After a long hiatus, I am re-launching abrenian.com news service. This site is now back to using wordpress blogging engine.
In the next few days, there will be more changes on the look and feel of this site as I hired a web developer/designer to help me with this transition. New features will be added as we move on.
You may also notice that I have moved some interesting articles from our old site (except for comments) for everyone to read.
I certainly would welcome feedback and suggestions. As I always love to say “Simple Laeng Lakay!”.
SysOp
abrenian.com 
welcome back sysop
Posted by fitz | June 12, 2012, 9:32 pmvery nice design. talaga nga simple laeng lakay. thank you sir!
Posted by Joe | June 12, 2012, 9:39 pmsysop,
thank you for keeping this site open. more power sir.
kaaruba
Posted by Kaaruba | June 13, 2012, 9:29 pmthank you Kaaruba for visiting this site!
Posted by SysOp | June 26, 2012, 1:01 amThank you for this site Sir, Here we could post what we have in mind that might be of help to our degrading peace situation in the province. But I would suggest that this site will be connected with the highest authority of our nation so that our clamor be heard and read by them and will be given attention. I would also suggest that we will use Filipino or English so that we are being understood and must refrain from using unethical words para naman po magustuhan nga mga tagapagtangkilik sa website na ito. Salamat po mr. Sysop.
Posted by maladaga | June 13, 2012, 10:44 pmYou’re welcome Maladaga!
Posted by SysOp | June 26, 2012, 1:00 amI am with you Maladaga. But am sure they know the existence of this site. Pati nga PNP nakiki-comment pa dito. Election is in 11 months according to that countdown and I am very pessimistic that peace will ever be achieved. Kaya pasalamat parin tayo meron etong site at least we can still voice out our frustrations.
Kaaruba
Posted by Kaaruba | June 13, 2012, 11:27 pmThank You Kaaruba, I hope that this site will help a lot for the progress of Abra. Especially this upcoming Election. We should have learned a lot of lessons about the present picture of Abra.Now we should open our eyes and our minds as we are to choose our future Leaders who are really TRUSTWORTHY, equipped with proper KNOWLEDGE regarding the needs of the constituents, HONEST and has the willingness to be of service to the people.
Posted by maladaga | June 14, 2012, 7:49 amMALADAGA is very much worried about the up-coming election. Her thoughts
are on the same wave length as BARRAG and mine (DR. Leo).
But who is BARRAG? Posting I made on 2/09/2012…”The year 2013 as the year of True Tingguianes, intelligent and educated to come out and lead the people of Abra to greatness.
Four Tingguian descent/heritage came forward, namely…
1. ARADO 2. INSTI 3. PALPALATOC 4. BARRAG.
All first three names are LAWYERS. Barrag admitted to have a Bachelor’s Degree and not a lawyer, in addition he volunteered this info… his knowledge of the
Ilocano dialect is “nauneg” and his Itneg dialect is “narabao”, none-the-less, he is not interested in politics.
MALADAGA’S words: Trustworthy, Proper knowledge ‘Education’, Pro-people, Honest.
BARRAG’S words: comments he made on 1/10/2012 related to SYSOP’S article “TRUE ABRENIAN”.
Honest, Trustworthy, Law-abiding, Pro-people, Educated, w or w/o
college diploma.
DR. LEO’S words: all of the above…
According to Maladaga, Barrag and Dr. Leo, Abrenian who wishes to be candidate for government office from… Abra Representative, Governor, Vice , Mayor, Vice…further
down… who wishes to serve (servants) of the people must possess all the above attributes
I, Dr. Leo would add… IMPECCABLE character (meaning…flawless, incorruptible).
The present political candidates are YOUNG ABRENIANS (candidates must be Abra born)
some candidates have been in politics. These politicos have shown their capacity as leaders.
SOME ALREADY IN POLITICAL POSITION SHOWING INCOMPETENCY AND INEFFICIENCY IN THEIR OFFICIAL FUNCTION, SOME CHARGED FOR DERELICTION (NEGLECTFUL) OF DUTY).
SOME OFICIALS ATTAINED PRESENT POSITIONS BY ‘INTIMIDATION AT GUN-POINT’ OR VOTE-BUYING.
I DR. LEO have a question…CAN WE EXPATRIATES (Abrenians residing in other countries like USA, Canada, UK, Austalia, and other countries) have lost their previlege of voting in our birth place (ABRA), INFLUENCE ABRA VOTERS TO SELECT candidate, leaders who could take the province to “greatness”?… and move ABRA to a more RESPECTABLE province in the Philippines?
To be continued:..
Posted by Leo Tuason, MD. | July 23, 2012, 8:52 amContinuaton:
THE SELECTION FOR THE RIGHT PERSON AS LEADER TO LEAD THE PROVINCE TO GREATNESS IS CRITICAL/CRUCIAL. ABRA CAN NOT AFFORD TO HAVE OFFICIALS WHO ARE “INCOMPETENT, MEDIOCRE, RUN-OF-MILL’ PERSON, SECOND RATE. HAVING THESE CHARACTERISTICS OF A CANDIDATE WOULD ONLY SET ABRA BACKWARD…TO A STONE-AGE.
In the PROFESSION OF MEDICINE we doctors are constantly bombarded by drugs that can eradicate certain disease but each drug has its positive or negative effects to the human body, which makes it difficult to choose the right drug without using a way or a method.
We must apply this Medical method for proper selection of CANDIDATES as leaders.
How do they (candidates) rate: Grade: (5 +), (4+), (3+, (2+), (1+).
(5+ BEST- Ideal Candidate), (1+ LEAST- Ideal Candidate)
1. Honest 2.Trustworthy 3. Law- Pro- 4. Education
abiding people w or w/o college degree.
1. Dominic Valera
2. Joy Bernos
To be continued:..
Posted by Leo Tuason, MD. | July 23, 2012, 3:09 pmTo SYSOP:
I have failed in my attempt of presenting the method by which VOTERS can properly select the right Candidate for government office to efficiently serve the people.
My attempt is to presents my idea in ‘graphic form’… the qualities are listed ‘horizontally’… like
1. Honest, 2. Trustworthy 3. Law- 4. pro- 5. Education
abiding people with or w/o college degree
Names of Candidates listed ‘Vertically’.
1. Dominic Valera
2. Jocelyn Valera-Bernus
3. Ester Bernus
4. Joseph Sto. Nino Bernus
5. Mershi Bernus
6. Joseph Dominic Valera
7. Takit Bersamin
8. Rosario Bersamin
9. Placido Edwarte
10. Patrocinio Abaya
11. Loreto Bersamin
12. Cecy Seares Luna
13. Jenrich Luna
14. Boc Roger Luna
15. Lara Haya Luna
16. Allen Seares
17. Ryan Luna
18. Cromwell Luna
19. Lando Somera
20. Ching Valera
21. Gil Valera
22. Sid Vasquez
23. Freddie Bobila
24. Victor Baula
25. Menardo Tuason
26. Carmelita Omli
Addendum: I might have mispelled names or missed names as candidate or might have included names that are not candidates… my mistake, please make corrections.
