Some ways of keeping hard copies of medical records by patients

There are so many ways of keeping the hard copies of medical records by patients.

Here are just some samples.

In the end, it is the choice of the patients and/or relatives. What is most important is to keep them and safeguard them.

Some, a few, will make a summary and keep.

As I said, in the end, it is the choice or call of the patients and/or relatives on how they will keep the hard copies of the medical records. What is most important is to keep them and safeguard them.

ROJ@22aug4

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Happy to hear this surgeon from Zamboanga City saving a patient from unnecessary breast surgery

August 3, 2022

Saw the following post by Dr. Alex Cerrillo from Zamboanga City.

I responded / commented in his Facebook.

Make my day!

I hope to hear more of this story in the future.

My advocacy – Compassionate Humanitarian Program – saving Filipino patients from unnecessary breast surgery – part of my Patient Empowerment Program also.

ROJ@22aug3

Posted in Patients Saved from Unnecessary Breast Operations | Leave a comment

ROJOSON’s Lectures and Teaching Activities – 2022

ROJOSON’s Lectures and Teaching Activities – 2022

ROJOSON’s Lectures –Talks –2022

Target: 12


Actual –

Compared to 39 in 2021 (COVID19 Lockdown)

Compared to 12 in 2020 (COVID19 Lockdown)




ROJOSON’s Lectures –Talks –2022

Target: 12

Actual – 33 as of July 24, 2022   

 DateTitleParticipantsPlace
 UPCM   
1January 28, 2022Case Presentation and Discussion and Journal Appraisal UPCM-PGH LU7 (Surg 260) – 6 studentsZoom
2July 20, 2022Case Presentation and Discussion and Journal Appraisal UPCM-PGH LU7 (Surg 260) – 3 studentsZoom
     
 UPCPH – MHA MHA Students 
1March 1, 2022Systems-Thinking in Healthcare Facilities UP-CPH MHA HA 202 StudentsUPCPH ZOOM
2March 8, 2022Managing the Department of Surgery UP-CPH MHA HA 202 StudentsUPCPH ZOOM
3March 15, 2022Hospital Quality Accreditations UP-CPH MHA HA 202 StudentsUPCPH ZOOM
     
 ROJ-PEP TALK Laypeople 
1January 08, 2022THYROID Cancer Development – Fundamentals and Generalities~20Zoom
2January 15, 2022Fundamentals and Generalities in Medical Management of THYROID Cancer –Part 1~20Zoom
3January 22, 2022Fever and Paracetamol: Myths and Tips~25Zoom
4January 29, 2022Fundamentals and Generalities in Medical Management of THYROID Cancer –Part 2~25Zoom
5February 5, 2022Fundamentals and Generalities in Medical Management of GOITER – Part 1~25Zoom
6February 12, 2022Fundamentals and Generalities in Medical Management of GOITER – Part 2~25Zoom
7February 19, 2022Fundamentals and Generalities in Medical Management of GOITER – Part 3~20Zoom
8February 26, 2022GOITER: MYTHS & TIPS~20Zoom
     
9March 5, 2022Fundamentals and Generalities in Medical Management of SKIN AND SOFT TISSUE TUMORS – Part 1~20Zoom
10March 12, 2022Fundamentals and Generalities in Medical Management of SKIN AND SOFT TISSUE TUMORS – Part 2~20Zoom
     
11March 19, 2022Abdominal Disorders – An Overview~20Zoom
12March 26, 2022Abdominal Pain – An Overview~20Zoom
13April 02, 2022RLQ Abdominal Pain and Appendicitis~20Zoom
14April 09, 2022Abdominal Mass – An Overview~20Zoom
15April 23, 2022Abdominal Obstruction – An Overview~20Zoom
16April 30, 2022Abdominal Bleeding – an Overview~20Zoom
17May 7, 2022Jaundice – An Overview~20Zoom
18May 14, 2022RUO Abdominal Pain and Gallbladder Disorders~ 17Zoom
19May 21, 2022Pancreatic Disorders~ 17Zoom
20May 28, 2022Hemorrhoids~ 19Zoom
21June 4, 2022Hernias~ 20Zoom
     
