ON THIS ISSUE 2

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Editors Note The Mitre The Quarterly Newsletter of Cardinal Santos Medical Center Why The Mitre? Dr. Rody G. Sy, Teacher, Healer Treating Gestational Diabetes to prevent Shoulder Dystocia Understanding bone mineral density Empower yourself against a lady killer Walking away the inches of menopause What is endoscopy? The executive check up for women How do you compute your BMI? Cardinal Santos joins 1st MVP Olympics CSMC Parking Lot Groundbreaking Ceremony Welcome Chito! Community Board

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The Cardinal Santos revival

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n February 2009, the Roman Catholic Archbishop of Manila awarded a 20-year contract to Colinas Verdes Hospital Managers Corporation (CVHMC), to manage and operate Cardinal Santos Medical Center (CSMC). Over a year later, the benefits of this agreement can be seen all over CSMC.
In its first full year of operations, CVHMC successfully embarked on its new vision: to transform CSMC into the hospital of choice of patients, physicians, personnel and business partners, and differentiated from other hospitals by the unparalleled passion, commitment and professionalism of its staff in consistently providing excellent medical care. 4continued on page 3

CSMC Chief Medical Officer, and his beloved patients.

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tEDITORS NOTE he MITRE

The Mitre The Quarterly Newsletter of Cardinal Santos Medical Center

Welcome to the maiden issue of The Mitre, The Quarterly Newsletter of Cardinal Santos Medical Center (CSMC). The Mitre is intended for you! We will endeavour to provide pertinent information and facts to keep you abreast of developments in healthcare service, within CSMC and across the globe - with the immediate aim of letting you know what we can do together to keep you and your loved ones healthy. Likewise, this newsletter will give a sneak peek at the latest advances in the healthcare field that we are acquiring in order to further improve the services we provide. We hope that you will be better informed and empowered reading this newsletter. Both are necessary elements to a partnership to ensure the health, wellness and fulfilment of all of the members within the sphere and responsibility of Cardinal Santos Medical Center. The Mitre has something for everyone: medical news for/from doctors; health articles for patients; Cardinal Santos news and events for employees and partners; and even a community board for our friends and neighbours. We take on this commitment now, building on the momentum weve gained as Cardinal Santos Medical Center became part of the First We take on this challenge of becoming a leader and authority in healthcare excellence. The Mitre is a small step forward to achieving our mission, but I hope that this labor of love and passion will evolve from a mere newsletter into a health reference. Enjoy reading, enjoy learning, and enjoy living in health. Sincerely, Ma. Corazon C. Consunji, MD, MHS, MBA

Ma. Corazon C. Consunji, MD Editor in Chief Josefino A. Regalado, MD Medical Editor Ivan Noel G. Olegario, MD Managing Editor Jason Lopez Losito Graphic Artist Loewe Go, MD Contributors
The information in this newsletter is not intended as a substitute for professional medical care. Consult a doctor for all matters relating to your health, particularly for symptoms that may require diagnosis or medical attention. 2010 Cardinal Santos Medical Center

Why The Mitre?

The Mitre [my-ter] is the ceremonial headdress of a cardinal when he solemnizes religious rituals. It uniquely identifies the cardinal as the highly-esteemed and caring shepherd among his flock. It is also the logo of Cardinal Santos Medical Center. Thus the Mitre uniquely identifies us as the Hospital that solemnly adheres to highly-esteemed service with professionalism, ethics and care when we relate to our patients, physicians, personnel and business partners.

Pacific Company Ltd./Metro Pacific Investment Corp., a group of 16 dynamic industry leaders.

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The Cardinal Santos Medical Center Mission

Cardinal Santos Medical Center is a medical institution dedicated to provide consistent excellent patient care through unparalleled passion, commitment and professionalism to assure the very best experience to those we serve.
Not to be left behind are transformations within the organization. The doctors of Cardinal Santos are now more involved in the planning and direction of the hospital. Employees are more driven and motivated to create a culture of excellence and passion in their work, mostly through trainings and rewards and recognition programs. It is our people who will always make the difference, and I am extremely happy with the dedication and untiring commitment of our doctors and employees to continuously provide the very best experience for the people we serve, said Dr. Ma. Corazon C. Consunji, President of CSMC. All these developments did not go unnoticed. In 2009 alone, CSMC was the hospital of choice for 140,000 patients, and 1,028 physicians. Cardinal Santos Medical Center is a medical institution dedicated to provide consistent excellent patient care through unparalleled passion, commitment and professionalism to assure the very best experience to those we serve.<

The Cardinal Santos...

