Blog

  • Hip or Knee surgery have excellent long term outcomes

    We knew these long term symptomatic relief (quality of life) offered by total joints surgery for quite sometime already. But why isn’t it given as an option to osteoarthritic patients 65 years old and above is not clear either.

    This study (” Joint Replacement Surgery in Elderly Patients With Severe Osteoarthritis of the Hip or Knee“) by doctors at Beth Israel Deaconess Medical Center in Boston, Massachusetts and published in the Archives of Internal Medicine (Vol. 168 No. 13, July 14, 2008) said so in their conclusion.

    Conclusions: Elderly patients who had hip or knee replacements for severe OA took several weeks to recover but experienced excellent long-term outcomes. Physicians often do not discuss joint replacement surgery with elderly patients who might benefit.

    So how many physicians actually give the option of Hip or Knee Surgery to patients with severe osteoarthritis?Or even discuss the option to their patients? Is it the cost?The knowledge about the surgery?Outcomes?

    If ever you need information on this, the author will freely discuss this options with you, their physicians.

  • Cooking tinolang manok for the whole community: The unsung hero in our dinner table.

    Prologue:

    In the last few days I was finalizing my entry to this edition of The Blog Rounds (Unsung Heroes, hosted by Doc Gigi of Beyond Borders: The Lei Si Chronicles), I had a hard time choosing which one of my “unsung heroes” will grace this blog post. Not that I ran out of people to write about. In fact there are too many of them this blog couldn’t possibly feature them all. After finally deciding who shall I brag about, I Google-d for pictures to “carry” my post. Suddenly, a loud call hit my ears.

    “Kain na!!!!!!!”

    I smiled while “shelving” the post I previously wrote. I found my unsung hero right in our own dinner table.

    Disliking politics for a good laugh

    I woke up in this world hating the kind of politics our politicians is brandishing. So the whole time that I grew up and went to school, I stayed away from politics as far as I possibly can. I became one of those passive silent lurkers that hated politicians trampling at anybody to forward their own interests. Ironically, within my family, there exists a sphere of politics that made me gasps in complacency. My mom and sis are both staunch (read: right hand) allies of politicians belonging to two opposing fences. Like having a republican and a democrat one same party, only this time they both live interdependently within a family. Whatever circumstances that brought them into two opposing fences, be it values or principles, it is not my cut to remake. The fact that two seem to be the strongest allies in any major decision- making in the family made me think their political affiliations is just one for the good, educated laugh. I tersely smile in the kind of annoying democracy our family lives in. We only laugh about it during family dinners and night outs whenever talk hit politics!

    The early years of helping others

    My unsung hero’s story goes as far as my high school years. It all started with her aspiration of helping her fellow kabaranggays in what seems to be a common community bayanihan endeavor- leveling dirt roads and canal dredging. Her exhilarating feeling of “sarap pala ng makatulong sa kapwa no?” brought out a longing to help others help themselves. Catching up with the volunteer fever, she was so contagious and pervasive she never stopped since then. That “dirt road shoveling” started a barrage of so many other volunteer work she could get her hands into. She immersed herself into so many community work and training. Despite not having a college degree herself, she learned community health work, cooperative concepts and community organizing.

    Community work and voluntarism continues, politics or no politics

    There isn’t enough space to count her good deeds for the volunteer community work she gave in. While my Isko political education and sensitization probably has thought me about politics and service to humanity, this person is living service, on a daily basis, to her community. When I asked her what she knows about politics. She answered me this, in the bisaya vernacular.

    “What is politics? I do not even know what it means. I just know I wanted to help others. When our people will show any signs they don’t like me as a public servant, then I’ll stop with what you call politics but I will not stop helping others. Yan na siguro ang bokasyon ko sa buhay.”

    The day her name propped up in one meeting as a nominee for purok president, our family gathered to talk about the upcoming political litmus test. I was first to oppose aggressively about her running any public office at all. Politics, no matter how “small time”, is such an annoying field. In fact we had reservations because we knew politics is so darn dirty she might just get frustrated and that desire to help others will die a monumental death. We were wrong. She said she wanted to serve our community in any way she can, politics or no politics. Winning or losing this race will not hinder her to continue community work. So our family decided to let her have her way just this time. That was two and a half decades ago.

