Annak Ti Naguilian

MEDICAL/DENTAL MISSION 2010 

Summary- 

The medical/dental mission held in Naguilian on February 3-5, 2010 has been a success. To sum it up in one word-SMOOTHER. Throughout this page, I will be using the mission in 2009 as a reference. With no, or little, control to the medical volunteers, I was glad that the operational flow was much smoother than last year. At the end of the 3rd day, we have seen 1,673 patients, about half from last year. There were several factors, I thought, that caused the reduced number. You will see why as you go through these pictures below. 

The total number of complaints, from patients, was 2,283, of which 33% (749) was upper respiratory problems. Note that some patients have multiple complaints, e.g. dental and medical. There were 353 (21% of the total number of patients seen) dental extractions performed. The total number of prescriptions filled was 3,936, of which antibiotics was the number one medicine prescribed (1,205 or 31%). Also please note that some patients have multiple medicines prescribed on them. The breakdown is as follows:

When we were planning for this mission, we were anticipating an increased cases of Leptospirosis, but we encountered none.

Some of the left over medicines were donated to the Rural Health Center (RHC) and some to the Health Workers for each of 37 Barangays. The medicines were to be used during the scheduled visits for each Barangay during the next 15 weeks by the RH workers. Because of this scheduled visits, the number of forms for the medical mission may have been controlled for distribution. For instance, Cabaritan, Sur and Norte, were one of the lowest turnouts for this mission. With a total number of 1,673 patients, Barangay Captains only distributed an average of 45 forms per Barangay. Half from last year's mission.

All leftover glucose strips were donated to the RHC laboratory to be used during their scheduled visits in each Barangay. The laboratory should have enough strips to last until next year.

Statement of Donations and Expenses-TF.

Pre-Mission-

2-3 days before the mission, Dr. Mila Viernes' relatives spent hours and hours separating the medicines into small plastic containers for easy dispensing. Dr. Viernes became our pharmacist, and her group became her pharmacy assistants.

The day before the mission, I was notified that the venue was transferred from the Civic Center to Central Elementary School. At first I was not happy because people were to be rerouted and may caused confusion, which it need, and of course delayed starting. But people found the place and as you can see on our first day...

FIRST DAY-

I arrived early and found that the place was not set-up, chairs still stacked-up. Immediately I mobilized maintenance workers to put chairs in the left side, middle, and in the right side, and few tables in each. More chairs and tables on the stage for dental. Went to see the Principal and requested few bathrooms cleaned, and luckily, their bathrooms had running water, but no paper towels. Hands were air-dried.

This was how registration started the first day.

A large segment of the population under 10 years of age( 27% of total number of patients), with their parents, showed up. While seniors >60y.o. was about 20%.

People flocked to the table with free reading glasses. This table was later transfered to a shed few steps to the right and made it a two-line system. 250 glasses went quick. (These were donated by Lions District 4-C5, Folsom Project for the Visually Impaired, C/O Fely Esplana and Sacramento Unlucai).Towards the end, the remaining glasses were picked up for the value of the frame.

Sunny day, mild temperatures, and a little breeze, made this venue quite suited for the purpose. During the afternoon, it did warmed up but still quite comfortable temperatures, comparing last time at the Civic Center, it was unbearable.

 At 0900, 3 doctors and 4-5 dentists arrived.

 Dr. Teofila Severo Dumaguing, Jr., our untiring Municipal Health Physician. He worked the hardest during the mission.

Dra. Eleanor Dacanay, a physician at Naguilian Hospital, worked all night the night before, before coming to the mission. Soon after I found out about her situation, a nurse was assigned as her assistant and an electric fan was brought in to make her day as pleasant as possible. She invited us to see Naguilian Hospital, to see the condition of the hospital first hand. (Pictures below). By noontime she was completely exhausted and had to leave. She made the first half of the day ran smoother...Thank you Dra. De Guzman.

Dr. Jessie Dizon, a physician at the La Union Provincial Police Office (PPO), again was sent to this mission for 3 days. His team, medical and dental, were with us all 3 days last 2009 mission. They were professionals, courteous, and ready to serve our people. I was so greatful to see them. They made our operation definitely smoother.

Pharmacy table-

At this end, Aileen Javier, from San Fernando, was responsible in the collection, compilation, and tallying of completed patient forms for statistical studies.

DENTAL

Dr. Raymund Calano, in plain blue shirt, and Dr.Jonathan Molina, with face mask at the back, from PPO, were dedicated members of the team.

Dr. Henry Padilla, our Municipal Dentist.

Dr. Nora Penaflor, one of  our local Dentists, was with us last year-2009 mission.

Dr. ?