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More than one step at a time

CVHMC took on an intensive expansion and development programs to upgrade CSMC. The operating rooms were upgraded with: Four new integrated anesthesia workstations; A highly-advanced harmonic scalpel system that can simultaneously cut and coagulate tissues during surgical procedures; The latest model plasma sterilizer that can sterilize highly sophisticated and heat-sensitive surgical instruments, and; Sixty infusion systems to improve the safety and accuracy of complex infusion therapies. CSMC also acquired a state-of-theart bone densitometer for skeletal imaging and osteoporosis assessment;

a high-definition endoscopy system; new hemodialysis machines; a newborn hearing machine; treadmill equipment; and patient-warming systems. CSMC also added several services and amenities: Cardinal on Wheels (February 2010), Wi-Fi internet access in the Main Building, ATM machines, an improved cafeteria, valet services, and shuttle services from the hospital to the Greenhills Shopping Complex. For the convenience of its patients, some ancillary centers have opened even on weekends, and physicians fee collection is now centralized.

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Dr. Rody G. Sy, Teacher, Healer

By Dr. Loewe Go

ccording to the words of Dr. Josefino Regalado, medical director of Cardinal Santos Medical Center, the essence of what we all in the medical profession must be not just doctors and teachers to our patients, but also mentors to those who dare follow our path. It is the aspiration and respect for this essence that the Cardinal Santos Medical Alumni Association awards outstanding physicians every year with the Cardinal Sin Teacher Healer Award. Dr. Rody S. Sy was one of this years awardees of an award he shared with another esteemed physician, the late Dr. Benigno M. Sulit, Jr.
was established in 2002, he displayed his prowess as a mentor, tirelessly teaching residents and fellows during clinical rounds and case conferences. He recognized that research is a crucial part of cardiology training, he made sure that cardiology fellows of Cardinal Santos presented their researches in various medical conventions, many of which won research awards. But according to the Good Word, a tree is recognized by its fruits. Over the years, Dr. Sy has indeed bore much good fruit. Here are some of Dr. Sys exemplary students:

Dr. Rody Sy, a 2010 Cardinal Sin Teacher Healer Awardee. Dr. Jocelyn Cobankiat, a nephrologist and head of the Cardinal Santos Dialysis unit Dr. Percival Pangilinan, pulmonologist and training officer of the Cardinal Santos Department of Medicine Dr. Valmarie Estrada, a neurologist and accomplished electroencephalographer Dr. Genevieve Dy-Agra, chief research training officer of the Department of Medicine Dr. Federick Cheng, chief training officer of the Cardiovascular Institute. Lastly, as a teacher and healer, Dr. Rody Sy has helped establish Cardinal Santos Medical Center as a leading academic institution in medicinesomething we, his students, and the students that come after us, will always be grateful for.<

Dr. Rody Sy is an accomplished cardiologist. He served as president of the Philippine Heart Association from 1991 to 1992, president of the Philippine Lipid Society from 1995 to 2002, and president of the Asia Pacific Society of Atherosclerosis and Vascular Disease. He was also the medical director of Cardinal Santos Medical Center from 1995 to 1999. Dr. Sys mark in the training programs of internal medicine and cardiology in Cardinal Santos Medical Center are hard to miss. As chairman of the Cardiovascular Institute, which

The Cardinal Sin Teacher Healer Awards

This award is the brainchild of Dr. Eduardo Mercado, former medical director of Cardinal Santos Medical Center. It was first awarded in 1993. It aims to recognize the exemplary teaching contributions of the medical staff of Cardinal Santos. This years awarding ceremonies were held on March 25, 2010, at the Unilab Bayanihan Center in Pasig City. (L-R) Dr. Gerald Sy, Assistant Chief Medical Officer, Dr. Rody Sy and family, Bishop Bernard Cortez, Dr. Ma. Corazon Consunji (President), and Dr. Joseph Regalado (Chief Medical Officer).