SYSOP, please place the names of candidates ‘vertically’ and the attributes in a
‘horizontal’ position in a ‘graph’.
How do Candidates Rate: (5 + ), (4 + ), (3 + ), (1 + ).
(5+ Best Ideal Candidate ) (1+ Least Ideal Candidate)
ABRENIANS with “UNBIAS” opinions …who can help place the “rates” on each candidate’s name in the grapic chart…
UNBIAS opinions from the people in the ORGANIZATION FOR GOOD GOVERNMENT.
After the Candidate Ratings has been placed … such graphic record must be published in daily periodicals in Bangued for ABRA VOTERS to read before the upcoming elections. SUCH METHOLOGY MIGHT HELP CREATE “GOOD GOVERNANCE” FOR THE PROVINCE OF ABRA.
END.
Posted by Leo Tuason, MD. | July 24, 2012, 7:46 pmI wish to congratulate Sysop, architech of the Abrenian.com Website his ever increasing desire for improving the format of this website. I’m more than glad to know that Sysop has retained some of important topics from the old posters for discussion in the comprehensive new Format.
Some of the ‘old topics’ requires conclusion like… how the Abra’s fish ‘Ludong’ can be prevented from being extinct. The ‘Delivery of Medical Care in the rugged terrain of the Province of Abra, by the application of Engr. Eric Bringas’ Electronic/computer System.
The latest topic in the agenda for discussion is the selection of the leaders of the province who can take Abra to GREATNESS and once more make it among the RESPECTED provinces in the country.
To be continued…
Posted by Leo Tuason, MD. | June 25, 2012, 11:01 amWelcome back Dr. Leo! Feel free to continue educating our readers! I am glad to inform you that I am in the current development of the Electronic Health Delivery System using CHITS a the basis of this system. I would certainly welcome your input.
Posted by SysOp | June 26, 2012, 1:00 amI’M NOT HERE TO EDUCATE YOU KABABAYAN(S)but to share with you what I know on the subject matter… The creation of “Delivery of Health Care in the province of Abra” requires dedication of the general populace for the betterment of the entire province. There are two ingredients in the system that makes it work, namely:.. 1. Eric’s CHIT’ and Leo’s
TMC.
Knowing the topography (through a ‘map’) of the rugged terrain of the province of Abra, I have created differrent regions of the province in which the Triage Medical Clinic ‘TMC’ should be constructed. In each TMC is equipped with ERIC’S computer capable of RECEIVING and TRANSMITTING health info to other TMC. and finally to a DATA PROCESSING Station located at the ABRA MEMORIAL MEDICAL CENTER where the final treatment and disposition of transported patient takes place.
To be continued:… The different regions of the Province, placement of TMC and its Medical personnels (qualifications).
Posted by Leo Tuason, MD. | June 27, 2012, 6:17 pmSYSOP:
For “UNBIAS OPINIONS” used in the “METHODOLOGY” Chart applied on each CANDIDATE for public office, please ask MEMBERS of the Abra Organization For Good Government and people like INSTI, CARLOS THE JACKAL, KARRUBA, MALADAGA to give their “UNBIAS OPINIONS”.
The Methodology Chart must be published soon for the people of ABRA to read.
Candidates who have not been exposed to the public as “servants” would be difficult to give assessment as to their ‘merits’ like…Bubila, Baula, Omli and Tuason.
Cantidates who have been in Public Office or in the capacity as “people’s servants” have shown their incompetency-inefficiency in the service to the people of Abra.
All Candiadates ( NO EXCEPTIONS ) must submit to the Government COA their “SALN”
Statement (SALN)
1. Assets (including Money/ gold in the Bank, Investments, lands, houses in
Abra, apartments, rentals, condo and possesions… cars, trucks, boats,
etc.
2. Liabilities.. Includes..Bank Loans, Houses-condo Mortgages. etc.
3. Net-WORTH.
If candidates are “honest” in submitting a “TRUE SALN”… many Candidates wlll not QUALIFY or afraid to be found guilty AND some would remove themselves from being Candidates… because they do not wish people to know the SOURCES of their “Un-explained wealth” (from ‘drugs…or from illicit means) meager government salary, otherwise the (BIR) Bureau of Internal Revenue will step in.
If the BIR does its JOB well, it could impose penalties like monetory fine and imprisonment for many years to people (candiates) who have broken the law.
Folks, remember the posting I made prevously, about the Story of Al Capone, a U.S. Chicago gangster in the ’30s, who didn’t pay his “income tax” through negligence or
intentional… was convicted by the US Bureau of Internal Revenue of the Legislative Branch of the U.S. Federal Government.
AL Capone served for many (11 yrs) years in prison for “INCOME TAX EVASION”. He was released in 1939, settled in Florida and died from syphilic disease (paresis) of the brain.
SYSOP, PLEASE POST THE ABOVE COMMENT FOR THE BENEFIT OF ALL ABRENIANS VOTERS WHO CARES FOR THE BETTERMENT OF THE PROVINCE!!!
END.
Posted by Leo Tuason, MD. | July 28, 2012, 5:03 amCorrection please:
settled in Florida and died from SYPHILITIC disease (paresis) of the brain.
THANKS.
Posted by Leo Tuason, MD. | July 28, 2012, 5:10 amMy Kababayan(s), the reason I pause and followed by “To be continued” is to have some of my friends to make comments/feedbacks on the subject matter…to make the discussion interesting. My friends BARRAG,INSTI, PALPALTOC, ARADO, CARLOS THE JACKAL and many more.
Pls. direct your questions to Engr. ERIC, to Dr. LEO or to anyone name mentioned above.
I sincerely invite KAARUBA and MALADAGA to make comments.
At this point, I’m sending via US Postal Service to SYSOP a “MAP of ABRA” showing the different regions where the future “TMC” should be constructed. A design of the TMC or CLINIC…I had this designed by an Architect drawn in Baguio City in 1963 when I was practicing my profession of GENERAL SURGERY and a CONSULTANT at the BAGUIO GENERAL HOSPITAL. SYSYOP WILL DECIDE IF THESE “ITEMS”…”Map of Abra” and “TMC design” can be posted in this site… and he has to post them for me. THANKS SYSOP.
To be continued:..
Posted by Leo Tuason, MD. | June 28, 2012, 3:50 amDr. Leo. Please email sysop@abrenian.com me so I can give you my correct mailing address. Thanks
Posted by SysOp | June 28, 2012, 10:26 pmDr. Tuason
thank you Doc for the invitation. This looks like a very good concept. I am not very technical and not much knowledge on the medical field but this idea is promising. I will follow this project po and contribute whatever I can.
