Vol 7, Issue No.26 August 2005 (ob26)

Transcription

Volume 7 Issue No. 26
Quezon City, Philippines
August, 2005
16th POA Midyear Convention in
Davao City: Post Scriptum
T
he Philippine Orthopaedic
Association South Mindanao
Chapter
(POA-SMC)
successfully hosted the 16th Mid-Year
POA Convention last April 21-23 held at
the Waterfront Insular Hotel. More than
200 delegates composed of consultants
and residents troop to Durianburg (with
some bringing along their families)
registered and attended the 3-day activity.
(Continued to page 12)
The first day was allotted for the
sports activity and the opening of the
booths and exhibits. The golfers went to
Palos Verdes, a world class golf course
in Davao City where Drs. Chua, Guevarra
and Pecson all golfers of POA-SMC took
their time to facilitate the game. Dr.
Anthony Angala on the other hand took
charge of the Badminton game. With the
popularity of the game right now, it was
no wonder why it has the most number
POA-SMC President Dr. Gilbert Cauilan and POA President Dr, Miles Dela Rosa, formally opens
the convention through a traditional ribbon cutting ceremony.
Unilab at 60: Celebrating Unity, Achievement
U
nilab’s success and survival
story for all of 60 years is indeed
a feat so remarkable it deserves
a celebration like Bayanihan Day 2005.
From its humble beginnings as a small
drugstore in war-torn Manila in 1945 to
being
the
country’s
leading
pharmaceutical company today, Unilab’s
dramatic growth in the country and
Southeast Asia perfectly demonstrates
what Bayanihan can achieve: “Kayangkaya kung sama-sama.”
This year’s Bayanihan Day
festivities, aptly themed “Sama-sama sa
Sisenta,” pays tribute to the enduring
Unilab executives join employees in a colorful parade to history that chronicled the launching of
Unilab’s marketing divisions in the country and Southeast Asia.
Page 2
Ortho Balita
Volume 7, Number 26
August 2005
Count your blessings
“ Gratitude is one of the least
Articulate of the emotions,
especially when it is deep.”
- Felix Frankfurter
blessing that came all the way from
the Vatican, and with the picture of
Pope John Paul II. The pope who
W
ithout doubt, all of us have
been very busy – in our
practice, in our careers,
with our extra-curricular activities,
and with our families.
The only time most of us
probably get slowed down, have
time for reflection , and seek god’s
help and intervention again, is when
we ,or a member of the family ,
suddenly gets stricken with illness,
tragedy, failure or misfortune. And
then, in our sick bed and in
individual solitude, we pray for
god’s blessings and divine
intercession.
Seldom
do
we
acknowledge, accept and realize
that god has been showering us with
blessings all life long. We just did
not recognize that god’s blessings
were his gifts to us throughout our
lifetime. We just wrongly and
foolishly thought they were the
products of our human “greatness”.
I don’t want to sound like
fr. Gerry Orbos, who has
consistently provided the POA
inspiration by celebrating an annual
POA mass during our annual
convention. His “reflections” has
been wonderful reading too.
I have had a special
blessing from god. It was right there
behind me in my clinic, hung on the
wall behind my chair. My patients,
secretary, visitors and friends from
the pharmaceutical companies who
pay me a visit, probably notice and
see it more often than I do, since
it’s my back turned towards it.
And one day, I suddenly
realized how valuable that piece of
blessing is. It is a special papal
would one day become a saint has
caused it to be sent to me and a
select handful of physicians
belonging to our original Albay
polyclinic group. More than the
paper, however, was the realization
that I have had enormous blessings
and gifts of love from god, and for
which I and my family are very
thankful for. It took the mortal
demise of Pope John Paul II to
remind me how blessed we have
all been in this life.
You too have probably
been blessed more than me or
anybody else in this world, it only
takes your courage to accept and
acknowledge that our blessings and
accomplishments in this world all
came from our god, in whatever
form you believe and worship him.
* * *
Executive order 439 was
issued May, 2005 by Pres. Gloria
Macapagal - Arroyo. It directs the
department of Interior and Local
Governments {DILG} to implement
the geographical reassignment of
the province of Palawan and the
City of Puerto Princesa from the
Southern Tagalog Region (region 5)
to the Western Visayas Region
{region 6}.
The change is expected to
be implemented soon.
It was the thinking of
the administration that
such geographical
reassignment
will
redound to better
administrative and
economic benefits for
Palawan and Puerto
Princesa. The change
was
implemented
without benefit of a
referendum, without
hearing the voices of
Palaweños.
The POA South Luzon
chapter, under then POASL Pres.
Edwin Mercado and immediate past
Pres. Ric Liwag, successfully
hosted the 15th POA mid year
Convention in Puerto Princesa last
year.
It was a very successful
and memorable activity, everyone
will most probably agree. Even our
families, especially the children,
had very fond memories of
Palawan.
If EO 439 is implemented,
the POA will have the dilemma of
whether to follow the DILG
regrouping or not. We have two
very hardworking fellows in
Palawan, and I’m sure their
attachments to the POA South
Luzon can be compared to a fetal
umbilical cord analogy.
I suggest that the Palawan
fellows , the POA South Luzon
chapter and the POA board should
start consultations on this matter,
and find a win-win situation for this
impending problem.
(The author can be reached at:
[email protected])
August 2005
Ortho Balita
Volume 7, Number 26
Page 3
Pasion MOA guest speaker
P
OA past president Dr.
Ellewellyn G. Pasion was the
guest of honor and the 13th
Malaysian Orthopaedic (MOA)
Lecturer during opening ceremonies
of the MOA annual general and
scientific meeting last May 11-15 in
Miri, Malaysia.
Dr. Pasion, who was the
24th POA President in 1987 and the
8th ASEAN Orthopaedic Association
President in 1988, delivered the 13th
MOA Annual Lecture with the topic,
“AOA: Meeting the Challenges of the
Millenium” .
He was invited by MOA
President Prof. Saw Aik, who was a
POA guest with his wife during the
54th POA convention last December,
2004.
Also representing the
Philippines during the MOA
convention were POA president Dr.
Miles T. dela Rosa and POA
immediate past president Dr. Rodolfo
L. Nitollama.
Dr. Pasion traced the
beginnings of the AOA prior to its
historic founding in manila in 1980.
He showed vintage pictures of AOA
founding fathers and members, much
to the delight of the audience, which
appreciated his lecture and the ad
lib comments and the vintage
Dr. Ellewellyn G. Pasion
POA gets 3rd EDSA Shang award
T
Association was presented by
EDSA Shangri-la Hotel with
the 2004 Top Producer Award for
Group
Conventions
and
Associations last April 5, 2005 at the
hotel’s Garden Ballroom.
The award was received on
behalf of the POA by 2004 president
Dr. Rodolfo L. Nitollama. It was the
third award of a similar nature given
to the POA. The first award was
given to the POA during the term of
2002 president Dr. Venancio P.
Garduce, Jr. The second award was
during the term of 2003 president Dr.
Arturo C. Cañete.
Unfortunately, the award and
a goodwill dinner tendered by the
ESLH management came as the
POA will move out of the Edsa
Shangrila this year and return to
Westin Philippine Plaza. It was a
decision of the 2005 POA board.
(From left) POA past president Dr. Venancio P. Garduce, Jr., EDSA Shangri-la Sales
Manager Ms. Ethel Tejada, POA president Dr. Miles T. Dela Rosa, past president Dr.
Rodolfo Nitollama, EDSA Shangri-la Business Development Director Ms. Lorie Gamalinda
and POA Treasurer Dr. Francisco P. Altarejos during the awards night.
Page 4
Ortho Balita
Volume 7, Number 26
August 2005
Intelligent Knee Surgery
(“The mission is too important to allow
you to jeopardize it.”
HAL computer in 2001: A Space Odyssey,
explaining why it won’t let the spaceship
commander back on board (1968).
Stanley Kubrick (1928-1999), U.S.
director)
B
ack in the 1960s it was
fashionable I suppose to be
dismayed about how
computers will take over the world.
There was no better distillation of
that fear than Stanley Kubrick’s
2001: A Space Odyssey. It was
classic man vs. computer, with the
murderous HAL (now interpreted as
a play on the monolithic IBM),
almost winning.
Fast-forward to early 21st
century and yes, cautionary
Hollywood fare on wayward
computerized machines and
monster robots haven’t gone out of
style. In reality however, we have
discarded the notion of the
omnipotent, omniscient Computer
and themed our lives: man and his
tool, the computer. If you don’t know
already, simple home appliances
house computer chips and even the
cheapest cellphone is computer
chipped. Computers too have made
their way into our operating rooms.
Last month, in fact, I saw the future
of orthopedics.
Intelligent Knee Work.
Orthopedic friends Drs. Rodolfo
Frez and Emiliano Tablante of St.
Luke’s Medical Center, Dr. Edwin
Jerd Siatan of Asian Hospital, and I
(together with Philippines DePuy
representative Sharon Joy
Guevarra) attended the latest
DePuy/Jonhnson & Johnson course
on computer –assisted knee
surgery. The best place to teach
new technology was upbeat
Shanghai, epicenter of the 9.5% redhot growth of China. The seminar
started with a live feed from North
Carolina. It was morning there;
evening in Shanghai. As the 90-odd
participants settled in, Dr. David
Pollock changed an arthritic knee
using CAS-MiTKR or computerassisted surgery using minimally
invasive (technique for) total knee
replacement. How is this different
from the total knee replacements we
are doing now? First, the incision was
smaller. Second, no drill hole was
placed in the femur (thigh bone) and
other “maximally-invasive” steps that
meant more post-operative pain and
longer healing times for the patient.