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ccording to the April 2001 issue of the British Medical Journal, intensive treatment of gestational diabetes reduces the risk of shoulder dystocia and macrosomia. This finding was based on a meta-analysis from five trials of specific treatments and 13 trials that compared intensive and nonintensive approaches.
The five trials comparing specific treatments (diet with or without insulin) to usual care used a two-step approach in diagnosing gestational diabetes: (1) a 50-g glucose challenge test or checking of risk factors, or both; followed by (2) subsequent 75-g or 100-g oral glucose tolerance test. Results showed that treatment of gestational diabetes reduced the risk of shoulder dystocia (odds ratio 0.40), macrosomia (OR 0.38), and being born large for gestational age (OR 0.48). One particular study also showed a significant reduction in the risk of

Treating Gestational Diabetes to prevent Shoulder Dystocia

preeclampsia (p = 0.02). Furthermore, the 13 trials on intensive therapy including different forms of interventions such as blood glucose monitoring and treatments with oral antidiabetic drugs led to a reduction in shoulder dystocia (OR 0.31). The researchers concluded that there is a benefit with intensive treatment, including daily selfmeasurement, diet, and, for some women, insulin and additional obstetric intervention. < Individuals with vertebral abnormalities. Individuals receiving, or planning to receive, longterm glucocorticoid (steroid) therapy.

one mineral density or BMD is the amount of matter per cubic centimeter of bones. It is measured during a procedure called densitometry, often performed in the radiology or nuclear medicine departments of hospitals or clinics. In Cardinal Santos, it is performed in a separate Bone Densitometry Unit.
This painless and non-invasive procedure is used to screen or monitor osteoporosis, which is characterized by lower mineral and protein content in bone, leading to a disruption in bone microarchitecture, and can lead to fractures. It uses a machine called a Dual energy X-ray absorptiometry (DXA) machine, which emits minimal radiation to measure the amount of mineral in the bone. Measurements are most commonly made over the lumbar spine (curve of the back) and over the upper part of the hip. The forearm may be scanned, but is less reliable.

Understanding bone mineral density

The National Osteoporosis Foundation recommends BMD testing for the following individuals:
All women aged 65 and older regardless of risk factors Younger postmenopausal women with one or more risk factors. Postmenopausal women who present with fractures (to confirm the diagnosis and determine disease severity). Estrogen deficient women at clinical risk for osteoporosis.

Former Ms. Universe and bone health advocate, Ms. Gloria Diaz, graces the blessing ceremonies of the new DXA machine of Cardinal Santos Medical Center. With her are Dr. Tyrone Reyes (left) of the Department of Rehabilitation Medicine, and Ms. Susan Adao (right), who heads the Ancillary Services of Cardinal Santos. Individuals with primary hyperparathyroidism. Individuals being monitored to assess the response or efficacy of an approved osteoporosis drug therapy. Individuals with a history of eating disorders<

The new Cardinal Santos DXA machine for measuring bone density.

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ll over the world, a quarter million women die from a strange cancer that form sexually transmitted disease. But you can take on the cudgels against cervical cancer. Recent medical breakthroughs against cervical cancer represent one of the most groundbreaking feat there is in humankinds war against cancer.

cancer is treated, the higher the chance of the patient surviving. For early stages, a hysterectomy (removal of the whole uterus including part of the vagina) or other surgical procedures can be performed. For more advanced cancer, radiation therapy or chemotherapy may be done, but both of these treatments have debilitating side effects.

The preventable cancer

In the 1990s, Women Power became a catch phrase that signified increasing gender equality in many aspects of society (womens rights, women in the workplace, etc.). And yet, in the 21th century, 250,000 women die from cervical cancer every year. Locally, this cancer claim 12 lives of Filipinas every day. Ironically, while most cancers are difficult to prevent, cervical cancer is almost 100% preventable. So why not arm yourself with real women powerthe power to protect yourself from a lady killer called cervical cancer?

