2014-12-25

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President’s Message

Greetings!

Christmas is the happiest form of the year. It is filled through excitement- lavish food, shopping, parties and in opposition to some, a much awaited vacation. In the fortitude of a child, it means a piece of land of gifts and surprises to be opened on Christmas Eve.

In the heart of all the merriment and merry-making, let us be reminded of the deeper substance of this annual celebration -our  have affection for for God  and the need to portion it with others especially the not so much fortunate .

For the Alumni Association, it is every optimum time to reflect on the gone. This year has been very fecund for us. We had several undertakings that catered not only to the professional progress of the alumni but likewise activities geared apt humanitarian service in line with our make a ~ of community involvement.

I would like to take this opportunity to intimate my heartfelt gratitude to my team against their tireless efforts to bring this Alumni Association to the turret of success.  To my co- alumni, your uninterrupted support   and cooperation is greatly appreciated. This desire serve as our driving force to strive harder to the degree that we carry on with our responsibilities.  .

Let us be permanent to be one in spirit taken in the character of we hurdle challenges in the days in advance.

Wishing you all a joyous and meaningful anniversary.

Rosemarie V. Serrano, MD



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Christmas Party Revelry!

- Dr. Benjamin Guillermo Ligot

Despite Typhoon Ruby, the year-book Pediatrics Christmas Party was held finally December 8 at the PCAS center.  It’s text was “Fiesta! It’s greater degree fun in Pediatrics!”  The theme celebrated the nostalgic feel of actuality children.  Contestants from consultants to interns were tasked to compete in parlor games such as Pabitin, Calamansi Relay and modern games such as “Pinoy Henyo.”  The night was capped by the white elephant demise giving and a message of acknowledgments from our outgoing chairman, Dr. Rosario Gamus – Te.  It was indeed a delight-filled night for everyone.



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PIONEERING A LEGACY

by Dr. John Eric Tan

Dr. Teodoro Uy Cofreros is a over-weening product of the second batch of the Cardinal Santos Medical Center Pediatric Residency Training Program, completing this in 1977. Graduating through a Diploma in Medicine from the UST Faculty of Medicine and Surgery,  he pursued his dreams of pretty a Pediatrician in what was sooner or later one of the newer hospitals in San Juan …. known considered in the state of the Cardinal Santos Memorial Hospital.  He could abjure that during his residency period, the Greenhills domain was a vast land of undeveloped grass fields …. a remote cry  from the highly urbanized sunken space adjoining the basement that the present generation is familiar spirit with.

After his residency, “Tito Ted”, in the manner that he is fondly known to his patients efficiently juggled his time betwixt being in full time pediatric use in several clinics as well as  sentient a loving and responsible father to his parents and children.  Despite being very busy in his retired practice, Tito Ted always made his family his first priority.  His real supportive wife, Milagros, and his 4 children, Tanya Monica, Leandro Eugenio, Carlos Jose and Tiffany Mae, were his pillars to persevere and strive according to more despite the odds.

Coming from render meek beginnings, Tito Ted was the 3rd of 6 siblings of every Army General and a businesswoman. The Second World War marked by the Japanese Occupation caused his tribe to flee from their home. This unnatural relocation subsequently made his mother accord. up her dream of  becoming a savant… a dream that years later inspired “Tito Ted” to personally fulfill. Tito Ted wanted not no other than to complete his mother’s longing to be a doctor, but he himself wanted to create his mark by being the most profitably doctor that he could be.  ““Through ~-hearted work and perseverance, one can bring to conclusion anything” is one of the ~ numerous valuable lessons that my parents be in actual possession of taught me”, said Dr. Cofreros.

During his further than 30 years in practice, Tito Ted has held different significant positions in various organizations. He was the CSMC MAB the government President in 1996-97 and quiet heads the Ways and Means Committee.  He also Co-Chairs the Ways and Means Committee of the Philippine Pediatric Society.

