Vol 7, Issue No.26 August 2005 (ob26)
Transcription
Vol 7, Issue No.26 August 2005 (ob26)
Volume 7 Issue No. 26 Quezon City, Philippines August, 2005 16th POA Midyear Convention in Davao City: Post Scriptum T he Philippine Orthopaedic Association South Mindanao Chapter (POA-SMC) successfully hosted the 16th Mid-Year POA Convention last April 21-23 held at the Waterfront Insular Hotel. More than 200 delegates composed of consultants and residents troop to Durianburg (with some bringing along their families) registered and attended the 3-day activity. (Continued to page 12) The first day was allotted for the sports activity and the opening of the booths and exhibits. The golfers went to Palos Verdes, a world class golf course in Davao City where Drs. Chua, Guevarra and Pecson all golfers of POA-SMC took their time to facilitate the game. Dr. Anthony Angala on the other hand took charge of the Badminton game. With the popularity of the game right now, it was no wonder why it has the most number POA-SMC President Dr. Gilbert Cauilan and POA President Dr, Miles Dela Rosa, formally opens the convention through a traditional ribbon cutting ceremony. (Continued to page 12) Unilab at 60: Celebrating Unity, Achievement U nilab’s success and survival story for all of 60 years is indeed a feat so remarkable it deserves a celebration like Bayanihan Day 2005. From its humble beginnings as a small drugstore in war-torn Manila in 1945 to being the country’s leading pharmaceutical company today, Unilab’s dramatic growth in the country and Southeast Asia perfectly demonstrates what Bayanihan can achieve: “Kayangkaya kung sama-sama.” This year’s Bayanihan Day festivities, aptly themed “Sama-sama sa Sisenta,” pays tribute to the enduring (Continued to page 26) Unilab executives join employees in a colorful parade to history that chronicled the launching of Unilab’s marketing divisions in the country and Southeast Asia. Page 2 Ortho Balita Volume 7, Number 26 August 2005 Count your blessings “ Gratitude is one of the least Articulate of the emotions, especially when it is deep.” - Felix Frankfurter blessing that came all the way from the Vatican, and with the picture of Pope John Paul II. The pope who W ithout doubt, all of us have been very busy – in our practice, in our careers, with our extra-curricular activities, and with our families. The only time most of us probably get slowed down, have time for reflection , and seek god’s help and intervention again, is when we ,or a member of the family , suddenly gets stricken with illness, tragedy, failure or misfortune. And then, in our sick bed and in individual solitude, we pray for god’s blessings and divine intercession. Seldom do we acknowledge, accept and realize that god has been showering us with blessings all life long. We just did not recognize that god’s blessings were his gifts to us throughout our lifetime. We just wrongly and foolishly thought they were the products of our human “greatness”. I don’t want to sound like fr. Gerry Orbos, who has consistently provided the POA inspiration by celebrating an annual POA mass during our annual convention. His “reflections” has been wonderful reading too. I have had a special blessing from god. It was right there behind me in my clinic, hung on the wall behind my chair. My patients, secretary, visitors and friends from the pharmaceutical companies who pay me a visit, probably notice and see it more often than I do, since it’s my back turned towards it. And one day, I suddenly realized how valuable that piece of blessing is. It is a special papal would one day become a saint has caused it to be sent to me and a select handful of physicians belonging to our original Albay polyclinic group. More than the paper, however, was the realization that I have had enormous blessings and gifts of love from god, and for which I and my family are very thankful for. It took the mortal demise of Pope John Paul II to remind me how blessed we have all been in this life. You too have probably been blessed more than me or anybody else in this world, it only takes your courage to accept and acknowledge that our blessings and accomplishments in this world all came from our god, in whatever form you believe and worship him. * * * Executive order 439 was issued May, 2005 by Pres. Gloria Macapagal - Arroyo. It directs the department of Interior and Local Governments {DILG} to implement the geographical reassignment of the province of Palawan and the City of Puerto Princesa from the Southern Tagalog Region (region 5) to the Western Visayas Region {region 6}. The change is expected to be implemented soon. It was the thinking of the administration that such geographical reassignment will redound to better administrative and economic benefits for Palawan and Puerto Princesa. The change was implemented without benefit of a referendum, without hearing the voices of Palaweños. The POA South Luzon chapter, under then POASL Pres. Edwin Mercado and immediate past Pres. Ric Liwag, successfully hosted the 15th POA mid year Convention in Puerto Princesa last year. It was a very successful and memorable activity, everyone will most probably agree. Even our families, especially the children, had very fond memories of Palawan. If EO 439 is implemented, the POA will have the dilemma of whether to follow the DILG regrouping or not. We have two very hardworking fellows in Palawan, and I’m sure their attachments to the POA South Luzon can be compared to a fetal umbilical cord analogy. I suggest that the Palawan fellows , the POA South Luzon chapter and the POA board should start consultations on this matter, and find a win-win situation for this impending problem. (The author can be reached at: orthomed76@yahoo.com) August 2005 Ortho Balita Volume 7, Number 26 Page 3 Pasion MOA guest speaker P OA past president Dr. Ellewellyn G. Pasion was the guest of honor and the 13th Malaysian Orthopaedic (MOA) Lecturer during opening ceremonies of the MOA annual general and scientific meeting last May 11-15 in Miri, Malaysia. Dr. Pasion, who was the 24th POA President in 1987 and the 8th ASEAN Orthopaedic Association President in 1988, delivered the 13th MOA Annual Lecture with the topic, “AOA: Meeting the Challenges of the Millenium” . He was invited by MOA President Prof. Saw Aik, who was a POA guest with his wife during the 54th POA convention last December, 2004. Also representing the Philippines during the MOA convention were POA president Dr. Miles T. dela Rosa and POA immediate past president Dr. Rodolfo L. Nitollama. Dr. Pasion traced the beginnings of the AOA prior to its historic founding in manila in 1980. He showed vintage pictures of AOA founding fathers and members, much to the delight of the audience, which appreciated his lecture and the ad lib comments and the vintage (Continued to page 18) Dr. Ellewellyn G. Pasion POA gets 3rd EDSA Shang award T he Philippine Orthopaedic Association was presented by EDSA Shangri-la Hotel with the 2004 Top Producer Award for Group Conventions and Associations last April 5, 2005 at the hotel’s Garden Ballroom. The award was received on behalf of the POA by 2004 president Dr. Rodolfo L. Nitollama. It was the third award of a similar nature given to the POA. The first award was given to the POA during the term of 2002 president Dr. Venancio P. Garduce, Jr. The second award was during the term of 2003 president Dr. Arturo C. Cañete. Unfortunately, the award and a goodwill dinner tendered by the ESLH management came as the POA will move out of the Edsa Shangrila this year and return to Westin Philippine Plaza. It was a decision of the 2005 POA board. (From left) POA past president Dr. Venancio P. Garduce, Jr., EDSA Shangri-la Sales Manager Ms. Ethel Tejada, POA president Dr. Miles T. Dela Rosa, past president Dr. Rodolfo Nitollama, EDSA Shangri-la Business Development Director Ms. Lorie Gamalinda and POA Treasurer Dr. Francisco P. Altarejos during the awards night. Page 4 Ortho Balita Volume 7, Number 26 August 2005 Intelligent Knee Surgery (“The mission is too important to allow you to jeopardize it.” HAL computer in 2001: A Space Odyssey, explaining why it won’t let the spaceship commander back on board (1968). Stanley Kubrick (1928-1999), U.S. director) B ack in the 1960s it was fashionable I suppose to be dismayed about how computers will take over the world. There was no better distillation of that fear than Stanley Kubrick’s 2001: A Space Odyssey. It was classic man vs. computer, with the murderous HAL (now interpreted as a play on the monolithic IBM), almost winning. Fast-forward to early 21st century and yes, cautionary Hollywood fare on wayward computerized machines and monster robots haven’t gone out of style. In reality however, we have discarded the notion of the omnipotent, omniscient Computer and themed our lives: man and his tool, the computer. If you don’t know already, simple home appliances house computer chips and even the cheapest cellphone is computer chipped. Computers too have made their way into our operating rooms. Last month, in fact, I saw the future of orthopedics. Intelligent Knee Work. Orthopedic friends Drs. Rodolfo Frez and Emiliano Tablante of St. Luke’s Medical Center, Dr. Edwin Jerd Siatan of Asian Hospital, and I (together with Philippines DePuy representative Sharon Joy Guevarra) attended the latest DePuy/Jonhnson & Johnson course on computer –assisted knee surgery. The best place to teach new technology was upbeat Shanghai, epicenter of the 9.5% redhot growth of China. The seminar started with a live feed from North Carolina. It was morning there; evening in Shanghai. As the 90-odd participants settled in, Dr. David Pollock changed an arthritic knee using CAS-MiTKR or computerassisted surgery using minimally invasive (technique for) total knee replacement. How is this different from the total knee replacements we are doing now? First, the incision was smaller. Second, no drill hole was placed in the femur (thigh bone) and other “maximally-invasive” steps that meant more post-operative pain and longer healing times for the patient. Third, operating time was shorter, usually less than one hour. Fourth, sensors or reference arrays attached to the extremity pictured the operated knee on a computer screen allowing precise cuts of the saw blade. Filipino orthopedic surgeons would have scoffed at this Teutonic display of perfection, particularly in our culture of “oido” (Spanish for “hearing, ear” used locally for “playing by ear” on the piano usually, but in operating terms, for “eye-balling”). These advancements should ultimately mean better function and longer survival (of the new knee). a It’s the Operator, Stupid. The esteemed faculty (Prof Barrett from the UK, Prof. Choong from Australia, Prof Gottsauner-Wolf from Austria, Mr Clatworthy from New Zealand, Dr Yeo from Singapore, and Dr Maniar from India) could not emphasize enough that the computer is a TOOL and only that. It is the surgeon doing the operation. He is responsible for the results and only he. I guess that these are comforting words to soothe bruised orthopedic egos, particularly if there’s a computer staring down, flashing fancy numbers showing you’re 5 millimeters short or 4 degrees off. And I guess that that it was pretty smart of the software developers not to put a voice into this computer. After all, piqued surgeonartists hurl mallets and chisels (sometimes). Unicondylar Knee Replacement. Making a determined come-back is the “half” total knee or the unicondylar knee implant. In the knee arthritic process, it’s usually the inside of the knee (medial compartment) that fails first. At this stage, doing an outright total knee replacement seems overkill. This is the idea behind the “Preservation” unicondylar. Why not replace only the worn out (inside portion) of the knee? My colleagues and I took turns making cuts on sawbone models in the breakout sessions of the meeting. “Use the Force, Luke!” In the climactic scene in Star Wars Episode IV, Ben Obi Wan Kenobi’s voice-over persuades Luke Skywalker to put aside the CAS (computer-assisted shooting) and “use the Force.” Sure enough, sans computer, he bull’s-eyes the missile into the nerve center of the Death Star. This can’t happen in the operating theatre, period. The only drama there can be seen when things go wrong. And to computeruse proponents, major mishaps should be a thing of the past with computer assistance. In the end, intelligent knee (Continued to page 5) August 2005 Ortho Balita Volume 7, Number 26 Page 5 On Hand-Kissing Pope John Paul II’s Philippine Experience H and-kissing is a ritual of greeting, esteem, and respect. It is started by the person holding out her/his hand with the palm facing downward. The person kissing bows towards the offered hand and politely touches the knuckles with the lips, while gently holding the offered hand. In modern tradition, the lips may not touch actually the hand. The gesture is short, lasting less than a second. Historically, the gesture was common among European upper class people throughout the 18th and 19th century. It started to disappear in the 20th century. Its modern form involves a man kissing the hand of a woman. The hand-kiss originated in the Spanish court ceremonies of the 17th/18th Intelligent... (Continued from page 4) surgery is about the surgeon and not the computer. It’s about making the choice between more precise, reproducible surgeries and less precise and unfortunately reproducible surgeries. Computerassisted surgery is about more hits than misses. By the way, this isn’t even the future. It’s happening right now. It’s even available in the Philippines, too. The workshop finished with another live feed, this time from Switzerland. I could hear Prof. Berthet sighing in between saw cuts, “Très bon, très bon.” Let’s leave it at that. Maybe there can be beauty (and satisfaction) in precision, too. Maybe it’s the intelligent thing to expect. century. The gesture probably began as a formal submission or pledge of allegiance of man to man or man to woman. The man would show his submission by kissing the signet ring (a form of holiness), the symbol of authority of the dominant person. In the Philippines, I recall that in the early and mid-20th century, younger relatives used to kiss the hands of their older kin, especially their parents in a “mano po” style, which was a loving token of familial courtesy and bonding. But when the Americans came, this custom started to disappear, and is replaced by the ‘beso-beso” practice among close relatives and friends. Dr. Romeo D. Zamora, a well-known American-trained Filipino surgeon in Manila, considered himself blessed by the visit of Pope John Paul II in Manila in February 1981, when he was assigned by the Philippine Government as a counterpart medical escort to accompany the Holy Father on his trips around the Philippines on board aircrafts, helicopters and cars. Dr. Zamora was privileged not only to hold his hand and apply medications, but also “to feel a one-on-one presence with his holy aura, his serence gaze and his exceeding calmness”, even as they, together, traveled around the country. However, only a few of Pope John Paul II’s closest staff knew that he was suffering from the injuries as millions of people sought to kiss and even grasp his swollen hand and his fisherman’s rings. And he never complained. He caressed and nursed his hands himself gently, bruised as it was, from the fondling and the kissing by the people he loved who flocked around him as he made his pilgrimage to unite the world. Medically speaking, Pope John Paul II might have been at risk from bacterial, fungal or even viral infection. Unknowingly, people who were kissing the pontiff’s hand could have been carrying some particular germ through their saliva, sputum, nasal discharges or tears, or perhaps, in men beards or mustaches bearing a number of harmful molds. In a situation where the skin of the hand was already bruised, abraded and swollen thereby lowering the local skin and soft tissue resistance, it would be easy to surmise that secondary infection could have set in, at that time, adding to the physical and mental woes of the Pope. Despite these painful and disturbing complaints, he did not deny the people who chose to kiss his hand. The Pope’s personal physician and Dr. Romeo D. Zamora, (the Philippine counterpart) were advised by the Pope himself to secure some liquid medicine that must be colorless and tasteless, which he allowed to be applied on his swollen and traumatized hand. But the Holy Pontiff continued proffering his battered hand to our people during his 1981 visit here. The Holy Father ’s motto and favorite expression was “I’m always Totus Tuus (All Yours)”. Such a very kind soul, Pope John Paul II was. Bless Him! (The contributor is the Medical Director Of Our Lady of Lourdes Hospital,Sta. Mesa, Manila) Page 6 Ortho Balita Volume 7, Number 26 August 2005 Medical Tourism M edical Tourism is one of the remedies that may alleviate the flight of some of our colleagues to other lands, and mitigate their shift to the nursing profession. Medical tourism means that patients from other countries like the USA and Europe etc., can come to the Philippines in a tourist visa and have themselves admitted to a clinic or hospital to undergo any surgical or medical procedure at a much lower hospitalization cost and probably doctors fees, and at the same time tour the country’s tourist spot or stay in a five star hotel while recuperating. The medical tourist patient usually undergoes aesthetic cosmetic landscaping or elective surgical procedures in any of the best medical centers of Manila, Cebu and Davao, where the medical centers can compare neck to neck or even head to neck with that of the medical centers in Europe and the USA. There is no denying that our medical knowledge, skills and competence have attracted medical tourists to our country. One specialty that has already benefited from medical tourism, is cosmetic or plastic surgery, where many foreigners have been attracted to the unique style of the enhancement of man’s innate beauty, by re-shaping, re-modeling or constructing a more attractive facial slit chin, elevated nose bridge, face lift and slit or rounded eyes and shapely body appearance with breast enhancement and lipo suctioning etc. by our Filipino Surgeons. Another field that has also benefited from medical tourism is in the area of Transplant Surgery. Patient tourists from the Middle East have flocked and queued for kidney transplant surgery in our Medical Centers and have of course enriched our practitioners and somehow improved the Philippine Economy and businesses, by occupying our five star hotels, and or renting apartments, condominiums and townhouses or have even bought real estate property, while in the process of post surgical follow ups and recuperation. Some medical tourists have even toured the countryside while recuperating from a cosmetic surgery and have savored the beauty of our first class white refined sandy beaches, our rich adorable cultural heritage, and the elegance of our Filipino hospitality. Although medical tourism gives a clear cut economic advantage and business progress, it has also its own inherent disadvantages and risks that can be shared, transmitted or transferred from the global shores to our localities. Take for example the transfer or migration of some foreign resistant strains of bacteria or viruses or unusual diseases brought by these foreign medical tourists to our medical wards, when they get admitted and operated in our operating rooms or medical clinics. Further, some legal risks and implications may also arise. Some foreigners are so legalistic and litigious or civil damage conscious, that millions in dollars can be demanded from the local medical practitioner or medical center, for any perceived, manufactured or actual medical malpractice fault or negligence. Though it would somehow subject the medical tourists to vexatious trials and hearings in the Philippine Courts away from their foreign homes, the same can nevertheless inflict serious emotional distress and poverty to the medical practitioner and bankruptcy to the Medical Center, if he succumbs to a pre-trial negotiation of paying the demanded amount in exchange for an amicable settlement or for the withdrawal of the civil or criminal complaint against them. Much less, if final judgment is rendered in favor of the foreign medical tourist. Furthermore, the influential medical tourist can even file a complaint before the Philippine Department of Foreign Affairs or even ask his home government to file a diplomatic protest against the Republic of the Philippines for the perceived or actual physical injuries allegedly sustained by its citizens while undergoing the said surgical procedure. In the instance of a wrongful death either due to negligence or as a complication after a medical tourist undergoes a surgical procedure, a foreign government can demand damages in behalf of its citizen, against the government of the Republic of the Philippines. The