Surveying cervical cancer

Cervical cancer is a malignant

tumor of the cervix uteri, the lower portion or neck of a womans uterus that seals off the uterus from the outside world and the vaginal area. Most cases of cervical cancer present with no signs until the late stages. Signs of cervical cancer include vaginal bleeding, which may or may not be related to intercourse. Some women can feel a mass in their cervix, but this is rare since the cervix is buried deep inside the vagina. Once diagnosed, cervical cancer can be treated through a variety of methods, depending on the stage or extent of the disease. As a general rule, the earlier the

Knowing that cervical cancer treatment is risky, can lead to infertility, and has no guarantee, prevention is still the best way to fight cervical cancer. The prevention of cervical cancer is a winnable war. Medical science has found the single important cause of cervical cancera sexually transmitted virus called the human papilloma virus, or HPV. It is transmitted through direct contact, s u c h a s s e x u a l c o n ta c t . T h e virus invades the cells of the cervix, alters the cells DNA, making the cell more likely to be transformed into

Most cases of cervical cancer present with no symptoms until the late stages. Symptoms of cervical cancer include vaginal bleeding

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c a n c erous cells. There are at least 150 types or strains of HPV. Of these, 15 are classified as high-risk types (high risk of causing cervical cancer). Fortunately, there are vaccines that can protect a woman against HPV. In fact, there are two! Sexually active women, young and old, can benefit from HPV vaccines.

If you never had a pap smear, now is the right time to do it

Other methods of prevention include: Use of condoms (HPV has been known to cause penile warts and penile cancer) Smoking cessation Diet rich in fruits and vegetables

characteristics become visible several years before symptoms or an actual tumor become evident. The Pap smear is a readily available test available from your OBGYNE. The American Cancer Society recommends that cervical cancer screening should begin approximately 3 years after the woman became sexually active,

and/or no later than 21 years of age. It may be done as frequently as once every year. Other more sensitive tests such as the HPV DNA test that detects HPV DNA even before the virus produces pre-cancerous changes in the cells can be done every 3 years. If you never had a Pap smear, now is the right time to do it. And while youre with your OB-GYNE, why not you ask about other ways can protect yourself---From a lady killer called cervical cancer.<

Cervical cancer screening

The Pap smear (or Papanicolau test) is a form of secondary screening. This means that it does not prevent the disease, but it detects the disease early for earlier treatment. And with early treatment follows higher chances of beating the disease. In a Pap smear, samples of the cells of the cervix are acquired using a swab or other implement. These cells are examined under the microscope to determine if they contain cancerous and precancerous characteristics. These

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alking for 45 minutes every other day may help menopausal spreadand also improve overall well being, says a recent Canadian study published in the April 2010 issue of the journal Menopause.

According to researcher Dr. Pascale Mauriege of Quebecs Laval University, 35 moderately obese and sedentary white women who were either nearing menopause or newly postmenopausal were required to walk for 45 minutes on an indoor track every other day for 16 weeks, at a speed very similar to, say, walking a dog. Thirty women (16 premenopausal and 14 postmenopausal) finished

the program. Of the five participants who dropped out of the study early, three were dropped because they wanted to walk more than what was recommended in the study. At the end of the program, both groups of women (premenopausal and postmenopausal) appeared to benefit physically and mentally although in different ways. The premenopausal women achieved greater weight loss (4.4 pounds compared to 1.5 pounds for the

postmenopausal women). They also tended to lose more fat mass. However, postmenopausal women had a larger drop in their waist size and greater improvement in lean body mass. Importantly, both groups experienced improved sense of physical and mental well being. Postmenopausal women had the larger improvements in bodily pain, daily physical functioning, general health, emotional and mental health (measured by subjective scoring by the participants). Meanwhile, premenopausal women had the greater improvements in all physical activities of life, vitality and social functioning. This study strengthens the role of moderate-intensity, moderatefrequency exercise, easily integrated into ones life habits, in improving health among women especially during menopause.<

WhAT iS ENdoSCopy?
Endoscopy is a medical procedure that uses a device called an endoscope. It is usually used to examine the interior of a hollow organ or cavity of the body. An endoscope can consist of a rigid or flexible tube that has a light source and lens system at one end. The lens captures the image of the interior of the organ under examination, and the image is sent back to the examiner, who visualizes it through a monitor.

