The Medical City Holds Webinar for Expectant Moms

By The Medical City , | June 29, 2020

What does it take to ensure safety for both mother and child during the course of pregnancy? Read more:


What does it take to ensure safety for both mother and child during the course of pregnancy?

The Medical City (TMC) Institute for Women’s Health conducted a webinar titled “What to Expect When You’re Expecting” on June 20, 2020 with obstetrician-gynecologist Dr. Giancarlo Santos and anesthesiologist Dr. Vanessa Ocampo as speakers. Dr. Santos gave a lecture on “I’m Pregnant…What Now?” while Dr. Ocampo talked about “Anesthesia Options.”

Dr. Santos described the normal anatomy of a woman’s reproductive system and enumerated the changes that occur during pregnancy. As he further discussed about pregnancy, he shared some health tips for the expectant mothers.

  • Nutrition – Eat a rainbow of different colored fruits and vegetables to ensure you and your baby get the nutrients you need for your journey to delivery. Remember to eat when hungry and stop when full.
  • Exercise − Pregnancy is not an illness so exercise should not be stopped. However, it is important to start slowly and gently then increase the activity gradually. Keep yourself hydrated and stop the moment you feel any discomfort.
  • Weight Gain – The maximum weight gain varies per pregnancy depending on the woman’s pre-pregnancy weight.

He also talked about the red flags during pregnancy that would warrant immediate consultation. These include premature rupture of the bag of water, bloody vaginal discharge, contractions, and decreased movement of the baby. At the first sign of any of these, seek immediate consult.

Dr. Ocampo then discussed the anesthesia aspect of labor and delivery including the different anesthesia options available for normal and cesarean delivery. “A pain-free labor experience will help the mother conserve her energy for when she bears down,” says Dr. Ocampo.

The best type of anesthesia to be used varies per patient depending on the pain tolerance of the mother and the progression of the labor. As such, it is best to discuss your options with your doctor as you go along your journey to give you time to prepare and manage your expectations.

During this time when traditional clinic visits may be a challenge, it is the best opportunity for women to be more attuned with their bodies and for their partners to be more engaged during the pregnancy journey. However, it is still important to get in touch with your healthcare provider because some concerns need a physical visit to the hospital.

Apart from this, protocols for prenatal check-ups and delivery were explained to help manage expectations during hospital visits. As a protective measure, consults are scheduled ahead of time and companions are discouraged during this time.

With the safety protocols in place at TMC and the expert and compassionate care of the doctors and staff, a total of 254 babies were safely delivered during the enhanced community quarantine which spanned from March to May 2020.

For inquiries regarding prenatal care and other pregnancy concerns, contact the Institute for Women’s Health at 8-988-1000/8-988-7000 Ext. 6338. The institute also offers monthly prenatal classes to continue providing expectant mothers the information they need throughout their pregnancy.




The Medical City Holds Webinar for Expectant Moms

By The Medical City ,

June 29, 2020


What does it take to ensure safety for both mother and child during the course of pregnancy? Read more:

What does it take to ensure safety for both mother and child during the course of pregnancy?

The Medical City (TMC) Institute for Women’s Health conducted a webinar titled “What to Expect When You’re Expecting” on June 20, 2020 with obstetrician-gynecologist Dr. Giancarlo Santos and anesthesiologist Dr. Vanessa Ocampo as speakers. Dr. Santos gave a lecture on “I’m Pregnant…What Now?” while Dr. Ocampo talked about “Anesthesia Options.”

Dr. Santos described the normal anatomy of a woman’s reproductive system and enumerated the changes that occur during pregnancy. As he further discussed about pregnancy, he shared some health tips for the expectant mothers.

  • Nutrition – Eat a rainbow of different colored fruits and vegetables to ensure you and your baby get the nutrients you need for your journey to delivery. Remember to eat when hungry and stop when full.
  • Exercise − Pregnancy is not an illness so exercise should not be stopped. However, it is important to start slowly and gently then increase the activity gradually. Keep yourself hydrated and stop the moment you feel any discomfort.
  • Weight Gain – The maximum weight gain varies per pregnancy depending on the woman’s pre-pregnancy weight.