22June 11, 2022Laughter Exercise for Health and Well-being~22Zoom
23June 18, 2022Low-value Medical Care: Unnecessary Prescription of Medications~24Zoom
24June 25, 2022Low-value Medical Care: Unnecessary Diagnostic Tests~20Zoom
25July 02, 2022Low-value Medical Care: Unnecessary Operations / Surgeries~17Zoom
26July 09. 2022Circumcision: Low-value Operation~16Zoom
     
27July 16, 2022Laboratory Tests – Reading & Interpretation~20Zoom
28July 23, 2022Breast Ultrasound & Mammo – Interpretation~25Zoom
29July 23, 2022Thyroid Ultrasound & Function Tests – Interpretation Zoom
Posted in Lectures of ROJOSON - Project | Leave a comment

Surrender to the young the technological advances in medicine and surgery

Reflection again – at age 73 and a half – June 24, 2022

Recalling this statement in Desiderata: “Take kindly the counsel of the years, gracefully surrendering the things of youth.”

There are so many technological advances in medicine and surgery that I honestly cannot really cope up with anymore. In the surgical world, there are so many new machines, new equipment, new instruments, and new technical procedures. Again, honestly, I don’t plan anymore to learn how to operate with these new technology.

I will gracefully surrender to the younger surgeons the technological advances in surgery, which is my specialty.

I have resolved to limit myself to and be contented with continuing and refining the principles and processes of contained in my ROJoson Patient Management Processes – offering medical and surgical services including advice that are rational, cost-effective, compassionate and patient-centered that can withstand the test of times despite the technological medical advances.

There are two other quotes which I like to remind myself of in this regard:

“I am in competition with no one. I run my own race. I have no desire to play the game of being better than anyone, in any way, shape, or form. I just aim to improve, to be better than I was before. That’s me and I’m free.”

ADVICE ON RETIREMENT
Don’t switch off and be idle when you retire. You can still do things that are of interest to you, or you can get involved in things that are of value to your community, all at a pace you feel comfortable with.

ROJ@22jun24

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A cat eating a kitten? Or is it a rat?

A cat eating a kitten? Or is it a rat?

May 8, 2022, 0745 am, when I was about to do my daily walking exercise, I saw a foot of a black cat in a box of shredded papers which we have provided as one of the resting abode of cats in our garage. There was no attached body.

At that time, I was wondering whose foot was this. I surmised maybe from a black kitten whom I have not seen for almost 2 days.  I was wondering what happened to him or her – run over by a car on the street? I had to look at the street when I walked to get the answer.

I went about my walking exercise for about one hour (more than 3 kms) in the neighborhood streets.  I did not find any scene of a cat being run over.

When I came back home from my walking exercise, when I was about to get equipment to do some gardening, I suddenly saw in another part of the garage a black cat “mutilated” with head practically detached from the trunk; with intestines exposed; with mangled feet; with some the flesh eaten out; etc. The “corpse” looked fresh, most likely “mutilation” occurring only recently (early morning or last night).  A really gruesome picture of a dead cat.  I identified the cat to be the small black kitten that I have not seen for 2 days.

I will not post the gruesome pictures. 

My question: who killed the kitten? Is it another cat (the mother) or is it a big rat?

I searched the Internet.  Yes, sometimes, an adult cat can kill a baby cat for survival.  Yes, too, big rat can kill a baby cat. So which is which in this case? 

I surmised it is the mother cat who mutilated and ate part of the body of the kitten. In the past, I have seen this mother cat brought to the garage a small chicken roaming in the street and ate it.  In other occasion, she ate a dead bird.  This cat is capable of eating other animals.  Why a cat and not a rat? One, a leg of the dead kitten was in another area while the rest of the body in another area.  I have experienced seeing different parts of the mutilated “corpse” scattered in different areas by this mother cat.  Second, the fleshy parts have been eaten and devoured.   Third, the body has been mutilated and mangled.  I don’t think the rat will do all the above.  The biggest rat that I have seen in the neighborhood is only one fourth of the size of kitten that was killed.  The rat might bite and killed the kitten.  It will take some time and effort to mangle the whole body and without being seen by the other cats in the garage (about 3 of them). The extensive devouring of the dead kitten would take some time, probably about 30 minutes.  I don’t think the rat can do this especially in the early morning.  Rats usually work in dark places.  