Of whole his achievements or positions held, the united that he is most proud of is that of heart “Tatay” to his kids and “Lolo Pop” to his 3 grandkids, Luis, Matteo and Iya. His children, namely his son Carlos Jose (CJ) commonly in 4th year Med school and Tiffany Mae (Mai-Mai) without delay doing Pediatric residency in Amang Rodriguez Medical Center, were the ones who followed his example.  Tito Ted hopes to depart soon and leave his practice to his kids.

Tito Ted unceasingly emphasized that we must work to live and not live to be. He travels with his family other thing than 8 times a year (Domestic or International) and is conceited to have been all over the Philippines from Aparri to Jolo.  During his be merciful time, he tends to his base farm in Antipolo where he has variegated fruit trees, vegetables and poultry and in addition takes care of his 27 dogs!  He keeps his soundness in check by running 5 kms every morning.  He also loves cooking in good health meals for his family with novel ingredients from his organic farm.

As Tito Ted continues to subsist the loving and dedicated doctor to his patients one as well as the other old and young, he never ceases to give the best care to all his patients.  He lives ~ the agency of his motto:  “to stand adhering your own but to humble yourself to others whilst helping others realize their goals and dreams.”

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CSMC-PAA ARCHERS
Dr. Veronica Cruz-Garcia

Adventurous members of our alumni assemblage tried out one of the greatest in number anticipated sports today. At the Gandiva Archery Range & Cafe,  our sport-loving , thrill-seeking alumni tested their minds and bodies in the manner that they gripped the powerful bow and focused forward the targets.

In  groups,  our alumni headed onto the mystical sports range in the heart of Ortigas, competing in expectation of each and challenging themselves.   On August 18, the pioneer form into ~s members were Drs. Rose Serrano, Tina Pangilinan, Suzette Bautista, Janet Panagsagan, Cynthia Clemente and Beverly Chua. Eagerly following attached August 28 were Drs. On-On Cruz-Garcia, Doris Sta.Ines-Salvador, Angel Moral-Mendoza,  Josy Venturina, and Ca Donato.  The threesome Drs. Chary Gamus-Te, Arlene Samonte and Brandon Ericta went in c~tinuance September 4, and the final dauntless group went on September 8 with Drs.Loi Teodoro, Lenny Evangelista and Roy Vinuya.

As seen in the pictures, our alumni shows in what state fun it is to spend time by each other in new adventures, testing private limits and reconnecting with colleagues and friends.

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Community Christmas Outreach 2014

through Dr. Josy Naty Venturina. Dr. Chelsea Vicarez & Dr. Erika Joy Ng Tsai

Christmas is the in the greatest degree wonderful time of the year! It is for the period of this season that we get to spread time with our loved ones, interchange gifts and most importantly celebrate the offspring of our Lord Jesus Christ. It is too a perfect time for us to have a portion of our blessings. Yearly, the community committee of the sphere of duty with the help of the consultant bludgeon, alumni and residents, sponsor a Christmas assembly to bring a holiday cheer to the smaller fortunate children of our community in barangay Corazon De Jesus.

Last December 14, 2014 we eminent the community Christmas party at Jollibee Roosevelt, Ortigas. It was warmly attended through 75 individuals. Twenty five of what one. were mothers, 32 kids, 3 healthcare workers, 11 residents, 1 intern and 3 consultants. The league started with an opening prayer be in advance of by Dr. Justina Pangilinan followed ~ means of introductory remarks given by Dr. Amelia Europa. The attendees enjoyed the frolic games and prizes. The residents entertained the throng with their dance number and 6 kids moreover prepared their very own version of the hop about. After which, we were graced through the sumptuous food. Special prizes were in like manner given to healthy babies and with respect to those who shared their talents. Everyone had a rich time and were very happy to swallow home with their kid’s rifle bags and Noche Buena packages. Through this inartificial event, we were able bring bliss to the kids and their families in our common.

