- 4 months ago
Healthcare for Every Cebuano: Where Are We Now?
Today, we sit down with Dr. Elisse Nicole Catalan, healthcare consultant of the Cebu Provincial Government, to discuss its impact on communities and the efforts to ensure accessible, quality health services for every Cebuano.
Today, we sit down with Dr. Elisse Nicole Catalan, healthcare consultant of the Cebu Provincial Government, to discuss its impact on communities and the efforts to ensure accessible, quality health services for every Cebuano.
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LifestyleTranscript
01:29Today, we take a closer look at the stories that shapes our communities and our future,
01:35going past the surface and into the impact and the context and the conversations that matter.
01:43In every episode, we move past what's trending and examine what the headlines truly mean for everyday Filipinos.
01:51I'm Mildred Galarpe.
01:53And I'm DJ Moises.
01:54Okay, DJ, today our conversation will focus on the healthcare system in Cebu Province,
02:01a vital issue that impacts not only community well-being, but also economic growth and the overall quality of life.
02:09And to share her insights on the province healthcare system, its impact on communities,
02:16and the ongoing efforts to ensure accessible and quality healthcare services for all Sabuanos,
02:24we have the PISO Health Consultant of the Cebu Provincial Government, Dr. Elise Nicole Catalan.
02:32Good afternoon, Doc.
02:33Afternoon, Mildred. It's your DJ.
02:35Good afternoon.
02:36It's Monday, you've been talking before airtime, it's good that Filipiniana is now being brought mainstream,
02:52that it can be worn on everyday interactions.
02:55Especially every Monday.
02:57Kay, flag ceremony.
02:58Anyway, before we go in detail, you know, healthcare program, we wanted to know, who is Dr. Elise Catalan?
03:09Like, are you practicing in the country before you joined?
03:16So, I'm, hello to everyone listening.
03:20So, I prefer to be called Nikki.
03:23It's easier to be called.
03:25Elise Nicole is such an 80s kid's name, right?
03:27One, two names.
03:29So, Nikki, I'm comfortable with Nikki.
03:32I, I, I'm a nurse and a physician by profession.
03:35So, I'm, I'm both, I'm licensed in both.
03:38I also, after completing my medical school year in Cebu Doc,
03:42I, I did my internship in Philippine General Hospital.
03:46And then, I took the boards.
03:48And then, shortly after, I went to the States to learn public health.
03:52So, I did my master's in public health at Ican School of Medicine at Mount Sinai.
03:56And I also did a master's in healthcare management at Johns Hopkins University.
04:01And a bit further, I did healthcare manager, healthcare leadership also in Harvard Medical School.
04:06So, beyond that, also, I did work in CCMC when I was a clerk.
04:15We were very much exposed to the, the rural communities.
04:17And also, when I was in PGH, my gosh, we were such a small batch.
04:22Now, you'd have to go on duties 36 hours every other day.
04:2736, that's more than one day.
04:29Yeah, it's, it's really, we've been exposed to that.
04:32They also give us rural and urban exposure.
04:35So, I was also put in Cavite for a while.
04:38We did rural medicine there as well.
04:41So, even before moving overseas and having global exposure, I've been pretty much exposed to the, the local healthcare landscape here also.
04:49Doc, while, well, a lot of healthcare professionals, particularly doctors, they tend to gravitate, no?
04:57Towards global, overseas, no?
04:59Or kind of thriving outside the country.
05:02What moved you and for you to decide to stay or to come back in the Philippines?
05:07Yeah, so, I mean, there's, I find nothing wrong with having to seek specialization or learning abroad.
05:15There's nothing, I think it's a good thing about our generation.
05:19We have the capability and there's avenues to go overseas.
05:23And I, the young students, when I see them in youth forums, I say, you really find a way to learn more.
05:29It's, it's, it's a good way to learn from other places as well.
05:33But, for my end, I was gone since I, I completed studies here.
05:37I was, my professional career was fully overseas.
05:41But I was always home.
05:43I was home almost every other month.
05:46When I was in the U.S., every other month, I would come home.
05:49When I was in Singapore, I was home almost every weekend.
05:53Because it's just, it's, it's, it's short of, it's short of flight, just three hours.
05:56And, and I've always loved being home.
05:58Family was here.
06:00Family has always been here.
06:01My mom's pretty nationalistic.
06:04She could have been elsewhere.
06:05But, when I was in the U.S., she was already in the U.S.
06:08And, and that's why, and what really brought me back was family.
06:12And I think that would echo with other healthcare professionals as well.
06:15I mean, you can go outside, but their heart always comes back here.
06:20Because of family.
06:21You know, if, if only opportunities are better here in our country,
06:26who wants to go out and leave your family?
06:27Precisely.
06:28But, you're forced to, just like other overseas Filipino workers,
06:33you were really forced to go out, to look, seek for a better life, for their families.
06:38And to provide better.
06:39To provide better.
06:39So, first of all those masters in public health in the U.S.
06:54Philippine setting, can you give us a short assessment of the, of the health system
07:04when you join Capitol?
07:08So, I would say there are pockets of excellence in the urban hospital.
07:12So, the pockets of excellence I refer to, we have really good hospitals here,
07:16tertiary care hospitals.
07:18But the problem is in the rural, at the provincial hospitals,
07:21they're really fragile and broken.
07:23WHO has this term called inverse care law.
07:26So, those who need healthcare the most, actually get access to it the least.
07:31So, that's really, when I got in, that's really the setting that I saw.
07:35You know, beyond political assessment or anything,
07:38Quandrid, we really saw dilapidated hospitals and systems that didn't work.
07:42So, that was very heartbreaking to see.
07:45Especially coming from a very idealistic, you know, very well-run hospitals
07:50that I worked with in New York and in Singapore.
07:52So, it's an amalgamation of many things, you know, at once.
08:11It's policy, it's governance, it's the budget that's there,
08:15it's the people also who's not in power.
08:17So, multifactorial, you know, it's more than the cost.
08:21Given the situation in our hospitals, Doc Ba,
08:27how many doctors and healthcare professionals do we need to fill the gap?
08:33I'd say a lot.
08:35There is the current, pila ang current.
08:39Number one is how many hospitals do we have?
08:42Pila ang current, pila ang ideal.
08:44So, currently, the province, the Cebu province, owns and runs 16 hospitals.
08:52So, two of which are level 2, Bugo and Balamban.
08:56You have four level 1 hospitals and then 10 infirmaries.
09:01And then, each of these hospitals have different manpower requirements
09:06based on the DOH.
09:07And just getting back to your question of how much we lack, no?
09:11So, I had HR give me the numbers.
09:14For plantillia lang, it doesn't even include the JO positions.
09:18There's 85% that's unfilled.
09:22That's quite a lot.