failure of the Philippine Government to respond in a manner acceptable to that foreign government’s demand for pecuniary compensation to its citizen, can result to an international (Continued to page 7) August 2005 Ortho Balita Volume 7, Number 26 Page 7 POAFI Gets BIR, SEC Nods T approval from the Philippine council for NGO certification (PCNC), to be granted the status as a tax-exempt, non-stock, non-profit foundation. Immediately after the SEC approval, the POAFI also got its stamp of approval as a dulyregistered foundation with the Bureau of Internal Revenue (BIR). Dr. Nitollama emphasized that the POAFI must now work and move forward, with the aim in mind of fulfilling its mandate. It should now strive to get the more difficult In a related move, the POAFI founding board of trustees unanimously approved the appointments of Atty. Ramon Maronilla and Atty. Benjanmin Gorospe as chief legal counsel and legal counsel for tax matters, respectively. The two outstanding lawyers agreed to donate their services to the PAOFI pro bono, and were issued their appointment papers accordingly. he Philippine Orthopaedic Association Foundation Inc. (POAFI) was approved by the Securities and Exchange Commission on April 14, 2005 with a Company Reg. No. of CN200506215. This was announced by POAFI founding chairman Dr. Rodolfo L. Nitollama and founding president Dr. Ellewellyn G. Pasion. The POAFI Logo Medical... (Continued from page 6) crisis of great proportions. Though remote or peripheral, the same scenario can occur, if the irritants fall in the hands of a temperamental or explosive national leader. The diplomatic irritation can even be blown up into an unexpected actual war between the two nations in the extreme and unfortunate circumstance, by assertion of its personal jurisdiction over its nationals in the Philippines. If the injured medical tourist patient is a high government official of its national executive, parliament or legislative branch or national security, the government of the medical tourist may exercise its power to punish certain offenses of negligence or an alleged or invented finding of an intention to injure its national, and therefore, interpret the same as contrary to its national interest. War can break out if the same is not settled by pacific means, or if no third country brokers a mediation or reconciliation proceeding. In this instant case, the United Nations may interfere for the sake of international peace. The United Nations may call on the Republic of the Philippines, and the other country to settle their dispute by peaceful means in such a manner that international peace and security and justice are not endangered. The United Nations has an important purpose to maintain international peace and security by taking effective collective measures for the prevention of acts of aggression and other breaches of the peace and to bring about peaceful means and in conformity with the principles of justice and international law, adjustment or settlement of international disputes or situations which might lead to a breach of the peace. Imagine, what great and unexpected International scenario and occurrence can result from a mere alleged medical malpractice incident in the course of a Medical Tourism package and that medical tourist undergoing any medical or surgical procedure in the Philippines. The international scenario, is presently remote and maybe in the realm of a fantasy, conjecture or speculations, but the same can happened as a reasonable consequence, from a mere twist of nature or caso fortuito. They are nevertheless foreseeable and can be unavoidable. In the light of the foregoing disquisition, taking into consideration all the known advantages, risks, hazards and variables, of medical tourism, the same is still beneficial to our prudent medical practice in this country. (For any comments or objections to this article, please write to attyleo@tri-isys.com) Page 8 Ortho Balita Volume 7, Number 26 August 2005 Now you hear it, now you hear it more S tarting February 2005 the POA-SMC fellows can be heard through FM station Mom’s Radio (97.9), which is broadcast over the Souhern Mindanao Region. Through a memorandum of agreement between the POA-SMC officers and the management of the station, fellows of POA-SMC are invited as guest speakers/resource persons during the station’s segment “Your Healthy Bones” which is aired everyday from Monday to Saturday from 9:00-9:30 in the morning. Consistent with the objective of POA-SMC of empowering the people through information and education, the officers and members of the association readily accepted the offer of the radio station. Various important and interesting orthopedic topics are discussed during the segment. The fellows of the association on the other hand take their time to act as resource persons during the weekly interview. At least one fellow is interviewed every week. Based on the response obtained from the listeners and the management of the station, the POA-SMC segment is one of the most listened and sought after portion of the station. Thus presently, POA-SMC fellows can be heard through it’s AM radio program with DXRD entitled Clinic Hour during Wednesday and with Mom’s radio daily except Sunday at 97.9 FM. A cut to remember POA SMC phallic surgeons part II S ummer is traditionally the time when young Filipino boys go through the ritual of having the “cut” – or circumcision. On 30 April 2005 POA-SMC played ninong to around 105 children in Davao City through the activity “Operation Tuli Part 2” which was done in coordination with the AM radio station DXRD. The compound which the radio station occupied was once again filled with mothers and children who trooped to the place for the free circumcision procedure. These mothers and their children saved at least Php 500.00, which is the cost charged by some stand alone health clinics for this procedure. This community service activity was jointly sponsored by the Departments of Orthopedic Surgery and General Surgery of Davao Medical Center, the Department of Health and POA-SMC. Our corporate partner for this activity was Pharex Pharma. Among the POA fellows who joined this effort include the officers of POA-SMC led by Dr. Gilber Cauilan. Also present were Drs. Ricky Pecson, Eugene Nalian, Yddes Fidelis Amparo, Ronald Tangente, Larry Diaz, Anthony Angala, and Alex Peñaranda, Journal Club at K-1 Family KTV T o spice up journal club meetings, the POA CentralEastern Visayas (CEVC) chapter, held their first journal club for the year at a Family KTV last May 26, 2005. The activity, sponsored by Novartis, started with discussion of 2 journal articles over a couple bottles of beer and over-flowing crispy pata. The discussion of was soon over to give may to the singing prowess of the fellows and residents. August 2005 Ortho Balita Volume 7, Number 26 Page 9 POTS 2nd annual meeting T Dr. Suthorn Bavonratanavech he Philippine Orthopaedic Trauma Society held its second annual meeting in cooperation with The Philippine Orthopaedic Association, AO East Asia and AO International last July 9-10, 2005 at the Philippine Orthopaedic Center auditorium. This year’s theme was “AO Symposium on Practical Solutions to Complex Fractures and Difficult Periarticular Injuries”. This two-day affair featured plenary sessions and workshops on the new locked plates. Four international faculty members graced this affair namely: Dr. Garnet Donald Tregonning from Auckland, New Zealand, Dr. Suthorn Bavonratanavech from Thailand, Dr. Wilson Li from Hong Kong and Dr. Vajara Phiphobmongkol from Thailand. About 105 fellows and training residents registered for this meeting and about 48 consultants and chief residents participated in the workshop. There were four plenary sessions touching mostly on complex lower extremity injuries i.e., proximal and distal femur fractures, floating knees, proximal tibia and pilon fractures and the ipsilateral hip and shaft fractures. The plenary session on upper extremity injuries covered the Osteoporotic proximal humerus fracture, distal humeral fracture and complex elbow fracturedislocations. The workshop sessions in the two adjacent rooms near the auditorium had four stations per room and six (Continued to page 10) POACEVC induction of officers T he Central – Eastern Visayas chapter of the Philippine Orthopaedic Association had the induction of their new set officers last April 8, 2005. Dr. Winston Estera graced the occasion as the inducting officer and Dr. Art Canete gave an update on the management of osteoporosis. The new set of officers are composed of Tony San Juan (president), Poy Ilano (vicepresident), Judith Akol (secretary), Richard Condor (treasurer), and Ding Panares ( PRO). POA VICE - PRESIDENT Dr. George Winston B. Estera, the inducting officer, (left) poses with the POA - CEVC newly-inducted officers for the year 2005. With him are: (from right) Drs.Fidencio Pañares, Richard Condor, Judith Akol, Pablo Ilano III and Jose Antonio San Juan. THE POA-CEVC JOURNAL CLUB at Family -1 KTV (above and below) Page 10 Ortho Balita Volume 7, Number 26 POTS 2nd annual meeting participants for each station. The first workshop was on locked compression plate and locked proximal humeral plate. The second workshop delved on locked distal femoral plate and locked distal tibial plate using the MIPO technique. A live video coverage of the ongoing workshop was projected in the auditorium for the training residents who were not able to register for the limited slots available. At the end of the meeting, the organizing committee distributed certificates of attendance from the AO International. It was not a course completion certificate similar to the AO Basic Course, since it was not a comprehensive course program but rather an introduction to the Internal Fixator concept in complex fracture care. A table instructor’s course for future AO meetings capped the day’s events. Twenty POTS members were selected for this course and the four invited international faculty members each gave a talk. A course manual was given each participant as a teaching guide, and having completed a table instructor’s will make the POTS members eligible as table instructors for future AO courses here in Manila and the East Asian region. This joint meeting of the POTS, POA, AO International, and AO East Asia marks the reentry of the AO educational courses in the Philippines, the last of which was in 1996 at the Philippine Orthopaedic Center. At that time, the concept of rigid fixation was our main guiding