Third, operating time was shorter,
usually less than one hour. Fourth,
sensors or reference arrays attached
to the extremity pictured the
operated knee on a computer screen
allowing precise cuts of the saw
blade. Filipino orthopedic surgeons
would have scoffed at this Teutonic
display of perfection, particularly in
our culture of “oido” (Spanish for
“hearing, ear” used locally for “playing
by ear” on the piano usually, but in
operating terms, for “eye-balling”).
These advancements should
ultimately mean better function and
longer survival (of the new knee).
a
It’s the Operator, Stupid.
The esteemed faculty (Prof Barrett
from the UK, Prof. Choong from
Australia, Prof Gottsauner-Wolf
from Austria, Mr Clatworthy from
New Zealand, Dr Yeo from
Singapore, and Dr Maniar from
India) could not emphasize enough
that the computer is a TOOL and
only that. It is the surgeon doing the
operation. He is responsible for the
results and only he. I guess that
these are comforting words to soothe
bruised orthopedic egos, particularly
if there’s a computer staring down,
flashing fancy numbers showing
you’re 5 millimeters short or 4
degrees off. And I guess that that it
was pretty smart of the software
developers not to put a voice into this
computer. After all, piqued surgeonartists hurl mallets and chisels
(sometimes).
Unicondylar
Knee
Replacement.
Making
a
determined come-back is the “half”
total knee or the unicondylar knee
implant. In the knee arthritic
process, it’s usually the inside of the
knee (medial compartment) that
fails first. At this stage, doing an
outright total knee replacement
seems overkill. This is the idea
behind
the
“Preservation”
unicondylar. Why not replace only
the worn out (inside portion) of the
knee? My colleagues and I took
turns making cuts on sawbone
models in the breakout sessions of
the meeting.
“Use the Force, Luke!” In
the climactic scene in Star Wars
Episode IV, Ben Obi Wan Kenobi’s
voice-over persuades Luke
Skywalker to put aside the CAS
(computer-assisted shooting) and
“use the Force.” Sure enough, sans
computer, he bull’s-eyes the missile
into the nerve center of the Death
Star. This can’t happen in the
operating theatre, period. The only
drama there can be seen when
things go wrong. And to computeruse proponents, major mishaps
should be a thing of the past with
computer assistance.
In the end, intelligent knee
August 2005
Ortho Balita
Volume 7, Number 26
Page 5
On Hand-Kissing
Pope John Paul II’s Philippine Experience
H
and-kissing is a ritual of
greeting, esteem, and
respect. It is started by the
person holding out her/his hand
with the palm facing downward.
The person kissing bows towards
the offered hand and politely
touches the knuckles with the lips,
while gently holding the offered
hand. In modern tradition, the lips
may not touch actually the hand.
The gesture is short, lasting less
than a second.
Historically, the gesture
was common among European
upper class people throughout the
18th and 19th century. It started to
disappear in the 20th century. Its
modern form involves a man
kissing the hand of a woman. The
hand-kiss originated in the Spanish
court ceremonies of the 17th/18th
Intelligent...
(Continued from page 4)
surgery is about the surgeon and
not the computer. It’s about making
the choice between more precise,
reproducible surgeries and less
precise
and
unfortunately
reproducible surgeries. Computerassisted surgery is about more hits
than misses. By the way, this isn’t
even the future. It’s happening right
now. It’s even available in the
Philippines, too. The workshop
finished with another live feed, this
time from Switzerland. I could hear
Prof. Berthet sighing in between
saw cuts, “Très bon, très bon.” Let’s
leave it at that. Maybe there can be
beauty (and satisfaction) in
precision, too. Maybe it’s the
intelligent thing to expect.
century. The gesture probably began
as a formal submission or pledge of
allegiance of man to man or man to
woman. The man would show his
submission by kissing the signet ring
(a form of holiness), the symbol of
authority of the dominant person. In
the Philippines, I recall that in the
early and mid-20th century, younger
relatives used to kiss the hands of
their older kin, especially their
parents in a “mano po” style, which
was a loving token of familial courtesy
and bonding. But when the
Americans came, this custom
started to disappear, and is replaced
by the ‘beso-beso” practice among
close relatives and friends.
Dr. Romeo D. Zamora, a
well-known American-trained
Filipino surgeon in Manila,
considered himself blessed by the
visit of Pope John Paul II in Manila
in February 1981, when he was
assigned by the Philippine
Government as a counterpart
medical escort to accompany the
Holy Father on his trips around the
Philippines on board aircrafts,
helicopters and cars. Dr. Zamora
was privileged not only to hold his
hand and apply medications, but
also “to feel a one-on-one presence
with his holy aura, his serence gaze
and his exceeding calmness”, even
as they, together, traveled around
the country.
However, only a few of
Pope John Paul II’s closest staff
knew that he was suffering from the
injuries as millions of people sought
to kiss and even grasp his swollen
hand and his fisherman’s rings. And
he never complained. He caressed
and nursed his hands himself
gently, bruised as it was, from the
fondling and the kissing by the
people he loved who flocked around
him as he made his pilgrimage to
unite the world.
Medically speaking, Pope
John Paul II might have been at risk
from bacterial, fungal or even viral
infection. Unknowingly, people who
were kissing the pontiff’s hand
could have been carrying some
particular germ through their saliva,
sputum, nasal discharges or tears,
or perhaps, in men beards or
mustaches bearing a number of
harmful molds. In a situation where
the skin of the hand was already
bruised, abraded and swollen
thereby lowering the local skin and
soft tissue resistance, it would be
easy to surmise that secondary
infection could have set in, at that
time, adding to the physical and
mental woes of the Pope.
Despite these painful and
disturbing complaints, he did not
deny the people who chose to kiss
his hand. The Pope’s personal
physician and Dr. Romeo D.
Zamora,
(the
Philippine
counterpart) were advised by the
Pope himself to secure some liquid
medicine that must be colorless
and tasteless, which he allowed to
be applied on his swollen and
traumatized hand. But the Holy
Pontiff continued proffering his
battered hand to our people during
his 1981 visit here. The Holy
Father ’s motto and favorite
expression was “I’m always Totus
Tuus (All Yours)”. Such a very kind
soul, Pope John Paul II was. Bless
Him!
(The contributor is the Medical Director
Of Our Lady of Lourdes Hospital,Sta.
Mesa, Manila)
Page 6
Ortho Balita
Volume 7, Number 26
August 2005
Medical Tourism
M
edical Tourism is one of the
remedies
that
may
alleviate the flight of some
of our colleagues to other lands,
and mitigate their shift to the
nursing profession.
Medical tourism means that
patients from other countries like the
USA and Europe etc., can come to
the Philippines in a tourist visa and
have themselves admitted to a clinic
or hospital to undergo any surgical
or medical procedure at a much
lower hospitalization cost and
probably doctors fees, and at the
same time tour the country’s tourist
spot or stay in a five star hotel while
recuperating.
The medical tourist patient
usually undergoes aesthetic
cosmetic landscaping or elective
surgical procedures in any of the
best medical centers of Manila,
Cebu and Davao, where the
medical centers can compare neck
to neck or even head to neck with
that of the medical centers in
Europe and the USA.
There is no denying that our
medical knowledge, skills and
competence have attracted medical
tourists to our country. One
specialty that has already benefited
from medical tourism, is cosmetic
or plastic surgery, where many
foreigners have been attracted to
the unique style of the
enhancement of man’s innate
beauty, by re-shaping, re-modeling
or constructing a more attractive
facial slit chin, elevated nose
bridge, face lift and slit or rounded
eyes and shapely body appearance
with breast enhancement and lipo
suctioning etc. by our Filipino
Surgeons.
Another field that has also
benefited from medical tourism is in
the area of Transplant Surgery.
Patient tourists from the Middle East
have flocked and queued for kidney
transplant surgery in our Medical
Centers and have of course enriched
our practitioners and somehow
improved the Philippine Economy
and businesses, by occupying our
five star hotels, and or renting
apartments, condominiums and
townhouses or have even bought real
estate property, while in the process
of post surgical follow ups and
recuperation.
Some medical tourists have
even toured the countryside while
recuperating from a cosmetic
surgery and have savored the
beauty of our first class white
refined sandy beaches, our rich
adorable cultural heritage, and the
elegance of our Filipino hospitality.
Although medical tourism gives
a clear cut economic advantage
and business progress, it has also
its own inherent disadvantages and
risks that can be shared,
transmitted or transferred from the
global shores to our localities. Take
for example the transfer or
migration of some foreign resistant
strains of bacteria or viruses or
unusual diseases brought by these
foreign medical tourists to our
medical wards, when they get
admitted and operated in our
operating rooms or medical clinics.
Further, some legal risks
and implications may also arise.
Some foreigners are so legalistic and
litigious or civil damage conscious,
that millions in dollars can be
demanded from the local medical
practitioner or medical center, for any
perceived, manufactured or actual
medical malpractice fault or
negligence. Though it would
somehow subject the medical
tourists to vexatious trials and
hearings in the Philippine Courts
away from their foreign homes, the
same can nevertheless inflict
serious emotional distress and
poverty to the medical practitioner
and bankruptcy to the Medical
Center, if he succumbs to a pre-trial
negotiation of paying the demanded
amount in exchange for an
amicable settlement or for the
withdrawal of the civil or criminal
complaint against them. Much less,
if final judgment is rendered in favor
of the foreign medical tourist.
