Alternative Ways of Continuing Professional Development (CPD) Compliance during the COVID-19 Pandemic

Abolish CPD Call of Certain Sectors of Society

About 4 years after the Republic Act 10912 or the "Continuing Professional Development (CPD) Act" became law, the presidential son, Rep. Paolo Duterte recently said that he will be proposing a bill to repeal the law authored by former Senator Antonio Trillanes, IV. 

He also emphasized that he will personally work with his colleagues in the House of Representatives, the senators in the Senate and with President Rodrigo Duterte to advocate for the abolition of the said law. He cites the undue burden that the law has imposed to hard working and selfless professionals especially during the COVID-19 Pandemic. 

It is noted that the said law has mandated that professionals has to comply with prescribed number of CPD units of their profession before they will be allowed to renew their Professional Identification Card (PIC) with the Professional Regulations Commission.

UPDATE on the Status of COVID-19 VACCINES

With the advent of fast-paced technology and media reports, we can surmise that with the COVID-19 pandemic, the development of a vaccine can also be at a record speed but reading an article by Dr. Sanjay Gupta at CNN, this reality is grim so far regarding COVID-19 Vaccine Development.

1 Revealing Point: According to the Milken Institute, although there are 254 treatments and 172 vaccines currently in development to fight COVID-19, so far, there is only 1 PUBLISHED STUDY of a vaccine which is trialed in Humans. Other vaccines/treatment in development are either press-releases or pre-print reports.

Photo Credit: European Pharmaceutical Review

For those who have no idea on the significance of a Published Study on vaccine development or any other thing basically is this - published studies are subjected to peer review, which by essence brings down the expertise of most if not all of the science disciplines to screen this studies and POINT SOME POTENTIAL ERRORS of the study that may be unintentional and also makes the study and eventually the science or the vaccine BETTER.

No Approved Therapeutic Claim!

I had always wanted to talk about this with my patients but I have not had the time to sufficiently discuss this.

As a medical doctor I cannot and will not endorse any product which has a 'No Therapeutic Use' on its label. I am for any thing herbal and natural but it does not mean that I will disregard the safety of my patients.

I have a professor in Medschool that is an advocate of herbal medicine but she is also a medical doctor. And so, while advocating for herbal medicine, she tediously explained the process and the science of preparing an herbal medicine, and so let's take some important points about it:

• Herbal medicine preparations should be an exact ....science. This simply means that exact measurements should be used. Meaning if you prepare (let's take for an example Sambong leaves) leaves, and you are instructed to take 5 leaves. You should take leaves with proportionally same size with each other. There are some preparations that prescribes the exact size of the leaves like for example (I am only hypothesizing here) Sambong leaves should have 1-inches leaves while recommendations for Malunggay leaves is only 1-cm leaves. AND there are different preparations for barks, roots, fruits, etc.
• Even the procedures in preparations should be exact. As my mentor explained, preparing a decoction is also exact meaning a certain decoction is prescribed with a 1 cup water while others are prescribed with a 1 glass water (yes a cup is different from a glass!). If you boil a decoction for 30 minutes and you start the time from the moment you pour the water into the pot, it may be a whole lot different if you start the 30-minute time on the moment that the water boils. Plus there's a difference if the instruction is like 'You boil the leaves with 2 cups water until the point that the water remaining is only 1 cup.'
• The time of the day when you pick up a leaf/root/bark matters. We had been advised that the perfect time to pick leaves is in the morning just before the sun rises as the leaves has the perfect consistency to it.

Simple Cure to the Most Common ENT (Ears, Nose, Throat) Problem: BUGs in your Ears!

Various specialties share common factors that makes them common to other specialization in the realm of the art and science of Medicine. These factors make the practice of medicine overlap with other field of specialization. There are some things though that are totally unique in one specialty of the art of healing.

Take ENT for example or for medical professionals - Otorhinolaryngology or as defined, the field of medicine specializing in the study of the (E)ars, the (N)ose, and the (T)hroat thus the word E.N.T.. But as as I've mentioned above, some specialization overlaps with another, and so the nose and the throat can also be scrutinized and studied under the field of Internal Medicine in general, the field of Surgeons specifically the Plastics and Reconstructive Surgeons and to some extent the field of Dermatologists. But while the nose and the throat can be shared commonly, the Ears are exclusively of the field of ENT. It deals exclusively of the realm wherein no other set of specialized doctors have handled.

There are many afflictions that involves the Ears, but no other more common than the most simple problem - creeping bugs crawling inside your ears. This is not just a nightmare to some arachnophobes or entomophobes but also strikes fear to the ordinary patient who imagines a creepy crawling insect inside your ear canals. If this thought bothers a 'brave' adult patient, just imagine how a child with a bug in his/her ear would feel.

What would you feel?

 So first things first, how would you know that a bug or insect is really inside your ears? Your ear canal actually hosts several cranial nerves that renders it super sensitive to a variety of sensations. Tenderness may be felt due to weather changes or some kind of allergy.

Some signs and symptoms of insects inside the ear canal presents as pain, swelling, crackling or buzzing sounds but the most common symptom is severe pain especially if you keep on poking the insect down your ear canal. In some instances, some biting or stinging sensations may also be experienced. Some may also report certain levels of hearing loss or dizziness.