Annak Ti Naguilian

 

VOLUNTEER DOCTORS AND NURSES RECRUITED BY BISHOP ART RILLERA

 

Soon as the word reached our Bishop that we are having a medical mission, he immediately made contact

to volunteer medical doctors and nurses to  participate. The following have been scheduled for our 4-day

mission:

 

Drs. Tess Orlino and Lorma Medical group, Dra. Jesella Guirlan, Dr. Marvin Martinez, Dr. Mildren Pocedum,

Dr. Efren de los Santos, and Dept of Health Doctors.

 

Nurses: Estrella de Guzman, Abegail Flores, Jhaira Jane Subido, & Gerrilyn Duculan.

 

 

 

 

 

 

 

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10 BALIKBAYAN BOXES SENT TO NAGUILIAN FOR WELLNESS/MEDICAL/SPIRITUAL MISSION/CLASS REUNION

 

Medicines Purchased-

 

Given to Mayor Abe during Mila's earlier trip-12/2/09

2000  Doxycycline 100 mg

2000  Tetracycline

2000  Metoprolol 50 mg

2000  Metformin 1000 mg

                                                          $221.85

          Purchased 12/28/09 in Bottles.

1   Benadryl

10 Ibuprofen

10 Metoprolol

20 Amoxicillin

1   Doxycycline

5   Metformin

5   Tylenol

24 MultiVitamins

10 Prednizone

6   MultiVitamins

10 Erythromycin

12 ?

12 Proneth w codeine

12 Proneth plain

                                                          $1,984.62

 

The above medicines have been shipped along with other materials. Since timing has been too close to the mission day,

committee members decided to hand carry the antibiotics and eye glasses, to insure supply of antibiotics on our first day.

Additional 20 bottles of Multivitamins will be purchased and to be hand carried as well.

 

 

 

 

 

 

 

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Comment from a member-3/24/2009.

 

Annak, being instrumental in having it done." Decima Cacdac Molina

 

 

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Feb 16, 2009.

The medical/dental mission started a day before, by aliquoting cough syrups to

smaller containers, and repackaging pills to smaller doses. Medical supplies and

medicines were put in three boxes, one for each day.

Dr. Mila Estacion Viernes, our chief dentist, checking dental supplies.

 

A cadre of municipal health workers helped repackaging medicines at the

Mary Consolatrix Monastery in Angin.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

Inspection of the Civic Center facility, a day before. Dr.Dumaguing, Mayor Abe

Rimando, Ed Vita, Dr.Mila Viernes, & ViceMayor Bobot Flores, holding the sponsor

banner.

 

 

Banners.

 

 

 

What you are about to see is a need for help and mercy. If you are a healthcare

worker, or a healthcare provider, or a Naguilianon, this is a place for you.

At 0745, at least two Barangays were waiting by the door.

 

First desk- Registration.

 

 

 

The second desk was the Triage Desk-Blood Pressure check and medical

questionaire.

 

 

 

By 0830, there were over 100 people at the Civic Center. People were

instructed to wait at the bleachers, at first.

 

 

 

 

 

 

By 0900, medical doctors have not showed up yet, except Dr. Dumaguing. 

I was wandering if any will show up to help. By 0945, I started to question

where were the doctors? Some people have been waiting for 2 hours. It

maybe acceptable in the Philippines, but not to me. Although this was free,

I would prefer to deliver it in quality. Not 2 hours late.

 

 

 

 

 

 

 

 Triage Table.

 

 

Around 0910.

 

Around 0920. More people arrived. The Triage table, with two manual BP

instruments, was inundated with people.

 

 

 

OPTICAL DEPARTMENT-

 

 

0930. At the Optical Dept. The eyeglasses lasted only two days.

 

 

 

 

 

3 Medical doctors (upper, far right tables) were seeing patients by 1000 AM.

A fourth doctor, from Naguilian Hospital, showed up after lunch. At around

1230, it was announced that doctors and workers need to have a break,

and about 100+ was still waiting to be served, and they had to wait, while

workers took their breaks. By 1300, the scheduled afternoon Barangays

arrived. By 1400, the place was packed with people. The place was so

hot and there was hardly any ventillation..