    The uterine CA survivor and diabetic patient, is a baranggay health worker first class, an on call baranggay tanod, charismatic women’s federation president, a tricycle driver and operator’s president, multipurpose coop board of director, a kapunungan president, a citizen’s watch officer and so many other things voluntary I couldn’t imagine she all could possibly take. Her track record will speak for itself. You can find her in any community information drive, health consciousness missions, women’s concerns, coop education drive or just in any shoveling on road widening projects, lipat bahay, injecting immunizations to dogs, etc . She graduated 4 community high school scholars, while sending 2 others now with her own personal savings.

    The politics of service

    She won a landslide that first time she “walked into” politics. Her opponents courteously bowing out of the race after her name would up as a nominee. That night was so memorable because it marked the day when she officially started as a public servant. The same person elected to office two and a half decades ago can be found in her “office” from 7Am till 5PM six days a week, on call at night and on Sundays and holidays for anything unimaginable for sane human beings. Her honorarium couldn’t even pay for her electricity bill. Four presidents, 4 top notch professionals and 8 grandchildren after, she is still is a public servant losing not any political race she joined.

    Not one.

    And those retirement signals seem to be nowhere in sight. In the last election, despite living in a community where we don’t have any single relative to boast of, not a political clan to rely, nor fame to put forth, and not even the money to run a well oiled campaign, she won a whooping third consecutive term, in second place, the highest and her biggest margin in all her run for public office.

    A mom, after all.

    I can only sigh in disbelief. Here was I, who can put a thousand words to malign “politics”. She was busy living one with public service unbesmirched for two and a half decade, My family is praying she retires next election. Her glucose swings is getting nastier. Her back, hips and knees showing signs of too much shoveling and cooking for the community. My unsung hero is human after all.

    One of my unsung heroes, going through all the difficulties of wearing a formal dress (outside her jeans and tennis shoes casuals), just so she can see her son earning a board certification!

    To, kain na!!!!” Shouted our hero.

    Epilogue

    Nga pala, kakain na kami. Nagluto si mamang ng tinolang manok. I was smiling going to our dinner table. I need not look outside for my unsung hero. She is actually amidst us cooking tinola and dining every night with us when she wasn’t on call. Politics or no politics.

  • 3G iPhone and what physicians can do with this gadget

    I’m not about as techie doc as anyone here, but for those physicians ogling for the new 3G iPhone, here’s what you can possibly do with this gadget according to

    1. Listen to medical podcasts or videocasts;
    2. View patient charts;
    3. Search PubMed; Google scholar; the web
    4. Phone 911 for emergencies; ‘code’ response in hospitals;
    5. Monitor patients; using PocketTweets (Twitter for your iPhone)

    Here’s the big list (Grand Rounds Vol 4 number 40) of what physicians can do (or not do) with 3G iPhone and medical softwares for it compiled by Dr. Penna!

    All seem to be dependent on the availability of highspeed, reliable, uninterrupted net service and access to an electronic healthcare database in the hospitals. None of these two however is within a mile of my practice.

    The recent introduction of Apple‘s newest baby to the Philippine market (via Globe Telecom), purportedly half the original price, made me think my Nokia 7250 and Palm Pilot is prehistoric. On second thought, Mr. Gunn, made a comment in this same article that struck me more stupid than dumb. Or was I?

    Read here!

  • Ensuring e-mail security in clinical practice

    Tired of deleting spam on your email’s inbox? That’s nothing compared to what happens when confidential information is “fished” out from those email messages sent over the net!

    No one is more horrified of this than physicians who use emails to send confidential information across the net. Yes, losing confidential information tru e-mail is as devastating as losing patients. Or worse, losing our careers.

    That is what Dr. David Kreindler is trying to avoid when he wrote this article “Email security in clinical practice: ensuring patient confidentiality” published in Open Medicine Vol 2 No 2 2008.

    And since it is impossible to strip the email of confidential personal (or patient’s) information (the primary reason your sending that email in the first place) he gave a step by step advice on how to thwart email piracy and help keep email information secure with an encryption software.

    Read his article here!

    One commenter disagreed though and thought email privacy is overblown! And he has a point. But I’m not just about to “lay away” my emails out in the open net without some form of security. On the overall, this is just one component of a security policy aimed at reducing confidential information phishing and making it hard for spammers to get into my inbox!

    (It is just ironic too, that Dr. Kreindler published his email, openly in that article, and with a link too, which is actually a mine for email harvesters!)