Sana magawa ito dahil importante ang kalusogan ng bayan.
Salamat
Kaaruba
Posted by Kaaruba | June 28, 2012, 10:41 pmYou are such an awesome thank god today
Posted by liz | November 24, 2013, 8:30 pmThank You Dr. Leo for the invitation. I am so glad that despite the present situation of Abra, may mga tao pa rin na katulad ninyong nagmamalasakit sa mga kababayan natin. I once reached the upland municipalities of Abra and this project is really very very important to the constituents because most upland Municipalities have no Medical Officers to look after the health needs of the constituents.I will pray that this project be realized and be supported.
Posted by maladaga | June 30, 2012, 2:32 amKAARUBA, MALADAGA and many more of our friends… like members of the Bar: ARADO,
INSTI, PALPALATOC and CARLOS THE JACKAL, BARRAG, I invite these learned Abrenians to make commments on the subject matter.
Kaaruba and Maladaga I implore you to stay with me in this Thread and I’ll share with you my knowlege of our province… Despite the fact that I was born in Bangued many years ago, was fortunate to accompany my brother ‘Isis’ during his search for logs to cut in the high mountains of Abra…I have seen during the years 1950’s what I perceived ‘GOD-given’ attributes of the province.
Are you with me, my friends?
To be continued:…
Posted by Leo Tuason, MD. | June 30, 2012, 7:29 amContinuation:..
Kababayab(s),I will start the discussion while waiting for SYSOP’S posting The ‘Map of Abra’ and design of a TMC Clinic.
= The most distant Clinic from the Center ( Abra Memorial Medical Center) could be TMC #3, #4 or #5. Each TMC is also called ‘station’.
The design of a TMC is simple. A group members of the town people can construct the Clinic to save on construction expenses… and the Government to help provide Medical equipments like sterlizers, stetoscope, thermometer, toilet comode,sink, water tank reservoir, etc. Note: the Government purchases bulk/volume of these items from a retailer at a reduced price and distribute them to the TMC.
Medical Personnels on each TMC: NEW graduate Doctor and Registered Nurse trained in all aspect of EMERGENCY CARE (yearly certification is required). Most distant TMC #3 #4 or #5 can be msnned by one R.N., a physician may not be necessary if not available.
I propose the creation of different regions/sections in the Province…
1.
Posted by Leo Tuason, MD. | June 30, 2012, 6:46 pmlaging nandito ako Dr. Leo
Posted by Kaaruba | July 1, 2012, 10:45 pmCORRECTION ON PREVIOUS COMMENT:
Most of the TMC #3, #4, or #5 can be MANNED by one Nurse (R.N.), & one new graduate Doctor. The presence of a physician will create calmness/security among the people IF available. But a ‘Nurse -Practitioner’ … in the U.S. is a HIGHLY trained nurse may take the place of a physician.
I propose the creation of different regions/sections in the province…
A. NORTHERN ABRA.
TMC #3 … in the Municipality of ANAYAN. transport patient to >
!
TMC #2 … in the ” ” CAGANAYAN, ” ” ” >
!
TMC #1 … in the ” ” LAPAZ Community have roads for vehecular
like ambulance transporting patient to >
!
ABRA MEMORIAL MEDICAL CENTER (AMMC)
To be continued:…
Posted by Leo Tuason, MD. | July 1, 2012, 4:14 amContinuation:…
For those Abrenians who are not familiar of this region of Abra…allow me to tell you that ANAYAN is the northern most community of Abra. The high mountain ranges of Mt. Burnay which has peak elevation of 1952 meters separates Abra from the province of Ilocos Norte.
It is a part of the Western Caraballo mountain range and continues as Mt. Bullagao having a north and south peaks that reaches the height of 1125 meters, separates Abra from the province of Iloocs Sur, where the image/silouette of the “Sleeping Beauty” resides is clearly visible from the middle of Bangued… “Plaza”.
Note: Mt. Bullagao, I mentioned it to the late Cong. Chito that he can put up a
“WIND -generator-turbines- FARM” to generate ‘Electricity” for the entire province. Yes he said, a project worth pursuing after I become the Governor.
To be continued:..
Posted by Leo Tuason, MD. | July 2, 2012, 1:40 pmHi Dr. Leo
can we use the thread abrenian.com Online Tools for Education and Health Care for all our postings for the CHITS and TMC so readers has only one place to read?
thanks Doc.
SysOp
Posted by SysOp | July 1, 2012, 11:15 pmSYSOP:
I’m sorry, I don’t know how to transfer the present thread to “Tools for Education and Health Care” thread. I have more to say on the subject “placement of TMC’.
This will be followed by a “Make believe scenario” … how the entire system of CHIT and TMC … transporting a seious case of a man injured from distant TMC to the AMMC (ABRA MEMORIAL MEDICAL CENTER) where the Computer DATA BASE is located…and here at the Center…additional treatment and final disposition is given to the patient.
Posted by Leo Tuason, MD. | July 2, 2012, 3:50 amContinuation:… Very sorry SYSOP the train of my thoughts can not stop…I’m HOT on the
subject/TOPIC.
The EASTERN side of the province is bounded by the CENTRAL MOUNTAIN RANGES OF THE CORDILLERA, separating ABRA from the rest of the CORDILLERA AUTONOMOUS REGION (CAR)
This is the recent Classification. The old one when Abra was included as Ilocos Province together with the provinces of Ilocos Norte and Ilocos Sur.
Amazing and how I marveled when I was young with a mind that could only perceive reality the readily available sight of the ocean bounding east these two ILOCOS provinces…the huge Ocean water that provides these provinces the luxury of having sea foods, water sports of boating-swimming-snorkling, etc. ABRA has none of this luxury.
TO BE CONTINUED:…
Posted by Leo Tuason, MD. | July 3, 2012, 3:28 amCONTINUATION:..
The MOUNTAIN RANGES of CENTRAL CORDILLERA represented by sections of the mountain with different heights and of varing peaks from north to south, from 1153 meters to 1595 meters of MT. MACOPA at sea-level. This section of Cordillera Cental separates Abra from the province of KALINGA.
In the early 1930’s the construction of the Abra-Kalinga Highway started and was interrupted by WWII.
To be continued:..
Posted by Leo Tuason, MD. | July 3, 2012, 5:40 pmCONTINUATION:..
Extension of the Cordillera Central to the south, one encounters the highest peak
of the mountain… Mt. Mengmeng with peak of 2365 meters at sea-level. This mountain range
separates ABRA from the MOUNTAIN PROVINCE. Further extension south of the Cordillera montaintain range, it encloses the southern portion the province…. thus ultimately create the ‘LAND-LOCKED’ province of Abra.
