UPCM Inspire Volume 30 Issue 1 by INSPIRE UPCM

LETTERFROM THEEDI TOR

EVOL UT I ON OFT HEMEDI CALDOCT OR DURI NG APANDEMI C Wor ki ngf ort heTr i umphofSc i e nc eov e rVi r us

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Ourc ommuni t ys t r e t c he sbe y ondt hewa l l soft he UPCol l e g eofMe di c i ne . Thi swer e a l i z ea s we —di v e r s ei nourpa t hs ,v a r i e di nourc a pa c i t i e s , a nds c a t t e r e dt hr oug houtt hei s l a ndsa ndt he g l obe —uni t ei nourna t i v ea l t r ui s mt or e s pondt o t hi spa nde mi c .

Angel aS.Agui l ar ,MD,MSc,MBA EDI T ORI NCHI EF

UP Bay ani han PGH I nt er nsBay ani han Cal lCent er

Gabr i el l eFl or es,UPCM 2021

TheSi l entPandemi c: Ment alHeal t hI mpl i cat i ons i nt hePos t COVI D Wor l d

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UPCM & t heNat i onal COVI D Res pons e Har ol dJoshuadeGuzman Cl ass2023

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EDI T ORI AL

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TheSi l entPandemi c: Ment alHeal t h I mpl i cat i onsi nt he Pos t COVI D Wor l d

BYKARLGERARDCRI SOSTOMO,CLASS2023 e ar el i vi ng i nt r ul yt r yi ng t i mes. W The COVI D19 pandemi c has compl et el y changed t he wor l d and

a ect edt hemannerwel i veourl i vesi n manysi gni ficantways.I nt hespanofa f ew mont hs,t hepandemi chascr i ppl ed economi es,dest r oyeddier entwaysof l i f e,and costus t housands ofl i ves wor l dwi de, among t hose l ost bei ng some ofourcol l eagues,f r i ends,and even f ami l i es.As many st udi es have beenconduct edr egar di ngt hee ect sof t hepandemi cont hesoci oeconomi cand heal t hl evel ,t heongoi ngcr i si shasbeen i mpl i cat ed i n a pot ent i al r i se i n psychol ogi calcasesi nourowncount r y . I nf act ,t he Nat i onalCent erf orMent al Heal t h( NCMH)hasnot edt hatovert he cour se of t he pandemi c, t hey have r ecei vedadai l yaver ageofal most1000 cal l sf r om Fi l i pi nosexper i enci ngment al heal t hi ssues,a f arcr yf r om t he 400 cal l st hatt hey have used t or ecei ve bef or ehand.Whi l edepr essi on,anxi et y , and ot herment ali l l nesses have l ong been consi der ed as si l ent t er r or s per si st ent l ydeal twi t hi nt hecount r yand t he wor l d at l ar ge, t he e ect s of COVI D19 may br i ng f or t h a second waveoft hi spsychol ogi calpandemi c. Thei mpor t anceofment alheal t hi nt he Phi l i ppi nes dur i ng t he COVI D19 pandemi chasbeent ackl edduet ot he mul t i f act or i alnat ur e oft he epi demi c. Var i ousr esear chhasbeendoneont he count l essi ssuesbr oughtaboutbyt he hi ghl ycont agi ousnat ur eoft hedi sease. Dr .Ber nar d Ar gamosa,a psychi at r i st f r om t he NCMH, not ed t he mar ked i ncr ease i ni ndi vi dual s avai l i ng oft he cent er ’ s ser vi ces t hr ough i t s cr i si s hot l i ne.The mostcommon r eason f or doi ng so has been anxi et yr el at ed concer ns caused by t he uncer t ai nt y f r om ext er nal f act or s such as t he cancel l at i onofcl asses,t hel ossofj obs and oppor t uni t i esf orwor k,t he l ackof concr et epl ansf orr esol ut i onoft hecr i si s f r om t he gover nment , and t he ever pr esentpossi bi l i t y ofcont r act i ng t he vi r us dur i ng t he quar ant i ne.Thi s par t i cul ar uncer t ai nt yi s not ed t o be speci fict ot hecount r y;compar edt ot he r estoft he wor l d,t he Phi l i ppi nes has seen a sur ge i n act i ve cases of COVI D19, wi t h t he Depar t ment of Heal t h r epor t i ng mor e t han 37, 000 casesasofJune30,2020—t hehi ghest among West er n Paci fic count r i es. Dr .Ni naT.Cast i l l oCar andang,Heal t h Soci alSci ent i standAssoci at ePr of essor PAGE1

of t he Depar t ment of Cl i ni cal Epi demi ol ogy i nt he UP Col l ege of Medi ci ne,expounds on t hi s by not i ng t hatst r essi nt hepost COVI Dwor l dcan st em f r om t he const ant f ear of pot ent i al l y cont r act i ng t he di sease al ong wi t h anxi et yf r om school -and wor kr el at ed i ssues. Dr . Cast i l l oCar andangal sonot est her ol e of“ heal t h anxi et y” —bor n outoft he mi si nt er pr et at i on ofbodi l y sensat i ons duet oi naccur at ei nf or mat i onf r om t he medi a—asa r i skf act ort o cont r act i ng t he vi r us,as i tl eads t o mal adapt i ve behavi or s.Wi t ht hePhi l i ppi neGener al Hospi t albei ngdesi gnat edasaCOVI D r ef er r al cent er ,t he doct or s, heal t h wor ker s, and medi cal st udent s al l oper at i ng under t he UP syst em ar e const ant l yexposednotonl yt oal ar ge numberofcasesi nt hecount r y ,butal so t he envi r onment al f act or s t hat pr edi spose i ndi vi dual s t o devel op ment alheal t hi ssues.What ,t hen,can wedot omi ni mi zet her i skandensur e t hatwear eoft hebestshapenotonl y physi cal l ybutal soment al l y?

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W ha t ,t he n,c a nwedo t omi ni mi z et her i s ka nd e ns ur et ha twea r eoft he be s ts ha penotonl y phy s i c a l l ybuta l s o me nt a l l y ? Onewayt hatt hi si ssuecanbecur bed woul d be t o pr ovi de mor e at t ent i on t o Republ i c Act 11036 or t he Ment al Heal t h Act . Thi sl aw mandat es t he exi st ence ofcommuni t ybased ment al heal t hf aci l i t i es and t he i nt egr at i on of ment alheal t h subj ect s and pr ogr ams i nt ot he educat i on syst em and t he wor kpl ace.Thi sactal sodecr eest hatal l r egi onal , pr ovi nci al , and t er t i ar y hospi t al s ar et o pr ovi de ser vi ces t hat ar egear edt owar dsaper son’ sment al heal t h,i ncl udi ng counsel i ng,pr ovi di ng hot l i nes,and ot hermeans.Gi ven t he i mpor t ance ofquar ant i ne and pr oper soci aldi st anci ng,t el emedi ci nehasal so become an i mpor t ant means t o di spense and pr ovi de some muchneeded psychosoci alassi st ance t oi ndi vi dual si nneed.TheUP Di l i man Psychosoci alSer vi ce,al so known as UPD PsychSer v , pr ovi des f r ee t el epsychot her apyt o st udent s,f acul t y ,

andwor ker sa i l i at edwi t hUP Di l i man, aswel last oCOVI D19f r ont l i ner s.The NCMHal sohasacr i si shot l i net hatmay bedi al edatanyt i mef ori ndi vi dual swho ar ei n need oft hei rser vi ces.Fr om a soci al st andpoi nt , Dr . Cast i l l oCar andang hi ghl i ght s t he i mpor t anceofmut ualsuppor tandsoci al sol i dar i t yaskeyf act or si nmai nt ai ni ng one’ s ment al heal t h dur i ng t he pandemi c. Thr ough f ost er i ng connect i onswi t hpeer sandl ovedones, aski ngf orhel pwhenneeded,andbei ng under st andi ngofot her s,onemaybui l d uabl e suppor tsyst em t hatmay a val pr ovi de t hem wi t h muchneeded gui dancei nt heset r yi ngt i mes. The COVI D19 Pandemi chasbr ought f or t hanunpr ecedent edr esponse,even i fi ti scur r ent l yt ooear l yt odet er mi nei t s l ongt er m e ect s.Whi l emuchf ocushas been putt owar dst he economi caland soci opol i t i cal r ami ﬁcat i ons of t he pandemi ci nt he count r y ,i mpor t ance must al so be gi ven t owar ds t he psychosoci al r ami ﬁcat i ons. Wi t h an i ncr easi ngl y uncer t ai nf ut ur e on t he hor i zon,i ti si mper at i ve t hatwe equi p our sel veswi t ht hemeanst oweat hert he st or m andpushf or war dr egar dl ess.As we al lknow,att he end oft he day ,a soundmi ndl eadst oasoundbody . NATI ONALCENTERFOR MENTALHEAL TH 9898727 09178998727

UPD PYSCHSERVE

09167573157 psychser v . upd@up. edu. ph AlJazeer a.( 2020,June28) .Phi l i ppi nescor onavi r uscases sur ge,cr oss35, 000.Ret r i evedJune30,2020,f r om ht t ps: / / www. al j azeer a. com/ news/ 2020/ 06/ phi l i ppi nescor ona vi r uscasessur gecr oss35000200628100502987. ht ml Chakr abor t y ,I . ,&Mai t y ,P.( 2020) .COVI D19out br eak: Mi gr at i on,e ect sonsoci et y ,gl obalenvi r onmentand pr event i on.Sci enceofTheTot alEnvi r onment ,728, 138882.doi : 10. 1016/ j . sci t ot env . 2020. 138882 Haynes,O.( 2020,Apr i l06) .CanPHcope?Ment ali l l ness casest i ppedt osur gedur i ngpandemi c.Ret r i evedJune30, 2020,f r om ht t ps: / / www. r appl er . com/ nat i on/ 257094canphcopement al i l l nesscasest i ppedsur gecor onavi r uspandemi c Howt heCOVI D19pandemi chasa ect edFi l i pi nos'ment al heal t h.( 2020,Mar ch26) .Ret r i evedJune30,2020,f r om ht t ps: / / cnnphi l i ppi nes. com/ l i f e/ cul t ur e/ 2020/ 3/ 26/ ment al hea l t hpandemi c. ht ml Ll anet a,C.( 2020,Apr i l01) .UPPGHbegi nsoper at i ngas COVI D19r ef er r alcent er .Ret r i evedJune30,2020,f r om ht t ps: / / www. up. edu. ph/ uppghbegi nsoper at i ngascovi d19 r ef er r al cent er / Ment alheal t hi napandemi c.( 2020,June22) .Ret r i eved June30,2020,f r om ht t ps: / / www. phi l st ar . com/ opi ni on/ 2020/ 06/ 23/ 2022783/ edi t or i al ment al heal t hpandemi c Tomacr uz,S.( 2020,June08) .NCMHr ecor dsspi kei n ment alheal t hconsul t sdur i ngcor onavi r usl ockdown. Ret r i evedJune30,2020,f r om ht t ps: / / www. r appl er . com/ nat i on/ 263232nat i onal cent er men t al heal t hr ecor dsspi kehot l i necal l sdur i ngcor onavi r usl oc kdown Phot o:Nat i onalCent erf orMent alHeal t h.( n. d. ) .Ret r i eved Jul y09,2020,f r om ht t ps: / / www. wi ki dat a. or g/ wi ki / Q17081501

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BYHAROLDJOSHUADEGUZMAN,CLASS2023 hey say not hi ng keeps t he Ear t h T f r om goi ng ‘ r ound,butCOVI D19 has unpr edi ct abl y st opped t he wor l d

Sy s t e msofr e s e a r c h a nddev e l opme ntmus t bepus he di nt o ov e r dr i v e-a si ti sonl y t hr oug ht he s et ha twe c a nbe a tt hi s pa nde mi c .

I nPGH,ourf acul t yar eact i vel yengaged i nt en cl i ni calt r i al satdier entst ages andaf ew adj unctst udi es,suchast he sur gi cal t echni ques f or decr easi ng di seasesever i t yandi mpr ovi ngcour ses. As t he PGH was desi gnat ed as a COVI D19 r ef er r alcent er ,t he UPCM al sosaw aneedt or evi ew management opt i ons f or COVI D19 pat i ent s and cameupwi t h19syst emat i cr evi ewst hat now ser veasdi agnost i candt r eat ment gui desf ort hose admi t t ed i nt he PGH. Fori nst ance,i n an i nt er depar t ment al e or t , Dr . Rowena Nat i vi dad S. Fl or esGenui no,Dr .Mar qui sVonAngel o Syqui o G. Joson, and Dr . Bel en L. Doﬁt asi ni t i at edast udyent i t l ed“ Rapi d Revi ew on t he Use ofOr alFat t yAci d Suppl ement si nt he Pr event i on oras Adj unctTr eat mentf orCOVI D19”whi ch summar i zed t he avai l abl e evi dence on t heuseoff at t yaci dsuppl ement sf ort he pr event i on of SARSCOV2 i nf ect i on and t r eat ment f or COVI D19. We hopef ul l y awai tt he r esul t s of t hese st udi essi ncet hesecanpr ovi dest r ong and concr et e evi dence f or pr oper l y deal i ngwi t ht hedi seaseandi t snat ur al cour se.

I n par al l elwi t ht he st udi es ment i oned above, eval uat i ng t he syst em and r esponser eadi nessoft heheal t hsect or wi l lal so hel pi dent i f y ar eas ofur gent i mpr ovement i n our i nt er vent i ons. Wi t houtpr opereval uat i onofourcur r ent syst ems, our r esponse t o t hi s compl et el ynew phenomenonmayend up cl umsy atbestand cal ami t ous at wor st .For t unat el y ,t he UPCM i sdoi ng bot h epi demi ol ogi cal and syst em eval uat i on r evi ews: 13 st udi es ar e dedi cat edt oexami ni ngt hee i ci encyof l ocalheal t h syst ems and oper at i ons, whi l e ot her s ar e ai med atdescr i bi ng popul at i ons,e. g.st udyi ng i mmune cel l phenot ypes, r i sk assessment , and devel opmentofsel f assessmentt ool s f orbet t erdat acol l ect i on.

COVI D19hasmar r edt hemanyf acet s ofhuman l i f e,such as t hose ofan i ndi vi dual ,af ami l y ,t hel ocalcommuni t y , and upwar d t he whol e body of ci vi l i zat i ons;hence,i ti sonl ynecessar y t hatourr esponsemi r r orsuchascope. And,asswi f t l yast hi sdi seasecast si t s shadow,so t oo ar e we pr essed f ora swi f tr esponse.I nar aceagai nstt i me, ourownPhi l i ppi neGener alHospi t alhas l aunched st udi es, wi t h t he hel p of mul t i pl e i nt er nat i onal col l abor at i ons, amount i ng t oat ot alof75 r esear ch e or t s di r ect ed t owar d speci ﬁc di mensi onsofCOVI D19.Thesei ncl ude cl i ni calt r i al st hatai m t o ﬁnd a cur e t hr ough expl or i ng physi ol ogy; soci al cogni t i vest udi est hati nvest i gat e t hee ect soft hewor l dwi desi t uat i onon t hemi nd;epi demi ol ogi calandsyst ems st udi est hatexpl or et hespr ead,dept h, and char act erofCOVI D19 e ect son dier entcommuni t i es.

