acid-base balance feel clinically real.
My Medical Technology background also changed how I viewed the lesson. Instead of seeing a laboratory value as an isolated number, I began looking for the biochemical explanation behind it. The Kahoot activity made the class less intimidating and helped me see that difficult subjects can still be engaging.
02AssessmentQuiz 1 and Quiz 2
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Quiz 1 and Quiz 2
The first two quizzes were an early reality check. I was still learning how to approach Biochemistry questions, especially those that required more than remembering lecture material. Both were challenging, but I earned passing scores while still adjusting to the subject and the pace of medical school.
I also realized that repeatedly reading my notes was not enough. I needed active recall and self-testing instead of simply recognizing the material on a page. The quizzes were not perfect performances, but they showed me where I stood and what I needed to strengthen for the next assessments.
03SGD 01The Mystery Behind Waters
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The Mystery Behind Waters
Our first SGD helped me appreciate the difference between knowing a concept and using it in a patient situation. Vomiting and diarrhea may sound like common complaints, but prolonged fluid loss can affect hydration, electrolytes, and acid-base balance. The body’s systems do not work independently; when one is disturbed, another may respond to compensate.
The case changed the way I look at symptoms. I need to ask what else could be happening beneath the obvious complaint. It also proved that Biochemistry is not just a collection of reactions; it can explain why patients develop particular signs and symptoms. I almost forgot to submit the activity amid the class suspensions, and I remain grateful that Doc Alvin allowed me to pass my output.
04July 31, 2026Communication Skills
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Communication Skills
Our doctor-patient role-play reminded me that future physicians must communicate with people who may be nervous, uncomfortable, or unfamiliar with medical terminology. Open-ended questions allow patients to explain concerns we might not think to ask about directly.
I also learned that communication affects the quality of information we receive. A patient who feels rushed may leave out something important, while someone who feels genuinely heard may share more. Becoming a physician is not only about the correct diagnosis or treatment. Communication connects medical knowledge to the person in front of us.
05SGD 02When Iron Is Not Enough
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When Iron Is Not Enough
This self-directed activity felt personal because anemia was familiar from my Medical Technology experience. I knew the CBC parameters, but recognizing hemoglobin, hematocrit, MCV, and MCH is different from understanding the biochemical events that create those findings.
I realized that I had sometimes viewed low hemoglobin too simply. Iron deficiency matters, but it is not the only explanation. Several findings must be considered together. My laboratory background helped me recognize the values, while Biochemistry helped me understand what was happening behind them. I am not starting from zero; I am taking what I know and learning it at a deeper level.
06Human side of medicineCommunication in Medicine
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Communication in Medicine
Creating our summative communication video made me conscious of how easily a patient conversation can become focused only on obtaining answers. Patients will not always describe a problem in the exact way we expect. Open-ended questions give them room to speak in their own words and may reveal concerns that would otherwise remain unspoken.
I learned that listening is an active skill. It is not enough to hear the words; I have to notice the meaning behind them. Good communication shapes the entire encounter because before I can properly help someone, I first need to understand what they are experiencing.
07Virtual laboratoryIntroduction to Labster
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Introduction to Labster
Labster was not completely new because I had encountered virtual laboratory work during first-year chemistry at UST. This time, however, I viewed it as a medical student with experience from an actual laboratory.
Real laboratory work taught me that accuracy, technique, and understanding the purpose behind a procedure all matter. Virtual simulation offers something different: it can make molecular processes visible when they cannot be directly observed during routine testing. I became interested in how it could complement the practical knowledge I had already gained.
08Protein foundationAmino Acids, Peptides, and Primary Structure
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Amino Acids, Peptides, and Primary Structure
The number of amino acids, structures, and characteristics quickly showed me that memorization alone would not make the topic easier. Determining primary protein structure required careful analysis instead of simply recalling definitions.
With repeated review, the bigger picture became clearer. Amino acids matter because their arrangement influences what a protein can do, and altered protein structure or function can have significant effects on the body. This topic taught me that I cannot expect mastery after one reading. Some ideas require repeated practice, and I have to give myself that time.
