Vol 6, Issue No.24 December 2004 (ob24)
Transcription
Vol 6, Issue No.24 December 2004 (ob24)
Volume 6 Issue No. 24 Quezon City, Philippines December, 2004 Committed to Excellence T he Philippine Orthopaedic Association, Inc. (POA) reaffirmed its commitment to excellence when it capped a banner year 2004 in a flurry of scientific and social activities. The POA successfully held its 55th Annual Congress combined with the 2nd Asian Congress of the International Federation of Foot and Ankle Societies (IFFAS) and the 4th Annual Convention of the Philippine Orthopaedic Foot and Ankle Society (POFAS) from November 30 – December 4, 2004 at the EDSA Shangri-la Hotel in Mandaluyong City. The theme of the convention is “A Leap Towards Globalization”. Association anniversary celebration combined with the 56th POA annual convention on November 14 - 20, 2005. POA president Dr. Rodolfo L. Nitollama led the 2004 POA Board of Trustees in accomplishing the plans and projects of the POA. The POA Foundation, Inc. was approved by the POA fellows during the PROF. BIYO proudly displays the POA More than 600 international and local delegates participated in this international convention, which is a prelude to the 25th ASEAN Orthopaedic Presidential Guest Speaker Prof. Josette T. Biyo (photo, at right) set the tone with her speech, “Commitment to Excellence”, which she delivered during the opening ceremonies on December 1. She clearly echoed the POA's thrust in her stirring presidential address delivered before an international audience that made every Filipino in the crowd proud of his lineage. IFFAS president Dr. Michael J. Coughlin thanked the POA for hosting the IFFAS council meeting and the IFFAS congress when he addressed the delegates during the POA Congress Banquet on Dec. 2. (Continued to page 4) plaque of appreciation that she received. ASEAN OA leaders hold first extraordinary meet INTERNATIONAL SPEAKERS Drs. John Gould, Michael Coughlin, Yasuhito Tanaka and Samson Chan at the VIP Welcome Dinner with POA president Dr. Rodolfo Nitollama, Prof. Ramon Gustilo and POFAS president Dr. Emiliano Tablante L eaders of the ASEAN Orthopaedic Association (AOA) held the First Extraordinary AOA Council Meeting on December 1, 2004 at the EDSA Shangri-la Hotel during the 55th POA Annual Convention. It was the first and only AOA council meeting held so far outside of the regular annual AOA council meetings held during AOA Annual Conventions, (Continued to page 11) Page 2 Ortho Balita Volume 6, Number 24 December 2004 BONE OF CONTENTION RODOLFO L. NITOLLAMA, MD, FPOA Dedication and doing one's best (Valedictory address delivered by Dr. Rodolfo L. Nitollama during the POA Congress Banquet on December 2, 2004) W hen this position of POA president was entrusted to me one year ago, I promised to myself that I will give it my best efforts. After all, one has to work at least 8 years in the POA Board before you reach the presidency. Time flies very fast, and almost 12 months have passed since the day I assumed the office. I have never regretted dedicating myself to the service of the association, knowing the sacrifices one has to go through. Tonight, I would like to thank the POA for this once-in-a-lifetime chance of assuming the POA presidency. Most of the plans that I set forth at the beginning of this year were accomplished. There are still so many things that need to be done, yet we have to move on with our lives. I have already reported to our fellows the things that we have done this year. Suffice it to say, that we have covered many areas in so short a time. If history will be kind to me, our fellows will remember that we had the POA Foundation, Inc., POA – Unilab Orthopaedic Subspecialty Fellowship Program, the POA Hymn, the POA Mission, Vision and Core Values statement, and the first British Orthopaedic AssociationASEAN-Johnson & Johnson traveling fellowship, the Philippine Musculoskeletal Tumor Society (PMTS), the new POA ID, the POA calendar 2005, the 2004 POA directory of fellows, and a lot more activities this year. We have had very good relationships with overseas international orthopedic organizations particularly the American Academy of Orthopaedic Surgeons (AAOS), American Orthopaedic Association (AOA), British Orthopaedic Association (BOA), Asia-Pacific Orthopaedic Association (APOA), and the other members of the ASEAN Orthopaedic Association (Malaysia, Thailand, I have never regretted even a single moment in this journey through this stage called Life. With all humility, I submit myself to the POA, and say “I have pursued my dreams, I have done my best, and I hope I had made a difference.” Indonesia and Singapore). I am happy to note that their presidents have all come together with their spouses, not only for the First Extraordinary ASEAN Council Meeting but for this Congress as well. I hope the succeeding Board of Trustees will continue with the initiatives and programs we have started this year: The strategic planning session; the first consultative meeting between the POA Board and the presidents of the subspecialty societies, POA chapters and the PBO chairman; the joint meeting with the PCS executive officers; and the POA 5-year Research Agenda. We have also launched this year the POA Road Traffic Safety project and the Bone and Joint Decade: Initiatives and Contributions of the POA, which I presented in Pattaya, Thailand during the 24th ASEAN Orthopaedic Association meeting last October. The image of the POA in the national setting has been considerably enhanced. We have consistently informed the public and our fellows of all our scientific and outreach programs like the Cottolengo Filipino, environmental safety and conservation concerns, and our forthcoming pediatric orthopedic ward visits. We have come out in the Panorama and Doctor On Call magazines, in the UP Carillon and in the Philippine Star, and we have consistently published the Ortho Balita and the Philippine Journal of Orthopaedics. Although we have managed the finances of the POA very well, it still needs the POA Foundation, Inc. to help raise enough funds for the advancement of research. Along the way, I had several partners in accomplishing my task. I would like to thank the POA Board of Trustees for their help and cooperation, the POA chapter presidents and the presidents of the POA subspecialty societies for their support, the POA secretariat for helping me out with accomplishing the day-to-day activities and year-toyear plans, and our friends in the pharmaceutical and orthopedic implant companies, the tri-media, and our contacts both here and abroad whom we had to tap and rely on for a lot of things. (Continued to page 3) December 2004 Ortho Balita Volume 6, Number 24 Page 3 POA, POAF, PBO Boards sworn in I n an unprecedented ceremony during the congress banquet of the 55th POA annual convention, three new Boards of Trustees were inducted into office by Philippine College of Surgeons President Dr. Edgardo Cortez. Inducted in solemn ceremonies by Dr. Cortez were the 2005 Boards of Trustees of the Philippine Orthopaedic Association and the Philippine Board of Orthopaedics, and the founding Board of Trustees of the newlyformed Philippine Orthopaedic Association Foundation (POAF). (See related story on page 4) The 2005 POA Board is composed of Drs. Miles T. Dela DR. CORTEZ congratulates the 2005 POA Board of Trustees (top and above photos). Rosa, president; George Winston B. Estera, vice-president; Edward A. Sarrosa, secretary; Francis P. Altarejos treasurer; Jose S. Pujalte, Jr., Albert U. Dy, Lauro R. Bonifacio, Emiliano B. Tablante, Cesar S. Grey (Luzon); Jose Ma. R. Coruña THE 2005 PBO Board of Trustees. (Continued to page 7) Dedication and... For their wholehearted support, love and understanding, I would like to thank my family - my mother, my wife Bernie, my children, my sisters and brother, and my personal friends, some of whom are in the audience tonight. Although I may not be able to personally mention all of them, I know there are countless others who have helped me along the way. I thank the Lord God for the countless blessings that have come (Visayas), Manuel Z. Sison (Mindanao), trustees; and Rodolfo L. Nitollama, ex-officio. The 2005 PBO Board is composed of Drs. Jose Z. Flordelis chairman; Andres D. Borromeo, vicechairman; Ricardo C. Liwag, secretary; Venancio P. Garduce, Jr. treasurer; Leslie M. Reyes, Dr. James C. P a g g a o , Norberto R. (Continued from page 2) my way, and more importantly, for this life and for this faith, and for giving me the strength of mind and spirit. As our presidential guest speaker Prof. Josette Biyo said yesterday, “Our talents, skills and opportunities come from God and should be used for His glory”. Life is like a stage, where we have to pass through but once. Having been the 41st president of the POA in its 55 years of existence, I knew I had contributed my pebble to this castle of our dreams, together with all the past POA presidents for whom I have commissioned a talented artist to produce their charcoaled paintings. I have never regretted even a single moment in this journey through this stage called Life. With all humility, I submit myself to the POA, and say “I have pursued my dreams, I have done my best, and I hope I had made a difference.” Page 4 Ortho Balita Volume 6, Number 24 December 2004 POA Foundation launched T he Philippine Orthopaedic Association Foundation (POAF) was finally launched during the annual business meeting of POA fellows on December 1, 2004. POA President Dr. Rodolfo L. Nitollama reported to the POA fellows that the POA Foundation needs to be established so that the POA can gather enough resources to be able to push through with its projects, particularly research. The move was also in line with the president’s idea to make the POA and the POAF qualify as a donee institution after fulfilling the stringent requirements of the Philippine Council for NGO Certification (PCNC). The proposal to establish the POA foundation (POAF) was approved unanimously by the POA fellows. Thereafter, Dr. Nitollama introduced the 9 founding trustees of the POAF. The founding trustees of the POA Foundation are: Drs. Rodolfo L. Nitollama, Chairman; Ellewellyn G. Pasion, President; Arturo C. Cañete, Secretary, Lauro M. Abrahan, Jr., Treasurer; and Mario B. Geronilla, Noel B. Carilo, Miles T. Dela Rosa, George Winston B. FOUNDING POAF TRUSTEES are sworn into office by PCS president Dr. Edgardo C. Cortez during the Congress Banquet on December 2, 2004. Estera, and Edward A. Sarrosa, Trustees. They were inducted into office by Philippine College of Surgeons President Edgardo C. Cortes during the congress banquet on December 2, 2004. All POA honorary fellows and fellows who are in good standing are Dr. Cortez members of the POA Foundation. Upon start of the Foundation’s operations, it will Committed to Excellence annual business meeting on December 1. Its founding Board of Trustees were presented before the POA fellows, and inducted into office on Dec. 2. The IFFAS lecturers presented well-applauded lectures during the first one-and-a-half days of the convention. The international faculty was composed of IFFAS President Dr. Michael J. Coughlin, Clinical Orthopaedic Society President Dr. G. James Sammarco, Immediate Past AOFAS President Dr. Glenn Pfeffer, Dr. John S. Gould, recruit corporate members, philantropists and other individuals who will be willing to donate to the POAF. This and other topics will be tackled by the POAF Board during its second meeting on Jan. 22, 2005. The establishment of the POAF and the launching of the POA’s five-year research plan are twin moves of the POA board this year which will give research activities much needed direction, funding and a shot in the arm, according to Dr. Nitollama. (Continued from page 1) and Dr. Edward V.A. Lim, all of the USA; Drs. Yoshinori Takakura and Yashuhito Tanaka of Japan; Past EFAS President Dr. Patrice Diebold of France, Prof. In Heon Park of Korea and Prof. Samson Chan of Hong Kong. The local faculty was headed by Dr. Emiliano B. Tablante. cooperation of the POA Board of trustees, the chapters and subspecialty societies, and the overwhelming support of the pharmaceutical and orthopedic implant companies, and the POA secretariat for the POA’s advances this year. POA president Dr. Rodolfo L. Nitollama, who felt vindicated on his personal choice of Prof. Biyo, was at the forefront of the POA Board’s activities and accomplishments this year. He credited the wholehearted The challenge continues as the new POA Board tackles 2005 and the hosting of the ASEAN Orthopaedic Association’s 25th anniversary celebration in November next year. December 2004 Ortho Balita Volume 6, Number 24 Page 5 Prof. Biyo inspires POA guests Elated POA fellows, mostly She came, she spoke, and contestant. Intel thereafter gifted her with a brand new laptop, and Ilongos, took turns in having their she conquered! P residential guest speaker Prof. Josette T. Biyo, a science and mathematics teacher from Southern Philippines, became the first POA Presidential Guest Speaker who was not a highranking government official or a politician of note. She lectured in her own unique way, her grammar thick with her native Visayan accent, and received a standing ovation after her speech before an international audience during the opening ceremonies of the 55th POA Annual Congress. “Tonight, you made all of us proud to be Filipino”, quipped POA President Dr. Rodolfo L. Nitollama, who sought the help of Pfizer, Phils. in inviting the very busy lecturer. Prof. Biyo was introduced by POA VicePresident