Tag: Medicine

  • I hate guns.They kill my courage!

    “Patay na si Mingoy.Nabaril sya sa uma” (Mingoy is dead. He was shot while he was in the farm)- text message on Joy’s phone.

    This SMS shocked me and Joy. It took us a while to regain our composure. Returning back from a hearty lunch with my cousins earlier we immediately talked about what to do next. Joy called nanay on the phone and told them not to go to the farm anymore as the “assailants” may still be lurking there. We then proceeded to the hospital where the body was brought in. We were all too late. Mingoy is dead.

    Mingoy is dead on arrival when he was brought into the hospital. His body is in the morgue when we arrived there. Talking to the first few people who saw and brought him to the hospital and to the investigating officers on the scene, it seems like he died from an “accidental shot” to the side of the abdomen. No one actually saw what or how the incident happened.Mingoy was gasping for breath and wasn’t able talk before he died. Nanay is in disbelief when he heared this story.She knew Mingoy didn’t have any firearm. But when Mingoy’s friends and some neighbors told the investigators Mingoy  was hinting/showing a “paltik” days before this unfortunate incident, Nanay calmed a little

    According to the investigators’ findings, Mingoy was watching a noontime tv show while (semi supine semi sitted) on a wooden long chair. TVis still on when the police arrived there and his shirt hanging on the chair rest.. Mingoy tucked his “paltik” gun (inside an an unsecured gun holster) tucked inside his shorts. The gun supposedly slipped through this holster when he lay supine, landed on the cement floor gun butt first and then self fired itself. The paltik has no safety lock, has a long hammer pin that almost kiss the bulletshell’s bottom and is loaded with a 20 guage shell. It often fires when loaded even on slight nudging.The slug hit him on the side of his abdomen, probably because he leaned over to the side to pick his gun. There was no exit point and probably he died from an “internal hemorrhage”.

    We were all in disbelief. I was totally aghast at the accident. How could such unfortunate incident happen when just about two days ago, Mingoy was jokingly asking for my professional service in case he falls into an accident!

    Of course there was also these fear of a possible “hit” by persons he had previous grudge with. Nobody remembers Mingoy has had previous fights or arguments with any other person. Besides, the bullet entry point and trajectory plus the evidences (gun, prints, house access, etc) all points to an accidental firing scenario. I asked for an autopsy just to allay our “hit” fears.This will also at least clear up the doubts on Mingoys cause of death.

    But one loose end still remains. The paltik. Nobody knew where it came from. Her in our place, the dead won’t talk.

    That’s why I hate guns. They do nothing but kill…

    (Post note: Mingoy is a distant relative of Joy and their de facto farm care taker. He has been with the family since he was a teenager. He is single and was a very cordial and sharp guy)

  • Changing the lives of persons with disabilities in Tacurong City

    (Note: The speech delivered by Dr. Remo Aguilar during the turnover ceremony of twenty free wheelchairs donated by Phi Kappa Mu Fraternity last May 18,2009 in City Hall Grounds Tacurong City)
    To our good Mayor Lino Montilla, Vice Mayor Collado, members of the Sangguniang Panglunsod  and the entire city hall staff, my fellow working citizens of Tacurong, To our dear differently able wheelchair recipients, ladies and gentlemen, maayong aga sa inyo tanan!

    If you strip a man with his vision, he will not be able to SEE where he is going.If a man loses his mind, he lose any capacity to KNOW where his going. But do you know what feels more frustrating than the two human beings above?A human being who CAN SEE where his going, who KNEW where could go, but who could NOT because his two legs wouldn’t allow him to go anywhere AN INCH away from his sick bed!


    Phi Kappa Mu, which stands as the most venerable Fraternity of the College of Medicine, is an exclusive fraternity of medical students and physicians based in UP College of Medicine. Founded in 1933 upon the principles of Leadership, Excellence, Service, and Brotherhood, the fraternity has raised some of the most outstanding physicians in the country, including two of the three UP medicine graduates from this city, Jovino Bobot Morte Jr of UP Medicine Class 1978 (who happens to be my parent’s wedding ninong) and yours truly are proud PHIs and Tacurongnon.