09:23And then, if we are to improve our hospitals
09:26and upgrade them from infirmary to level 1
09:28and level 1 to level 2,
09:30the need to fill that gap is more than the need to fill that gap.
09:33Okay.
09:36There was already an identified need, no?
09:40What do you think was the one causing for them not to be filled?
09:44So, I would say, in two administrations ago,
09:50there was already a system in place.
09:52I think GovJunJun had placed very good people that was well-manned.
09:57And apparently, the administration after,
10:00there was really a gap there and a lack of priority.
10:04So, there's...
10:05So, it doesn't fill.
10:06At the end of contracts, then it doesn't fill up.
10:09Or it doesn't fill up.
10:10It doesn't fill up.
10:10It doesn't fill up.
10:10It doesn't fill up.
10:10It doesn't fill up.
10:11It doesn't fill up.
10:11It doesn't fill up.
10:11It doesn't fill up.
10:12It doesn't fill up.
10:12It's funded, but it's not filled.
10:14Oh, okay.
10:16They identified naman ang roles.
10:18Right?
10:19Kay plantilla positions na good siya.
10:21Correct.
10:21Correct.
10:21And also, the DOH has very strict guidelines.
10:24Not guidelines even, requirements of how many manpower should there be for specific beds
10:30and for the size of hospitals.
10:32So, na-adju na siya, na-an.
10:34Okay.
10:34You said there are 16 hospitals.
10:37Two level 2, Upatka level 1, and four infirmaries.
10:40A 10.
10:41A 10 infirmaries.
10:41Infirmaries.
10:42Infirmaries.
10:42What is the infirmaries for?
10:45Unsay, makaya buhaton sa usaka infirmary?
10:47So, they're very basic.
10:48Kana lang basic consultation diagnostics and patient for very, fairly less severe diseases.
10:57Also, I wanted to step back.
11:00I wanted to share, the jurisdiction of the Cebu province are only the sub-apex hospitals.
11:06This is what you call kanya atong 16 hospitals.
11:09The apex hospitals, which are your Vicente Soto, your St. Anthony's, your Evercee, are under
11:15the DOH, your RHUs, your Rural Health Units, are under the LGU directly.
11:21So, policy, manpower, and budget sa Cebu province, kanya yung atong 16.
11:2616 hospitals.
11:2716 hospitals for how many towns?
11:31Oh, 50 municipalities.
11:33Oh, 51.
11:3451 municipalities, yeah.
11:36So, kung for example, naaka ug-Argao, in that area, asa man ang...
11:41So, that's why the CPH Karkar is very critical.
11:45More or do na itong biggest in the South.
11:48So, a lot of the controversies and the...
11:51are in Karkar because they receive about 23 to 24 municipalities.
11:58Sa South?
11:59Yes.
12:00More of...
12:01Well, ang pinakadako na ito is Karkar, but naabaylaing hospitals in the South, aside Karkar?
12:06Ah, they're the...
12:07Atong infirmaries na aman, but they can only handle as much.
12:10Like, I'll give you an example.
12:12For pregnant women and deliveries,
12:16ang infirmaries cannot take care of...
12:20kung ano siya, of...
12:21gravida, kanang buntis between...
12:24ah, kung first time pa, di sila handle an...
12:26and beyond four, gravida four, di sila handle by, right?
12:29They have to refer...
12:31To the bigger hospital?
12:32Yes.
12:32Okay.
12:33Okay, they're considered high-risk.
12:35So, if high-risk, it has to be a higher tier hospital.
12:37That's why our leveling up is very important because if our infirmaries can be level ones,
12:44and they're capable of handling more cases, and in the health financing-wise,
12:49they can also get back more sa ilang PhilHealth shares,
12:52which in our first week of office, we had a very good briefing by both DOH and PhilHealth,
12:58and they were telling us,
12:59grabe among claims.
13:00There are a lot of denied claims,
13:01and we also got the list of the diagnosis that they can take care of,
13:05and they're very...
13:06kung ankaayu ka nang minimal rakaay lang matake care of bitaw.
13:09So, it's one of the things really where...
13:12So, kung if these hospitals and infirmaries ma-upgrade,
13:19so that means it ma-decongest ang...
13:21Yes.
13:22Ang SOTO.
13:23Yes.
13:24And also, you know, there's really the urge...
13:26Katumanggud.
13:28Karen, what's very glaring is the need for curative,
13:30ka nang curative, which is the hospitals.
13:32We haven't even talked about preventive,
13:35and how to stop people to get to the hospitals first,
13:37but ang pinaka-pressing need is to make sure our hospitals are stuck and well-manned,
13:42and we can manage these cases.
13:44So, kind of hopefully, when we really work towards that,
13:48we can handle cases na...
13:50So, ang maabot na lang si APEX are the more complex ones.
13:53Yes.
13:54Mga surgeries na...
13:56So, na, ka nang open-house surgeries.
14:00Given it looks like there's so many things that need to be done, no?
14:04Yes.
14:04So, what are your priorities as of this time?
14:09Mga gagan kayo.
14:10From manpower to supplies and equipment.
14:14So, I keep talking to, internally with our group,
14:18mo ramanig ka na galing, ka nang yarn,
14:20na you have to look asa ka man.
14:23Yeah, asa man ang end, asa ang start, in it.
14:27So, that's really on our...
14:29Untangling, gudya.
14:30Yes, untangling.
14:30That's a perfect word.