Furthermore, the influential
medical tourist can even file a
complaint before the Philippine
Department of Foreign Affairs or
even ask his home government to
file a diplomatic protest against the
Republic of the Philippines for the
perceived or actual physical injuries
allegedly sustained by its citizens
while undergoing the said surgical
procedure. In the instance of a
wrongful death either due to
negligence or as a complication
after a medical tourist undergoes a
surgical procedure, a foreign
government can demand damages
in behalf of its citizen, against the
government of the Republic of the
Philippines. The failure of the
Philippine Government to respond
in a manner acceptable to that
foreign government’s demand for
pecuniary compensation to its
citizen, can result to an international
August 2005
Ortho Balita
Volume 7, Number 26
Page 7
POAFI Gets BIR, SEC Nods
T
approval from the Philippine council
for NGO certification (PCNC), to be
granted the status as a tax-exempt,
non-stock, non-profit foundation.
Immediately after the SEC
approval, the POAFI also got its
stamp of approval as a dulyregistered foundation with the
Bureau of Internal Revenue (BIR).
Dr. Nitollama emphasized that the
POAFI must now work and move
forward, with the aim in mind of
fulfilling its mandate. It should now
strive to get the more difficult
In a related move,
the POAFI founding board
of trustees unanimously
approved the
appointments of Atty.
Ramon Maronilla
and Atty. Benjanmin
Gorospe as chief legal
counsel and legal
counsel for tax matters,
respectively. The two
outstanding lawyers
agreed to donate their
services to the PAOFI pro bono,
and were issued their appointment
papers accordingly.
Association Foundation Inc.
(POAFI) was approved by the
Securities
and
Exchange
Commission on April 14, 2005 with
a Company Reg. No. of
CN200506215. This was announced
by POAFI founding chairman Dr.
Rodolfo L. Nitollama and founding
president Dr. Ellewellyn G. Pasion.
The POAFI Logo
Medical...
crisis of great proportions. Though
remote or peripheral, the same
scenario can occur, if the irritants fall
in the hands of a temperamental or
explosive national leader. The
diplomatic irritation can even be
blown up into an unexpected actual
war between the two nations in the
extreme
and
unfortunate
circumstance, by assertion of its
personal jurisdiction over its
nationals in the Philippines.
If the injured medical tourist
patient is a high government official
of its national executive, parliament
or legislative branch or national
security, the government of the
medical tourist may exercise its
power to punish certain offenses of
negligence or an alleged or invented
finding of an intention to injure its
national, and therefore, interpret the
same as contrary to its national
interest. War can break out if the
same is not settled by pacific
means, or if no third country brokers
a mediation or reconciliation
proceeding.
In this instant case, the
United Nations may interfere for the
sake of international peace. The
United Nations may call on the
Republic of the Philippines, and the
other country to settle their dispute
by peaceful means in such a manner
that international peace and security
and justice are not endangered. The
United Nations has an important
purpose to maintain international
peace and security by taking effective
collective measures for the
prevention of acts of aggression
and other breaches of the peace
and to bring about peaceful means
and in conformity with the principles
of justice and international law,
adjustment or settlement of
international disputes or situations
which might lead to a breach of the
peace.
Imagine, what great and
unexpected International scenario
and occurrence can result from a
mere alleged medical malpractice
incident in the course of a Medical
Tourism package and that medical
tourist undergoing any medical or
surgical procedure in the Philippines.
The international scenario, is
presently remote and maybe in the
realm of a fantasy, conjecture or
speculations, but the same can
happened as a reasonable
consequence, from a mere twist of
nature or caso fortuito. They are
nevertheless foreseeable and can be
unavoidable.
In the light of the foregoing
disquisition, taking into consideration
all the known advantages, risks,
hazards and variables, of medical
tourism, the same is still beneficial
to our prudent medical practice in
this country.
(For any comments or objections to
this article, please write to
[email protected])
Page 8
Ortho Balita
Volume 7, Number 26
August 2005
Now you hear it, now you hear it more
S
tarting February 2005 the
POA-SMC fellows can be
heard through FM station
Mom’s Radio (97.9), which is
broadcast over the Souhern
Mindanao Region. Through a
memorandum of agreement
between the POA-SMC officers and
the management of the station,
fellows of POA-SMC are invited as
guest speakers/resource persons
during the station’s segment “Your
Healthy Bones” which is aired
everyday from Monday to Saturday
from 9:00-9:30
in the morning.
Consistent with the
objective of POA-SMC of
empowering the people through
information and education, the
officers and members of the
association readily accepted the
offer of the radio station. Various
important
and
interesting
orthopedic topics are discussed
during the segment. The fellows of
the association on the other hand
take their time to act as resource
persons during the weekly
interview. At least one fellow is
interviewed every week. Based on
the response obtained from the
listeners and the management of
the station, the POA-SMC segment
is one of the most listened and
sought after portion of the station.
Thus presently, POA-SMC
fellows can be heard through it’s AM
radio program with DXRD entitled
Clinic Hour during Wednesday and
with Mom’s radio daily except
Sunday at 97.9 FM.
A cut to remember
POA SMC phallic surgeons
part II
S
ummer is traditionally the
time when young Filipino
boys go through the ritual of
having the “cut” – or circumcision.
On 30 April 2005 POA-SMC played
ninong to around 105 children in
Davao City through the activity
“Operation Tuli Part 2” which was
done in coordination with the AM
radio station DXRD. The compound
which the radio station occupied was
once again filled with mothers and
children who trooped to the place for
the free circumcision procedure.
These mothers and their children
saved at least Php 500.00, which is
the cost charged by some stand
alone health clinics for this
procedure.
This community service
activity was jointly sponsored by the
Departments of Orthopedic Surgery
and General Surgery of Davao
Medical Center, the Department of
Health and POA-SMC. Our
corporate partner for this activity was
Pharex Pharma.
Among the POA fellows who
joined this effort include the officers
of POA-SMC led by Dr. Gilber
Cauilan. Also present were Drs.
Ricky Pecson, Eugene Nalian,
Yddes Fidelis Amparo, Ronald
Tangente, Larry Diaz, Anthony
Angala, and Alex Peñaranda,
Journal Club at K-1 Family KTV
T
o spice up journal club
meetings, the POA CentralEastern Visayas (CEVC)
chapter, held their first journal club
for the year at a Family KTV last
May 26, 2005.
The activity, sponsored by
Novartis, started with discussion of
2 journal articles over a couple
bottles of beer and over-flowing
crispy pata. The discussion of was
soon over to give may to the singing
prowess of the fellows and
residents.
August 2005
Ortho Balita
Volume 7, Number 26
Page 9
POTS 2nd annual meeting
T
Dr. Suthorn Bavonratanavech
Trauma Society held its
second annual meeting in
cooperation with The Philippine
Orthopaedic Association, AO East
Asia and AO International last July
9-10, 2005 at the Philippine
Orthopaedic Center auditorium. This
year’s theme was “AO Symposium
on Practical Solutions to Complex
Fractures and Difficult Periarticular
Injuries”. This two-day affair featured
plenary sessions and workshops on
the new locked plates. Four
international faculty members graced
this affair namely: Dr. Garnet Donald
Tregonning from Auckland, New
Zealand,
Dr.
Suthorn
Bavonratanavech from Thailand, Dr.
Wilson Li from Hong Kong and Dr.
Vajara Phiphobmongkol from
Thailand.
About 105 fellows and training
residents registered for this meeting
and about 48 consultants and chief
residents participated in the
workshop. There were four plenary
sessions touching mostly on
complex lower extremity injuries i.e.,
proximal and distal femur fractures,
floating knees, proximal tibia and
pilon fractures and the ipsilateral hip
and shaft fractures. The plenary
session on upper extremity injuries
covered the Osteoporotic proximal
humerus fracture, distal humeral
fracture and complex elbow fracturedislocations.
The workshop sessions in the two
adjacent rooms near the auditorium
had four stations per room and six
POACEVC
induction of
officers
T
he Central – Eastern Visayas
chapter of the Philippine
Orthopaedic Association had
the induction of their new set
officers last April 8, 2005. Dr.
Winston Estera graced the
occasion as the inducting officer
and Dr. Art Canete gave an update
on
the
management
of
osteoporosis.
The new set of officers are
composed of Tony San Juan
(president), Poy Ilano (vicepresident), Judith Akol (secretary),
Richard Condor (treasurer), and
Ding Panares ( PRO).
POA VICE - PRESIDENT Dr. George Winston B. Estera, the inducting officer, (left)
poses with the POA - CEVC newly-inducted officers for the year 2005. With him are:
(from right) Drs.Fidencio Pañares, Richard Condor, Judith Akol, Pablo Ilano III and
Jose Antonio San Juan.
THE POA-CEVC JOURNAL CLUB at Family -1 KTV (above and below)
Page 10
Ortho Balita
Volume 7, Number 26
participants for each station. The first
workshop was on locked
compression plate and locked
proximal humeral plate. The second
workshop delved on locked distal
femoral plate and locked distal tibial
plate using the MIPO technique. A
live video coverage of the ongoing
workshop was projected in the
auditorium for the training residents
who were not able to register for the
limited slots available.
At the end of the meeting, the
organizing committee distributed
certificates of attendance from the
AO International. It was not a course
completion certificate similar to the
AO Basic Course, since it was not
a comprehensive course program but
rather an introduction to the Internal
Fixator concept in complex fracture
care.
A table instructor’s course for future
AO meetings capped the day’s
events. Twenty POTS members
were selected for this course and the
four invited international faculty
members each gave a talk. A course
manual was given each participant
as a teaching guide, and having
completed a table instructor’s will
make the POTS members eligible as
table instructors for future AO
courses here in Manila and the East
Asian region.
This joint meeting of the
POTS, POA, AO International, and
AO East Asia marks the reentry of
the AO educational courses in the
Philippines, the last of which was in
1996 at the Philippine Orthopaedic
Center. At that time, the concept of
rigid fixation was our main guiding
principle in the treatment of
intraarticular, metaphyseal and
diaphyseal fractures. However, in the
evolution of fracture care, it is now
Dr. Garnet Donald Tregonning
Dr. Wilson Li
Dr. Vajara Phiphobmongkol
The POTS members eith the ASEAN -OA Symposium speakers
August 2005
the locked internal fixator principle
that will come to fore in the 21st
century. With it, comes the minimally
invasive surgical approaches, the
less invasive stabilization system,
and the combination locked
compression plates.