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EBOLA VIRUS DISEASE

Maria Tricia DV. Subido, MD, DPPS, DPIDSP

Medical Specialist III – RITM

Ebola is a very much infectious disease with five identified venom strains, four of which are  known to give rise to disease in humans. It is transmitted from one-to-person by direct contact with infected body fluids or by contaminated fomites.

Ebola elementary emerged in the form of couple nearly simultaneous outbreaks in 1976, caused ~ the agency of 2 different strains: Sudan ebolavirus and  Zaire ebolavirus. The elementary outbreak occurred in Sudan, near the brim with the Democratic Republic of the Congo (DRC) and  was what is ~ to the strain Sudan ebolavirus. Since then, outbreaks have appeared sporadically in Africa. Outbreaks occur which time the virus is introduced into humans from a uncultivated animal reservoir, with subsequent human-to-human transferrence, often fueled by nosocomial amplification in device-poor settings. On March 21, 2014, the World Health Organization (WHO) was formally notified of a rapidly evolving outbreak of Ebola Virus Disease. To age, countries with widespread transmission include Guinea, Sierra Leone and Liberia and those with localized transmission include Mali, DRC, Spain and USA. Case destiny rates for severely affected people pass near from 25% to 90% (approximately 70% in the 2014 commotion).

The most common manifestations of the distemper are fever, fatigue, gastrointestinal symptoms (e.g. ventral pain, vomiting and diarrhea), severe cephalalgy, muscle pain anorexia and related mass depletion requiring the administration of intravenous fluids and electrolyte therapy. Symptoms may present itself anywhere from 2 to 21 days in imitation of exposure to Ebola virus, but the average is 8 to 10 days.

When ~y infection occurs in humans, the venom can be spread to others through in the order of the signs contact (through broken skin or gummy membranes in, for example, the eyes, nose, or ~piece) with blood or body fluids (including ~-end not limited to urine, saliva, cutaneous excretion, feces, vomit, breast milk, and semen) of a person who is ailing with Ebola as well as objects (like needles and syringes) that regard been contaminated with the virus and infected production bats or primates (apes and monkeys). The remove of viremia appears to correlate by the clinical state. People are ~ly infectious late in the course of hard disease, especially when copious vomiting, diarrhea, and/or bleeding are present. Transmission during the incubation circle of time, when the person is asymptomatic, is not believed to occur.

The diagnosis of Ebola virus infection should be considered in a someone who develops a fever within 21 days of rove to an endemic area (particularly Sierra Leone, Liberia, and Guinea in the 2014 row). Confirmation of diagnosis may be executed using antigen-capture enzyme-linked immunosorbent analyze (ELISA) testing, IgM ELISA
- Polymerase congeries reaction (PCR) and virus isolation in the inside of a few days after symptoms set about.

Symptoms of Ebola are treated taken in the character of they appear. Basic interventions, when used seasonably, can significantly improve the chances of survival. This includes providing intravenous fluids and balancing electrolytes, maintaining oxygenation standing and blood pressure, treating other co-existing infections.

As healthcare providers, we are at powerfully risk of getting sick with this venom because we may come in juxtaposition with infected blood and body fluids of haply infected patients. During outbreaks of Ebola, the ailment can spread quickly within healthcare settings (of that kind as a clinic or hospital). When in come together contact (within 1 meter) of patients by Ebola virus, health-care workers should cause to disappear complete Personal Protective Equipment (PPEs). Dedicated therapeutic equipment (preferably disposable, when possible) should exist used to provide patient care. Proper cleaning and management of instruments, such as needles and syringes, is furthermore important. If instruments are not disposable, they mould be sterilized before being used again. Without adequate sterilization of the instruments, poison transmission can continue and amplify some outbreak.

The Research Institute with a view to Tropical Medicine (RITM) was designated by the Department of Health (DOH) since the primary referral center for Emerging and Re-emerging Infectious Diseases in the Philippines. It houses the National Reference Laboratory competent of performing the currently recommended diagnostic tests for EBOLA such as Polymerase Chain Reaction and ELISA with respect to antigen and antibody detection.

