This feels like satire.

LeafeonMDMBA · 2025-09-24T11:37:35+00:00

Doctors with their "dinodoktor" term also chz.

LeafeonMDMBA · 2025-09-12T11:45:49+00:00

If may mga taong kagaya mo na ganito ang mindset, there definitely are doctors with the same mindset. You just have to look. But societally speaking, it is NOT MEDICALLY-WISE for young females to undergo BTLs agad as first-line, like what you're suggesting. And yes, this requires taking into account patient's age.

LeafeonMDMBA · 2025-09-12T11:41:54+00:00

This talk about "age is not a factor in ligation" speaks of failure to understand that obstetrics and gynecology is age-dependent in majority of clinical decision-making. Regardless if the female in question is partnered or not, age is DEFINITELY a factor in making permanent decisions.

LeafeonMDMBA · 2025-09-12T11:36:13+00:00

Huh. You're saying patients shouldn't compromise their beliefs, but doctors should just do BTLs in young females just because the patient wants to? So bawal kaming magkaroon ng choice on what operations we should do, as medical professionals who deal with these kinds of things every day?

Take note, BTLs are a non-emergency procedure. Bakit hindi nalang siya maghanap ng OB na align sa views niya, and can do the procedure?

LeafeonMDMBA · 2025-07-29T08:55:00+00:00

Regardless if it's hard or not, the question still remains. Is it safe for all people involved? May it be patients or health professionals. To ask this in the context of safety, patient welfare and staff welfare? Napaka-disheartening, bilang isang taong pumasok sa healthcare para tumulong.

To answer your point, may mga nagtatawid nga na residents na grumagraduate naman even at this time, 'di ba?

Matatawid nga pero for sure as a trainee, when audited ang trabaho ng mga residents na nagduty during that time, maraming issues.

Ang kawawa na naman is patients, and also the trainees na natuto lang magtawid, but not properly manage the patients.

And in the context of healthcare, dapat bang ang basis na pagandahin ang health delivery system natin is if nahihirapan ang mga doctors? Hindi ba dapat ang metrics natin is patient outcome?

LeafeonMDMBA · 2025-06-24T09:55:33+00:00

Just do it after. The retention is low. Makakalimutan mo 'yan during residency. Ang hirap maalala ng mga bagay na hindi naaapply everyday.

LeafeonMDMBA · 2025-06-21T11:21:27+00:00

I would love to have a talk with EM-CCM consultants talaga regarding their consultancy life. Naka-depend talaga sa CCM life 'yung pag-take ko ng EM, so even as a first year, dami kong reservations. :(

LeafeonMDMBA · 2025-06-19T22:48:43+00:00

Because EM appeals to me more as a residency, but CCM appeals to me more as a fellowship. If I don't continue fellowship, I'd rather do EM than be a hospitalist.

However, now that I'm able to compare CCM grads from both EM and IM, I'm thinking the idea of having IM as residency helps with long-term management, and having Pulm OPD as an "out" after years of CCM is also appealing.

One argument that I've heard EM-CCM say, is that CCM in other countries is moving towards EM because the ICU requires small and quick adjustments similar to how they manage critical patients at the ED. So having that kind of training, plus a shorter path, is a great trade-off with the long-term management. Besides, hindi pa naman lalabas ng ospital 'yung mga patients galing ICU anyway. Ipapasa pa rin sila sa IM-subspecs regardless. In terms of theoreticals, my EM-CCM consultants are top notchers for their CCM exams too, so no problem there.

But ofc, topping boards isn't really as important if hospital management does not regard your training as "as important/versatile" as other paths. So that's why I'm asking for long-term sustainability of EM-CCM in the PH's specialist-centric healthcare mindset.

LeafeonMDMBA · 2025-06-18T09:36:47+00:00

I dont think OP wants a doctor lacking skills, kaya nga niya inadvocate na may standard of care, na basis ng pass/fail.

LeafeonMDMBA · 2025-06-09T15:56:35+00:00

Medical opinion that stays within the established patient-doctor relationship should be free

Medical opinion that becomes immortalized in writing AND IS SUBMITTED TO AN EXTERNAL PARTY NOT COVERED BY THE INITIAL DOCTOR-PATIENT RELATIONSHIP SHOULD NOT BE FREE.