 

 

Naguilian Hospital Doctor. Doctors had to be reminded to sign the forms at the

proper place to ensure accountability.

 

 

 

Provincial Health Chief, Dr. Osias

 

 

Naguilian Rural Health Doctor-Teofilo Severo Dumanguing,MD. Patient

complaining of lumps, but doctor unable to feel the lumps due to lack of

privacy. Finally, (on the third day) one doctor suggested to use a bed sheet

for cover and a nurse did the breast exams, and communicated back to the doctor.

Any condition that needed physical exam had to be referred to the nearby

Naguilian Hospital, and depending upon the findings, the patient came back

to pick-up medications.

 

 

 

 

 

 

 

LABORATORY-

 

The laboratory had an important function in healthcare. In the US, about 75%

of all hospital decisions involve a lab result. Because of its importance, Clinical

Laboratories are very highly regulated. There are more regulations pertaining 

clinical laboratories than all departments in a hospital combined. Last time our

laboratory was inspected, it took 4 days, while the entire hospital was only

inspected for 2 days.

At the Laboratory. Two Med Techs performing mainly random blood glucoses.

Since we were well stocked with supplies, we decided to screen anyone over

30 years of age, with blood glucose. Available tests, aside from glucose,

were Pregnancy tests, Guaiac Tests (blood in stool), and Dipstick Urinalysis.

With collection of urine, the laboratory was in close proximity to bathrooms.

The bathrooms were kept clean, (without smell), at all times.During the first morning,

we found a 36 year old lady, with chief compliant of blurry vision and dizziness,

with over-the-scale glucose. It was repeated 2 more times, and still over-the-

scale (>500). She was then instructed to come back the following day for

Fasting Glucose. The next day she was 384. She was diagnosed with 

Diabetes, and was given proper instructions and medications. This was her

first time to know that she was a diabetic. This made my day... To me,

saving one person's life is well worth the effort of the entire 3-day mission.

 

 

With so many Kakailians seeking medical/dental services, I had to stop a

couple times and cried (inside, one can not help it, during the first day, I

was overcomed by emotions. Why haven't we done this sooner?). We

were doing the very best we can under these circumstances.

 

Lab personnel, Marge, Juliet & Ed.

 

 

 

 

PHARMACY-

 

Local pharmacy in the middle(foot of stage). Provincial pharmacy at the far right.

 

 

There were 4 pharmacies set up.

 

At 1200. This was the US pharmacy line. Although this was February,

inside the Civic Center was hot, and there were not enough fans. There

were three big fans on the ceiling of the building but were inoperational.

There were times when I had to tell people not to stand around, close to

workers, to allow air circulation. I feel sorry for the people because some

of them had waited for a long time.

 

Amy Ganaden Thangamani,RN. with two assistants.

 

Naguilian Pharmacy

 

 

 

 

 

DENTISTRY AT ITS BEST-

 

 

 

 La Union Police Dental Team.

 

A shut of anesthesia from a local Dentist.

 

 

This girl was so brave to take a shut.

 

Dr.Claper Ojascastro. 

 

 

Many patients needed both medical and dental. They were instructed to 

go to the medical first and then dental.  Pharmacy being the final station.

 

 

 

The first day ended at 1800. Medical group saw about 538+ patients,

and dental 262. More than 800 patients. We had 3-4 medical doctors

and 14 dentists.

The confusion during the first day was caused by not being

clear as to who was supposed to coordinate the doctors. Was it "Annak"

or Dr.Dumaguing? It was a common knowledge that "Annak" will take

care of everything. We learned that that was not practical.

The whole thing was indeed a learning process.

 

 

 

 

 

 

 

Day 2 was interesting. At 0800, I was holding about 100 people from the first

two Barangays scheduled for the morning. The municipal personel were late.

They were having a photo shoot, because they were given a new t-shirt. After

I saw what was in their T-shirts, I had to quickly calm down. More on that later.

By the time they showed up at 0825, there maybe 4-5 barangays at the door,

about 200+ people.

 

 

 

Finally, at 0830, municipal workers showed up. It was chaos.

 

People on the left, registering Pediatrics.  On the right, Triage table, BP.

 

 

 

0900.

0900. No doctors yet.

 

 

0920. More people.

 

At the Pediatric Registration.