An endoscope can be used to examine a variety of hollow organs, such as the respiratory tract, the urinary tract, the abdominal or pelvic cavity, or joint spaces. But its most common use is to examine the gastrointestinal tract, all the way from the esophagus to the rectum. It can be used to diagnose and treat tumors, ulcers, bleeding, and other conditions of the gastrointestinal tract. Tiny instruments can be passed through the endoscopy to treat these diseases.

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How do you compute your BMI?

The body mass index (BMI) compares a persons weight and height. It is used to estimate a healthy body weight based on a persons height. Among Asians, a BMI of less than 18.5 is considered underweight, while a BMI of 23 and above is considered overweight.

See the formulas below:

BMI =

mass (kg) (height [m])2 mass (lb) x 703 BMI = (height [in])2

omen are biologically different from men, and the level of risks for illnesses are different as well. Needless to say, all women over 40 need a yearly check-up, since age (regardless of gender) is a risk factor for heart disease, cancer, diabetes, osteoporosis, among others. For women younger than 40 but are overweight (defined among Asians as a body mass index of 23 or greater), or have a family history of these diseases, a yearly check up is also in order. What are the minimum requirements of an executive check up for women?
1. A breast exam a US National Cancer Institute recommends a yearly mammogram for women over age 50 years, or as recommended by a physician depending on your risk factors (e.g., family history, past history of breast cancer, etc.). However, a yearly clinical examination of your breasts and lymph nodes by a qualified health professional may be done as early as 20 years old. 2. A gynecologic examination Visit your OB-GYNE even if you are not pregnant. They can perform an overall examination as well as a more focused evaluation and examination of your reproductive health, including cervical cancer screening. See page 6 to read more about cervical cancer. 3. Evaluation of heart disease Your doctor should make a thorough evaluation of your risk factors for heart disease. This includes a physical examination, including taking of blood pressure and computing for your BMI; and a complete medical and family history. Depending on your doctors recommendations, non-invasive tests such as an electrocardiogram and treadmill stress test, as well as blood levels of cholesterol (lipid profile), fasting blood sugar, high-sensitivity C-reactive protein, and carotid duplexintima media thickness tests may be requested. 4. Basic laboratory examinations Simple blood tests (complete blood cell count and blood chemistry such as blood urea nitrogen, creatinine, uric acid, electrolytes, blood lipids and sugars, and liver profile) may screen for infections, diabetes, and diseases of the heart, kidneys, and liver). A urinalysis can also screen for urinary infections (common among women) and kidney problems. <

ThE ExECUTivE ChECk Up for WoMEN

cardinal santos Medical center offers several executive check-up packages through its Wellness Assessment program. For more information, visit the Wellness Assessment Lounge at the Ground Floor, or call (632) 724-9016, trunk line (632) 7270001 local 3005. The Lounge is open from 7 am to 7 pm on Mondays to Fridays, 7 am to 5 pm on saturdays, and 8 am to 12 nn on sundays.

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cardinal santOs jOins

1 s t M V P Oly MPics

ports is a metaphor of life. Many of the values in sports are the same values aspired for by every member of First Pacific Company Ltd./Metro Pacific Investment Corp., Cardinal Santos Medical Center included: teamwork, camaraderie, hard work, passion, dedication and commitment. Fired by the values espoused by the First Pacific Company Ltd. / MPIC Family, the Cardinal Santos Medical Center womens doubles badminton team brought home the bronze for CSMC. As part of the 16 companies that make up the First Pacific group of companies headed by President and telecommunications tycoon Manny V. Pangilinan, Cardinal Santos participated in the 1st MVP Olympics held from March 26 to 28, 2010. Mr. Pangilinan, together with his top executives and the Smart Gilas national basketball team, led the opening rites highlighted by the torch-lighting ceremony Friday night at the Meralco Sports Complex. Other participants of the 1st MVP Olympics are PLDT, Smart Communications, Meralco, First Pacific Company Ltd.,, e-PLDT, Maynilad Water Services Inc., TV5, Mediaquest, Philex Mining, Makati Medical Center, Cardinal Santos Medical Center, Davao Doctors Hospital, Metro Pacific Tollways Corp., Burger King, Outback and Manila North Harbour Port Inc. <

CSMC Management Team with employees during the 1st MVP Opening Ceremonies

The CSMC Cheerdance team

Teamwork, camaraderie, hard work, passion, dedication and commitment: This is Cardinal Santos at the 1st MVP Olympics
Ms. Kathleen Gonzales, CSMC muse for the 1st MVP Olympics

Elizabeth Nicolas and Dr. Mitch de Jesus won bronze for womens doubles in badminton.