14:31so that's why
14:32where do we start
14:34because it's all pressing
14:36and you know what's the problem
14:37with healthcare
14:37life's no good arthritis
14:38if you delay anything
14:41it's someone's mom
14:42it's someone's dad
14:43that we don't want to lose
14:45so anyway
14:46what the priorities are
14:48so as mentioned
14:48curative and preventive
14:51there's different levels of care
14:52but right now
14:53the most pressing is curative
14:55and to make sure
14:56we stabilize the operations
14:58in our hospital
14:59and then I keep talking
15:00to the media
15:01think of our needs
15:03as you know
15:03the Maslow's hierarchy of needs
15:05in the big triangle
15:07the most efficient
15:08is the medication
15:09equipment supplies
15:10filling the manpower
15:12also the infrastructure
15:13because the infrastructure
15:14is key
15:15in upgrading
15:16and what's needed
15:17if you've
15:19went around the hospitals
15:21not all
15:22but majority of it
15:23there's really
15:24dilapidated ceilings
15:26and non-functioning bathrooms
15:29and you have x-rays
15:30x-ray rooms without x-rays
15:33since 1993
15:34so this is a room rack
15:37so going back to that
15:39Maslow's hierarchy
15:40of needs kind of structure
15:41so infrastructure
15:42then that's where we can think of
15:44you know
15:44digitalization
15:45and data
15:46data capture
15:47because that's also
15:48from my
15:49from my training
15:50and also from my work experience
15:52data-driven decisions
15:53are really important
15:54especially now
15:55yes
15:55and especially
15:56in the political landscape
15:57we're in
15:58you have to be very evidence-based
16:00and very surgical
16:01in what you need
16:01and how to get
16:03how to lobby
16:04your needs
16:06okay
16:08I like the pyramid
16:10the Maslow
16:12I think it's easier
16:13to communicate
16:13so because I've heard
16:15some updates
16:16on the second
16:17demand power
16:18which is demand power
16:19but can we backtrack
16:20on the base
16:21where are we
16:22at least
16:22I know it's just
16:23less than 100
16:24but where are we
16:26at least on the base
16:27executive order number one
16:29was actually
16:29emergency
16:30allowing the
16:31giving money
16:31for emergency purchase
16:33of medications
16:33to really stock
16:35our hospitals
16:36okay
16:37you need
16:38it's very basic
16:39you need to have
16:39IV fluids
16:40you need to have
16:41your medications there
16:42so we've filled that
16:44gap so far
16:45and
16:45and also
16:47further than that
16:48the MOEs
16:49so they weren't
16:50I don't want to
16:52delve too much on that
16:53but
16:53we made sure
16:54that the supplies
16:55were given
16:56to our
16:57to our
16:57chief of hospitals
16:58so they can
16:59they can disperse
17:00and they can do
17:01whatever needs
17:01to be done there
17:03and also
17:04going back
17:05to the medication
17:05and supplies
17:06we do need
17:07a better inventory
17:08management system
17:09because the forecasting
17:11of this
17:11and the delivery
17:12is such a headache
17:13and you can imagine
17:14for islands
17:16like Camotes
17:17and Bantayan
17:18when you bring
17:19medications
17:20it takes effort
17:22and it takes
17:22logistical planning
17:23knowing how long
17:24government
17:25process request
17:27by the time
17:28when
17:29you start
17:30or request
17:3150%
17:32sa imuhang
17:33ano
17:33or ano
17:34so
17:35hindi
17:36lang
17:36mag-request
17:37mag-request
17:37ko karoon
17:38huwag
17:38siguro
17:38by December
17:39pa mo
17:39abot
17:40mag-beeding
17:41tedious
17:42kayo
17:42ang process
17:43it has to be
17:44tinood na
17:44do
17:44ang kanagyong
17:45inventory
17:45sa imuhang
17:46supplies
17:47and forecasting
17:48considering
17:49the lead time
17:50mo na
17:50importante
17:51ang imong
17:51data
17:52capture
17:53ni mo
17:54kay
17:54makitaan
17:55man ni mo
17:55remember
17:57si
17:57Pag-asa
17:5830
17:59years
17:59of
18:00his
18:00history
18:00so
18:01makita nila
18:01ang
18:02forecast
18:02makita
18:03ni mo
18:03nga
18:03in
18:04any
18:04season
18:04ting
18:05lpm
18:05in
18:06any
18:06season
18:06ting
18:07uan
18:07so
18:08makita
18:08good
18:09ban
18:09i think
18:10without
18:11data
18:12ron
18:12karong
18:12pananong
18:13unsa
18:13kang a
18:14sector
18:14you'll
18:14be
18:15blind
18:15you'll
18:15be
18:15hitting
18:16hit
18:16and
18:17miss
18:17good
18:17ka
18:17so
18:18you said
18:2085%
18:22isn't
18:23failed
18:23of the
18:24plantilla
18:24positions
18:25this doesn't
18:26even include
18:27the
18:27GOs
18:28we're still
18:32ongoing
18:33hiring
18:33so
18:34the issue
18:38we're having
18:38now is
18:39just to
18:39streamline
18:40the process
18:40the previous
18:42process
18:43took a bit
18:44of ping pong
18:44between
18:45two departments
18:46and we're
18:48hoping to
18:48fast track
18:50that
18:50the energy
18:53the enthusiasm
18:54is there
18:54we want to
18:55help
18:55the momentum
18:56is still
18:57there
18:57so we don't
18:58want to
18:58lose that
18:59and we also
19:00want to
19:00encourage
19:01more
19:02and especially
19:03filling the
19:03vital
19:04medical
19:05specialist
19:05there are
19:05different tiers
19:06of doctors
19:07so you have
19:07your medical
19:08officers
19:09you have
19:09your specialists
19:09and the
19:10specialists
19:11required
19:12per level
19:13of hospital
19:14you need
19:14to have
19:15OB
19:15you have
19:15the
19:15pediatrician
19:16surgeons
19:17especially
19:18knowing
19:19where
19:19our
19:20cases
19:21are
19:22usually
19:22so
19:23it's
19:26good
19:27that
19:29area
19:29is
19:30being
19:31given
19:32focus
19:33but
19:35going back
19:36to the
19:36first
19:36question
19:37earlier
19:37it's also
19:39good
19:39that
19:39there's
19:39momentum
19:40but
19:41in terms
19:41of
19:41sustaining
19:42the
19:42momentum
19:43considering
19:44again
19:45that
19:45professionals
19:46medical
19:46professionals
19:47especially
19:47tend to
19:48gravitate
19:48towards
19:49working
19:49abroad
19:50do we
19:50also
19:51have
19:51action
19:52steps
19:53or
19:53programs
19:54to keep
19:55them
19:55to sustain
19:56this
19:57so
19:57we're
19:58really
19:58looking
19:58into
19:59incentivizing
20:00them
20:01so
20:01I can
20:02share
20:02this
20:02part
20:02they
20:04took
20:05out
20:05the
20:06incentives
