Minutes of the Meeting Meeting Name Subspecialty Census Time 7:00 A.M.-8:00 A.M. Venue: A/B Conference Room No.1 Date: January 24, 2014 Pre-op Charity Case Presentation General Surgery Census 8:00 A.M. - 8:30 A.M. A/B Conference Room No.1 January 24, 2014 8:30 A.M.-10:00 A.M. A/B Conference Room No.1 January 24, 2014 I. Meeting called to order by the Department of Surgery. II. Attendance & Apologies: 1. Surgery Consultants. Remarks GENERAL SURGERY 1. Ang, Jorge Celso 2. Bullo, Stephen 3. Busa, Michael James 4. Chan, Kenneth 5. Chua, Tony 6. Cortes, Achilles 7. Dy, Crisostomo 8. Espina, Shawn Euclid Gandhi 9. Gacayan, Robert James 10. Gallo, Ted Marcerey 11. Go, Christopher 12. Hermosisima, David 13. Juanillo, Manuel 14. Kangleon, Rogelio 15. Lim, Orven 16. Lim, Zoe 17. Limquiaco, Wendell 18. Lucero, Leopold 19. Mabalatan, Joven 20. Po, Elmer 21. Rama, Steve Absent Absent Absent Present Present Absent Absent Absent Absent Absent Present Present Present Absent Present Present Present Absent Absent Present Absent Glicerio 22. Siguan, Stephen 23. Tan, Armando 24. Tipgos, Mateo 25. Victoria, Catalino 26. Yu, Joel Cardiovascular Surgery 1. Abalos, Rodolfo 2. Alo, Jonathan 3. Mancao, Peter 4. Perez, Monico 5. Tan, Arnold Colorectal Surgery/GS 1. Coronel, Mario Manuelito Laparoscopic Surgery 1. Chua, Henry ENT 1. Arcenas, Eduardo 2. Cruz, Roman 3. Dy, Arthur 4. Ferraren, James Arthur 5. Oclarence, Marlon 6. Lim, Aimee Caroline Ophthalmology 1. Amparado, Mario Present Present Absent Present Absent Absent Present Absent Absent Present Present Absent Absent Present Absent Present Present Present Absent 1 Dennis 2. Cimafranca, Bienvenido 3. Del Prado, Jonathan 4. Go, Jose Cymmer 5. Jaca, Abello 6. Lim, Janice 7. Lim, Jeffrey 8. Roa, Adele Marie Neurosurgery 1. Briones, Wyben 2. Gigataras, Roland Mark 3. Rama, Jaime 4. Vergara, Nilo Pediatric Surgery 1. Du, Maribel 2. Garcia, Don Enrico Plastic and Reconstructive Surgery Absent Absent Absent Absent Absent Absent Absent Absent Present Present Absent Absent Present 1. Verallo, Susan 2. Mijares, Mirela Urology 1. Cabahug, Melonil 2. Catipay, Jose Rizalito 3. Lim, Edwin 4. Tenazas, Enrique 5. Mata, John Thoracic Surgery 1. Guardiario, James 2. Sara, Zeneicov Dentistry 1. Carvajal, Cristine 2. Tio, Mary Christine 3. Sia, Charles Present Absent Present Present Absent Present Absent Present Present Absent Absent Absent 2. Surgery Residents Moderator: Dr. Jaime E. Rama Jr. (Subspecialty) and Dr. Orven Lim (GS) 2 III. Review & Approval of the minutes of the last meeting. None IV. Follow-up on the minutes of the last meeting. None Unanswered Question Urinoma: how is it diagnosed? When will it be diagnosed? Responsible Person Dr. Christian Elumba V. Today’s Agenda. Activity: I. Subspecialty Conference: II. General Surgery Census Presenter: Rundown of subspecialty O.R. Cases By Dr. Jaime E. Rama Jr. Date: December 16, 2013 to January 12, 2014 (1month) Rundown of General Surgery O.R. Cases By Dr. Orven Lim Date: December 16, 2013 to January 12, 2014 (1month) I. Subspecialty Conference/General Surgery Census: Questions: Dr. Z. Sara: What are varicose veins? Dr. Z. Sara: Why are AVFs (Arterio-venous fistula) placed on non-dominant hand? Dr. R. Cruz: What is fibrothorax? Dr. O. Lim: Indications of decortications? Dr. Z.Sara: Are all cases of hemothorax drained? Dr. O Lim: Advantages of IJ (Internal jugular) catheter over Schribner shunts? Dr. E. Tenazas: For chronic patients on HD, which is better? (AVF) Dr. J Rama: Lifespan of IJ catheter? (3 weeks) Dr. Z. Sara: Why three weeks or 1 month (on IJ cath) Dr. Arnold Tan: What is the reason for repositioning of chest tube in pneumothorax? Dr. A. Lim: Indication of adenoidectomy Dr. J. Ferraren: Grading of adenoids; Pathophysiology of snoring 3 Dr. R. Cruz: Squamous cell CA Grading and Stage Dr. Z. Sara: ALL malignancies, include STAGE Dr. R. Cruz: For acinic cell/mucoid: how wide should the margins be for wide excision? (carcinoma of the hard palate) Dr. O. Lim: Reconstruction on infected epidermal inclusion cyst Dr. Z Lim: How to treat infected cyst? Dr. Z. Sara: Difference between radical nephrectomy and nephrectomy Dr. Z. Lim: Where is the Gerota’s fascia? Inclusions of the Gerota’s fascia Dr. E. Tenazas: In radical nephrectomy: are the adrenals always removed? Dr. R. Catipay: What is adenomyosis/endometriosis? II. Pre-op Charity Case Presentation: By Dr. Carl Davin Tam Case: HERNIA Dr. Zoe Lim: Work up prior to hernia operation By Dr. Gaudioso Molo IV Case: UNDESCENDED TESTES Dr. M. Juanillo: What is the incidence of unilateral undescended testes? Dr. O Lim: When is the ideal time to operate in patients with undescended testes? Why? Dr. M. Juanillo: Indications of Orchidopexy Dr. M. Juanillo: Incidence of malignancy in unilateral undescended testis Dr. D Garcia: Use of HCG therapy Dr. T. Chua: Will fertility be preserved? Dr. O. Lim: Complications of orchidopexy 4 Dr. D Garcia: Procedures or maneuvers to descend testes Dr. D. Garcia: What are the blood supply of the testicles? VI. Other Business. None VII. Date & Time of the next meeting On call VIII. Adjournment. Adjourned at 10:15 A.M. 01/24/2014. Minutes by: Hannah Lois Kangleon, MD Reviewed by: Jaime E. Rama Jr., MD Secretary Date/Time: _________ Approved by: Zoe C. Lim, MD Training Officer Date/Time: _________ James A. Guardiario, MD Chairman Date/Time: __________ 5