Anot hert ypeofr esear cht hatmustbe under t akenqui ckl yar eepi demi ol ogi cal st udi es.BecauseCOVI D19i sanovel di sease,r esear chi nst i t ut esar oundt he wor l d have been ur gent l yf or mul at i ng model sofdi seasespr eadandi nf ect i on cour seamongdier entpopul at i ons.The dii cul t ywi t hepi demi ol ogyi st hatt her e ar e many f act or st o consi dersuch as genet i ct r ai t s,popul at i onhet er ogenei t y , di seasevul ner abi l i t i es,economi ccl ass, endemi c di sease, and many ot her s. These ar e of t en uni que among r aces and even wi t hi n nat i ons. Thus, t he bur dent oconductepi demi ol ogi cst udi es i nt hePhi l i ppi nesr est sont heshoul der s ofFi l i pi nosci ent i st s.Char act er i zi ngt he di st r i but i onandpat t er nsofCOVI D19i n t he count r y can hel p admi ni st r at i ve bodi es t ai l or pol i ci es f or e i ci ent i nt er vent i ons t o cur b not onl y t he pr esent pandemi c but al so si mi l ar event si nt hef ut ur e.

I n t he past weeks, pr omi nent per sonal i t i es and gover nmento i ci al s have l oudl y voi ced t hei rvi ews on t he supposed“ i nact i onandi ne ect i veness” ofdoct or sandmedi calst a dur i ngt he l ockdown,whi chofcour secoul dnotbe f ar t herf r om t het r ut h.Ot her shaveeven spr ead mi si nf or mat i on whi ch ﬂyi nt he f ace ofest abl i shed st udi es,yetwhi ch nonet hel essswaysomei nt hepubl i ct o f ol l ow.Thi sonl ygoest oshow t hatnow mor et hanever ,accur at e,r el i abl e,and val i dr esear ch pr oper l y communi cat ed t ot he masses i s cr i t i calf orsuccess. Wi t huni t ede or t soft heUPCol l egeof Medi ci ne, t he r est of t he medi cal communi t y , and t he wel l i nf or med publ i c,wecanr easonabl yhopet hatt he endoft hi spandemi c,andGodwi l l i ng, t he di sease i t sel f ,i sj ust over t he hor i zon.

f r om spi nni ngf orsome.Forot her sst i l l , t hewor l dmayneverspi nt hesameway agai n.Neverhashi st or yseen such a caseofcommer ci alf r ost bi t ewi t hwhol e count r i es i mpr i soned i n t hei r own homes.However ,i ti si nt hese t i mes, wi t ht her estoft hewor l dst unned,t hat t he syst ems of r esear ch and devel opment must be pushed i nt o over dr i ve -asi ti sonl yt hr ough t hese t hatwecanbeatt hi spandemi c.

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COVI D19 spr eadsf astand i sf at alt o t he mostvul ner abl e,t hus cr eat i ng a t r emendous ur gency t o ﬁnd a cur e: r esear cher s and cl i ni ci ans ever ywher e ar e per f or mi ng cl i ni calt r i al si n var i ous st ages i n t he hope of savi ng endanger edl i ves.Resear cher sar eal so t est i ng met hods and phar maceut i cal s f or pr event i on and r ecover y as vast por t i onsoft hepopul at i onar eyett obe i nf ect edorar est r uggl i ngt or ecuper at e.

Pandemi cs,t odayasi nt hepast ,have caused chaos among peopl e, necessi t at i ngt heneedf orvastamount s of i nf or mat i on t o hel p combat t he di sease;i thasal waysbeent hr ought he hel pofnew dat at hatdi seasescanbe e ect i vel ymanaged.We t r ustt hatt he r esul t soft hesest udi escanhel pust ur n t het i deassoonaspossi bl e.

I magebycr omaconcept ovi sualf r om Pi xabay

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PGHI nt er nsBayani hanCal lCent er

BYGABRI ELLEFLORES,CLASS2021

n Mar ch 14,2020,ami dstbr ewi ng unr esti nt hemedi cal communi t y ,t he O Associ at i on of Phi l i ppi ne Medi cal Col l eges( APMC)r el easedadi r ect i vet o pul loutmedi cali nt er nsf r om hospi t al si n Met r o Mani l a.Thi sdi r ect i ve came ﬁve days af t ert he O i ce oft he Pr esi dent pl aced t he count r yi n a st at e ofpubl i c heal t hemer gency ,andamer e24hour s bef or e t he announcement of a communi t yquar ant i newasbr oadcast ed onnat i onalnews.

Att he t i me ofAPMC’ s di r ect i ve,t he Phi l i ppi ne Gener alHospi t alwashome t o 150 cl i ni cal cl er ks, 150 medi cal i nt er nsf r om t heUPCol l egeofMedi ci ne, and over 200 post gr aduat e i nt er ns ( PGI s) f r om al lover t he Phi l i ppi nes. Whi l ecl i ni calcl er ksandmedi cali nt er ns ar e consi der ed st udent s and t r ai nees, t hei rr ol ei npat i entcar ei sundeni abl e. As st udent si nchar ge ( SI Cs) , t hey f aci l i t at e l abor at or y and i magi ng r equest s, updat e char t ent r i es, and r egul ar l y moni t orpat i ent s’vi t alsi gns. The cl i ni calcl er ks had al r eady been pul l edoutbyt heUPCol l egeofMedi ci ne af ew dayspr i or .Adher encet ot henew di r ect i ve woul d have meant f ur t her r educi ng t he wor kf or ce of an al r eadyunder st a edhospi t al .

Cogni zantoft he pr obl ems t heAPMC di r ect i vewoul dbr i ngt ot hepat i ent sof PGH,a memberoft he Cl assof2020 medi cali nt er ns,Ni ckTan,br oughtup t he not i on of st ayi ng i n PGH as a vol unt eer .Thi ssuggest i onwashear t i l y wel comedbyal most100ot hermedi cal i nt er ns.As a r esul t ,vol unt eeri nt er ns st ayedbehi ndt ohel pt her esi dent sand f el l ows man t he f or t .The r i sks t hese i nt er nsf acedwer enotunder est i mat ed, butt ot hevol unt eeri nt er ns,t hechoi ce t ost aywasaneasyonet omake.Ast he peopl e of PGH sl owl y adapt ed t o ever changi ng gui del i nes and dut y schedul es,t he col l ege and t he PGH admi ni st r at i on gr appl ed wi t h dii cul t di l emmas i nt he f ace ofan evol vi ng pandemi c.

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Vol unt e e ri nt e r ns s t a y e dbe hi ndt o he l pt her e s i de nt s a ndf e l l owsma n t hef or t . Ther i s ks t he s ei nt e r ns f a c e dwe r enot unde r e s t i ma t e d, butt ot he v ol unt e e ri nt e r ns , t hec hoi c et os t a y wa sa ne a s yone t oma ke . Set up oft he Bayani han na!Oper at i ons Cent er :a cal lcent erand donat i on dr i ve r un by medi cal st udent s,doct or s,andheal t hcar epr of essi onal st or ecei veanddi st r i but emuchneededdonat i onsand answerCOVI Dr el at edquest i onsf r om concer nedci t i zens.( Phot obyNi chol asTan,Cl ass2020)

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I ni t si nf ancy ,t he“ PGHcal lcent er ”( asi t i s uno i ci al l y cal l ed) was r un by a onewomant eam.Dr .Ni naBer ba,head oft he Hospi t alI nf ect i on Cont r olUni t ( HI CU) ,answer edcal l scomi ngi natany t i meoft heday .Shepat i ent l yanswer ed si mpl equest i onsaboutami l dcol dand def t l yar r angedt r ansf er sofsever el yi l l COVI D pat i ent sgaspi ngf orai r .Ast he pandemi cbal l oonedi nnumber s,sodi d t hecal l sandquest i ons. I tbecamecl eart oDr .Ber baandt oPGH t hat a much l ar ger oper at i on was needed t o addr ess concer ns of our f el l ow Fi l i pi nos.And so,on Mar ch 30, t hi sneed wasmetbyt he i nt er nswho wer e,once agai n,pul l ed outf r om t he hospi t al . Si nce t he cal l cent er was si t uat edatt heNur sesHome,a“ gr een zone”–onedevoi doff oott r ai cf r om pot ent i al vect or s of COVI D, ot her st udent swer eabl et osaf el yvol unt eer . Equi pped wi t h headphones and mi cs, st udent s t r anscended geogr aphi c bor der s and checkpoi nt s as t hey ski l l f ul l y answer ed quest i ons f r om al l overt hecount r y .I naddi t i ont opr ovi di ng accur at e heal t hi nf or mat i on, t he cal l cent er al so became a t el emedi ci ne cent er . Under t he super vi si on of l i censedmedi caldoct or s,pat i ent swer e gi ven medi caladvi ce:sel f quar ant i ne, consul tatt he near esthospi t al ,seek ur genthel p.Thecal l svar i edi ngr avi t y and l engt h;some wer e answer abl ei n undert wo mi nut es,ot her sr equi r ed 30 mi nut esofpat i ent ,r epet i t i vei nst r uct i ons t ot he har d of hear i ng el der l y who f umbl edwi t ht hei rphones.

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Thede s i r et obeofhe l pdi d notdi edown.I fa ny t hi ng , t hec a t a l y t i ca nnounc e me nt f ur t he rf a nne dt hef l a me sof na t i ona l i s ma ndhi g hl i g ht e d t hes pi r i toft heobl a t i on: t hes e l f l e s sg i v i ngofone s e l f t oot he r s .

Atat i mewhenmostcl i ni cswer ecl osed and publ i ct r anspor t at i on nonexi st ent , t he cal lcent erbecame a l i f el i ne f or Fi l i pi nos who wer e st uck athome.I t hel ped keep t hem aﬂoati nt he sea of conf usi onandanxi et yoveradi seasewe knewver yl i t t l eabout . I n an ast oundi ng di spl ay ofsol i dar i t y , t he st udent s of t he UP Col l ege of Medi ci ne—t he doct or s of t omor r ow—st ayedi nPGH t oser vet he peopl eoft oday .

Phot obyNi chol asTan,Cl ass2020

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I nt heEyeofan Opht hal mol ogi s t : Adj us t i ngt hr ough t hePandemi c

BYTHEDEPARTMENTOFOPHTHALMOLOGY

vert hepastdecade,t hePhi l i ppi ne O Gener al Hospi t al ( PGH) Depar t ment of Opht hal mol ogy and Vi sual Sci enceshasbeenser vi ngnear l y 70, 000out pat i ent sever yyear .

Ourspeci al t y ,Opht hal mol ogy ,evi dent l y cat er smost l yt oout pat i ent s.Thus,wi t h t he i mpl ement at i on of t he enhanced communi t y quar ant i ne ( ECQ) and t empor ar y suspensi on of ser vi ces o er ed by t he PGH Depar t ment of Out pat i entSer vi ces,ourpr act i ce was puti nt oahal t . I n Mar ch 2020,t he PGH Di r ect or ,Dr . GapLegaspior der edt empor ar ycl osur e of our bel oved Sent r o Of t al mol ogi co JoseRi zal .I t speopl e–doct or s,nur ses, andadmi ni st r at i vest a –l ef tt hei rusual r out i nes t o answert he cal lofdut yi n bat t l i ngCOVI D19.

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Wi t ht he i mpl e me nt a t i onof t hee nha nc e d c ommui t y qua r a nt i nea nd t e mpor a r y s us pe ns i onoft he s e r v i c e sof f e r e dby t hePGH De pa r t me ntof Out pa t i e ntSe r v i c e s , ourpr a c t i c ewa sput i nt oaha l t .

SERVI CE

TRAI NI NG

Dur i ng t he COVI D19 pandemi c,mor e t han hal fofourphysi ci an manpower r ot at edi not herpar t sofPGH asCOVI D War dPhysi ci ans,Tr i ageO i cer s,Saf et y Oi cer s, and Command Cent er Cal l Agent s.Ournur si ngst a wer edepl oyed t o COVI D and nonCOVI D war ds al l overPGH.

Ourt r ai ni ng pr ogr am su er ed a bl ow f r om t he l ack ofout pat i entexposur e dur i ngt hi spandemi c.Toensur et hatal l gr aduat es st i l lr ecei ve qual i t y cl i ni cal and sur gi calt r ai ni ng,t he Depar t ment hasdeci dedt oext endt her esi dencyand f el l owshi pt r ai ni ngpr ogr am byoneyear . I naddi t i on,t heDepar t menthasst ar t ed conduct i ng r ounds and conf er ences t hr oughonl i nepl at f or ms. Al l t r ai neesar e al so r equi r ed t o at t end onl i ne l ect ur es host ed by t he Phi l i ppi ne Academy of Opht hal mol ogy .

Ouradmi ni st r at i vest a wer esentt ot he Pr oper t yandSuppl i esDi vi si ont oassi st i nt he packi ng ofper sonalpr ot ect i ve equi pment .Thr ee r esi dent sr emai ned on dut y ever y day t o see emer gency casesandi npat i entr ef er r al sofpat i ent s wi t hur genteyecondi t i ons. Heal t hcar e wor ker swi t h eye concer ns wer ei mmedi at el yseen.Fur t her mor e,as ane or tt ocont i nueourser vi cedel i ver y f orourout pat i ent s,weest abl i shedour Tel eOpht hal mol ogy Pr ogr am. Mor e t han100pat i ent shaver eachedoutt o ust hr oughourFacebookpage.

RESEARCH Gi vent hatt hi spandemi ccanal sobean oppor t uni t yf or new di scover i es, our r esi dent sandf el l owswer eencour aged t o engage i n COVI Dr el at ed r esear ch. Todat e,t hr eer esear chpr ot ocol shave been submi t t ed t o t he UP Mani l a Resear ch Et hi csBoar df orr evi ew and appr oval . Phot osf r om ht t p: / / upcm. ph/ opht hal mol ogy/

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I mpactofCOVI D19ont he Depar t mentofPedi at r i cs

BYUPPGHDEPARTMENTOFPEDI ATRI CS nl i newi t ht hehospi t al ’ scommi t ment I t obeaCOVI D19r ef er r alcent er ,t he

moni t or swer epr ovi dedf ort hepar ent s t o see t hei r chi l dr en vi r t ual l y and communi cat e wi t ht hem as wel l .The neonat alI CUwasal sopr epar edt ocat er t o neonat es bor nt o COVI Dsuspect mot her s.Ther ei s a separ at e hol di ng ar ea f or t hese pat i ent s, each wi t h i ndi vi duali ncubat or si n or dert o keep t hem i sol at edf r om eachot her .

UPPGH Depar t mentofPedi at r i cst ook ont hechal l engeofbei ngatt hef or ef r ont of managi ng pedi at r i c COVI D19 pat i ent s. Knowi ng t he upcomi ng dii cul t i esposedbyt hepandemi c,t he depar t ment pl anned accor di ngl y wi t h t he goalofpr i or i t i zi ng t he ser vi ce of t hesepat i ent sandt hewel l bei ngofour const i t uent s. Tr ai ni ng has t aken t he backseatf ornow.