principle in the treatment of intraarticular, metaphyseal and diaphyseal fractures. However, in the evolution of fracture care, it is now Dr. Garnet Donald Tregonning Dr. Wilson Li Dr. Vajara Phiphobmongkol The POTS members eith the ASEAN -OA Symposium speakers August 2005 (Continued from page 9) the locked internal fixator principle that will come to fore in the 21st century. With it, comes the minimally invasive surgical approaches, the less invasive stabilization system, and the combination locked compression plates. After this introductory joint meeting, the Philippine Orthopaedic Trauma (Continued to page 24) August 2005 Ortho Balita Volume 7, Number 26 Page 11 SOL: The POA's "Time and Season" for everything There is a time for everything and a season for every activity under heaven: a time to be born and a time to die, a time to plant and a time to uproot, a time to kill and a time to heal, a time to tear down and a time to build, a time to weep and a time to laugh, a time to mourn and a time to dance, a time to scatter stones and a time to gather them, a time to embrace and a time to refrain, a time to search and a time to give up, a time to keep and a time to throw away, a time to tear and a time to mend, a time to be silent and a time to speak, a time to love and a time to hate, a time for war and a time for peace. What does the worker gain from his toil? I (King Solomon) have seen the burden God has laid on men. He has made everything beautiful in its time. He has also set eternity in the hearts of men; yet they cannot fathom what God has done from beginning to end. I know there is nothing better for men than to be happy and do good while they live. That everyone may and eat and drink, and find satisfaction in all his toil - this is the gift of God. I know that everything God does will endure forever, nothing can be added to it and nothing taken from it. God does it so that men will revere Him. Ecclesiastes 3:1-14. For every POA activity for the past 9 years, Sol has been there organizing and orchestrating it. We find it difficult to recall one where Sol didn’t have a hand in. As a matter of fact, it the last POA-POTS AO Symposium last July 9-10, while in the confines of her bed at the Philippine Orthopedic Center, she was helping call the shots. Born November 1, 1959, she passed away last July 20, 2005 at the age of only 45. Indeed, Sol planted into the POA a lot of positive values that we all want to live by; values like dedication to work, selflessness, efficiency, industriousness and integrity, to name a few. Through her, a lot of the POA activities were “built up” - our activities became better organized, well and efficiently run, deadlines followed-up and readily met and problems in information dissemination became a thing of the past not only because of advances of technology but primarily through her persistence and devotion. Through her, the POA Staff found more than enough time to weep, mourn and share their own burdens but likewise the time to dance, sing and laugh. Through the memories she left behind, we can all find the time to reminisce and cherish them, gather and embrace and pick them all up for us to eventually carry on. Indeed through her, we have learned to love our Association more and to appreciate all the people behind it. Sol passed away so young. At the age of 45, there is still so much to be done, still so much to be learned and shared. It is quite difficult for a lot of us to understand why….but then again, her mission are finished and her purpose has been achieved; she has done her share to make everything beautiful in its time. Through the legacy she left behind, truly we can revere God. Knowing Sol has been a pleasure and a privilege. Now, she wants us to have a time of rejoicing because she is in a better place where there is no more pain and suffering but only peace, joy and fulfillment beyond words and understanding. Though her presence will be sorely missed, Sol lives on forever more through the activities of the POA and the hearts of its Fellows. - A POA Fellow Page 12 Ortho Balita Volume 7, Number 26 16th POA Midyear... of participants. In fact some fellows even requested the organizing committee if we can schedule another badminton game on the second day before the plenary session starts. The Bowling and Billiards games were under the author’s supervision held at the NCCC Mall, the venue of the games in the early morning of April 21. Dr. Delfin Rabe was also there to give a hand in facilitating. Unfortunately I don’t play bowling and billiards as well so I end up being a spectator while Dr. Dy cleans the lanes with impunity through his successive strikes. I have to hurry back to Insular Hotel after the game because the POA Business Meeting is to start at 2:00 pm. The booths and exhibits were opened by POA President Dr. Miles dela Rosa assisted by our very own Dr. Gilbert Cauilan. The ceremony was done under the background of a beating drum complete with dancers clad in native Bagobo costume. I was tempted to do my “shopping’ on that day SPEAKERS/ MODERATORS & POA-SMC OFFICERS of the Midyear Convention POA-SMC OFFICERS, SPEAKERS AND MODERATORS: FELLOWS during the POA business meeting of the midyear convention August 2005 (Continued from page 1 ) knowing fully that I will not be able to visit the booths the following days due to my assignments in the plenary session. After hurriedly getting some souvenirs and giveaways from various drug companies, we drove to “The Venue” where the fellowship night is to be held. POA-SMC needs some more practice for our performance later in the night. The Fellowship night opened with a bang with a grand opening ceremony with the famed Maharlika (Continued to page 13 ) August 2005 Ortho Balita Volume 7, Number 26 16th POA Midyear... Dance Troupe of Rizal Memorial Colleges performing the opening ritual. But prior to the beating of the drums and gongs, the fellows and their families and the residents as well have already started feasting on the “eat all you can” durian and pomelo outside of “The Venue”. Davao City Vice-Mayor Luis Bongguyan attended the fellowship night and to personally welcome the delegates to Davao City in behalf of Mayor Rodrigo Duterte. Aside from the overflowing food and dinks during the fellowship night, another highlight which really brought the house down was the Hagibis-inspired performances of the POA National officers led by Dr. dela Rosa, the native dance number of Central Visayas Chapter who will host next years’ midyear convention in Bohol. And of course the three-tiered dance number of the host chapter POASMC. Our act could be so good that why Dr Ed Lim and Dr. Wade could not resist but go up the stage and join us and be part of our dance Page 13 (Continued from page 12 ) number. With our adrenaline pumped-up, I did not even notice that our dance number was already finished. The next time I got my sense back, the POA-SMC officers and organizing committee members were already toasting beer to all the delegates. With the theme “Buto-buto sa Daba-daba”, the convention tackled important topics related to orthopedic practice particularly trauma complications. The (Continued to page 14 ) Gina Custodio of BMS (below, left) our traditional sports activities organizer for the midyear and annual conventions overseeing simultaneous sports activities Participants of the sports activities in action (top left, left, below left) Winners of the different sports activities pose during the midyear convention while receiving their prizes and championship trophies. Page 14 Ortho Balita Volume 7, Number 26 16th POA Midyear... convention organizers introduced a new approach to the conduct of the scientific session portion of the convention. Instead of the usual lecture-discussion type, this year’s scientific updates were conducted in an inter-active manner where a moderator is asked to present a case to a panel of reactors composed of at least three consultants who then presents his opinion regarding the case. To encourage participation among the delegates, they were also given time to throw question to any of the three panelists. This innovative approach made the scientific sessions more interactive, thus providing a venue for orthopedic Dance! dance! dance!!! JUMBO HOTDOG, KAYA MO BA TO!, KAYA MO BA TO! August 2005 (Continued from page 13 ) clinicians to exchange views, techniques and approaches in a colleagueal manner. Aside from learning new things from each other, the orthopedic surgeons and their families and friends were also given the option to enjoy Davao further through the various tours we have prepared. Some enjoyed nature tripping with a visit to the Philippine Eagle Conservation Program in Calinan, while others took the pleasure of exploring beautiful beaches and islands in the neighboring Island Garden City of Samal (IGACOS). Eden Resort with its cold weather was a favorite especially among fellows who brought their families with them. Not (Continued to page 15 ) August 2005 Ortho Balita Volume 7, Number 26 16th POA Midyear... to mention the Malagos Garden resort where the very popular bird show is being held. For those who just want to stay within the city and enjoy its nightlife, Davao’s famous fruit stands in Magsaysay park was a favorite destination where durian and other fruits (pomelo, mangosteen, water melon, etc.) were made available for the enjoyment of the delegates. Hosting the mid-year convention was a big challenge for the officers of POA-SMC and the Organizing Committee as well. The long hours of meeting, venue visits, security and hotel reservations, printing and bull-sessions were all worth it. Our objective of making sure that all the delegates would not only enjoy their stay Davao but also learn something from the scientific sessions were all achieved. Despite security concerns and threats of terrorism, the convention went smoothly. I guess we cannot ask for more. The Organizing Committee hopes that POA fellows and resident as well as their families would remember Davao and Mindanao as whole not because of the bombings and war, but of the hospitality and good life in abundance in the island. MADITA SALAMAT! - Dr. Eugene S. Nalian, FPOA 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012 Midyear picture gallery Page 15 (Continued from page 14 ) Page 16 Ortho Balita Volume 7, Number 26 August 2005 In pursuit of the mission... the challenges of growth in the POA T he honor and privilege of serving in the board has given me the opportunity to watch up close the development