He also talked about the red flags during pregnancy that would warrant immediate consultation. These include premature rupture of the bag of water, bloody vaginal discharge, contractions, and decreased movement of the baby. At the first sign of any of these, seek immediate consult.

Dr. Ocampo then discussed the anesthesia aspect of labor and delivery including the different anesthesia options available for normal and cesarean delivery. “A pain-free labor experience will help the mother conserve her energy for when she bears down,” says Dr. Ocampo.

The best type of anesthesia to be used varies per patient depending on the pain tolerance of the mother and the progression of the labor. As such, it is best to discuss your options with your doctor as you go along your journey to give you time to prepare and manage your expectations.

During this time when traditional clinic visits may be a challenge, it is the best opportunity for women to be more attuned with their bodies and for their partners to be more engaged during the pregnancy journey. However, it is still important to get in touch with your healthcare provider because some concerns need a physical visit to the hospital.

Apart from this, protocols for prenatal check-ups and delivery were explained to help manage expectations during hospital visits. As a protective measure, consults are scheduled ahead of time and companions are discouraged during this time.

With the safety protocols in place at TMC and the expert and compassionate care of the doctors and staff, a total of 254 babies were safely delivered during the enhanced community quarantine which spanned from March to May 2020.

For inquiries regarding prenatal care and other pregnancy concerns, contact the Institute for Women’s Health at 8-988-1000/8-988-7000 Ext. 6338. The institute also offers monthly prenatal classes to continue providing expectant mothers the information they need throughout their pregnancy.



Share


Related News

July 13, 2020

Mindfulness-Based Cognitive Therapy

The Center for Behavioral Health of The Medical City, Pasig City, has made Mindfulness Based Cognitive Therapy (MBCT) available for its patient and medical community. MBCT is a group based therapy that combines mindfulness training with Cognitive Behavior Therapy (CBT). 

MBCT is proven to increase self-regulation, enhance mood, decrease anxiety, and prevent relapse of depressive episodes. 

MBCT is done in 2 1/2 to 3 hour, weekly sessions, spread over ten weeks, including the orientation and a mini, silent retreat.    

Due to the COVID-19 pandemic, the MBCT is going to be offered online, using Zoom. Register through this link: Google Forms

Read more

July 06, 2020

Schooling in the New Normal

While the Enhanced Community Quarantine (ECQ) halted the face-to-face classroom setup, there is a need to put measures in place to ensure that learning does not stop for the youth while keeping them safe once the ECQ if lifted.

Regardless of the level of spread in the local community, every school must be prepared prior to the resumption of school activities. This will help school administrators and partners understand how they can help prevent the transmission of COVID-19 in the school setting.

Planning, Preparing, and Responding to COVID-19

1. Coordinate with local health officials

  • Get an update on you community’s local COVID-19 data
  • Be aware of policies and practices implemented within your community that may affect the school’s operations
  • Immediately inform the local health sector when a possible exposure occurs within the school
  • Assign a coordinator between your school and the local health office,

2. Communicate with staff, parents, and students

  • The communication to be provided to the school community must be aligned with the local health office and the school’s emergency operations plan
  • Include messages to counter stigma and discrimination
  • Maintain the confidentiality of students or staff members as required by the Data Privacy Act
  • Provide information on new policies and practices implemented to prevent transmission in the school setting

3. Intensify cleaning and disinfecting efforts

  • Close off access to areas where suspected or confirmed COVID-19 patients stayed at and ensure proper ventilation within 24 hours prior to disinfection.
  • Cleaning staff should clean and disinfect areas focusing on high-touch surfaces such as doorknobs, light switches, phones, etc.
  • Use recommended disinfecting solution

  • Do not mix bleach and other cleaning or disinfecting products as this may cause fumes that are dangerous to breathe in
  • Ensure adequate supply to support cleaning and disinfecting practices
  • If possible, make touchless hand sanitizer dispensers available around the campus

4. Review continuity plans, including emergency operations plans

  • Make sure the plan includes the prevention of a wide variety of infectious diseases such as influenza, measles, etc
  • Include strategies to continue education and other related services
  • Emphasize everyday preventive measures