Dr. Miles T. Dela Rosa. Prof. Biyo, whose topic, “Commitment to Excellence” mirrored the POA’s ideal, enthralled her audience composed of the international faculty, delegates and their spouses, the POA fellows, diplomates and residents, and executives and representatives of pharmaceutical and orthopedic implant companies. A teacher at the Philippine Science High School in Iloilo, she won the Intel award over 4,000 contestants from all over the world. The only one among the contestants without a laptop, she recalled that she came armed with plenty of Manila paper, pentel pens, pencils, rulers, thumb tacks, paste, clips, stapler and staples, a pair of scissors and other improvised paraphernalia for possible overhead projection and demonstration. She bested the other Asian finalist, a Chinese, using a laptop which was lent by an eliminated American launched her to cosmic fame. The Massachusetts Institute of Technology took note of her achievement and extraordinary talent, and named its latest planet souvenir pictures with Prof. Biyo taken. Even some foreigners could not pass up the chance to be photographed with her. The majority of the audience was teary-eyed, amazed and very proud of the way she had conducted herself and helped a bunch of idealistic high school kids win honors in school competitions in the USA. Most of the parents identified their children with Prof. Biyo’s students. (See related story on page 40) Prof. Biyo Confessing that she almost backed out after saying yes, Dr. Biyo admitted her nervousness and added that it was her first time to speak before a distinguished group of orthopaedic surgeons. She also mentioned the other FilipinoAmericans who made good, among them US Army Major General Antonio Taguba, who at the risk of ruining his military career, was the first to expose atrocities of American soldiers in the treatment of Iraqi prisoners of war, and Cherl DiazMeyer. Thank you, Prof. Biyo! find after her. Planet Biyo was thus “born”, and with it, came an endless stream of speaking invitations and engagements, here and abroad. Just before speaking to the POA fellows, she was on an extended speaking tour in the USA, then flew to Cotobato to speak before 2,000 teachers, and went to the POA convention. She never had a chance to even savor the POA fellowship night, and instead chose to eat dinner alone in her room, as she had to fly to Iloilo early the following morning to see her class. Then the next day, she was in Manila again at UST, for another speaking engagement.The audience was inspired by her candidness and natural flair. Asked by the POA President if she wanted to change to a more formal attire after she appeared at the Basilan room of the POA secretariat three hours before the ceremony, she answered, “ No, I’m comfortable with this PROF. BIYO attire”. WHERE IS PLANET BIYO? Planet Biyo is a minor planet in the asteroid belt between Mars and Jupiter. It was identified by the Lincoln Laboratory, Massachusetts Institute of Technology, and named after Dr. Josette T. Biyo in November 2002, as part of the Intel Award. flanked by POA Pres. Dr. Nitollama and Vice-Pres. Dr. Dela Rosa Page 6 Ortho Balita Volume 6, Number 24 December 2004 GALEN JOSE S. PUJALTE, JR., MD, FPOA Burnout “ Work at first rescues us, then ravages us.” Mason Cooley (b. 1927). U.S. aphorist City Aphorisms, 7th Selection, New York (1990) It seems to me that in a country where the number of the jobless can fill several municipalities, it would be ridiculous to talk about job burnout. On the other hand, there will always be extreme, work-related stress. This, if ignored can swell the ranks of the forcibly leisured and fill a city (!). Who is at Risk? Mayo Clinic experts define burnout as “a state of physical, emotional, and mental exhaustion caused by long-term exposure to demanding work situations.” Those at high risk for burnout are in the “helping professions” – doctors, nurses, social workers, teachers, caregivers, psychologists, policemen, and firemen. These people start out as very idealistic but over time become disillusioned with their inability to effect positive change in the environment. Most of the time, expectations and standards they set for themselves are unrealistic and they cave-in from the pressure. Self-Assessment. Ask yourself: Are you more cynical, critical and sarcastic at work? Do you drag yourself to work and have a hard time getting started? Are you more irritable and less considerate with co-workers, customers or clients? Do you feel that your work is monotonous and without challenge? Do you feel trapped in your work? Do you find it hard to laugh at yourself? Has your appetite changed? (Eating less or eating more) Do you have sleeping problems? trajectory particularly if you’re getting sick. Ask: is this really the work for me? If I can’t leave or give up, what can I do to improve the situation? Diagnosis. If you answered “yes” to at least three of these questions, you may be in Burnout City. But wait a minute. We have to qualify this. If you’re a lazy, inefficient, mediocre employee and the highlights of your work month are the 15th and the 30th, you’re not in burnout! You’re just another incompetent and you’re lucky that you have not been fired. Burnouts start from a high level of productivity and job excellence but slowly slide into under-performance. What to Do. If you believe that you’re in too deep, professional help comes in the form of counseling from a trusted supervisor, an HRM expert of the company, or a medical doctor. Causes of Burnout. Human Resource Management (HRM) experts list several causes of burnout. These include: (1) lack of control – if the person is unable to influence decisions about the job, such as work assignments (mostly too much!), (2) dysfunctional work place – too many bullies, brown-nosers (sipsip!), or just plain lazy people and (3) values mismatch – the unit or section values negative traits such as dishonesty, manipulation, or bribery but the individual at risk does not. Time To Re-Think? The physical effects of burnout resemble clinical depression in that appetite, sleep, and memory suffer. Burnouts report headaches, nape pains, and pain at the pit of the stomach (ulcer-like). Some feel that they will their bodies to breakdown as a way to cop-out. Are you sliding into the quicksand of job burnout? You may need to re-think your career Coping strategies include: Getting plenty of rest Exercising at least 3 to 4x a week Planning and getting a vacation Re-establishing work priorities Unloading too much work For the driven and workaholic though, sometimes burnout is the only way to slow down and change direction. Toxic work makes lives miserable and probably, shorter. Burnout is avoidable and surmountable provided that it is recognized. Billboard. Congratulations to mentor and colleague Dr. Rafael S. Claudio! Pael was recently inducted as President of the Philippine Society of Oncologists (PSO). The prestigious PSO gathers in one organization the experts in various fields dedicated to the study and management of cancer. Other orthopedic oncologists joining him are Dr. Edward Wang and Dr. Cesar Dimayuga. Editor's Note: POA Fellows listed as PSO fellows include Drs. Rodolfo L. Nitollama, Ivan John P. Concepcion, Judith Valerie M. Akol, Jeanne L. Bertol, Jerome C. Quintos and Richard S. Rotor. December 2004 Ortho Balita Volume 6, Number 24 Page 7 25 new POA fellows inducted T wenty five new POA fellows were inducted and took their oath in solemn ceremonies before POA President Dr. Rodolfo L. Nitollama and the POA congregation. The new POA Fellows are: Dr. Dr. Larry V. Acuña Dr. Daryl M. Apla-On Dr. Oliver M. Atanacio Dr. Jan V. Baltazar Dr. Daniel F. Bombita Dr. Alex N. Carpio, Jr. Dr. Antonio L. De Castro Dr. Arcadio Jonathan N. De Castro Dr. Roel A. Escanillas Dr. Jonathan V. Estrada Dr. Albert Cesar S. Faller, Jr. Dr. Omer B. Javier Dr. Terence E. Leveriza Dr. Arnold M. Lim Dr. Eric John L. Morales Dr. Michael R. Moriones Dr. Joaquin C. Pandanan Dr. Percival H. Pangilinan Dr. Jose Ramon C. Pascual Dr. Antonio R. Puti Dr. Rene Generoso B. Rivera Dr. Romer Ariel M. Santos Dr. Amelito E. Sia Dr. Antonio Nicanor B. Suero Dr. Fredrick G. Tiambeng All new POA fellows were also required to attend an orientation on Dec. 1, conducted by Drs. Winston Estera, Venancio Garduce, Jr., Leo Olarte and Rodolfo Nitollama 3 new boards... Agcaoili, Mario B. Geronilla, Antonio N. Tanchuling, Jr., Rudy Q. Vigilia (Luzon), Manuel Z. Sison (Mindanao), trustees; and Leonido C. Castillo ex-officio. The founding Board of the POAF is composed of Drs. Rodolfo L. Nitollama, chairman; Ellewellyn G. Pasion, president; Arturo C. Cañete, secretary; Lauro M. Abrahan, Jr., treasurer; Mario B. Geronilla; Noel B. Carilo; Miles T. Dela Rosa; George Winston B. Estera, and Edward A. Sarrosa, trustees. (See related story on page 4) Dr. Dela Rosa is the 42nd POA President, while Dr. Flordeliz is the PBO’s 31st Chairman, Instead of a speech by the PCS President as has been the tradition, and in keeping with the (Continued from page 3) spirit of the convention being an international event, IFFAS President Dr. Michael J. Coughlin addressed the delegates and guests. Dr. Coughlin thanked the POA for hosting the joint POAIFFAS-POFAS meeting. He observed that the convention was well organized, and noted that the foreign faculty would also have a chance to learn from their local counterparts. He challenged the leadership of the other ASEAN and ASIAN nations in the audience to follow the lead of the Philippines and establish their own foot and ankle societies in their countries. Dr. Coughlin, on behalf of the foreign faculty, also extended their gratitude to the POA for “your hospitality and kindness”, at the same time noting that they were overwhelmed with the social activities beginning with the President’s dinner for the faculty, AOA leaders and VIP guests; the opening ceremonies and fellowship night that followed; capped by the Congress Banquet, all of which he said, "were up to world-class standards". The American speakers also visited the American Cemetery in Makati, and went on a nostalgia trip to Corregidor. They indulged in shopping in the malls in the metropolis, accompanied by the POA wives and secretariat. Dr. Coughlin also invited the delegates to the next important IFFAS meeting in Naples, Italy in 2005. Page 8 Ortho Balita Volume 6, Number 24 December 2004 AIM TO HEAL JOSE M. PUJALTE, MD, FPOA Birds of a feather Dr. Jose M. Pujalte, MD, FPOA T he First Monday Club. That’s how we call our friendly group. We usually meet on the first Monday of the month. Originally composed of eight members, we are now down to seven because three years ago, one suddenly left for the States. Three members used to be on the top echelon of a well-known pharmaceutical company, two are lawyers, one is an accountant, and two are healers of the sick. We come from different walks of life and if need be speak our own regional dialects. Considering this manifest diversities among ourselves, we are not, as they say, birds of a feather, but why do we flock together? Even if seemingly hackneyed, an old adage “Tell me who your friends are and I’ll tell you who you are” maybe a more appropriate reason for our regularly getting together. This all started about ten years ago as a sudden, unplanned party blow-out when the writer won a supreme court decision clearing his humble name of the DOH harassment charges of graft, incompetence and lack of security of tenure. He invited a few close friends; Ed Alcaraz, Chuck Aquino, Pons Liongson and Vic Rosales to celebrate this victory. It was in a small, candle-lit corner at the Café Ysabel in San Juan where we had our first meeting, with a sumptuous dinner heavy drinks and goodnatured jokes and banter. Three or four years later, our group received warmly the auspicious entry into our fold the likes of more interesting people: Cesar Luna, Willie Delos Santos and Mert Licuanan. Every now and then we are honored with the visits of other dear friends like HB (Calleja) of PMA fame, DBS of the service-oriented Unilab hierarchy, two of our topnotch pediatricians at Our Lady of Lourdes Hospital, Drs. Gene Purugganan and Toto Gonzales, and a distinguished surgeon, Dr. Cris Arcilla. For the superb company, what more can you ask for? And our HQ? Café Ysabel, of course. But sometimes Cafe Breton at eh Ortigas Center, courtesy of Cesar Luna, the lawyer. Here we have a simple table which brims with our favorite aperitifs like gambas, garlic mushrooms, calamares, salpicado, chorizo de bilbao (no main dish please, thank you), and labosh dipped in zatar, as substitute for canapés, a delectable innovation introduced from Iran by my restaurant-friend, Gene Gonzalez. This can whet anybody’s appetite! And drinks flow freely: soft drinks, ice tea, gin tonic, brandy, Scotch, or San Miguel beer (itaas mo!), to wash down the solids. As we approach the end of our light dinner, we have expected dessert: a thin slice of carrot cake coupled with a minute scoop of vanilla ice cream, a combi favorite ‘forcibly imposed’ by the writer. Finally, the exhilarating Café Ysabel coffee! But what takes the cake are the stories, anecdotes and jokes. Again, we realize that without this portion of the dining and the merrymaking, there would be no thrill, no laughter and no fun. Everyone has a chance to be heard, but the best story-teller is no other than the bearded but handsome professor of medicine from the country’s pontifical university, Vic Rosales. Admirably facile in English, Spanish and Filipino, he is a weaver, par excellence, of