and growth of our association. With its present membership of 450 fellows , six regional chapters and ten subspecialty societies there is a need to draw a long term development plan to plot directions of growth , synchronous with our mission and vision statements, which is excellence in research, training and service for the benefit of the Filipino people. The foremost prerequisite in the attainment of this goal is to ensure the active involvement of all fellows in the association through their regional or subspecialty affiliations. To realize this objective, two important bridges must be built; the first one is an infrastructure to connect all fellows and two, a program to encourage communication and interaction with each other. As I write this article the upgrading of our website and our IT capabilities is being put in place and hopefully as agreed upon by all chapter presidents, implement a drive for all fellows to log in to our website and explore the forum section to connect to other fellows. Once we have a majority of our fellows logging in, we could start CME programs initiated by the subspecialty societies, such as interesting cases for fellows to interact, or for fellows to present their difficult cases for opinion in management. This forum will not be limited to academic matters as it would provide a medium of social interaction making each fellow aware that he BELONGS TO THE POA. This sense of belonging is the catalyst needed to implement the long term development plan. One of the greatest debacles in the pursuit of our goals is the very low appreciation of what I would term as the “culture of research”. We have tried to address this point earlier this year as the research committee has slowly but steadily taken a proactive stance by conducting research appraisal workshops which I am happy to announce produced three Clinical Practice Guidelines research protocols , the funding of which has been approved by the POA foundation. This CPG’s would be a major factor for presenting revised RVS values with PHIC and the HMO’s. The committee has also been tasked to undertake two separate research projects in the field of osteoporosis which hopefully would come out with local data on prevalence and cost of illness ,when realized would be a humble contribution of the POA to national health policy making bodies. As I write the third paragraph of this article, I would like to present two personal observations; one, the majority of the POA Board’s attention is directed towards the annual congress preparation, two, the lack of a leadership training program or forum where young and aspiring fellows could hone up their organizational and leadership skills in preparation for positions in the board. The first observation lies in the fact that the implementation of a long term development plan evokes the need for the board to focus on numerous projects, activities and other concerns of fellow members aside from the traditional annual congress. The second observation hopes to ensure a broader based enlistment program for would-be candidates for the board who have shown leadership, dedication and exceptional organizational skills during their “trainee” status. I offer a simple formula to the incoming board: (1) to devolve the preparations of the annual congress to the OCME or Scientific program committee; (2) to use the said committees as the training forum of young would be board aspirants; (3) (Continued from page 24) POA - Pfizer Quiz Show T he 5th year of the POA – Pfizer Residents’ Quiz Show was held during the 16 th POA Midyear Convention hosted by the South Mindanao Chapter last April 22, 2005 at the Waterfront Insular Hotel in Davao City. POA Trustee Dr. Edward A. Sarrosa and the Pfizer group together with Dr. Fortune Cruz made all the necessary preparations for this event. Dr. Cruz sourced out possible questions to be included in the list for the contest. Dr. Andres D. Borromeo, POA and PBO past president, and Dr. Cruz hosted the event. This activity was indeed a successful endeavor that challenged the answering capabilities of the residents. Each resident participant represents the orthopedic institution/ department (18 in all) accredited by the Philippine Board of Orthopaedics. For this year, Pfizer gave cash prizes of varying amounts to the top 3 team winners. Each team is comprised of three members The (Continued to page 17) August 2005 Ortho Balita Volume 7, Number 26 Page 17 Midyear convention 2006 T he Central-Eastern Visayas Chapter (CEVC) will be the host of next year’s mid-year conference at Panglao, Bohol. During this year’s mid-year conference at Davao, members of the CEV chapter performed a dance number to the tune of “Chocolate”. The chocolate hills is among the famous tourist destinations of Bohol. Midyear 2006 is going to be at the Bohol Beach Club, Panglao Island, Bohol on April 20-22, 2006. The theme will be “FAST-BREAK: Keeping Pace with the Latest Trends in Treating Sports Injuries”. There will be lectures on current concepts in managing sports injuries and a lot of fun under the sun! So see you at Bohol on April 2006! The men and women of the POA - Central Eastern Visayas Chapter dances to the tune of "Chocolate" as part of the presentations prepared by the chapter for the fellowship night of the POA midyear meet. The dance theme Chocolate is synonymous to what can be seen during their hosting of the next midyear convention which is the Chocolate hills in Bohol. POA - Pfizer Quiz Show first prize was won by the Yellow Team composed of Drs. Rex V. Santos (ITRMC), Renier Jerochi Jr. (CLMMRH) and Harem Deiparine (POC). The Second prize winner goes to the Red team composed of Drs. Antonio C. Martinez (VMMC), Andrew J. Tabberrah (SLMC), and Frederic G. Sarmen (VSMMC). The third prize then goes to the Green Team with members Drs. Heherson Cui (DMC), Jose Miguel Lumawig and Richillo Daguman (AFPMC). The POA expresses its gratitude to Pfizer for their unwavering support to this POA continuing medical education affair. The Residents’ Quiz Show has (Continued from page 16) started a benchmark in every midyear convention. We hope that this event will go on and still continue to receive the same support that Pfizer is giving. Page 18 Ortho Balita Volume 7, Number 26 August 2005 AOA: Meeting the Challenges of the Millenium This is the text of the 13 th MOA (Malaysian Orthopaedic Association) Annual Lecture delivered by Dr. Ellewelllyn G. Pasion during the Annual Scientific Meeting of the M.O.A. held at the Mega Hotel, Miri, Sarawak ., at the Opening Ceremony on 13th May 2005. Introduction: The idea of forming t he AOA was conceived during the Indonesian Orthopaedic Association Annual Meeting in Bali, Indonesia, 1979. The group of ASEAN orthopaedic surgeons led by Prof. Soelarto Reksoprodjo & Dr. Jose M. Pujalte Sr. met with other delegates from Singapore and Malaysia and decided to meet again in Manila. It was in Feb 24-26, 1981 when Dr. Jose M. Pujalte Sr. and the rest of the Founding Directors met at the ARMY NAVY Club in Manila to start in all, draft the Constitution and bylaws. Founding AOA Directors 1981 Philippines Dr. Jose M. Pujalte Sr. Dr. Jose V. Silao Sr. Dr.Vicente Pido Dr. Antonio Montalban Dr. Ellewellyn G. Pasion Dr. Rimando Saguin Singapore Prof. Robert Pho Pasion... (Continued from page 3) Dr. Ong Leong Boon Malaysia Prof. Balasubramanian Tan Son Dato Majed Ismail Thailand Dr. Keokarn Thomrongrat Dr. Natu Rukspoemung Indonesia Professor Soelarto Reksoprodjo Prof. Chehab Hilmy Historic 3 Days of Rigorous Meeting at the Army Navy Club of Manila to draft the constitution and by-laws and elect the office bearers -Membership is by country as represented by the National Orthopedic Association of each ASEAN country -All fellows of the National Associations become automatic members (individual) -The scientific meetings are held annually with each country being the host as determined alphabetically Objectives of the AOA -to establish and maintain an association of Orthopedic surgeons, not for pecuniary profit but for the benefit of humanity by advancing the science of Orthopedic Surgery and the ethical and competent practice of its art. -Through each National Association, to engage in scientific research to determine the cause, nature and cure of diseases (Right)MOA PRESIDENT DR. SAW AIK presents a token of appreciation to POA president Dr. Miles T. Dela Rosa after presenting his lecture on the Trauma Registry during the 13th MOA Annual Meetiing Dr. Ong Leong Boon, A O A Secretary General discussing the A S E A N meeting with Drs. Pasion and Dela Rosa. pictures. He also gave his own insights as a past AOA president and as one of the original founding members, as to the future directions that the AOA must take. Dr. Dela Rosa also took advantage of the opportunity during the MOA fellowship night to present a POA video inviting the MOA participants to the 25th AOA convention in Manila on November 13-20. 2005. All the Malong Soccer participants in a group picture. (Continued to page 19) August 2005 Ortho Balita Volume 7, Number 26 AOA: Meeting the Challenges... -To promote friendship and camaraderie among its members by frequent exchange of fellows through scholarships, traveling fellowships, and regular scientific and social intercourse in the ASEAN and other regions of the world. Organizational Perspectives -To contribute to the stability, peace and progress in the ASEAN region through the science and technology of the Orthopedic specialty. -By the end of the 20th Century and the beginning of the 21st Century, to be on equal footing with the First World Countries in terms of the science and art of Orthopedic surgery -To encourage healthy competition as well as cooperation among the ASEAN members in order to promote closer ties and friendships -To accept possible future members of the ASEAN With these objectives in mind, the constitution was drafted on the 27th day of February, 1981 and the 1st set of officers were elected First AOA Council President:Dr. Jose M. Pujalte; Senior VP:Prof. Soelarto Reksprodjo; Vice Presidents: Dr. Abdul Majid Ismail; Dr. Thamrongrat Keokarn; Prof. Robert WH Pho; Secretary General: Dr. Ong Leong Boon -Official inauguration and induction of officers was held on December 6, 1981 in a combined meeting with the Philippine Orthopedic Association at the Hotel Intercontinental , Makati City, Philippines F o u n d i n g Directors: Prof. Chehab Hilmy (Indonesia); P r o f . Balasubramanian (Above and below) The Philippine Delegates, speakers with the