5. Develop information-sharing systems with partners as well as the parent community

6. Teach and ensure healthy hygiene practices

7. Have reminders available in various areas in the school to help prevent the spread of infection

8. Implement multiple physical distancing strategies

  • Consider postponing non-critical gatherings and events including field trips
  • Cancel or modify classes where students will be in close contact with each other
  • Adjust the distance between desks to be 1 meter apart
  • Stagger arrival and/or dismissal times to avoid crowding of students
  • Limit or avoid cross-school transfers and programs

9. Monitor and plan for absenteeism of students and school staff

  • Determine the level of absenteeism that will disrupt operations and the continuity of providing education
  • Alert the local health unit for a significant increase in absenteeism especially when the cause is related to COVID-19 symptoms such as coughs, fever/chills, sore throat, and body pain

10. Require sick students and staff to stay home

11. Consider special needs of students who may be at higher risk of getting infected

  • Communicate with parents and determine how the students’ needs can be met
  • Determine if and how to accommodate requests of parents who may have concerns regarding the students attending the school because of underlying medical conditions of the student or of those in their home

12. Should on-site school activities be resumed, plan for transportation assistance that can be offered to students


Ensuring Continuity of Education

As the ECQ is lifted, school must ensure that learning continues while implementing precautionary measures to promote safety in the school setting. These may be done by employing the following measures:

1. Consider e-learning as an option

  • Convert face-to-face learning activities to online teaching and learning tools as applicable
  • Train teachers to conduct e-learning activities
  • Determine how to triage technical concerns if IT support is limited or unavailable
  • Encourage parents/caregivers to conduct adult supervision during e-learning sessions for students below 18 years of age
  • Determine how to deal with students’ potential lack of access to computers and internet at home

2. Determine the need for the following:

  • Waivers for on-site school interactions/activities for a particular number of students
  • Implementation of new school schedule that will help enforce physical distancing and minimize the risk of transmission in school


Ensuring Safety during Travel to School

Once school resumes, students and staff who do not have access to private transport would need to make use of public transportation. Their safety must be ensured during this time. The following measures can be done to achieve this:

1. Educate students and staff on how to prevent getting or spreading infection:

  • Practice proper hand hygiene. Tell students to wash their hands with soap and water before and after their commute. Should water and be unavailable, an alcohol-based hand sanitizer may be used as an alternative.
  • Wear a face mask. Require students to wear a face mask at all times – whether in school or during their commute. This will help ensure coughs and sneezes are properly covered to protect those around them while also ensuring they are protected.
  • Observe physical distancing. A distance of at least 1 meter must be maintained between each passenger during a commute to minimize the risk of infection.

2. Provide alternative transportation options

  • Consider carpooling for students and staff living near each other.
  • Partner with local transport groups, whether public or private, to provide transportation for the school community. This may augment any existing transportation capacity the school may have.

By making staff, parents, and students are well-informed of changesfor the new normal in the school setting, the safety of those within the school and local community will be ensured.

To learn more about making schooling work at the comfort of your home, stay updated for learning opportunities through our Institute of Pediatrics. For inquiries, you may contact the institute at 8-988-1000/-8-988-7000 Ext. 6322.


Reference:

Center for Disease Control and Prevention (CDC)

https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html


Read more

July 09, 2020

Get tested today - safely and conveniently

A pandemic of coronavirus disease 2019 (COVID‐19) caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) has been spreading throughout the world. Though molecular diagnostic tests (RT-PCR technology) are the gold standard for COVID‐19, serological testing is emerging as a potential surveillance tool, in addition to its complementary role in COVID‐19 diagnostics.

What is ECLIA Antibody Test?

The test is called serological Enhanced “Chemiluminiscence” Immunoassay or ECLIA. It detects antibodies produced in patient blood due to infection with SARS-CoV-2, the scientific name of the new coronavirus that causes COVID-19. This serology test has a specificity of 100%* and sensitivity of 100%*. *(Sensitivity Confidence Interval of 92.7 to 100% > 8 days from onset of symptoms and Specificity Confidence Interval of 99.1 to 100%)

Sensitivity is the proportion of patients who do have the disease that return a reactive test result.
Specificity is the proportion of patients without the disease who return a non-reactive test result. Both are expressed as a number or percentage.