tall tales and true, including jokes and anecdotes galore. From his current collection, here are a few samples: On Chinese proverbs (traced to Confucius): Man with one chopstick go hungry. Man who drive like hell, bound to get there. If you want pretty nurse, you get to be patient. On Christmastime: Weeweechu a Merry Christmas! On a more serious vein, why do people get together? My leisurely readings, mention the primary reason. Compatible Friendship. The authors cite three types or kinds of friendly groups. And they would ask, are you the type of person who wants to have fun, a good time, go dancing, go shopping or just sit around or chat, the human contact type? Or are you the type of person who likes to go for hikes, walking biking or playing tennis, badminton or golf, or go swimming, the active type? Or do you have intellectually stimulating conversations with intellectual or philosophical people, the intelligent type? Naturally, we believe that we are a curious combination of all these types to varying degrees. But are you compatible to one type of friends or every kind? Or can you easily or smoothly connect with a certain type and not with the others? Again, there are a group of friends who may be compatible with you, and whom you believe you can connect, on an intellectual level. You may have challenging discussions with this group on a variety of topics. But you feel in your heart that you cannot have fun with them always, or for long. So what’s wrong? I confess that I have a certain group of friends I always want to be with, especially when I’m in the mood, or I’m feeling low. Sometimes (Continued to page 9) December 2004 Ortho Balita Volume 6, Number 24 Page 9 POA-MSD research winners bared W inners in the POA-MSD Re search Forum held last De cember 1 were announced by POA Trustee Dr. Lauro R. Bonifacio. The winners and their research papers are: 1st prize: Dr. Gaugin Gamboa (UP-PGH), Dual Energy X-ray Absorptiometry (DXA) of the Catcaneus: What do the Measured BMP values mean? 2nd Prize: Dr. Jeff Arbatin (UP-PGH) An Analysis of Prognostic Factors for Non-Metastatic Extrem- BOARD OF JUDGES Drs. Leonardo, Bartolome and Battad ity Soft Tissue Sacromas 3rd Prize: Raymund Quimpo (JRRMMC), Postoperative Pain Control in IM-Nailing of Femoral Fractures: A Prospective, Randomized study comparing oral and IV Tramadol. The board of judges was composed of: Drs. Lydia Leonardo (chairperson) Jeoffrey Battad, and Ravel Bartolome. WINNERS Drs. Quimpo, Arbatin and Gamboa The first prize winner will get a special incentive from the POA Board next year, according to POA president Dr. Rodolfo Nitollama. 3 outstanding residents feted T hree outstanding orthopedic residents were honored by the Philippine Board of Orthopaedics (PBO) and the Philippine Orthopaedic Association in appropriate ceremonies last December 4 at the EDSA Shangri-la Hotel. Honored for their outstanding achievements were: Drs. Gaugin Gamboa of UPPGH, Chad John Martin U. Reyes of EAMC and Romel P. Estillore of EAMC. The annual activity was sponsored by the PBO in cooperation with Novartis. PBO chairman Dr. Leonido C. Castillo, however, lamented that the representatives of Novartis during the program failed to project the activity as a PBO undertaking despite reminders to that effect while the program was going on. They overemphasized Novartis’ role at the expense of the PBO, he observed. Dr. Castillo’s view was shared by other PBO and POA officials invited to the program, some of whom walked out to express their disappointment. As a result, future undertakings of that sort may be in peril, it was noted. MSD's Debbie Agustin receives certificate of appreciation Birds of a feather (Continued from page 8) I don’t even want to think! I just want to have fun. So I go see my “fun friends”. This is when I eagerly look forward to meeting my favorite circle of friends of the First Monday Club. Admittedly, I have perused the writings of some interesting authors who say on an emotional plane, that the best of friends totally love, support and trust each other and bare to each other the secrets of their souls and run – no questions asked – to help each other and tell harsh truths to each other when they must be told. Supplementing this, a young favorite essayist of mine, Judith Viorst, writing in the Redbook, says “We, as friends, needn’t agree about everything to tolerate each other’s point of view. To accept without judgment. To give and to take without ever keeping score. And be there, as I am for them, and they are for me, to comfort our sorrows, to celebrate our joys.” Indeed, life is richer and more fulfilling when you have true and faithful friends. The contributor is Medical Director of Our Lady of Lourdes Hospital, Sta. Mesa, Manila Page 10 Ortho Balita Volume 6, Number 24 December 2004 East meets West in POA VIP dinner E ast met West during the POA VIP Dinner last November 30 at the Summer Palace of the EDSA Shangri-la Hotel. Hosted by POA President Dr. Rodolfo L. Nitollama, the dinner was an auspicious and rare opportunity for the foreign faculty, mostly from the USA, and the leaders of the ASEAN and Asian orthopaedic nations to meet, rub elbows, exchange pleasantries, make new ties of friendship and renew old bonds of brotherhood. IFFAS President Dr. Michael J. Coughlin was seated with immediate past AOFAS Pres. Dr. Glenn B. Pfeffer, Clinical Orthopaedic Society Pres. Dr James Sammarco and his wife, Dr. John S. Gould, Dr. Edward V.A. Lim , POA Pres. Dr. Rod Nitollama and POA past Pres. Dr. Bimboy Garduce. ASEAN Orthopaedic Association president Dr. Suthorn Bavonratanavech and immediate past president S'yed Abdul Latiff Alsagoff were seated with past ASEAN OA presidents Drs. Jose Pujalte and Ellewellyn G. Pasion, MOA Pres. Saw Aik, IOA Pres Bambang Tiksnadi, and SOA Pres K.S. Lam and their wives. At the middle were the Japanese delegation headed by Drs. Yoshinori Takakura and Yasuhito Tanaka, together with POFAS Pres. Emil Tablante. Beside them were the ASEAN ORTHOPAEDIC LEADERS and their wives in a rare photo opportunity Koreans headed by Dr. In Heon Park and Samson Chan of Hong Kong. The POA and PBO Boards of Trustees, the POA past presidents and their wives and other VIP guests and the POA secretariat were also present. Not only was the Chinese lauriat chosen by POA vicepresident Dr. Miles Dela Rosa very delicious, but the spirit of USA SPEAKERS camaraderie and Christmastime pervaded the air, resulting in a very warm kick-off to the POA activities. USA SPEAKERS (above); Japanese and Hong Kong speakers (below) POA Trustees and secretariat December 2004 Ortho Balita Volume 6, Number 24 Page 11 LOCKED IN UNITY: ASEAN Orthopaedic Association leaders lock arms in a fierce show of unity. (From left) Drs. K.S. Lam, Saw Aik, Bambang Tiksnadi, Ong Leong Boon, Suthorn Bavonratanavech, Rodolfo L. Nitollama, S'yed Abdul Latiff Alsagoff and Miles T. ela Rosa ASEAN OA Council... according to AOA permanent Secretary General Dr. Ong Leong Boon of Singapore, who coined the term “extraordinary”, to distinguish it from the “ordinary” annual council meetings. AOA President Dr. Suthorn Bavonratanavech of Thailand and concurrently President of the The Royal College of Orthopaedic Surgeons of Thailand (RCOST) presided over the meeting. All five original council member nations were represented in the meeting. Aside from Dr. Ong Leong Boon and Dr. Suthorn Bavonratanavech, those who were present in the historic meeting were immediate past AOA President Dr. Syed Abdul Latiff Alsagoff of Malaysia, Indonesian Orthopaedic Association (IOA) President Dr. Bambang Tiksnadi, Malaysian Orthopaedic Association (MOA) President Dr. Saw Aik, POA President Dr. Rodolfo L. Nitollama, and Singapore Orthopaedic Association (SOA) president Dr. K.S. Lam. Also present for the POA delegation were immediate past President Dr. Arturo C. Cañete, VicePresident Miles T. Dela Rosa, and (Continued from page 1) Secretary George Winston B. Estera. Anniversary celebrations in Manila in November 2005. Dr. Suthorn was elated and thanked POA President Dr. Nitollama for hosting the meeting. It was during the 24th AOA Annual Convention in Pattaya, Thailand last October that the idea of holding the extraordinary meeting was broached by Dr. Suthorn. Dr. Nitollama quickly offered the Philippines as host due to the proximity of the 55th POA Annual Convention, and in keeping with the tradition of the Philippines hosting the founding meeting of the AOA in 1980. Dr. Nitollama presented to the council the possible criteria for admission of new member nations, while Dr. Miles T. Dela Rosa outlined the POA’s plans for the November 2005 event. Also discussed were the finances of the AOA, and what position will be offered to Dr. Ong Leong Boon upon his retirement as Secretary General. Visibly satisfied with the results of the meeting, Dr. Suthorn and Dr. Ong Leong Boon agreed to schedule the 2nd extraordinary council meeting in June, 2005 during the next MOA Annual Meeting. Among the sensitive issues discussed were the selection of an Undersecretary General to assist and be the understudy and possible successor of Dr. Ong Leong Boon in the future, the criteria and selection process for the admission of new member nations to the AOA, future plans and direction of the AOA, and the holding of the AOA 25 th Now on its 25th year, the AOA was originally founded in 1980 in Manila, with Dr. Jose M. Pujalte Sr. as founding President. It has successfully conducted annual meetings since then, and has held Junior and Senior ASEAN Travelling Fellowships, AOA-American Orthopaedic Association- Zimmer, the first AOA-British Orthopaedic Association – J&J, and European Travelling Fellowships, among others. Possible new member nations being considered for invitation include ASEAN neighbors Vietnam, Laos, Myanmar, and Brunei. Possible alliances with the orthopedic associations of Asian neighbors Japan, India, China, Hong Kong, Taiwan and others was also discussed. Page 12 Ortho Balita Volume 6, Number 24 POA fetes sponsors I t was the first time , and will definitely not be the last. The POA Board of Trustees and Secretariat celebrated a traditional Christmas party at the Quezon City Sports Main Bar on December 15, but this time, they invited friends from the pharmaceutical industry as honored guests. Responding were MSD and BMS. MSD came in full force, with Debbie Agustin, Audrey Busmente, Iris Tan, Dan Pascua and Rejoice were in attendance. BMS, meanwhile, was represented by Ms. Sally Sison and Vivian Faustino. It was a night filled with fun, with gifts and prizes aplenty. The pharma friends took home prizes from the games concocted by Ed and Donna Sarrosa and Kenneth Musni, aside from the bundle of goodies given away by POA Pres. Dr. Rod Nitollama and Vice-Pres. Dr. Miles Dela Rosa. December 2004 If at a l l , everybody went home happy and with lots of Christmas cheer, but only after t h e traditional karaoke singing. LADY IN RED:Rogie (More pictures on page 13) As usual, the late Dr. Mario Geronilla arrived late, despite his wife Eva being there punctually. GAME MASTERS Ed and Donna Sarrosa EXCITED IN ANTICIPATION of the next question. PASSIONATELY, INTIMATELY: Miloy and Chary (above), Lorna and Miles (below), Art and Nel (bottom photo). GAME MASTER Ed Sarrosa explains the rules of the contest THE POA's "PLATTERS" (from left) Miles, Emil, Bibs and Rod December 2004 Ortho Balita Volume 6, Number 24 Page 13 POA hosts AOA-Sr. Traveling Fellows T he POA hosted the ASEAN Orthopaedic Association Senior Traveling Fellows from October 2 - 17, 2004. The group was composed of Dr. Lam Khee Sien from Singapore, Dr. Saw Aik from Malaysia, Dr. Preecha Chadilapong from Thailand and Dr. Respati Dradjat from Indonesia arrived later that evening In their Philippine leg, they toured the Walled City - Intramuros and Rizal Park. They visited the Philippine Orthopedic Center and the Department of Orthopedics of the Philippine General Hospital. The POA hosted a welcome dinner at Alavar Restaurant and a farewell dinner at Casa Armas for the group. Rehabilitation Splints Paperless Hospital ASEAN STF with Dr. Arman, Director of SAGH. ASEAN STF with Dr. Rod Nitollama and the POA secretariat staff ASEAN STF during the Intramuros tour with POA's Sol and Jen ASEAN STF with Dr. Nather at the Tissue Bank Dept., NSU EMBRACE TIGHTER, and don't let the card fall I won! I won!, says Kenneth MORE HEADS are better than one PASTA King: pang Dentista lang yan, padi MILES TO GO, before... Page 14 Ortho Balita Volume 6, Number 24 December 2004 POA Hymn: A labor of love POA HYMN was first sung in public during the POA Opening Ceremonies on Dec. 1, 2004 by (from left) Dr. Rommel Estillore,intern Grace Roberto, Dr. Janis Ann Espino and Dr. Rodolfo "Ogie" Frez (composer) W hen Dr. Rodolfo L. Nitollama assumed office as the 41st POA president, among his housekeeping priorities were the POA Mission, Vision, and Core Values statement, and the composition of a POA Hymn. Having realized the POA Mission, Vision and Core Values statement right during the first Board of Trustees meeting and Strategic Planning Session, attention was then focused on the POA Hymn. Dr. Nitollama had wanted a sort of a rallying song, something which all POA fellows can relate to, just like a marching song of troops about to go to battle, in the literal sense of the word. He got more than that, and he didn’t have to look far. Aware of the abundance of talents within the POA ranks, he first turned to some acquaintances for help and advice. Finally, he remembered Dr. Rodolfo “Ogie” Frez, who has led his choir