    In its Diamond Year and as part of a lifetime of service,Phi Kappa Mu will be distributing more than a thousand wheelchairs for free under the Empowerment Through Mobility project.
    The objective of this project is to help indigent patient who are disabled and communities with such populations. The top-quality wheelchairs are acquired through a partnership with Free Wheelchair Mission, a worldwide organization whose aim is to restore mobility to those who need it across the globe.In the Philippines, the Phi Kappa Mu is now the conduit for that hope.

    With Empowerment through Mobility, the Phi Kappa Mu ,Free Wheelchair Mission and the Social Welfare Department of this City and together with several partners nationwide, will change over 1600 lives including twenty for this city.

    By making that first few inches away from the sick bed, these Tacurongnons can work on to improve their lives and become a better, productive citizens of this city.

    I want to thank our honorable mayor Montilla, our city administrator Nicolo, our CSWD working staff headed by Madam Fhem, for bringing in the wheelchair to our city and to these deserving recipients.

    To the recipients, hopefully your lives will be changed from here on.

    Again, thank you and good morning to everyone.

    (Some part of this speech where derived from Marc Denver Tiongson’s (Phi SE) by line during the turn over ceremony in Manila)

  • Are there any Electronic Medical Record (EMR) for a community type of orthopedic practice?

    I’ve been looking for an EMR that will suit my practice for two years ago. So far, for the few EHRs I tried, none really came close to servicing a community type of orthopedic practice. I’m still figuring out what to include in my evaluation per se but most of them is acking on some basic features. Here are the basic requirements for an EMR to work in a community based orthopedic practice:

    It should be free for all to use and upgraded via a community supported open source software. EMR migration for most,  is all about cost. If the cost is expensively prohibited, I might as well stay with our “manual” clinic operations.

    I should be easy to use, both for the MD and the clinic staff. No matter how “hi tech” the system would be if my college level clinic assistant don’t know how to use it, its useless. I might just as well stick to my paper ran office.

    It should cater to a community type or rural orthopedic practice. Thus, I really don’t need an MRI on every patient I see. EMRs with a “toggle” option for this field (meaning you can turn it on or off) is an advantage.

    A stand alone EMR that can be easily ported or migrated to a web based or service based EMR is preferable. We don’t have a stable internet connection in the office nor I want my patient’s data uploaded into some server elsewhere.

    Easy storage and retrieval system of patients data for record, billing and research use is a must.

    There, basically a rough guide in choosing my EMR. Wait till I try one and when I read more about this stuff..

    Any suggestions?

  • Bonedoc according to…

    Sexy? Insanely obsessive-compulsive, sarcastic…and butt sexy..” – Joy V, Perennial Wanderer (pretty obvious who she is)

    Stylish….

    Nine year old Rain sent me this card..

    Idol. Heard this from my son’s lips; “Dad I’ll study medicine in UPDean Russel Aguilar

    Debater (huh?) Mamang Helen told me this one time we had some heated political debate.. “Ang hirap mong debatihin kasi ang yabang mo!” to which I answered  “No objections your honor” I answered…

    Kuripot!” Ate Lynette told everyone in the picnic table when I only gave a gallon of double dutch ice cream. There were fifteen of us drooling for thirst quenchers. I only have five hundred pesos in my wallet…

    Nanlilibre. “Libre mo Dok?” Chris asked me when I asked for a TAMAC dinner and pre climb meeting …

    Tormentor.Stay behind and watch Dr. Aguilar grill Dr. ——- during the pre op conferences” One ortho resident trying to dissuade a female guest doctor from leaving early and watch our lively preop conference instead.

    NPA (No permanent address) Where did you sleep last night? In your car again?” One colleague asked me one time when I wasn’t able to go back to my home city after our regular Monday conference. “No sir i slept in the call room”..

    Gadgeteer.My phone line got haywire I don’t know how“. I told one ER Doc when he inquired why my phone line is always busy whenever he’ll refer a patient.  I also told him I have two cellphones he can call anytime…

    NetizenI was at home surfing the net“. My answer to another colleague in the clinic who was asking what I do whenever I don’t have patients in my clinic. “Saves electricity from useless air con and electricity use.”

    Suspects he has Raynauds. “I can’t stand a biting cold!” That’s why I never dreamed of going out to the “Land of Milk and Honey”.

    More:

    Robin Cook”  The first and only fiction writer whose medical suspense stories I read and collected.  But then I forgot where did I placed those paperbacks way back then…

    Stephen Covey” Perhaps his most  impressive self help books that “simplified” my already complicated life.


