Brief Summary
This YouTube video is a recording of the 13th post-graduate course of the Mary Johnston Hospital, Department of Internal Medicine, focusing on strengthening competencies in outpatient and emergency care. The course features lectures from experts in various fields of internal medicine, covering topics such as stroke management, COPD, heart failure, obesity, and more. The goal is to equip healthcare providers with updated knowledge and practical skills to manage critical conditions effectively.
- Stroke Recognition and Management
- COPD Management
- Heart Failure Management
- Obesity Screening, Diagnosis, and Management
Preparing Streaming
The initial moments involve setting up the streaming environment, including double-checking the YouTube connection, screen sharing, and music settings.
Introduction
The introduction phase includes preparing the introduction slides and ensuring everything is ready for the YouTube broadcast.
Music Interlude
This section consists of a musical interlude with rhythmic beats and occasional vocalizations.
Welcome and Opening Remarks
Dr. Joanna Marie Pallayo and Dr. Selena Sabando welcome attendees to the 13th post-graduate course, "Scope: Strengthening Competencies in Outpatient and Emergency Care." The course aims to provide healthcare providers with updated knowledge and practical skills for managing critical conditions in outpatient and emergency settings. Dr. Mark Joseph Lopez leads a solemn prayer, seeking blessings for the course, participants, and patients.
National Anthem and Pledges
The program includes the singing of the national anthem, followed by the Philippine College of Physicians (PCP) hymn and the Panatang PCP, reinforcing the values and commitments of the medical profession.
Welcoming Remarks by Dr. Sahagun
Dr. Gerald Aaron R. Sahagun, the overall chair, welcomes attendees and emphasizes the importance of adapting and enhancing skills in outpatient and emergency settings to fulfill universal health care in the Philippines. The course includes talks based on recent guidelines from the Department of Health (DOH) and various experts.
Opening Remarks by Dr. Limpin
Dr. Maria and Carnita B. Limpin, chair of the Department of Internal Medicine, expresses happiness at the attendance and appreciates the hard work of the consultants and medical residents. She thanks the invited speakers and sponsors, highlighting the value of the postgraduate course in enhancing medical practice.
Course Overview by Dr. Kalo
Dr. Reginald Paul Win Kalo presents an overview of the two-day postgraduate course, highlighting the range of timely and relevant topics in internal medicine. Day one includes stroke recognition and management, COPD, cardiovascular care, and obesity. Day two covers TB updates, cardiovascular health from a metabolic standpoint, fatty liver disease, and low back pain.
Administrative Announcements and Sponsor Acknowledgment
Instructions are given for obtaining certificates of completion, CPD units, and raffle prizes by taking the pre-test via a QR code. Major sponsors, including Just Riot, Boringer, Engelheim, Uniarma, Lakeside Pharmaceuticals, and Natur, are thanked, along with other sponsors. A short video presentation from Lakeside is shown.
Stroke Recognition and Management: Case Presentation
Dr. Joanna Marie Tillayo presents the case of a 62-year-old female with right-sided body weakness, slurring of speech, and facial drooping. The patient has a history of hypertension, diabetes, and dyslipidemia. Diagnostics reveal ischemic changes in the left middle cerebral artery territory.
Stroke Recognition and Management: Lecture by Dr. Reyes
Dr. Anika C. Reyes discusses the importance of early stroke recognition and management, emphasizing that "time is brain." Stroke is a leading cause of mortality and disability in the Philippines. She covers the types of stroke, challenges in stroke care, and efforts to improve stroke care delivery. Early recognition using "BE FAST" (Balance, Eyes, Face, Arms, Speech, Time) is crucial. The lecture includes in-hospital stroke pathway, assessment scales (NIHSS, MRS), neuroimaging (CT, MRI), and treatment options (IV thrombolysis, mechanical thrombectomy).
