Tag: Medicine

  • Top 5 reasons why Filipino physicians (might) embrace social media in healthcare

    (SPOILER ALERT: At HealthXPh, we have embraced social media in healthcare 🙂 )

    Read about social media “push” in healthcare? HealthXPh has been nitpicking social media and emerging technologies  in healthcare since 3 months ago.  HealthXPh got the attention of the medical community but most physicians in this country still shun social media in healthcare. Why? There’s a myriad of reasons for this but the evolving digital health environment show telltale signs of social media knocking at the doorsteps of healthcare in the Philippines.  Here’s some compelling reasons why the Filipino physician might embrace social media in healthcare.

    1. Social media is changing the landscape of physician- patient engagement.

    As in any other relationship, a doctor-patient engagement relies heavily on communication. Digital technology is changing how we communicate with each other. Social media is fast becoming a communication highway. I’m sure some patients and physicians have used or is using social media for healthcare purposes. We get health questions via facebook or clinic appointment schedule via chat. A colleague “tweeted” a referral. Patient support groups are on facebook or Google. We point social media inquiries to appropriate physicians or our clinics. These healthcare “transactions” may seem superficial to many but definitely it impacts physician-patient engagement. 

    2. Patients search health information online, including some social media sites. 

    You probably been into forums or social media groups where questions mainly revolved around health and healthcare. Irked by the misleading health information on social propagated by unscrupulous “medical experts”? Cried foul?  There are two critical facets in health education- getting the necessary (accurate) health information and passing on the good ones via health education. Even if we don’t participate in these sites there’s no stopping patients from getting or spreading health information via social media sites. If you find out your patients are getting (and probably passing on) “bad” health information on social media, will you leave them there by staying on the “sidelines” and do nothing about it?

    3. Humans are innately social. Health is social. Philippines is the world’s top social media user.

    Filipinos are known to be a very social.It’s not surprising therefore that Philippines is on top of the world in terms of social media usage by percentage population. Social media is so intertwined with our daily lives that some national events have been cooked and hacked via social media. Moreover, this digitally connected generation spent more time on facebook than anywhere else. It’s not very hard to think that healthcare is one of the most discussed info in social media.

    4. Social media has leverage the power of the voice for healthcare stakeholders

    Notice how social media changed landscape of influence in healthcare? The recent BIR tax campaign directed at professionals took the “headlines” of timelines and status updates. “Loud” discussions occupied social media sites. Voices from physicians not in your sphere of influence popped out of nowhere and swooned you into action, or dissention. It may not have been that successfully loud to gather up the huge support needed but it definitely affected the way we think and behave towards healthcare issues. The bottomline is that healthcare stakeholders used social media to spread advocacies, rally support and push for changes in health care . Social media has given us, a voice.

    5. Social media gave us a platform for health education.

    There is no denying we need to up this country’s health literacy. Taking care of our patients entails health education. Health education is part of our treatment strategy. Social media has tremendously increased our reach, at a much cheaper expense.This offers huge potential for mass health education beyond clinic space.  The challenge for health educators is harnessing this platform to augment health teachings in the clinics.

    Social media healthcare in the Philippines is here and it will stay for quite sometime. The question is not anymore when, but how should we utilize it.

    (If you are a Filipino physician practicing in the Philippines, please join our survey on social media usage of healthcare professionals here. It will only take less than 5 minutes of your time. 🙂 )

    Resources
    How to prepare for and execute an online presence in healthcare
    http://www.howardluksmd.com/orthopedic-social-media/physician-social-media-presence-

    Social Media Engagement: The Surprising Facts About How Much Time People Spend On The Major Social Networks
    http://www.businessinsider.com/social-media-engagement-statistics-2013-12#ixzz2zdUwqd9w

    Philippines named social networking capital of the world
    http://asiancorrespondent.com/54475/philippines-named-the-social-networking-capital-of-the-world-indonesia-malaysia-amongst-top-10/

    24 Outstanding Statistics & Figures on How Social Media has Impacted the Health Care Industry –
    http://getreferralmd.com/2013/09/healthcare-social-media-statistics/#sthash.M1zpASgb.dpufhttp://getreferralmd.com/2013/09/healthcare-social-media-statistics/

    Health Fact Sheet
    http://www.pewinternet.org/fact-sheets/health-fact-sheet/

    As a novel communication tool, Social Media will improve doctoring.http://www.drjohnm.org/2013/04/as-a-novel-communication-tool-social-media-will-improve-doctoring/

  • Broken paddle inventures..