09August 14, 2026Quiz 3 and Quiz 4
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Quiz 3 and Quiz 4
The third and fourth quizzes were the most difficult assessments I had encountered so far. There were parts of protein structure that I thought I understood until I had to apply them to a question. I was unable to pass one quiz, which was disappointing because I had studied well the night before and expected a better outcome.
The result taught me to study the textbook more carefully rather than scanning it. These quizzes became more than memory tests; they revealed which parts of my understanding were still weak and gave me a clear reason to change how I prepared.
10August 23, 2026The 2:30 AM Review Class
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The 2:30 AM Review Class
The review class with Doc Alvin is something I will probably remember beyond this semester. We continued until almost 2:30 AM. I was already tired, but I stayed until the end and felt a sense of accomplishment for pushing through.
More importantly, I appreciated Doc Alvin’s effort to make sure we were prepared. That night reminded me that medical school is not something I have to face through individual effort alone. Professors guide us, and classmates share many of the same struggles.
11August 27, 2026Hemoglobin and Myoglobin
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Hemoglobin and Myoglobin
Hemoglobin felt familiar from my Medical Technology background, but the discussion showed me how much more there was to understand. I learned how its structure supports oxygen binding and how factors such as pH can change oxygen affinity. Hemoglobin is not simply a fixed carrier that picks up oxygen and drops it elsewhere.
Myoglobin offered another perspective through its role in muscle. What interested me most was discovering the larger biochemical story behind a familiar laboratory value. Medicine allows me to revisit what I already know and understand it at a completely different level.
12September 3, 2026Prelim Examination Review
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Prelim Examination Review
After our Histology prelims, our online Biochemistry review ran from around 5:00 PM to 11:00 PM. I was tired, but I knew the session mattered. Doc A continued guiding us even though it was already late, and afterward I stayed up studying with friends.
That experience taught me that medical school is not always about being the smartest person in the room. Sometimes it is about continuing when I am tired, accepting help, and having people beside me who understand the same pressure.
Midterms / 2026
Understand the play.
Keep showing up.
Laboratory discussions, metabolic pathways, and the reflections behind each small step forward.
01Laboratory discussionGroup 1 Discussion — Building and Exploring the Spectrophotometer
“Learning the Machine Behind the Numbers”+
Group 1 Discussion — Building and Exploring the Spectrophotometer
“Learning the Machine Behind the Numbers”Before this discussion, the spectrophotometer felt like a piece of equipment I knew I would eventually have to use but did not fully understand yet. Group 1’s explanation helped me connect the machine’s components with what it actually does in the laboratory. I learned that getting a reliable reading is not just about placing a sample inside; details such as selecting the proper wavelength and keeping the cuvette clean also matter. That stood out to me because it showed how a small mistake can affect the result. I was also encouraged by how I performed in the quiz. Biochemistry still takes effort for me, but experiences like this remind me that when I slow down, listen, and understand the reasoning, a difficult topic can become manageable.
02Group reportingGroup Reporting — Beer-Lambert Law and Absorbance Experiment
“Understanding It Better by Teaching It”+
Group Reporting — Beer-Lambert Law and Absorbance Experiment
“Understanding It Better by Teaching It”Working on our report challenged me to go beyond recognizing the Beer-Lambert Law and actually explain what it means. At first, the relationship between absorbance and concentration felt abstract, but reviewing it with my groupmates helped me see how the idea is used in an experiment. I understood that the amount of light absorbed by a sample can help us determine the concentration of a substance, provided the conditions are appropriate. Presenting the topic also made me notice which parts I understood and which parts I still needed to clarify. I am learning that studying is not always a solo activity; hearing other people’s explanations and trying to explain the concept myself can make the lesson stay with me longer.