To be continued:..TMC placement at the EASTHERN side of the Province.
Posted by Leo Tuason, MD. | July 3, 2012, 7:31 pmMaladaga & Karruba: Are you with me? Stay with me in this thread, more to come…
TMC #3… in the municipality of TINEG at the Northern Central ABRA…located near
the foot of MT. SANDIG with peak height of 1299 meters from sea-level.
serious patient is transported to >
TMC #2… in the municipality ALAOA, patient is transported to >
!
TMC #1… in the municipality of SAN JUAN road is availabe for ambulance or jeepney
to transport patient to >
!
ABRA MEM0RIAL MEDICAL CENTER (AMMC).
NOTE: Here is located the RIVER TINEG which receives the surface waters flowing from the nearby mountains of MT. MUJI with peak height of 1153 meters from sea-level, MT. SANDIG 1299 meters and MT. MANAGO with a peak height of 1595 meter. All the cold spring waters, surface above ground waters ends down in the TINEG RIVER.
My late brother ‘Isis’ Moises and I have seen the place (remembering what father Don Mariano Tuason and Don Quintin Paredes political campaign Trail in the ‘sursurung’…upland of Abra) bringing home dried fish LUDONG; both ISIS and LEO have decided that the ABRA’s FISH ‘ICON’ LUDONG resides/spawn in this TINEG RIVER.
TO BE CONTINUED:
Posted by Leo Tuason, MD. | July 4, 2012, 2:59 amContinuation:..
C. EASTERN CENTRAL ABRA.
TMC #5..in the municipality of MATARAGAN patient is transported to >
!
TMC #4..in the ” of BUNEG patient is transported to >
!
TMC #3..in the ” of LACUB patient is transported to >
!
TMC #2..in the ” of LICUAN patient is transported to >
!
TMC #1..in the ” of LAGANGILANG ” is transported to >
!
ABRA MEMORIAL MEDICAL CENTER (AMMC)
TO be continued:..
Posted by Leo Tuason, MD. | July 4, 2012, 10:38 amD. CENTRAL (CORDILLERA)ABRA
TMC #4.. in the municipality of BANGILO patient is transported to >
!
TMC #3.. in the ” of MALIBCONG patient is transported to >
!
TMC #2.. in the ” of LICUAN patient is transported to >
!
TMC #1.. in the ” of LAGANGILANG patient is transported to >
!
ABRA MEMORIAL MEDICAL CENTER (AMMC).
To be continued:..
Posted by Leo Tuason, MD. | July 4, 2012, 11:00 amE. SOUTH (CORDILLERA) ABRA
TMC #5..in the municipality of DAGUIOMAN patient is transported to >
!
TMC #4..in the ” of BUCLOC < <
!
TMC #3..in the ” of SALLAPADAN patient is transported to >
!
TMC #2..in the ” of BUCAY patient is transported to >
!
TMC #1..in the ” of PENARUBIA Patient is transported to >
!
ABRA MEMORIAL MEDICAL CENTER (AMMC).
Posted by Leo Tuason, MD. | July 4, 2012, 7:55 pmF. SOUTH (CORDILLERA) ABRA –(Region-B)
TMC #4 ..in the municipality of BOLINEY patient is transported to >
!
TMC #3 ..in the ” of MANABO patient is transported to >
!
TMC #2 ..in the ” of BUCAY patient is transported to >
!
TMC #1 ..in the ” of PENARUBIA patient is transported to >
!
ABRA MEMORIAL MEDICAL CENTER (AMMC).
Posted by Leo Tuason, MD. | July 4, 2012, 8:16 pmG. SOUTHERN ABRA
TMC #3 in the municipality of TUBO/TIEMPO patient is transported to >
!
TMC #2 in the ” of LUBA patient is transported to >
!
TMC #1 in the ” of MANABO patient is transported to > or
may by-pass TMCs BUCAY and PENARUBIA and drive direct to >
!
ABRA MEMORIAL MEMORIAL CENTER (AMMC).
Posted by Leo Tuason, MD. | July 4, 2012, 8:47 pmEach of these municipalities… namely: San Quintin, Pidigan aand Langiden all located in the South-western of Abra shall have their own TMC and transport patient direct to >
ABRA MEMORIAL MEDICAL CENTER (AMMC).
Posted by Leo Tuason, MD. | July 4, 2012, 8:55 pmDr. Leo
nasaysayaat sa no paminsanem ti post mo. why don’t you send your complete article to sysop tapno mai-post na ti maminsan apo!
agyanamak
Kaaruba
Posted by Kaaruba | July 4, 2012, 10:27 pmKAARUBA and Friends:
I’m very sorry I CAN NOT COMPLY with your request because in the next few days I’ll be busy preparing my luggges for our family trip. You’ll not hear from me for the next one week… our vacation to Michigan. I’ll resume posting when I get back… the topic shall be a “scripted MAKE-BELIEVED SCENARIO” that takes place inside of the AMMC on a case of a person seriously injured on his chest.
Posted by Leo Tuason, MD. | July 5, 2012, 6:46 pmThe SYSTEM consists of two ingredients to function…
ENGR. ERIC BRINGAS..CHIT
DR. LEO TUASON ..TMC
HOW THE SYSTEM WORKS:
Each of the Triage Medical Clinic (TMC) is equipped with a computer (Lap-top or P.C.)
capable of receiving and transmitting messages, EKG (heart)tracings and IMAGES (x-ray).
TMC #5, #4, #3 assess the seriousnes of the medical condition…whether a case of “heart attack” or injury from natural causes or Gun shot.
The TMC who initially received the patient who is critically ill (heart-attack)
or a person who was shot in the chest or abdomen ‘belly’…requiring immediate attention.
The TMC doctor calls the AMMC for CONSULTATION to a group of “STAND-BY SPECIALISTS” at the MEDICAL CENTER and informs them of his serious case. The info is received by other TMC/Stations through their computers.
Emergency care is given and the patient is transported to the CENTER for definitive TREATMENT.
The MEDICAL CENTER receives all computer messages from the TMC and info are stored
in a DATA BANK. In the CENTER, one person is in-charged… the CO-ORDINATOR, a highly
trained physician who directs the entire operation. There shall be medical Specialists/
consultants connected with the Center readily available to give their opinions.
The whole drama can be witnessed by ‘visiting’ physicians through a T.V. BIG SCREEN at the Conference Room of the Co-ordinator’s Office.
To be continued:.. next is a scripted “Make-believe Scenario..taking place inside the AMMC
communicating with TMC …Case of Gun-shot wound to the chest.