Because t he enemy t hatwe ar e now f aci ng i s notonl yf or mi dabl e butal so i nvi si bl e, we have r equi r ed our heal t hcar ewor ker s–r esi dent s,f el l ows, nur ses,andpar amedi calst a –t odon “ Level4per sonalpr ot ect i veequi pment ( PPE) . ”Thi sent ai l swear i ngacompl et e setofapai rofshoecover s,asur gi cal cap, goggl es, an N95 mask, i mper meabl e cover al l s, and mul t i pl e l ayer s ofgl oves.Though t he ar ea i s ai r condi t i oned,t hi si sst i l la bat t l ef or t he heal t hcar e wor ker s.The cover al l s ar e ver yhot ;t he masksar e ver yt i ght andpai nf ul ;t hegoggl esal waysf ogand t he mul t i pl el ayer s ofgl oves make i t dii cul tt omani pul at eobj ect s.Ont opof i tal l ,t her ei s al ways t he anxi et y of cont r act i ng t he di sease.However ,our doct or sand nur sesbr avel yr i se up t o t hi sdaunt i ngt askever ydayt odot hei r

Though t her e woul d be f ew pedi at r i c casescompar ed t o adul tcases,t hese pedi at r i cpat i ent swi l lmostl i kel ybe i n cr i t i cal condi t i on. To ensur e opt i mal ser vi cedel i ver y ,t hedepar t mentcr eat ed i t s own pedi at r i c COVI D war d – an 11pat i entpedi at r i cI nt ensi veCar eUni t ( I CU)f aci l i t yt hatwi l lcat ert ot hese pedi at r i cCOVI Dsuspect s.Li keanyI CU set up, t hese pat i ent sr equi r e much cl oser moni t or i ng; t hus, t her e i s a smal l er nur set opat i ent and doct or t opat i ent r at i o. Because t he pat i entsubseti s oft he pedi at r i c age, pr ovi si ons wer e made t o have one dedi cat ed wat cher per pat i enti ft he need woul d ar i se ( i . e. f or pat i ent s 1year ol d and bel ow) . Speci al i zed

Anur sehasj ustﬁni shedt i dyi ngupherpat i ent . ( Phot obyMar kJasonMi l an)

bestf ort hepat i ent s. Thi s pandemi c has caused us gr eat l ossest oo.Wi t hi n ourdepar t ment ,we l ostagr eatment or ,t eacher ,andf r i endDr .Sal l yGat chal i an.Shewi l lf or everbe r emember edandl ovedbyal l .Thr ough al loft hi s,we mustal so r emembert o l ookf ort hesi l verl i ni ng.Thoughwear e unabl et omeetphysi cal l y ,wear enow abl et o convene vi r t ual l y mor e of t en t hanweusedt o.Thi shaskeptuscl ose andi nf or medoft hehappeni ngswi t hi n t he depar t mentand t he hospi t al .We hope t hatt hi s cl oseness,al ong wi t h cour age,pr operf or esi ght ,andposi t i ve out l ookwi l lhel pusbeatCOVI D19.

HeadOn:TheORL COVI D19Res pons e

BYUPPGHDEPARTMENTOFOTORHI NOLARYNGOLOGY( ORL)

Beoctoaluasryengooflothgeistnsataurree oofneourofwotrhke, •

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ORL War d dur i ng t he COVI D19 Pandemi c. ( Phot obyDr .El j ohnYee)

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SI BOLAND I TSGERMI NATI ON I N THETI MEOFCOVI D

BYEDWARDHM WANG,MD,MSC,UPCM CLASSOF1983( SI BOLPROGRAM LEAD) ow many t i mes, af t er bei ng f r ust r at ed by t he unavai l abi l i t y of H medi calequi pmenti nt hehospi t al ,have you t hought about or act ual l y assembl ed a r udi ment ar y backyar d sol ut i on—onl yt o shel ve i tbecause of t he l ack of an i nt egr al engi neer i ng component or t he l ack of i t s under st andi ng? Engi neer s,ont heot her hand,awakent osomeoft hegr eat est Eur eka sol ut i ons t o heal t h pr obl ems, onl yt oﬁndoutt heheal t hcar epr ovi der doesn’ tneedt hatear t hshaki ngcr eat i on af t er al l ! These scenar i os r epeat t hemsel vesever ydayi nt hegr eatU of t he P. Two gr eat masses of br ai n cel l s—one f r om Uni ver si t y of t he Phi l i ppi nes – Mani l a( UPM) ,and one f r om Uni ver si t y of t he Phi l i ppi nes – Di l i man ( UPD) —wor ki ng i ni sol at i on, separ at ed by t he gr eatdi vi de oft he Pasi gRi ver .

I n t he ﬁr st quar t er of 2019, UPD Technol ogy Tr ansf er and Busi ness Devel opmentO i ce ( TTBDO)Di r ect or Mi t chay Paci a sent UPM Nat i onal I nst i t ut es of Heal t h( NI H) Execut i ve Di r ect orEvaCut i ongcodel aPazaset ofUPD Engi neer i ng pr oj ect s needi ng val i dat i onf r om cl i ni ci ans.Af t ersever al phone cal l s,Conver sat i onsLeadi ng t o I nnovat i ons and Col l abor at i ons ( CLI C) wasbor n,andt heﬁr stmeet i ngwashel d vi at el econf er ence t o br i dge t hatgr eat di vi de:agr oupofcl i ni ci ansononesi de, a gr oup ofengi neer s on t he ot her ;a soi r ee of sor t s—t i mi d at t he st ar t , boi st er ousbef or egr ouppi ct ur et aki ng. Whydon’ twet aket hi sonest epf ur t her ? Ar med wi t hal i stofcl i ni calpr obl ems r equi r i ng engi neer i ng sol ut i ons, t hi s same gr oup of Phi l i ppi ne Gener al Hospi t al ( PGH)doct or sdeci dedt omake a pr esent at i on at t he Col l ege of Engi neer i ng dur i ng a UPD TTBDO

Fi r stmeet i ngofCLI Cvi at el econf er ence.( Top)A gr oup of engi neer sf r om UPDTTBDO, and ( bot t om)a gr oup ofcl i ni ci ans f r om UPMNI H. Mar2019 PAGE7

TheSani PodPr oj ectoft heSI BOLCOVI DTaskFor ce.May2020

event ,compl et e wi t ht he magni t ude of t he pr obl em, cost s of unavai l abl e i mpor t edequi pment ,andphot osofopen wounds and l ocal medi cal i mpr ovi sat i ons. I mmedi at el y , t he second “ C”ofCLI C was at t ai ned and f ourt eamsofcol l abor at or swer ef or med i nvol vi ng Dr s. Co, Est r el l a, Ful l ant e, Ger mar ,Wang—medi caldoct or sf r om t he UPM si de, and Dr s. Davi d, Magdal uyo,Naval ,Tapang,Vasquez, sci ent i stdoct or at es,and engi neer son t heUPD si de. TheseedofS. I . B. O. L. wast hussown,andi tl ookedl i kei thad f al l enonf er t i l egr ound. The t i mi ng coul dn’ thave been bet t er . UPM hadunsuccessf ul l yt r i edf ormany year st o devel op a bi omedi caldevi ce pr ogr am, and Chancel l or Menchi t Padi l l a wasdet er mi ned t o setone up dur i ng her t er m. Ser endi pi t ousl y ,a bi oengi neer i ngpr ogr am wasoneoft he flagshi p pr oj ect soft he newl yi nst al l ed UPCM Dean Char l ot t e Chi ong. The st ar s had al i gned, and t he f our UPMUPD t eams wor ked r el ent l essl y overt he nextsi x mont hs t o gai nt he suppor toft he Depar t mentofSci ence andTechnol ogy( DOST) ,meet i ng bot h f ace t o-f ace ( pr eCOVI D)and onl i ne, wr i t i ng, r evi ewi ng, vi si t i ng PGH, r ewr i t i ng,r evi ewi ng agai n,submi t t i ng, and final l y def endi ng t he pr ogr am pr oposal at t he DOST Bi cut an compound despi t e t he t henongoi ng Chr i st mashol i days. Byt hi st i me,t he pr ogr am had been chr i st ened as t he Sur gi calI nnovat i on and Bi ot echnol ogy Labor at or y or SI BOL,t he mnemoni c bei ngt heFi l i pi nowor df or“ ger mi nat i on, ” whi chapt l yr eflect st hegr oup’ sobj ect i ve t o use l ocal l y sour ced mat er i al s and t echnol ogy t o pr oduce muchneeded sur gi calandmedi caldevi ces.Thebest Chr i st maspr esentwasaP110M gr ant f r om t heDOSTt obegi venover2year s t ohel psetupaSI BOLo i cei nUPM, wher e col l abor at i ve meet i ngs f or sci ent i st s, engi neer s, and cl i ni ci ans

coul d be ar r anged f or anyone—yes, anyone, i ncl udi ng f acul t y , f el l ows, r esi dent s,st udent s—whohadevent he wi l desti deaf orasol ut i ont oanycl i ni cal pr obl em. I twas envi si oned t hatr i ght besi de t hi st hi nki ng o i ce woul d be a wetl abor at or yt ot estoutt hepr ot ot ypes oft hese i deas,and t hi sf aci l i t y woul d doubl e as a ski l l sl abor at or y ,anot her sor el yl acki ng f aci l i t yi n gover nment t r ai ni ngi nst i t ut i ons. Butnogoodr unl ast sf orl ong.Al t hough t heMemor andum ofAgr eementsi gni ng bet ween t he DOST and UPM was

UPD Engi neer s vi si t i ng t he PGH t o bet t er under st andcl i ni calpr obl ems.May2019

4 SI BOL t eams of cl i ni ci ans and engi neer s pr esent i ngt hei rpr oj ect st ot hePCHRDTechni cal Revi ew Panel .Sep2019

Thumbs up f or a successf uldef ense oft he SI BOLpr ogr am t ot heDOSTPCHRD Execut i ve Counci l .Dec2019

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schedul edf ort heﬁr stquar t erof2020, t hecor onavi r ushadot herpl ansf orus, andt hesi gni ngwasputonhol d. The or i gi nal l y bar gai ned l ocat i on f or t he SI BOLo i ceandl abor at or ywasatt he gr oundﬂooroft heOr t hopedi cBui l di ng, buti twascommandeer edbyt hePGH COVI D command cent er . We had no money ,noo i ce—SI BOL,f oral li nt ent s and pur poses,had been t empor ar i l y r est r ai ned.

The PAPR Team of t he SI BOLCOVI D Task For ce.May2020

I n t he meant i me, t he COVI D19 pandemi c was unf ol di ng. On our shor es,t he fir stcase ofSARSCOV2 i nf ect i on wasr epor t ed on Januar y30, 2020; communi t y t r ansmi ssi on was confir medonMar ch5,andacompl et e l ockdown was enf or ced on Mar ch 16. PGH was decl ar ed a COVI Dr ef er r al cent er . Thevi r alonsl aughthadbegun and our f r ont l i ner s wer e bei ng hammer ed.Byt heendoft hemont h,we had been at t endi ng pr ayer sf or our f al l enf r i ends,col l eagues,t eacher s,and cl assmat es. Whatcoul dwedo? Wecoul dseet hat t her ewasamadr ushf orPPE( per sonal pr ot ect i onequi pment ) ,j ustast her ewas ani nadequacyofdi si nf ect i onequi pment i n bot h gover nment and pr i vat e hospi t al s. Wai ta mi nut e… i sn’ tt hat whatSI BOL was cr eat ed t o do? To addr esst hel ackofl ocal l ymademedi cal equi pmentanddevi ces? Butwhatcoul dSI BOLdo? Wehadno money ,wehadnoo i ce,andt her ewas nei t heri nf r ast r uct ur enorl ogi st i cs!Yes, butwehadt het eam.Wehadt hebr ai ns, wehadt hepassi on,andmostofal l ,we hadVi berandZoom!Fort hefir stt i me, t heSI BOLCOVI DTaskFor ceconvened byt het hi r dweekofMar ch. Thr ee t eams wer ef or med t o addr ess t heneedt opr ot ect ,t odi si nf ect ,andt o di st ance. Ever y si ngl e member , cl i ni ci an,engi neer ,sci ent i st ,bi ol ogi st , chemi st ,and ar t i str esponded t ot he cl ar i oncal lt oenl i st . Bef or et heendof t hemont h,t her ewer e10t eamswi t ht wo l ead i nvest i gat or s per t eam ( Face Masks:Engr .Lesl i e Di az and Dr .Jun Jor ge;PAPR:Dr .Sam Gr ozman and Engr . Jong Vasquez; Cover al l s: Dr . Phi l i p Ful l ant e and Engr . Kat hr i na Taaca; Sani Pod Di si nf ect i on: Dr . Ewang/ Co and Engr .Ed Magdal uyo; Negat i ve Pr essur e Room: Dr . Est ee Est r el l a and Engr . Jong Vasquez; Cl eanI nt ubat e:Dr .Cat hyCoandEngr . Magdal uyo; Di si nf ect i on of PPE f or Reuse:Dr .Est r el l aandEngr .Vasquez; Tel epr esence:Dr .Nat s Or i l l aza,Engr . Lui s Si son,RoelOcampo,and Pr of . Pr osNaval ;Tel emet r y:Dr .Har iHamoy , Dr .Por t i a Mar cel o,Pr of .Naval ,Engr . Si sonandDr .Or i l l aza;Tel et r acki ng:Dr . Mar t ha Umal iand Engr .Lui s Si son) . Bef or eApr i l ,aZoom meet i nghadbeen concl uded wi t h Phi l i ppi ne Counci lf or Heal t h Resear ch and Devel opment ( PCHRD) Execut i ve Di r ect or Ji mmy Mont oya,whocommi t t edDOSTsuppor t f ort heseur gentCOVI Dpr oj ect s.

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Gr oupphot oatCol l egeofEngi neer i ngaf t erUPM cl i ni ci ans’pr esent at i ons.Apr2019

TheTel epr esence Pr oj ectoft he SI BOLCOVI D TaskFor ce.Apr2020

TheeSt et hoscopePr oj ectoft heSI BOLCOVI D TaskFor ce.May2020

Bef or eweknew i t ,pr i vat edonor shad got t en wi nd oft he pr oj ect s and f unds wer er ai sedbycl assmat esf r om Xavi er Hi ghSchoolCl assof1975,whi chwer e used as seed money bef or et he ﬁnal budgetf r om DOST was gr ant ed. We al so r ecei ved o er sf ormor e pr oj ect s f r om t woaddi t i onalt eams:Aer osaf el ed byDr .Tam Mont al esandEngr .Vasquez, andeSt et hl edbyDr .Mi kki Mi r andaand Engr . Char l es Ambat al i . We f ound our sel ves wor ki ng hand i n hand wi t h DOSTPCHRD, Phi l i ppi ne Text i l e & Resear ch I nst i t ut e( PTRI ) , Phi l i ppi ne I nst i t ut eofVol canol ogyandSei smol ogy ( PHI VOLCS) ,Bi omedi cPHorPhi l i ppi ne Bi omedi cal Devi ce I nnovat i on Consor t i um ( PBDI C) ,TTBDOs ofbot h UPM and UPD, Mi cr obi ol ogy Depar t mentatCol l egeofPubl i cHeal t h, SM ( yes,ShoeMar t ) ,i nt er ns,st udent s, r esi dent s,andf el l ows.Bef or eweknew i t , by May , some pr ot ot ypes wer e gr adual l ybei ngr ol l edoutf orﬁel dt est i ng i nt hePGHwar ds.

engi neer s coul d wake up t o f ul l y f unct i onalEur ekamoment s!

Overt he pastt wo and a hal fmont hs, SI BOL has embar ked on 12 dier ent COVI D pr oj ect s. Att he same t i me,i t hasachi evedoneofi t spr i mar ygoal s, t he f or gi ng of col l abor at i ons bot h hor i zont al l y—acr ossi nst i t ut i onssuchas DOST andUP,acr osscampusessuch asUPM,UPD,and even ot herpr i vat e uni ver si t i es,andacr osscol l eges—whi l e al so achi evi ng t hese ver t i cal l y , wi t h pr of essor s,di r ect or s,l ect ur er s,cl i ni cal associ at epr of essor s,f el l ows,r esi dent s, st udent s,t echni ci ans,l abor at or yai des, and r esear ch, ext ensi on, and pr of essi onal st a ( REPS) wor ki ng t oget her i n or der t o opt i mi ze each ot her ’ s compet enci es and st r engt hs. The cl i ni ci ans wer e act ual l y abl et o cr eat e engi neer i ng sol ut i ons whi l et he

None of t hese pr oj ect s ar e done; SI BOL’ s wor ki sj ustbegi nni ng. Af t er expedi t edeval uat i onsandappr oval sof pr oj ectpr oposal s,t heDOST moneyi s now begi nni ng t or ol li n and mor e exci t i ng pr ot ot ypes ar e ant i ci pat ed. Each t eam cont i nues t o devel op and i mpr ove upon successi ve i t er at i ons, wi t ht hesi ngl eendgoal ofpr ovi di ngonl y t he best l ocal l y engi neer ed and sci ent i ﬁcal l y val i dat ed equi pment necessar y t o hel p our heal t hcar e wor ker s have t he gr eat estchance of successi nt hi sbat t l eagai nstt hevi r us. Ther e i s st i l l a myr i ad of COVI D pr obl ems wai t i ng f orsol ut i ons. Even once COVI D19 has waned, t he pr obl ems and i nadequaci es of t he Phi l i ppi ne heal t hcar e wi l l cont i nue, pot ent i al l y over whel mi ng us. SI BOL senses t he comi ng st or m,buti thas t aken r ootand begun t he pr ocess of ger mi nat i on.