The sample that will be taken from the patient will be tested for total antibodies and IgG. The test detects all antibodies (IgM, IgA, IgG, and other isotypes) that develop in most patients as an immune response from eight days onwards (>8 days)  after symptoms of COVID-19 begin. These antibodies indicate if the patient may have had a recent or past COVID-19 infection (IgM /IgA/other Isotypes) and have developed antibodies that may protect the patient from future infection (IgG).

This ECLIA antibody test provides very important information to aid in diagnosis, management and recovery from COVID-19 and will also help researchers evaluate how many people in the population have been infected, which is important to planning infection control.

The ECLIA test is simple and straightforward. It involves taking a sample of your blood, which will be sent to a laboratory for analysis. Test result will be available within 24 hours.

Who might benefit from testing?

  • Asymptomatic individuals who are required to submit antibody testing for work clearance
  • Asymptomatic individuals who were exposed to a suspected or confirmed COVID-19 patient at least 8 days prior to testing
  • Recovered and asymptomatic COVID-19 patients who wish to confirm the presence of antibodies in preparation for donation for convalescent plasma treatment

Antibody tests should not be used to diagnose acute infection with COVID-19. An RT-PCR must be obtained for this purpose. 

What is the benefit of the ECLIA Antibody Test?

The result may help limit the spread of COVID-19 for patient management, tracking and surveillance.

What does your result mean? 

Total

(IgM, IgA, IgG)

IgG

Possible Interpretation:

Non-reactive

Non-reactive

No SARS CoV-2 antibodies detected. May represent acute infection in the window period. Consult a doctor if symptomatic.

Reactive

Non-reactive

SARS CoV-2 antibodies present (including IgM or IgA), likely acute phase. Will need RT-PCR Testing.

Reactive

Reactive

SARS CoV-2 antibodies present (mostly IgG), likely recovery or convalescence phase.


Here’s a brief description of the types of CoVID-19 test: ECLIA, and Rapid Test.

ECLIA

Rapid Test

Description:

  • Performed on a fully automated machine, lab-based, and uses whole blood, plasma, or serum samples from patients.
  • This test can look for multiple types of antibodies, including IgG, IgM, and IgA.

Description:

  • A manual method for detection of IgM and IgG antibodies to the virus causing CoVID-19 in blood, serum or plasma samples.

Level of Accuracy:

  • It utilizes Enhanced Chemiluminescence
  • Technology and has 100% sensitivity* and 100% specificity*

*(Sensitivity Confidence Interval of 92.7 to 100% > 8 days from onset of symptoms and Specificity Confidence Interval of 99.1 to 100%)

Level of Accuracy:

  • Lower sensitivity and specificity, higher incidence of false negative.


Is ECLIA Antibody Test available at The Medical City?

The Medical City has launched its Drive-Thru COVID Testing using ECLIA antibody test. Located at the parking area of Ateneo School of Medicine and Public Health in Ortigas, Pasig City. The drive-thru is open Mondays to Sundays from 7:00am to 6:00pm.

For more information about ECLIA and other CoVID-19 tests available at TMC, contact 8988-1000/8988-7000.

Read more

July 09, 2020

FAQs on TMC Drive-Thru COVID-19 Testing

What type of test is being offered at the The Medical City (TMC) Drive-Thru COVID-19 Testing?

The Medical City offers Enhanced Chemiluminiscence Immunoassay or ECLIA antibody test at its Drive-Thru COVID-19 testing site. It is the first and best fully automated COVID-19 antibody test globally certified by the US and Philippines Food and Drugs Administration. Compared to the rapid lateral flow test, the ECLIA antibody has 100%* sensitivity and 100%* specificity. *(Sensitivity Confidence Interval of 92.7 to 100% >8 days from onset of symptoms and Specificity Confidence Interval of 99.1 to 100%)

What is ECLIA / Enhanced Chemiluminiscence Antibody Test?

