Monthly Archives: August 2009

Message from the Secretary

Dear Colleagues,

Thank you for the encouraging comments we have received regarding the television and radio commercials. The radio commercials will be aired again in September and we will be sending you the schedule later this month.

As part of the Skin Safety Campaign (SSC), a 4-panel colored brochure on basic information on the skin, hair and nails was prepared by the SSC Task Force. This was made possible through an educational grant from Unilever Philippines. The brochures were distributed to one (1) million public high school students as part of information dissemination. One hundred (100) free copies for each member in good standing are available for pick up at the PDS office. The bundled brochures are heavy and the mailing cost is prohibitive. We will be bringing some of the brochures to the August 26 CME meeting in Wack Wack Golf and Country Club. You can pick up your copies on a “first come, first serve” basis.

Available for pick up and at cost for members in good standing are more copies of the SSC door decal (P20 each) for your clinics and the SSC patient information leaflets (P100 for 100 pcs). One door decal and a bundle of the leaflets were given out free during the PDS Annual Convention last year.

Please send your requests by email (pds_org@pldtdsl.net or pds_org@yahoo.com) or call the PDS office. Only check payments will be accepted.

For our colleagues who are based in the provinces, we will bring the brochures to the Annual Convention in November.

Please email us your feedback, suggestions or concerns.

Truly yours,
Rosalina E. Nadela, MD, FPDS
Secretary

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PCP – Advisory on Fake Flu Vaccines

Philippine College of Physicians
Internal Medicines/ Doctors for Adults
” A Dynamic Community of Ethical and Compassionate Internists, Committed to Excellence, Integrity and Service above Gain”

ADVISORY -

The Philippine College of Physicians through its Committee on Advocacy, Subcommittee on Pharmacovigilance, would like to warn its members and the public regarding the existence of counterfeit influenza vaccines. This is in the light of reports this last week of July of the seizure of P4 million worth of fake flu vaccines filled with distilled water and the arrest of a trader who was a former medical representative, during an operation conducted by operatives of the NBI Anti-Fraud and Computer Crimes Division (AFCCD) in San Pedro Laguna. According to officials of the Department of Health, these reports may just be the tip of the iceberg as they are now also receiving reports of some groups going around small offices to peddle supposedly approved flu vaccines at “attractive” prices.

The PCP members and the public therefore cautioned to obtain vaccines only from reputable and BFAD accredited suppliers. In a public advisory published in the major newspaper last July 28, the BFAD warns all drugstore owners and/or their pharmacist to exercise extra diligence in buying this vaccine and any other drugs. Acting BFAD Director Nazarita Tacandong wrote, “ they should buy only from sources duly licensed by BFAD and always demand sales invoices or receipts from their sources indicating therein the name of the drugs and medicines purchased and their respective lot numbers and expiry date. Refusal of the source to issue and/or indicate the aforementioned information should give rise suspicion and must be reported immediately to BFAD.”

Flu vaccines are available either as pre-filled syringe or vials. It may be difficult to distinguish the fake vaccines from the authentic vaccines but it may be possible to spot both the subtle and obvious differences. To ensure the integrity of the vaccines, check the following:

  • For pre-filled syringes, the vaccines must be in a sealed packaging (carton) containing the manufacturer label and lot number. The seal is usually also printed with the name of the company and not just an ordinary tape.
  • If the vaccine is in vials, ensure that the vials are the original containers and the metal crimping seal is intact and unopened.
  • Check the label as some fake vaccines have labels that were printed with ordinary desktop printers that easily blot when wet or which are not as clear as the original labels.

Sanofi Pasteur also published in the major newspaper a public notice last August 02, 2009. The article in the Philippine Daily Inquirer gives the following distinguishing points between authentic and counterfeit vials.