SI BOL

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BEYONDTHE NORMAL: UPMASCebu ver s usCOVI D19 BYJOSEMARCELMAGNO,CLASS2022

achUPCM gr aduat epaveshi sown E pat hupongr aduat i on.Forsome,t hi s pat h br i ngs t hem back home t ot hei r

pr ovi nces,wher et hey make t he most amazi ng t hi ngs happen.Thi s was t he casef ort heUPCM gr aduat esbasedi n t heQueenCi t yoft heSout h–Cebu. Overt heyear s,t heCol l egeofMedi ci ne has seen i t sf ai rshar e ofgr aduat es hai l i ng f r om Cebu.The i dea ofget t i ng t hese gr aduat es t oget her was t he br ai nchi l dofDr .Renat oEspi nosa,Cl ass ’ 70.Thefir stor gani zat i onalmeet i ngof UPMAS Cebu was hel di n 1974 at Casi no Español . A year l at er , Dr . SamuelTr oci o made r epr esent at i ons wi t h UPMAS i n Mani l a,and t he Cebu Chapt erwasbor n. Thesubsequentyear swer egol denand pr oduct i ve year s. UPMASCebu r egi st er ed wi t ht he BI R oi ce,var i ous f undr ai si ngact i vi t i eswer ehel dandt he Chapt erevenhost edaGr andSci ent i fic Symposi um i n2003.Af t ert hesci ent i fic symposi um, however , t he Chapt er ent er edador mantst at e. Fastf or war dt o2020.I nachance,but pr ovi dent i alencount er ,Dr .JeanAbal os, Cl ass’ 81,Dr .TonySanJuan,Cl ass‘ 94, and Dr .Janet t e de l a Cal zada,Cl ass ’ 95, hat ched a pl an t o r evi ve and r esur r ect UPMASCebu. Coor di nat i ng wi t ht hen UPMASCebu Pr esi dent ,Dr . Ri cky Gr uet , Cl ass ’ 76, a meet i ng amongstt hegr aduat eswasset . Physi ci ansf r om dier enter as,bat ches and speci al t i es gat her ed t oget herand r econnect ed i n Febr uar y oft hi s year . Thi s si ngl e pi vot almeet i ng paved t he way f oran ext r aor di nar y col l abor at i on and ser ved as t he f oundat i on oft he out st andi ng r esponse ofUPMASCebu t ot heCOVI Dpandemi c. Put t i ngf ami l y ,l i vesandf ear sasi de,t he UPCM Al umni Cebu Chapt er i mmedi at el yanswer edt hecal lt oser ve. Dr .Br yanLi m,Cl ass2010,ani nf ect i ous di sease speci al i st wi t h a mast er ’ s degr eei ndevel opmenteconomi cs,and amanwi t ht hei nsi ghtt oant i ci pat et he ci t y’ sneeds,st eppedupt ot hepl at eand mobi l i zed t he Chapt er t o or gani ze a mul t i pr ongedat t ackagai nstCOVI D19. The member s ofUPMASCebu,wi t h f er vor and compassi on… wi t hout anyhesi t at i on… heeded t he bat t l e cr y agai nst t he i nvi si bl e enemy . Despi t e bei ng a mi nor i t yi n Cebu Ci t y , t heUPCM gr aduat esseti nt omot i ont he

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Pi vot almeet i ngofUPMASCebuChapt er ,Febr uar y2020. Physi ci ansf r om Bat ch1954upt oBat ch2018wer epr esent .

est abl i shmentofa dedi cat ed COVI D Cent eratt heol dSacr edHear tSchool ( SHS)f orBoysgymnasi um.Undert he hel m ofDr .JeanAbal osandDr .Br yan Li m,dier entt eams wer ef or med i n or der t o e ect i vel y and qui ckl y t r ansf or m t he school ’ s gym i nt o a COVI D i nfir mar y .The l ogi st i cs t eam scour ed t he ci t yf or mat er i al s and suppl i es( suchasPPEs)t hatwoul dbe needed. The physi cal ar r angement t eam met wi t h t he ar chi t ect s and const r uct i on t eam dai l yt ot ackl et he bui l di ngdesi gn.Thet r ai ni ngcommi t t ee pr epar ed bot h wr i t t en and vi sual gui del i nes f or t he saf e and pr oper donni ng/ do i ng ofPPEs.The human r esour ces t eam r ecr ui t ed vol unt eer physi ci ans t o man t he i nfir mar y .Dr . St evenSeno,Cl ass2000,t heoneman communi t y engagement commi t t ee, t ook car e ofi nvol vi ng and r eassur i ng t he nei ghbor i ng bar angays t hatt hey woul dr emai n saf e.Thus began t he assaul tagai nstt hevi r us. TheCOVI D Cent eropenedi nt hefir st weekofMay .The Cent erhassever al f eat ur es desi gned t o l i mi ti nf ect i on t r ansmi ssi on.TheI nfir mar ymakesuse ofnegat i vepr essur er oomsandHEPA fil t er s. I t boast s a hi gh r at e of ai r exchangesat15perhour .I nnovat i ons, however ,ar e notj ustl i mi t ed t ot he bui l di ng i t sel f . Wor kflow has been opt i mi zed and paper wor k r educed. Pat i ent s have desi gnat ed sphygmomanomet er s, di gi t al t her momet er s,andpul seoxi met er s.Al l oft hesecont r i but et omi ni mi zi ngheal t h car ewor ker s’ dur at i onofexposur e,t hus keepi ng bot ht he heal t hcar e wor ker s andt hepat i ent ssaf e. Thi se i ci entandst r eaml i nedwor kflow wasbr oughtaboutbyt hecr eat i onofa manualdet ai l i ng pr opermanagement and handl i ng of COVI D pat i ent s. Li kewi se,t hear chi t ect ur alandmanual det ai l i ng pr oper management and handl i ng ofCOVI D pat i ent s.Li kewi se, t he ar chi t ect ur al and engi neer i ng mar velf ur ni shed a bl uepr i ntf or t he t r ansf or mat i on ofany bui l di ng i nt oa pr oper COVI D Cent er . Thi s same bl uepr i ntwasusedi nt her enovat i onof I EC i nt o anot her COVI D Cent er . Thr ough col l abor at i on wi t ht he pr oper

aut hor i t i es,bot ht he wor kflow manual and ar chi t ect ur albl uepr i nthave been shar ed wi t h mul t i pl e ci t i es and bar angays.TheseCent er sar enowabl e t o handl e mi l dt o moder at e cases of COVI D.Att het i meoft hei nt er vi ew,t he Sacr ed Hear t Cent er had al r eady admi t t ed 102 and successf ul l y di schar ged54pat i ent s.Becauseoft he SHS Cent erandot herCOVI D Cent er s, t hehospi t al sar eabl et of ocusoncar i ng f or pat i ent s wi t h sever e di sease. t he hospi t al sar eabl et of ocusoncar i ngf or pat i ent swi t hsever edi sease. The t eam ofUPCM physi ci ans who made al l of t hi s possi bl e f ound t hemsel ves i nr ol es f ar beyond t he scopeoft het r adi t i onal cur r i cul um setby ourAl maMat er .Thi spandemi cpushed t hem t o be hoar der s( l ogi st i cs t eam) , car pent er s ( physi cal ar r angement ) , di pl omat s( humanr esour cescommi t t ee) and ambassador s ( communi t y engagementt eam) .Thi spandemi chas t est ed t hem i n novelways,pushi ng boundar i esandl i mi t s,l i keafishoutof wat er .I mbuedwi t ht heuni queUPDNA, t he physi ci ans ofUPMASCebu f aced t hechal l engeheadonandr oset ot he occasi on.Theyadapt edanddevel oped t heski l l sneededt ocombatCOVI D19 i ni t s many aspect s…medi cal l y and hol i st i cal l y . Whatt he physi ci ans ofUPMASCebu have accompl i shed i sat r ue actof ser vi ce t ot he Fi l i pi no peopl e.They o er edt hei rexper t i se,t hei rhear t sand soul st ot he pr ovi nce,and def ended t hei r f el l ow Fi l i pi nos agai nst t he COVI D19.Thesedoct or shavesett he pr ecedent f or us st udent s. A UP physi ci an does notr est r i cthi msel ft o l essons obt ai ned f r om t ext books. Rat her , a UP physi ci an uses t hi s knowl edge and exper i ence t o pr ot ect ot her sf r om di sease and i l l ness,novel t hough t hey may be.As we st udent s f ocus on st udyi ng and mast er i ng t he cr af tofmedi ci ne,we r eal i ze t hatwe st andont heshoul der soft hesegi ant s. Oneday ,we,t oo,maybecal l edupont o fightanoveldi sease.Wewi l lbui l don t he exampl e setbyourpr edecessor s. We,t oo,wi l lbecome gi ant s who wi l l devot eourhear t sandourmi ndst ot he ser vi ceoft heFi l i pi nopeopl e.

Out si det heSHSCOVI DCent er

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BYMARI ARAQUELM.PASI MI O,MD,UPCM CLASSOF1994 pandemi c hi t !The UP Medi cal i Soci et yCebu Chapt er ThAelumn

Magnet i c carst i ckerby Dr s.Tony San Juan ( UPCM ‘ 94)andJohnLi m( UPCM ’ 05)t oser veas r ovi ngr emi nder s“ KONTRACOVI D. ”

KONTRACOVI D t heme have been or der ed f orBar angayHeal t h Wor ker s. These car st i cker s and shi r t s vi si bl y r emi nd peopl e about t he essent i al pr ecaut i ons t hatneed t o be t aken t o pr eventt hespr eadoft hei nf ect i on. A“ Rekur i das” ,whi ch i s essent i al l ya vehi cl e wi t h a mount ed sound syst em br oadcast i ng a r ecor di ng of an announcement i n Cebuano cont i nuousl y ,hasbeenschedul edt ogo ar ound Cebu.Si mi l art o whati s seen dur i ng el ect i on t i me,t hi s met hod wi l l enabl e us t o di ssemi nat e i mpor t ant i nf or mat i on and r emi nder s on l oop, whi l ecover i ngal ar gerar eaoft heci t y .I t ensur est hatt hemessagei sbr oughtt o t he peopl e who ar ei nt hei r homes, especi al l yt hosewhoar ei nt hepur oks andbar angays.

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Tel evi si on and r adi o spot s have been r eser vedf ort hei nf or mat i oncampai gn. Dr s.Al ber tRaf anan,UPCM ’ 92 and Wi l sondel aCal zada,UPCM ’ 96have been desi gnat ed as t he Chapt er ’ s spokesper sons.They wer e speci fical l y si ngl edoutf ort hei rexper t i se,cal m and col l ect ed demeanor , and t hei r e ect i veness i n communi cat i ng t he si gni ficantf act si nar el at abl emanner . Recogni zi ngt hepowerofsoci almedi a, UPMASCebu hashar nessed some of t hemosti nfluent i alpeopl et obr i ngt he message home.The Chapt er ,i n shor t or der , cr eat ed an FB page, an I nst agr am handl e,aTwi t t erhandl eand a Ti kTok account .No st one was l ef t unt ur ned. The “ That ’ s Ent er t ai nment ” Team,as t hey ar ef ondl y dubbed,i s headedbyt hever yabl eSt evenSeno, UPCM 2000. Wor ki ng wi t h hi m ar e Janet t e de l a Cal zada, UPCM ’ 95, Judi t h Akol ,UPCM ’ 97,Mai a Ar bat i n, UPCM ‘ 01,Shar ynEspi na,UPCM ‘ 03, and Yas Jumaoas,UPCM ‘ 03.Thi s i ncr edi bl et eam,spur r edbyt heur gent need, achi eved t he i mpossi bl e…assembl i ng i n l i ght ni ng speed,ar ost erofpr omi nentcel ebr i t i es, eachoneaskedt ot ackl eanaspectof t he f undament albutcr i t i calmeasur es necessar yt o cur bt he t r ansmi ssi on of t he vi r us.Wi t h #kaypi nanggat aka ( We car ef or you) ,as a uni f yi ng t heme, vi deosofEl l en,JohnLl oydandBar on wer e post ed and shar ed on t he Chapt er ’ ssoci almedi a account s.Wi t h overhal fami l l i onvi ewsi nj ustaweek’ s t i me,i ti sat est amentt ot hesuccessof t hecampai gn.Mat t eoandVi nar ecent l y j oi ned t hei rr anks,buti tdoesn’ tend t her e.Mor evi deoswi l lbepost ed,each f eat ur i ngacel ebr i t y…eachhi ghl i ght i ng abasi caspectofhow t opr ot ectonesel f agai nstCOVI D19. UPMASCebu has l aunched t hi s mul t i pr onged assaul twi t h an audi o, vi sualandvi r t ualmedi abl i t z.Thevi r us hasr avagedourci t y .I thascl ai medl i ves andext r act edf r om usanunspeakabl e pr i ce.We ar e now i nt he t r enches, val i ant l y fight i ng agai nst i gnor ance, ar r ogance,andi ndier ence. Wemaybef ew,butwear est r ong.The fightcont i nues!

Dr s.Al ber tRaf anan,UPCM ‘ 92 and Wi l son de l a Cal zada,UPCM ’ 96,UPMASCebu Chapt er ’ s spokesper sons,dur i ngat el evi si onspotf ort hei ri nf or mat i oncampai gn.