Q&A Session on Stroke Management
Dr. Reyes answers questions about permissive hypertension, differentiating infarct from hemorrhage without CT scans, the timing of antiplatelet and anticoagulant prescriptions for diabetic patients with cardioembolic stroke, and the role of citicoline in stroke management.
Awarding of Certificates and Raffle Draw
Dr. Reyes and Dr. Garcia receive certificates of appreciation. A raffle draw is conducted, with Miss Jamaica Abbott winning a Jesu Life prize.
COPD Management: Lecture by Dr. Paraguas
Dr. Stephanie Nana Empire Paraguas discusses COPD, defining it as a heterogeneous lung condition characterized by chronic respiratory symptoms and airflow obstruction. She covers the global and local prevalence, risk factors, pathophysiology, clinical presentations, and diagnostic criteria. The lecture includes assessment tools (MMRC, CAT), treatment goals, pharmacologic (bronchodilators, LABA, LAMA, ICS) and non-pharmacologic interventions (smoking cessation, vaccination, pulmonary rehabilitation).
Heart Failure Management: Case Presentation
Dr. Adia Lampa presents the case of a 58-year-old male with shortness of breath, paroxysmal nocturnal dyspnea, orthopnea, and bilateral leg edema. The patient has a history of hypertension, diabetes, myocardial infarction, and triple vessel disease. Diagnostics reveal reduced ejection fraction and cardiomegaly.
Heart Failure Management: Lecture by Dr. Aino
Dr. Camilo Oliver Aino discusses bridging gaps in heart failure management, focusing on early detection and evidence-based treatment. He presents the Philippine clinical practice guideline for heart failure with reduced ejection fraction (HFrEF). The lecture covers diagnostic approaches, symptom assessment, and management strategies, including pharmacologic (beta-blockers, ACE inhibitors, MRAs, SGLT2 inhibitors) and non-pharmacologic interventions.
Q&A Session on Heart Failure Management
Dr. Aino answers questions about the role of SGLT2 inhibitors in heart failure, monitoring blood sugar in non-diabetic patients on SGLT2 inhibitors, managing UTIs in patients on SGLT2 inhibitors, the benefits of different SGLT2 inhibitors, and when to initiate ARNI therapy.
Awarding of Certificates and Sponsor Acknowledgment
Dr. Aino and Dr. Civilia receive certificates of appreciation. Uni Pharma is acknowledged as a major sponsor, and a short video presentation from Uni Pharma is shown.
Obesity Screening, Diagnosis, and Management: Case Presentation
Dr. Vernon F. Palmo presents the case of a 45-year-old female with tiredness, excessive daytime sleepiness, snoring, and weight gain. The patient has a history of pre-diabetes and dyslipidemia. Diagnostics reveal elevated FBS, HbA1c, total cholesterol, triglycerides, low HDL, fatty liver changes, and moderate obstructive sleep apnea.
Obesity Screening, Diagnosis, and Management: Lecture by Dr. Gan
Dr. Florence Roshelle Gan discusses tackling obesity, covering screening, diagnosis, and management. She emphasizes using the Asia-Pacific criteria for BMI, screening for hypothyroidism, PCOS, dysglycemia, dyslipidemia, hypertension, NAFLD, OSA, and depression. The lecture includes pharmacologic (phentermine, orlistat, GLP-1 receptor agonists) and non-pharmacologic interventions, as well as endoscopic procedures and bariatric surgery.
Q&A Session on Obesity Management
Dr. Gan answers questions about recommended diets, emerging technologies like body fat analyzers, and the benefits of Chinese herbs like Ephedra for weight loss.
Administrative Announcements and Raffle Draw
Instructions are given for completing the post-test and feedback form. Major sponsors are thanked. A raffle draw is attempted, but most winners are not present, leading to the postponement of the iPad raffle.
Closing Remarks and Birthday Greetings
The hosts express gratitude to the speakers, moderators, sponsors, and participants. Happy birthday greetings are extended to Dr. Roly Buban. The program concludes with music and farewell messages.