 

Adult Registration.

 

By 1000, this was the line at the Triage Table, Blood Pressure check.

 

 

Philippine Navy Doctor arrived with a nurse and four guards. Dr. Mila Viernes,

(on the background), gave instructions to the doctor on paper works, available

medicines and how our pharmacy works.

 

The Navy nurse scaling the number of patients at hand.

 

 

 

Provincial Pediatrician (in white) and a nurse.

 

At around 0930 when the doctors started, this was the crowd they had to

face.

 

 

 

Another Provincial (ER) Lady Doctor (in green) and a nurse.

 

 

 

 

 

Lady Doctor from Lorma Hospital, Beatriz dela Cruz,MD. (center), came to visit.

 

 

 

PHARMACY-

 

 

 

At 0830, US Pharmacy.

 

Amy Ganaden Thangamani, RN., and Lolita's sister.

 

 

Lolita Rillorta, with stacks of registration papers. Some people showed up with no

form and were using any blank paper with their names on it. We did not

turn them away. Would you have turned them away? How about the consent?

 

This day, three pharmacies (2 for medical, 1 dental) were set up.

With Naguilian Pharmacy at around 1000.

 

US Pharmacy side. By this time, all departments were overwhelmed.

 

 

In the meantime...

Bleachers by the dental team were full, before they even started.

 

Dental group in prayer, before the first patient was seen..

During the second day, there were 9 Dentists showed up.

 

 

 

 

 

The Basi Jaycees and the La Union Dental Society were represented. 

 

 

 

 

 

 

 At around 0930, when the Provincial Police Dental Team arrived, the

waiting area-bleachers were full.

 

 

 

 

Dr. Mila Viernes complaining about not enough lighting in the area.

 

 

A volunteer orthodontist from Quezon Province.

Dr.Romano Odono started traveling from Manila towards La Union at 5AM.

He arrived in Naguilian at around 1100AM. He started work immediately.

When the last tooth was pulled at around 1630, he traveled back to Manila.

 

 

Dr. Odono's daughter Pauline and assistant.

 

Ed and Amy, Pauline Odono and Dr. Romano Odono. Dr.Odono and daughter

were ready to go back to Manila that same afternoon, after a 5 1/2 hour

work as volunteers.

(Added after 'Ondoy': Dr. Odono's house was washed out during the typhoon).

 

 

 

LABORATORY-

 

 

The procedure in the laboratory was simple. Patient, after completing

registration and blood pressure, submits his/her form to the laboratory. The

forms were numbered at the registration. These forms were chronologically

arranged as we received them. The lowest number gets called first. The form

is given back to the patient after the glucose result is recorded.

 

 

The lady at the center, Juliet, managed paperworks and recorded results,

the two Medical Technologists, Marge & Ed, performed glucose tests.

Occasionally, Urinalysis and Pregnancy Tests were ordered. The arrangement

worked well, and patients flow through with minimal waiting inspite of the number.

Soon as a patient sat down in front of me, immediately I engaged them in

conversation. What Barangay they were from, what were they planting, etc.

Majority of the patients were farmers. Easy to tell from the sheer

thickness of their calouses, men and women. I encountered at least two

Cacdacs, but too busy to follow-up with more questions.

 

 

 

 

 

Laboratory team- Ed, Juliet, Marge, & Juliet's husband Hidalgo(in white

shirt-visiting) and the Guesset Barangay Captain.

 

 

 

 

 

 

 

 

Triage Table.

 

 

 

Pediatric Registration

At around 1430. Notice their t-shirts....

"Anak Ti Naguilian". The municipality has been empowered. This was the

reason they were late that morning.

 

 

 

Dental Team

 

 

Medical Team-Two nurses, two Lady doctors (in white and in green), Ed,

a Navy nurse, Dr. Dumaguing (in "Anak ti Naguilian" shirt), Navy Doctor, Gerry

Rillorta-Mayor Abe's secretary, and Leo Florendo-one of our traffic controllers

in the laboratory, who came all the way from Saudi to volunteer his services.

The Navy doctor said that he was studying to be a nurse also, with hope to be

able to come to the US to work as nurse someday. I wanted to tell him

about the State of Economy in the US and how it is affecting the Healthcare

Industry, but I did not have the stomach to say it.