in singing during the past POA masses officiated by Father Jerry Orbos. The more difficult part however, was to convince Dr. Ogie Frez to accept the assignment, which he ultimately did, but only after so much prodding. For the next 11 months, Dr. Frez had to dig deep into his artistic talents and draw inspiration, before he could present the finished product before the POA Board of Trustees during its November 2004 meeting. It was a warmly accepted, well-applauded piece of art. Dr. Frez’s apprehensions were quickly erased after the POA fellows appreciated and howled in approval the first time they heard it during the POA annual business meeting. And when it was first played and sung by the POA fellows in public during the opening ceremonies, there was a sense of pride and belongingness among the POA fellows, unmindful of their goose pimples while singing. In appreciation, the POA Board of Trustees awarded Dr. Frez a Plaque of Appreciation for his efforts during the Congress Banquet. The POA Hymn should be played and sung by all POA fellows in all official activities of the POA, its Chapters, its Subspecialty Societies, and the POA Foundation from hereon. POA Hymn (We answer the call) Called to a noble task To provide good health for the land Healing with our hearts and hands With one purpose together we stand. Armed with the skills we’ve acquired To strive for excellence is our one desire Uniting parts deformed by trauma Saving life and limb, This is our goal, this is our quest Refrain: We are the men and women of the POA Caring for lives for better health today Working for quality of life that we deserve Every Filipino life we need to serve We are the Philippine Orthopaedic Association Proud to be among the nation’s best In this part of the world we stand tall One society for one and all (back to refrain) End: Ready to provide and care for all At the POA we answer the call We answer the call Words and Music: Dr. Rodolfo V. Frez, FPOA Arranged by: Noel Espenida December 2004 Ortho Balita Volume 6, Number 24 Page 15 Fr. Orbos officiates 3rd POA mass A nother familiar scene in the POA conven tions nowadays is the sight of Father Jerry Orbos, SVD. This year, he celebrated the POA mass on December 1, for the third straight year. He was assisted by POA office manager Sol De Jesus, POA Secretary Dr. George Winston B. Estera, and the choir headed by Dr Rodolfo Frez. POA president Dr. Rod Nitollama read the scriptures. Fr. Orbos again delivered his inspiring message to the audience. His book also went on sale after the mass, with the proceeds earmarked FR. JERRY ORBOS for his society's missions. We look forward to seeing you again next year, Fr. Orbos. We are glad we are alive to listen to you every time, as you have mentioned and reminded us. Thanks, Fr. Orbos! MS. SOL DE JESUS SINGING THEIR HEARTS OUT: Drs. Janis, Romel and Ogie FR. ORBOS receives a POA Certificate of Appreciation from POA president Dr. Rod Nitollama as Drs. Estera and Dela Rosa look on. IN UNISON: Sol, Miles, Bernie, Rod and Jun POA FELLOWS receive Holy Communion POA FELLOWS offer their gifts during the Mass Page 16 Ortho Balita Volume 6, Number 24 December 2004 A fellowship night to remember T he mood was upbeat. The crowd, which expectedly has swollen, was still talking about Prof. Josette T. Biyo’s stirring and inspiring speech just a couple of hours earlier. The “ Kodak -an” sessions with the instant celebrityspeaker concerned not only Filipinos but even the foreign speakers and delegates as well. What was to follow during the next 6 hours was something POA delegates and foreign visitors would rave so much about and will recall for years to come as “A Fellowship Night To Remember.” (AFNTR) “No speeches, let’s just have fun!”, was how POA President Dr. Rod Nitollama opened the proceedings as the crowd roared its approval. It was like a big TV production or a celebrity show presentation which events coordinator Edith Repane-Catbagan, wife of POA fellow Dr. Adrian Catbagan, helped produce and coordinate from the original concept which Dr. Nitollama and POA office manager Ms. Sol De Jesus provided her. Being an international convention, the show must be presented in clock-work precision. And the audience was enthralled by the opening dance numbers performed in a professional fashion, except that the bulk of the performers were - don’t look now - our lovely and friendly professional sales representatives and some of their superiors, and of course, your esteemed POA senior fellows and consultants! Wound into the WOW Philippines theme, the pharmaceutical companies presented folk dances depicting the best of the cultures of Luzon, Visayas, and Mindanao, finally drifting into transition to the modern dance era, and setting up the mood (Continued to page 17) CEREMONIAL RIBBON CUTTING for the Trades and Exhibits by Mrs. Bernie Nitollama and Prof. Josette Biyo while POA officers and guests look on. (Left) FORMAL DECLARATION OF OPENING done by POA president Dr. Nitollama after banging of the gong, a gift of the IOA. (Above) Prof. Biyo with friend of POA Atty. Ramon Maronilla, and Bernie and Rod Nitollama (Left) Opening prayer sung by Pfizer's Lorraine Reyes and partner ASEAN OA dignitaries ASIAN VIP guests OFFICERS OF THE POA SUBSPECIALTY SOCIETIES before the processional. December 2004 Ortho Balita Volume 6, Number 24 Page 17 A fellowship night to remember (Continued from page 16) for the music and rhythm of the 60’s, 70’s, 80’s and 90’s as performed by the country’s premier show band The Spirit of ’67. The foreign speakers and delegates who were given prime importance with prominent and comfortable front-row seating in sofas and couches, were surrounded by a sea of enthusiastic POA fellows and residents. Elsewhere, delicious food abound, while nine kegs of San Miguel draft beer and bottles of Remy Martin and Chivas Regal flowed in abundance. Add these to the time-tested POA fellowship and brotherhood, and the result was unparalleled merrymaking and camaraderie. In-between the Spirit of ‘67’s sets, came in the solo singing performances of MSD’s Debbie Agustin and of course, the POA’s Elvis Presley-Dr. Lewy Pasion, and Dr. Jimmy Tamayo, among others. As the night wore on, the incessant tossing and "high fives" amid shouts of “Kampai!” continued. In the process, old ties were cemented and renewed, while new ones, particularly with the foreign speakers and the ASEAN, Japanese and Korean dignitaries, were fostered and strengthened. It was pure camaraderie and fellowship, POA style, uniquely and exclusively. OFFICERS of POA chapters and subspecialty societies march with their flags during the processional of the opening ceremonies 2004 POA BOARD OF TRUSTEES, chapter and subspecialty presidents (above and below) INTERNATIONAL FACULTY Drs. Pfeffer and Sammarco (below, right); POA NLC fellows (below, left); AFPMC fellows and residents (bottom photo) Page 18 Ortho Balita Volume 6, Number 24 December 2004 A fellowship night to remember Dr. Nitollama awards POA presidential medallion to Dr. Cañete IFFAS president Dr. Coughlin concentrates intensely with DI partner. PROF. BIYO and Dr. Nitollama PBO Board of Trustees 2004 PBO appreciation for Unilab JAPANESE VIP guests enjoy the entertainment and preferred front row seating MORE CHEERS, MORE BEERS! It's truly a night of fellowship. DR. CASTILLO congratulates Dr. Maaño December 2004 Ortho Balita Volume 6, Number 24 Page 19 A fellowship night to remember POA FELLOWS DRS. TESS ALTRE, Dave Alagar, Andy Borromeo, Miloy Te and partners. PFIZER participants MSD participants POA FELLOWS Drs. Ed Sarrosa, Bibs Carilo and Art Cañete with partners. DR. NITOLLAMA and Prof. Biyo at pharmaceutical booth with Igorot motiff MORE CULTURAL presentations by pharmaceutical participants Page 20 Ortho Balita Volume 6, Number 24 December 2004 Congress Banquet goes on despite Winnie, Yoyong typhoon threats W ith two storms just leaving the Philippines, and the imminent threat of a signal number 4 weather disturbance forecasted, it would seem that the Congress Banquet on December 2 might just get blown away. It went on, as planned, and the occasion was successful, after the strong typhoon veered north and spared the Philippines. The traditional induction ceremonies were held, the awards handed out, the speeches were kept short but substantial in meaning, leaving enough time for the dinner, socialization and dancing made wonderful by Marcy David and his band, a perennial guest entertainer. And of course, the videoke singing by the POA fellows was naturally a part of the night. Even AOA Pres. Dr. Suthorn showed his singing prowess while his wife Sinaporn showed her terpsichorean talent on the dance floor. MARCY DAVID AND HIS BAND provided the entertainment. 2003 POA president Dr. Art Cañete (far right) receives his plaque of appreciation. ENJOYING THE SHOW: POA Trustee Dr. Brix and Pam Pujalte, Dr. S'yed Abdul Latiff Alsagoff, Dr. Albert Dy, Dr. Bambang Tiksnadi, Bernie Nitollama, Dr. and Mrs. Saw Aik and KS Lam. PCS PRES Dr. Edgardo Cortez receives a plaque and token of appreciation (top photo). Outgoing POA president Dr. Rod Nitollama and incoming POA president Dr. Miles Dela Rosa go through the ceremonies (above). Emcee Dr. Winston Estera (at left). December 2004 Ortho Balita Volume 6, Number 24 Page 21 Congress Banquet goes on despite Winnie, Yoyong typhoon threats ASEAN DIGNITARIES AND WIVES: gathering together in a glitzy occasion the top personalities of the ASEAN Orthopaedic Assn. PROF. GUSTILO, Drs. Ed Lim, Tony Rivera, Miloy Te, Boy Abrahan, Larbo Bonifacio and Ogie Frez DRS. ROD NITOLLAMA and Miles Dela Rosa with Angie Villamarin and Gina Custodio of BMS. KOREAN DELEGATION headed by Prof. In Heon Park DR. SAMSON CHAN tries not to get distracted while being given a baptism of fire by his Dance Instructress. COMFORTABLE front row couch seating for foreign guests Page 22 Ortho Balita Volume 6, Number 24 December 2004 POA Sports Day a success U nlike last year, this year’s POA sports day was booked on November 29, 2004, one day before the official start of the 55th Annual Convention. Hence, the full and undivided attention of the fellows, organizers and sponsors was obtained. POA President Dr. Rodolfo L. Nitollama and POA sports czar and coordinator Dr. Arturo C. Cañete credited Bristol Myers Squibb (BMS) and Westmont for the smooth conduct of the 5 sports activities. Gina Custodio, Prostaphlin product manager of BMS, arranged for the sponsorship of the Bowling, Billiards, Badminton and Tennis Tournaments, while Ramon Arana of Westmont arranged for the perennial sponsorship of the Golf Tournament, in cooperation with the POA Golfers, Inc. (POGI). Dr. Nitollama opened the badminton tourney at the Pioneer Badminton Court with Drs. Camilo Te, Ed Sarrosa and Art Cañete. Then, he returned to the Edsa Shangri-la tennis courts to throw a ceremonial serve with former national tennis champion Roland So, who was invited by BMS to grace the occasion. A prayer and a minute of silence was offered in memory of Dr. CEREMONIAL SERVE Samuel Reyes, POA defending doubles champion, who succumbed to illness recently. Then, Dr. Nitollama shuttled to Valley Golf and Country Club in Antipolo City for the Golf Tournament. After lunch, he was back at the Star Mall in Mandaluyong City for the start of the Bowling and Billiards Tournaments. It was a successful POA sports day 2004. The POA would like to profusely thank BMS and Westmont for their generous sponsorships. POA - BMS BADMINTON TOURNAMENT 2004/ PIONEER COURT Badminton tourney winners 1. Noel Carilo 2. Camilo Te 3. Orson Odulio 4. Ed Sarossa 5. Larry Manaligod 6. Larry Montaòo 7. Edmund Oreta 8. Jun Diokno 9. Mina Mendoza 10. Romer Santos 11. Fortune Cruz 12. Melito Ramos 13. Jeanne Bertol 14. Tirso Tabago 15. Bill Lavadia 16. Eric Morales 17. Jose Bellos, Jr. 18. Rommel Navarro IN ACTION: POA badminton players flex their muscles, sharpen their reflexes. (Above) PRE-TOURNAMENT drafting and division into two teams. (Below) VICTORIOUS GREEN TEAM with beautiful Angie Villamarin of BMS December 2004 Ortho Balita Volume 6, Number 24 Page 23 POA Sports Day a success POA - BMS BOWLING TOURNAMENT 2004/ STAR MALL BOWLING WINNERS (at right) and participants (below) with Gina Custodio of BMS and bowling tournament coordinator and POA Sports czar Dr. Art Cañete. (Right) POA wives Vee, Lorna, Tess, Bernie, Nel and Chary with Gina of BMS, Dr. Rod and Dr. Art POA - BMS BILLIARDS TOURNAMENT 2004/ STAR MALL (Above) WINNERS. (Below) CEREMONIAL TOSS by Drs. Nitollama and Cañete. CEREMONIAL HIT Page 24 Ortho Balita Volume 6, Number 24 December 2004 POA Sports Day a success POA-BMS TENNIS 2004/EDSA SHANGRI-LA CEREMONIAL SERVE: Dr. Nitollama with Roland So. FORMER RP NATIONAL TENNIS CHAMP ROLAND SO (above) was invited by BMS to be the guest of honor. TENNIS COORDINATOR Dr. Johnny Villaluz (at left) delivers his remarks. The late Dr. Sam Reyes was remembered with a silent prayer. JAY SUNTAY: Mean "Croatian" pose. GINA CUSTODIO of BMS (2nd L, standing) with tennis tournament participants and guests PEP TALK from champ Roland So December 2004 Ortho Balita Volume 6, Number 24 Page 25 POA Sports Day a success POA-POGI-WESTMONT GOLF TOURNAMENT 2004/ VALLEY GOLF AND COUNTRY CLUB MOA PRESIDENT DR. SAW AIK graced the golf tournament, perennially sponsored by Westmont for POGI and POA. He is shown (at right) receiving his trophy from Dr. Vidi Lim, most POGI golfer. TROPHIES FOR THE WINNERS (Below) WESTMONT's MON ARANA with most POGI Dr. Vidi Lim, POA president Dr. Rod Nitollama, MOA president Dr. Saw Aik, Dr. Bimboy Garduce and Dr. Henry