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ThePGHDepar t mentofRehabi l i t at i on Medi ci nei nt heTi meofCOVI D19 BYTHEDEPARTMENTOFREHABI LI TI ATI ONMEDI CI NE

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heent i r ewor l dhasbeeni r r ever si bl y T changedbyCOVI D19.Asi tspr ead acr osst hegl obeanda ect edmi l l i onsof

peopl e, busi nesses, i ndust r i es, and evenwhol ecount r i eshavebeenf or ced t oascr eechi nghal t .I nt hebat t l eagai nst t hi s myst er i ous enemy ,t he medi cal pr of essi onhasr emai nedst eadf asti ni t s ser vi ce t o ot her s, empl oyi ng consi der abl ecr eat i vi t yandi nnovat i ont o cont i nuet or eachot her s. ThePhi l i ppi neGener alHospi t al( PGH) beganoper at i ngasaCOVI D19r ef er r al cent erl astMar ch30,2020.Becauseof t hi s,t he Depar t mentofRehabi l i t at i on Medi ci neser vi cescat er i ngt oi npat i ent s and out pat i ent s wer e di sr upt ed and unexpect edl y di scont i nued. The depar t ment ’ smedi caland par amedi cal st a became par t of t he f r ont l i ne, pr ovi di ngmanpower ,suppor t ,andcar e t o pat i ent si n COVI D and nonCOVI D war ds. The depar t ment ’ spar amedi cal st a wer e assi gned and t r ai ned as saf et y oi cer s st at i oned ar ound t he hospi t al ,ensur i ngt hepr operadher ence t osaf et ypr ot ocol sundert hedi r ect i onof t hehospi t al ’ sCr i si sManagementTeam. The r ehabi l i t at i on medi ci ne r esi dent s, ont heot herhand,wer eassi gnedt obe at t endi ng physi ci ans i n t he COVI D war ds.I npat i entmanagementwasal so al t er ed t or educe st a exposur e and possi bl espr eadoft hevi r us,par t i cul ar l y t hr ough i ncr eased usage of t he El ect r oni cMedi calRecor dsandt hr ough bed zoni ng ofpat i ent sf oreval uat i on andt r eat ment .

r esponse t o t he i dent i ﬁed need t o communi cat e wi t h, f ol l ow up, and moni t orpr evi ous pat i ent s seen att he out pat i ent depar t ment al ong wi t h r ecent l y di schar ged i npat i ent s f r om COVI D andnonCOVI D war dsr ef er r ed f orr ehabi l i t at i on. Wi t ht hese changes i n ser vi ce, t he conduct of r esi dency t r ai ni ng i n Rehabi l i t at i on Medi ci ne has al so evol vedt opr ovi decont i nuededucat i on. Di dact i cs ar e done vi a al most dai l y vi deoconf er ences. Gui dance as t o pat i entcar ei sdi scussedr egul ar l ywi t h f acul t ymember s,ei t hervi amessagi ng or vi deo cal l s. Eval uat i ons ar e al so gi ven t ot he r esi dent st hr ough onl i ne pl at f or ms, as wel l as r eadi ng assi gnment s on a var i et y of t opi cs. Resi dent s ar e al so i nvi t ed t o at t end webi nar sandonl i necour sest oaddt o t hei rl ear ni ng.

Medi calst udent educat i on was al so di sr upt ed wi t ht he di scont i nuat i on of cl asses.Tocat ert ot heneedsoft hese st udent s,t he f acul t y member s oft he depar t ment have been f ocused on pr oduci ngonl i nel ect ur esandmat er i al s t hr ought heUP Mani l aVi r t ualLear ni ng Envi r onmentsyst em. Regul arr esear ch act i vi t i es wer e al so gr eat l y a ect ed by t he pandemi c.To cont i nue r esear ch t r ai ni ng, t he Expanded Heal t h Resear ch O i ce ( EHRO)pr ovi ded l ect ur e mat er i al s on basi c r esear ch met hodol ogy f or al l hospi t alt r ai nees.The depar t mental so t ook par t i n t he hospi t al wi de submi ssi on ofCOVI Dr el at ed r esear ch pr oposal st ot ackl et hepandemi ccr i si s i n PGH: t her e was a t ot al of 11 submi ssi ons, i ncl udi ng si xr esi dent s’ r esear ch pr ot ocol s, t hr ee f acul t y pr oposal s,andt wocaser epor t s.

Wi t h t hi s new set up and wor ki ng l andscape, t he depar t ment began r eachi ng outt of el l ow col l eagues and pat i ent s t hr ough var i ous el ect r oni c pl at f or ms,mostpopul ar l yt hr ough i t s Facebook page. The Psychol ogy Sect i on oft he depar t menti ni t i at ed t he Ment alHeal t h Check i nl at e Mar ch, wher ei n ways t o pr ot ectone’ s ment al heal t h dur i ng t he COVI D19 pandemi c wer edi ssemi nat ed. Fur t her mor e, t he depar t ment has dr af t edt heI nt r oduci ngTel er ehabi l i t at i on As a Way t o Access Gener al Rehabi l i t at i on Ser vi ces ( I TAWAG Pr ogr am)i nPGH.Thi swascr eat edi n

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Thef acul t yoft hePGHDepar t mentofRehabi l i t at i onMedi ci neaf t ert hef acul t ymeet i ngont he depar t mentr esponset ot heCOVI D19pandemi c.

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TheDepar t mentof Phar macol ogyandT oxi col ogy dur i ngt heTi meofCOVI D19

BYTHEDEPARTMENTOFPHARMACOLOGYANDTOXI COLOGY r ch 16, t he Depar t ment of OnPhaMa r macol ogy and Toxi col ogy was

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Ofc our s e ,a tourc or e , wea r ea l wa y st e a c he r s . Ofcour se,atourcor e,wear eal ways t eacher s.Much ofourt i me wasspent pr epar i ng t eachi ng mat er i al s,r eadi ng t heses,r edoi ngsyl l abi ,maki ngl ect ur es f orvi r t ualcl asses,andconduct i ngand cr eat i ngwebi nar sandonl i necour ses. Evenasweendt hel ockdownwi t hal ot ofuncer t ai nt yf ort he comi ng school year , we nonet hel ess cel ebr at e our successes:wenowhaveonenewPh. D. who def ended herdi sser t at i on dur i ng t he l ockdown ( Dr . Faye Cagayan) ; anot herdef ended herdi sser t at i on l ast fir stweek ofJune ( Ai l yn Yabes) ;one f acul t ymemberi ssett o do hi sPh. D. st udi esi nCanada( Dr .DaneSacdal an) ; anot hert eacherr ecei vedaschol ar shi p t opur sueherMS onl i nei nar espect ed i nt er nat i onal uni ver si t y ( Dr . Conni e Si son) . OnJune1,wi t ht hel i f t i ngoft hemodi fied ECQ,t he depar t menti s agai nt asked wi t ht hemor ni ngflagr ai si ngcer emony . Wewi l lst i l lr ai seourflagf ort hecount r y athome as t he pr epar at i ons f ort he mi dyeart er m cont i nue,andt hankGod f ort hebl essi ngofourwor kf ami l y .

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Wewi l ls t i l lr a i s eourf l a gf ort hec ount r ya thomea s t hepr e pa r a t i onsf ort hemi dy e a rt e r mc ont i nue ,a nd t ha nkGodf ort hebl e s s i ngofourwor kf a mi l y .

I nvest i gat or s'Meet i ngf ort heEVI CTr i al( Ei cacyandsaf et yofVi t exnegundof orCOVI DTr i al )

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#OneI M:TheUPPGHDepar t mentof Medi ci nedur i ngt heCOVI D19Pandemi c

BYELLAMAEMASAMAYOR,MD,UPCM CLASSOF2018( I NTERNALMEDI CI NERESI DENT)

he COVI D19 pandemi c cr eat ed T unexpect ed and of t en unset t l i ng changest ol i f easwepr evi ousl yknewi t . Wor k and cl asses wer e suspended. Gat her i ngswer epr ohi bi t ed.Theent i r e count r ywasaskedt ost ayi ndoor sand f ol l ow st r i cti nf ect i oncont r olmeasur es. I nt hemi dstofi tal l ,hospi t al skeptt hei r l i ght s open, br aci ng f or t hi s unpr ecedent edcr i si s.Thi si st r uef ort he Phi l i ppi ne Gener alHospi t al ,especi al l y as i tassumed i t sr ol e as a COVI D19 r ef er r alcent er .

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I nt hemi ds tof i ta l l ,hos pi t a l s ke ptt he i rl i g ht s ope n,br a c i ng f ort hi s unpr e c e de nt e d c r i s i s .

Resi dent s,nur ses,andot herheal t hcar ewor ker spr epar eandwr i t et hei rent r i esi nt opat i ent s’ char t si n or dert oensur epr operandopt i malcar et ot henumer ousCOVI D19st r i ckenpat i ent s.

The Depar t mentofMedi ci ne t ook on si gni ﬁcantt r ansf or mat i onsi nr esponse t ot hi spandemi c.Fr om whatusedt obe si x i npat i ent ser vi ces and dier ent subspeci al t i es, t he depar t mentcame t oget her i nt o one ser vi ce, uni t i ng r esi dent s,f el l ows,andconsul t ant sal i ke. Al lhandsondeck,ast heywoul dsay . For st ar t er s, t he Gener al Medi ci ne war dsandI CUswer et r ansf or medi nt o COVI D ar eas, r ecei vi ng COVI D19 posi t i ve pat i ent sf r om ot herhospi t al s. The r emai ni ng Gener al Medi ci ne pat i ent sst i l ladmi t t ed wer et r ansf er r ed t o bor r owed beds f r om ot her depar t ment s.Admi ssi ons wer el i mi t ed and di schar gesexpedi t ed t o gi ve way f ort he expect ed t r ansf er s ofCOVI D pat i ent s. I n or der t o l i mi ti nf ect i on t r ansmi ssi on, t he depar t ment di vi ded t he wor kf or ce i nt ot hr ee t eams;each t eam woul d go on dut yf orone week, f ol l owedbyasel f quar ant i neper i odof t woweeks.Soon,r esi dent sf r om ot her depar t ment s and vol unt eer sf r om t he Depar t mentofHeal t h al so came i nt o hel p. Ani nt er nalmedi ci ner esi dentondut ydi l i gent l ywor ksi nt heCOVI Dwar dsi nf ul lPPE.

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I nbol dcol or f ulpr i nt ,t hemessage" THANKYOU,OUR HEROES! "gr eet st hePGH wor kf or ceal ongt he hal l waysoft hedesi gnat edCOVI Dwar ds.

W hi l emuc hwor kha s be e nde di c a t e dt ot he COVI Da r e a s ,t her e s t oft hede pa r t me nt ’ s a c t i v i t i e sha v el a r g e l y mi g r a t e donl i ne .Gr a nd r ounds ,me di c a la udi t s , a nddi v i s i on c onf e r e nc e sa r enow he l dv i aZoom me e t i ng s . Whi l emuchwor khasbeendedi cat edt o t he COVI D ar eas, t he r est of t he depar t ment ' s act i vi t i es have l ar gel y mi gr at edonl i ne.Gr andr ounds,medi cal audi t s,anddi vi si onconf er encesar enow hel dvi aZoom meet i ngs.Tosuppl ement t het r ai nees’l ear ni ng,consul t ant shave al sobegundel i ver i ngonl i nel ect ur est o i t sr esi dent s.Resi dent sal sot aket hei r mont hl yexamst hr ough Googl e For ms and t hei rr esear ch cour ses t hr ough Googl e Cl assr oom. Admi ni st r at i ve meet i ngs ar e now al l onl i ne, whi l e Tel egr am andVi bergr oupshavebeen maxi mi zedf oreaseofcommuni cat i on.

TheMedi calI nt ensi veCar eUni thousespat i ent swi t hmor esever ecases.Ar esi dentmakeshi sway i nt oi t shal l st oensur et hewel l bei ngofapat i ent .

I n r esponse t o t he cl osur e of t he out pat i entcl i ni cs,t hedier entdi vi si ons oft hedepar t mental socr eat edmeanst o cont i nue t hei r ser vi ces t hr ough t el emedi ci ne. Each di vi si on di ssemi nat ed phone number s f or pat i ent st o cont act f or consul t s and pr escr i pt i ons. Though l i mi t ed, t hi s al l owspat i ent st ost i l lseekconsul t at i on despi t e t he r est r i ct i ons of t he quar ant i ne. Needl esst osay ,t hechangeshavebeen daunt i ng and over whel mi ng.COVI D19 i s, af t er al l , a new and unf ami l i ar di sease, and i t has al ways been unset t l i ngt obat t l et heunknown.Now, mor et han t wo mont hs i n,ever yt hi ng r emai ns i n const antﬂux,wi t h not hi ng seti nst one.St i l l ,despi t et hest r uggl es, t he depar t ment has per f or med r emar kabl yi nt hepastf ewweeks,r i si ng aboveandbeyondt headver si t i es.I ti s i ncr edi bl et oseet hedepar t mentcome t oget her l i ke t hi s; t or espond t oa f r i ght eni ng and unknown di sease;t o cr eat e and adaptt o an ent i r el y new syst em; t o manage despi t ei t s own l i mi t at i ons and chal l enges. The pandemi ci sf arf r om over ,andt hewor k i s notyetdone,butwhat evercomes next ,t he depar t mentwi l lcont i nue on per sever i ng,i nnovat i ng,ser vi ng,as i t al wayshas,asi tal wayswi l l .

Ani nt er nalmedi ci ner esi dentondut ydi l i gent l ywor ksi nt heCOVI Dwar dsi nf ul lPPE.

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Depar t mentofPhys i ol ogy: COVI DAct i vi t i es BYTHEDEPARTMENTOFPHYSI OLOGY

nr esponse t ot he escal at i on oft he I COVI D19pandemi ci nt hePhi l i ppi nes, t he Enhanced Communi t y Quar ant i ne

( ECQ)wasi mposedonmuchofLuzon begi nni ng Mar ch 16,2020,e ect i vel y l ocki ngdownt heent i r emet r o.Thi st i me ofi sol at i onmayhavef el tl i kea“ pr i son sent ence”t omostofus.Mor eover ,t he const ant i nﬂux of saddeni ng and wor r i some news r egar di ng t he pandemi c has br ought about a per vasi vechi l li nourhear t s.Fear sover our heal t h, saf et y , and secur i t y and t hose of our l oved ones may have cr i ppl ed us f r om goi ng about our dayt oday act i vi t i es,t hus suspendi ng usi nt hi suncomf or t abl est at eofl i mbo. However ,asaf acul t yoft heUni ver si t y , we r eal i zed t hat we cannot si mpl y abscondf r om ournobl er esponsi bi l i t i es as educat or s who ar e t asked wi t h hel pi ng st udent s r each t hei r f ul l pot ent i al s and r equi r ed compet enci es. Asmember soft hegr eat ercommuni t y , wemustur gent l yande i ci ent l yr espond t ot hepr essi ngneedsofsoci et yi nl i ght oft heCOVI D19heal t hcr i si s. Wi t ht hi s,dier entf acul t ymember sof t he Depar t ment of Physi ol ogy have par t akeni nt hef ol l owi ngendeavor s:

SERVI CE 1.Vol unt eer edt or emai nasf r ont l i ner s i nt heUPPGH 2.Coor di nat eddonat i onsf orUPPGH 3.Donat edt oUPPGHt hr oughGl obe, banks,andot herout l et s 4.Hel pedcr af tUPMani l a' sSaf eand Ei ci entWor kEnvi r onment Gui del i nes 5.Cont i nuedt opar t i ci pat ei nt he ment or i ngpr ogr am 6.Cont i nuedt ohel pnat i onaland i nt er nat i onalagenci eswi t h endeavor ssuchast heMent alHeal t h ActandCol or ect alCancerScr eeni ng 7.Cont i nuedt owor ki nt heResear ch Gr antAdmi ni st r at i onO i ce( RGAO) andUPMani l a

AdenomaDevel opi ngonl yaf t er ShockwaveLi t hot r i psy •19yearSur vi valofaPat i entwi t h Recur r entMet ast at i cAdr enal Cancer •Kl ebsi el l apneumoni aeBi l at er al LegAbscessesandLi verAbscess i nUncont r ol l edDi abet es •Pr evai l i ngFoodI nt ake,Physi cal Act i vi t yandHeal t hBel i ef si na Rur al Agr i cul t ur alCommuni t y •I I SA/ I EEE:Expl ai nabl eMachi ne Lear ni ngappl i edt oSi ngl eNucl eot i de Pol ymor phi smsf or Syst emi cLupusEr yt hemat osus Pr edi ct i on •Rheumat ol ogyI nt er nat i onal : Devel opmentofGenet i cRi sk Scor et oPr edi ctSLE •Jour nalofA ect i veDi sor der : Psychol ogi calI mpactofSoci al Di st anci ngPol i cyasaMeasur et o Reducet heSpr eadofCOVI D19 i nt hePhi l i ppi nes

TRAI NI NG ANDCONTI NUI NG PROFRESSI ONAL DEVELOPMENT 1.At t endednumer ous,al mostdai l y , educat i onalwebi nar s

“

Wehopet o dev e l opas e ns e ofc a ut i ous opt i mi s m a ndr e s i l i e nt hope . As t he days of evol vi ng COVI D19 knowl edge and shi f t i ng l ockdown pr ot ocol spassby ,mayweal lper si sti n our e or t s t o hel p one anot her , especi al l yt hosewhoar emosti nneed. Wehopet odevel opasenseofcaut i ous opt i mi sm and r esi l i enthope.May we cont i nue t o bel i eve t hatdespi t et hese uncer t ai nandt r yi ngt i mes,wecanst i l l gr ow i nt ot hebestver si onsofour sel ves and t owar ds becomi ng a t r ansf or med Fi l i pi nopeopl e.