 

For Day 2- we had 4 medical doctors and 9 dentists.- We served 303 dental

patients and over 800 medical and pediatric patients, over 1100 total patients.

 

 

 

 

 

 

 

 

 

 

 

Dental team began their work with a prayer.

 

 

 

We started our DAY 3 with a bang, although we were a bit more organized.

More people had showed up even from previous Barangays that had been

served during Days 1 and 2.  When one person got a form, he/she made

copies and distributed to family members, or others. We can tell from some

forms came with less quality paper, and some of the prints were illigible.

Everyone was welcomed.

 

One medical doctor arrived when this was taken. (Dr being welcomed, far

right).

 

 

This was the starting for the dental team on DAY 3.

 

 

A visit from one of our donors, Dr. Enriquita Abenes-Bellosillo (with a

shoulder bag) and relatives on a busy day. Thank you so much for your

support on this worthy cause.

 

 

 

Navy Medical Team.

 

Navy guards controlled the flow of patients.

 

 

 

Provincial Police Medical Team.

 

The line at the Laboratory, on DAY 2.

 

 

Dra. Nora Penaflor administering anesthesia to a dental patient. Dra.Penaflor

sold us some of her stock anesthesia, at cost, when we ran out by noon time,

with still 7 barangays waiting to be served. Thank you Dra.Penaflor for your

services during the 3 days of mission and extending some of your stock to

our Kakailians. Dra.Penaflor served for three days. There were enough local

dentists so they were scheduled to volunteer for one day out of the three, but

Dra.Penaflor volunteered for three days.

 

 

Because of lack of dental chair, walls and tables, and close to lighting, were

key to exemplary service of the dental team.

 

 

When a tooth is too far gone, the only way to take it out is by chisel and

hammer. The patient was given the maximum dose of pain killers.

 

 

There was always a complaint of not enough light.

 

Blood pressure check at the dental line.

 

 

 

 

President of La Union Dental Society, Dra.Marion MaryRose E. Rimorin, in

her dental vest. Thank you Dra.Rimorin for your support, and for bringing the

La Union Dental Society to our mission.

 

 

 

 

 

Municipal Dentist.

 

 

With only 3 Medical Doctors, this was the crowd at around noon time.

Dr.Dumaguing (in red shirt at the right side) said his ears were in pain

because of the use of stethoscope during the 3 days of mission.

 

 

 

 

 

Pharmacy, with small crowd at noon time, against the dental crowd at the

bleachers.

 

Afternoon Barangays at the Registration and Triage Table.

 

Laboratory at 1300.

 

Afternoon crowd at the dental services.

 

 

 

 

Taken at around 1400. With spillover patients (100+) from the morning,

plus 7 Barangays scheduled for afternoon.

 

This was the line for Lab Work at around 1400.

 

 

Lab Team, Juliet and Marge, doing the best they can.

 

Pharmacy Team.

 

 

 

A mom holding a 3-month old premie. Pharmacy wanted to give this lady

multivitamins, but we ran out after Day-2.

 

AT THE END OF DAY 3....

Dental Team. The Provincial Police Team volunteered for two days.

Dra.Nora Penaflor (in green) volunteered for 3-days. Dra.Mila Viernes'

3 assistants (relatives) volunteered for more than 5 days.

 

 

Dr. Dumaguing seeing the last patient of DAY 3, at 1745.

 

The following day, Friday, was a regular work day for the municipality,

and more people showed-up for medical/dental services because they

were not able to make it at the Civic Center during the last 3 days.

Work had continued for Dr.Dumaguing and staff...These people are the

Heroes of Naguilian. They work, and work, for the welfare of the

citizens, during mission or not. These are the people who did the follow-up,

some cases required after-the-mission follow-ups.

 

 

 

When the Medical/Dental Mission was planned, the intent was to serve

500 patients a day, for 3 days, or 1500 patients total. Instead, we served

3,203+ patients, (medical 2,300+ and dental 903 patients).That was more than

double what we originally intended to serve. The response was OVERWHELMING.

Our medicines (US) lasted up to the third day, except multivitamins which

ran out after the second day, and anesthesia by noon of the third day.