    Blogger

    I like this blog. His creative juices induces liters of nosebleeds for me. But this guy writes with so much style and logic I wish he’d blog again soon. He’s an orthopedic surgeon-academician by the way.

    I’m proud of The Blog Rounds and the impressive bloggers who made it all possible.

    A different tinolang manok from my mom- the unsung hero in my dinner table.

    I did cry dry for this..

    These experiences I won’t forget- surviving a grueling climb or this one in Mt. Matutum.

  • Web and health 2.0 : What is web 2.0 to us physicians?

    I’ve been asked several times by colleagues and friends alike what do I get from blogging and joining social networks as a physician-surgeon. My honest to goodness answer was,

    I’m dabbling at web 2.0 tools to enhance my practice, my delivery of health care and sometimes, earn from sponsored ads.

    I get blank stares when I mentioned web 2.0 but the words “earn” seem to catch astute ears. I usually don’t get enough talking time to expound on this, especially with the web 2.0 and health 2.0 part. Thus, I am making a series of posts to elucidate what web 2.0 is to us physicians and how is it changing the medical practice and our delivery of health care. (Forget the earning part, the web is replete with how-tos on this topic)

    I must warn physicians reading these series of posts, that even if I try to be as concise and simple in my explanations, a few thoughts may sound technical to those unfamiliar with the digital lingo. Try copying the word or phrase that you don’t understand and place it in the Google search bar and click search. You will be surprised by the heaps of explanations and answers to your queries.

    I understand that despite the increasing trend of physicians using the internet, most physicians here in my country knew a little beyond emails, online medical and entertainment news (please correct me if I’m wrong here). A few, more engaging doctors knew about the powers of Google-ing. But learning web 2.0 (and its tools) to enhance your practice will need a lot more than line reading and the “I’m always busy I don’t have time for this” attitude most physicians here succumbed. If this is your learning perspective, I suggest you don’t bother reading this post and return to your usual mode of practice and lose an opportunity to enhance your delivery of health care. You wouldn’t even know what you’ve missed anyway.

    Going back, here are the basic questions I’ll try to answer:

    1. Whats web 2.0 anyway?
    2. How is it different from web 1.0?
    3. What are those web 2.0 tools you are talking about?
    4. Whats web 2.0 to medicine and how is it changing the medscape?
    5. Is it here to stay or will there be a web 3.0 and so on?

    I’ll answer the first two question in this post and the other questions in my succeeding posts related to web and health 2.0

    Web 2.0 is a concept (or a tool) describing the use of internet (world wide web) and web designs (or platforms) to ENHANCE creativity, communication, collaboration, sharing, security and functionality of the internet. I also must add that this concept imply that such tools will be used to attain certain goals that may differ (or converge) to many individuals or groups taking advantage of it. Improvement of health care delivery is just one of it. Here’s a sideshow of what web 2.0 is all about.

    Web 2.0

    View more presentations from satyajeet_02. (tags: internet 2.o)

    Ironically, web 1.0 ‘s definition is an offshoot of web 2.0- to contrast what web 2.0 is all about. But the salient points are ; web 1.0 is static, not interactive and is proprietary. Note the direct contrast of these two concepts. Nonetheless, it is safe to say web 2.0 is an evolutionary cousin ( or revolution) of web 1.0 in the net.

    Take note of the words internet collaboration, improvement and user empowerment. Democratization of the net is another personality of this concept. To some these are the distinction of web 2.0 to web 1.0. And that’s where the powers of web 2.0 lies. It is within our capabilities as physicians to grab this tool and opportunity to improve our practice and delivery of health care.

    This answer the queries what physicians can do with their online: No it’s not just about advertising your profiles and online directories. It’s not just emails and one way communication. It’s not even just the act of putting up a website for your practice and doing nothing about it. More than that,Web 2.0 tools allows us better collaboration, communication, feedback (between patients and physicians for example) and improvement of health services. And here in the Philippines, we haven’t taken off from web 1.0 yet!

    I’ll discus web 2.0 tools in my subsequent posts.

    (For additional readings on web 2.0 read the web 2.0 wiki or O’Reilly Media’s article on web 2.0. For articles regarding internet usage of physicians, kindly read the results of this research)