After this introductory joint meeting,
the Philippine Orthopaedic Trauma
August 2005
Ortho Balita
Volume 7, Number 26
Page 11
SOL: The POA's "Time and Season"
for everything
There is a time for everything and a
season for every activity under heaven:
a time to be born and a time to die,
a time to plant and a time to uproot,
a time to kill and a time to heal,
a time to tear down and a time to build,
a time to weep and a time to laugh,
a time to mourn and a time to dance,
a time to scatter stones and a time to
gather them,
a time to embrace and a time to refrain,
a time to search and a time to give up,
a time to keep and a time to throw away,
a time to tear and a time to mend,
a time to be silent and a time to speak,
a time to love and a time to hate,
a time for war and a time for peace.
What does the worker gain from his toil?
I (King Solomon) have seen the burden
God has laid on men. He has made
everything beautiful in its time. He has
also set eternity in the hearts of men; yet
they cannot fathom what God has done
from beginning to end. I know there is
nothing better for men than to be happy
and do good while they live. That everyone
may and eat and drink, and find
satisfaction in all his toil - this is the gift
of God. I know that everything God does
will endure forever, nothing can be added
to it and nothing taken from it. God does
it so that men will revere Him.
Ecclesiastes 3:1-14.
For every POA activity for the past 9 years,
Sol has been there organizing and
orchestrating it. We find it difficult to recall
one where Sol didn’t have a hand in. As a
matter of fact, it the last POA-POTS AO
Symposium last July 9-10, while in the
confines of her bed at the Philippine
Orthopedic Center, she was helping call the
shots.
Born November 1, 1959,
she passed away last July
20, 2005 at the age of only
45.
Indeed, Sol planted into
the POA a lot of positive
values that we all want to
live by; values like
dedication to work,
selflessness, efficiency,
industriousness and
integrity, to name a few.
Through her, a lot of the
POA activities were “built
up” - our activities became
better organized, well and
efficiently run, deadlines
followed-up and readily met and problems in information
dissemination became a thing of the past not only because of
advances of technology but primarily through her persistence
and devotion.
Through her, the POA Staff found more than enough time to weep,
mourn and share their own burdens but likewise the time to dance,
sing and laugh.
Through the memories she left behind, we can all find the time to
reminisce and cherish them, gather and embrace and pick them
all up for us to eventually carry on.
Indeed through her, we have learned to love our Association more
and to appreciate all the people behind it.
Sol passed away so young. At the age of 45, there is still so
much to be done, still so much to be learned and shared. It is
quite difficult for a lot of us to understand why….but then again,
her mission are finished and her purpose has been achieved;
she has done her share to make everything beautiful in its time.
Through the legacy she left behind, truly we can revere God.
Knowing Sol has been a pleasure and a privilege. Now, she wants
us to have a time of rejoicing because she is in a better place
where there is no more pain and suffering but only peace, joy
and fulfillment beyond words and understanding. Though her
presence will be sorely missed, Sol lives on forever more through
the activities of the POA and the hearts of its Fellows.
- A POA Fellow
Page 12
Ortho Balita
Volume 7, Number 26
16th POA Midyear...
of participants. In fact some fellows
even requested the organizing
committee if we can schedule
another badminton game on the
second day before the plenary
session starts. The Bowling and
Billiards games were under the
author’s supervision held at the
NCCC Mall, the venue of the games
in the early morning of April 21. Dr.
Delfin Rabe was also there to give a
hand in facilitating. Unfortunately I
don’t play bowling and billiards as
well so I end up being a spectator
while Dr. Dy cleans the lanes with
impunity through his successive
strikes. I have to hurry back to Insular
Hotel after the game because the
POA Business Meeting is to start at
2:00 pm. The booths and exhibits
were opened by POA President Dr.
Miles dela Rosa assisted by our very
own Dr. Gilbert Cauilan. The
ceremony was done under the
background of a beating drum
complete with dancers clad in native
Bagobo costume. I was tempted to
do my “shopping’ on that day
SPEAKERS/ MODERATORS & POA-SMC OFFICERS of the Midyear Convention
POA-SMC OFFICERS, SPEAKERS AND MODERATORS:
FELLOWS during the POA business meeting of the midyear convention
August 2005
(Continued from page 1 )
knowing fully that I will not be able
to visit the booths the following days
due to my assignments in the plenary
session. After hurriedly getting some
souvenirs and giveaways from various
drug companies, we drove to “The
Venue” where the fellowship night is
to be held. POA-SMC needs some
more practice for our performance
later in the night.
The Fellowship night opened
with a bang with a grand opening
ceremony with the famed Maharlika
(Continued to page 13 )
August 2005
Ortho Balita
Volume 7, Number 26
16th POA Midyear...
Dance Troupe of Rizal Memorial
Colleges performing the opening
ritual. But prior to the beating of the
drums and gongs, the fellows and
their families and the residents as
well have already started feasting on
the “eat all you can” durian and
pomelo outside of “The Venue”.
Davao City Vice-Mayor Luis
Bongguyan attended the fellowship
night and to personally welcome the
delegates to Davao City in behalf of
Mayor Rodrigo Duterte. Aside from
the overflowing food and dinks during
the fellowship night, another highlight
which really brought the house down
was
the
Hagibis-inspired
performances of the POA National
officers led by Dr. dela Rosa, the
native dance number of Central
Visayas Chapter who will host next
years’ midyear convention in Bohol.
And of course the three-tiered dance
number of the host chapter POASMC. Our act could be so good that
why Dr Ed Lim and Dr. Wade could
not resist but go up the stage and
join us and be part of our dance
Page 13
number. With our adrenaline
pumped-up, I did not even notice that
our dance number was already
finished. The next time I got my
sense back, the POA-SMC officers
and organizing committee members
were already toasting beer to all the
delegates.
With the theme “Buto-buto
sa Daba-daba”, the convention
tackled important topics related to
orthopedic practice particularly
trauma complications. The
Gina Custodio of BMS (below, left) our traditional sports activities
organizer for the midyear and annual conventions overseeing
simultaneous sports activities
Participants of the sports activities in action (top left, left, below left)
Winners of the different sports activities pose during the midyear
convention while receiving their prizes and championship trophies.
Page 14
Ortho Balita
Volume 7, Number 26
16th POA Midyear...
convention organizers introduced a
new approach to the conduct of the
scientific session portion of the
convention. Instead of the usual
lecture-discussion type, this year’s
scientific updates were conducted
in an inter-active manner where a
moderator is asked to present a case
to a panel of reactors composed of
at least three consultants who then
presents his opinion regarding the
case. To encourage participation
among the delegates, they were also
given time to throw question to any
of the three panelists. This
innovative approach made the
scientific sessions more interactive,
thus providing a venue for orthopedic
Dance! dance! dance!!!
JUMBO HOTDOG, KAYA MO BA TO!, KAYA MO BA TO!
August 2005
clinicians to exchange views,
techniques and approaches in a
colleagueal manner.
Aside from learning new
things from each other, the
orthopedic surgeons and their
families and friends were also given
the option to enjoy Davao further
through the various tours we have
prepared. Some enjoyed nature
tripping with a visit to the Philippine
Eagle Conservation Program in
Calinan, while others took the
pleasure of exploring beautiful
beaches and islands in the
neighboring Island Garden City of
Samal (IGACOS). Eden Resort with
its cold weather was a favorite
especially among fellows who
brought their families with them. Not
August 2005
Ortho Balita
Volume 7, Number 26
16th POA Midyear...
to mention the Malagos Garden
resort where the very popular bird
show is being held. For those who
just want to stay within the city
and enjoy its nightlife, Davao’s
famous fruit stands in Magsaysay
park was a favorite destination
where durian and other fruits
(pomelo, mangosteen, water
melon, etc.) were made available
for the enjoyment of the delegates.
Hosting the mid-year
convention was a big challenge for
the officers of POA-SMC and the
Organizing Committee as well. The
long hours of meeting, venue visits,
security and hotel reservations,
printing and bull-sessions were all
worth it. Our objective of making
sure that all the delegates would
not only enjoy their stay Davao but
also learn something from the
scientific sessions were all
achieved. Despite security
concerns and threats of terrorism,
the convention went smoothly. I
guess we cannot ask for more. The
Organizing Committee hopes that
POA fellows and resident as well
as their families would remember
Davao and Mindanao as whole not
because of the bombings and war,
but of the hospitality and good life
in abundance in the island.
MADITA SALAMAT!
- Dr. Eugene S. Nalian, FPOA
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Midyear
picture
gallery
Page 15
Page 16
Ortho Balita
Volume 7, Number 26
August 2005
In pursuit of the mission... the
challenges of growth in the POA
T
he honor and privilege of
serving in the board has given
me the opportunity to watch
up close the development and growth
of our association. With its present
membership of 450 fellows , six
regional chapters and ten
subspecialty societies there is a
need to draw a long term
development plan to plot directions
of growth , synchronous with our
mission and vision statements,
which is excellence in research,
training and service for the benefit
of the Filipino people.
The foremost prerequisite in
the attainment of this goal is to
ensure the active involvement of all
fellows in the association through
their regional or subspecialty
affiliations. To realize this objective,
two important bridges must be built;
the first one is an infrastructure to
connect all fellows and two, a
program
to
encourage
communication and interaction with
each other. As I write this article the
upgrading of our website and our IT
capabilities is being put in place and
hopefully as agreed upon by all
chapter presidents, implement a
drive for all fellows to log in to our
website and explore the forum
section to connect to other fellows.