Posted by Leo Tuason, MD. | July 4, 2012, 10:36 pmI am very much interested with this explanation form you Dr. Leo, If this program will push through then it will not only help the people from the upland municipalities for their health needs but it also provide employment to medical practitioners who are at present unemployed.but the question is, who will fund this project? I hope that the Provincial as well as the LGU’s will join hands in the realization of this program.Another concern is the absence of Electricity to run the computers in the TMC. Like in the situation of Tineg, Tineg is the farthest among the upland municipalities of Abra with 2nd largest IRA but even a single barangay haven’t experienced having an Electricity.There was a time way back early 1990’s where they applied for the Solar Battery but i guess it did not work because of lack of proper installation and knowledge on how to take care or maintain the said electrification.By the way Is AMMC the old Abra Provincial Hosp now being called?
Posted by maladaga | July 6, 2012, 12:13 amKABABAYAN(s): A project of this magnitude and importance to the entire province can only materialized with the CONCERTED/JOINT EFFORTS of all Abrenians, here (ABRA) and ABROAD.
The provincial government, LGU can not do the job alone… we, the people (Abrenians)
must share responsibilty.
Maladaga, Kaaruba (are the only persons making comments on the subject)… may I know where you two are calling from?
All Abrenians, I’m imploring on you…please help on the project…
1. ANNAK ti ABRA Organization, I met some of them during the 1st Inniliw gathering held in LAS VEGAS, USA in the year 1992.
2. ABRENIAN Organizations in other Countries… like in
Canada, Hawaii, Hong Kong, UK, Australia, Arabian countries… Kuwait Qatar,
etc. Your organization can surely contribute to an HONORABLE cause. Many more Countries in the world. Please join us.
To ENGR. ERIC BRINGAS… please inform us…can the Computer run on battery whether by Solar or Wind sources. Can these two electrical sources run the CHIT, system?
Will you please explain to us, as an ENGINEER can the Solar or Wind sources of electricity provide the neccesary energy to run the CHIT system?
I’ll join you in this WEBSITE after my one week vacation.
Au revoir, adios, sayonara , arrivederci, my friends!
Posted by Leo Tuason, MD. | July 6, 2012, 5:23 amKABABAYANS: & FRIENDS….
This is Dr. Leo back from my one week vacation, where I enjoyed immensely the occasion with my 4 children and their children (my grandchildren) at the shores of Lake Michigan.
I’m disappointed that only Karuruba and Maladaga made comments on the subject matter. I was hoping that more Abrenians would “show a bit of interest” on the subject.
What say you… Barrag, Insti, Carlos the Jackal, etc. I invite you all to make comments.. Come on my friends, don’t be SHY. Contribute to a more lively/interesting discussion. After all we are striving for the BETTERMENT of our province.
To be continued:.. next…”SCRIPTED MAKE-BELIEVE SCENARIO” taking place inside the AMMC
communicating with TMC transporting a seriously injured person/
patient. CHIT & TMC systems at work.
Posted by Leo Tuason, MD. | July 16, 2012, 4:38 amThe CHITS (the heart of this system) will be hosted in the Cloud. The Server/s will not be located anywhere in Abra instead it will be house in a secured location in the U.S. All you need really is a device (smartphone, PC, tablet) that is connected to the Internet. I am not familiar as of this point how extensive Internet connection is specially in remote locations identified by Dr. Leo’s Triage Centers.
But in any case, these devices can be powered/charge using batteries with adapter to the devices.
Posted by SysOp | July 16, 2012, 10:26 pmTO ENGR. ERIC:
Sir… WE, most of us Abrenians are “novice/ greenhorn” in the COMPUTER intricacies/lingo…inner workings” so bare with us or “unmask the difficult aspect of the Computer/ CHIT…in plain language. you mentioned the following thus far: and this is my undertanding…
The heart of CHIT hosted in the Cloud… meaning “SATALITE” orbiting above the sky.
Messages or info are transmitted to the Satallite through “SERVERS (like yahoo, hotmail, etc. located in secured locations in the US). A person with a “wireless Computer/Laptop like me(Dr. Leo) is registerd or has account with “yahoo”.
To simply things… please, follow me my friends:
EXAMPLE: IF I SHOULD BRING MY “WIRELESS COMPUTER/ LAP-TOP to ANAYAN TMC. I can access
the internet using my yahoo ID. (my wire-less computer is battery-
powered…long lasting Litium).
Now, I can transmit messages via my computer…to different TMC and
AMMC who are also connected with “yahoo” Server…meaning, they have ID account
with this Server…they can receive/transmit messages/ EKG-heart tracings, X-
ray images snd Laboratory Results.
Am I right so far Engr. ERIC?
Posted by Leo Tuason, MD. | July 17, 2012, 5:27 amDr. Leo
yes you are correct. Much like accessing your email or facebook account. Having the CHIT Server in the cloud (in this case we will be using Amazon Cloud Services) also eliminate the problem of electricity to run the system, and eliminate the high start up cost such as network infrastructure within each Triage Center.
On a side note, I was able to get in contact with University of the Philippines Manila – National Telehealth Center. These are the folks who developed CHITS. So we are moving forward.
thanks
SysOp
Posted by SysOp | July 17, 2012, 8:20 pmSYSOP:
I WISH TO START MY “SCRIPTED MAKE-BELIEVE SCENARIO” ON THIS “THREAD”, OF HOW THE SYSTEMS OF CHIT AND TMC WORKING TOGETHER IN THE DELIVERY OF HEALTH CARE IN THE RUGGED/INCESSIBLE TERRAIN OF THE PROVINCE OF ABRA.
PLEASE INFORM THE INTERESTED PEOPLE IN THE U.P. AND NATIONAL TELE-HEALTH CENTER, IF THEY WISH TO HAVE A VIEW OF THE RUGGED TERRAIN OF OUR PROVINCE…HOW THE DIFERRENT TMC ARE LOCATED…TO SEE THE MAP OF ABRA.
Posted by Leo Tuason, MD. | July 18, 2012, 2:03 pmMy Friends/ Kababayans :
We are ready to talk on the “Make-Believe Scenario”… the scripted Scenario is taking place inside the (AMMC) Medical Center Co-ordinator’s Office … a highly trained physician Dr. Bringas, Orthopedic Surgeon (I recommend him to apply for this position when available) bro. of Engr. Eric Bringas.
One calm sunny day of June the time registers at 10 A.M., the Medical Center Office
receives an urgent a phone/message viewed on the Computer’s monitor.
The urgent message is for Dr. Bringas from Dr. Mariano Jose physician in-charge of MATARAGAN TMC.
Dr. Jose to Dr. Bringas: Sir, I have a patient who was brought in few minutes ago…
a 25 year old male, works at a nearby logging company, with a history of having been
injured when a cut tree fell on him, hitting his anterior (front) chest wall
causing… He was brought in via Stretcher.