03Chapter 11CHAPTER 11: Bioenergetics and the Role of ATP — September 10 (Online)
“The Energy Currency That Keeps Things Moving”+
CHAPTER 11: Bioenergetics and the Role of ATP — September 10 (Online)
“The Energy Currency That Keeps Things Moving”This chapter helped me see ATP as more than another abbreviation to remember for an exam. It is a form of energy that cells can use to carry out the work needed to keep the body functioning. Before, I did not think much about what happens between eating food and having the energy to study, walk, or exercise. Now I understand that energy from nutrients has to be transformed into a usable form before cells can put it to work. I still have to review the details, but connecting ATP to everyday activities makes the topic easier for me to appreciate. It is a reminder that even when I am sitting still trying to understand Biochemistry, my cells are constantly doing their own work.
04Chapter 12CHAPTER 12: Biologic Oxidation — September 11 (Online)
“How the Body Makes Use of Fuel”+
CHAPTER 12: Biologic Oxidation — September 11 (Online)
“How the Body Makes Use of Fuel”Biologic oxidation showed me that the body cannot simply take the energy stored in food and use it all at once. Nutrients go through controlled reactions that allow energy to be released and captured in ways the cell can use. I found that idea easier to understand when I connected it to something familiar, like eating rice before a long day at school. The food may seem ordinary, but the body has to process its nutrients through a series of chemical reactions. This chapter also reminded me why Biochemistry can feel demanding: each process connects to another. Still, when I take time to understand the purpose behind the reactions instead of memorizing isolated terms, the overall picture becomes clearer.
05Chapter 13CHAPTER 13: The Respiratory Chain and Oxidative Phosphorylation — September 17
“Following the Pathway to ATP”+
CHAPTER 13: The Respiratory Chain and Oxidative Phosphorylation — September 17
“Following the Pathway to ATP”I had heard the phrase “powerhouse of the cell” many times, but this chapter gave me a better understanding of the work happening in the mitochondria. Electrons move through components of the respiratory chain, helping create the conditions needed for ATP production through oxidative phosphorylation. I also learned to appreciate oxygen’s role as the final electron acceptor in this process. The pathway has several parts, so I cannot say that I have mastered every detail yet, but I can now see how the steps fit together. It is satisfying when a concept that once sounded like pure memorization starts to make sense as a process. That is the kind of progress I want to keep making in this subject.
06Chapter 14CHAPTER 14: Overview of Metabolism and Provision of Fuels — September 24
“Different Fuels for Different Needs”+
CHAPTER 14: Overview of Metabolism and Provision of Fuels — September 24
“Different Fuels for Different Needs”This chapter helped me understand that metabolism is not one single pathway that works the same way all the time. The body can use different sources of fuel and can store energy for times when immediate intake is not enough. Which fuel is used depends on what is available and what the body needs at that moment. I found this useful because it connects several topics we have studied rather than treating them as separate lessons. It also changed how I think about metabolism: the body continues adjusting and managing its resources even while I sleep or spend hours studying. I may not always organize my own schedule perfectly during exam week, but the body has coordinated systems working constantly to maintain its needs.
07Chapter 15CHAPTER 15: The Citric Acid Cycle — September 17 and September 24
“Seeing the Connections Inside the Cycle”+
CHAPTER 15: The Citric Acid Cycle — September 17 and September 24
“Seeing the Connections Inside the Cycle”The citric acid cycle initially seemed like a long list of intermediates and reactions that I would have to memorize. As I worked through the topic, I began to understand that the cycle is important because it helps process fuel and produces reduced coenzymes, including NADH and FADH₂, that carry electrons to the respiratory chain. That connection made the pathway feel less like a random sequence of names. I still need repetition to remember the intermediates and the order of reactions, but now I have a reason to learn them. The one thing that stayed in my mind is the mnemonic of “Can I Keep Selling Sex For Money, Officer”. My approach to Biochemistry is gradually changing: instead of asking only, “What do I need to memorize?” I am trying to ask, “What is this step doing, and how does it connect to the next one?”