    “Why do you blog?” A friend asked. “A way of screaming out loud ideas in this world?” He continued. “Popularity?”

    “Will it put food on the table? Will your essays and discourses put people into action?” He goes further . ” Will it even be beneficial to anyone or even  to yourself?”

    I was silent, concocting some answers. “Have you told anyone about your story?” I shot back at him. “My what, story?!  Well yes, partly but I thinks it’s not even worth telling!” He jokingly answered. “Even telling yourself about your story?” I replied back, half jokingly. “Why would I tell my story to myself ? Thats dumb!”.

    Silence. But I got him into thinking.

    “My friend. If your story is not even worth telling to others or even yourself, you haven’t live your life enough yet to write about yourself”…

    In a sense who you are has always been a story that you told to yourself. Now your self is a story that you tell to others. -Geoff Ryman-Author, Paradise Tales and Other Stories

    In all the years I’ve been writing online (and before that, on yellow paper) I rarely bothered analyzing the  “driving force” behind my compulsion to write and in recent years, blog. I probably wouldn’t find a comfortable answer. Or maybe, I just don’t care. For me, whatever it is, for as long as I’m writing, I am happy. Until a recent experience brought me to terms with myself.

    Let me share a story, my story, to wangle answers.

    In one recent adventure, I  was asked to paddle and maneuver an out triggered canoe, in and out of a mangrove forest, to an island where a 360 view deck of mangrove (Bakhaw in the local dialect) forest awaits.  I’m with a fisherman co-pilot with me, serving as a guide as I traverse the vast mangrove forest.


    Mangroves are various types of trees up to medium height and shrubs that grow in saline coastal sediment habitats in the tropics and subtropics – mainly between latitudes 25° N and 25° S. The word is used in at least three senses: (1) most broadly to refer to the habitat and entire plant assemblage or mangal, for which the terms mangrove forest biome, mangrove swamp and mangrove forest are also used, (2) to refer to all trees and large shrubs in the mangrove swamp, and (3) narrowly to refer to the mangrove family of plants, the Rhizophoraceae, or even more specifically just to mangrove trees of the genus Rhizophora.


    I’m fairly good at swimming, but I paddled a banca alone only several times in the past. I had a traumatic, near death experience with paddling an out triggered, small sized banca in the past. Our boat capsized and my two companions almost drowned in the middle of a channel. Over all though, I’m comfortable in these types of outdoor challenges, having survived a few other more dangerous situations as a result of my wanton risk- taking habit.

    So on with this adventure challenge…

    After just ten meters of paddling from the launch site, my paddle snapped, breaking into pieces with the handle bar – shaft severed from the blade. Despite it being newly built from a kiln dried tree, the paddle broke at the junction of the outer cambium layer and the hardwood.

    I’ll be damned! I was already picturing out me idiotically paddling out into the mangroves in a dreamy- idyllic fashion. Then the snap. The boat slowed, I stopped paddling, my copilot stopped paddling. He was observing me. I was observing myself. The flight or fight adrenaline pumped in and I began to figure out scenarios and survival plans. I vividly remember the boating-turned-survival swimming that me and friends went into many years ago.

    My first reaction is to curse at my dreadful luck. Drowning from a broken paddle is a long shot, but paddling with a broken paddle exhausting!

    Then came the posit of trivial dichotomies. What shall I do? What if?  Shall I proceed or shall I turn back and ask for help. Questions, in which the only true answer is the one you chose. You only get to experience your choice or answer.

    Survival experts have taught us to be calm first and then assess your situation next.  So I tried composing myself and assessed the “environment” with this dumb question.

    “Na-a bay bu-aya dinhi sa bakhawan nong?” (Are there crocodiles in these mangrove?) I asked the boatman in the local dialect. “Wala uy!?” (No there’s none!),  he half jokingly retorted.