20:07PhilHealth
20:08SSS
20:08Pag-ibig
20:09previously
20:10for the
20:10JOs
20:10so
20:11we're
20:11working
20:12on
20:12reinstating
20:12that
20:13back
20:13now
20:13and
20:14apart
20:15from
20:15other
20:16possible
20:16incentives
20:17like
20:17I
20:18can
20:18share
20:18PhilHealth
20:21and
20:21SSS
20:22Pag-ibig
20:23so
20:24these
20:24were
20:25not
20:25before
20:25it
20:27was
20:27not
20:28continue
20:29for
20:29the
20:29JOs
20:30for
20:30the
20:30JO
20:30so
20:31we're
20:31working
20:32on
20:32reinstating
20:33that
20:33which
20:33takes
20:34some
20:34effort
20:34government
20:35is
20:35number
20:36one
20:36violator
20:37labor
20:37law
20:38violator
20:38right
20:39sorry
20:40doc
20:41but
20:42really
20:42even
20:43the
20:44JOs
20:45or
20:45even
20:45the
20:46Contra
20:46contracts
20:47but
20:48in
20:49private
20:49sector
20:49stick
20:50to
20:50on
20:51the
20:51six
20:51month
20:52whether
20:52regular
20:53or
20:53automatic
20:54regular
20:54you already
20:57have
20:57the
20:57basic
20:58SSS
20:58Pag-ibig
20:59tax
21:00so
21:02for
21:04JOs
21:05now
21:05you're
21:05working
21:07on
21:07that
21:07it's
21:08one
21:08of
21:08the
21:08things
21:08we're
21:08looking
21:09at
21:09and
21:09also
21:10like
21:10the
21:10PRDP
21:11is
21:11the
21:11Post
21:11Residency
21:12Deployment
21:12Program
21:13so
21:13we
21:14get
21:14them
21:14from
21:14the
21:15UH
21:15we
21:15also
21:16Gov
21:17PAM
21:17also
21:17signed
21:18to
21:18give
21:18them
21:18allowance
21:19to
21:20help
21:20them
21:20with
21:20transport
21:21so
21:21small
21:22these
21:23small
21:24things
21:24add up
21:24to
21:25big
21:25things
21:25even
21:26when
21:26I
21:26do
21:26my
21:27visits
21:27in
21:28the
21:28hospitals
21:28I
21:29always
21:29ask
21:29Doc
21:29have
21:31quarters
21:31what
21:32does
21:32the
21:32quarters
21:33look
21:33like
21:33that's
21:34the
21:34only
21:34comfort
21:34you
21:35have
21:35while
21:35you're
21:35working
21:3524
21:3648
21:36hours
21:37especially
21:37if
21:37assigned
21:38in
21:38car
21:39car
21:39you
21:39have
21:40to
21:40gov
21:41the
21:42quarters
21:42are
21:42important
21:43and I
21:44lived
21:44in
21:44quarters
21:44home
21:45comfort
21:46so
21:47I
21:47do
21:47look
21:47for
21:48that
21:48and
21:48then
21:49all
21:50those
21:51incentives
21:51I
21:51don't
21:52want
21:52to
21:52over
21:52promise
21:53also
21:53that's
21:53why
21:53I
21:53don't
21:54want
21:54to
21:54share
21:54too
21:54much
21:55but
21:56but
21:56we're
21:57really
21:57looking
21:57into
21:57that
21:58how
21:58it
22:00is
22:00in
22:00public
22:01hospital
22:01so
22:02we're
22:02working
22:02towards
22:03that
22:03but
22:03in
22:04regard
22:04to
22:04the
22:04speed
22:05of
22:05it
22:05I
22:05think
22:05people
22:06some
22:07have
22:07been
22:07quite
22:07impatient
22:08but
22:08that's
22:09what
22:09we
22:09keep
22:09asking
22:10give us
22:12a bit
22:12of
22:13time
22:13so
22:14medical
22:15equipment
22:16supplies
22:16and
22:17then
22:17staffing
22:18and
22:18then
22:18I
22:18think
22:18this
22:19is
22:19infrastructure
22:19what's
22:20the rest
22:20of
22:21the
22:21the
22:21rest
22:21are
22:22all
22:22the
22:22programmatic
22:22things
22:23and
22:23the
22:23data
22:23and
22:24the
22:24visualization
22:24we can
22:25put
22:25in
22:25even
22:26as
22:27far
22:27as
22:27going
22:27solar
22:27for
22:28the
22:28hospitals
22:29it's
22:30a
22:30dream
22:30especially
22:32in the
22:33province
22:34there's
22:34enough
22:36space
22:37for
22:37solar
22:39needed
22:39good
22:39especially
22:40during
22:41summer
22:45I
22:46forgot
22:47to
22:47mention
22:47the
22:47health
22:48financing
22:48so
22:49that's
22:49also
22:49one
22:49part
22:50we
22:50need
22:50to
22:50work
22:51on
22:51the
22:51claims
22:52and
22:53how
22:53to
22:53maximize
22:54your
22:54PhilHealth
22:54programs
22:55promise
22:57is
22:58zero
22:59billing
22:59so
23:00and
23:01we're
23:01very
23:02lucky
23:02because
23:03the
23:03DOH
23:04PhilHealth
23:05they're
23:05all
23:05very
23:06supportive
23:06so
23:06I've
23:07met
23:07with
23:07them
23:07at
23:08least
23:08many
23:08times
23:08in
23:09the
23:09past
23:09two
23:09months
23:10we're
23:11chat
23:11made
23:11already
23:12so
23:13and
23:13also
23:13we were
23:14able
23:14to
23:15harness
23:15different
23:15government
23:16and
23:16private
23:17sectors
23:17and
23:18that's
23:19why
23:19people
23:20see
23:20me
23:20and
23:20say
23:21oh
23:21consultant
23:21I'm
23:23actually
23:23I'm
23:23just
23:23a
23:23face
23:24there's
23:25so
23:25many
23:25people
23:25behind
23:26me
23:26and
23:26a
23:27lot
23:27of
23:27these
23:27private
23:28citizens
23:28and
23:29professionals
23:29they'd
23:30rather
23:30not
23:30be
23:31they don't
23:32want
23:32to be
23:32bashed
23:33or seen
23:33but
23:33they
23:34really
23:34give
23:35sound
23:35feedback
23:35and
23:36also
23:36how
23:38to
23:38help
23:39us
23:39so
23:40that's
23:41there
23:41I'm
23:41just
23:41the
23:41note
23:42taker
23:42I'd
23:42like
23:42to
23:43think
23:43I'm
23:43a note
23:43taker
23:44and
23:44bridge
23:44the
23:45way
23:45I
23:46can't
23:46picture
23:50the
23:51hospitals
23:52in the
23:54province
23:54in
23:57the
23:57interview
23:57to
23:57PDRMO
23:58the
23:59last
23:59time
23:59starting
24:00September
24:01C
24:03ambulance
24:03how
24:04important
24:05is
24:05C
24:05ambulance
24:06for
24:06I
24:06think
24:07before
24:07we
24:08started
24:08I
24:08was
24:08saying
24:09a
24:09very
24:09heartbreaking
24:10joke
24:10I
24:11heard
24:11when
24:11I
24:11was
24:11in
24:11Camotes
24:12was
24:12if
24:13the
24:13doctor
24:13can
24:13do
24:14anything
24:14the
24:14next
24:14prescription
24:15was
24:15Jumalia
24:16which
24:16was
24:16shipping
24:17to
24:17go
24:17across
24:18it's
24:20really
24:20sad
24:20especially
24:21for
24:21neuro
24:21and
24:21cardiac
24:22cases
24:22there's
24:22urgency
24:23in
24:24time
24:24of
24:25the
24:26essence
24:26and
24:26these
24:27places
24:28are
24:29tourist
24:29places
24:29as
24:30well
24:30and
24:30people
24:30live
24:31there
24:31do
24:34you have
24:34a
24:35hospital
24:35there
24:35or
24:36still
24:36there
24:36there's
24:37a
24:37hospital
24:37in
24:37Camotes
24:38it's
24:39actually
24:39level
24:39one
24:40so
24:40level
24:40one
24:41can
24:41accommodate
24:42basic
24:45obstetrics
24:46they can
24:46do