Patintero

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cardinal santOs Parking lOt grOundbreaking cereMOny

Cardinal SanToS MediCal CenTer further improves the services that they provide. A groundbreaking ceremony was held for the Multi-level Parking Area, a 3 storey structure, which will soon rise within the vicinity of the hospital in Greenhills, San Juan. This is in line with Colinas Verdes Hospital Managers Corporations (CSMC operator) thrust to improve the parking facilities of the hospital, The ceremony was led by (left to right): Cardinal Santos Chief Medical Officer Josefino A. Regalado, M.D., DMCI President and COO Mr. Jorge Consunji, First Pacific Company Ltd. /Metro Pacific Investments Corporation & CVHMC Chairman Mr. Manuel V. Pangilinan. Cardinal Santos Medical Center President and CEO, Ma. Corazon C. Consunji, M.D., M.H.S. and His Eminence Gaudencio Cardinal B. Rosales, D.D. who officiated the blessing. The multi-level structure is expected to be operational 2nd quarter of this year.< The multi-level parking is expected to be operational by the 2nd quarter of this year.

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amonchito Deinla, better known as Chito to his peers, is the newest member of the Cardinal Santos Management Team, as our Quality Management Division Head.
Chito epitomizes the excellence that Cardinal Santos strives to emulate. A B.S. Industrial Engineering graduate of the University of Santo Tomas, Chito has over 20 years of experience in operations management, largely in telecommunications and business process outsourcing. In these arenas, he has proven himself in improving operations in important quantifiable measures, such as processing time, improve throughput (in telecommunications, throughput Ramonchito Deinla, is defined as the average rate of CSMC Quality Management Division Head successful message delivery over a communication channel), and ISO standards implementation will quality service and customer help drive the quality of care that Cardinal Santos Medical Center service ratings. His extensive exposure in metrics- provides its patients and assure driven quality management and them of the very best experience. <

Welcome, Chito!

C OMMUNITY B OARD
East West Danse
for merging contemporary dance, martial arts techniques, acrobatics and multi-media exploration. The Pinoy-French Contemporary Dance Week is a collaboration of the French Embassy with PETA. Performances are slated on June 15 and 17, 2010; 7:00pm. Tickets are at Php300 each. Agnes Locsin, foremost Filipino neo-ethnic choreographer presents her newest dance creation: Sayaw, Sabel. This will be a collection of dances depicting how Filipinos go through life in the midst of all their troubles and tribulations with shining resilience. Performances are slated on June 26, 2010: 2:00pm and 7:00pm. Tickets are Php300 each. For inquiries, please call PETAs Marketing and Public Relations Office at (63 2) 725-6244, (63 2) 410-0821 to 22, (63 917) 804-4428, (63 916) 580-5153 or email: petampro@yahoo.com.

This June, the Philippine Educational Theater Association (PETA) will be presenting a fine mix of local and international dance performances: from neo-ethnic to contemporary, Middle-Eastern to Asian, avant-garde to traditional with a three-week dance series titled, East West Danse. The first week will be a celebration of the body and womanhood through the beauty of Middle Eastern dance. Bellyfest 2010 will be a day filled with

colorful dancing, dance workshops and performances and endless shopping at the Arabian themed market. Bellyfest 2010 opens at 1:00pm on June 5, 2010. Tickets are at Php500 each. The following week will be a fusion of Filipino and French contemporary dance. Contemporary movement pieces from two young Filipino artists, Rhosam Prudenciado Jr. and Donna Miranda will be featured alongside performances by the Eolipile Company, a French company known

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April-June 2010 < the MITRE The Quarterly newsletter of Cardinal Santos Medical Center