Coor di nat eddonat i onst oUPMani l a.

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AngHamonng‘ New’Ever yday atngPagi gi ngSCPD ( Soci al l y Connect edBUTPhys i cal l yDi s t ant )

BYNI NAT.CASTI LLOCARANDANG,MA,MSC,PHD. st apokayo?Kamust apoang Kasmu ambayanangPi l i pi no? Napakahal agang magkamust ahan sa gi t na ng pandemyang dul ot ng COVI D19. Maaar i pa r i ng maki pagsal amuha( soci al l yconnect ed) , ' wagl anghabangmagkal api tsapi si kal na di st ansya ( physi cal l y di st ant ) . Mal ayo man, maaar i pa r i nt ayong magi ng mal api t sa pamamagi t an ng i ba’ t i bangt eknol ohi ya. Sagi t nangmgapagsubok,al al ahani n na“ i t ’ sokaynott obeokay! ”Posi bl eng mar ami sa at i n ay nagkar oon ng pr obl emaonakar amdam ngst r essdahi l sapandemyaatsal ockdown.Maaar i ng i ba’ t i ba ang at i ng kar anasan atang pi nagmumul anngst r essat pr obl ema, kungmer onman.Mar ami t ayongnagi ng pr obl ema kat ul ad ng kawal an ng hanapbuhay , pagt i gi l sa pagaar al , mat i ndi ng pagkabal i sa ( anxi et y) , kawal an ng kat i yakan ( uncer t ai nt y) , pagkawal aysamgamahalsabuhayat mga kai bi gan,atpagkai ni p dahi lsa kawal an ng kal ayaang l umabas at mamasyal . Nakadagdag pa r i t o ang kat ot ohanan na mar amit ayong mga kababayannanakat i r aonaki ki t ul oysa mga mal i l i t , masi si ki p, at hi ndi kompor t abl engespasyo. Anuanoangmgaposi bl enggawi nkung mayr oon t ayong pi nagdadaanan? Ang pananampal at aya atang pagkakar oon ngmut ualsuppor tandsoci alsol i dar i t y ( paki ki pagkapwa, pagmal asaki t , paghi ngingt ul ongkungki nakai l angan, pagkal i nga, pagunawa, pagpasensya sasar i l i atsamgakasama,pagt i wal asa i sa’ t i sa) ay mahal agang pagt uunangpansi n.Ang kat at agan at kakayahang umangkop ( r esi l i ence)ay madal as na i pi namamal as ng mga Pi l i pi nosagi t nangmgahamonomga pagbabago,i naasahanmanohi ndi .Ang kagal i ngansakal agi t naanngpandemya ay t unay na kai l angan pa nat i ng pai gt i ngi n.

mga t aong nagbahagi na si l a ay nagkar oon ng mai gt i ng na pananampal at aya at espi r i t wal i dad, panahon par a sa pagni ni l ay at pagaal aga sa sar i l i , opor t uni dad na makat ul ong sa i ba, mas mal api t na paki ki pagugnayan sa pami l ya at kai bi gan,o pagkakat aong magar alo makat ukl asng bagong kaal aman.Ang mga bi yaya na dal a ng at i ng t r abaho—l al o’ t kung t ul uyt ul oy ang swel do—ng at i ng kal i kasan, at ng pagt agumpaysaCOVI D19ayi l anl ang saat i ngmgaposi bl engpasal amat anna mgapangyayar iatbagaybagay . Per o ano nga ba ang “ new” sa si nasabi ngnew nor malkungpat ul oyat umi i gt i ngpar i nangkahi r apan;kul ang pa r i n ang mga ser bi syong pangkal usugan;pat ul oy ang pagl abag sa kar apat ang pant ao, pagsupi l sa mal ayang i mpor masyon at pamamahayag, at kawal an ng paggal angsai ba’ t i bangpunt odevi st a; atl aganappar i nangpangaabusong mga t aong makapangyar i han sa i ba’ t i bangl ar angant ul adnggobyer no, komuni dad,atpami l ya?Wal angnew sa nor malna ‘ yon!‘ Eh ano naman yung nor mal . . .kungmer onngabat al agang mai t ut ur i ngna‘ nor mal ’ ?

mgapagki l os at paguugal i na i naasahang gawi n ng t aongbayan sa l ahatng bagong si t wasyong dal a ng pangar awar aw na buhay? Hi ndina puwede ang dat i ng gawai n dahi lsa bant a ng vi r uskaya’ tkai l angan nat i ng paghandaanangmgapagbabago.Sana huwag po nat i ng kal i mut ang i sabuhay sanew ever ydayangat i ngpangi t ai nna magkar oon t ayo ng i sang j ust and humane soci et y par a sa l ahat ng Pi l i pi no,sal ahatngpar t engbansaat ngmundo. Kayangkaya… kung samasama.We ar eal li nt hi st oget her . Taospuso ang ami ng mga panal angi n par asamgayumao, Par asamgapasyent engkasal ukuyang nagpapagal i ng, Atpar asamgapasyent enggumal i ngna saCOVI D19. Pagpal ai nponawaangat i ngbayanat mgamamamayan! Dahi l nandi t o pa si ” Cor ona” ay kai l angan nat i ng t andaan ang mga sumusunodnapaal al a:

Maaar i ba nat i ng i t ur i ng na new ever yday o new now ( bagong pangar awar aw na pamumuhay o bagong ngayon) ang kasal ukuyang

Hi ndil angpur opr obl emaangdul otng kasal ukuyang si t wasyon. Mar ahi l ay nakar anasdi nt ayongmgamagandao posi t i bongbagayatpangyayar i .Mer ong

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BYKEVI NMI CHAELC.MOALONG,MD,UPCM CLASSOF2017( ADULTNEUROLOGYRESI DENT)

cont act has unf or t unat el y become t ant amount t o suspendi ng publ i c t r anspor t , cl osi ng down cl i ni cs, and cancel i ng out pat i ent medi cal consul t at i ons. On 17 Mar ch 2020,t he door s oft he PGH Out pat i ent Depar t ment ( OPD) wer ecl osedi ndefini t el yi nkeepi ngwi t h t her est r i ct i onsposedbyt heNCRwi de l ockdown. Wi t hi n a week of t he announcementandbef or et hei ssuance ofo i ci aldi r ect i ves f r om t he hospi t al admi ni st r at i on, t he Depar t ment of Neur osci encespr ompt l ysetup mobi l e hot l i nesf ori t sdi vi si oncl i ni csi nor dert o pr eser vecommuni cat i onl i neswi t ht hei r r espect i ve pat i ent s and cont i nue medi cal consul t at i ons despi t e i nst i t ut i onal bar r i er s. Pat i ent s wi t h neur ol ogi c compl ai nt s coul d now cont act t he depar t ment t hr ough t he hot l i ne and r ecei ve di gi t al pr escr i pt i onsaf t er each t el econsul t . Thus,di dt el emedi ci ne evol ve i nt he hospi t al . Tel emedi ci ne,however ,i snotwi t houti t s l i mi t s: t he neur ol ogi c exam, whi ch r emai ns an i ndi spensabl et ooli nt he di agnosi sofneur ol ogi ccondi t i ons,i ni t s compr ehensi ve f or m i s an i mpossi bl e f eati nt hevi r t ualpl ane,par t i cul ar l yf or pat i ent snotyetknownt ot heser vi ces. The t el econsul t showeveronl yf ul fil l ed par t of t he ser vi ces t he depar t ment ai medt opr ovi def ori t spat i ent s,someof whom ar e const r ai ned by t he pr esent ci r cumst ances and by financi al dii cul t i es i n t hei r pr ocur ement of

Lef t :War dr oundswi t hourser vi ceconsul t antoft heweek.Ri ght :Fi r stERt hr ombol ysi sdur i ngt hepandemi c

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Depar t mentofNeur osci encesSt a Meet i ngvi aZoom

“

Thef i g hta g a i ns t COVI D1 9i sf a r f r om ov e r ,a nd huma ni t y ’ s r e s pons et ot he pa nde mi cha s c r e a t e dc ha ng e s , bot hi nt he pr a c t i c eof me di c i nea ndi n ev e r y da yl i f e ,t ha t a r el i ke l yt o pe r s i s t i nde f i ni t e l y .

Neur or esi dent si nLevel4PPEatt heCOVI DI CU.

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Mi r r or si nt hePas t : Medi calSt udent s dur i ngaPandemi c BYARMANDO E.CHI ONG I I I ,CLASS2021

“

“ Thepa nde mi c wi l lr e a l l yc ha ng e t hel a nds c a peof me di c a le duc a t i on a nda ss t ude nt s , weha v et oa dj us t a swe l l . ”

Theembodi mentofr el ent l esshar dwor k-t hePGHHumanSpi r i t .Anur sei nt heoper at i ngr oom ofPGH dur i ngt het i meoft hi spandemi c.Phot obyDr .Br entVi r ay .

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Themakeshi f tEmer gencyr oom i nPGHwhi chr ecei vesCOVI Dpr obabl e/ suspectcases.Theyar enur ses andr esi dent swhoi ni t i al l yt ookpl ungewhenPGHf unct i onedasoneoft her ef er r alcent er si nNCR.Phot o byDr .Br entVi r ay .

“

“ Fi l i pi no me di c a l s t ude nt sa r enot j us tf ut ur e phy s i c i a nswho wi l lc ur e di s e a s e sbut a l s of ut ur e s oc i a l mobi l i z e r swho wi l lc ur et he s oc i a li l l ne s s e s . ”

The PGH ER t r i age ar ea.The f r ont l i ner s who wer et he ones who br aved uncer t ai nt y ofwal ki n or t r ansf er r edpat i ent swi t houtanycl ueoft hei rCOVI Di nf ect i vi t y .Phot obyDr .Br entVi r ay .

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Ser vi cei nt heTi meof COVI D:AMedi cal St udent ' sSecondNat ur e

BYROBYNGAYLEDYCHI AO,CLASS2024 ut i ne most l y AUcoPnCsMistsstoufdetnhteâ&#x20AC;&#x2122;s sraome act i vi t i es

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â&#x20AC;&#x153;

Pe r ha pst he be s tha bi tbui l t i nme di c a l s c hooli st he c ompa s s i on a nds e r v i c ef or ot he r s . PAGE22

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Behi ndt heCur t ai n: Medi s ceneThr ought heYear s BYMARI AJENNI CAALCOVENDAZ,UPCM CLASS2023

edi scene i s ar guabl y one oft he M bi ggestandmostawai t edevent si n t heUPCol l egeofMedi ci ne( UPCM) .An

annual pl aywr i t i ng, musi cal , and t heat r i cal compet i t i on bet ween each l ear ni nguni t ,Medi sceneal l owsmedi cal st udent st oshowcaset hei rt al ent si nt he per f or mi ngar t swhi l eencour agi ngcl ass uni t y .Theeventi shost edandor gani zed by t he UP Medi ci ne St udentCounci l Cul t ur eandAr t sCommi t t ee( MSC CA) andi spar toft heannualUPCM Cul t ur e Week.Forone ni ghti nt he mont h of Mar ch orApr i l ,t he Phi l i ppi ne Gener al Hospi t al ( PGH) Sci ence Hal l i s t r ansf or med i nt o a mul t i set t heat er wher et heUPCM communi t ywi t nesses ﬁvemast er pi ecest hatcul mi nat eweeks ofassembl i ngpr ops,l ear ni ngl i nes,and r unni ng scenes al l on t op of t he st udent s’academi cl oad. Each year ,Medi scene i s assi gned a t heme t hatcan be pol i t i cal l yr el evant , comf or t abl y f ami l i ar , cul t ur al l y si gni ﬁcantoranyt hi ng undert he sun. Al t hought hepar t i ci pat i ngcl assesmust f ol l ow t he year ’ st heme,i thasal ways been open t ot hei ri nt er pr et at i on;t hi s al l owsal otofr oom f orcr eat i vef r eedom t hat woul d make each cl ass’ per f or mance uni quel yt hei r own.An exampl eoft hi si sCl ass2023’ sent r yt o Medi scene 2017: Her o, “ Si Mabai t ” , whi ch expl or ed t he unt ol d st or y of l abor at or yani mal susedi nt henameof r esear ch.Medi scene2018:AMusi cal e, whi ch r equi r ed t he use of nur ser y r hymesasani nspi r at i onf ort hecl asses’ per f or mances,wasanot hert hemet hat hi ghl i ght ed t he st udent s’ t al ent and i ngenui t y .Cl ass 2022’ s“ Lobo” ,hai l ed f r om t heFi l i pi nonur ser yr hyme“ Akoay May Lobo” , del ved i nt o t he dar k compl exi t i esofhuman nat ur e and t he human mi nd, and won t he over al l champi onshi p awar d f or t hat year . Thr ough t he year s,t he PGH Sci ence Hal l has seen seasons of medi cal st udent s’t heat r i calgeni us.The past Medi scene t hemes t hatser ved as a pl at f or mf ort hi sar e: 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

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Gr eenerPast ur es Ti met oGi veBack Legacy TheMedSchoolMusi cal TheDier entFacesofLove Kar ma Pol i t i cs Her o AMusi cal e Al amatatMi t o Si ns

Si l abyUPCM Cl ass2021. Phot ocour t esyofUPCM Cl ass2021.

LobobyUPCM Cl ass2022 Phot ocour t esyofUPCM Cl ass2022.

Vent r i l oki yaAFbyUPCM Cl ass2019 Phot ocour t esyofUPCM Col l ect i ve.

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Si nce i ti s a compet i t i on,j udges wi t h r espect abl eknowl edgeandexper i ence i nt he per f or mi ng ar t s ar ei nvi t ed t o eval uat eandawar dt heni ght ’ st opt hr ee per f or mances.Thesej udgesar eusual l y member soft hePhi l i ppi neEducat i onal Theat erAssoci at i on( PETA) ,pr of essor s f r om t he Uni ver si t y oft he Phi l i ppi nes Mani l a ( UPM) Col l ege ofAr t s and Sci ences - Depar t ment ofAr t s and Communi cat i on,and UPM al umniwho wer emember soft heat eror gani zat i ons l i keUPM Dr amat i st a.Duet ot hemul t i pl e el ement st hatgoi nt oapr oduct i on,t he j udgesal sogett oawar d:bestdi r ect or , scr i pt ,l eadper f or mer s,suppor t i ng scr i pt , l ead per f or mer s, suppor t i ng per f or mer s, sceni c desi gn, cost ume desi gn,t echandsounddesi gn,post er , andt r ai l er .I nyear swi t hmusi cal s,t he bestor i gi nal songandmusi cal scor ear e ar eal soawar ded.

Uyayi( I sangDul a)byUPCM Cl ass2018. Phot ocour t esyofDJVi l l eza.