Why would a mother cat eat her baby kitten?  At first, I cannot believe she can do it.  This mother cat has about 3 pregnancies in our garage.  After delivery, she would take good care of her babies until they are independent already.  She had a track record of providing motherly nursing care.  That’s why I cannot believe it.  After searching the Internet, knowing that she could, I started asking why?  For survival? She wanted more foods to eat? Also in the past week, I noticed the black kitten to be “weak.”  She might have died last night. After dying, the mother devoured her.  This is another possibility.

I don’t know.  I don’t have the exact answer.    

I am doing this narration for my mental exercise – practicing writing a journal and trying to understand mysterious things in this world – to maintain my cognitive ability.

To those who read this, you are welcome to give comments.  Thank you.

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May 1, 2022 – A day to continually uplift the workers and to remember the human and spiritual significance of labor

May 1, 2022 – Labor Day and Feast of St. Joseph the Worker

Today, May 1, 2022, and every May 1 of each year, we celebrate Labor Day as well as the Feast of St. Joseph the Worker.

Today, I meditate on the value of HARD WORK and LABOR as taught by the Bible, St. Joseph and other wise people.

If you are poor, work. If you are burdened with seemingly unfair responsibilities, work. If you are happy, work. Idleness gives room for doubts and fears. If disappointments come, keep right on working. If sorrow overwhelms you and loved ones seem not true, work. If health is threatened, work. When faith falters and reason fails, just work. When dreams are shattered and hope seems dead, work. Work as if your life were in peril. It really is. No matter what ails you, work. Work faithfully-work with faith. Work is the greatest remedy available for both mental and physical afflictions.

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What’s in a day anyway? January 1, 2, 3 – 2022

January 1, 2022 – first day of the year 2022.

January 2, 2022 – first Sunday of the year 2022. It is a special day because it is a day of obligation for us Roman Catholics. Have to hear Mass.

January 3, 2022 – first day of working days for the year 2022.

I started each of the above days with a 3-km walking exercise, with rosary recital, gardening, house cleaning, etc. before I took a bath and then have breakfast with my wife. This is my morning routine. I did not change my routine just because a day is a special day for something. If there is a special activity that I have to do within the special day, I just insert it in my routinary schedule.

When I was doing my walking exercises during the past 3 days, I was reminded of the blog that I wrote before and I told myself I will review it. I still stick to my stance and attitude after the review.

Here is the blog that I wrote in November 2020:

WHAT’S IN A DAY ANYWAY for me, ROJoson?

Although I take note that a day in my life is just like any day with phases of morning, afternoon and evening and with an identifying mark on what day it is in the calendar;

Although I take note that a day in my life could a holiday in the community;

Although I take note that a day in my life could be a special day for me like my birthday, birthday of my family members, wedding anniversary, recognition day; special project day, etc.;

In the end, for me, the day or today is a day in which I have to accomplish my Intentional Living Plan for the day wherein I have routinary activities as well as tasks and projects in the my “things to do list” to accomplish so that I can achieve the goals of my Intentional Living Plan. I put emphasis on “life in a day” whatever that day is.

This stance and attitude towards a day or today contribute to my producing a meaningful, productive, contented and happy life for myself.

I intend to maintain and sustain this stance and attitude throughout the rest of life.

ROJ@22jan3

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ROJoson Telemedical Consultation – Monthly Reminder – 2022

Monthly Reminder

ROJOSON TELEMEDICAL CONSULTATION

https://sites.google.com/site/rojosontelemedicalconsultation/primer-on-rojoson-telemedical-consultation

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Telemedical Consultation – New Normal_roj_20may15_16
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roj_telemedical_consulation2_roj_20apr17

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ROJoson Telemedical Consultation

You can avail of my ROJoson Telemedical Consultation with Video Medical Examination preferably using ZOOM.

Step 1:

Read Primer on ROJoson Telemedical Consultation:

https://sites.google.com/site/rojosontelemedicalconsultation/primer-on-rojoson-telemedical-consultation

Step 2:

If interested, request Facebook Friendship of Rojoson Telemedicalconsultation (https://www.facebook.com/rojoson.telemedicalconsultation.9)

Step 3:

Request appointment through cellphone.

SMS or text ROJoson at 09188040304 with the following details:

Type this first:

“I have read the Primer on ROJoson Telemedical Consultation and have agreed to the terms and conditions set in the Primer.”