24:46some
24:46surgery
24:48basic
24:49and then
24:50inpatient
24:50some
24:51inpatient
24:52where
24:53hospital
24:53located
24:54Pilar
24:55if I'm
24:55not
24:55mistaken
24:56so
24:57they're
24:58going to
24:59be
24:59faster
25:02but
25:02the
25:03ambulance
25:03is
25:04not
25:05abuse
25:06abuse
25:07yes
25:07and
25:08the
25:08ambulances
25:09I wanted
25:10to share
25:10there's
25:11really
25:11a
25:11nuanced
25:12issue
25:13about
25:13that
25:14because
25:14in a
25:14municipality
25:15there are
25:15different
25:16ambulances
25:17there are
25:18ambulances
25:19there are
25:19ambulances
25:20there are
25:20ambulances
25:20there are
25:21ambulances
25:22there are
25:22ambulances
25:22there are
25:23ambulances
25:24or
25:24hospital
25:25provincial
25:26hospital
25:26sometimes
25:27ambulances
25:28so what
25:29we did
25:29also
25:29what
25:29GOVPAM
25:30did
25:30in our
25:30first week
25:31of office
25:32was increase
25:33the gas
25:33allowance
25:34because it
25:35was previously
25:36decreased
25:36so she
25:38increased
25:38it to
25:39at least
25:39300
25:40liters
25:40per
25:41ambulance
25:41actually
25:42we're still
25:43studying
25:43that
25:43if it's
25:44sufficient
25:44for the
25:45islands
25:45and the
25:46farther
25:46so it
25:47has to
25:47be
25:47proportional
25:47as
25:48well
25:48so
25:49that's
25:51also
25:51very
25:51key
25:52for
25:52the
25:52mobility
25:53and
25:53the
25:53ambulance
25:54that's
25:59why
25:59I wanted
25:59to be
25:59very
26:00clear
26:00about
26:00it's
26:01such
26:02a
26:02nuanced
26:02information
26:03but
26:03where
26:04the
26:04ambulance
26:04comes
26:05from
26:05but
26:05I'm
26:06a good
26:06per
26:07local
26:07health
26:07board
26:07in
26:08the
26:08LG
26:08who
26:09is
26:09the
26:09first
26:10responder
26:12but
26:13for
26:13ambulance
26:14who
26:15has
26:15to say
26:16if
26:16I
26:17can't
26:17ask
26:17to
26:17go
26:18or
26:18no
26:22go
26:22so
26:23it's
26:23the
26:24local
26:24health
26:25boards
26:25actually
26:25are
26:26the
26:26ones
26:27who
26:27have
26:27known
26:28that
26:28they own
26:28that
26:29can
26:29municipio
26:30first
26:30or
26:30last
26:31line
26:32the
26:32provincial
26:33hospital
26:34ambulance
26:34which
26:35also
26:37brings me
26:38why
26:38the
26:38provincial
26:39health
26:39board
26:39is
26:40so
26:40important
26:40because
26:41it
26:41oversees
26:42all
26:42of
26:42which
26:43was
26:43not
26:44was
26:44inactive
26:45for
26:45six
26:45years
26:46and
26:48the
26:48provincial
26:49health
26:49board
26:49is
26:50key
26:50in
26:50policy
26:51and
26:51budget
26:53and
26:53it's
26:54in
26:54support
26:54of
26:55the
26:55universal
26:55health
26:56care
26:56health
27:09board
27:10it's one of the
27:10things that they can
27:12also
27:12Outbreaks of diarrhea, outbreaks of water,
27:19You are the health board.
27:23It's one of the things that they can also look into, investigate and recommend to the chief executive.
27:29Kimura, if every year now, that means you're not doing anything about the problem.
27:34That's why it's recurring.
27:35And this is also why data surveillance is very important.
27:38It brings you back to the data as well.
27:40So before coming, last week, I was with DOH, Region 7, and they were telling us,
27:44Oh, we have to up our, what's this, for dengue.
27:51We're expected a spike in September.
27:55And I would like to correct myself.
27:58The hospital in Komotes is not in Pilar, it's in San Francisco.
28:02Okay, San Francisco. Thank you, EJ.
28:06And it's also good earlier that you mentioned about collaboration with DOH and other agencies.
28:14Can you elaborate more how the collaboration is right now?
28:18Yes, so it's very, very congenial, not more than congenial.
28:23It's very collaborative.
28:25We see them very regularly.
28:27The lines are very open.
28:28And if there's programs that they want us to look into, and actually, you know, they may do with the promise.
28:33Dr. Brilliantes and his team, the RLED team, Dr. Padindol, they promised on day two that we will give you an assessment of all the hospitals.
28:43And they delivered in between two to two and a half weeks.
28:47And really got the list of deficiencies.
28:49Not just manpower, but also with equipment and the physical plan.
28:53So they really gave us a good baseline.
28:57This is what you're working with, and this is what you need to procure and to fill in.
29:02Okay.
29:03That's good, because even with the limitations of data, there is still an attempt to really make the assessment accurate.
29:11And PhilHealth, as well, has been very active in helping us.
29:14We've had several meetings with them in the capital.
29:17And also bridging the gap between the chief of hospitals and the municipal health officers.
29:23And ruling out the YACA programs and everything.
29:26So it's, I would say, very, very positive in that collaboration and with the government.
29:31Remote locations are, I have soft spot also for them.
29:36And you've mentioned that what they have as of this time are largely infirmaries.
29:41Yes.
29:42With the infrastructure, Doc, is that part of at least the priority for the next three years?
29:47I'm not saying for the first 100 days to upgrade the infirmaries.
29:51Definitely, definitely.
29:53Because you have people there and it's very hard to, that's what I mentioned earlier, the inverse care law.
29:59Correct.
30:00The people who need the most get the healthcare least.
30:03So that's a priority.
30:05We really give care and faster, what is it, faster, kinder care to them.
30:13That's right. Faster, kinder care.
30:15Faster, closer.
30:16Faster, closer.
30:17I was looking for the right word.
30:18Closer, faster, kinder care.
30:20Okay.
30:21So, with all these problems,
30:26I don't know if you're aware, but for the budget proposal,
30:40as well as healthcare?
30:43It's definitely a top priority.
30:45So this was a promise and then we will definitely make do with that promise.
30:50And on my way here, I was reminded by our administrator
30:54that there are 650 million that will be allocated for all these infrastructure changes.
31:00Infrastructure meaning the hospital buildings?
31:02Yes.
31:03The actual structures itself.
31:05Oh.
31:06So, how do you address the supplies?
31:09How many are you addressed?