Dr. Penaflor and Dr. Jonathan Molina, our own local dentists, and Dr Viernes' niece.

2nd DAY-

Since the waiting was longer this day, a drinking water dispenser was requested for the people.

At least 3 women had enlarged Goiters. And at least 2 had Clifted upper lip/palate. Possible future mission for a surgical team.

DENTAL-

Just looking at dental extractions, without the proper dental chair, was very challenging for the dentists and patients.  In a few hours, one will have a neck and back pain, and doing it all day for 3 days? At least in this location, there was no complaint of inadequate lighting.

Dr. Padilla.

Dra. ?

Dra. ?

3rd DAY-

The busiest was the 3rd day. 

With a group of Midwifery students from DMMMSU, and a group of nursing students, we started registration, numbering of forms, Blood Pressure checks, and Lab Work.

 A volunteer nursing student, using a microphone, was calling the next number in line, and patients were seated close to the doctor. Otherwise everybody wanted to be in front of everyone. Then a group of patients, came forward because their numbers were skipped. That had to be quickly corrected and rectified. Finally to keep track, volunteers had to write down numbers that were called.

The Lorma Medical Team were not able to help at this time, inspite of assurances, because, as we later learned from Bishop Rillera, Lorma Hospital was very busy during the past 3 days. On this 3rd day, only 2 doctors were working. Amazingly, they were able to finish 12 Barangays by 5 PM.

Ailleen was joined by Honey Ocon, a nursing grad studying for the board from Bauang, finished the tallying of completed forms on a detailed statistics needed for analysis and report. Thank you Aileen and Honey. Final Report TF. 

 I suggested to Dr. Dumanguing to move the table as the afternoon sun started to creep on the workstation, he said, he just kept working and not even feel the sun. By 3PM, still have 3-4 Barangays to see. No question, he looked exhausted.

RURAL HEALTH EMPLOYEES & VOLUNTEERS

Names- (Not in order. Some names may not be in the picture, and some in the picture may not have names. My apologies.)

1. Agneta F. Estepa

2. Melba F. Delizo

3. Libexima F. Lalata

4. Ella C. Orpilla

5. Marie Ann B. Gapasin

6. Lourdes T. Orpilla

Laboratory-(Not in order)

1. Margielyn Bibat Rayray

2. Melina F. Montero

3. Juliet Jularbal

4. Raul z. Ojascastro

5. Kathleen Disay

6. Elvira D. Tangalin

7. Bona S. Banes

Pharmacy Team (not in order)

1. Dr. Mila Viernes

2. Rizzaa Diana B. Abenoja

3. Dolores P. Abenoja

4. Praxedes Almuete

5. Jocelyn Dumpit

6. Rachel Abando

7. Angelisa O. Huliganga

8. Edmundo P. Abenoja (edmundoabenoja@yahoo.com)

9. Kathleen H. Disay

10. Mark Anthony B. Dilodilo

 Student Volunteers from DMMMSU, School of Midwifery. (Names Not in order)

1. Brenda Lei D. Basa, Clinical Instructor (email: bldbasa@yahoo.com)

2. Katrina Rafanan

3. Jennifer Nodes

4. Apple Ann Lalata

5. Reynalyn Palos

6. Sheryl Munar

7. Josefina Monses

8. Juntene Miguel

9. Elvira Ramirez

10. Carla Glo Damen

 Nursing Student Volunteers (Names not in order)

1. Rhoda R. Sanchez  (srhoda13@yahoo.com)

2. Ma Victoria Dela Cruz (vic2ria2285@yahoo.com)

3. Aprilyn C. Catbagan

4. Rea M. Abat

5. Rommel B. Flora

6. Erwin V. Casuga

7. Aldrin M. Ombao

8. Alexander L. Orpilla   (alexorpilla@rocketmail.com)

                                   (lady_kachika@yahoo.com)

                                   (entz_wafu@yahoo.com)

                                   (zorro@floramail.com)

LA UNION PROVINCIAL POLICE OFFICE  

 Dental Team (Names not in order)

1. PSUPT Raymund Calano, Dentist

2. SP03 Lupe Galvan

3. SP02 Rogelio Carino

4. SP01 Jose Gomapos

5. SP01 Mario Pascua

6. SP01 Prima M. Cayambas (xi_zyr@yahoo.com) (not in picture)

 Medical Team (not in order, one missing)

1. PSINSP Jessie Dizon, MD (jessiemayet@yahoo.com)

2. PCInsp Demetrio Quiocho

3. SP04 Efraim Bautista

4. PO2 Benedick Cardenas

 VOLUNTEER NAGUILIAN DENTISTS

1. Dra. Nora Penaflor

2. Dra. Rowena Mangilinan

3. Dr. Jonathan Molina

4. Dra. Charito Quesada

5. Dra. Lovelyn Mina

6. Dra. Shirley Garcia

7. Dra. Marlyn Calano

8. Dra. Teresita Paredes

9. Dra. Marie Christine Carrag

10. Antonio E. Mabalo, Dental Aide

(My apology for some who were not in the picture).