MOA (Malaysia); Dr. G. past presidents and their wives during the MOA' President's Dinner. Ellewellyn P a s i o n (Philippines); Dr. Antonio M. M o n t a l b a n (Philippines); Prof. Jose V. Silao (Philippines); Dr. Vicente Pido (Philippines) Page 19 (Continued from page 18) WHAT HAS BEEN ACCOMPLISHED SINCE THEN………… -Alphabetical hosting of the annual congress by the 5 ASEAN member nations since its Inaugural in Manila in 1981 Junior traveling fellowships since 1983 -Senior traveling fellowships since 1986 -American Orthopedic Association – ASEAN Orthopedic Association traveling fellowship since l995 EFORT traveling fellowship in 1996 -Sending of ASEAN delegates to the British Orthopedic Association meeting since 2004 Future Direction To extend invitation to other ASEAN countries to join the AOA: Vietnam; Laos; Cambodia; Myanmar; Brunei; Invite delegates from these ASEAN countries to attend the AOA annual meetings to get their interest in joining Problems: Political; Socio-economic; Lack of Orthopedic surgeons We have to address challenges in the different areas of concern: Socioeconomic; Academic Socio-Economic With the exception of Singapore and Malaysia, other ASEAN countries do have problems with their economy In the Philippines and Indonesia, poverty is still a problem - Inability to cope with the high cost of Orthopedic implants - Threat of bone-setters, especially in the rural areas Possible Solutions - ASEAN working committee on how to put down or subsidize high costs of implants - Manufacture ASEAN quality-made implants for the region Meeting with the multinational companies to offer lower costing for ASEAN member nations - Public awareness/Orthopedic education, dissemination to the rural areas The Malong Soccer players thankful for losing to save them from playing another game. (Continued to page 20) Page 20 Ortho Balita Volume 7, Number 26 AOA: Meeting the Challenges... Academic -Continuous exchange of Orthopedic knowledge in terms of - Updates on new trends -Clinical researchers and collaboration Possible ways to achieve it - The ideal set-up is to more or less have a common or unified standard residency training program among the ASEAN nations - Exchange professorship programs among University Hospitals of the 5 ASEAN member nations - Identify Orthopedic institutions which can offer Regular Fellowship Program in the different subspecialties for a specified number of months - Exchange Trainees/Residents Program among the ASEAN Training Institutions (eg. Spending 4-6 weeks in Malaysia for total joint arthroplasty; spending 46 weeks in Manila for Ilisarov method of fixation for infected non-unions of fractures) - To invite professors or senior Orthopedic surgeons to act as external examiners in the certifying board examinations of the different ASEAN countries - Set standard protocols for diagnosis and treatment of certain Orthopedic diseases common in the ASEAN for research purposes - Start an ASEAN registry of Joint arthroplasty; Infections; Tumors; Trauma - To hold regular Trainees courses before or after the annual ASEAN meeting with the senior Orthopedic surgeons as faculty - Share the latest of medical technology - Set-up an ASEAN website for fast and easy communication among member nations - Strengthen and contribute to the ASEAN journal Fast Advancing Medical Techonology will always fast track the progress of Orthopedic practice in the ASEAN region; however, we in the ASEAN should never forget to practice Orthopedics - Humanely - Compassionately - And above all, with the highest degree of ethics We should always think of the welfare and well-being of our patients which is very inherent in the ASEAN culture Relationships with other Regional/ International Associations The original 5 member nations of the ASEAN is noted for -Cohesiveness; -Strength and Unity; -Cooperative collaboration; -Teamwork We should maintain these collective qualities to make us a August 2005 (Continued from page 19) FORCE to reckon with in the Asian Region We should support the other Orthopedic Associations like the APOA, of which most of us are individual members We should cooperate, collaborate with our East Asian, AsiaPacific Orthopedic colleagues to improve, uplift the standard of Orthopedic practice in the whole of the Asia-Pacific RIM and thus be at level with our North American and European counterparts in this 21 st Century With the leadership of the future officers of the AOA, I can foresee a very bright and promising future for the AOA this millennium. Onwards to the next 25 years. Godspeed! Terima Kasih! Karaoke time the ASEAN way! MOA past presidents, Philippine delegates and ASEAN presidents pose with Hong Kong Orthopaedic Association President Dr. Jack Cheng (standing, extreme right) as guest. In the midst of major disasters in the region - Setting immediate response disaster teams which can be mobilized fast - Readily available Orthopedic implants like IM Nails, External Fixators, Soft Goods, etc. Dr. Saw Aik touring the ASEAN presidents at the exhibits area August 2005 Ortho Balita Volume 7, Number 26 Page 21 AOA Council holds 2nd extra-ordinary meeting T he ASEAN Orthopaedic Association (AOA) executive council held its second extraordinary council meeting in Miri, Malaysia on May 14, 2005 during the Malaysian Orthopedic Association (MOA) annual general and scientific meeting at the mega hotel. It was the second meeting of that sort, following the historic first extraordinary meeting held at Edsa Shangri-la hotel on December 2, 2004 during the 54th POA annual convention- IFFAS meeting in Mandaluyong City. It further justified the wisdom of the suggestion originally brought forth by AOA secretary-general Dr. Ong Leong Boon of Singapore. Prior to those two meetings, the AOA executive council usually meets only once a year, during the AOA annual convention, but recent developments have made the extra-ordinary meetings a necessity. In the absence of AOA president Dr. Suthorn Bavonratanavech of Thailand, who was on a previously-scheduled foreign trip, the informal meeting was presided by Dr. Ong Others in attendance were representatives from the five ASEAN national orthopaedic associations. Topics in the discussion was the expansion of the membership of the AOA from its present five member nations. Dr. OLB informed the group that Myanmar and Brunei are not yet ready, while Vietnam has the best potential in getting admitted as the sixth AOA member nation. Dr. Olb notified the council of the extent of the communications he had had with the officers of the Vietnamese Orthopaedic Association (VOA) during the recent months, expressing the VOA’s intention to join the AOA. In the end, the consensus was for Dr. Olb to communicate further with the VOA officers to determine their interest and readiness to join this year’s AOA senior and junior traveling fellowship programs. Subsequently, arrangements to include and accommodate a VOA traveling staff, and later on, a junior traveling fellowship were finalized. The VOA’s participation in the staff traveling fellowship and junior traveling fellowship programs may eventually lead to the formal admission of the VOA to the AOA in time for the 25th AOA anniversary meeting in November, 2005 in Manila, the council members felt the need to strengthen relationship with the British Orthopaedic Association (BOA) and the continuation of the AOA - BOA traveling fellowship, now on its second year, was likewise urged. Improvement of the AOA journal of Orthopaedic, and the 25th and 26th AOA convention schedules, were also discussed. POA - SMC - ORTO fellowship night T he Philippine Orthopaedic Association (POA) held its 16th Midyear Convention in Davao City last April 21-23, 2005 with its theme: “Buto-buto sa Daba-daba”. It was organized by the POA Mindanao Chapter. Among the participants were Consultants and Residents from accredited training institutions in the country. During the convention, the Organization of Residents Training in Orthopaedics (ORTO Inc.) held its fellowship night at the Matina Town Square right at the heart of the City. Training Residents from different institutions gathered for a night of singing, drinking and lots of fun. The night was made more enjoyable by live music rendered by a local musical band which enthusiastically performed a variety of dance and pop songs. The band was later joined by the some residents who enjoyed singing to the live music. (pictures on page 21) - Marcelino M. Cadag, MD (AFPMC) Page 22 Ortho Balita Volume 7, Number 26 August 2005 Buto ko 2, Luv ko to T he Philippine Council for the Bone and Joint Decade held a “Fun Walk” on May 29, 2005 at the Rajah Sulaiman Park, City of Manila led by this year’s council chairman Dr. Ester G. Penserga with the theme “Buto Ko 2, Luv Ko 2”. This event was sponsored by different Specialty Societies who are members of the Philippine Bone and Joint Decade Council in the country namely: Philippine Rheumatology Association, Philippine Orthopaedic Association, Osteoporosis Society of the Philippines and The Philippine Academy of Rehabilitation Medicine. This was also in cooperation with the Manila SK Federation. The program started out as early as 6:30 am where participants, guests and PCBJD Council members and staffs were among those who gathered at the park. It kicked off with an invocation and welcome remarks by Dr. Penserga and a welcome message from Hon. Roger G. Gernale. After all the talking, a short stretching exercise was initiated by Ms. Anne Bouffard with the bacground music "Katawan". All participants joined this stretching exercise where you can see the interest also among the old generation. The different representatives from pharmaceutical (Continued to page 23) PCBJDC Gallery (pages 22 & 23) The Fun Walk kicked-off through this preliminary activity, a stretching exercise led by Ms Anne Bouffard (lady in top left picture) with the tune of "Katawan" where everybody joined and had their exercise. The colorful uniforms of the pharmaceutical groups distinguish them from the crowd of participants People of all ages present at that moment during that day participated too in this walk session. August 2005 Ortho Balita Volume 7, Number 26 ORTO Inc. outing T he Organization of Residents Training in Orthopaedics (ORTO Inc.) held its annual scientific meeting last April 2, 2005 at the Batangas Country Club, City of Batangas. Among the participants were representatives from all accredited training institutions in the country. The event was made possible through the help of MSD