Because of availability of local and provincial medicines, our supply of medicines

lasted for three days. Residual medicines were donated to the Rural Health

Center, with Dr. Dumaguing. One respiratory apparatus and some medicines 

for breathing, were donated to Naguilian Hospital. Approx. 81% of those who came

were well patients. Approximately 19% of the medical patients had some illness(es).

Majority of which were respiratory in nature.

It was not clear, if smoking, or second-hand smoke, were involved.

 

Diseases found-(Medical, combined adult and pediatrics)

 

Acute Upper Respiratory Infection         228                     51.6%

Hypertension                                         79                     17.9

Urinary Tract Infection                            37                      8.4

Bronchitis                                              27                      6.1

Acute Gastritis                                      23                       5.2

Anemia                                                 12                       2.7

Tonsillitis                                                4                        1.0

Bronchial Asthma                                    2                        0.5

Scabies                                                  2                        0.5

Osteoarthritis                                          1                        0.2

Viral Influenza                                          1                        0.2

Glucose Above 200 mg/dl                       26                        5.9

                                                          ____                     _____

                                                           442.                     100.

 

 

 

The efficacy of this Medical/Dental Mission to the population served has been

direct to the wellness of the people, as well as direct to their productivity. If a

citizen is sick, or having a dental problem, do you think he/she can be productive

with their daily lives, or able to work in the farm? Since this directly impacted their

productivity, it was safe to say that the mission contributed directly to the economy of

Naguilian. (This was now affirmed by the Mayor during his last visit in the US). Now,

those 903 patients with dental pains, no longer have the pain.

Or the 442 medical patients who can now function, better because, perhaps

they felt better with their lives, without cough, without pain, etc.

 

Wellness services were delivered to our Kailians FREE OF CHARGE, because of the

your donations, and with the help of volunteers, Doctors, and Dentists. Without them

and the donors, this would not have been possible. I just wanted to say, from

the bottom of my heart, Thank You, again, to all our donors (see "List of Donors"

link), especially to Josie Nonog's employer, Bassam Shlewet of TTTMoneycorp

Limited of London for donating $1000.00 for this cause.

 

Respectfully submitted by:

Ed Vita, Annak Ti Naguilian

 

 

Amy and Ed, in discussion with the situation during the 1st day.

 

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If you believe that this is a well intented endeavour, or not, please express your

feelings by contacting us. Use Contact Us link. Future missions will depend upon

your responses. Please help us plan for the next one...If you think this is something

you want to get involved in the future, please do not hesitate to contact us, as well,

so you will be included with the planning from the beginning. We are in need of volunteers

and of course, donations.

 

 

 

 

 

Information of some Dentists who served-

Marion MaryRose E. Rimorin,DDS          minetterimorin@yahoo.com

Vilma C. Rimpillo,DDS                            vilmarimpillo@yahoo.com

Rowena G. Mangilinan,DDS                      robi@10.yahoo.com

Teresita P. Paredes,DDS                          tep0H@yahoo.com

Nora R. Penaflor,DDS                             rayneallen19@yahoo.com

Claper Ojascastro,DDS                                     -

 

 

 

 

 

 

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Hours of Operation: 8:00 to 4:00 PM

Location: Naguilian Civic Center

Patients will be bused from the barangay hall to the Civic Center.

 

Cluster Barangays:

 

Ambaracao Sur                     Natividad

Nagsidorisan                         Suguidan Norte

Ambaracao Norte                  Cabaritan Sur

Bancagan                             Cabaritan Norte

Suguidan Sur                        Dal-lipaen

Magungunan                         Daramuangan 

 

 

Bato                                      Imelda

Aguioas                                 Bariquir

Al-alinao Sur                          Angin

Al-alinao Norte                       Guesset

Balecbec                               Sili

San Isidro                              Ribsuan 

 

 

Mamat-ing Sur                        Ortiz

Mamat-ing Norte                     Lioac Sur

Casilagan                               Lioac Norte

San Antonio                            Gusing Sur

Upper/Lower Bimmotobot        Baraoas Norte

Gusing Norte                          Baraoas Sur 

                                             Tuddingan                          

 

 

 

 

Angin, Naguilian, La Union.