1. Complete name, age and sex

2. Concern to consult ROJoson:

3. Desired date and time of consultation:

4. Cellphone #:

5. Email address:

6. Facebook account (name or link to profile):

Step 4: After completing the steps above, wait for ROJoson’s response through SMS. He may give further instructions aside from the appointment date and time.


ROJ@22jan3

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Crowdsourcing – Sawyer Point One Emergency Water Filtration Kit SP 180

December 24, 2021

Anybody knows where we can procure this in the Philippines?

We need this asap for the Odette calamity communities – for safe drinking water.

PM me in FB: Reynaldo O Joson

Specs:

SP 180 Sawyer Point One Emergency Water Filtration Kit, Bucket & Faucet Adapter

ROJ@21dec24

Posted in Safe Drinking Water | Leave a comment

What and where should I channel my donations for the victims of typhoon Odette?

Several organizations are leading donation drives and relief efforts to respond to the needs of the communities affected by typhoon Odette (December 16 and 17, 2021). Foreign governments have also pledged and given donations.

A lot of laypeople want to donate to the victims. The questions are what to donate and where to donate. The other important questions are 1) how to ensure that the donations are channeled through the right people, groups and organizations so that there is no misuse and 2) how can the donations be maximally utilized by and beneficial to the victims.

Donations are usually classified into cash and in-kind donations. The other special type of donation is free service such as medical treatment, transport, and communication.




In 2020, during the start of COVID19 crisis, there was an epidemic of donations to help the medical frontliners in the fight against the COVID19 pandemic. The considerations were as mentioned above.

In 2021, now, as of this writing, December 23, 2021, in the aftermath of Odette typhoon, with an epidemic of donations to help the victims, the considerations are also the same.

In 2020 (COVID crisis) and in 2021 (now – ODETTE devastation), a lot of friends have been asking me what and where to donate with the considerations of rightful reach and maximal benefit to the victims.

In 2020 (COVID crisis), I advised channeling PPEs to at least one rural health unit in all the provinces in the Philippines through HelpThru Philippines to identified physician-coordinators (Mu Sigma Phi Coordinators). The result: maximal utilization by and benefits to medical frontliners in the rural health units and no losses due to improper channeling.

This year, now, (ODETTE calamity), I am being asked by friends for the same advice.

My answers are:

  • Focus on Safe Drinking Water Project (through the Mu Sigma Phi Project H2O) – bigger, if not biggest, beneficial impact on health of the victims.
  • Channel to Mu Sigma Phi Mu Relief and through the identified Mu Sigma Phi physician coordinators stationed in the devastated communities to ensure rightful reach (no improper channeling) and maximal management.

NOTES:

  • When I say “focus”, there is a priority implied and it does not mean “in exclusivity.” One can still donate other kinds of stuffs as they deem fit.
  • When I say “channel to Mu Sigma Phi Mu Relief,” it does not mean one cannot channel to other organizations. Just make sure your donations are properly and rightfully channeled and reached to the people in needs (not to politicians and to those with other vested interests other than the welfare of the victims).

Here is a list of where the donations will be / have been channeled by the MU Relief:

  • 1. Dumaran, Palawan ℅ Brod Kevin Mendoza ‘16
  • 2. Roxas, Taytay, and Puerto Princesa, Palawan ℅ Brod Aris Poncio ‘15
  • 3. Hinunangan, Southern Leyte ℅ Brod Justin Malubay ‘21
  • 4. Maasin City, Southern Leyte ℅ Edward Dinoy through Brod Mac Manalang ‘18
  • 5. Pintuyan, Southern Leyte ℅ Sis Anne Asis ‘19
  • 6. Negros Oriental ℅ Benjamin Valdez ‘24
  • 7. Cebu Province ℅ OVP & Sis Jean Abalos ‘81
  • 8. Bohol ℅ OVP & Brod Kazan Baluyot ‘01
  • 9. Surigao City, Surigao Del Norte ℅ OVP & Ottoböck through Brod Pipo Bondoc ‘86
  • 10. Siargao Islands, Surigao Del Norte ℅ Brod Lorenzo De Guzman ‘18

The presence of trusted and responsible point persons (who are physicians) will ensue right and maximal usage of donations.

This is the advantage of MU Relief.




Here is a video that shows the advantage of the Project H2O – safe drinking water:

https://www.facebook.com/MuProjectH2O/videos/515432541962197/

ROJ@21dec24

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