Phils., which consistently supports the continuing medical education organized by ORTO. The activity started with a lunch buffet, followed by updates in POA Trauma Registry given by Dr. Arturo Cañete. An open forum, which was presided by Dr. Lauro Abrahan, immediately followed. The less formal part of the gathering started just before dinner, Buto ko... companies were also present and joined the fun walk along the bay of the Roxas Boulevard. The event was highlighted by a Lay Forum after the “Fun Walk” wherein the patients had a chance to ask questions to the when the residents were divided into groups for the fun games. After the fellowship dinner, the much awaited Bikini Open followed. This tradition featured junior residents from each institution clad in their best version of the famous swim wear, flaunting their talents and wit. The rest of the night was spent by singing, drinking and merrymaking.Marcelino T Cadag, MD (Continued from page 22) consultants and resident physicians and they in return were very enthusiastic in answering and explaining important matters to them. Residents a n d consultants g i v e lectures a n d answer questions thrown out by the lay people. Page 23 Page 24 Ortho Balita Volume 7, Number 26 August 2005 The POA On-Line T he Philippine Orthopaedic Association has been working a lot and is devoting time to improve its internet hosting to touch all of its members and come close to an internet-based form of communication and education. The POA website (www.philortho.org), hosted by Pfizer Phils., is trying its best to cater to the needs of the fellows. The site contains information on the chapters, the subspecialties, future scientific meetings, downloadable scientific programs, links to other orthopedic associations, downloadable Ortho Balita articles and annual convention information. We don’t end here. The internet offers a lot of gateway for improvement, a better information highway and the use of future technology. In this connection, the POA is extending its efforts to expand the capabilities of the website. You must have noticed that there is a section in the home page of our site asking for a “User Name” and a “Password” under the column “FELLOWS LOGIN”. Well, this will be the center of the topic we will discuss to you. What do you expect if you have logged in? Logging in would be unique for every Fellow. Each Fellow will have a distinct “User Name” and a common “Password” which can be modified by the particular user upon a successful login. What’s inside? The user, after a successful login, will be able to view one’s own profile able to edit them. They would also be granted permission to view the POA’s Administrative Manual and the POA By-Laws. In the days to come, you can also download some information on the recent Trauma Registry report, some lecture and educational articles from recent (Continued to page 27) In pursuit of the mission... (Continued from page 16) members of the said committee should be representative of the various units of the organization and must have been a fellow of at least 3 years and; (4) the board of trustees shall appoint the members of the committee to a term of 2-3 years before becoming eligible for nomination to the board. Clause 3 and 4 addresses the requirement of at least 5 years of being a fellow before becoming a board of trustee member. The growth of our association is apparent and forthcoming… What is needed is to nurture it with the same idealism, dedication, and perseverance of our founding fathers. POTS 2nd annual meeting Society plans to cascade this to the different regions through their respective chapters to allow fellows and residents a hands-on experience with this new technology and make it available in their practice area. The long awaited AO Basic Principles Course is scheduled for March 3-6, 2006 at the Philippine Orthopaedic Center. This 3½-day intensive course entitles you to a course certificate that you can use for applying to the advanced and other subspecialty courses and AO fellowship programs. It will be limited to 60 people with priorities given to fellows, who have not been to any AO Basic Course, board eligible graduates of the different accredited training institutions and chief residents. This will be cascaded (Continued from page 11) down to the lower year levels in the subsequent years, depending on the outcome of the 2006 course. NEW POTS PRESIDENT DR. ELLEWELLYN G. PASION inducts the new members of the society namely (from left) Drs. Noel Gloria, Julyn Aguilar, Norberto Meriales and Frederic Joseph Diyco among others. August 2005 Ortho Balita Volume 7, Number 26 Page 25 First APOA travelling professor L ast May 6, 2005 POSSM shared the different experiences he Investigation in a Group of Athletes”. General Membership had in sports injuries, osteoarthritis And as expected a fruitful and lively Scientific Meeting was and arthroplasty within the knee discussion ensued after each topic honored by the presence of the First region. In response to his generosity was discussed. I would like to take APOA Traveling Professor, in the we were able to reciprocate by this opportunity to thank and person of Professor Robert John having two in-coming POSSM congratulate both presentors for the Bartlett. Although the professor members present their research research that they shared to us. The presented himself to be a mild work. Dr. Ambrosio Valdez III meeting was also graced by no other mannered gentleman, there was than our ever president Dr. Miles nothing mild with regards to his de la Rosa, who acknowledged resume, which revealed a highly officially the contribution of Dr. accomplished doctor who held Bartlett to the POA Fellows and several positions of high he presented the professor with responsibility. And to name a few the usual Certificate of he was a past second Vice Appreciation, a token and a President, of the Asia Pacific small gift for his daughter who Orthopaedic Society of Sports was going to be married. To the Medicine, 1998-2000, past Vice POA President, thank you for President, of the Knee & Sports supporting the POSSM Meeting, Medicine Section, Western Pacific your presence was highly Professor Bartlett performing Knee arthroplasty at Orthopaedic Association, 1998appreciated. One vital key to the POC together with Dr. San Pedro and the AO 2000 and past President, of the residents. success of the meeting was the Australian Knee Society 1995. We support of our sponsors, are grateful that the past President presented his paper entitled “Short- UNIMED & STRYKER, who brought of the APOA, Dr. Sivananthan Term Evaluation of Autologous the professor here, all the way from conceptualized this traveling Chondrocyte Implantation Using Australia. To our sponsors, I reiterate professorship thus enabling us to Magnetic Resonance Imaging”, and my deepest gratitude for your experience and witness expertise Dr. Ian Tadeo Don Panuncialman generosity, and congratulate you for that was Dr. Bartlett. The professor presented his paper on “Quadrupled your sincere quest in continuing stayed in the Philippines for almost Bone- Semitendinosus ACL medical education within the Asia a week and did some surgeries with Reconstruction: A Clinical Pacific Region. the POA Fellows and residents. He Shoulder midyear at Discovery Suites D espite heavy rain and bad traffic, the midyear scientific meeting of the Philippine Shoulder Society (PShS) pushed through last August 5, 2005 at the Clermont Room of Discovery Suites. PShS President Dr. Alex R. Supapo gave the welcome remarks while PShS VicePresident and Scientific Program chairman Dr. B e n i g n o Agbayani Jr introduced the Dr. Jaeganath Krishnan guest speaker. Prof. Jaeganath Krishnan of Flinders Medical Centre and the Repatriation Hospital (of Adelaide, Australia) gave two excellent talks. He introduced cup arthroplasty and the “reverse shoulder” for irreparable proximal humerus fractures and rheumatoids. In this innovation, the glenoid is prepared to accept a balllike implant while the proximal humerus is hollowed-out as a socket. Hence, a “reverse” configuration. His second talk focused on massive rotator cuff tears, a shoulder conundrum. A porcine (pig) patch – a xenograft – was one of the options presented. Dr. Brix Pujalte, PShS founding president, gave a short introduction to the P.L.Asia/Rotta/ Pharmalink product for launching soon. “Injectable Hyaluronic Acid – An Out Patient Option for Osteoarthritis”. Since the molecular weight of this hyaluronic acid is low to moderate, the manufacturer’s claim is that the optimal effects are achieved mainly – it’s lubricating and shock absorbing functions. Dr. Antonio Rivera, PShS adviser gave the closing remarks. He challenged the shoulder society members to improve on their documentation and presentation skills with a view to truly share orthopedic know-how in future symposia. Page 26 Ortho Balita Unilab at 60... tradition of Bayanihan as the bedrock of Unilab’s organizational philosophy. More significantly, it honors the compelling and inspiring story of human enterprise that is Unilab — a story worth perpetuating for decades ahead. Sense of family, legacy Unilab Founder and Chairman Emeritus Jose Y. Campos led some 3,500-member audience composed of Unilab employees and guests from government, academe, business and medical communities who gathered at the World Trade Center last May 7 to celebrate Unilab’s 60th anniversary. Past presidents of Unilab, including two who flew in from the United States, attended the event. In her message, Chairman Jocelyn Campos-Hess emphasized that Bayanihan Day is, above all, a celebration of the Unilab Family. “We celebrate and thank our founding fathers for the priceless Bayanihan legacy they have handed down to us; our leaders, past and present; our retired brothers and sisters for their great contributions to the growth and development of Unilab,” she said. “We also celebrate and thank the present management and staff for their talent and dedication, without a doubt comprising one of the most formidable collection of talented professionals in Philippine business.” Volume 7, Number 26 August 2005 (Continued from page 1) She also thanked Unilab’s friends and partners, which she referred to as Unilab’s greater family. “We could not have grown to what we are now and we could not move forward into the future without the trust and support of Unilab’s greater family – the medical professionals, the allied professionals, trade UNILAB Chairman Jocelyn Campos-Hess expresses gratitude to