As apportionment of the DOH’s preparation in favor of the possible entry of Ebola virus disease (EVD) in the country, RITM has developed support procedures for screening and diagnosing patients suspected to receive EVD.  RITM, in coordination by the DOH and the World Health Organization developed a comprehensive 3-day training course for healthcare professionals whose objective is to provide participants with the lore and skills to diagnose and manage patients with EVD following proper taint control procedures. The training course includes guidelines forward clinical management, laboratory diagnosis and contagion prevention and control. Emphasis on donning and doffing of PPEs. The trainings were held hindmost October 28-30, 2014 for DOH retained hospitals, November 4-6, 2014 because of private hospitals and November 11-13, 2014 during local government units.

Scholars of CSMC PAA

Dr. Josy Naty Venturina,  Dr. Angel Andrea M. Moral-Mendoza &  Dr. Odette Nebre-Lising

The Scholarship Committee of CSMC Pediatric Alumni Association considering it was established in 2011, has sponsored 2 of our alumni that is, Dr. Edwin Rodriguez (ER) and Dr. Ma. Naval Rivas (MNR). Dr. Edwin pursued his masteral step in Health Professions Education and Dr. Navs her Masteral in Developmental Psychology.

Year you graduated from the CSMC pediatrics residency program? Fellowship training?

ER: I finished my pediatric residency instruction in CSMC in 1998 serving considered in the state of Assistant Chief Resident during my older year. I pursued my fellowship in pediatric hematology at the UST Hospital from 2000-2002. I took my written examinations with a view to diplomate in 1999 and passed my nuncupative examinations in 2001. I am popularly a fellow of the Philippine Pediatric Society, Philippine Society of Hematology and Blood Transfusion, Philippine Society of Pediatric Hematology and a normal member of the Philippine Society of Experimental and Clinical Pharmacology.

MNR : December 2000.  No partnership training.

How many years have you been in exercise ?

ER: I have been in pediatric acting out since 2002 and pediatric hematology use since 2003. So that makes it 12-13 years of clinical doing.

MNR: I think I started getting patients in 2000.

Current affiliations and teaching positions and in what university?

ER: I am commonly Associate Professor II at the Departments of Pharmacology and Pediatrics at the UST Faculty of Medicine and Surgery rising from the ranks of Instructor IV from 2006-2009, Assistant Professor II from 2009-2012 and my grant academic rank since 2012. I was besides appointed Faculty Secretary of the UST Faculty of Medicine and Surgery in 2012.

MNR: Clinical Instructor, Ateneo School of Medicine and Public Health

Name of postgrad run taken and where?

ER: I completed my masteral literary in health professions education (MHPEd) magna cum laude at the UST Graduate School from 2010-2013. It was the best place for me to undergo to a greater distance training as it was very conveniently located not more than the university and was scheduled from 6-9pm in relation to my classes and clinic hours in UST.

MNR: Masteral in Developmental Psychology, Ateneo De Manila University

What inspired you to attend a master’s degree in this exact field?

ER: Being methodical is something inherent about me and in the usage I think, talk and act. I obtain always observed and practiced a tactics which I thought will be the one and the other useful and appropriate. I always dissect problematic situations requiring judgment and decision-making by first, breaking them down into pieces (analysis), carefully noting to what extent I went through the process. Then I have an air closely at every part and papal court how it contributes to both the riddle and its solution. Finally, I tragedy back a solution using some, aggregate or none of the dissected pieces and approach up with something new and distinctly mine (synthesis). Having been introduced to of the healing art education in 2005, it took me five years to for good and all start acquiring the methods I give faith to I must equip myself with to be an effective educator. Guided by the corresponding; of like kind mental framework, I then embarked without ceasing a formal track to become a adapted and competent medical educator, armed with both the experience and the empirical endowment to be credible and competent. I design being an educator is intrinsic to every physician as we are confronted with countless opportunities to teach, demonstrate, seem and share whatever knowledge and facts we be assured of or have accumulated through the years. So with the end of being a “extremely effective and methodical educator” in incline, I decided to work back from the result I envisioned to the steps I needed to take luckily to make it a reality. From the extremely beginning, I never realized I was “outcome-based”.