Chua. POA-SMC's Dr. Gilbert Cauilan POA-South Mindanao Chapter's MasPOGI (daw?) golfers WINNERS Page 26 Ortho Balita Volume 6, Number 24 December 2004 Legal Orthopedics Ethics of our medical profession which all fellows must know Atty. Leo O. Olarte, MD, FPOA T he ethics of our medical profession governs, regulates, controls the conduct, behavior, and interactions of the members in their dealings with one another, with his organization the Philippine Orthopedic Association in particular and the public in general. Thus, ethical surgeons cannot promote and participate in fee splitting, straight fees or “PAKYAW” and cannot professionally endorse a drug, medical device or equipment, alcoholic beverages, cigarettes etc. in TV, radios and newspapers, and they cannot advertise, nor allow the medical centers where they are affiliated to advertise their professional services and training in media, for the purpose of inducing, inviting or soliciting patients to be admitted to the said medical centers where they are affiliated. Such practice is reprehensible and unethical, making the surgeon himself a tool or an instrument to enhance the commercial purposes of the medical centers. Black’s Law dictionary defines ETHICS, as norms or standards of Right and Wrong, which involves conduct, behavior, action, motive, character, and moral principles. Thus they must be professionally right or befitting as ethical orthopedic surgeons, and ethical physicians of the Philippine Orthopedic Association. It therefore expressly and tacitly implies, that an ethical surgeon does not pay a percentage commission or a fixed agreed amount to the hospital for house patients referred to him, or to agents, brokers, tipsters, chasers, runners, touts, fixers, or commissioners for each and every patient referred to him for his professional services, because the act itself entices, encourages or solicits more referrals to him to the exclusion of other surgeons who do not pay or agree to pay for the patient referral to him. The 1996 Code of Ethics for Advertising of the Advertising Board of the Philippines, Inc. a Non Government Organization (NGO) regulatory body created to police the ranks of Advertisers, in Article IV section 12.3 provides that “Endorsements, direct or implied by physicians or actors portraying physicians, of non-prescription drugs, devices, treatments and medical equipment shall not be allowed”. We cannot allow doctors to be vassals to the commercialization of medicine by endorsing or advertising a particular medical equipment or device or a cure for all panacea or a particular Health Maintenance Organization as one that renders the best diagnostic capabilities, affordable medical care, by utilizing our professional expertise, official position, moral ascendancy, influence and prestige to promote the vested interests of profit and gain, of the stockholders of the HMOs whose majority shares are controlled by physicians turned businessmen who exploit their colleagues to the hilt mercilessly. These abominable vagaries are crass apostasies from the high ethical practices of medicine and surgery which irreparably erode the confidence and respect for physicians who are supposed to be minions and dedicated trustees of the medical profession. Article III section 6 of the Code of Medical Ethics further states that, “No physician should advertise through the radio, TV or movies, nor allow the publication of reports or comments on cases or methods of treatment in any newspaper or magazine. Advertising by means of untruthful or improbable statements in newspapers or other publication or exaggerated announcements on shingles and signboards, calculated to mislead or deceive the public or made in a manner not consistent with good morals and right professional dealings with a patient is unprofessional”. Advertising and publishing personal superiority, possession of special methods of treatment or operative technique or advertising former connections with hospitals or clinics are likewise unethical. Guaranteeing or warranting treatment or operations are objectionable. Much less in the interrelationship or personal dealings of a colleague to a brother or sister physician, the issuing of any statement or spreading of any news or rumor which is derogatory to the character and reputation of another physician without justifiable motives is unlawful, unethical and unprofessional conduct worthy of rebuke, suspension or expulsion from the practice of medicine. Our textbook in Medical Jurisprudence propounds in no uncertain language that “The statements uttered or the news or rumors spread by the physician against another physician which tend to expose or exposes the other physician to public hatred, shame, ridicule, aversion, ostracism, degradation, or disgrace or to produce an evil opinion of one with (Continued to page 27) December 2004 Ortho Balita Volume 6, Number 24 Page 27 IMPRESSIVE STAGE DESIGN and lighting during the 55th POA annual convention showcased during the Congress Banquet. Note exquisitely-designed logos of the POA, IFFAS and POFAS on the left, and the proposed ASEAN-OA logo on the right. Ethics of... right thinking, and to deprive one of his confidence and friendly intercourse in society is an invasion of a physician’s interest in his good name and reputation by means of a false and malicious communication that tends to lower the esteem which a physician has in the mind of the people. The physician should carefully refrain from making unfair and unwarranted criticisms of other physicians and even in justified circumstances where the other physician erred or has committed a wrong decision, criticisms should be made in a constructive way and only directly and privately to the physician involved. Whenever there is an irreconcilable difference of opinion or conflict of interests between physicians, which cannot be adjusted by both sides alone, the matter should be referred to a committee of impartial physicians or other competent bodies for amicable arbitration”. Careless remarks or intentional disparage of brother surgeons in front of their patients, relatives and friends about the wrong diagnosis or the wrong surgical indication, or the wrong surgical technique or the inadequate training (Continued from page 26) or exorbitant fees charged to the patient, etc. are the most potent stimulants, precipitating a commencement of a malpractice suit against a colleague. The doctor’s loose talk and destructive criticism whether right or wrong against their predecessors or colleagues, emboldens a disgruntled and dissatisfied patient to go to media to seek sensationalism and sensationalize and destroy the image, virtue and reputation of the medical profession. For when media amoks, they become bullies and destroyers, savaging reputations with malice aforethought in order to make headlines and profit. Furthermore, a brother surgeon in the practice of his profession must respect a colleague’s right to prior notice, whenever a patient of the latter wittingly or unwittingly seeks the services of the former. Elementary or basic courtesy, candor and fairplay demands that prior notice and consent must be sought of from the preceding colleague for the proper transfer of service to the succeeding colleague. In fact, even if the patient is a relative of the subsequent surgeon, the latter cannot ethically intrude into the management and treatment options without prior notice and consent from the prior surgeon. The subsequent surgeon cannot ethically encourage a patient already under the service, or to be admitted under the service of a prior surgeon to transfer to his service, because this is clear solicitation and vulgar grabbing of patients in the most corrupt manner of unfair competition. While recognizing the patient’s right to choose the physician of his confidence and trust, a subsequent physician is under moral obligation and dutybound to grant prior notice and to seek the preceding physician’s consent as a matter of elementary courtesy and brotherly respect, much less if the preceding physician has already started treatment and management of the patient. Article III sect. 4 provides that “The physician is obligated to extend the common courtesies to his fellow physicians, particularly in situations where consultations are called. Similarly, physicians to whom a patient is referred for a particular purpose should return the patient to his original attending physician upon completion of his specific task. The legal maxim provides, “Sors aequa merentes respicit” - a just fortune awaits the deserving. Page 28 Ortho Balita Volume 6, Number 24 December 2004 POTS research forum and AOEA sympo RESEARCH FORUM and AOEA symposium participants, with foreign faculty. T he Philippine Orthopaedic Trauma Society held its First Research Forum and AO East Asia (AOEA) symposium on Saturday, October 23, 2004 at the AFP Medical Center auditorium in Quezon City. The member fellows of the POTS were the case presenters, an innovative approach for subspecialty societies of the POA. The theme of the scientific meeting was Minimally Invasive Plate Osteosynthesis and biologic fixation with the use of the locked internal fixator plates. The AO East Asia supported the meeting by sending over 2 international faculty members, Drs.Theerachai Apivatthakakul from Chiang Mai University of Thailand and Frankie Leung from the University of Hongkong. The first morning session started with three case presentations. Dr. Lauro Abrahan, Jr. presented a multiply injured patient with a pelvic, acetabular and an open type IIIC femoral shaft fracture with a ten-year follow-up. Dr. William Lavadia showed a case of a floating elbow with an associated compartment syndrome emphasizing the importance of proper diagnosis and management. Dr Miles de la Rosa presented his early experience with MIPO using a cloverleaf plate for distal tibial fracture (Pilon) after a preliminary spanning external fixator application. The last morning session was the AOEA scientific session where Drs. Theerachai and Leung talked about the evolution of the MIPO (Minimally Invasive Plate Osteosynthesis) and the LISS (Less Invasive Stabilization System). The third and last morning lecture was on clinical experiences of Dr. Theerachai using MIPO technique for subtrochanteric and distal femur fractures. He expounded on the use of a locally designed instrumentation system. He gave some tips and pearls on the proper usage of the traditional internal fixation devices like the condylar blade plate and the dynamic condylar screw-plate system. Dr. Antonio Tanchuling was the speaker for the lunch symposium and talked about the current controversies on the use of Coxibs. The afternoon session started out with three case presentations. Dr Butch Leagogo showed an external fixator design for distal radius fracture that preserves wrist motion because of its non-spanning features on the wrist joint. (Continued to page 31) FOREIGN FACULTY with POA and POTS officers POA SECRETARIAT with Drs. Rod and Miles during the fellowship night AFPMC RESIDENTS having fun after the meeting at the AFPMC Officers Club December 2004 Ortho Balita Volume 6, Number 24 Page 29 POA featured in Panorama, STAR T he Philippine Orthopaedic As sociation was featured in two widely-circulated Philippine publications. The Philippine Panorama, the nation’s leading weekly magazine and Sunday supplement of The Manila Bulletin which has been featured in such manner in a leading national magazine during its 55 years of existence. On November 30, 2004, the POA was also featured in a full page advertisement on page 6 of the Phil- been in publication for 104 years, featured the POA as its lead article in its Sunday, November 28,2004 issue. ippine Star, another widely-circulated national daily. The page was bannered, “Combined POA, IFFAS, POFAS International Meeting Opens Today”, with the article “The POA in Perspective” below a full blown photo of the 2004 POA Board of Trustees and the logos of the POA, IFFAS and POFAS. The Bone and Joint Decade logo was near the bottom of the page, just above the pictures of the international and local faculty and the Presidential guest speaker, Prof. Josette T. Biyo. The article, “The Philippine Orthopaedic Association at 55th: Leaping its Way Globally” was on pages 5, 8 and 20. It also displayed prominently a full-size photo of the 2004 POA Board of Trustees and the POA logo. It was the first time the POA has ever PShS goes back to shoulder basics P hilippine Shoulder Society (PShS) President Dr. Jose Anthony Q. Jocson welcomed members and POA fellows to the annual meeting held last December 3, 2004 at the EDSA Shangri-la Hotel. The scientific meeting was well attended. Dr. Jofe Syquia gave a brilliant review of shoulder anatomy and biomechanics. Dr. Syquia is an anatomy professor at the UST medical school and an orthopedic consultant at the UST, St. Luke’s, and Cardinal Santos Medical Center. Rapt attention just proved that the shoulder is very much the “forgotten joint” that it is. The next lecture was given by Dr. Ian Panuncialman, a product of the UP-PGH Department of Orthopedics. This was on basic shoulder arthroscopy. Dr. Panuncialman is fresh from a sports medicine fellowship in Italy. His lecture focused on the essential technique of arthroscopy from equipment and instrument set-up, patient positioning, and common arthroscopic findings. Finally, Dr. Mario Geronilla presented his paper on a new technique of acromioclavicular fixation. After the lively open forum, all the guest speakers were given Fukuda-type humeral head retractors. Not