Once we have a majority of
our fellows logging in, we could start
CME programs initiated by the
subspecialty societies, such as
interesting cases for fellows to
interact, or for fellows to present their
difficult cases for opinion in
management. This forum will not be
limited to academic matters as it
would provide a medium of social
interaction making each fellow aware
that he BELONGS TO THE POA.
This sense of belonging is the
catalyst needed to implement the
long term development plan.
One of the greatest debacles
in the pursuit of our goals is the very
low appreciation of what I would term
as the “culture of research”. We have
tried to address this point earlier this
year as the research committee has
slowly but steadily taken a proactive
stance by conducting research
appraisal workshops which I am
happy to announce produced three
Clinical Practice Guidelines research
protocols , the funding of which has
been approved by the POA
foundation. This CPG’s would be a
major factor for presenting revised
RVS values with PHIC and the
HMO’s. The committee has also
been tasked to undertake two
separate research projects in the field
of osteoporosis which hopefully
would come out with local data on
prevalence and cost of illness ,when
realized would be a humble
contribution of the POA to national
health policy making bodies.
As I write the third paragraph of this
article, I would like to present two
personal observations; one, the
majority of the POA Board’s attention
is directed towards the annual
congress preparation, two, the lack
of a leadership training program or
forum where young and aspiring
fellows could hone up their
organizational and leadership skills
in preparation for positions in the
board. The first observation lies in
the fact that the implementation of a
long term development plan evokes
the need for the board to focus on
numerous projects, activities and
other concerns of fellow members
aside from the traditional annual
congress. The second observation
hopes to ensure a broader based
enlistment program for would-be
candidates for the board who have
shown leadership, dedication and
exceptional organizational skills
during their “trainee” status.
I offer a simple formula to
the incoming board: (1) to devolve the
preparations of the annual congress
to the OCME or Scientific program
committee; (2) to use the said
committees as the training forum of
young would be board aspirants; (3)
POA - Pfizer Quiz Show
T
he 5th year of the POA – Pfizer
Residents’ Quiz Show was
held during the 16 th POA
Midyear Convention hosted by the
South Mindanao Chapter last April
22, 2005 at the Waterfront Insular
Hotel in Davao City.
POA Trustee Dr. Edward A.
Sarrosa and the Pfizer group
together with Dr. Fortune Cruz made
all the necessary preparations for
this event. Dr. Cruz sourced out
possible questions to be included in
the list for the contest. Dr. Andres
D. Borromeo, POA and PBO past
president, and Dr. Cruz hosted the
event. This activity was indeed a
successful endeavor that challenged
the answering capabilities of the
residents. Each resident participant
represents the orthopedic institution/
department (18 in all) accredited by
the Philippine Board of Orthopaedics.
For this year, Pfizer gave
cash prizes of varying amounts to
the top 3 team winners. Each team
is comprised of three members The
August 2005
Ortho Balita
Volume 7, Number 26
Page 17
Midyear convention 2006
T
he
Central-Eastern
Visayas
Chapter
(CEVC)
will
be
the
host of next year’s mid-year conference at
Panglao, Bohol.
During this year’s mid-year conference at
Davao, members of the CEV chapter performed a dance
number to the tune of “Chocolate”. The chocolate hills
is among the famous tourist destinations of Bohol.
Midyear 2006 is going to be at the Bohol Beach
Club, Panglao Island, Bohol on April 20-22, 2006. The
theme will be “FAST-BREAK: Keeping Pace with the
Latest Trends in Treating Sports Injuries”. There
will be lectures on current concepts in managing sports
injuries and a lot of fun under the sun! So see you at
Bohol on April 2006!
The men and women of the POA - Central Eastern Visayas Chapter
dances to the tune of "Chocolate" as part of the presentations prepared
by the chapter for the fellowship night of the POA midyear meet. The
dance theme Chocolate is synonymous to what can be seen during
their hosting of the next midyear convention which is the Chocolate
hills in Bohol.
POA - Pfizer Quiz Show
first prize was won by the Yellow
Team composed of Drs. Rex V.
Santos (ITRMC), Renier Jerochi Jr.
(CLMMRH) and Harem Deiparine
(POC). The Second prize winner
goes to the Red team composed of
Drs. Antonio C. Martinez
(VMMC), Andrew J.
Tabberrah (SLMC), and
Frederic G. Sarmen
(VSMMC). The third prize
then goes to the Green
Team with members Drs.
Heherson Cui (DMC),
Jose Miguel Lumawig and
Richillo
Daguman
(AFPMC).
The POA expresses its
gratitude to Pfizer for their
unwavering support to this POA
continuing medical education affair.
The Residents’ Quiz Show has
started a benchmark in every
midyear convention. We hope that
this event will go on and still continue
to receive the same support that
Pfizer is giving.
Page 18
Ortho Balita
Volume 7, Number 26
August 2005
AOA: Meeting the Challenges
of the Millenium
This is the text of the 13 th MOA
(Malaysian Orthopaedic Association)
Annual Lecture delivered by Dr.
Ellewelllyn G. Pasion during the Annual
Scientific Meeting of the M.O.A. held at
the Mega Hotel, Miri, Sarawak ., at the
Opening Ceremony on 13th May 2005.
Introduction: The idea of forming t
he AOA was conceived during the
Indonesian Orthopaedic Association
Annual Meeting in Bali, Indonesia,
1979. The group of ASEAN
orthopaedic surgeons led by Prof.
Soelarto Reksoprodjo & Dr. Jose M.
Pujalte Sr. met with other delegates
from Singapore and Malaysia and
decided to meet again in Manila.
It was in Feb 24-26, 1981 when Dr.
Jose M. Pujalte Sr. and the rest of
the Founding Directors met at the
ARMY NAVY Club in Manila to start
in all, draft the Constitution and bylaws.
Founding AOA Directors 1981
Philippines
Dr. Jose M. Pujalte Sr.
Dr. Jose V. Silao Sr.
Dr.Vicente Pido
Dr. Antonio Montalban
Dr. Ellewellyn G. Pasion
Dr. Rimando Saguin
Singapore
Prof. Robert Pho
Pasion...
Dr. Ong Leong Boon
Malaysia
Prof. Balasubramanian
Tan Son Dato Majed Ismail
Thailand
Dr. Keokarn Thomrongrat
Dr. Natu Rukspoemung
Indonesia
Professor Soelarto Reksoprodjo
Prof. Chehab Hilmy
Historic 3 Days of Rigorous Meeting
at the Army Navy Club of Manila to
draft the constitution and by-laws
and elect the office bearers
-Membership is by country as
represented by the National
Orthopedic Association of
each ASEAN country
-All fellows of the National
Associations become
automatic
members
(individual)
-The scientific meetings are held
annually with each country being the
host as determined alphabetically
Objectives of the AOA
-to establish and maintain an
association of Orthopedic surgeons,
not for pecuniary profit but for the
benefit of humanity by advancing the
science of Orthopedic Surgery and the
ethical and competent practice of its
art.
-Through each National Association,
to engage in scientific research to
determine the cause, nature and cure
of diseases
(Right)MOA PRESIDENT DR.
SAW AIK presents a token of
appreciation to POA president
Dr. Miles T. Dela Rosa after
presenting his lecture on the
Trauma Registry during the
13th MOA Annual Meetiing
Dr.
Ong
Leong Boon,
A
O
A
Secretary
General
discussing the
A S E A N
meeting with
Drs. Pasion
and
Dela
Rosa.
pictures. He also gave his own
insights as a past AOA president
and as one of the original founding
members, as to the future directions
that the AOA must take.
Dr. Dela Rosa also took advantage
of the opportunity during the MOA
fellowship night to present a POA
video inviting the MOA participants
to the 25th AOA convention in Manila
on November 13-20. 2005.
All the Malong Soccer participants in a group picture.
August 2005
Ortho Balita
Volume 7, Number 26
AOA: Meeting the Challenges...
-To promote friendship and
camaraderie among its members by
frequent exchange of fellows through
scholarships, traveling fellowships,
and regular scientific and social
intercourse in the ASEAN and other
regions of the world.
Organizational Perspectives
-To contribute to the stability, peace
and progress in the ASEAN region
through the science and technology of
the Orthopedic specialty.
-By the end of the 20th Century and
the beginning of the 21st Century, to
be on equal footing with the First World
Countries in terms of the science and
art of Orthopedic surgery
-To encourage healthy competition as
well as cooperation among the ASEAN
members in order to promote closer
ties and friendships
-To accept possible future members
of the ASEAN
With these objectives in
mind, the constitution was drafted on
the 27th day of February, 1981 and
the 1st set of officers were elected
First AOA Council
President:Dr. Jose M. Pujalte; Senior
VP:Prof. Soelarto Reksprodjo; Vice
Presidents: Dr. Abdul Majid Ismail;
Dr. Thamrongrat Keokarn; Prof. Robert
WH Pho; Secretary General: Dr. Ong
Leong Boon
-Official inauguration and induction of
officers was held on December 6, 1981
in a combined meeting with the
Philippine Orthopedic Association at
the
Hotel
Intercontinental ,
Makati
City,
Philippines
F o u n d i n g
Directors:
Prof.
Chehab
Hilmy (Indonesia);
P
r
o
f
.
Balasubramanian
(Above and below) The Philippine Delegates, speakers with the MOA (Malaysia); Dr.
G.
past presidents and their wives during the MOA' President's Dinner. Ellewellyn
P a s i o n
(Philippines); Dr.
Antonio
M.
M o n t a l b a n
(Philippines); Prof.
Jose V. Silao
(Philippines); Dr.