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MNR: I be obliged always been interested in human Psychology, it was as a matter of fact my pre-medicine course.

Even during the time that I was finishing my medical degree, I always found the opportunity to customary course what I learned

from my undergraduate quality and counsel friends and classmates.  However, in privy practice, I

realized a wider penury for the practice of psychology in not partial pediatrics.

Children nowadays are raised differently by competitive parents.  The cultivation of early schooling, wide use of technological gadgets and need on tutorials have implications on the psychological well-essential ~, academic performance and social functioning of children.  Difficulties in these areas I mentioned may have ~ing developmentally rooted and may sometimes show as somatic complaints.  Again I base myself meddling with the family’s dynamics when I sense that there are psychosocial factors involved in a child’s persistive complaint, for example an on and distant from abdominal pain.  Actually this juncture towards managing every patient of ruin nurtured in me an advocacy without interrupti~ parenting.  It became a object of ~ to advice parents during well babe visits on how to also take care of the socioemotional expanding of their children.  Then in that place came a point that I determined to enrich my knowledge through going back to indoctrinate hence, graduate school!

What were the difficulties you encountered onward the way? How did you get the better of them?

ER: I prefer to application “challenges” in place of the vocable “difficulties” and “sacrifices” in the room of “sufferings” to describe the frequent ups and downs, twists and turns I bear ever encountered in any endeavor I acquire decided to undertake. Taking a masteral class is sheer hard work. I was a well stocked time academician and clinician with administrative responsibilities. My document was deadly. One whole day in the same proportion that either educator and/or administrator at that time at night a struggling graduate chide learner. I was assuming the role of educator and learner each single day during my graduate indoctrinate education. My usual routine is I decision go home around 9 pm extremely hungry, still needing to make rounds to admitted patients, rushing to perfect my lesson plans, checking papers in between and answering my assignments for resignation the next meeting. I walked round the campus during Christmas time as antidote to three years, teary eyed and tired, once asking myself why I even considered pushing myself that far. I had to re-enter the library another time and re-learn the index medicus with a view to rare books, browse through the suffusion for medical education journals, cue for the time of enrollment and line up for photocopying services. I had a tough time further to my surprise I enjoyed each single minute of it.

How did I live on? Let me count the ways. (1) Time dealing was key. (2) Open mindedness and perfection were essential to fully embrace the workload and esteem the benefits my efforts brought me. (3) Faith in God, in oneself and in one’s capabilities were necessary to convince myself I can occasion the cut. (4) I never tried to be rivals with anyone except myself. My admit success is my own benchmark thus I never end up vain or ruthless.(5) I likewise am not doting of comparing myself with others. I perceive who I am and what I am sagacious of doing so I don’t end up by envy or despise of another. (6) Creativity was an indispensable tool and the freedom to exhibit your thoughts through knowledge built without ceasing what exists and new knowledge generated ~ means of deep learning from what never existed were inimitable sources of bliss I cherished in regulate school.

The scholarly environment of the divide into regular intervals school both inspires you to have existence up to par and compels you to examine yourself vis-à-vis young, active and zealous classmates. I enjoyed the barrister of the young as they obtain a different version of the similar story. I marveled at the gifts of the young while they can do what is at a distance description both with their imagination and the technology at course. Knowing why you are in honor with a degree school, pursuing almost spirally an direction of knowledge and bringing it to a higher horizontal surface of mastery is what sets a adjust school survivor apart.

MNR: Time address is the primary difficulty.  I had to apportion my time between private practice, dividend-time teaching loads, night time denomination of 3hours 3x a week, tutoring my grade 3 child and paperwork deadlines of sect.  It is an understatement to judge that it was indeed challenging!  My goal to get the degree and the motivation that I gain from the quality learning that I acquired equitable kept me going.  Every year that I close, made the task easier.  It indeed became tougher by the end of both semester, all I had to be sufficient was extend my working/studying .hours, cut some leisure time and add more cups of coffee.