08Chapter 16CHAPTER 16: Glycolysis and Oxidation of Pyruvate — September 18
“A Glucose Molecule’s First Steps”+
CHAPTER 16: Glycolysis and Oxidation of Pyruvate — September 18
“A Glucose Molecule’s First Steps”Glycolysis helped me understand that glucose is broken down through a sequence of reactions rather than in one sudden step. One detail that stayed with me is that the pathway uses ATP at the beginning before generating ATP later. At first, this seemed counterintuitive, but it showed me that a cell may need to invest energy in order to obtain a useful return. I also learned that pyruvate can be further oxidized when the appropriate conditions are present, linking glycolysis to other energy-producing pathways. These connections are what make the subject challenging for me, but they are also what make it interesting once I understand them. I am trying to study the logic of the pathway, not just memorize its names for a quiz.
09Chapter 17CHAPTER 17: Carbohydrates of Physiologic Significance — September 24
“Carbohydrates Do More Than Provide Energy”+
CHAPTER 17: Carbohydrates of Physiologic Significance — September 24
“Carbohydrates Do More Than Provide Energy”I used to think about carbohydrates mainly in terms of familiar foods such as rice and bread. This chapter expanded that view by showing that carbohydrates have several functions in the body. Besides serving as an energy source, they can form parts of important biological structures and participate in processes that help cells function. Learning this made the topic feel more relevant because carbohydrates are not just something discussed in nutrition; they are also part of the chemistry behind normal body function. I still have to work on remembering the different types and roles, but relating them to what happens in the body makes them easier to retain. It is another example of how Biochemistry gives a deeper explanation for things I encounter every day.
10Chapter 18CHAPTER 18: Metabolism of Glycogen — September 25
“Keeping Glucose in Reserve”+
CHAPTER 18: Metabolism of Glycogen — September 25
“Keeping Glucose in Reserve”Glycogen metabolism made me think about how the body prepares for changes in its energy supply. Rather than relying only on the most recent meal, the body can store glucose in the form of glycogen and mobilize it when needed. I also learned that liver glycogen and muscle glycogen do not serve exactly the same purpose, which helped me understand why their roles should not be mixed up. This chapter connects well with the discussion of metabolism because it shows how the body balances current needs with stored resources. The pathway still takes review, especially when I have to remember how glycogen is built up and broken down, but I understand its overall purpose better now. It is reassuring to learn how carefully the body manages its energy, even when my own study routine sometimes feels less organized.
11Chapter 19CHAPTER 19: Gluconeogenesis and the Pentose Phosphate Pathway — October 2 (Online)
“One Molecule, More Than One Purpose”+
CHAPTER 19: Gluconeogenesis and the Pentose Phosphate Pathway — October 2 (Online)
“One Molecule, More Than One Purpose”These pathways helped me recognize that glucose metabolism involves more than breaking glucose down for energy. Through gluconeogenesis, the body can produce glucose from certain non-carbohydrate precursors when needed. The pentose phosphate pathway, meanwhile, supports other cellular needs by producing NADPH and ribose-5-phosphate. I found it useful to compare the purposes of these pathways because they show how the body directs resources toward different tasks depending on the situation. This is also where I notice my usual struggle with Biochemistry: the names and steps can become overwhelming if I try to memorize everything at once. When I focus first on the purpose of each pathway, however, I have a better framework for learning the details. I am still working on it, but the connections are becoming more understandable.
CHAPTER 20: Topic to be confirmed — October 1
The topic and reflection will be added once confirmed.
13Small group discussionSMALL GROUP DISCUSSION
“Learning Through a Real-Life Case”+
SMALL GROUP DISCUSSION
“Learning Through a Real-Life Case”Our small group discussion about carbon monoxide stood out because it connected biochemical concepts with a situation that could have serious consequences in real life. I learned that carbon monoxide can bind to hemoglobin and interfere with the blood’s ability to deliver oxygen effectively, making exposure dangerous even when the signs are not obvious at first. Listening to my classmates’ ideas helped me consider the case from different angles, and the discussion felt more engaging than simply reading the topic alone. I enjoy these SGD sessions because they give me opportunities to see how classroom knowledge can help explain what happens to an actual person. Biochemistry is still challenging for me, but applying it to a case gives me a clearer reason to keep learning.