Nature of injury… Contusion on the anterior (front) Chest wall and a 3 inches
laceration (cut) of the skin requiring few stitches done by Dr. Jose under local
anesthesia.
VITAL SIGNS: Blood Pressure BP is 130/70; Pulse P is 135/min;
Temp T is 97.8 F. fully conscious and oriented/ coherent.
I started (Dextrose) D5W 1000 cc on his left arm and gave him
50 mg Morphine shot to relieve him of his pain.
To be continued:..
Posted by Leo Tuason, MD. | July 19, 2012, 9:10 pmthis is getting interesting. I hope this idea will be a reality.
Posted by Kaaruba | July 18, 2012, 5:38 pmCONTINUATION:..
Dr. Bringas to Dr. Jose: Do you have any recommendation?
Dr. Jose to Dr. Bringas: I recommend very close observation. Slow air leak from the lungs
might produce Pneumothorax (air leaked trapped inside the chest
cavity), and I believe TMC Clinic at BUNEG or LACUB TMC
Clinic have X-Ray machine that might detect the presence of
PNEUMOTHORAX (air) OR HEMOTHORAX (blood) inside the chest
cavity that might have developed from the time of injury.
Dr. Bringas to Dr. Jose: Good job, Mariano. I approve on your recommendation. Please
transport immediately… patient together with history/record
and VITAL SIGNS to Dr. Felipe Langit at LACUB TMC Clinic.
Less than 2 hours, Dr. Bringas receive a call viewed on the Computer Monitor from Dr.
Langit.
Dr. Langit to Dr. Bringas: Doc, the left chest shows 30% Pneumo and minimal Hemothorax.
At this point Dr. Bringas sounded in the Hospital the public speaker system Code 9…the entire Hoapital is alerted and the names of the following doctors are summoned in the speaker system STAT to the office of the AMMC Medical Co-ordinator; Drs. Vicente, Head of Radiology (X-ray) Dept.; and Dr. Dino, Head of Dept. of Surgery.
Dr. Bringas informed Drs. Vicente and Ds. Cadiente as the two doctors enters DR. Bringas’ Office…the history of the patient. on big TV screen Monitor via the computer, the VITAL SIGNS, X-ray Imagages are seen in the screen; the entire drama…clearly shows
“A TRIUMPH OF ENGR. ERIC’S CHIT SYSTEM”.
Dr. Bringas to Dr. Vicente: As head of Radiology Dept., my input on this matter, there is slow accumulation of air (trapped air) in the chest cavity from the time of injury… very soon the increasing presence of this air will produce emabrassment to respiration (to the breathing capability of the patient.
I recommend immediate release of the trappped air. What say you DR. Dino?
Posted by Leo Tuason, MD. | July 20, 2012, 7:31 amCONTINUATION:..
Dr. Bringas to Dr. Jose: Do you have any recommendation?
Dr. Jose to Dr. Bringas: I recommend very close observation. Slow air leak from the lungs
might produce Pneumothorax (air leaked trapped inside the chest
cavity), and I believe TMC Clinic at BUNEG or LACUB TMC
Clinic have X-Ray machine that might detect the presence of
PNEUMOTHORAX (air) OR HEMOTHORAX (blood) inside the chest
cavity that might have developed from the time of injury.
Dr. Bringas to Dr. Jose: Good job, Mariano. I approve on your recommendation. Please
transport immediately… patient together with history/record
and VITAL SIGNS to Dr. Felipe Langit at LACUB TMC Clinic.
Less than 2 hours, Dr. Bringas receive a call viewed on the Computer Monitor from Dr.
Langit.
Dr. Langit to Dr. Bringas: Doc, the left chest shows 30% Pneumo and minimal Hemothorax.
At this point Dr. Bringas sounded in the Hospital the public speaker system Code 9…the entire Hoapital is alerted and the names of the following doctors are summoned in the speaker system STAT to the office of the AMMC Medical Co-ordinator; Drs. Vicente, Head of Radiology (X-ray) Dept.; and Dr. Dino, Head of Dept. of Surgery.
Dr. Bringas informed Drs. Vicente and Dino as the two doctors enters DR. Bringas’ Office…the history of the patient on the big screen monitor via the computer, the VITAL SIGNS, X-ray Imagages are seen in the screen; the entire drama…clearly shows
“A TRIUMPH OF ENGR. ERIC’S CHIT SYSTEM”.
Dr. Bringas to Dr. Vicente: As head of Radiology Dept., my input on this matter, is… there is accumulation of trapped air in the chest cavity from the time of injury; very soon the increasing presence of this air will produce emabrassment to respiration (to the breathing capability of the patient. And eventually respiratory arrest!!!
I rcommend immediate release of the trappped air. What say you DR. Dino?
Dr. Dino to all listeners… the presence of HEMOTHORAX could be bleeding
from vessel behind posterior (behind)the ribs. Fracture in the rib is hard to detect by small size X-ray machine especially fracture of the posterior (back) wall of the rib… although some smaller fracture lines in the rib is discernible by small size X-ray machine.
Dr. Bringas to Dr. Langit: Do you have additional information for us regarding the current general conditon of the patient?
Dr. Langit entered in his computer and transmitted the following…
The patient is fully conscious, alert but pale.
BP 120/60 P 100/min T 99 F There is drop of BP and increase in the pulse
rate.
Reduced respiratory excursions on the affected side chest. Breathe sound is
reduced on the left side chest’
To be continued:..
Posted by Leo Tuason, MD. | July 20, 2012, 9:01 amDr.Dino, Head of Dept. Of Surgery stood up and declared… Gentlement, he said with finality…the situation is EMERGENCY.
The patient is at the stage of “Respiratory system compromised” affecting the Circulatory system..the “heart” as evidenced by the dropped BP snd compensatory increased of pulse rate.
Emergency relief of the “PNEUMOTHORAX” (trapped air in the chest cavity) must be done.
DR. DINO to DR. LANGIT are you familiar of the “Tuason’s oneway valve “PNEUMO-THORAX RELIEF UNIT”? This is a devised invented by Dr. Tuason when we were still in Surgical training in the late 1950’s. If your answer is negative…you’ll find yourself learning it from me via the Computer Technology.
To be continued:..
Posted by Leo Tuason, MD. | July 20, 2012, 2:19 pmCorrection please on prvious comment:
“Pneumo-Thorax Relief Unit”. This is a DEVICE
invented by Dr. Tuason ….
Posted by Leo Tuason, MD. | July 21, 2012, 9:11 pmSYSOP:
May I interject at this point, where Dr. Dino and Dr. Langit were discussing the source of bleeding. I overlooked and forgot that the impact caused by the fullen log on the anterior (front) chest wall have caused injury to the lung surface… a small cut/ laceration might have taken placed involving small blood vessels of the lung tissue called ‘capillaries’ causing oozing of blood, and rip/breach of the lung tissue causing..
escape/leak of air…
Blood and Air escaping out causes the so called…. “HEMOTHORAX” (blood) and
“PNEUMOTHORAX” (air).