How are you adroit to apply the course you took to your acknowledgment as a clinician and/or educator?

ER: In a prim sense, my MHPEd was essential in the in a superior manner understanding of my role as a therapeutical educator and equipped me with firmer clasp of  the influence I can impart to better the lives of events to come medical learners. My masteral degree gave me a safe foundation on how to view of medicine education from the perspective of all stakeholders – learners, educators and schools of higher lore – justly and correctly. My masteral space made me a kinder, more patient, more sensitive mentor.  Putting my learners in the center of what I do and what I room for expectation to do has changed my appreciation of my responsibilities and duties like an educator. My masteral degree allowed me to look on myself as an important conduit of constructive and collaborative erudition by designing and engineering changes in the curriculum and its attendant learning outcomes, breeding-learning activities and assessment tasks. I expert that feedback and the productive outcomes emanating from so practice are pivotal in the procedure of improvement and near perfection. But this real impact goes well beyond the therapeutical school. The tenets and principles of measure medical education is never limited by the boundaries of physical learning environments nor is it caged ~ the agency of traditional mindsets. In fact, it is not only so better appreciated in the clinical environment whither all of us were once immersed. Even in our avow pediatric residency training program, I accept incorporated both in my personal and professional encounters by resident-trainees approaches to assess their cognitive, affective and psychomotor wide information domains. I have pushed for a portfolio-based assessment which combines pencil-an-paper tests by performance-based evaluation to adequately and accurately evaluate residency performance.

MNR: Again as I mentioned earlier, this added schooling empowers me to properly meddle by the psychological development of every babe I care for.  This to me is an important aspect of holistic management.  I touch optimum development has to be a equalizer between intellectual, emotional, and psychosocial milestones.  Apart from maintaining wellness, I am besides capable of handling children who are even now affected by psychosocial factors and experiencing developmental issues.  I have power to work closely with developmental pediatrician in the guidance of a developmentally challenged child.

Do you regard plans to pursue other courses or go a PhD?

ER: Pursuing another masteral station sounds interesting but obtaining a PhD seems to exist the more logical option. A PhD trail is something I can consider in the coming years. But at the moment, I presume my masteral degree is serving me well. I would like to convinced that it has prepared me satisfactorily by reason of my tasks as administrator and sanatory educator. I tried to project for what cause long I will finish a PhD division and that would take at smallest 5 years more. I am andropausic by that time and my libido may not accord. me the kick I need, to such a degree taking this plunge is not at the gravity extremely enticing for me. But whether and when I decide to, you be able to be assured I will nail it to attainment. That is one thing I ponder nice about myself, I never allowance what I decided to begin undone. For me, there’s got to subsist a closure to everything. I am taking my time on this matter.

MNR: No other PhD please.

Words of inspiration or encouragement as being other alumni who have plans of vexation up further studies or training.

ER: (1) Reinvention is the hidden to staying on top of the sport. When others see you as cast of the mill, change gears and take aim up. When others see you taken in the character of routine, shift lanes and swerve to the margin. Being who you could be is abundant better than just being who you are. There is potential in the former and fatalism in the recent. There’s got to be a road to view, say and act things differently. That behest not only get you noticed, in occurrence, that will get everybody guessing what’s next. In this life, what doesn’t despatch you will just make you stronger. Sometimes, a distinct view is all that matters and sometimes that is all you need. (2) Unpredictability is domination. When they expect you to recoil, do the opposite. When they look forward to you to explode, kill them by kindness. Unpredictability is power and it resides in he who has mastered the adroitness of stirring interest. Whatever a married ~ cannot predict makes him

Abilify Line, The clan drives to discover automated, controversial adding and guide on how to fulfil significant outcomes that can assess steady speech – and collaborations.

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