  Authetic Vial Counterfeit Vials
Vial size and appearance Leaner and taller Shorter and wider
Vial Cap Color Dark green Light green
Label  Machine cut with Printed “10” on the upper right hand corner. Label is indistinctly cut with rough edges
Seal Vial is sealed with plastic wrap Vial is not sealed with plastic
    Batch details: Manufactured 18-Dec-08, Lot D12228; Expiry Date:18 Dec-09

According to the Sanofi Pasteur advertisement, the NBI has confiscated counterfeit VAXIGRIP vaccines with the following batch No. D12228, Manufacturing Date: 18-Dec-08 and Expiry Date: 18 Dec-09

In the Philippines, there are 4 brands of flu vaccine that are available in the market: Vaxigrip. Fluarix, Agrippal S1 and Influvac. Other brands of vaccines that are being sold may be suspicious. Vaccines sold at a significantly lower amount that the market price are also considered suspect. As well, the public is warned about buying these vaccines on line since it may be difficult to verify the authenticity of the source.

To report any information about fake flue vaccines, the public may call up the BFAD Hotline 842-5606, BFAD Regulation Division 809-4390 local 1131 or NBI Hotline 524-5395 and 525-4093


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Dr. Annette Wagner

drwagnerDr. Annette Wagner
Assistant Professor of Pediatrics and Dermatology
Children’s Memorial Hospital Northwestern University, Chicago IL

Hospital Affiliations

She has served as Pediatric Consultant at the Holy Cross Hospital and attending Pediatrician at Mariposa Pediatrics, Nogales Arizona.

From 1994-1998, she was director of Clinical Services, and later Clinical Practice Director of the Division of Dermatology at the Children’s Memorial Hospital, Northwestern University.

Assistant Professor of Pediatrics and Dermatology at Northwestern University’s Feinberg School of Medicine.

Presently, she is Assistant Professor of Pediatrics and Dermatology and Attending Physician at the Children’s Memorial Hospital, Northwestern University, Chicago.

Dr. Wagner sees patients at Children’s Memorial Hospital, Children’s Specialty Center in Westchester and at the Busse Specialty Center of Northwest Community Hospital in Arlington Heights.

Medical background

Bachelor of Science degree in Cell and Microbial Biology (First Class Honors) from the University of Calgary in Alberta, Canada

Obtained her Medical degree from the McGill University, Montreal, Quebec.

She finished her Pediatric Residency and Dermatology Residency in the University of Arizona, Tucson, Arizona.

Diplomate of the American Board of Pediatric Dermatology, Fellow of the American Academy of Pediatrics

Diplomate of the American Board of Dermatology and Fellow of the American Academy of Dermatology.

Honors/Awards

Considered a trailblazer in pediatric dermatologic surgery, her other special interests include pigmented and vascular birthmarks, and laser therapy and surgery.

Principal Investigator of numerous research papers focusing mainly on Hemangiomas.

Member of the Mentorship Committee of Women’s Dermatologic Society, Mentorship Task Force of the Society of Pediatric Dermatology, and Northwestern Medical School Pediatric Mentorship Program

Reviewer of several publications such as the American Journal of Clinical Dermatology, and as Grant Reviewer at the National Institutes of Health Expertise Pediatrics, Dermatology, Laser Pediatric Dermatologic Surgery.

Best Doctors in America, Midwestern Region, Who’s Who of American Women, Marquis Who’s Who America

In 2005, she became Woman of the Year of the American Biographical Institute.

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Procedural Dermatology

The 6th Post Graduate Course of the Makati Medical Center
Department of Dermatology
with Dr. Annette Wagner
Assistant Professor of Pediatrics and Dermatology
Children’s Memorial Hospital Northwestern University, Chicago IL

October 8, 2009, 7:30 AM to 5PM
Wack Wack Golf and Country Club
Old Wack Wack Road, Mandaluyong City

———————————————————————————————-

MORNING  SESSION

7:30-8:15 am    Registration/ Breakfast

8:15-8:30 am    Invocation: Dr. Filomena Legarda.-Montinola

Opening Remarks:

Dr. Imelda Cabral-Villar

Introduction of Dr. Annette Wagner

Dr. Peachy G. Paz-Lao

8:30-9:00am     Hemangioma-What is New and What We Do

Dr. Annette M. Wagner

9:00-9:30am    Practical Laser Pearls in Children:

Dr. Annette M. Wagner

9:30-10:00am   Standard and Advances in Laser/Light Technology for

Pigmented   Lesions:  Dr. Elsie P. Floreza

10:00-10:20am Phototherapy from A – Z: Dr. Patricia  Ty-Tinio

10:20-10:40am OPEN FORUM/ BREAK

10:40-11:00am  Simplified Office Photopatch testing : Dr. Vermen Verallo-Rowell

11:00 -11:20am            Selection of Biopsy Specimens for Light Microscopy

and Immunohistopathology: Pearls and Pitfalls

Dr. Jasmin J. Jamora

11:20-11:40pm            Downers and Anesthesia for Dr. Krissy Dim-Jamora

11:40-12:00pm            OPEN  FORUM/ AWARDING OF CERTIFICATES

12:00-1:00pm  LUNCH SYMPOSIA: Stress-Related Dermatoses

Dr. Peachy G. Paz-Lao

Handling Atopics: Is It That Simple

Dr. Ma. Victoria C. Dizon

AFTERNOON  SESSION

1:00-1:20pm    Case 1 – Vascular malformation

Dr. Joyce Castillo

Case 2- Congenital melanocytic nevus

Dr. Jocel Buensalido

Case 3- Nevus sebaceous

Dr. Pamela Guiang

Case 4-Nevus of Hori

Dr. Elieza Dela Cerna

1:20-2:00PM   Reaction to Cases by  Dr. Annette Wagner

2:00-5:00pm    Hands- on Workshop by Dr. Annette M. Wagner

5:00pm             Closing Remarks: Dr. Donna Leelin-Sarrosa

Moderators: Dr. Valerie Floro-Herbosa Dr. Ma. Lourdes Aragon-De Veyra
———————————————————————————————-

PEACHY PAZ LAO, MD
Chairman

Valerie Floro-Herbosa, MD
Residency Training Program Director

CONSULTANT  STAFF

Vermen M. Verallo-Rowell, M.D.
Thelma De Villa-Leelin, M.D.
Filomena Legarda-Montinola, M.D.
Manuel O. Fernandez, M.D.
Imelda Cabral-Villar, M.D.
Esther C. Leynes, M.D.
Elsie P. Floreza, M.D., MSc
Ma. Victoria C. Dizon, M.D.
Donna Marie Leelin-Sarrosa, M.D.
Ma. Lourdes Aragon-de Veyra, M.D.
Ma. Teresa A. Belmonte, M.D.
Lucia O. Castro-Fores, M.D.
Jose Giovanni E. Dimayuga, M.D
Elvira H. Esguerra, M.D.
Rowena Flores-Genuino, M.D..
Sheila Hautea-Pagdanganan, M.D.
Jasmin J. Jamora, M.D.
Carmela Ana V. Lim, M.D.
Mary Anne Luciano-Amon, M.D.
Ma. Patricia F. Astorga-Chavez, M.D.
Giselle Mary Lazaro, M.D.
Stephen F. Lacson, M.D.
Patricia Ty-Tinio, M.D.
Beatriz Carpo, M.D.
Ma. Teresa E. Dimagiba, M.D.
Sherwin llego, M.D.

Visiting Cosultants

Guia R. Avecilla, MD
Marivic Cabillos, MD
Julie P. Delos Santos, MD
Krissinda D. Jamora,MD
Claudine L. Javier,MD
Celia  Theresa L.Layson,MD
Carmencita Salud,MD
Mylah A. Joven,MD
Leah D. Martires,MD
Patricia Valle-Tin,MD

Residents

Chief Resident:
Elieza Marie A. Dela Cerna,MD

Deputy Chief Resident:
Pamela C. Guiang,MD
Jocel S. Buensalido,MD
Joyce Castillo,MD
Margarita Durano,MD
Aileen M. Eduvas,MD
Katrina M.Canlas,MD
Frederica Veronica Protacio,MD
Sarah Tan,MD

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Southern Luzon DermSurg CME-Part2


PROGRAMS

8:00-8:30 Invocation
Dr. Marie Judith Eusebio

National Anthem

Opening Remarks
Dr. Arsenia A. Grey

8:30-9:00 Echoes- ISD
Dr. Arlene Sauña

9:00-9:45
Novel Treatment of Keloids
Dr. Abigail Co

Using 5- FU Injection
Demo/ Workshop

9:45-10:00 - Coffee Break

10:00-11:30
Management of Scars
Dr. Stephen Lacson

Demo/ Workshop

11:30-1:20 STIEFEL

1:20-2:00
Lipocurettage
Dr. Krisinda Dim-Jamora
(lecture and video presentation)