14Study journalStudy journal
“Review, Connect, Repeat”+
Study journal
“Review, Connect, Repeat”My review process for Biochemistry is still a work in progress. I often need to return to the same material more than once, especially when a pathway has several steps that connect to other chapters. I use my iPad to keep my notes together and revisit the parts that I find difficult, but I know that having organized notes is only useful if I take the time to understand them. I am trying to move away from last-minute memorization and toward learning the purpose of each process and how it relates to the bigger picture. I treat every weekday like a Game 7: I may not get everything right immediately, but I can keep making adjustments and work toward the wins I need. I am not where I want to be yet, but I am still fighting, and every concept that finally clicks reminds me that the effort is worth it.
Beyond medicine
What keeps me
in motion.
Medicine is my direction, but movement, machines, family, and new places remain part of how I recharge and keep learning.
What Biochemistry has taught me so far
Difficulty does not always mean
I am failing.
When I look back at the past several weeks, my biggest takeaway is not one pathway, equation, or protein. It is the realization that I am still learning how to become a medical student.
My Medical Technology background gave me familiarity, but Biochemistry showed me the limits of what I knew. Recognizing hemoglobin in a CBC is different from understanding its structure and oxygen-binding behavior. Knowing that a patient is anemic is different from understanding why.
I have learned that medical school leaves little room for simply reading notes again and again. I need active recall, practice, honest identification of weak areas, and the patience to revisit what I did not understand the first time.
I do not have to feel confident all the time. I can be confused and continue. I can answer incorrectly and study again. I can feel disappointed without letting that disappointment decide whether I keep going.
Difficulty can simply mean that I am learning something new. My goal is not to make every subject easy, but to become better at facing what is difficult—to understand instead of only memorizing and to remember why the science matters when I eventually meet it in a patient.
For now, I am learning one topic, one quiz, one review session, and one difficult day at a time. Maybe that is what progress looks like at this stage of my journey.
“Struggling, but Still Showing Up”
Struggling, but
still showing up.
Biochemistry remains one of the subjects I have to work hardest at. Some lessons do not click immediately, especially when they involve many reactions, enzymes, and pathways that depend on one another. I can feel discouraged when I study a topic and still need to return to it several times. However, I have noticed that when I give myself enough time to understand the explanation and connect it to what I already know, the lesson gradually becomes clearer. I am learning not to treat difficulty as proof that I cannot do it. For me, the challenge is to stay patient, identify what I do not understand yet, and keep working until I can explain the concept in my own words.
The discussions throughout this term have helped me see that Biochemistry is not just a collection of pathways for an examination. The lessons explain how the body obtains energy, stores fuel, and maintains the processes that allow cells and organs to function. I especially enjoy our small group discussions because I can sometimes connect the topic to real-life situations, and that makes the material feel more meaningful. Those moments remind me why I chose to study medicine in the first place. I may not understand every chapter on the first attempt, but each time a concept finally makes sense, I gain a little more confidence to move on to the next one.
The way I approach the week has become a bit like a Game 7: from Monday to Friday, I focus on getting the four wins I need. I do not expect every day to be easy, and I know that one difficult quiz or one confusing lesson does not have to define the whole week. I am still struggling with Biochemistry, but I am fighting to improve instead of giving up when it gets difficult. My goal is not simply to pass; I want to build an understanding that I can use as a future physician. I know I have more work ahead of me, so I will keep reviewing, asking questions, and learning from each discussion. For now, my progress may come one topic at a time, but I intend to keep showing up and doing the work.
The direction ahead
Knowledgeable.
Competent.
Compassionate.
This portfolio is more than a collection of education and experiences. My work as a phlebotomist and participation in medical missions taught me that healthcare is not only about knowledge and skill, but also compassion and understanding. I want to develop the discipline, confidence, patience, and character needed to become a physician people can trust—someone who makes patients feel heard, cared for, and respected.
“I may not have everything figured out yet, but I know the direction I want to take.”