31:10Manpower?
31:11Infrastructure.
31:12Infrastructure.
31:13Infrastructure.
31:14I'm happy it's catching on.
31:15Yes.
31:16Because this is the data.
31:18And the health financing and everything.
31:22Yes.
31:23Since evidence-based health system,
31:28it's more important to collect the data.
31:32So, we'll find out
31:33where there are kinds of diseases in Cebu.
31:38So, there was a field health report
31:41that the claims,
31:43it's not like cancer.
31:44It's very basic.
31:46Oh, basic.
31:47So, I'm sure there's a lot of people who died.
31:52What happened?
31:54Did it come to hospital?
31:55No.
31:56It's the problem with the access also.
31:59So, I can affirm what you said.
32:01Now, when PhilHealth gave us the list of top diagnosis,
32:04mostly were gastroenteritis,
32:06community-acorded pneumonia,
32:08more than that.
32:09If you see this data,
32:12so that means
32:13the Cebuans are healthy, right?
32:15So, what happened to that?
32:17Right?
32:18Increased the funds,
32:19the coverage for cancer,
32:21for breast cancer,
32:22for unza pa na,
32:23increased,
32:24but nobody is availing you.
32:27And I also would like to bring it to
32:30an intangible thing that is trust.
32:33So, we also have to rebuild the trust
32:36to regain the trust of people
32:38that we're trustworthy,
32:39that you won't die,
32:40you won't be able to reach
32:41the provincial hospital.
32:42Or if you happen to be in a resort somewhere
32:46and something happens to you,
32:47then you're okay.
32:48You're swimming in the whale sharks in Oslo
32:51and our provincial hospital
32:53can take care of you as well.
32:54So, that's it.
32:55I think it's very...
32:56Is there a lot of...
33:00If we are promoting tourism,
33:03the accessories,
33:07for it to be sustainable,
33:09is actually health.
33:10Correct.
33:11Especially for emergencies.
33:12Yes.
33:13If you have a stroke,
33:14hot,
33:15you don't have to adjust,
33:16or you have to be cold.
33:20So, that was why it was quite outrageous to me
33:23that when I visited Oslo,
33:24there was no ECG machine even.
33:27So, that to me was very bad.
33:30But anyway,
33:31that's being procured now
33:32and we should have that in a week.
33:35I don't know, several weeks.
33:36Depends on how the process is.
33:38Sure, you're right.
33:39It's already Easter.
33:40It's already Easter.
33:41It's already Easter.
33:42It's already Easter.
33:43It's already Easter.
33:44But also,
33:45just to go back to data,
33:46we have the PhilHealth data saying
33:48some tourist destinations,
33:50some minor lacerations
33:51or some of the first things
33:53have been obtained.
33:54So, I like the idea on the pyramid.
33:57I also like the idea about curative
33:59and preventive.
34:00I think much of the conversation today
34:02is on the curative.
34:03Yes.
34:04Can you also help us see
34:06what's the preventive programs
34:09also that are in the provincial government's
34:11priorities this time?
34:13So, this also goes back to what I mentioned earlier
34:15about the sub apex
34:16and your municipal health offices
34:19which are under the LGUs.
34:20So, we don't control their budget and policies
34:23but we can influence them.
34:25And we really want to put effort also
34:28in basic hypertension,
34:30diagnosed diabetes
34:32and chronic illnesses
34:34for their monitoring
34:36and medication compliance.
34:39And going as far,
34:41we also have worked on mental health.
34:43So, there's a long term
34:46in Panglaum has been there for 10 years
34:48but we wanted to amplify their voice
34:50and say there's a suicide protection
34:52on the previous side.
34:53So, there's so many things
34:55but we just have to harness,
34:58put them together
34:59and to amplify the previous programs
35:01and the preventive side
35:03so that it can be decongest
35:05the hospitals.
35:06It's true.
35:07It's true.
35:08In the first year,
35:09you don't have mental health.
35:11Mental health is good.
35:12It's because
35:14the Filipinos are resilient.
35:17But I think
35:18after COVID,
35:19it's true.
35:22There is such a thing as mental health.
35:25Do you realize it?
35:27Because there's already
35:28a lot of people
35:29who experience it.
35:30There are only skitzoes.
35:31But ordinary people
35:33because you're being enclosed
35:36for so long.
35:38So long.
35:39Then, pressure from work.
35:40The pressure from work.
35:42Especially for those
35:43working remote.
35:45You don't have any questions.
35:46You don't have any questions.
35:47You don't have any questions.
35:48You don't have any questions.
35:49You don't have any questions.
35:50You don't have any questions.
35:51If you're going to have any questions,
35:54you don't have any questions.
35:55But it's just difficult to chat.
35:56It's true.
35:57You don't have to know
36:01the situation in Soto.
36:03that's where the service is.
36:04Every time
36:06we have a story about suicide,
36:09we always have to go to service.
36:11so that if people
36:13are listening in the family,
36:14maybe you'll have a doctor
36:15but it's only being a story.