    I laughed, more to relax myself and the other,  to befit my seemingly idiotic predicament. Panicking, just because you broke your paddle is seriously idiotic for a self professed outdoor guy like me.  So I laughed.

    Another banca have overtaken us. “Can you continue paddling with that blade alone?” Asked the boatman. “Sure!” I said. Reassuring myself than the boatman. I started paddling with a paddle blade alone, without knowing how long can I sustain moving the boat forward. On the way I asked fishermen if they have extra paddles I can borrow. None. Fishermen rarely bring an extra paddle I thought.

    Their extra paddle is themselves.

    I continued paddling to my destination while laboriously figuring out escape plans in the event of emergencies. This preoccupation to surviving, of figuring out ways to survive in case something happens (even if there’s 99.9% chance of it not happening) turned me away to what I’m supposed to be doing inside this “forest”. I forgot to slow down. I forgot to “listen”. Heck, I forgot to even take pictures. I crammed my mind to surviving but never really gave my self a chance of discovering itself.

    What did I miss? Where was it in that forest? Was I too late?

    When I saw the end of the ride, I began to slow down and loosen my uptight stance.  I realized what I missed. I was too preoccupied with surviving I never really listened to my inner self. I could have enjoyed the ride, take pictures, wrote poems (even if I’m terrible with words) or just even draw strength from the past experiences I survived! I could have enjoyed a whole new ride.

    bakhawans

    Standing on the 360 view deck and tracing my route within that mangrove forest, I can only sigh at my experience. Nevertheless, it was all part of a journey, some sort of an inventure. You lose some, you learn something about yourself.

    This is  my blogging story.

    In the past, I have been tunneled into ‘surviving’ my blog, drawing plans to adapt at the handicap of doing poorly in grammar and spelling difficulties (even up to the present actually 🙂  ).  I forgot to enjoy it, the writing for pure adventure into myself.

    Am I late to learn something new? Perhaps not. I am a late bloomer. I have qualities within me that I never really accepted before for fear being adjudged as pretentious. I am in fact drawing strength from these qualities now.

    Today, blogging is my journey inward as much as it is outward. It is a journey to self realization.  I blog for my advocacies, to fuel my chosen work, to inspire people, to paddle my life. It is an  inventure into my soul now rather than an adventure to obscurity.

    *inventure (invention+adventure) – an adventure of mind, creative and engaging intellectual action. (Urban Dictionary)


    The Orthopedic Logbook- Best Business, Finance and Career Blog 2013 Award
    The Orthopedic Logbook- Best Business, Finance and Career Blog 2013 Award

    (When I  started to write this piece, I received the news that this blog won the Best Career, Business and Finance Blog 2013 in the recently concluded Mindanao Blog AwardsI was not in the podium to received my awards trophy during the awards night. I was in Baguio City at the exact night conferring with like minded doctors (ULF-Bakhawans) on various advocacies and projects we’ve started. I was teary-eyed happy when the news reached me. There’s no shortage of congratulatory hugs and handshakes from fellow bakhawans.  Messages of congratulations beat the cold Baguio weather. Tweets and facebook greetings from my Sox Blogger family flooded my wall as well.

    MBAI’m honored. I’m truly inspired. It’s one heaven of a feeling to know people appreciate your work. I was blogging because it is an adventure for me.  Then I realized, it was really an inventure that touched my life and a few others . That is more than an award to me.

    Thank you Mindanao Blog Awards, organizers, judges, sponsors, supporters. Thank you my SOCCSARSKGEN BLOGGERS family and my social media friends.

    I’m very thankful to my supportive family, from whom I draw strength and the stories of my life.

    I thank the nameless patients who taught me the value of listening to their voices, so I may listen to my inner voice too. I couldn’t have learned those from any academic institution.

    To my readers, who I believe is just holding their horses at my dastardly grammar and spelling, you all are my inspiration. This blog is all about you and me. You taught me to listen and tell others too,  my very stories.)