At this point, to further demonstrate this for all to understant what’s happening:…
Take an empty clear (see through) bottle (acting as rigid chest cavity), have a balloon
(acting as lung) attached to a coke straw using adhesive tape.
Now, place the balloon into the bottle through it’s small-mouth opening and carefully seal the the bottle mouth around the straw with moisten cotton balls. Blow and suck air into bottle through the straw (simulating breathing). The repeated blowing/sucking air will soon produce expansion of the balloon…but if the balloon was needle punctured one time ( cut/laceration on the lung surface tissue) and returned into the bottle… the situation changes, there will be escape of air through the puncture hole … eventually, large amount of escaped air accumulates outside the balloon… compressing the balloon.
Back to the actual mechanism that may develop: The accumulated air in the chest cavity outside will soon cause embarassment to the function of the lung.. affecting the heart’s function by being deprived of its nourishment.. oxygen and blood supply…
resulting to a ‘Fibrillating heart’…a very serious condition, may result to death!
To prevent death, therefore…immediately institute the following:
1. PNEUMOTHORAX RELIEF UNIT..(P-TRU)…evacuate the trapped-air from chest cavity.
2. DEFIBRILLATE the heart… using Defrillator and drug to revert the fibrillating
heart to have a normal beats… Use EKG to monitor.
END.
Posted by Leo Tuason, MD. | July 25, 2012, 5:54 amGeneral Information to all listeners/Viewers: on the computer monitor.
How the Peumo-thorax Relief Unit (P-TRU) is made.
3-components…
1. large bore needle gauge 20 (has parts, head and stem extending to the point)
2. index finger of rubber glove (severed at its base)
3. suture black silk 2-0
Ask your nurse to hold the stem of the needle with her index finger and thumb and her placing the needle in a ‘telescope’ manner the needle head into the ‘open end’ of the rubber glove finger.
With her other hand index and thumb fingers holding the needle head incorporating the edeges of the glove-finger..now the physician places a tie of black silk suture encircling twice around the head using a ‘surgeon’s knot’ set on the head of needle..tight-water-tight.
Make a scissor 1 cm slit at the tip of rubber glove…you now have “TUASON P-TRU”…a one-way valve allowing the egress/ exit of air and blood.
Procedure/ technique:
Posted by Leo Tuason, MD. | July 22, 2012, 5:21 amProcedure/technique:
Dr. Dino to Dr. Langit:
Select a X-spot on the anterior chest wall… sterilize the skin using Betadine
sterilizing solution at area on the 2nd rib interspace along the imaginary mid-clavicular line. Patient placed in an up-right position to allow the ‘trapped air’ in the chest cavity to move upward.
Physician now handles the P-TPU quickly jab/ thrust the sharp point of needle verticslly down into the x-mark deep into the chest cavity till a gush of air rushes/egresses out from the chest cavity to the rubber glove and out the slit of tip of rubber glove. The Unit being a one-way valve allowing air or blood egresses out but unables air/blood to return…
Insert the needle 3 cm further inside the chest cavity… at this point, the needle is
stabilized, clamped with a hemostat the needle close to the skin. This area ia covered with gauze, after the handle of hemostat is anchorded to the chest with adhesive tape.
The patient is transported with the P-TRU…while the Nurse or Physician carefully monitor the patient’s VITAL SIGNS, and keep the P-TRU steady.
Posted by Leo Tuason, MD. | July 22, 2012, 7:54 amCorrection:
after the handle of hemostat is ANCHORED/ IMMOBILIZED to the chest with with adhesive
tape.
Posted by Leo Tuason, MD. | July 22, 2012, 8:19 amDr. Bringas to Dr. Langit: Please transport patient.
Posted by Leo Tuason, MD. | July 22, 2012, 9:05 amDr. Bringas to Dr. Langit or Nurse accompanying the patient… if the VITAL SIGNS are all stable… you continue your transport and not to stop at any TMC Clinic along the way until you reach TMC at Lagangilang. Here, Dr. Sison, Physician-incharge I have instructed him to do a quick Blood count, including, Hemoglobin and Hematcrit (indexes to detect amount of circulating blood in the body and EKG (heart tracings).
If the blood count and indexes are low, Dr. Sison shall start blood transfusion.
If there is irregularity of heart beats…we shall need the opinion of Dr. Antonio who is the Head of Dept. Medicine…she shall determine if the patient needs…defibrillation or drug to revert the irregular heart beats to a regular beats.
Dr. Bringas to the Dr. Langit or Nurse: TRANSPORT TRANSPORT TRANSPORT
to final destination…. ABRA MEMORIAL MEDICAL CENTER (AMMC).
Posted by Leo Tuason, MD. | July 22, 2012, 4:42 pmKARRUBA AND MALADAG: AND KABABAYANS/ FRIENDS
ARE WITH ME?
Posted by Leo Tuason, MD. | July 22, 2012, 6:17 pmThe patient arrived in the AMMC in fair condition. He was re-evaluated and treated
intensively.
As initial assessment… chest x-ay, EKG (heart tracings) and blood count, Hematocrit and Hemoglobin.
Treatment: 1. continue blood transfusion
2. continue heart monotoring
3. replace P-TRU with flexible chest tube.
4. continue ‘long-lasting’ antibiotic.
The replacement of P-TRU, entails the placement of chest tube inserted in the lateral side
of the chest, making 1cm insision on the skin at the 6th interspace between two adjacent
ribs along an imaginary axillary line…where the chest tube is inserted into the chest cavity the tip of tube directed downward.
The Flexible Chest Tube (FCT) is immobilized with Black silk suture stitched to the skin close to the tube and tied around the same.
The FCT its distal end is connected to Thompson Continuous Suction Machine to remove/evacuate the trapped air or blood from the chest cavity. When there is nolonger bubbles coming out in the chest tube and likewise no more blood coming out the chest tube is clamped off for 24 hrs. THERE AFTER…
Chest was x-ray taken which may show ‘negative’ residual “Hemothorax or Peumothorax”…
in which case, the FCT is removed. The skin wound from the FCT passed through is closed by tighening ‘air-tight’ the previously placed skin suture then dressed the area with vaselinized 4×4 sterile gauze immobilized the same with adhesive tapes.
Patient is placed in an reclining position through out the recovery period.
He recovered and dismissed from the Hospital on the 6th day.
At this stage… Dr. Bringas, Co-ordinator of Health Care Delevery, gave his heartfelt thanks to all Medical Personell involved in the care of the injured patient. And to those people involved in the transport of the paient. All effortS to save the life of the injured
patient.