36:19so that is one aspect of it of and then other preventive health programs and I
36:25would also like to acknowledge our private sectors so a lot of the
36:29hospitals have come forth and say no we have charity clinics you can bring your
36:33provincial patients and a lot of private doctors also offering offering
36:38support and and finding ways to help us the missions recently are also in
36:44partnership with private hospitals no and I I always want to see about these
36:49missions but there are really stop-gap solutions my dream in life one of my
36:54dreams in life is we don't have to do missions anymore they're just
36:59and we're very we're very blessed that these surgeons you know this surgeon costs a
37:11lot of they really they're really expensive they're top they're top-notch
37:15surgeons but they're doing these procedures for free so personally the
37:19least I can do is put them a snack bar and have them food and and just being
37:23with them during these missions and in the weekends talking of mission timing
37:28and proud
37:29so proud visaya see proud visaya 85 inch maayong buntag doc na apa mo libri surgical
37:35mission akong tiya nakalibri town salamat ka ayo pero ako wa ko ka appeal kay
37:42trabaho pwede pa doc asa mang kadapita proud visaya kay para makibaw ka when ang next
37:49nga mission apas na lang ka din to let us know kung asa ka dapat so uh so a very happy na ka avail imo ang tiya
37:59um so the next immediate we did a marathon it was really a marathon for the whole
38:04every weekend yes so it was different hospital so it was sui generis and sebu doc in the first weekend
38:11the following was strongwa strongwa and uc med the sunod was amro with perpetual socor and then the
38:17the last weekend was soto uh the next one uh would be in bantayan mid-september
38:25and the reason being i i also wanted to be clear about that now we use the four provincial hospitals
38:37okay they're the bigger ones man good baluartihay or paboray but it's just they were better equipped
38:43immediately uh the equipment and everything and we can bring the doctor safely there it's there's big enough
38:50big enough space for them but the subsequent ones will be a bit more spaced out so the next one will be
38:55in bantayan but we're working on smaller missions now more targeted ones that uh maybe cataracts
39:02for now or the small excision so pang-apa strategy that works concurrently with all the reform
39:09for now canang interim solution
39:16immediate ang need na ba kay dugay na nasakit so the the missions is there nga in anna
39:21to intervene eventually add to it as a hospital diba it's the hospitals yeah and it's also our way of
39:27baking the doctors and surgeons comfortable na uy when you're free weekends you can probably come here also
39:33do surgeries na moto mo na na na
39:40when pag sudi mo sa capitol leonia you and the governor were really carrying the banner for healthcare
39:46how was the response of the private sector on the healthcare sector
39:52overwhelmingly good to a point that i would cry
39:54sometimes so mid meeting i would catch and look at these people and these are people i admire
40:00these are people number what you're talking to me
40:03and i'm like i'm theory i now just remembering and kukrabi there they're stalwarts and they're in there
40:09and then they're doing these surgeries for free that these are time away they can easily do
40:14on a weekend yes on a weekend in town and you don't the behind the scenes
40:21but these people they do mop mag mop na ni sila in between
40:24just to turn over a bit of patients imagine like we would do what 20 plus a day or more in a day
40:31so it's it's it's it's very it's it's very positive and i think it's also a reaction to how they were shunned and shamed previously
40:46and medical community that they did not forget and and they were here to say we're 100 all-out support and also they're
41:01doctors become doctors for a reason there's really a part of them who big part of them that really wants to help others
41:07others so now and you know
41:10it's a good
41:11it's a good
41:12it's a good
41:13it's a good
41:14it's a good
41:15it's a good
41:17it's a good
41:18it's a good
41:19it's a good
41:20it's a good
41:21so along the way things changed
41:23but it's not
41:24it's still there
41:25it's still there
41:26the private sector
41:27the doctors
41:28are in the same way
41:29they're in the same way
41:31and we really want to recognize them
41:33I think people also some
41:34some look at it and say
41:35oh sige mag post any and shoot
41:37actually it's it's really to recognize the heroism and the volunteerism there
41:43people should know that these
41:45they're really banding together and then helping fellow Cebuanos
41:50admirable kayo
41:51so for the last two months
41:54so this one I hope
41:56this is intended to be a light question
41:59but what has been the
42:01most challenging and then we'll end with the most rewarding
42:04so far on working as a consultant
42:07now at the provincial government
42:09the most challenging I think you know
42:11take out the noise and everything
42:13that's that's that's there
42:15it's to communicate what you're trying to do
42:18and to tell people
42:19just give us a little bit of time
42:22things don't happen overnight
42:23and and
42:25well some might want you to fail
42:27we really want this to work because lives are at stake
42:30we're not here
42:32when you go if I really
42:36if people want to go with me to the hospital
42:38I really welcome them
42:39please do
42:40because you see your humanity
42:42in the in the eyes and
42:44and how people need really need help
42:46so I do this from
42:49I mean it's a it's a it's a professional sacrifice on my end
42:56but which brings me to what's rewarding
42:59when you see patients going home sooner
43:01and then you know
43:02and then you know
43:03um
43:04they tag you in post the town
43:05and I'm like
43:06I had three hours of sleep
43:10but I don't care
43:11I'm so happy about that
43:13so that that keeps me going
43:15and I think that makes for a very good life
43:17if we can really make do with that
43:19and and and even even outside with of politics
43:23I mean we've been in the NGO sector before that
43:25so I I find a high from that
43:28so kind of shadow looking ahead
43:31what major reforms or projects
43:33under Governor Baricuatras administration
43:36do you think will have the most lasting impact on Cebu?
43:40ah
43:41I wanted to add one thing
43:43my my being consulted is no signatory
43:46you know
43:47can I wanted to put it out there
43:49I wanted to put it out there
43:51before answering a question
43:53where is your responsibility as a consultant?
44:02so again no signatory
44:03no no no salary
44:05but I I do form
44:07I I give my
44:09yeah my recommendations directly
44:11and I still work through the
44:13the what is public health office
44:16and all the the necessary
44:18department heads and
44:20so we we don't we don't bypass that or anything
44:23so I'm quite respectful of the structure that's already there
44:27how's your relationship with the provincial health officer?
44:31we're we we have to work in in beefing that up
44:35and having that more resilient and
44:37more prepared for all the reforms now
44:39we plan to do
44:40so kind of it's a
44:41it's a where I would say
44:42in a short word work in progress
44:44okay
44:45okay so
44:46oh
44:47oh
44:48oh
44:49I wanted to make sure
44:50that
44:51the lasting impact
44:52that the overarching goal really is
44:54no Cebuano left behind
44:55and
44:56and
44:57how we get to that
44:58there are several ways
44:59you know
45:01we stabilize hospital operations
45:03we make sure manpower is there
45:04we follow the
45:05the
45:06the
45:07yeah
45:08maybe you should name it
45:09yes
45:10maybe some branding person can help us
45:12I'm open to suggestions
45:14we have hospitality people telling me
45:16we'll help you
45:17because okay
45:18when due time when we fix
45:19with all the the small things
45:20I can get the hospitality people to help us as well
45:23maybe next year
45:24in the US it's a trend
45:26healthcare and hospitality
45:27because you also have to
45:29to show
45:30some kindness
45:32and some
45:33to patients
45:34the
45:35there are some
45:40you see
45:41even more
45:42there's all that
45:42we call in the
45:43payment
45:44due to your
45:45cigarettes
45:46that
45:46they 17
45:47used to
45:48use
45:49our
45:49bankers
45:50this
45:51product
45:53that
45:55we
45:55included
45:56they
45:57asked
45:58not
45:59to
45:59name
45:59this
46:00happened
46:01in
46:02CACOUR
46:03Iyang pasabot is
46:06Na hospital ang tao
46:07Kaya na ila ang ipamati
46:09Pwede traturun
46:10I-treat them with dignity
46:12Dili singka-singkahan
46:14Dili
46:14Ang ila ang ipagawa
46:17Katong nagpada, ang ipagawas
46:19Yes, ordinary rami citizens
46:23But ayaw may i-treat
46:25May kasabot
46:27In pain gugaw
46:29Or inconvenience ka
46:30That's why you're there
46:31That's why before the hospitality training
46:36The manpower also has to be filled
46:39Kaya human nature
46:40Kung kapwi ka
46:41Kung kuwang mo
46:42Kway tog
46:44Sipok si didi mo utok
46:46I mean, it's not an excuse
46:48Because they also have
46:49But they're also human beings
46:51Who can be very tired
46:52And be worn down by the system
46:54So that's why we're trying to fill the gap
46:56And to make sure that there's no excuse for you
46:58To lighten the burden
47:00Yes, and when Gov Pam met with a new set of nurses and doctors
47:03One of the things she asked was
47:05Please serve with a smile
47:06That's what she mentioned in the Quran
47:12So definitely we will work on that in due time
47:16After we fill the fundamental problems
47:19So given the many challenges
47:26Pero you've also accomplished
47:28And the provincial government also has accomplished so much
47:31In the past two months
47:32So what can the Cebuanos expect
47:37For the remaining years
47:41At least for the next three years
47:43I would say that it's heartfelt
47:49Where we come from is
47:50And should we make any errors later
47:55Or lapses
47:56Or we're not fast enough
47:58Understand that we're really doing our best
48:01We really intend to give real service to the Cebuanos
48:08So please help us be supportive
48:10And we also call for volunteerism
48:12You don't have to be a doctor or a nurse
48:15Or other professionals
48:17If you want to help us
48:19Or if it's your birthday
48:20And you have extra
48:21You can buy a mask for the hospital
48:23We welcome that
48:25Brother, tell me to put it on the floor
48:26Oh, I know
48:27You look good, DJ
48:29But it's true
48:32Especially Christmas is coming
48:35Bermans already
48:36So we had the Australian nurse
48:39She's back home
48:40She's vacationing here
48:42But she brought supplies
48:43You know what?