2:00-2:30
Lecture on PRP
Dr. Claudia Samonte

2:30-3:00
Lecture on Surgiwire
Dr. Claudia Samonte

3:00-4:00 Demo/ Workshop

MODERATOR: Dr. Lizelle L. Buenafe

4:00-4:10
Closing Remarks
Dr. Evelyn Chan- Aparte

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JR DERMA SPECIAL PROJECT-JACK AND THE BEANSTALK

The Department of Dermatology and the Skin Research Foundation of the Philippines, Inc are hosting a play by Repertory Philippines, entitled Jack and the Beanstalk, on August 15, 2009, Saturday, 4:30PM at Onstage, Greenbelt

All funds raised will go into helping indigent patients of Jose R Reyes Memorial Medical Center with chronic and debilitating skin diseases, like Psoriasis, Bullous diseases, and Leprosy through financial assistance for their treatment, research into improving their management, and facilitation of their support groups.

Tickets are available at P600 (Lower and Upper Orchestra Center), P500 (Orchestra Sides), and P400 (Balcony). For more information, the following residents will be happy to answer any questions. Jennifer Gavino (09228729798) Miriam Dumandan (09228271300) Elvie Salas (09053362429) or 7119491 Loc 336 (Dept of Dermatology)

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Allergens and Beyond

The Research Institute for Tropical Medicine in cooperation with the Philippine Dermatological Society & the Contact Dermatitis Subspecialty Core Group would like to invite you to the CME this month.

ALLERGENS & BEYOND

The First Patch Testing Workshop

August 26, 2009, Wednesday, 12nn-3pm

Banquet A & B

Wack Wack Golf & Country Club

Mandaluyong City

We are requesting everyone to come earlier as the program will start at exactly 12 noon.

allergens-beyond
PROGRAMME
11:30 AM Registration
12:00 PM Opening Rites
Invocation
REYNALDO UGALDE, MD, FPDS
National Anthem
PDS Hymn
Opening Remarks
MA. TERESITA G. GABRIEL, MD, FPDS
Chairman, RITM Section of Dermatology
12:15 PM Patch Testing: Yesterday, Today and Tomorrow
VERMEN VERALLO-ROWELL, MD, FPDS
12:45 PM Overview of the PDS Contact Dermatitis Subspecialty Core Group Research Project
CLARISSA VILLARAMA-CELLONA, MD, FPDS
A. Summary of Research on “The Prevalence of Contact Allergy among patients seen in

PDS-Accredited institutions: A Multicenter Trial”

B. Filling up the Case Report Form
C. Data Base of Subjects recruited in the reasearch to be kept by institution
1:15 PM Patch Testing
HEIDI P. CHAN, MD, FPDS
A. Procedure
1) When and who to patch
2) How to prepare test sites
3) Materials for patch testing
4) Labeling of allergens
5) Schedule of patch test readings and rationale
B. Reading and Recording of Patch test results
1) Different Patch test reactions
2) International Contact Dermatitis Research core group (ICDRG) patch test

reading

3) Concept of crescendo and decrescendo reactions
4) Late and persistent reactions
5) Adverse reactions and management
1:45 PM Photodocumentation of patch test readings
LOURDES PALMERO, MD, FPDS
1) System of filing photos
2) Forwarding photos to documentation committee
2:00 PM Interpretation of patch test results
LONABEL A. ENCARNACION, MD, FPDS
A. Clinical relevance of reactions to allergens
B. False positive and false negative reactions
2:45 PM Workshop on patch testing
BEA LAGOS, MD, FPDS
3:15 PM Open Forum
3:30 PM Awarding of Certificates
3:45 PM Closing Remarks
GEORGINA C. PASTORFIDE, MD, FPDS
President, PDS
Moderator: MA. SOCOUER M. OBLEPIAS, MD, FPDS


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