END
Posted by Leo Tuason, MD. | July 22, 2012, 7:50 pmContinuation:
The haggling between the Medical Internist and the Hosp. Administrator including the Heads of the different Departments who objected in the return of the patient to the BGH. The re-admission of the patient back to the Hospital was definitely a ‘slap’ of the faces of all objectors. But my friend Medical Internist prevailed… won the argument…the Igorot Lady was re-admitted because, the BGH, is a people’s “public” Hospital… any ‘sick’ person can be admitted.
The patient was readmitted under the care of Medical Intenist and I (Dr. Tuason) was asked as the surgeon. The operation was scheduled in two days., enough time to prepare OR and instruments needed.
At this stage, review of the X-ray of the head. and review of the clical findings on the patient… enough to convince me which side of the head I should ‘open’ or ‘enter’.
On the day of SURGEY, the entire observation-gallery filled with INTERNS, RESIDENTS and Dept. HEADS to witness a failure or sucessful Operation. Tension built up in the gallery and lots of silent-prayer from me.
To make the story short, the side of the skull that was opened was just as I thought. I was right… the ‘culprit’ was a huge blood clot beginning to “organize” (forming new blood vessels) compressing the brains substance causing ‘Unsciousness’.
Evacuation/removal of blood clot was done, difficulty encountered because of bleeding from new and other blood vessels occured… bleeding from the new blood vessels were plain ”oozing-blood’ easily stopped with the use of “GEL-FOAM” (an item obtained from Camp John Hay Hosp.)
The bleeding from bigger blood vessels was a problem… the tool/item to stop the bleeding is missing, not available. At this point tension soared in the OR and Gallery because the bleeding continued…frustration took over the OR, from the assistant doctors, to the operating nurses, but I was not discouraged, intead determined to continue and finished what I started… I stopped for several minutes and silently prayed …finally I found the solution… used an improvise item to stop the bleeding areas with success.. one for the medical/surgical books. After the surgery, I wrote a letter to my mentor in the US, stated the item I used to stop the bleeding. My mentor suggested, I should return to the US to practice, if my servises was not needed in the old country.
Th Igorot Lady recovered and went home in five days. Few days later I received a thank-you card from her with a nice letter and picture I kept it framed – hanged in my office in Martinsville, Indiana for many…many years.
END.
Posted by Leo Tuason, MD. | July 25, 2012, 4:59 pmDR. BRINGAS, HIGHLY TRAINED SURGEON, BROTHER OF ENGR. ERIC BRINGAS I MET HIM IN MY LAST BANGUED VISIT IN 2005. I ENCOURAGE HIM TO APPLY WHEN AVAILABLE AS CO-ORDINATOR OF THE CHIT/TMC DELIVERY OF HEALTH CARE FOR THE PROVINCE OF ABRA.
TECHNICAL ADVISER: OF THE SCRIPTED MAKE-BELIEVE SCENARIO.
LEO TUASON, MD.
TRAINED AS SURGICAL RESIDENT AT…
ST. JOSEPH HOSPITAL, LEXINGTON, KENTUCKY
CENTRAL BAPTIST HOSP., ” ”
GOOD SAMARITAN HOSP., ” ”
GOOD SAMARITAN HOSP., DAYTON, OHIO
SPECIAL TRAINING IN SPECIALTIES: IN NEURO-SURGERY; CHEST-VASCULAR,PELVIC SURGERY;
ABDIMINAL, LAPAROSCOPIC SURGERY (NEW 1980 SURGICAL
TECHNOLOGY)
30 YEARS PRACTICE AS A SURGEON AT COUNTY MEMORIAL HOSPITAL, CITY OF MARTINSVILLE, IN. SERVING A CITY OF 1OO,OOO POPULATION.
HEAD of DEPT. of SURGERY for 5 years.
I RETURNED TO THE PHILIPPINES IN 1963 AND SETTLED IN THE CITY OF BAGUIO WHERE I WAS APPOINTED AS SURGICAL CONSULTANT AT THE BAGUIO GENERAL HOSPITAL.
I had a private practice in General Surgery in GROUP PRACTICE OFFICE WITH US TRAINED
MEDICAL INTERNIST. A PSYCHIATRIST, AND EYE-SPECIALIST.
The Medical Internist asked me to see his patient a 25 year old Igorot lady who was hit by a running truck, knocked her unconscious taken to the Baguio General Hositpal where she remained unconscious for two whole week before I saw her. in her ‘death-bed’.
CONDITIONS OR CASES SUCH AS THIS WOULD BE SENT TO MANILA FROM BAGUIO GENERAL HOSPITAL WHERE BRAIN SURGEONS ARE AVAILABLE WHO CHARGES EXHORBITANT FEE.
THE FAMILY OF INJURED IGOROT LADY WAS NOT ABLE TO PROVIDE MONEY FOR MANILA HOSPITALIZATION AND SPECIALIST FEE. SO SHE WAS LEFT IN THE HOSPITAL TO DIE.
To be continued:..
Posted by Leo Tuason, MD. | July 22, 2012, 10:17 pmContinuation:
The Medical Internist, US trained also a Consultant of the BGH, as I was, asked me again and again if I could help the Igorot lady. I analyzed my situation… the fact that I was new in the City few months after my arrival, the fact that the injured lady would be my first major case in the Baguio… my extensive Neurosurgical training pushed me
to accept the challege…I said, YES, I will do the Surgery for FREE. He was surprised to hear the word…”FREE”.
DR. TUASON, your move… I immediately went to the Operating Dept. and talked to the OR Head Nurse. I was surprise to learn that the OR Head Nurse was married to an Abrenian Engr. Bernal, an acquaintance of mine of many years way back. She was most helpful to show me the meager NEURO-SURGICAL equipment the HOSPITAL has. Not enough tools for the kind of Surgery, I said and informed the Nurse as well as my friend the MEDICAL INTERNIST that I had to go Camp John Hay, a Camp used by Manila American Officials and Servicemen. The Camp has a Hospital. But only obtained from the Camp Hospital…Gel-foam, a material that
is used to stop bleeding.
In the mean time, the dying Igorot lady was tranferred to a nearby Clinic, because the BGH could nolonger provide help for the patient’s recovery…declared “hopeless case”…so she was left to die. The Medical Internist did not accept the verdict. So he kept on asking me to help.
Having assessed the options I had at the time which were but very few options….
Option # 1, if I fail, the patient dies while being operated on under my hands. I had to leave the City… not for Bangued…because the (APH) Abra Provincial Hosp. was ill-equiped in Surgical equipment.
Option #2 return to the US as immigrant which would take several months or years for the VISA to be approved.
My friend Medical Internist has to bring back the patient to the BGH. The haggle begun…
To be continued:..
Posted by Leo Tuason, MD. | July 25, 2012, 9:36 am