It detects antibodies produced in patient blood due to infection with SARS-CoV-2, the scientific name of the new coronavirus that causes COVID-19.The serology test has a specificity of 100% and sensitivity of 100%.  *(Sensitivity Confidence Interval of 92.7 to 100% >8 days from onset of symptoms and Specificity Confidence Interval of 99.1 to 100%)

Sensitivity is the proportion of patients who do have the disease that return a reactive test result.  Specificity is the proportion of patients without the disease who return a non-reactive test result. Both are expressed as a number or percentage.

The sample that will be taken from the patient will be tested for total antibodies and IgG. The test detects all antibodies (IgM, IgA, IgG, and other isotypes) that develop in most patients as an immune response from eight days onwards after symptoms of COVID-19 begin. These antibodies indicate if the patient may have had a recent or past COVID-19 infection (IgM /IgA/other Isotypes) and have developed antibodies that may protect the patient from future infection (IgG).

This ECLIA antibody test provides very important information to aid in diagnosis, management and recovery from COVID-19 and will also help researchers evaluate how many people in the population have been infected, which is important to planning infection control.

How does it work?

The ECLIA antibody test is simple and straightforward. It involves taking a sample of your blood to be sent to a laboratory for analysis. To book an appointment, please go to TMCcovidtest.com.

Pre-booked and walk-in clients can take the COVID-19 test at the Drive-Thru site.

(All will be screened at the entrance and those with temperature > 37.6°C will not be allowed to proceed to the testing site.)

For pre-booked clients

You can book your COVID-19 Drive-Thru testing here: TMCcovidtest.com

On the day of your COVID-19 test:

To start the process, go to the Drive-Thru queue and present your online booking confirmation plus one valid government ID to the Security Personnel.

Proceed to the extraction area for verification and extraction.

Stay inside your vehicle from arrival to departure.

Limit the people in your personal vehicle to a maximum of six to be tested.

Wait for the result to be emailed within 24 hours.

For walk-in clients

To start, go to the parking area for onsite registration.

Pay at the Cashier.

Proceed to the extraction area.

Stay inside your vehicle from arrival to departure.

Limit the people in your personal vehicle to a maximum of six to be tested.

Wait for the result to be emailed within 24 hours.

How do I prepare for the test?

There is no special preparation for this test. The blood draw lasts only a few moments and is mildly uncomfortable.

How much does this COVID-19 test cost?

ECLIA antibody test price at the Drive-Thru site is Php 2,200.

How do I pay?

For online booking:

  • Pay online via credit card, debit card, GCash
  • Pay on-site

For walk-in clients, cash and credit card payments are accepted at the Cashier on-site.

*To avail of Senior Citizen/PWD Discounts, kindly pay on-site


Where is the testing site located? 

The location is at the parking area of the Ateneo School of Medicine and Public Health (ASMPH).

Is it also open during weekends? 

Yes. The drive-thru testing site is open Mondays to Sundays from 7AM to 6PM.

Who can get tested at the TMC Drive-Thru testing site?

If you meet any of the following criteria, you can get tested at the COVID-19 Drive-Thru Testing:

  • You are asymptomatic – meaning you don’t have any symptoms.
  • If you feel well but have reason to believe you’ve been exposed to the virus. You should self-quarantine in this case.
  • You need COVID-19 clearance certificate for work purposes.
  • You are asymptomatic and recovered COVID-19 patient who wish to confirm the presence of antibodies in preparation for donation for convalescent plasma treatment.

While you wait for your test results, maintain home isolation to help protect other people in your home and community.

*Antibody tests should not be used to diagnose acute infection with COVID-19. An RT-PCR must be obtained for this purpose.

What does your result mean?

Total
(IgM, IgA, IgG)
IgG Possible Interpretation:
Non-reactive Non-reactive No SARS CoV-2 antibodies detected. May represent acute infection in the window period. Consult a doctor if symptomatic.
Reactive Non-reactive SARS CoV-2 antibodies present (including IgM or IgA), likely acute phase. Will need RT-PCR Testing.
Reactive Reactive SARS CoV-2 antibodies present (mostly IgG), likely recovery or convalescence phase.