Catering and Maintenance Crew- (Some not in picture, Wevelyn-EXTRA)

1. Alexander Pajarillo

2. Joel Soriano

3. Randy Ian Balas

4. Primitivo Cacdac

5. Eddie Estipular

6. domingo Lopez

7. Froilan Rapada

Ambulance Driver- Perry 'Ferdinand' Estepa (He said Hi!! to Classmate Gil Vita).

 VISITORS-

                                    From left: Ed, Ella Orpilla, Raul's sister, spouse, and Raul Aromin 

                                       Perla Ochoco Tumapang, Ed & Dra.Mila Viernes

(Perla arrived from California 2 days before this picture was taken. Her daughter, Dinah Tumapang, RN. , donated $5,000 for flood relief right after Typhoon Pepeng.)

ViceMayor Bobot Flores, and Entourage, visited us after the event. Mayor Abe Rimando also came at the beginning of the first day.

Two teachers, in orange uniform, and the Principal, Marina F. Rances, of Central Elementary School, handing Ed a token appreciation for the donation given to purchase a Bass Drum and Triple Drum for the Drum and Lyre Corps for the school.

On my left was Henry Gundran, from Baraoas Norte, lost his house during the typhoon/flood, then took refuge at Uncle Gracie Cacdac's house in Natividad, which was later overcomed by water close to the second floor/roof.

(See story of his house below). 

What you see in these 

IMAGES  FROM THE AFTERMATH OF TYPHOON PEPENG-

was the reason 'Annak' decided to do this mission...

Naguilian Hospital-Major problem...

Repairs underway on all doors, floors, cabinets.

Floor tiles completely taken out. Due to over crowding in one ward, towards the end of the hall, one patient had to stay in the hallway.

All nursing stations looked like this, cabinets and counters peeling off, with still some evidence of mud.

This X-ray table was non-functional after in was submerged with 5 feet of water and mud. They spent money to rmake it functional.

The firemen who came to hose down the mud had to make holes at the bottom of the wall in every other room, to facilitate the exit of mud and water outside. All bed mattress were soaked and many had to be replaced.

Holes like this were found through out the hospital building.

Scenes like this was shown to us by Dr. Godofredo Garcia, Chief Medical Officer at the hospital. Dr. Garcia said there were 18 patients during the night of the flood, and because of the torrential rain, many of them were wet during their transport to Precidentia and other places. Majority of their medical records were ruined. Their lab equipments took 3 months to repair. At the pharmacy, majority of their medicines were destroyed. Their surgery suite, delivery room, and their kitchen, etc. And on, and on, and on. What a grim scenario for a hospital. I wonder if we can do anything to help? Is there anything we can do?

Would you settle for a room like this if you get sick during vacation? This is their private room...

In Aguioas...

Tons of mud and boulders like these came roaring down the mountain, narrowly missing this house, and made Naguilian Road impassable after Typhoon Pepeng.

River of mud and gigantic rocks made through a small opening on the right of Mary Ann Killip's uncle's property in Aguioas. Landslides like this caused many deaths in Naguilian, more so than drowning.

Mud and boulders were pushed to the riverbank, where houses used to be. Left of the river is Barangay Aguioas where many houses were washed out. Barangay Aguioas is basically built on a "pantar", making it vulnerable to floods.

In Baraoas Norte...

End of the road..

The road to Baraoas Norte ends here. It used to be that houses were on both sides of this road. There are no more houses on the left, and on the right side of the road, where  remnant of a house can be seen. Behind this shack (with blue door), was where Henry Gundran's house used to be, and all that is visible of his property was his water well barely hanging at the edge of the riverbank. The land and everything on it were taken (nakot-kot) by ravaging river and very quickly consumed Baraoas Norte. Another one like 'Pepeng' could easily reach more housing structures few yards to the left, some fairly new ones. Also the Baraoas resort property is just a few yards to the river. 

In Natividad...

This 12-foot wall can not be seen from the house of ViceMayor Bobot Flores due the height of the river. The river is about a third of a mile from this property.

Want to see more?

Check out: www.Youtube.com/mredvita

WOULD YOU CONSIDER JOINING NEXT TIME? LAST WEEK OF JAN 2011. STAY TUNED. 

Respectfully submitted by Ed Vita.

Email: eddievita@annaktinaguilian.com

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