bad for a day’s work. Page 30 Ortho Balita Volume 6, Number 24 December 2004 Refocusing Orthopaedic Research POA Research Capacity Building Seminar organizers, participants, faculty and benefactors (October 9 and 10, 2004, Antipolo City) I n early 2004, the Research Committee of the Philippine Orthopedic Association, Inc. started working on a Research Development Plan to improve the conduct and quality of orthopedic research. As a starting point, a need assessment survey was conducted during the POA Mid year meeting at Puerto Princesa, Palawan. The purpose of the survey is to assess the status of orthopedic research, as seen by the fellows of the association. There were 161 respondents. The survey showed that 73% of the respondents have an idea but not adequate knowledge in research. About 90% listed lack of funding as a problem in doing research activities. And 65% stated the need for further improvement in research competencies. About 80% of respondents believe that our country is behind our Asian neighbors in orthopedic research. Relevant inputs from the members of the committee were gathered, put together and organized. A medium term plan was developed and subsequently approved by the POA Board of Trustees. The program overview includes: 1.Research Capacity Building 2.Setting of Priorities for Orthopedic Research 3.Data Base Development 4.Compilation of Local Research Output 5.Results Dissemination and Utilization The first session of the Research Capacity Building, dubbed, “Capacity Building for Health Research Planning “was successfully held at MMLDC, Antipolo City, on October 9 and 10. Dr. Rodolfo L. Nitollama with the Research Capacity Building faculty (from left) Dr. Ronald A. Maligat, Prof. Rosebelle May S. Azcuna and Prof. Ruben N. Caragay The workshop was conducted by experienced resource persons from the University of the Philippines College of Public Health. All 23 participants were POA Fellows, recommended by the different PBO accredited institutions. It is indeed heartening to know that our fellows are supportive of our programs. Research Capacity Building is intended on improving the research manpower competencies of the organization. The second session is tentatively scheduled on March 1920, 2005. Proposed topics are Methods of Literature Appraisal and Evidence-based Clinical Practice Guidelines development. Priority Setting identifies areas of concern in orthopedic research and directs meager resources. Such undertaking requires detailed information on the Essential National Health Plan, as in the declaration of Health Policies by the national government, as well as epidemiologic data on Burden of Disease assessment provided by leading health agencies like the Department of Health. Sadly, quality demographic data are hard to come by. Instead, Institutional priorities set by each hospital can be utilized for (Continued to page 31) December 2004 Ortho Balita Volume 6, Number 24 POTS research forum... Dr. Arturo Cañete presented a triple band technique of repair for chronic Achilles tendon rupture that allows early full weight bearing ambulation.Host Col. Adrien Quidlat gave the last case presentation on amputation versus limb salvage using the MESS (Mangled Extremity Severity Scoring) system as an index for limb preservation on a warinjured officer in Mindanao. The second AOEA scientific session dwelled on the clinical use of the newly designed locked compression plates on the proximal humerus and distal tibial fractures. Dr Frankie Leung showed typical cases and techniques of application of the locked plates with its sophisticated instrumentation system. Dr. Theerachai gave an excellent dissertation on the use of MIPO on a relatively unexplored area, the humeral shaft. He described the step-by- step anatomical approach and the safe zones for insertion of the plate on the humerus. The day’s event was capped by a fellowship night at the Officers Club of the AFP Medical Center where the participants headed by Dr. Theerachai and POA President Dr. The Trauma Registry project has undertaken an important first step in data base development. The Committee will initiate the development of other data bases through conduct of surveys, Fellowship night in MMLDC, Antipolo City (Continued from page 28) Rod Nitollama and POTS VicePresident Dr. Lewy Pasion, belted out top hits of the 60’s and 70’s on the LCD-projected Karaoke system. Our heartfelt thanks to the organizing committee headed by Col. Adrien Quidlat for the warm reception and hospitality. We would like to acknowledge Pfizer Philippines’ unwavering support to this CME activity of the Philippine Orthopaedic Trauma Society. DR. ROD NITOLLAMA with the Pfizer representatives Refocusing... the interim. This necessitates looking into the common problems both in Clinical and Orthopedic health services encountered in the catchment areas or even at the national level. The Committee launched the National Protocol Search last November 16, 2004, with the purpose of initiating research activities in priority areas of orthopedic research and providing funding support programs. Page 31 (Continued from page 30) structured activities with the local chapters, subspecialty societies and participating institutions in data gathering and organization. Storage and retrieval of research output data will be facilitated by website development and maintenance. Results dissemination, as in presentation and publication (local and foreign) are desirable consequences of a quality research output. Utilization of evidences from local researches in the development of Clinical Practice Guidelines will define and improve the quality of orthopedic care. Refocusing research directs meager resources in finding solutions to our common health problems. Plaques of Appreciation awarded to:(top)Prof. Caragay by Drs. Francis Altarejos, Larbo Bonifacio (Research Committee chairman) and Jeff Battad; (above) Dr. Maligat and (below) Prof. Azcuna. Page 32 Ortho Balita Volume 6, Number 24 December 2004 POA compassion at work POA visits Cottolengo Filipino, donates to Quezon typhoon victims V isiting its favorite charity and donating cash to the victims of the recent typhoons in Quezon province were two simple manifestations of POA compassion. POA Trustees and Wives, together with the POA Secretariat, visited the Cottolengo Filipino orphanage in Montalban, Rizal for the fourth straight year. Although more subdued this time, the visit brought joy and happiness to the 30-odd orphaned boys under the care of Father Tae and his staff. Before the group left, Dr. Nitollama presented on behalf of the POA its donation of food stuffs, diapers, medicines and other essentials. The gesture was DIFFERENTLY-ABLED but gifted children go through the motions of specialized education and training (above and below). FR. TAE receives the POA donation from Drs. Nitollama and Sarrosa. (Continued to page 35) SEE YOU AGAIN next year! POA fellows get new ID, 2005 calendar, hymn and directory of fellows P OA fellows got new ID’s, The 2004 Directory of Fellows and a 2005 calendar this December, plus a POA hymn to boot. POA President Dr. Rodolfo L. Nitollama arranged for the Identification Cards with United Laboratories. The ID’s issued during the convention, however, will be changed this February with a new one incorporating the bar codes which the POA secretariat requested, according to Ramon Arana of Westmont. The 2004 POA Directory of Fellows (at right) was distributed and replaced the 2001 version. It was printed thru the efforts of Bristol Myers Squibb (BMS). A 2005 desk calendar printed courtesy of United Laboratories was also mailed to the fellows this December, according to Westmont's Mon Arana. If any POA fellow in good standing has not received this package of benefits, they are requested to contact the POA Secretariat immediately. (Continued to page 35) December 2004 Ortho Balita Volume 6, Number 24 Page 33 PMTS newest subspecialty society E ight orthopaedic oncologists came together this year to form the Philippine Musculoskeletal Tumor Society, Inc. (PMTS). It was founded with the objective of promoting musculoskeletal oncology, better known as tumor orthopaedics, both locally and internationally. The PMTS, Inc. becomes the youngest affiliate society of the Philippine Orthopaedic Association. The Society was presented to the orthopaedic community by POA president Dr. Rodolfo L. Nitollama on December 1, during the business meeting of the POA. Its inaugural scientific meeting was held last December 4, from 8 am-12 noon at the Boracay 2 function room, EDSA Shangrila Hotel, during the specialty day of the Annual Convention. The theme was “Metastatic Bone Disease: Current Evidence & Practice” and featured lecturers from different subspecialties with an expertise in this field, e.g. tumor surgeon, spine surgeon, radiation oncologist, and medical oncologist Musculoskeletal Tumor Society is a product of initial logo designs by Drs. Rafael Claudio, Cesar Dimayuga, and Ivan Concepcion. With the input of the other founding members, Mike Villanueva of the POA Secretariat artistically combined the ideas to come up with the final logo. The logo depicts a Philippinized version of the orthopedic tree, the bamboo, arising in response to the problem of cancer, symbolized by the crab. The bamboo tree has eight branches which symbolizes the multidisciplinary nature of the management of musculoskeletal tumors: - Ortho oncologists - Reconstruction Team - Medical and Pediatric - Oncologists - Pathologists - Radiation Oncologist - Pain Specialist and Anesthesiologist - Rehabilation Team - Auxillary Team (Psychiatrists, Nursing Oncologist, Social Workers, Support Groups) The eight branches also symbolize the eight founding members. The logo shows a distallyresected femur which is reconstructed with an allograft – tumor prosthesis composite. The tibial spike of the tumor prosthesis is shown piercing the crab. The orthopedic tree and the bone alloprosthesis composite are united by external fixation pins. On the left-most side of the logo are letters in the old Filipino script alibata or baybayin representing the letters PMTS. Around the logo are words PHILIPPINE MUSCULOSKELETAL TUMOR SOCIETY, INC. and the year of its founding 2004. - Cesar L. Dimayuga , MD, FPOA The PMTS Logo. The logo for the newly formed Philippine PMTS Logo PMTS Founding members and officers: (from left) Drs. Albert Jerome C. Quintos, Ivan John P. Concepcion, Cesar D. Dimayuga, Judith Valerie M. Akol, Rafael S. Claudio, Marie Jeanne L. Bertol, Richard S. Rotor and Edward H.M. Wang Page 34 Ortho Balita Volume 6, Number 24 December 2004 POA sympathizes with Asian neighbors W ithin 24 hours after the evastating 9.0 earthquake off Sumatra Island in Indonesia and its resultant killer tsunamis struck December 26 coastal villages and tourists resorts in the Asian and east African regions, POA President Dr. Rodolfo L. Nitollama sent a message of condolence and sympathy to the leaders of the ASEAN Orthopaedic Association (AOA). In his e-mail message, Dr. Nitollama expressed on behalf of the Philippine Orthopaedic Association, “our sincerest condolences and sympathy to all our brothers in the ASEAN Orthopaedic Association and those in Sri Lanka, India, Maldives and other neighbors, who have been affected by the recent earthquake and tsunami devastations that befell our region. Your brothers in the Philippine Orthopaedic Association are praying for your quick recovery from this irreparable loss and damage to life and property.” AOA Secretary General Dr. Ong Leong Boon immediately replied that he “was very touched by your heartfelt message regarding the terrible recent earthquake and killer tsunami waves in the Indian Ocean”. He and his family were supposed to fly 12 hours after the earthquake, from Singapore to Colombo, Sri Lanka for a week’s vacation. A month earlier, they had planned a vacation to either Phuket, Thailand or TSUNAMI set to roar with destructive force over pristine landscape of South Asia. PHKS holds annual convention T he PHKS held its annual convention last December 4 during the Specialty Day of the POA Annual Convention at the EDSA Shangri-La. The theme was “Total Joint Replacement, Tips on Techniques and Current Trends”. Speakers included Dr. Peter Bernardo who discussed “Fixed Bearing TKR”, Dr. Antonio Tanchuling presented a 10-minute video presentation on “Minimally Invasive Hip Surgery- the Banawe Technique”, and Dr. Herminio Valenzuela of UPPGH who presented his local experience in MIS in THR. The plenary lecture was given by Dr. Ramon Gustilo, with his topic on “All Poly TKR, How I Do It?” Final part of the symposium was the presentation of difficult and interesting cases from the different orthopedic training institutions. Langkawi, Malaysia, but decided instead to go to Sri Lanka, which was hardest hit by the devastation together with Indonesia. He expressed a sigh of relief that their family trip did not push through. AOA and RCOST President Dr. Suthorn Bavonratanavech thanked the POA for our message of concern. “This is a devastating damage with a lot of deaths and injured patients.” He said that it will be a very busy time for orthopaedic surgeons working in the Phuket region. Many orthopaedic surgeons from Bangkok have been flown to Phuket to provide assistance and support to the hospitals in the area, said Dr. Suthorn. Singapore Orthopaedic Association President Dr. KS Lam wrote, “We share your feelings. Our heart goes out to the family of the injured and casualties.” Malaysian Orthopaedic Association President Dr. Saw Aik, expressed his thanks to “our Philippine brothers for your concern over the tragic earthquake and resulting tsunami yesterday. Although Malaysia is not among the worst hit area, this is probably the worst natural disaster every experienced by our nation.” Still unheard from was Indonesian Orthopaedic Association President Dr. Bambang Tiksnadi. Indonesia bore that brunt of the fatalities and casualties in the region, along with Sri Lanka, Maldives, India and Thailand. Dr. Nitollama expressed the hope that this natural disaster “will strengthen our resolve in this region to band and keep ourselves united in the face of adverse situations like this.” Upwards of 215,000 people have been killed, thousands injured, millions homeless and billions of properties destroyed, making this natural disaster the worst in the world in recent years. December 2004 Ortho Balita Volume 6, Number 24 Page 35 POA WVC holds quarterly meeting T he POA-WV under the leadership of the energetic Dr. Marcelo “Doy” Jaen was again busy for the last 2 quarters of this year after that wonderful scientific lecture series in Boracay. The 3rd quarterly meeting was held in Imay’s restaurant, Bacolod City last September 11, 2004. Dr. Edgar Eufemio of UP-PGH shared with the local orthopods his expertise on Common Sports Injuries. The association also showed its active participation during the Bone and Joint Decade Week last October 23-30, 2004. The Rehabilitation Medicine group spearheaded the celebration in coordination with the Rheumatology and Orthopedics group. The opening ceremony was highlighted by an opening of exhibits and posters, lay forum on degenerative osteoarthritis and free DEXA screening (for osteoporosis) at SM City, the biggest commercial establishment in Iloilo City. A week-long TV and radio guesting on 3PM Banat Buto and Road Safety project were likewise conducted. For the first time in the history of orthopedics in Western Visayas, a Research Forum was undertaken last November 13, 2004 in Citrus Bistro, Sarabia Manor Hotel, Iloilo City. Four research papers were presented by the residents from the different orthopedic training institutions in the region. Cash prizes and certificates of participation were given to all the participants. At the same time, Dr. Albert Jerome Quintos of UP-PGH delivered a lecture on Bone Banking. This was followed by the 4th quarterly meeting and election of new sets of officers for the year 2005. Dr. Mariano Villarosa of Bacolod City is the incoming president. POA NMC sets attendance rules C AGAYAN DE ORO. Sixteen orthopedic surgeons from the POA North Mindanao Chapter were on hand to attend the third quarterly chapter meeting in Marco Hotel, Cagayan de Oro last October 23, 2004. During the meeting, it was noted that out of five lectures on osteoporosis for lay audiences planned for the year, four were carried out. The results of consultations with the POA National Board regarding the chapter constitution were reported to the body. Furthermore, in order to encourage attendance, the general membership decided that each POA visits... member should attend at least two quarterly meetings in order to maintain active status in the Chapter. If only one meeting is attended, a fine of P 1,000 needs to be paid in order to retain active status. If no meetings are attended for the whole year, the member is deemed inactive. The business meeting was followed by the paper presentation of each resident in the Department of Orthopedics, Northern Mindanao Medical Center. This is the first activity of this sort in North Mindanao. The aim was to (Continued from page 32) very much appreciated by the Cottolengo staff. A planned visit and Christmas cheers program for the patients of the Pediatric Orthopaedic wards of the POC and UP-PGH, however, was put on hold. This developed after the POA Board decided at the last minute to donate instead twenty thousand pesos cash to the victims of the recent 4 typhoons in the ravaged areas of Quezon province. The donation was coursed through the Rotary Club of Lucena, Quezon through the intercession of POA fellow Dr. Ces Grey. The POA also donated food that was not consumed during the congress banquet to street children, after many guests failed to attend due to the typhoon signal number 4 warning in Metro Manila. Dr. Miles Dela Rosa and his wife Lorna took care of the food distribution despite the bad weather on the night of December 3. encourage the residents to work on their research papers as well as gather comments and suggestions from the consultants present. This was all aimed at encouraging research activity in this most recent addition to the POA’s list of accredited training institutions. The night was capped by a party featuring live entertainment from Dr. Ferdie Amante’s band which came all the way from Butuan City. The fourth quarterly chapter meeting will be held on the first day of the Annual Convention in Manila. POA fellows... (Continued from page 32) The POA hymn was first sung in public at the close of the opening ceremonies on December 1. Other publications distributed include the POA Annual Convention Souvenir Program, the book of abstracts, the December 2004 issue of the Philippine Journal of Orthopaedics and the October issue of the Ortho Balita # 23. A POA jacket with the POA logo also went on brisk sale during the convention. Page 36 Ortho Balita Volume 6, Number 24 December 2004 POA NLC Olympics with I n celebration of the Olympic year 2004, the POA North Luzon chapter held its fourth quarterly meeting at Hacienda Luisita in Tarlac City last October 16-17, 2004 with the theme, “Banatan ng Buto – Athens 2004”. The chapter members were warmly welcomed by Dr. Luis Q. Santos, president of the host Orthopaedic Surgeons of Tarlac (OrthoS-Tarlac). The event was sponsored by Pfizer, Inc. Evading the monotonous concept of listening to invited speakers during quarterly meetings, the chapter decided to tap local talents and held instead an interactive case discussion featuring four interesting and complicated trauma cases presented by chapter members. This is the reason for the theme ‘Banatan ng Buto – Athens 2004 (Athen-athens ‘to ‘pre)”. The discussion that ensued was very lively, informative and at times entertaining. It brought to fore interesting cases managed ingeniously with resources available within the chapter. As an offshoot of the discussion, the proposal to identify centers of expertise for certain cases within the chapter (e.g. Tarlac for elbow ankylosis, Baguio for neglected hip dislocations) was put forth. These centers will be responsible for evaluating, documenting and at times managing similar complicated cases with the hope of coming up with a substantial Cabling displayed his tennis skills number so a meaningful paper can over host Dr. Rudy Vigilia. Pres. Gie be produced by the chapter. The Cabling led the badminton players discussion format was such an in shredding shuttlecocks while viceintellectual treat to the members that president Bert Basco tried his best everyone present voted to have a in banging bodies against Pfizer similar format for such meetings reps in basketball. every other quarter. The sporting events held In keeping with the Olympic over two days were all exciting. But theme, the chapter attempted to hold (Continued to page 37) its first ever sportsfest. The events lined up however proved too numerous that members had a difficult time deciding which ones to join. There was the no holds barred, winner takeall race between Eman dela Paz and Alex Duque at the Tarlac Karting Circuit with Eman prevailing at the finish line. Who could Drs. JP Leung, Godo Dungca and Danny Dungca give forget the masterful thumbs –up sign before the start of the race. performance of Dr. Ebb Bareng at the pool table, besting all comers in 9-ball billiards? The following day as he also won the golf tournament at Luisita. Dr. Billy Del Rosario exhibited his shooting prowess at the Tarlac Shooters Ourdoor range, while Dr. Jong POA-NL Vice-Pres Bert “Schumacher” Basco posing before the start of the race. POA-NL President Gie Cabling (2nd from left) lead members in showing good badminton form. Dr. Rudy Vigilia moderates the discussion during the scientific meeting. December 2004 Ortho Balita Volume 6, Number 24 Page 37 OrthoS - Tarlac going strong at 5 I t was an idea hatched in the fairways of the Luisita Golf and Country Club – that of Tarlac’s orthopedic sur- geons coming together and forming a professional group. From it was born The Orthopaedic Surgeons of Tarlac or OrthoS-Tarlac for short. Five years have passed and the group is still together and much stronger. Not a few of our colleagues in the Tarlac Medical Society were skeptical about the group’s intentions, much less its ability to stay together. But stay together we did. And along the way the group even managed to embark on several worthwhile projects. The monthly meeting with case discussions is a constant. We were able to put in place a formal decking system for walk-in patients in affiliated hospitals. And as a way of giving back to the community, the group has spearheaded the Tarlac Osteoporosis Study Group and has recently been very active in doing scoliosis screening among high school students in Tarlac. Two years ago, OrthoSTarlac hosted a POA-NLC quarterly meeting at Hacienda Luisita. It was a huge success. At that time that particular meeting garnered the biggest attendance in a quarterly meeting. It was also the first time a billiard and golf tournament was held in conjunction with the meeting. I n celebration of its fifth year of existence, Orthos-Tarlac once again hosted a quarterly c h a p t e r meeting last October 1617, 2004 with Going back to where it all started – OrthoS-Tarlac members play golf the theme at Luisita. “Banatan ng Buto, Athens* 2004”. It was such a huge success that the group e a r n e d plaudits from the POA-NL members. What then is the secret of O r t h o S Ta r l a c ? Simple. As Dr. Chito Santos, our president, loves to say, “We may not love each other, but we tolerate each o t h e r . ” Enough said. Dr. Godofredo V. Dungca III Sino ang pinaka-pogi? (From left to right): Drs. Danny Dungca, Rudy Vigilia, Godo Dungca, Chito Santos (president); and Oliver Atanacio. OrthoS-Tarlac members doing scoliosis screening at the Tarlac Montessori School POA NLC Olympics... the hands down choice for “The Event” is the go-kart racing held at the Tarlac Racing Circuit. Even Drs. Rey Cariaga and Bob Amansec couldn’t believe how fast those cars can actually go. Fellows and their families had a great adrenaline rush cutting corners and accelerating at straight-aways. People were still talking about it during the “spiritsfilled” fellowship and karaoke night that followed the races. Though there was no actual awarding of prizes to the winners, the meeting ended up with stories of how one played the game, win or lose. (Continued from page 36) Refreshed from this “Olympic” meeting, the members trooped back to their respective provinces filled with spirit of Athens* 2004…… Athens –Athens ’to ‘pre: POA –North Luzon, one in vision and united in its mission. SOLID NORTH Talaga! - Paul Ruel Camiña,MD and Godofredo Dungca, III, MD Page 38 Ortho Balita Volume 6, Number 24 December 2004 Cutting edge in orthopedics at MMC E xcellence in patient services and education has been the hallmark of the Department of Orthopaedics of the Makati Medical Center. On its 17th anniversary, the department held its 8 th Annual Symposium featuring the latest updates on orthopedic technology with famous speakers coming from abroad. The speakers and their topics were: Drs. Joan Bechtold, Phd., Minneapolis, MN, USA, Synergy between polyethylene particles and implant motion on implant fixation; and Improving fixation of revision implants; Go Omori; Niigata, Japan, Risk factor of medial knee osteoarthritis: 21-year follow-up; Yoshio Koga; Niigata, Japan, New operative technique and jig for high tibial osteotomy; David Templeman, Minneapolis, MN, USA; Operative management of pelvic ring injuries; David Segal; Jerusalem, Israel, The role of navigation (CAOS) in trauma; Eric Arcilla; UP-PGH, Phils., Soft tissue reconstruction of the lower extremity; Dr. Rolando M. Puno; Louisville, KY, USA, Role of interbody fusion in the treatment of lumbar degenerative disc disease; and Idiopathic scoliosis: What have we learned?; Dr. Yoshinori Ishii; Saitama, Japan, In-vivo kinematics and clinical evaluation of meniscal bearing knee; Dr. Ramon B. Gustilo; MMC, Phils, Why all-poly tibia in total knee arthroplasty; Dr. Alan R. Raymundo, MMC, PhilsIncidence of deep vein thrombosis in total joint replacement among Filipinos; Dr. William Berghoff; Indiana, USA, Use of concentrated platelets in total joint arthroplasty. The symposium was attended by participants from St. Luke’s Medical Center, De la Salle University Medical Center, Far Eastern University, UP-PGH, Phil Drs. Ramon B. Gustilo, William Berghoff (behind Dr Gustilo), Yoshio Koga, Rolando M. Puno, Yoshinori Ishii, Raul G. Forès, Go Omori, David Segal, Joan E. Bechtold and David Templeman Orthopaedic Center, University of Santo Tomas, East Avenue Medical Center and Subic Bay Medical Center. The affair was graced by the hospital medical director, Dr. Raul G. Fores, and the president of the Philippine Orthopaedic Association, Dr. Rodolfo L. Nitollama. The organizers would like to thank the continued support of our pharmaceutical partners, especially our major benefactor, Pfizer, Inc, who also sponsored the lunch symposium on cardiovascular safety issues on coxibs by Dr. Ma. Victoria Garcia. - M. Jeanne L. Bertol, MD, FPOA Claudio new PSO prexy P OA fellow Dr. Rafael S. tenth POA subspecialty society.