For more information about ECLIA and other COVID-19 tests available at The Medical City, contact 8988-1000 / 8988-7000.

Read more

July 03, 2020

7 Tips to Keep Your Face in Tip Top Shape While Wearing a Mask

We wear a mask to protect ourselves and others from airborne viral infection. While wearing a mask is protective, it can be a source of skin problems if you do not protect your skin. Here are some simple steps to keep your skin looking awesome.

  • Wear a mask that suits your facial shape. Not all masks are shaped the same. If possible, have yourself fitted for the right mask.
  • Change your mask once it is dirty or soiled. Using a dirty mask allows nasty bacteria to come in contact with your skin. This may cause infections such as mask-induced acne, otherwise known as “maskne.” To prevent dirt from accumulating on your mask, see if your mask is fit for re-purposing. This is a process of washing your maskand, if you are a health care worker, to have it sterilized at your hospital. If you are wearing a cloth mask, wash the mask with mild soap. Avoid strong detergents that can irritate your skin. Throw away masks that have tears and other signs of damage.
  • Prepare your skin before wearing a mask. Use a gentle skin cleanser to prep your skin. Avoid using strong antibacterial soaps. There are good bacteria on your skin that keep harmful bacteria at bay. When you kill the good bacteria, harmful bacteria grow unchecked. Gentle skin cleansers are sufficient to kill bad bacteria. You may use a mild anti-acne toner with salicylic acid to prevent pimples.
  • Protect your skin underneath the mask. Commuting exposes all of us to the elements. Use a sunscreen with at least an SPF 30 to protect it from ultraviolet light. You may use a strip of silicone sheet to protect your skin from the pressure of the mask.
  • Wear light makeup. Yes, it is okay to wear makeup, especially if it highlights your eyes. Light, non-occlusive make-up is safe to use.
  • Remove all makeup. When you keep makeup on your skin overnight, the hair follicles and oil glands are occluded. Keeping the face covered with make up overnight allows harmful bacteria to grow, resulting again, in “maskne.” Removing all makeup with a mild makeup remover and gentle skin cleanser enables the skin to breathe and stay healthy.
  • Apply anti-aging products.Invest in your skin to look young for a long time. Layer your products thinly on the skin for an additive effect. Retinoid medications such as tretinoin and their derivatives like retinoic acid and retinaldehyde help in skin turn over. Glycolic acid, alpha hydroxyacid, andother fruit-based products help slow down skin aging while maintaining moisture at the same time. Avoid occlusive products such as petroleum jelly and heavy cream which can cause pimples.

When should I see a doctor?If you have skin damage or breakouts that don’t respond to skin care changes, you should see a dermatologist. Many now offer virtual visits. Spreading redness or draining pus can be signs of infection. If this happens, seek immediate medical attention.


For inquiries, call Aesthetics by The Medical City at 8-9881000 ext. 6576 / 6579.

Read more

July 01, 2020

Managing Your Child’s Nutrition: Knowing the Difference Between Hunger and Appetite

Parents often confuse hunger and appetite but when it comes to your child’s nutrition, knowing the difference between the two can make a big impact.

The Feeding Clinic under The Medical City (TMC) Center for Developmental Pediatrics (CDP) recently held a Picky Eater webinar titled “Hunger and Appetite” with pediatric gastroenterologist Dr. Almida “Mitzi” Reodica as the resource speaker.

Early childhood nutrition, especially during the first 1,000 days of life, is essential in a child’s growth and development. As such, it is important for parents and those managing pediatric health and nutrition to understand the difference between hunger and appetite to help determine the best course of action.


The Role of Hunger, Appetite, and Satiety in Childhood Nutrition

Hunger is defined as a set of feelings or internal experiences necessary for a person to seek food while appetite is the preference that surrounds the selection of food available with or without the presence of hunger. The culmination of processes associated with the end of the meal is referred to as satiation.

Dr. Reodica also described hunger as an essential trigger that makes people want to eat. She detailed the different phases of hunger to better illustrate what happened when a person does become hungry.

