str[bits]

Thanks! to all who congratulated me for having a very healthy Baby. Of course we are very happy specially his KUYA, he is also excited having a baby brother. Amy is doing well, Thanks to ALL MD’S who assisted her. (Dra Sol Pangan OB-GYNE, Dra Masangkay Pedia, Dra Banson Anesthesiologist) They did not charged us “Professional Fee”.

RALF ANTHONY will be his name, he is 8.9lbs, born Sept 9, 2001, 9 AM (999).

Last night we have Scientific Meeting about Peripheral Arterial Disease. I make sure to listen to the speaker because that disease are common to Diabetic Patient. Its very important to identify it as early as you can because your patient may loss the part affected (amputate). But what underscore most is the important of exercise in the form of walking to prevent further progression of the disease.

What is peripheral arterial disease?

Peripheral arterial disease is a problem with blood flow in the arteries. Arteries carry blood to the muscles and organs in your body. When you have disease in your arteries, they become narrow or blocked. The most common cause of narrow or blocked arteries is fatty deposits (also called atherosclerosis). High cholesterol levels, high blood pressure, smoking and diabetes can all cause atherosclerosis.

When atherosclerosis affects the arteries in the legs, the problem is called peripheral arterial disease (or PAD, for short).

Why do my legs hurt?

PAD cuts down the blood flow to the muscles and other tissues in your legs. Claudication is the name for the pain you feel in the calves, legs or buttocks when you walk. Claudication is the most common complaint of people with PAD. The pain happens when you walk. It goes away after a few minutes of rest.

How can my doctor be sure I have PAD?

Your doctor may suspect that your arteries have narrowed by listening to the blood flow in them, using a stethoscope. Then he or she may do some tests to see if you have PAD. Your doctor may also do tests to see if your other arteries have atherosclerosis.

Can PAD be treated?

Yes. PAD is often treated with diet and exercise, and sometimes medicine. People with PAD must stop smoking. It is important for people with PAD to bring down high cholesterol, high blood pressure, and high blood sugar levels. A walking program is very helpful. You should walk at least 3 times a week for 30 to 45 minutes each time. Walk until the pain is too uncomfortable. Stop and rest until the pain goes away. Then start walking again.

My day start at 3:00 AM, I have time to study my assignment up to 5AM. Do I still have assignments? My answer is yes. Every patient that is due the following day for follow-up, I consider it an assignment to read more about that particular disease, especially if the case is unusual, that is the only way in my own opinion a DOCTOR become superior to other MD. In my view where you graduate (SCHOOL) only reflect when you apply for RESIDENCY training, and the first 2 years of practice, but after that it is up to an individual how you update yourself.
Everyday we are bombarded by approximately 7,000 journals. You have to do your very best to read at least 10% of it, otherwise you will become obsolete, That is how important to us to have the computer for data storage, and to update ourselves, because even you are the best among the best you cannot memorize it all.
If your present MD is not literate to computer or doest have one yet, be careful he or she may be OUTDATED.
There is two-drug company who is fighting for my prescription, which is cool. By just prescribing their medicine, they will give me a reward? One drug company want to give me a PALMTOP of my choice, just to prescribe their hypertensive MEDS, and the other one a complete set of AQAUARIUM. That is the beauty when they recognize that your practice is good.
Tomorrow we don’t have clinic, because my wife (DRA. AMELYN RAFAEL) is schedule to have her every 2 weeks prenatal check-up to DRA. SOL PANGAN (OBSTETRICIAN) in ST Lukes Medical Center.

I am the elder brother of Sandro, who accidentally became a Medical Doctor.
Is that true? Of course, YES!

I was invited by my brother to divulge my daily subsistence. Expect to read here my daily involvement in the field of medicine as a PRIVATE MD, and occasionally as a FAMILY MAN. You can ask question, just send me an e-mail.

Oh, by the way just to inform the world that my son RYAN was chosen by the principal to have a special class in computer. They select to every level for example in toddler, Nursery, Kinder, Prep, Grade 1 etc. one student whom they think excel in the class. Ryan is only 3 years and 8 months.

Happy birthday to my closest and knows_me_best person on universe!
You’re 9 years older than me again. Hehehe.
Always do your best…. I’m modeling you.

Gift for you? Hmmm… do I need to?
Okay, okay… I know your beseeching for this for so long…
It starts with little L!
Laptop?
Nope…
I’ll give you… LOVE!

Hehehe.

Seriously, in my coming vacation, you’ll have a computer of your choice!
Wow!

p.s.
Manoy, I need to read your comment in this posting. Share something about your self, your ideas, plans, dreams, what you feel being XX years old, your satisfactions in life, being soon a father of two, a husband of great wife, anything you want to share. I just need some words from you.

No comment – No Computer.