     

  • A doctor in the family

    I too believe that having a physician member of the  in the family offers some distinct advantages. The best example of course is the relatively access to healthcare professionals. Medical information, drug prescriptions, when needed are easily obtainable. With a physician relative, navigating through the maze of complex healthcare system seem a bit more bearable for the average patient.

    Such advantages though isn’t without compounding problems.  Complex family dynamics often interfere (sometimes negatively) with physician’s ability to be objective medically. Thus, it has been a norm among physicians to hand over treatment of sick family members to their colleagues. In this situation, that physician family member is often relegated to a healthcare facilitator. [pullquote] A healthcare facilitator, by virtue of his knowledge about the ins and outs of the prevailing healthcare system efficiently facilitate the carrying out of different medical procedures for his or her sick family member.[/pullquote]He or she also acts as the official medical information person for the family and translates these medical information into something understandable by the family members. In the bureaucratic parlance, a “fixer”. Not the best of titles for someone with lots of suffixes in their name, but yes that’s what we do, when a member of our family gets sick.

    A physician may chooses to manage his or her sick family member, despite this potential bias.  It will never be easy though and may sometimes take a toll on the personal life of that physician.

    I squirm at the sight of my mom being stung by needles. If she winces in pain, I wince in pain too. I feel terrible whenever she complains swallowing several pills even if it is exactly what she needed. When she asks me “are you going to cut me again?”, my heart melts. In these moments, I hate to be the doctor in the family. Nobody likes to inflict pain on your patients in the promise of them getting well. Try telling that to my mom.

    Is it easier then for physicians to manage a sick member of the family? Again, the simple answer is NO, IT ISN’T.

    I don’t find talking about medical illness to our family less painful either. Simplifying a medical information is a bit challenging too. Despite aiming for a shared decision making, you ultimately end up  making the decision yourself, being the “more medically informed” in the family. Ergo, a bigger responsibility. Sadly, you cannot make a “no decision”.

    There is an inescapable reality that families with doctor are exempted from the problems besetting an average Filipino family. The costly health care system, the complex Filipino family dynamics and other multitude of problems, does not discriminate whether you have a doctor in the family or not.  The power of the stethoscope doesn’t discriminate patients, family or not.

    The hardest part I think is taking responsibilities should medical knowledge fail to address a medical condition of a family member. I have yet to meet a physician who boasts that he or she “healed” a family member from sickness, but I can practically name a few who took on their lives for “failing” to even ease out the pain his or her relative feel from sickbed.

    Would you call it then an advantage, having a physician in the family?  I, a physician and a son, ultimately don’t think so.

    (Let me hear what you think)

     

  • Healthcare Volunteers, Let’s Help Davao Oriental!

    I’m reposting this letter, a call of help for the victims of typhoon Pablo, from the Philippine Medical Association Southeastern Mindanao governor Dr. Noel Camigue

    Dear Brothers and Sisters in the profession;
    The PNRC in partnership with DOH and PMA has set up an emergency medical facility in Baganga, Davao Oriental. We are in need of Volunteer Doctors to man the station on a 48 hour alternating duties.
    Wish you could share at least 2 days from members to go on duty in the emergency health facility considering that we will be running the unit for an estimated period of 15 days to 1 month until a permanent facility will be built in the area by the local health unit.
    Attached is the detailed concept of the Program with file title RISE Mindanao.
    Attached as well are the schedule of medical missions done and those to be conducted within the week.
    Presently Dr. Remo Aguilar and his group is mapping all areas where medical missions had been conducted for us to evaluate areas covered for planning of the next medical mission to be conducted in areas that were not yet served and as well we can recommend areas to visit for those who plan to conduct medical missions. Kindly email me of all the areas your group had visited for us to upload the data you fed to the medical mission mapping.
    Thank you for your support!
    Your PMA Governor
    Dr. Noel Camique
    RISE Mindanao!!!

    These were the medical missions done in Davao oriental and those that are to be conducted.