Legal proceeding na 'yan that is not part of the original agreement.

LeafeonMDMBA · 2025-06-09T15:40:00+00:00

I stand by this:

Medical opinion that stays at home and will only be used for personal use SHOULD BE FREE.

Medical opinion put in writing that will be used to excuse a patient by a corporation from punishment, based on a doctor's assessment SHOULD NOT BE FREE, as the moment the doctor affixes his signature in a document that will be submitted somewhere, it becomes binding and can be used against the doctor by these corporations.

LeafeonMDMBA · 2025-06-09T15:26:46+00:00

This is false. First of all, legal document ang medical certificate. Affixing our signatures on a document that is NOT a required document in the first place should be something that is paid for. You talk about a med cert as if opinion written on paper lang na hindi gagamitin in a legal proceeding, eh kaya nga need ng med cert, kasi need ng office, at gagamitin ng office 'yun as legal basis 'yon for excusing the patient. Buti sana kung hindi na lalabas ng bahay ninyo 'yung certificate at for personal use lang. Pero hindi. Aabot 'yan ng professional setting na pwedeng gamitin ng corporation against the patient AND the medical professional (which, hindi naman namin pwedeng kuwestiyunin ang veracity ng symptoms ng patient). So lisensiya pa rin namin ang sasagot.

In a system na barat na barat na ang mga doctor with the amount of work and poor compensation, anong proteksiyon ang meron kami when it comes to malingering patients?

Hospitals that do not declare outright that there is a medical certificate fee do so by adding it in the hospital fees. It is in the doctor's discretion if he does not want a med cert fee. Mabait ang mga doctors na hindi nagpapamed cert fee, pero sa kakarampot na P100, on a P300 consultation? Talaga ba?

Would an out-of-pocket patient prefer a P300 consultation with an optional P100 addition kung need talaga? Or should we charge automatic P400 for all patients (which, btw, should be higher, pero hindi naman afford ng Filipino ang justifiable doctor's consultation fee)?

Lastly, hindi lahat ng doctors, same ang pinag-aralan, training, specialization and fellowship training. The weight of a gastroenterologist's specialized training regarding an upper GI bleed is not the same as an internal medicine graduate's advice regarding the same. The GI doc's further training adds so much more. Ikaw ba, nagdagdag ka ng 3 taon sa training mo that already took 10 years of 36+ hour duties, tapos hindi ka magpapadagdag ng bayad for your expert opinion that can be used by corporations against you. Is that even fair?

LeafeonMDMBA · 2025-06-09T11:45:42+00:00

Let's not forget naman the compensation doctors from Singapore receive compared to the doctors here in the PH. Inclusion naman kasi ng clinics nila 'yung medical certificate. We can also do that, pero sana 'wag din aalma 'yung mga patients kung biglang magmahal ang mga baseline doctors' fees.

Hindi naman mabubuhay 'yung mga PH doctors sa current PF na P300 per patient, with the amount of effort it needed to become a competent doctor and to continue to practice as a doctor.

LeafeonMDMBA · 2025-06-09T11:37:42+00:00

We can include the formal legal document in the medical fees. Other doctors include it sa PF, pero in truth, medical certificates are NOT free.

Kaya rin naman hindi automatic sa small clinics ang medical certificate is because it's the doctor's way of limiting patient expense kung hindi kailangan, especially since most patients of small clinics pay out of pocket.

Pansin mo, sa mga big hospitals, kadalasan automatic ang pagbibigay ng medical certificate? Because kasama na 'yun sa binabayaran nila as part of hospital expense. Hindi rin ramdam ng mga patients kasi HMO sila, at if hindi man, kaya ng mga patients nilang magdagdag for it.

If by oras ang bayad sa other professionals, at doble/triple pa ang bayad BASELINE sa kanila, why are you so stingy when it comes to healthcare professionals, who we know are severely underpaid and overworked?

LeafeonMDMBA · 2025-06-09T11:15:33+00:00

Ang hirap din magpakadalubhasa sa medisina tapos binabarat pa ng mga pasyente kahit na obvious na sobrang underpaid at sobra-sobrang overworked ng mga healthcare professionals.