  • Phase I – Prolonged period of quiescence or inactivity (40-60% of the time)
  • Phase II – Increased frequency of action potentials and smooth muscle contractility (20-30% of the time)
  • Phase III – A few minutes of peak electrical and mechanical activity (5-10 minutes)
  • Phase IV – Declining activity which merges with the next phase I

How these are regulated is affected by factors such as hormones, the nervous system, and intestinal muscles. By understanding the different phases of hunger and how it is regulated, we are able to determine possible controls when to help in the nutritional management of children, and even adults. 

Hunger and satiety may be affected negatively by gastrointestinal illnesses, medications, stress, and heavy meals prior to schedule mealtimes. As such, it is important to determine if any of these factors are present whenever a child says he or she is not hungry.

Appetite, on the other hand, is affected by a whole variety of factors such as homeostatic mechanisms (eating for calories and pleasure), hedonic mechanisms (eating just for pleasure), genetic predisposition, first taste, and family experiences. These different factors in appetite, along with the environmental influences, affect a child’s behavior towards certain food and eating.

By understanding factors affecting hunger, satiety, and appetite, primary caregivers can address the root cause and work around it to help the child eat and acquire the necessary nutrients he or she needs.


The Role of Family in Children’s Appetite

More than the biologic predisposition of children when it comes to appetite, the environment and experiences they have when they eat play a vital role. It is for this reason that the family plays a vital role in ensuring that children get the best nutrition by making mealtimes enjoyable and pleasurable.

Here are five tips to help parents make sure their children enjoy getting the nutrition they need:

  • Don’t force food on the children. Avoid force-feeding children. Offer the food but allow them to try it at their own pace.
  • Make it a sensory experience.  Allow the child to have a full sensory experience by looking at the food, smelling it, and feeling its texture before trying to taste it by licking and eventually biting, chewing, and swallowing it.
  •  Revise your grocery list. By ensuring that only healthy food is available at home, children will have no reason to look for non-nutritious food because it is unavailable. If at the beginning they are not exposed to junk food, they will not look or crave for them even when exposed later in life.
  • Make mealtimes time for the family. Take it as an opportunity to bond and make it a positive experience for the whole family
  • Build a support system. Make healthy eating something for the entire family. Set an example, be encouraging, and provide the support they need.

If you find your child picky, fearful, or fussy when it comes to eating, then you may benefit from part him or her.

The Medical City’s Center for Developmental Pediatrics Feeding Clinic is the first of its kind in the country. Staffed by a team of healthcare professionals, it provides a holistic multidisciplinary approach to managing feeding difficulties from the common to the most severe cases.

For inquiries, you may contact the Center for Developmental Pediatrics at 8-988-1000/8-988-7000 Ext. 6630 or email them at tmc_cfd@themedicalcity.com.

Read more

June 30, 2020

A New Beginning for Angela | An Integrated Spine Program Story

The Integrated Spine Program (ISP) of The Medical City is a comprehensive program established to improve spine care delivery through highly competent doctors and staff, modern diagnostic tools and OR equipment, experienced support departments, and eventually, a dedicated spine ward. It is a program dedicated to the evaluation, diagnosis, treatment and rehabilitation of adolescents and adults with spinal disorders.

The ISP team of expert physicians provides a comprehensive approach to spine disorders, back and neck care. Both doctors and staff have undergone specialized spine training that would provide patients with quality spine care specific to their needs. The multidisciplinary team is composed of specialists in spine surgery, internal medicine, physiatrists, rehabilitation doctors, and occupational health. The goal of the team is to return patients to the fullest level of function as quickly and as safely possible.

To learn more about the program, please watch the video below which tackles the story of 14-year-old Angela Caleon who was diagnosed with kyphosis and severe scoliosis and have undergone spine surgery at The Medical City.

Read more

June 29, 2020

Should I worry about finding blood in my semen?

Should I worry about finding blood in my semen? 

Unusual bleeding may be a potential cancer symptom thus seeing blood in the semen can make a man anxious. Fortunately, it is uncommon and rarely signals a major medical problem especially in men younger than 40. 

Hematospermia (also called hemospermia), which refers to the presence of blood in the semen, often does not last long, as it is usually a self-resolving problem.