the Unilab family and its partners in government, business and medical community for 60 years of Unilab success. partners, sub-distributors, wholesalers, retailers, suppliers, media, government regulatory agencies.” “And most of all,” she said, “the Filipino family for its continued Internationally acclaimed stage artist Lea Salonga led a roster of world class performers that serenaded a 3,500-member audience at the World Trade Center. patronage and for its faith in a Filipino company. Time for thanksgiving Festivities began with a Thanksgiving Mass presided by Bishop Antonio Tobias, Fr. Gerardo Tapiador and Fr. Mario Sanchez. A Food Festival followed where Senior executives of Unilab each brought a plate of food to the tables, reminiscent of a beautiful Filipino fiesta tradition called “salu-salo.” During dinner, an audiovisual presentation was played showing Unilab product endorsers led by Dolphy (Dolfenal) and Sharon Cuneta (pHCare) and presidents of hospital and medical associations as well as senior corporate officers of the business community greeting the Unilab Family. Vice Chairman Clinton Campos-Hess formally opened the program by welcoming the Unilab Family and guests. He said that the Bayanihan Day revelry is a tribute to the ideals of the company’s founders and with the present success of Unilab, gives enough reasons to celebrate the occasion. “There are enough reasons to rejoice. Not only have we enjoyed 60 years of dramatic growth, but in the process we have learned the endearing and enduring lessons engendered by working together and sharing the fruits of common endeavor.” The “Martsa sa Kasaysayan” or Parade to History then followed where representatives from various marketing divisions and support groups, including the marketing and manufacturing facilities in Southeast Asia, paraded on stage with colorful flags. The parade, supported by a photograph presentation that chronicled the launching of the marketing divisions here and in Southeast Asia, concluded with Unilab Board of Directors led by the Chairman joining the group on stage. (Continued to page 27) August 2005 Ortho Balita The POA On-Line meetings, and would be able to search for fellows and look at some of their data. So, what’s new? The POA webpage design team had incorporated an internet forum area. An “internet forum” or sometimes called a “web forum” is a web application which provides discussion often in conjunction with Online Communities (connected to a larger network) that share the same concerns and topics in one big group. This might not be new for some but for others, it would be good to try this. One objective of this internet forum is to be able to gather different personal as well as evidence-based explanation to whatever topic is posted for the day. The POA will be assigning a moderator or a subspecialty for whatever topic that may arise. Unilab at 60... (Continued from page 26) The festivities culminated with the gala musical performance of internationally-acclaimed stage artist Lea Salonga who enthralled the audience with her beautiful rendition of Ms. Saigon classic “On My Own” and Pinoy classics like “Waraywaray,” “Langis at Tubig” and “Dahil Sa Iyo.” Joining her on stage were Calvin Millado, Sining Kumintang, Banda Kawayan, the Philippine Madrigal Singers and the Symphony Orchestra. The Bayanihan Day 2005 celebration is indeed another memorable episode in Unilab’s already colorful history, made particularly special this year because Unilab rounds off 60 years in the business of nurturing the Filipino family – sixty long years that is the fulfillment of the vision of the founders and the beginning of a march towards a better future for Unilab. Indeed, as Chairman Jocelyn Campos-Hess puts it: “We’ve only just begun.” Volume 7, Number 26 Page 27 (Continued from page 24) This would be described fully in an example: First, the user has a difficult case, he is in the province and would like to get some opinion on what approaches can he do. The first thing that comes in mind would be to call a colleague, search the internet or go back to old notes. One remedy would be to login in the Fellows Login column of the POA website and post (upload the difficult case by typing all the necessary information you can give) your problem. Till then, you will be assured to receive different comments, different approaches and solutions to your problem. In the same way, these posted problems and solutions will be seen by all fellows logging in. They would also learn much when the user browses through the posted messages as well as post also their own opinions regarding the case. Who knows, one fellow might have done such case and had a favorable result! The POA would be monitoring all incoming posted messages rest assured that you get an answer either on time or within a day at most. After all of these has been done, the Administrator transfers the case under a topic and kept there as an archive. Then any other cases could be discussed again. Under the topics, you can always review and go back and see the discussions made by typing a keyword on the search box. Other future plans of the POA Internet group would be to develop and get used to the use of online meeting or often called web conferencing. Web conferencing is a conference conducted via the World Wide Web between two or more participants in different locations. Text, audio or video may be used to communicate in “real time” or in an asynchronous environment. This would be an easier way of communicating with our fellows in far areas of the country. It would cut short and beef up our finances since it would not be eating much of the airfare/transportation and accommodation of the Fellow. A recommendation for this to take effect is that a chapter or a subspecialty society should have their home base for this internet sessions. They must at least invest in computer hardware and software to at least equal the effective transmission of data either audio and video from their home base to the POA or otherwise. We are aiming to make the POA community to become a “POA On-Line Community”! At this age, the internet is by far a faster alternative for information dissemination. The POA urges or as we may say require all fellows to please have their own email addresses working. There are a lot of free email-hosting in the internet, all you need to do is open it at least 3 times a week to keep it active. Be rest assured that the POA is doing in all its capacities to fulfill these projects for our On-Line community step by step. 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 The POA-On-Line 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 Contest 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 This contest is the 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 brainchild of our president Dr. 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 Miles T. Dela Rosa. His aim is to 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 encourage the fellows to use the 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 internet regularly. This approach 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 is by far the best way of teaching 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 our fellows to go with the tide of 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 the emerging and wide use of the 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 information technology through the 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 use of the internet. This also has 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 a bigger purpose, especially in the 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 line of research, wherein the forum 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 can serve as criteria in creating 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 standards as Clinical Practice 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 Guidelines (CPG). CPGs are now 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 one of the main thrust of Dr. Dela 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 Rosa’s presidency for this year 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 and sees to it that the POA with 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 its POA Foundation at work would 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 come out with standardized, well12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 studied and acceptable CPGs. 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 12345678901234567890123456789012123456789 Page 28 Ortho Balita Volume 7, Number 26 August 2005 Ortho Balita the of the Newsletter of Official Newsletter Official Inc. Association, Inc. Orthopaedic Association, Philippine Orthopaedic Philippine BOARD EDITORIAL EDITORIAL BOARD JOSE S. PUJALTE, JR., MD Editor-in-Chief Editor-in-Chief MD JR. MD BENIGNO AGBAYANI, JR. MD CEASAR S. GREY, MD JOSE MA. R. CORUÑA, MD M. DIAZ, MD HILARIO M. HILARIO Associate Editors Associate L. NITOLLAMA, MD RODOLFO L. MD RODOLFO O. OLARTE, MD LEO O. LEO JOSE M. PUJALTE, MD SAM GROZMAN, MD SAM MD IV, MD GODOFREDO V. DUNGCA IV, MD CATBAGAN, MD ADRIAN B. CATBAGAN, MD ANTHONY SAN JUAN, MD MD PAYBA, MD RONNIE B. PAYBA, EUGENE NALIAN, MD EMMANUEL COLETO, MD EMMANUEL Contributors Contributors Westmont ad here MILES T. DELA ROSA, MD MILES Circulation Manager Circulation VILLANUEVA MIKE P. VILLANUEVA SOL DE JESUS SOL ROGIE LLAMAS-ARAGONES VERGARA A. VERGARA MARIA LOURDES A. DUMO JUNAR C. DUMO MOISES A. MANALO MOISES Editorial Assistants Editorial 2005 POA OFFICERS 2005 MD ROSA, MD MILES T. DELA ROSA, President President MD ESTERA, MD GEORGE GEORGE WINSTON B. ESTERA, Vice-President Vice-President MD SARROSA, MD EDWARD A. SARROSA, Secretary Secretary MD ALTAREJOS, MD FRANCISCO FRANCISCO P. ALTAREJOS, Treasurer Treasurer MD JR., MD JOSE S. PUJALTE, JR., MD JR., MD ALBERT U. DY, JR., MD BONIFACIO, MD LAURO LAURO R. BONIFACIO, MD TABLANTE, MD EMILIANO EMILIANO B. TABLANTE, MD GREY, MD CEASAR S. GREY, MD CORUÑA, MD JOSE MA. R. CORUÑA, MD DIAZ, MD HILARIO M. DIAZ, Trustees Trustees MD NITOLLAMA,MD RODOLFO RODOLFO L. NITOLLAMA, Ex-Officio Ex-Officio Inc. POA, Inc. Published Published by the POA, Plaza 11 Point Plaza Suite Suite 810 Future Point Ave., Panay Ave., Condominium, Condominium, 112 Panay 1103 City 1103 Quezon City 410-1331;410-1339 (+632) 410-1331;410-1339 Tel. Tel. No. (+632) 410-1283 Fax: (+632) 410-1283 E-mail: poa@bayandsl.com Website: www.philortho.org
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