Vicente
Pido
(Philippines)
Page 19
WHAT HAS BEEN ACCOMPLISHED
SINCE THEN…………
-Alphabetical hosting of the annual
congress by the 5 ASEAN member
nations since its Inaugural in Manila
in 1981 Junior traveling fellowships
since 1983
-Senior traveling fellowships since
1986
-American
Orthopedic
Association – ASEAN Orthopedic
Association traveling fellowship since
l995 EFORT traveling fellowship in
1996
-Sending of ASEAN delegates to the
British Orthopedic Association meeting
since 2004
Future Direction
To extend invitation to other ASEAN
countries to join the AOA: Vietnam;
Laos; Cambodia; Myanmar; Brunei;
Invite delegates from these ASEAN
countries to attend the AOA annual
meetings to get their interest in joining
Problems: Political; Socio-economic;
Lack of Orthopedic surgeons
We have to address challenges in the
different areas of concern: Socioeconomic; Academic
Socio-Economic
With the exception of Singapore and
Malaysia, other ASEAN countries do
have problems with their economy
In the Philippines and Indonesia,
poverty is still a problem
- Inability to cope with the high cost of
Orthopedic implants
- Threat of bone-setters, especially in
the rural areas
Possible Solutions
- ASEAN working committee on how
to put down or subsidize high costs of
implants
- Manufacture ASEAN quality-made
implants for the region
Meeting with the multinational
companies to offer lower costing for
ASEAN member nations
- Public awareness/Orthopedic
education, dissemination to the rural
areas
The Malong Soccer players thankful for losing to save them from playing another game.
Page 20
Ortho Balita
Volume 7, Number 26
AOA: Meeting the Challenges...
Academic
-Continuous exchange of Orthopedic
knowledge in terms of
- Updates on new trends
-Clinical researchers and collaboration
Possible ways to achieve it
- The ideal set-up is to more or less
have a common or unified standard
residency training program among the
ASEAN nations
- Exchange professorship programs
among University Hospitals of the 5
ASEAN member nations
- Identify Orthopedic institutions which
can offer Regular Fellowship Program
in the different subspecialties for a
specified number of months
- Exchange Trainees/Residents
Program among the ASEAN Training
Institutions
(eg. Spending 4-6 weeks in Malaysia
for total joint arthroplasty; spending 46 weeks in Manila for Ilisarov method
of fixation for infected non-unions of
fractures)
- To invite professors or senior
Orthopedic surgeons to act as external
examiners in the certifying board
examinations of the different ASEAN
countries
- Set standard protocols for diagnosis
and treatment of certain Orthopedic
diseases common in the ASEAN for
research purposes
- Start an ASEAN registry of Joint
arthroplasty; Infections; Tumors;
Trauma
- To hold regular Trainees courses
before or after the annual ASEAN
meeting with the senior Orthopedic
surgeons as faculty
- Share the latest of medical
technology
- Set-up an ASEAN website for fast and
easy communication among member
nations
- Strengthen and contribute to the
ASEAN journal
Fast Advancing Medical Techonology
will always fast track the progress of
Orthopedic practice in the ASEAN
region; however, we in the ASEAN
should never forget to practice
Orthopedics
- Humanely
- Compassionately
- And above all, with the
highest degree of ethics
We should always think of the
welfare and well-being of our patients
which is very inherent in the ASEAN
culture
Relationships with other Regional/
International Associations
The original 5 member nations of the
ASEAN is noted for
-Cohesiveness;
-Strength and Unity;
-Cooperative collaboration;
-Teamwork
We should maintain these
collective qualities to make us a
August 2005
FORCE to reckon with in the Asian
Region
We should support the other
Orthopedic Associations like the
APOA, of which most of us are
individual members
We should cooperate,
collaborate with our East Asian, AsiaPacific Orthopedic colleagues to
improve, uplift the standard of
Orthopedic practice in the whole of the
Asia-Pacific RIM and thus be at level
with our North American and
European counterparts in this 21 st
Century
With the leadership of the
future officers of the AOA, I can foresee
a very bright and promising future for
the AOA this millennium.
Onwards to the next 25 years.
Godspeed!
Terima Kasih!
Karaoke time the
ASEAN way!
MOA past presidents,
Philippine delegates
and ASEAN presidents
pose with Hong Kong
Orthopaedic
Association President
Dr. Jack Cheng
(standing, extreme
right) as guest.
In the midst of major disasters in the
region
- Setting immediate response disaster
teams which can be mobilized fast
- Readily available Orthopedic
implants like IM Nails, External
Fixators, Soft Goods, etc.
Dr. Saw Aik touring the ASEAN presidents at the exhibits area
August 2005
Ortho Balita
Volume 7, Number 26
Page 21
AOA Council holds 2nd
extra-ordinary meeting
T
he ASEAN Orthopaedic
Association (AOA) executive
council held its second extraordinary council meeting in Miri,
Malaysia on May 14, 2005 during the
Malaysian Orthopedic Association
(MOA) annual general and scientific
meeting at the mega hotel.
It was the second meeting
of that sort, following the historic first
extraordinary meeting held at Edsa
Shangri-la hotel on December 2,
2004 during the 54th POA annual
convention- IFFAS meeting in
Mandaluyong City. It further justified
the wisdom of the suggestion
originally brought forth by AOA
secretary-general Dr. Ong Leong
Boon of Singapore. Prior to those two
meetings, the AOA executive council
usually meets only once a year,
during the AOA annual convention,
but recent developments have made
the extra-ordinary meetings a
necessity.
In the absence of AOA
president
Dr.
Suthorn
Bavonratanavech of Thailand, who
was on a previously-scheduled
foreign trip, the informal meeting was
presided by Dr. Ong Others in
attendance were representatives
from the five ASEAN national
orthopaedic associations.
Topics in the discussion was
the expansion of the membership of
the AOA from its present five member
nations.
Dr. OLB informed the group
that Myanmar and Brunei are not yet
ready, while Vietnam has the best
potential in getting admitted as the
sixth AOA member nation. Dr. Olb
notified the council of the extent of
the communications he had had with
the officers of the Vietnamese
Orthopaedic Association (VOA)
during the recent months,
expressing the VOA’s intention to
join the AOA.
In the end, the consensus
was for Dr. Olb to communicate
further with the VOA officers to
determine their interest and
readiness to join this year’s AOA
senior and junior traveling fellowship
programs.
Subsequently,
arrangements to include and
accommodate a VOA traveling staff,
and later on, a junior traveling
fellowship were finalized.
The VOA’s participation in
the staff traveling fellowship and junior
traveling fellowship programs may
eventually lead to the formal
admission of the VOA to the AOA in
time for the 25th AOA anniversary
meeting in November, 2005 in
Manila, the council members felt the
need to strengthen relationship with
the British Orthopaedic Association
(BOA) and the continuation of
the AOA - BOA traveling fellowship,
now on its second year, was likewise
urged.
Improvement of the AOA
journal of Orthopaedic, and the 25th
and 26th AOA convention schedules,
were also discussed.
POA - SMC - ORTO fellowship night
T
Association (POA) held its
16th Midyear Convention in
Davao City last April 21-23, 2005 with
its theme: “Buto-buto sa Daba-daba”.
It was organized by the POA
Mindanao Chapter. Among the
participants were Consultants and
Residents from accredited training
institutions in the country. During the
convention, the Organization of
Residents Training in Orthopaedics
(ORTO Inc.) held its fellowship night
at the Matina Town Square right at
the heart of the City. Training
Residents from different institutions
gathered for a night of singing,
drinking and lots of fun.
The night was made more
enjoyable by live music rendered by
a local musical band which
enthusiastically performed a variety
of dance and pop
songs. The band
was later joined by
the some residents
who
enjoyed
singing to the live
music. (pictures on
page 21)
- Marcelino M.
Cadag, MD
(AFPMC)
Page 22
Ortho Balita
Volume 7, Number 26
August 2005
Buto ko 2, Luv ko to
T
he Philippine Council for the
Bone and Joint Decade held
a “Fun Walk” on May 29,
2005 at the Rajah Sulaiman Park,
City of Manila led by this year’s
council chairman Dr. Ester G.
Penserga with the theme “Buto Ko
2, Luv Ko 2”. This event was
sponsored by different Specialty
Societies who are members of the
Philippine Bone and Joint Decade
Council in the country namely:
Philippine
Rheumatology
Association, Philippine Orthopaedic
Association, Osteoporosis Society
of the Philippines and The Philippine
Academy of Rehabilitation Medicine.
This was also in cooperation with the
Manila SK Federation.
The program started out as
early as 6:30 am where participants,
guests and PCBJD Council
members and staffs were among
those who gathered at the park. It
kicked off with an invocation and
welcome remarks by Dr. Penserga
and a welcome message from Hon.
Roger G. Gernale. After all the
talking, a short stretching exercise
was initiated by Ms. Anne Bouffard
with the bacground music "Katawan".
All participants joined this stretching
exercise where you can see the
interest also among the old
generation.
The
different
representatives from pharmaceutical
PCBJDC Gallery (pages 22 & 23)
The Fun Walk kicked-off through this preliminary activity, a stretching exercise led by Ms Anne Bouffard (lady in top left picture) with the
tune of "Katawan" where everybody joined and had their exercise.
The colorful uniforms of the pharmaceutical groups distinguish them from the crowd of participants
People of all ages present at that moment during that day participated too in this walk session.
August 2005
Ortho Balita
Volume 7, Number 26
ORTO Inc. outing
T
he Organization of Residents
Training in Orthopaedics
(ORTO Inc.) held its annual
scientific meeting last April 2, 2005
at the Batangas Country Club, City
of Batangas. Among the participants
were representatives from all
accredited training institutions in the
country. The event was made
possible through the help of MSD
Phils., which consistently supports
the continuing medical education
organized by ORTO.