    MULTI SECTORAL HUMANITARIAN and MEDICAL RELIEF OPERATIONS TEAM ACTIVITIES:

    Date

    Place

    Activity

    Attendance

    December 9, 2012 Comval-Monkayo TT immunization,  relief distributions 10 doctors (POGS) (Team Leader: Dr. Helen Grace Te-Santos
    Comval -Monkayo Medical Mission 12 Doctors (PCP) (Team Leader: Dr. Romulo T. Uy)
    December 10, 2012 Probinsya Restaurant First multi- sectoral meeting DMS Officers/ EMS/ Kabalikat
    December 11, 2012 Davao Oriental Organizational Mtg. and relief goods distributions 2 doctors & 8 volunteers

    (Team Leader: Dr. Ana Liza Lanuza-DMS Pres.)

    December 12, 2012 Baganga & Cateel Medical Mission DOH & Southern Phils, Med. Center Doctors
    December 13-14, 2012 Baganga

     

    • PMA Medical Team & Red Cross
    • medical mission
    (Team Leader: Dr. Noel Camique –PMA Governor-SEM)

    Madonna General Hospital Inc. Staff  Volunteer

    December 13, 2012 DSWD Office, Uyanguren, DC DSWD Meeting
    December 13, 2012 Baganga Medical Mission UP Pahinungod doctors
    December 14, 2012 Cateel Probinsya Medical Mission

    Gawad Kalinga Religious Group

    40 –PCS doctors / PAFP / PPS (Team Leader: Dr. Alfredo Tan II)
    December 15,2012 Monkayo Probinsya Medical Mission PSA  (Team Leader: Dr. Faridah Wong)
    December 15, 2012 New Bataan Medical Mission PSA/POGS/ PPS of San Pedro Hosp.
    December 15, 2012 Cateel Medical Mission 6 pedia, 2 dentist and 12 surgeons

    (Team Leader: Dr. Marselle Lozano)

    December 19, 2012 Comval Medical  Mission  PPS (Team Leader: Dr. Eleonor Du)
    December 20,-22 2012 Baganga (EHS) 48 hours duty at Emergency Health Station Team Leader: PMA Governor Dr. Noel Camique, Madonna General Hospital Inc. staff Volunteer,
    December 21, 2012 New Bataan Medical Mission PMA national disaster team and GMA kapuso
    December 22, 2012 Baganga Medical Mission PMA national Disaster team and GMA kapuso

    I know the list is by no means incomplete. If your medical team went to Davao oriental and service Pablo victims but is not listed here, feel free to comment below with the following data:

    Date(s) of Mission(s):
    Name of Organization:
    Team Leader:
    Exact Location of Medical Mission (Baranggay level):
    Approximate number of patients seen:

    Red Cross Medical Volunteers helping out Pablo victims in Bagangga davao Oriental (ICRC file photo)
    Red Cross Medical Volunteers helping out Pablo victims in Bagangga davao Oriental (ICRC file photo)

    If you are a healthcare professional (physicians, nurses, medical technologist etc) willing to volunteer your time and skills to serve Pablo victims, you may contact Red Cross Davao City, (082) 227-6650 or visit us at M. Roxas Ave., Davao City and look for Ms. Star. Orientation schedule is everyday 5:00pm at Aboitiz Room 3rd Floor Philippine Red Cross Building M. Roxas Ave., Davao City.

  • Medical help and healthcare volunteers needed for victims of Typhoon Pablo/Bopha in Davao Oriental

    Colleagues in the medical profession, if you are available to help our brothers and sisters affected by the recent typhoon, Pablo/Bopha please enlist or volunteer tru your local PMA chapter or Red Cross.

    a grieving typhoon Pablo victim in Davao Oriental being treated by a volunteer physician
    a grieving typhoon Pablo victim in Davao Oriental being treated by a volunteer physician (Photo by Leah Valle)

    Red Cross (Davao City Chapter) and PMA-Southeastern Mindanao (Philippine Medical Association) is in need of volunteer operating room nurses, surgeons, anesthesiologists, orthopedic surgeons, internists, pediatricians and emergency medicine doctors to go on a medical-surgical mission/rotations to Davao Oriental and man hospitals servicing Pablo victims.

    Volunteers may contact your local PMA chapter officers or Dr. Noel Camique (PMA-SouthEastern Mindanao governor) or Red Cross Davao City.