(See Claudio was inducted related story on page 33) recently as president of the Philippine Society of Oncologists (PSO). He succeeded Dr. Rey Delos Reyes, an OB-Gyne oncologist, under whom he served as vicepresident. Dr. Claudio was also inducted by POA president Dr. Rodolfo L. Nitollama as vicepresident of the newly-formed Philippine Musculoskeletal Tumor Society (PMTS), together with the founding officers and members of the DR. CLAUDIO addresses PMTS audience December 2004 Ortho Balita Volume 6, Number 24 Page 39 Two past presidents head awardees T wo POA past Presidents and the POA office manager headed the POA awardees this year. POA office manager Sol De Jesus was given a Presidential plaque by POA President Dr. Nitollama in a surprise portion of the congress banquet ceremony, for her courage and dedication to duty, despite being afflicted with cancer. The honorees were led by POA past Presidents Drs. Antonio A. Rivera and Antonio Montalban. Dr. Dr ANTONIO A. RIVERA, former Chief APOA delegate (above) and POA Hymn composer Dr. Ogie Frez (below) Rivera, who was PBO receive their plaques from Drs. Nitollama and Dela Rosa. Chairman in 1988, POA President in 1998, and AOA President in 1999, was honored for his services as chief Philippine delegate to the Asia-Pacific Association from 19982003. He is presently medical director of the Asian hospital. Other awardees include Traveling Fellows Drs. Rodolfo L. Nitollama and Albert U. Dy, Zimmer; Larry V. Acuña AJTF; Henry Y. Chua, ASTF; Dr. John Andrew Michael A. Bengzon, AOA-British Orthopaedic Association; Joseph Diyco, APOA Ambassador, and Rodolfo Frez for the POA hymn. T h e P h i l i p p i n e Musculoskeletal Trauma Society (PMTS ) was also officially recognized as the 10th POA Subspecialty Society. POA CALENDAR OF EVENTS Dr. Montalban, POA President in 1984, was honored for his services as editor-inchief of the Philippine Journal of Orthopaedics from 1982 up to the present. He is presently the executive VicePresident of the Dela Salle Dasmariñas University System in Cavite. February 23-27, 2005 AAOS Annual Meeting Washington DC April 21-23, 2005 16th POA Midyear Convention Theme: ""Buto-Buto sa Daba Daba" Topic: Trauma Complications 16th POA Midyear Convention Waterfront Hotel, Davao City May 12-15, 2005 35th Malaysian Orthopaedic Association Meeting Theme: Trauma Venue: Miri, Sarawak, Malaysia PJO EDITOR-IN-CHIEF Dr. Antonio A. Montalban's award was received on his behalf by Dr. Winston Estera November 14-20, 2005 56th POA Annual Convention Combined with 25th ASEAN Orthopaedic Association Anniversary Celebration Theme: Living with the ASEAN Spirit... 25 Years of Unity in Diversity Westin Philippine Plaza, Manila, Philippines November 21-24, 2005 27th Singapore Orthopaedic Association Annual Scientific Meeting Theme: Upper Limb Trauma & Sports Venue: Shangri-la's Rasa Sentosa Resort POA OFFICE MANAGER Ms. Sol P. De Jesus' award was received on her behalf by colleagues Mike Villanueva and Rogie Aragones from Drs. Nitollama and Dela Rosa. November 24-27, 2005 6th Combined Conference of the Spine and Pediatric Orthopedic Sections, AOA Venue: Grand Hotel, Taipei, Taiwan Page 40 Ortho Balita Volume 6, Number 24 December 2004 Biyo, 2 Fil-Ams receive awards in US I n an article written by Sammy Julian and published in The Manila Bulletin, Sept. 29 , 2004 issue and datelined Washington, D.C., it was reported that two Filipino-Americans – Maj. Gen. Antonio Taguba and Pulitzer Prize winner Cheryl Diaz Meyer – and a Filipino Science teacher from Iloilo City were honored there with the Philippine American Foundation (PAF) Friendship Awards in recognition of their outstanding achievements. Taguba, now US Deputy Assistant Secretary for Reserve Affairs; Meyer, 2004 Pulitzer Prize for Breaking News Photography winner; and Dr. Josette Biyo, a science teacher who received The Intel Excellence in Teaching Award, were feted at a gala dinner at the National Press Club (NPC) building in Washington, D.C., according to Julian. (See related story on page 5) He reported that some 300 guests representing various Filipino and American groups attended the awarding ceremonies called “A Salute to Excellence,” a yearly affair in the US capital recognizing Filipino and Filipino American achievers. The Philippine American Foundation is a 20-year-old organization based in Washington D.C. It is one of the largest and most influential Fil-Am associations in the US. This year’s awardees have hogged international limelight and have made many Fil-Americans and Filipinos proud of their achievements. Maj. Gen. Taguba, who was born in Sampaloc, Manila, is the second highest ranking Fil-American in the United States Armed Forces. He is best known for his role in the probe of abuses by US soldiers against Iraqi detainees at the Abu Ghraib prison in Iraq. He earned praises both in the US and abroad for his candor, professionalism and integrity in his investigation of prison torture. His testimony before the US Senate about those abuses made headlines all over the world. Julian reported that Cheryl Diaz Meyer is a photographer for the Dallas Morning News. She won this year’s Pulitzer photography prize with fellow photographer David Leeson for their body of work depicting the invasion and aftermath of “Operation Iraq Freedom.” Also in the limelight according to Julian is POA Presidential Guest Lecturer Dr. Josette Biyo, who came all the way from Iloilo City. She is a science teacher at the Philippine Science High School in Iloilo who gained recognition for her achievements in teaching science in a Third World country. She has shared her teaching methods not only in the Philippines but also with other countries where she continues to receive numerous invitations. Some 4,000 teachers all over the world vied for The Intel Excellence in Teaching Award but it was Dr. Biyo who got the award in 2002. Recently, the Massachusetts Institute of Technology (MIT) named a minor planet between Mars and Jupiter Planet Biyo in her honor. Julian further wrote that in their acceptance speeches, Taguba and Meyer never forgot their Filipino heritage and emphasized the Filipino values of family and discipline. They expressed hope for the future and are confident that many Fil-Americans will follow in their footsteps. Julian also noted that Biyo expressed her desire to continue teaching science subjects in high school. She, however, said that there must be reforms in the Philippine educational system and hoped for a big increase in the education budget. Just like during the POA opening ceremonies last Dec. 1, 2004, many who attended the US awards night were misty-eyed as they listened to the awardees during the emotional and touching ceremonies. After the program, a PROF. JOSETTE TALAMERA-BIYO, POA Presidential Guest Lecturer 2004 Biyo featured in insurance firm ad “A teacher with focus may never have a mansion to her name. But for now, a planet will do.” - Dr. Josette Biyo Filipino, Teacher Worldwide winner, 2002 Intel Excellence in Teaching Award, USA In May 2002, Dr. Josette Talamera-Biyo bested 4,000 teachers from all over the world to become the first Asian winner of The Intel Excellence in Teaching Award. “I hoped to be a medical doctor,” she recalls. “But for lack of finances, I took the first job available. The day I entered the classroom, I knew I wanted to be an excellent teacher.” For 23 years now, she has made science come alive for her students. “I focus on what I can do – make the most complicated subject simple, without losing the essence.” (Pioneer Insurance advertisement) long queue of admirers waited to have their pictures taken with the recipients. (Sounds familiar!) December 2004 Ortho Balita Volume 6, Number 24 Page 41 IFFAS Councils meet, set plans aking advantage of the presence of key persons in the region, the International Federation of Foot and Ankle Societies (IFFAS) Council met November 30 after the POA president’s dinner for the faculty and VIP guests at the EDSA Shangri-la. T Dr. Chan from Hong Kong tentatively agreed to host the convention in Hong Kong or Mainland China, pending the approval of his colleagues from Mainland China. However, Prof. Chen from Taiwan offered to hold the convention in Taiwan in case Hong Kong cannot host it. IFFAS president Dr. Michael J. Coughlin presided over the meeting. Present were Drs. G. James Sammarco (USA), John Gould (USA), Glenn Pfeffer (USA), Yoshinori Takakura (Japan), Haruyasu Yamamoto (Japan), In Heon Park (Korea) and Emiliano Tablante (Philippines). IFFAS Asian Chapter Council at work The Second Triennial IFFAS meeting in Naples, Italy on September 2005 was discussed. Members from the different Foot and Ankle Societies were encouraged to submit papers for presentation and likewise invited to participate in the scientific and social programs and to enjoy the sights of Italy. Meanwhile, the Asian Chapter of IFFAS likewise had a council meeting last December 2, 2004. The meeting was initially presided by Prof. In Heon Park where he turned over the presidency of the Asian Chapter of IFFAS to Dr. Emiliano Tablante of the Philippines. Other council members present were: Prof Yoshinori Takakura (Japan), Prof. Haruyasu Yamamoto (Japan), Dr. Samson Chan (Hong Kong), Dr. Heng-Hing Lim (Malaysia), Prof Yuh-Min Cheng (Taiwan), Dr. William Verhoeven (Singapore). (See pictures on the right) Dr. Tablante presided the rest of the meeting. Countries without Foot and Ankle Societies were encouraged to start their own societies and be members of IFFAS. The venue for the next Asian IFFAS chapter convention in 2007 was likewise discussed. IFFAS Asian Chapter Council members It was the general consensus among the council members that the POA, IFFAS, POFAS convention in the Philippines was a very successful one. They were very impressed with how the convention was organized and likewise the hospitality extended by our POA Fellows. Page 42 Ortho Balita Volume 6, Number 24 December 2004 POA officers attend ASEAN confab OA President Dr. Rodolfo L. Nitollama led the Philippine delegation to the 24th ASEAN Orthopaedic Association Annual Convention at the Pattaya Exhibition and Convention Hall (PEACH) in Pattaya, Thailand on October 13-16, 2004. P and he presented “The POA Trauma Registry”. Also present in the Philippine delegation were POA vicepresident Dr. Miles Dela Rosa, secretary Dr. George Winston Estera and Dr. Gaugin Gamboa, who presented his winning POA research forum paper. He was also invited to deliver a lecture during the presidential guest lecture portion of the convention. Dr. Nitollama presented the lecture “The Bone end Joint Decade 2000-2010: The POA Initiatives and Accomplishments.” D r s . Nitollama, Dela Rosa and Estera also attended the A S E A N Orthopaedic Association Council Meeting. During the council election, Dr. S u t h o r n Bavonratanavech of Past POA president Dr. Lauro M. Abrahan, Jr. was also invited to lecture in the same forum Thailand was elected president to succeed Dr. S’yed Abdul Latiff Alsagoff of Malaysia. Dr. Nitollama was elected senior vice-president, while Drs. Dela Rosa and Estera were elected as council members. Dr. Nitollama delivers the POA lecture on BJD concerns Dr. Saw Aik, Dr. Rod and Bernie Nitollama, Mrs. Witchen, Mrs. Sinaporn Bavonratanavech and Dr. Miles Dela Rosa Drs.Winston Estera, Rod Nitollama, S'yed Abdul Latiff Alsagoff, Franklin Sim of AAOS , Saw Aik and Miles Dela Rosa December 2004 Ortho Balita Volume 6, Number 24 Page 43 Drs. Rod Nitollama, Suthorn Bavonratanavech, Miles Dela Rosa, S'yed Abdul Latiff Alsagoff, Wong Ho Poh and Winston Estera. ASEAN OA Council Meeting: Dr. Thamrongrat Keokarn, Ong Leong Boon, S'yed Abdul Latiff Alsagoff, Suthorn Bavonratanavech (above) POA's Drs. Winston Estera, Rod Nitollama, Miles Dela Rosa and SOA's Lee Soon Tai (below) in a spirited discussion. Cheers to Spirit of '67 Band T he country's premiere show band, The Spirit of '67 composed mostly of Class '67 batch mates at the The Spirit of '67 Band Ateneo De Manila High School, and managed by Sonny Alvendia, provided the nostalgic music of the 60's, 70's and 80's. Their music and entertainment perfectly complemented with the POA Fellowship Night camaraderie. Page 44 Ortho Balita Volume 6, Number 24 December 2004 Official Newsletter of the Philippine Orthopaedic Association, Inc. EDITORIAL BOARD JOSE S. PUJALTE, JR., MD Editor-in-Chief RODOLFO L. NITOLLAMA, MD Editorial Consultant VENANCIO P. GARDUCE, JR. MD LAURO M. ABRAHAN, JR., MD NOEL B. CARILO, MD Associate Editors Westmont ad here MARIO B. GERONILLA, MD REYNALDO F. CARIAGA, MD LEO DANIEL D. CARO, MD ATTY. LEO O. OLARTE, MD ARTURO C. CAÑETE, MD RAFAEL S. CLAUDIO, MD BENIGNO A. AGBAYANI, MD Contributors MILES T. DELA ROSA, MD Circulation Manager MIKE VILLANUEVA SOL DE JESUS ROGIE LLAMAS-ARAGONES MICHAEL KENNETH MUSNI Editorial Assistants POA OFFICERS 2004 RODOLFO L. NITOLLAMA, MD President MILES T. DELA ROSA, MD Vice-President GEORGE WINSTON B. ESTERA, MD Secretary EDWARD A. SARROSA, MD Treasurer FRANCISCO P. ALTAREJOS, MD JOSE S. PUJALTE, JR., MD ALBERT U. DY, JR., MD LAURO R. BONIFACIO, MD JOSE P. TRANQUILINO, JR., MD MIGUEL AGUSTIN G. MORALES, MD ANTHONY ALBERTO C. ANGALA, MD Trustees ARTURO C. CAÑETE, MD Ex-Officio Published by the POA, Inc. Suite 810 Future Point Plaza 1 Condominium, 112 Panay Ave., Quezon City 1103 Tel. No. (+632) 410-1331;410-1339 Fax: (+632) 410-1283 E-mail Address: poa@bayandsl.com Website: www.philortho.org
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