Dr. Enrique Ian Lorenzo, urologist from The Medical City (TMC), says hematospermia is more often than not a benign occurrence which usually resolves spontaneously. However, an evaluation of a urologist may be necessary to rule out other causes especially in men who are at risk for certain diseases.

Causes of blood in the semen

It may be caused by infection or an inflammation. Infection may occur in the urinary tract and subsequently affect the tubes where semen passes through or even the prostate. This can develop due to typical urinary tract infections (UTIs) or sexually transmitted infections (STIs) like gonorrhea or chlamydia, or from other viral or bacterial infections.

Men with an infection may notice other symptoms, including pain or pressure when urinating,  painful ejaculation, swelling in the genital area, a fever or generally feeling sick, and frequent urination or difficulty emptying the bladder.

Sustaining an injury to the urinary tract or genitals may also cause blood to appear in the semen. More serious injuries can cause swelling, chronic bleeding, and serious damage to the genitals. When this happens, a person may notice bloody semen that either lasts for a long time or comes and goes following an impact to the genitals, genital surgery, or a fall. These injuries should be managed in an urgent manner.

Men with bleeding disorders may also present with blood in the semen but is often accompanied by bleeding in other areas as well such as in the urine, gums, nose, or bruises in the body. 

Prostate issues

Problems with the prostate may give rise to bloody semen. One of the most common issues is prostatitis which can be a chronic issue due to inflammation or a sudden problem due to an infection. In either case, the person may notice symptoms other than hematospermia, including blood in the urine, painful urination, painful sex, and a feeling of fullness or swelling in the rectum or genital area.

Other common known causes of blood in the semen are surgical procedures such as prostate biopsy. Bleeding can last a few weeks or so after a prostate biopsy. Similarly, it may also occur during the first week or two after a vasectomy.

Dr. Lorenzo points out that on rare occasions, particularly for men over 45 years of age, blood in the semen can be a sign of prostate cancer. When this happens, a person may sometimes notice repeated bouts of hematospermia as well as other symptoms, such as difficulty in urination, pain in the groin or blood in the urine.

Men who have any of these warning signs and are over 45 should see a doctor within a few weeks.

Testing and Evaluation

Men with hematospermia are evaluated by the urologist first clinically by history and physical examination. Based from the gathered information, tests may be requested such as urinalysis, urine culture, ultrasound, and blood tests.

In most cases, especially in men younger than 40, and men who recently had a prostate biopsy, blood in semen may resolve on its own. However, further testing is done if the doctor suspects certain potentially serious disorders. 

In the evaluation for prostate cancer, testing typically includes prostate-specific antigen (PSA) test and digital rectal exam (DRE). Occasionally, magnetic resonance imaging (MRI) scan and cystoscopy (to see inside the urethra and bladder) are needed.

With the continuous progress in medicine, the role of MRI scans of the prostate has evolved. It now plays a role in certain patients to identify lesions that are highly probable to be cancerous especially the aggressive type. Lesions identified in the MRI can then be targeted using a new method.

MRI Fusion Prostate Biopsy, a fully integrated fusion biopsy system specifically created for personalized prostate care, has been offered at The Medical City since 2018. With this technology, “targeted” biopsies are made possible by the fusion of ultrasound images of the prostate with MRI scans in real time to help urologists precisely target the area of the prostate that needs to be biopsied. Not only does this system guide in targeting lesions but it also confirms if the target was sampled. Now even small lesions can be biopsied with high confidence. 

Prostate cancer is treatable especially if caught early. When confined within the prostate, the cancer can be eradicated.

To learn more about prostate cancer screening, diagnosis, and treatments available at The Medical City, please contacts The Medical City Augusto P. Sarmiento Cancer Institute (TMC-APSCI) at 89881000 or 89887000 ext. 6214 or email cancerinstitute@themedicalcity.com

Read more

June 29, 2020

Practice the 4S in Dengue Prevention and Control

The rainy season comes with different risks for illnesses such as Dengue. Read these tips on how you can help prevent and control dengue.

For inquiries, contact The Medical City Emergency Department at 8-988-1000/8-988-7000 Ext. 3215.



More tips found here: Dengue Prevention.pdf

Read more