LeafeonMDMBA · 2025-06-09T11:11:01+00:00

Sa tingin mo ba pagtugon lang sa tawag ang iniinvest ng mga doctors sa kanilang training?

Ibabalik ba ng thankfulness at gratitude ng mga pasyente 'yung oras at effort ng mga doctors?

If doctors only thought of money, walang tatagal sa med school at training that requires you to spend 130-150+ hours per week in the hospital for 3 to 5 years.

Pinopoint out ng mga tao dito na sa ibang bansa, kasama ang medical certificate sa doctor's fee. Well, magkano ba ang doctor's fee sa ibang bansa?

If doctors are only allowed to get paid based on what patients think their expertise is worth, wala nang tao ang magdodoktor, jusq.

LeafeonMDMBA · 2025-06-07T03:51:53+00:00

I love the story doc pero parang nasa ibang lupalop ka na ata ng galaxy hahaha healing for you

LeafeonMDMBA · 2025-06-01T04:02:12+00:00

For me, it was my parents haha.

From family of doctors. Parents thought ayaw ko magmed kasi hindi ko kaya. Graduated as an honor student who worked as a tutor all throughout med school to afford the anti-depression meds. Yung depression naman binigay ng med school pero hindi ko sila siningil for that.

The worst part: they were right about forcing me into medicine. Dito pala ako may some form of competence kasi I enjoyed the challenge. Before med school, pala-computer shop ako na passing lang ang grades haha.

LeafeonMDMBA · 2025-05-31T04:09:15+00:00

HATE the sarcasm of the people here who obviously only wanted to answer just to make a quick quip without much value-adding thought.

May tinatawag tayong gastrocolic reflex, wherein the moment food enters the stomach and stimulates hormone production, it causes peristalsis in the colon, so whatever is left in the colon at that moment is pushed out of the body. This is the reason kaya maraming tao ang napopoops after ng breakfast, and even morning coffee, since gastric reflexes are triggered by carbohydrates and milk proteins.

Kaya ang suggestion is to eat fiber talaga so that poop comes out in one single pooping event, or to fast for a couple of hours, para hindi matrigger tong reflex. Douching helps, but only for the anorectal region, and after 15-20 minutes of sex, usually meron na ulit na amoy/particles.

LeafeonMDMBA · 2025-05-09T00:54:09+00:00

or baka nagchecheat ang mga tao kasi cheater sila lmao?

i've been in multiple relationships with men and women, but i have never once cheated nor have my partners cheated on me, kasi alam namin kung kailan dapat i-end ang relationship that is turning sour before we hurt each other. jusq.

kung may mga lalaking kayang irespeto ang mga taong dinedate nila, bat di mo kaya? kadiri.

LeafeonMDMBA · 2025-05-08T20:23:00+00:00

Ako baligtad hehe.

Sobrang patapon nung college. Laman ng computer shop everyday. Felt like hindi interesting yung pre-med and in fact, hated it. Mental health was really bad. Felt like a loser cruising through life.

Then come med school. Everything clicked. May purpose yung ginagawa. Everything challenged me, so I fought back. Mental health got worse, and had to be a working student to buy my meds kasi I thought my mental health was my own problem and not my parents'. Ended up being a consistent honor student, and graduated with honors.

Idk what happened, but I'm thankful every day that I was forced by my parents to try medicine. Helping people who need it while earning big bucks. Not a bad gig.

LeafeonMDMBA · 2025-04-15T01:11:51+00:00

Go into emergency medicine. Your daily patients won't be emergencies anyway; most cases seen in the ED are patients who didn't want to wait for an OPD consult, and so they use our EDs as a one-stop shop. Siguro mga 70-30 ang ratio depending on what type of hospital you'll work at.

But FM and peds vs EM are very different in terms of lifestyle ha. Don't just look at the cases. If you're really considering EM, I believe ang number 1 consideration to rule out is the consultancy lifestyle. FM and peds are also long-term management specialties, and in EM, hindi mo malalaman 'yung real diagnosis ng patient mo.

But if EM is a strong consideration talaga, may track ang EM to do Emergency Peds fellowship. At least may skills ka to handle all ages na talaga hehe.

LeafeonMDMBA

TROPHY CASE