The activity started with a
lunch buffet, followed by updates in
POA Trauma Registry given by Dr.
Arturo Cañete. An open forum, which
was presided by Dr. Lauro Abrahan,
immediately followed.
The less formal part of the
gathering started just before dinner,
Buto ko...
companies were also present and
joined the fun walk along the bay of
the Roxas Boulevard. The event was
highlighted by a Lay Forum after the
“Fun Walk” wherein the patients had
a chance to ask questions to the
when the residents
were divided into
groups for the fun
games. After the
fellowship dinner, the
much awaited Bikini
Open followed. This
tradition featured
junior residents from
each institution clad
in their best version of
the famous swim
wear, flaunting their
talents and wit. The
rest of the night was
spent by singing,
drinking
and
merrymaking.Marcelino T Cadag,
MD
consultants and resident
physicians and they in
return
were
very
enthusiastic in answering
and explaining important
matters to them.
Residents
a n d
consultants
g i v e
lectures
a n d
answer
questions
thrown
out by
the lay
people.
Page 23
Page 24
Ortho Balita
Volume 7, Number 26
August 2005
The POA On-Line
T
Association has been working
a lot and is devoting time to
improve its internet hosting to touch
all of its members and come close
to an internet-based form of
communication and education. The
POA website (www.philortho.org),
hosted by Pfizer Phils., is trying its
best to cater to the needs of the
fellows. The site contains information
on the chapters, the subspecialties,
future
scientific
meetings,
downloadable scientific programs,
links to other orthopedic
associations, downloadable Ortho
Balita articles and annual convention
information.
We don’t end here. The
internet offers a lot of gateway for
improvement, a better information
highway and the use of future
technology. In this connection, the
POA is extending its efforts to expand
the capabilities of the website. You
must have noticed that there is a
section in the home page of our site
asking for a “User Name” and a
“Password” under the column
“FELLOWS LOGIN”. Well, this will
be the center of the topic we will
discuss to you.
What do you expect if you have
logged in?
Logging in would be unique
for every Fellow. Each Fellow will
have a distinct “User Name” and a
common “Password” which can be
modified by the particular user upon
a successful login. What’s inside?
The user, after a successful login,
will be able to view one’s own profile
able to edit them. They would also
be granted permission to view the
POA’s Administrative Manual and
the POA By-Laws. In the days to
come, you can also download some
information on the recent Trauma
Registry report, some lecture and
educational articles from recent
In pursuit of the mission...
members of the said committee
should be representative of the
various units of the organization and
must have been a fellow of at least 3
years and; (4) the board of trustees
shall appoint the members of the
committee to a term of 2-3 years
before becoming eligible for
nomination to the board. Clause 3
and 4 addresses the requirement of
at least 5 years of being a fellow
before becoming a board of trustee
member.
The growth of our
association is apparent and
forthcoming… What is needed is to
nurture it with the same idealism,
dedication, and perseverance of our
founding fathers.
Society plans to cascade this to the
different regions through their
respective chapters to allow fellows
and residents a hands-on experience
with this new technology and make
it available in their practice area. The
long awaited AO Basic Principles
Course is scheduled for March 3-6,
2006 at the Philippine Orthopaedic
Center. This 3½-day intensive
course entitles you to a course
certificate that you can use for
applying to the advanced and other
subspecialty courses and AO
fellowship programs. It will be limited
to 60 people with priorities given to
fellows, who have not been to any
AO Basic Course, board eligible
graduates of the different accredited
training institutions and chief
residents. This will be cascaded
down to the lower year levels in the
subsequent years, depending on the
outcome of the 2006 course.
NEW POTS PRESIDENT DR. ELLEWELLYN G. PASION inducts the new members of the
society namely (from left) Drs. Noel Gloria, Julyn Aguilar, Norberto Meriales and Frederic
Joseph Diyco among others.
August 2005
Ortho Balita
Volume 7, Number 26
Page 25
First APOA travelling professor
L
ast May 6, 2005 POSSM shared the different experiences he Investigation in a Group of Athletes”.
General
Membership had in sports injuries, osteoarthritis And as expected a fruitful and lively
Scientific Meeting was and arthroplasty within the knee discussion ensued after each topic
honored by the presence of the First region. In response to his generosity was discussed. I would like to take
APOA Traveling Professor, in the we were able to reciprocate by this opportunity to thank and
person of Professor Robert John having two in-coming POSSM congratulate both presentors for the
Bartlett. Although the professor members present their research research that they shared to us. The
presented himself to be a mild work. Dr. Ambrosio Valdez III meeting was also graced by no other
mannered gentleman, there was
than our ever president Dr. Miles
nothing mild with regards to his
de la Rosa, who acknowledged
resume, which revealed a highly
officially the contribution of Dr.
accomplished doctor who held
Bartlett to the POA Fellows and
several positions of high
he presented the professor with
responsibility. And to name a few
the usual Certificate of
he was a past second Vice
Appreciation, a token and a
President, of the Asia Pacific
small gift for his daughter who
Orthopaedic Society of Sports
was going to be married. To the
Medicine, 1998-2000, past Vice
POA President, thank you for
President, of the Knee & Sports
supporting the POSSM Meeting,
Medicine Section, Western Pacific
your presence was highly
Professor Bartlett performing Knee arthroplasty at
Orthopaedic Association, 1998appreciated. One vital key to the
POC together with Dr. San Pedro and the AO
2000 and past President, of the residents.
success of the meeting was the
Australian Knee Society 1995. We
support of our sponsors,
are grateful that the past President presented his paper entitled “Short- UNIMED & STRYKER, who brought
of the APOA, Dr. Sivananthan Term Evaluation of Autologous the professor here, all the way from
conceptualized this traveling Chondrocyte Implantation Using Australia. To our sponsors, I reiterate
professorship thus enabling us to Magnetic Resonance Imaging”, and my deepest gratitude for your
experience and witness expertise Dr. Ian Tadeo Don Panuncialman generosity, and congratulate you for
that was Dr. Bartlett. The professor presented his paper on “Quadrupled your sincere quest in continuing
stayed in the Philippines for almost Bone- Semitendinosus ACL medical education within the Asia
a week and did some surgeries with Reconstruction:
A Clinical Pacific Region.
the POA Fellows and residents. He
Shoulder midyear at Discovery Suites
D
espite heavy rain and bad
traffic, the midyear scientific
meeting of the Philippine
Shoulder Society (PShS) pushed
through last August 5, 2005 at the
Clermont Room of Discovery Suites.
PShS President Dr. Alex R. Supapo
gave
the
welcome
remarks while
PShS VicePresident and
Scientific
Program
chairman Dr.
B e n i g n o
Agbayani Jr
introduced the
Dr. Jaeganath Krishnan guest speaker.
Prof. Jaeganath Krishnan of
Flinders Medical Centre and the
Repatriation Hospital (of Adelaide,
Australia) gave two excellent talks.
He introduced cup arthroplasty and
the “reverse shoulder” for irreparable
proximal humerus fractures and
rheumatoids. In this innovation, the
glenoid is prepared to accept a balllike implant while the proximal
humerus is hollowed-out as a socket.
Hence, a “reverse” configuration. His
second talk focused on massive
rotator cuff tears, a shoulder
conundrum. A porcine (pig) patch –
a xenograft – was one of the options
presented.
Dr. Brix Pujalte, PShS
founding president, gave a short
introduction to the P.L.Asia/Rotta/
Pharmalink product for launching
soon. “Injectable Hyaluronic Acid –
An Out Patient Option for
Osteoarthritis”. Since the molecular
weight of this hyaluronic acid is low
to moderate, the manufacturer’s
claim is that the optimal effects are
achieved mainly – it’s lubricating and
shock absorbing functions.
Dr. Antonio Rivera, PShS
adviser gave the closing remarks. He
challenged the shoulder society
members to improve on their
documentation and presentation
skills with a view to truly share
orthopedic know-how in future
symposia.
Page 26
Ortho Balita
Unilab at 60...
tradition of Bayanihan as the
bedrock of Unilab’s organizational
philosophy. More significantly, it
honors the compelling and inspiring
story of human enterprise that is
Unilab — a story worth perpetuating
for decades ahead.
Sense of family, legacy
Unilab Founder and
Chairman Emeritus Jose Y. Campos
led some 3,500-member audience
composed of Unilab employees and
guests from government, academe,
business and medical communities
who gathered at the World Trade
Center last May 7 to celebrate
Unilab’s 60th anniversary. Past
presidents of Unilab, including two
who flew in from the United States,
attended the event.
In her message, Chairman
Jocelyn Campos-Hess emphasized
that Bayanihan Day is, above all, a
celebration of the Unilab Family. “We
celebrate and thank our founding
fathers for the priceless Bayanihan
legacy they have handed down to us;
our leaders, past and present; our
retired brothers and sisters for their
great contributions to the growth and
development of Unilab,” she said.
“We also celebrate and thank the
present management and staff for
their talent and dedication, without
a doubt comprising one of the most
formidable collection of talented
professionals in Philippine business.”
Volume 7, Number 26
August 2005
She also thanked Unilab’s
friends and partners, which she
referred to as Unilab’s greater family.
“We could not have grown to what
we are now and we could not move
forward into the future without the
trust and support of Unilab’s greater
family – the medical professionals,
the allied professionals, trade
UNILAB Chairman Jocelyn Campos-Hess
expresses gratitude to the Unilab family and
its partners in government, business and
medical community for 60 years of Unilab
success.
partners,
sub-distributors,
wholesalers, retailers, suppliers,
media, government regulatory
agencies.”