Thr oughoutMedi scene’ s hi st or y ,t her e have been a numberofunf or get t abl e per f or mances so power f ul t hat t hei r f ame ext ended days pastMedi scene ni ght .Oneoft hemor er ecentoneswas Cl ass2019’ sent r yt oMedi scene2017: Her o,“ Vent r i l oki yaAF” ,whi cht ookt he bi ggesti ssue oft he count r yi n 2016 Fer di nandMar cos’ bur i ali nt heLi bi ngan ngmgaBayani-andmadei tar emi nder oft heat r oci t i esandi nj ust i cest hatwer e

“ Deepl yhar r owi ng. ”Fr om Mi nsanI sangGabi ngBumi l ogAngBuwanbyUPCM Cl ass2018 Phot ot akenf r om t het r ai l er .Cour t esyofDJVi l l eza

AnExcer ptf r om Cl ass2018’ sUyayi .Cour t esyofDJVi l l eza.

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t her eal i t yofact i vi st sdur i ngt heMar cos r egi me.Cl ass2019t henpr oceededt o wi n as t he over al l champi on, best di r ect or ,and bestsuppor t i ng act orof Medi scene2017.

“

TheUPCM c ommuni t yc ont i nue s t ol ook a tMe di s c e ne a sac ha nc et opr ov e t ha tt hea r t sa r e unde ni a bl ypa r tof wha tma ke sus huma n, a ndt ha tme di c a l s t ude nt sa r emor e t ha nj us tt he i r whi t euni f or ms a ndbooks . Themostr ecentMedi scenechampi on, Cl ass2021’ s“ Si l a” ,madet heaudi ence f eelasi ft heywer ei nt het hr i l l erst or y t hemsel ves wi t h a haunt i ngl y super b t ake on t he Fi l i pi no myt hi calcr eat ur e aswang.On t op oft he champi onshi p, Cl ass 2021 al so won t he bestt ech desi gn, best l ead per f or mance, best suppor t i ngper f or mance,bestdi r ect i on, and bestscr i ptofMedi scene 2019. However ,amongt hemanymemor i esi n Medi scene,noonecanar guet hatCl ass 2018’ st hr eeyearr ei gn as champi on ( domi nat i ng Medi scene 2014 wi t h “ Uyayi ” , 2015 wi t h “ Mi nsan I sang Gabi ngBumi l ogangBuwan” ,and2016 wi t h“ SeasonsDon’ tChange” )i st r ul ya f eatwor t hyoft hebooks. TheUPCM communi t ycont i nuest ol ook atMedi sceneasachancet opr ovet hat t he ar t s ar e undeni abl y par tofwhat makes us human, and t hat medi cal st udent sar emor et hanj ustt hei rwhi t e uni f or ms and books. Medi scene wi l l al ways be an avenue t ol ear n notof di seases and cur es, but of var i ous i deal s, bel i ef s, cul t ur es, and expr essi onsofhumani t y .Awayf r om t he st oi ci sm i mposedbyt hepat hwechose, Medi scene r emi nds us t hat t o under st and t he ar tofmedi ci ne i st o embr acewhatmakesushuman.

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Cont i nui ngSer vi ceThr oughoutt he Pandemi c:TheDFCM

BYTHEDEPARTMENTOFFAMi LYANDCOMMUNI TYMEDI CI NE nt he f ace ofcont i nuouschangesi n I t hemedi calﬁel d,wher ei nheal t hcar e

del i ver yhadbecomehi ghl yspeci al i zed, i mper sonal ,f r agment ed,andexpensi ve, t her e was a compel l i ng need f oran except i onalphysi ci an who woul d be abl et ocat ert ot hemaj or i t yoft heheal t h pr obl ems of Fi l i pi nos i n a compr ehensi ve and f ami l yor i ent ed appr oach. The Phi l i ppi ne Gener alHospi t alhad i ni t i al l ybeent r ai ni ngonl yspeci al i st sf or i npat i ent car e, pr oduci ng mor e speci al i st st hanwer eact ual l yneededi n t hecount r y .I twasdet er mi nedt hatt her e was a need t o t r ai n physi ci ans t o pr ovi de fir st cont act emer gency , pr i mar y ,and secondar y car ei n bot h emer gencyandout pat i entset t i ngs.Thi s pavedt hewayf ort hebi r t hofat woyear r esi dencypr ogr am f orGener alPr act i ce i n 1972.I twas l at erexpanded i nt oa t hr eeyear pr ogr am al l owi ng mor e t r ai ni ngi nf ami l ymedi ci ne.Thi sbecame t he fir st Fami l y and Communi t y Medi ci ner esi dencyt r ai ni ngpr ogr am i n t he count r y . The pr ogr am was envi si oned t o pr oduce a new ki nd of speci al i stwi t hawel l dier ent i at edr ol e i nt heheal t hsyst em andawel l defined setofski l l st o pr ovi de compr ehensi ve andhol i st i ccar et oi ndi vi dual s,f ami l i es, andcommuni t i es. The Depar t ment cont i nues t o move f or war d, knowi ng f ul l wel lt hat t he daunt i ngt askofat t endi ngt ot heheal t h needsofourcount r yi sst i l lunfini shed. _______ COVI D19RESPONSE Upon desi gnat i on of t he Phi l i ppi ne Gener alHospi t alas a COVI Dr ef er r al cent er ,t he Depar t ment asked f or vol unt eer sf r om i t sr esi dent st obepar t oft hefir stt hr eet eamst ogoondut yi n t he COVI D war ds. Ei ght r esi dent s vol unt eer edandwer edi st r i but edamong t het eams,goi ngondut yf oroneweek, f ol l owedbyt woweeksofsel f quar ant i ne bef or e goi ng on dut y agai n. As of wr i t i ng,t hese vol unt eer s have al r eady ser ved f ort hr ee cycl es,and a f r esh bat chofr esi dent si sbei ngpr epar edt o t akeover . Mi dwayi nt ot he Enhanced Communi t y Quar ant i ne, t he Depar t ment ’ s Suppor t i ve, Pal l i at i ve and Hospi ce Medi ci ne ( SPHM) Di vi si on was r equest edt ohel pi ncr af t i ngapr ocedur e wr i t i ng,t hese vol unt eer s have al r eady ser ved f ort hr ee cycl es,and a f r esh bat chofr esi dent si sbei ngpr epar edt o t akeover .

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Mi dwayi nt ot he Enhanced Communi t y Quar ant i ne, t he Depar t ment ’ s Suppor t i ve, Pal l i at i ve and Hospi ce Medi ci ne ( SPHM) Di vi si on was r equest edt ohel pi ncr af t i ngapr ocedur e f orobt ai ni ng advanced di r ect i vesf r om COVI D pat i ent s and t hei rf ami l i es,i n case mechani cal vent i l at i on or car di opul monar y r esusci t at i on i s needed.Havi ngcompl et edt hepr ot ocol f ort heabove,t heSPHM f acul t y ,f el l ows, and r esi dentr ot at or s began accept i ng r ef er r al sf r om t heCOVI D war dsf ort hi s pur pose. The wor k i s emot i onal l y dii cul t because of t he psychoemot i onal i mpact on pat i ent s t and f ami l i es who cannot see one anot herdur i ngt heconﬁnement .

becomet heobser vat i onwar df ort hese HCWs.TheDepar t menthasassi gneda seni orr esi dentt obeoncal l att heUPHS af t ero i cehour st oat t endt ot heneeds oft heseHCWs.Thr ought heUPHS,t he Depar t menthasal sobeencal l edupon t ohel pt hePGHCr i si sTeam l ookf orbed spacesf orHCWswhoar eunabl et ogo homeduet oquar ant i ner est r i ct i onsand t husneed a pl ace t o st ayi n neart he hospi t al . The UPHS i s al so i nt he pr ocess of pr epar i ng an educat i on pr ogr am t oi ncr easet heknowl edgeand awar eness ofal lhospi t alempl oyees r egar di ng t he pr oper pr event i on and t r eat mentofCOVI D19.

The si t uat i on i sf ur t heraggr avat ed by t he possi bi l i t yt hatpat i ent s can pass away wi t houtt hei rf ami l i es pr esentat bedsi de, l eadi ng t o mor e i nt ense gr i evi ng.Day by day ,t he Depar t ment cont i nues t o expl or e ways i n whi ch pat i ent sandf ami l i escanbesuppor t ed t hr ought hesedii cul tt i mes. I n addi t i on t o COVI D war d dut i esand SPHM r ef er r al s,t het hi r dmaj orr ol eof t heDepar t mentdur i ngt hepandemi ci s car i ng f or t he heal t h car e wor ker s ( HCW) of t he Phi l i ppi ne Gener al Hospi t al . TheDepar t menti si nchar ge oft heUPMani l aHeal t hSer vi cewhi ch at t ends t ot he heal t h needs of t he empl oyees and st udent s of bot h UPMani l a( UPHS)andPGH.I nor dert o r espondt ot henumer ousHCWsbei ng exposed t o or comi ng down wi t h COVI D19,t he UPHS has become a 7day a week,24hourf aci l i t y wi t hi t s ownt r i agel i net oseeHCWsandt ake nasophar yngeal sampl es f or r ever se t r anscr i pt i on – pol ymer ase chai n r eact i on( RTPCR)t est i ng. Empl oyees senthomef orquar ant i near emoni t or ed dai l y by t el ephone. Al l of t hi si s happeni ng whi l e cont i nui ng t o see empl oyees who need t o consul tf or nonCOVI D r easons, such as pr eempl oymentmedi calexami nat i on, nonCOVI D medi calconcer ns,andﬁtt o wor keval uat i onofempl oyeeswhower e pr evi ousl y on quar ant i ne.The UPHS hasbeent el emoni t or i ngasmanyas600 HCWs a day and has been r ecei vi ng anywher ef r om 70t o170consul t saday , up f r om 40 t o 50 per day dur i ng pr eCOVI Dt i mes. Because many HCWs who ar e bei ng obser ved f or possi bl e COVI D19 i nf ect i onar eunabl et ogohomeduet o di st anceorf earofi nf ect i ngt hei rf ami l y , t he sevent h ﬂooroft he hospi t alhas

TheDFCM physi ci ans’ver sat i l i t yshowsast hey t akeondier entr ol esbot hi nsi deandout si de t hehospi t aldur i ngt hi sCOVI D19Pandemi c.

Fami l yandCommuni t yPhysi ci ansar e si gni ﬁcantt eam pl ayer si ncar i ngf orour pat i ent swi t hCovi d19.Accept i ngsuchr ol ei s noteasybutt heyar ewi l l i ngt oendur et he dii cul t i est oheedt hecal lt oser vet hepat i ent s andourcount r y .

Fami l yandCommuni t yPhysi ci ans'ut i l i zed vi deoconf er enci ngandwebi nar si n demonst r at i onoft hei rcommi t mentt hat l ear ni ngcont i nuesdespi t et hechal l enges-al l f orbet t erser vi cet ot hei rpat i ent sandt hei r f ami l i es.Phot osf r om DFCM FacebookPage

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BYTHEUPMEDI CALALUMNISOCI ETY Y.Fong On(UAPpCrMil2C9la,s2s012907,1J)oshuncncyumb edt o

compl i cat i ons ar i si ng f r om a subdur al bl eed.He i s sur vi ved by Gr ace,hi s endur i ngwi f eandpar t neri nl i f ef ort he past 40 year s, 9 chi l dr en, 17 gr andchi l dr en,and i nnumer abl el oved ones. By many measur es Johnny l i ved an ext r aor di nar yl i f e.Athear t ,he was a nat ur alent r epr eneur — notj usti nt he busi ness ofhi s pr of essi on,buti nt he busi nessofl i f e.

Fi l i pi noAmer i can or gani zat i ons, hi s medi cal al umni associ at i on t he UPMASA, and t he Phi Kappa Mu f r at er ni t y .He was gener ous wi t h hi s t i me,i deas,andser vi ce. Athi scor e,hewasanext r emef ami l y man— an i ndul gence bor ne f r om t he supr emer especthebor ehi spar ent s,a wel l spr i ngf ort heki ndoff ami l yi nt i macy he engender ed by year s ofdedi cat ed

f ami l yconver sat i ons,di nner sandr oad t r i ps,t hef ountofhi sover whel mi ngdr i ve t o car ef orhi s chi l dr en’ s wel l bei ngs, car eer s,f ut ur e,andhappi ness.Oft hem he woul d say t hat hi s gr eat est accompl i shmentwast hest r engt hofhi s chi l dr en.Tr ue,hewasst er n,andwhen hemadeuphi smi nd,hi sdi r ect i oncoul d bepai nf ul l yunwaver i ngandunf or gi vi ng. Al t houghoneneednotl ookt oohar dt o ﬁndbur ni ngsi ncer i t yandl ove.

St ar t i ng i n 1971 wi t har esi dency i n Pedi at r i csatt heUni ver si t yofI l l i noi s,hi s pat h ﬁr st l ed t o a pedi at r i c pr i vat e pr act i cei nChi cago.Then,i n1976,he made a semi nalmove t ot he West Coast .The ci t y ofFr esno,Cal i f or ni a became t he capi t alofhi sl i f e and hi s dr eams. He became a pi ct ur e oft he moder n r enai ssance man.Hi s mi nd vent ur ed i nt o many di r ect i ons, r evel i ng i n i nnovat i on, oppor t uni t y , r i sk. He est abl i shed sever alcl i ni cs, ext ended heal t hcar et o under ser ved ar eas,t ook ont hebusi nessofmedi ci ne.Hi si nt er est segued i nt o medi caleducat i on. He hel pedest abl i shamedi calandnur si ng schooli nt he Phi l i ppi nes, a nur si ng school i n Sai pan, and a vocat i onal school f or medi cal assi st ant s i n Cal i f or ni a. Hei nvent edasaf er est r ai ntf orchi l dr en under goi ng l umbar punct ur es and devel oped sof t war e f or t r acki ng i mmuni zat i ons.He l oved pl ayi ng l ead gui t aranddr ums.Heenj oyedcar t oons and wr ot e and publ i shed a chi l dr en’ s f ai r yt al e book.Hi s phi l osophy on t he i mpor t ance off ami l y and communi t y r oot ed hi m t o per sonalagendas he consi der ed i mper at i ve.He st ar t ed t he Tamar awLi onsCl ubi nFr esno,di l i gent l y ser ved at l ocal and nat i onal

I N MEMORI AM J ohnnyYeeFong,M D SEPT 14,1946 -APRI L 29,2020

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ntof t en Thheappcreenastion‘deofanodveop.’artme For most i nst i t ut i ons,Der mat ol ogyi sal r eadyan est abl i shed depar t ment . At t he Uni ver si t y oft he Phi l i ppi nesPhi l i ppi ne Gener al Hospi t al ( UPPGH) ,i tt ook al mostt wodecadest ober ecogni zedas one.

The Uni t of Der mat ol ogy was est abl i shed by Dr .Per pet uo Gut i er r ez undert he Depar t mentofMedi ci ne i n 1922.Hewast r ul yapi oneer ,knownt o bet heFat herofPhi l i ppi neDer mat ol ogy as he paved t he way f or t he devel opment of t he speci al t yi n our count r y .Hewasoneoft hef ounder sof t he Phi l i ppi ne Der mat ol ogi calSoci et y est abl i shedi n1952andwasel ect edas i t sﬁr stpr esi dent .

The Uni twas t hen l at ermade i nt oa Sect i on as i tbegan i t s Der mat ol ogy r esi dencyt r ai ni ngpr ogr am i n1967.Year af t eryear ,t heSect i ongr ew notonl yi n f acul t y but al so r esi dent si nt r ai ni ng who,i nt ur n,havebecomet hel eader si n ot her t r ai ni ng i nst i t ut i ons and i nt he Phi l i ppi ne Der mat ol ogi cal Soci et y .I n 1993,t heSect i onsoughtel evat i oni nt o adepar t ment . Depar t ment al i zat i on i n t he UPPGH ent ai l sappr ovalbyt he chai r per son of t hedepar t mentunderwhi chi tbel ongs. I ti st henendor sedt ot heDeanoft heUP Col l egeofMedi ci ne( UPCM)andt ot he Di r ect or of t he Phi l i ppi ne Gener al Hospi t al( PGH) .Once t he pr oposali s appr oved, i ti s passed on t o t he

Chancel l or of t he Uni ver si t y of t he Phi l i ppi nesMani l a,whot henendor sesi t t ot heBoar dofRegent soft heUni ver si t y of t he Phi l i ppi nes Syst em f or final appr oval .I f any of t hese heads di sappr ove or find t he pr oposal unsat i sf act or y ,t hepr oposali sdeni ed. The fir st sound o f or pl ans of depar t ment al i zat i on happened i n 1993 dur i ngt het i meofDr .Amel i aMedi naas Sect i on chi ef( 19841999) .Dur i ng t hi s t i me, t he Sect i on of Neur ol ogy was l i kewi se seeki ng separ at i on f r om t he Depar t mentofMedi ci ne t of or m t he Depar t ment of Neur osci ences. They wer egi venpr i or i t ybyt hechai r per sonof t he Depar t ment of Medi ci ne, Dr . Cl ement eAmant e. Consequent l y ,t he depar t ment al i zat i onofDer mat ol ogywas pl acedonhol d. Wi t hDr .Cl ar i t aMaanoatt hehel m as Sect i on chi ef ( 20002009) ,t he fir st f or malpr oposalf ordepar t ment al i zat i on wassubmi t t ed.Thi swasendor sed by t heDepar t mentofMedi ci nechai r per son Dr . Medi ador a Sani el ( 20012003) . UPCM DeanCeci l Tomas,however ,had concer nsr egar di ngt heavai l abi l i t yand sust ai nabi l i t yoft heoper at i onal budgeti f t he Sect i on wer e t o become a Depar t ment .

Dr .Ei l eenCubi l l ant heDi vi si onChi efofDer mat ol ogyt ookt hebat onf ordepar t ment al i zat i oni n2019 t oget herwi t ht hesuppor tofDr .Ger ar doLegaspi ,PGHdi r ect or ,andDr .Char l ot t eChi ong,UPCM Dean. Theat mospher ei nt hepur sui tofdepar t ment al i zat i onoft heDi vi si onofDer mat ol ogywasencour agi ng.

Thepr oposalf ordepar t ment al i zat i on whi ch st ar t ed i n Jul y2019and waspr esent ed t ot hevar i ous execut i vecommi t t ees,advi sor ycounci l soft heDepar t mentofMedi ci ne,t hePhi l i ppi neGener alHospi t al andt heUPCol l egeofMedi ci newasﬁnal l yappr ovedi nt he1350t hmeet i ngoft heBoar dofRegent son Febr uar y3,2020.TheDepar t ment al i zat i onofDer mat ol ogyatl ongl astcamet opass.

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Pl ans f or depar t ment al i zat i on wer e def er r ed dur i ng t he t er m of Sect i on Chi efDr .Fr anci scaRoa( 20102012) .I t wasl at ert akenupwhenDr .Geor gi na Past or ﬁde t ook o i ce i n 2013.Hopes wer ehi ghwi t hDr .Manuel Agul t oast he Uni ver si t y of t he Phi l i ppi nes Mani l a Chancel l orandDr .RodySyast henew chai r per son of t he Depar t ment of Medi ci ne.Bot hwer eopent ot hepl ans oft heSect i on,wi t ht hel at t erbei ngt he ﬁr stchai r per son t o seek r ef er endum f r om t heDepar t mentofMedi ci nef acul t y f orappr ovaloft hedepar t ment al i zat i on. Thevot ewasunani mousandt hel et t er f ordepar t ment al i zat i on was submi t t ed t o UPCM Dean Agnes Mej i a ( 20132018) . However , pl ans wer e agai n quashed as si mi l ar budget ar y concer ns came up, shel vi ng t he depar t ment al i zat i onofDer mat ol ogyf or t hesecondt i me. Thr ee year sl at eraf t ert he t er m ofDr . Lor na Fr ez, t he bat on of depar t ment al i zat i on was passed on t o Dr .Ei l eenCubi l l anwhot ookt her ei nsof t he Di vi si on i n 2019,wi t h Dr .Ger ar do Legaspicur r ent l yast hePGH di r ect or ,

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I twa sal ongr oa d t r a v e l e dwi t h di s c our a g i ng bl oc ka de sa nd s e e mi ng l y i ns ur mount a bl e hur dl e sa t e r yt ur n. ev Dr . Char l ot t e Chi ong as t he UPCM dean, and Dr . John Añonuevo, as chai r per son of t he Depar t ment of Medi ci ne. The at mospher e f or depar t ment al i zat i on was encour agi ng asbot hDr .Chi ongandDr .Legaspi wer e opent ot hepr oposalandsuppor t i veof t he Di vi si on’ s pur sui t of depar t ment al i zat i on. Thepr oposalwaspr epar edi nJul y2019 and was pr esent ed t o t he var i ous execut i ve commi t t ees and advi sor y counci l soft heDepar t mentofMedi ci ne, t hePhi l i ppi neGener alHospi t al ,andt he UP Col l ege of Medi ci ne. I t was unani mousl yappr ovedbyt hef acul t yof t he Col l ege on Sept ember10,2019, dur i ngt heCol l egeCounci lMeet i nghel d at Buenaf e Hal l . Wi t ht he pr oposal endor sedbyDi r ect orLegaspiandDean Chi ong t o t he Uni ver si t y of t he Phi l i ppi nes Mani l a Chancel l or , Dr . Car menci t a Padi l l a,i twasel evat ed t o t he Uni ver si t y’ s Boar d ofRegent sf or ﬁnalappr oval .Thepr oposalhadt opass must erwi t ht he execut i ve counci land

TheDepar t mentofDer mat ol ogyatpr esent dayhasar esi dencypr ogr am of15Der mat ol ogyr esi dent s, gr aduat i ngﬁver esi dent speryearand14consul t ant si ni t sf acul t yr ost er .Thr ought heyear s,i thaspr oven i t sst r engt handexcel l encei nt heaspect sofser vi ce,t r ai ni ngandr esear ch,beﬁt t i ngt hei nst i t ut i oni t r epr esent s.

advi sor ycounci loft heUni ver si t yoft he Phi l i ppi nes Pr esi dent Dani l o Concepci on. I n t he 1350t h meet i ng of t heBoar dofRegent sonFebr uar y3, 2020,wi t ht hei nst r uct i ont oi ncr easei t s r esi dencysl ot s,t heDepar t ment al i zat i on ofDer mat ol ogy atl ong l astcame t o pass. Ther ewasacol l ect i vesi ghofr el i efand j ubi l at i onamongt hef acul t yandal umni f ort he 98yearj our ney f r om Uni tt o Depar t ment .I twasal ongr oadt r avel ed wi t h di scour agi ng bl ockades and seemi ngl yi nsur mount abl e hur dl es at ever yt ur n.However ,t heper vasi veneed t o be pr oven wor t hy of st andi ng i ndependentf r om t hepar ent ageoft he Depar t mentofMedi ci ne wasconst ant . Per sever e and gr ow i t di d; f r om oner esi dent per t hr eeyear s and onl y t hr ee f acul t y member s t o t he pr esent day pr ogr am of15 r esi dent s. TheDepar t mentboast sofﬁver esi dent s gr aduat i ngperyearand14consul t ant s i ni t sf acul t yr ost er .The Depar t mentof Der mat ol ogyhas,t hr ought heyear s,

Acel ebr at i onoft r i umphf ort hef acul t yandi t sal umni ,f ort he98year sj our neyf r om uni tt odepar t ment . Theper vasi veneedt obepr ovenwor t hyt ost andi ndependentf r om t hepar ent ageoft heDepar t mentof Medi ci ne wasconst antyeti tbor ef r ui t i on af t ert he bl ockadesand hur dl es-pr oven wor t hyoft hei r excel l enceanddet er mi nat i on.

pr oveni t sst r engt handexcel l encei nt he aspect s of ser vi ce, t r ai ni ng, and r esear ch, beﬁt t i ng t he i nst i t ut i on i t r epr esent s. Bei ng a new depar t ment ,new pat hs bot hexci t i nganddaunt i ngunf ur l .Thi s new j our ney hol ds pr omi se as expansi on i nt ot he PGH Mul t i speci al t y Bui l di ng i s set , t hough hal t ed moment ar i l ybecauseoft heCOVI D19 pandemi c.An i ncr ease i n subspeci al t y o er i ngs i s al so i nt he wor ks.Att he same t i me, t her e i s f ur t her st r engt heni ngoft heexi st i ngspeci al t i es i thas pi oneer ed and f orwhi ch i thas beenknownsuchasder mat opat hol ogy , i mmunol ogy , phot ot her apy , and i nf ect i ousdi sease.Tel eder mat ol ogyi s cur r ent l ybei ngempl oyedandi mpr oved f or e ect i ve usage, al ong wi t h t el eder mat opat hol ogyi nt heo i ng.

UPPGHDer mat ol ogy wi l lbecel ebr at i ngi t s cent enni alanni ver sar y i n2022.I t s cent ur yl onghi st or yi s r i chi nbegi nni ngs, pr ogr ess,st r uggl es, e andaccol ades.Ther i sanew r oadmapset andanot herchapt ert o bewr i t t enf ort he21st depar t mentoft he Uni ver si t yoft he Phi l i ppi nesPhi l i ppi ne Gener alHospi t al–t he Depar t mentof Der mat ol ogy .

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HeFoundJoyas aSer vant l eaderand aThought l eader

BYTHEUPMEDI CALALUMNISOCI ETY r .Ant oni o “Tony” R.Lahoz was D bor nonJanuar y27,1925,i nVi gan, I l ocos Sur .He i st he second ofJose

Lahoz and Lour des Reyes’sons.He at t ended l ocalpubl i c school sf orhi s el ement ar yandhi ghschooleducat i on. I n 1944,Tony began hi s pr emedi cal st udi es at t he Uni ver si t y of t he Phi l i ppi nes( UP) ,becomi ngaUni ver si t y Schol arandamemberoft heUPMen’ s Basket bal lTeam.He obt ai ned hi sMD degr eef r om t heUPCol l egeofMedi ci ne ( UPCM)i n1953.Tonywentont ot r ai ni n Gener alSur ger y att he UP Phi l i ppi ne Gener alHospi t al( UPPGH) ,becomi ng Chi ef Resi dent i n 1957. Dur i ng r esi dency t r ai ni ng,he methi sf ut ur e wi f e—Tr i ni dad Rasay , an oper at i ng r oom nur se. I n1958,Tonyr et ur nedt ohi shomet own wi t h hi s wi f e and young f ami l yt o est abl i sh a r ur alpr act i ce and begi n bl azi ng new t r ai l s.I n Apr i l1959,t he Lahoz Cl i ni c was i naugur at ed;att hat t i me,a pr i vat e cl i ni c wi t h 10 i npat i ent beds was a r el at i vel y new concept . Unl i keot herphysi ci ansi nt own,Tonydi d notmakehomevi si t s;hewasagener al pr act i t i oner i n t he mor ni ng and a sur geoni nt heaf t er noon.I n1969,wi t ha gr owi ng pr act i ce, he r el ocat ed and expandedt heLahozCl i ni candHospi t al . He was l oved by pat i ent s and t hei r mul t i gener at i onalf ami l i es. Tony dedi cat ed hi msel ft oi mpr ovi ng heal t hcar eandachi evedt hi si nsomany ways.As Pr esi dentoft he I l ocos Sur Medi cal Soci et y ( I SMS; 19631967, 19711973) ,hepi oneer edt wopr oj ect s. The ﬁr st was Oper at i on Sal unat ( meani ng “ heal t h” ) , wher e I SMS member svent ur ed t or emot et ownsof

I l ocos Sur t o conduct publ i c heal t h i nf or mat i oncampai gnsandpr ovi def r ee consul t at i ons and medi ci ne.Oper at i on Sal unat was t he f or er unner of t he Soci et y’ s ongoi ng medi cal mi ssi ons. Theot herwast heMedi calAi dt oRur al I ndi gentAr eas ( MARI A) Pr oj ect ,f or whi chTonypar t ner edwi t ht hePhi l i ppi ne Medi cal Associ at i on t o r each under ser ved ar eas and bui l d medi cal ai d st at i ons t hat wer e st a ed wi t h physi ci ans t r ai ned i n communi t y devel opment . Anot herwayTonyi mpr ovedheal t hcar e wast hr ougheducat i on.Heoccasi onal l y r et ur ned t o UPCM t o shar e hi s exper i ences i nr ur alpr act i ce.He t ook char ge oft he UPCM Regi onal i zat i on Pr ogr am f orRegi onI .Hei nvi t edUPCM f acul t yt oo erpost gr aduat ecour sest o I SMS member s. Local l y , he st ar t ed t eachi ngi nt henur si ngpr ogr am att he Uni ver si t y of Nor t her n Phi l i ppi nes ( UNP) . Lat er on, he hel ped cr eat e UNP’ s St epLadder Cur r i cul um f or Heal t h Pr of essi onal s,whi ch event ual l y became t he f oundat i on f or t he est abl i shment of UNP’ s Col l ege of Heal t h Sci ences and i t s Col l ege of Medi ci ne.Thr oughhi sl eader shi pi nt he Rot ar y Cl ub ofVi gan and ot herci vi c or gani zat i ons,t hese ent i t i eswer e abl e t o expand t hei r communi t y out r each endeavor sexponent i al l y . Tony peacef ul l yj oi ned hi s cr eat oron May4,2020.Hei ssur vi vedbyhi swi f e, 9 chi l dr en ( 4 of whom ar e UPCM/ UPPGH t r ai ned physi ci ans bl azi ng t hei rown t r ai l si nt he I l ocos r egi on) ,15gr andchi l dr en,and7gr eat gr andchi l dr en.

I N MEMORI AM Antoni o R.Lahoz,M D J AN 27,1925 -MAY 4,2020

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DEAN CHI ONG NAMED NASTACADEMI AN AT2020NASTPHLVI RTUALAWARDI NG CEREMONY

Thephot owast akenf r om t heNASTPHLFacebookpageatf acebook. com/ nas t phl / phot os .

TheUP Col l egeofMedi ci neDeanChar l ot t eM.Chi ong,MD, PhDwasi nt r oducedbyt heNat i onalAcademyofSci enceand Technol ogy ( NAST) Phi l i ppi nes as one of i t s ni ne new member sl ast Jul y 5, 2020. Pr ai sed f or her wor k and achi evement si nt heďŹ el dofot ol ar yngol ogy ,DeanChar l ot t e Chi ongwaso i ci al l yi nduct edasaNASTAcademi ci andur i ng t he2020NASTPHLVi r t ualAwar di ngCer emonyhel dont he 10t hofJul y .

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EDI T ORI AL BOARD ANGELASI SONAGUI LAR,MD,MBA,MSC

Edi t or i nChi ef

ARMANDO CHI ONG I I I

UPCM 2021

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PHOT OJ OURNALI STS I anneKez i ahAgr i po,UPCM 2023 Fr anci neMel i s s aL ucas ,UPCM 2022

CONTRI BUT ORS Ni naCas t i l l oCar andang,MA,MSc,PhD El l aMaeMas ama y or ,MD UPCM Cl assof2018

Kev i nMi chaelMoal ong,MD UPCM Cl assof2017

Mar i aRaquelPas i mi o,MD UPCM Cl assof1994

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Edwar dHM Wang,MD,MSc UPCM Cl assof1983

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