“And most of all,” she said, “the
Filipino family for its continued
Internationally acclaimed stage artist Lea Salonga led a roster of world class performers
that serenaded a 3,500-member audience at the World Trade Center.
patronage and for its faith in a
Filipino company.
Time for thanksgiving
Festivities began with a
Thanksgiving Mass presided by
Bishop Antonio Tobias, Fr. Gerardo
Tapiador and Fr. Mario Sanchez. A
Food Festival followed where Senior
executives of Unilab each brought a
plate of food to the tables,
reminiscent of a beautiful Filipino
fiesta tradition called “salu-salo.”
During
dinner,
an
audiovisual presentation was played
showing Unilab product endorsers
led by Dolphy (Dolfenal) and Sharon
Cuneta (pHCare) and presidents of
hospital and medical associations as
well as senior corporate officers of
the business community greeting
the Unilab Family.
Vice Chairman Clinton
Campos-Hess formally opened the
program by welcoming the Unilab
Family and guests. He said that the
Bayanihan Day revelry is a tribute to
the ideals of the company’s founders
and with the present success of
Unilab, gives enough reasons to
celebrate the occasion. “There are
enough reasons to rejoice. Not only
have we enjoyed 60 years of
dramatic growth, but in the process
we have learned the endearing and
enduring lessons engendered by
working together and sharing the
fruits of common endeavor.”
The
“Martsa
sa
Kasaysayan” or Parade to History
then followed where representatives
from various marketing divisions and
support groups, including the
marketing and manufacturing
facilities in Southeast Asia, paraded
on stage with colorful flags. The
parade, supported by a photograph
presentation that chronicled the
launching of the marketing divisions
here and in Southeast Asia,
concluded with Unilab Board of
Directors led by the Chairman joining
the group on stage.
August 2005
Ortho Balita
The POA On-Line
meetings, and would be able to
search for fellows and look at some
of their data.
So, what’s new?
The POA webpage design team had
incorporated an internet forum area.
An “internet forum” or sometimes
called a “web forum” is a web
application which provides
discussion often in conjunction with
Online Communities (connected to
a larger network) that share the
same concerns and topics in one big
group. This might not be new for
some but for others, it would be good
to try this. One objective of this
internet forum is to be able to gather
different personal as well as
evidence-based explanation to
whatever topic is posted for the day.
The POA will be assigning a
moderator or a subspecialty for
whatever topic that may arise.
Unilab at 60...
The festivities culminated
with the gala musical performance
of internationally-acclaimed stage
artist Lea Salonga who enthralled the
audience with her beautiful rendition
of Ms. Saigon classic “On My Own”
and Pinoy classics like “Waraywaray,” “Langis at Tubig” and “Dahil
Sa Iyo.” Joining her on stage were
Calvin Millado, Sining Kumintang,
Banda Kawayan, the Philippine
Madrigal Singers and the Symphony
Orchestra.
The Bayanihan Day 2005
celebration is indeed another
memorable episode in Unilab’s
already colorful history, made
particularly special this year
because Unilab rounds off 60 years
in the business of nurturing the
Filipino family – sixty long years that
is the fulfillment of the vision of the
founders and the beginning of a
march towards a better future for
Unilab. Indeed, as Chairman Jocelyn
Campos-Hess puts it: “We’ve only
just begun.”
Volume 7, Number 26
Page 27
This would be described fully
in an example: First, the user has a
difficult case, he is in the province
and would like to get some opinion
on what approaches can he do. The
first thing that comes in mind would
be to call a colleague, search the
internet or go back to old notes. One
remedy would be to login in the
Fellows Login column of the POA
website and post (upload the difficult
case by typing all the necessary
information you can give) your
problem. Till then, you will be assured
to receive different comments,
different approaches and solutions to
your problem. In the same way, these
posted problems and solutions will
be seen by all fellows logging in.
They would also learn much when
the user browses through the posted
messages as well as post also their
own opinions regarding the case.
Who knows, one fellow might have
done such case and had a favorable
result! The POA would be monitoring
all incoming posted messages rest
assured that you get an answer
either on time or within a day at most.
After all of these has been
done, the Administrator transfers the
case under a topic and kept there
as an archive. Then any other cases
could be discussed again. Under the
topics, you can always review and
go back and see the discussions
made by typing a keyword on the
search box.
Other future plans of the
POA Internet group would be to
develop and get used to the use of
online meeting or often called web
conferencing. Web conferencing is
a conference conducted via the
World Wide Web between two or
more participants in different
locations. Text, audio or video may
be used to communicate in “real
time” or in an asynchronous
environment. This would be an easier
way of communicating with our
fellows in far areas of the country. It
would cut short and beef up our
finances since it would not be eating
much of the airfare/transportation
and accommodation of the Fellow.
A recommendation for this to take
effect is that a chapter or a
subspecialty society should have
their home base for this internet
sessions. They must at least invest
in computer hardware and software
to at least equal the effective
transmission of data either audio and
video from their home base to the
POA or otherwise.
We are aiming to make the
POA community to become a “POA
On-Line Community”! At this age,
the internet is by far a faster
alternative
for
information
dissemination. The POA urges or as
we may say require all fellows to
please have their own email
addresses working. There are a lot
of free email-hosting in the internet,
all you need to do is open it at least
3 times a week to keep it active.
Be rest assured that the
POA is doing in all its capacities to
fulfill these projects for our On-Line
community step by step.
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The POA-On-Line
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Contest
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This contest is the
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brainchild
of our president Dr.
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Miles
T.
Dela
Rosa. His aim is to
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encourage
the
fellows to use the
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internet
regularly.
This approach
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is
by
far
the
best
way
of teaching
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our
fellows
to
go
with
the tide of
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the
emerging
and
wide
use of the
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information
technology
through
the
12345678901234567890123456789012123456789
12345678901234567890123456789012123456789
12345678901234567890123456789012123456789
use
of
the
internet.
This
also
has
12345678901234567890123456789012123456789
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12345678901234567890123456789012123456789
a bigger purpose, especially in the
12345678901234567890123456789012123456789
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line of research, wherein the forum
12345678901234567890123456789012123456789
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can serve as criteria in creating
12345678901234567890123456789012123456789
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standards as Clinical Practice
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12345678901234567890123456789012123456789
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Guidelines (CPG). CPGs are now
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one of the main thrust of Dr. Dela
12345678901234567890123456789012123456789
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Rosa’s presidency for this year
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and sees to it that the POA with
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its POA Foundation at work would
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come out with standardized, well12345678901234567890123456789012123456789
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studied and acceptable CPGs.
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Page 28
Ortho Balita
Volume 7, Number 26
August 2005
Ortho Balita
the
of the
Newsletter of
Official Newsletter
Official
Inc.
Association, Inc.
Orthopaedic Association,
Philippine Orthopaedic
Philippine
BOARD
EDITORIAL
EDITORIAL BOARD
JOSE S. PUJALTE, JR., MD
Editor-in-Chief
Editor-in-Chief
MD
JR. MD
BENIGNO AGBAYANI, JR.
MD
CEASAR S. GREY, MD
JOSE MA. R. CORUÑA, MD
M. DIAZ, MD
HILARIO M.
HILARIO
Associate Editors
Associate
L. NITOLLAMA, MD
RODOLFO L.
MD
RODOLFO
O. OLARTE, MD
LEO O.
LEO
JOSE M. PUJALTE, MD
SAM GROZMAN, MD
SAM
MD
IV, MD
GODOFREDO V. DUNGCA IV,
MD
CATBAGAN, MD
ADRIAN B. CATBAGAN,
MD
ANTHONY SAN JUAN, MD
MD
PAYBA, MD
RONNIE B. PAYBA,
EUGENE NALIAN, MD
EMMANUEL COLETO, MD
EMMANUEL
Contributors
Contributors
Westmont ad here
MILES T. DELA ROSA, MD
MILES
Circulation Manager
Circulation
VILLANUEVA
MIKE P. VILLANUEVA
SOL DE JESUS
SOL
ROGIE LLAMAS-ARAGONES
VERGARA
A. VERGARA
MARIA LOURDES A.
DUMO
JUNAR C. DUMO
MOISES A. MANALO
MOISES
Editorial Assistants
Editorial
2005
POA OFFICERS 2005
MD
ROSA, MD
MILES T. DELA ROSA,
President
President
MD
ESTERA, MD
GEORGE
GEORGE WINSTON B. ESTERA,
Vice-President
Vice-President
MD
SARROSA, MD
EDWARD A. SARROSA,
Secretary
Secretary
MD
ALTAREJOS, MD
FRANCISCO
FRANCISCO P. ALTAREJOS,
Treasurer
Treasurer
MD
JR., MD
JOSE S. PUJALTE, JR.,
MD
JR., MD
ALBERT U. DY, JR.,
MD
BONIFACIO, MD
LAURO
LAURO R. BONIFACIO,
MD
TABLANTE, MD
EMILIANO
EMILIANO B. TABLANTE,
MD
GREY, MD
CEASAR S. GREY,
MD
CORUÑA, MD
JOSE MA. R. CORUÑA,
MD
DIAZ, MD
HILARIO M. DIAZ,
Trustees
Trustees
MD
NITOLLAMA,MD
RODOLFO
RODOLFO L. NITOLLAMA,
Ex-Officio
Ex-Officio
Inc.
POA, Inc.
Published
Published by the POA,
Plaza 11
Point Plaza
Suite
Suite 810 Future Point
Ave.,
Panay Ave.,
Condominium,
Condominium, 112 Panay
1103
City 1103
Quezon City
410-1331;410-1339
(+632) 410-1331;410-1339
Tel.
Tel. No. (+632)
410-1283
Fax: (+632) 410-1283
E-mail: [email protected]
Website: www.philortho.org

Vol 7, Issue No.26 August 2005 (ob26)

Transcription

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