48:45There are Filipino nurses and doctors
48:48Who wants to donate or bring supplies here
48:52But this is where it comes to customs
48:55Yeah, so
48:56I can't speak much on the methodology of things
49:00But definitely we welcome any and all sorts of help
49:04So in fact, in February
49:06There's already a group from California
49:07Who's scheduled to come
49:09And also do surgeries
49:11We're excited about that
49:12And then the nurses visiting
49:14The one that just came and brought supplies
49:15We also welcome that
49:17I think part of them also wants to help
49:19The fellow Sabuanos
49:21So how will they get in touch with you and your team
49:25Just in case they want to do more of that?
49:28Yeah, especially the ones overseas
49:29So there's a nuanced procedure to it
49:33Because people often think that the governor's office
49:37Can just receive donations
49:38We cannot do that
49:39So it has to
49:41There has to be a formal letter
49:42With an inventory of all these things
49:44That you want to submit
49:45It actually has to go to the provincial board
49:47Okay
49:48They have to allow us to accept it
49:50So there's a process to it
49:53So it's not going to be fast
49:54But we can work
49:57We can work
49:57Okay
49:58So it's a result of Dr. Nicky
50:01For Filipinos
50:03Who want to help our hospitals
50:08In the province
50:08In the province
50:08It's a simple mask
50:12If you plan to
50:15Can you donate
50:17Or can you donate
50:18Or can you donate
50:18Or can you donate
50:18Or can you donate
50:19Because I told you
50:20Is there a batch
50:24A nursing batch
50:26And that's something I share
50:30I think you just need to
50:31Message the Facebook page
50:34Of the provincial capital
50:35To find out
50:37Unsa ang requirements
50:38Kay government mangod
50:39Sato na
50:40We have to be very careful about that
50:42Yeah, di mo sato na
50:43Kaya nang
50:43Uy, dawato na
50:44Kaya nang mo iikoan
50:46Dili
50:46Kaya nang
50:46There's a process
50:47Ang proper
50:48Ang
50:49Sato na
50:51Kinanglag inventory
50:52Kay
50:52Basin inigpada
50:53Naila yung masudid to nyo
50:55Kaya nang mo iikoan
50:56Kaya nang mo iikoan
50:57And also
50:58I don't want to
50:59Limit it to things
51:00So in the
51:01Two weekends ago
51:02There was a group
51:03I think it was a
51:04Rotary group
51:05They just did health teaching
51:06They did health teaching
51:08Well
51:08Medical consultations
51:10There were about
51:11200 plus
51:11So you really have
51:13A captured audience there
51:14And then
51:15They were just talking about
51:17Violence against women
51:18Is this normal
51:19Is this not normal
51:20So
51:20It's a beautiful thing
51:22You can contribute
51:22In ways
51:23That you're comfortable
51:24And you have some
51:25Strength in
51:26So
51:26Ina lang mi
51:27Muayud mo abiba
51:30Ramig
51:30Asa mo makatabay
51:32Yes
51:32It's true
51:33So
51:33Kanang
51:34Napangutan na naman
51:36Siguro tanan ni mo DJ
51:37But
51:37Before that
51:38Biyaan na to
51:39Si
51:39Before na to
51:41Si pabalikon
51:41Kapitulyo
51:42Kay napasid
51:43Nagabuaton dito
51:44Kuan doc
51:45Kanang
51:46I know
51:48Grabe ang
51:50You know
51:50Demands
51:51Kay
51:51Dako ang
51:53Na void
51:54Unsay
51:58What
52:00Kanang
52:00Mga
52:01Hitabo
52:01Nga
52:01Imong
52:02Maricall
52:02In
52:02The last
52:0360 days
52:04Nakapakatawa
52:06Gidni mo
52:06O
52:06Nakapahilak
52:07Gidni mo
52:08Doghan
52:09It's quite a lot
52:13Dali
52:14Irmakiko
52:14You know
52:16When I see
52:16Before we start
52:17The missions
52:18And I see
52:18All the doctors
52:19There
52:19I see
52:20The patients
52:20There
52:20Mga
52:21Materia
52:21Ayud
52:22Kuo
52:22100
52:23Kay
52:23Waka
52:24And then
52:25It's more of
52:28A place
52:29Of gratitude
52:30Bitao
52:30Nam
52:31You know
52:31People are
52:32Really helping
52:33Each other
52:33And we really
52:34Want to see that
52:35To spark
52:36That change
52:37And to spark
52:37That volunteerism
52:38In them
52:39Ay
52:40Salamat
52:40Lord
52:41Mga
52:42Odro na akong
52:43Mga
52:43Think
52:43And then
52:44Unsay
52:44Ba'y
52:44Nakapalisud
52:45Nako
52:46Unsay
52:46Mga
52:46Ito'y
52:46Nakapahilak
52:47Nako
52:48Unsay
52:48Mga
52:48Makapakatawa
52:49Nako
52:49I'm trying
52:50To find
52:51Dagan
52:52Mag
52:52Light
52:52Moments
52:53Bitao
52:53Especially
52:54When we
52:54Do
52:54These
52:55Missions
52:56I can't
52:56I can't
52:57Think
52:57Of
52:57One
52:58Instance
52:58But
52:59Okay
52:59Unsay
53:00Nakapalagot
53:01Nimo
53:01What is it
53:09What is it
53:09When we do
53:16The
53:16When we do
53:17The
53:18Ocular
53:18Visits
53:19And
53:19I don't
53:20Do them
53:20By
53:21Myself
53:21So
53:21The
53:21PHO
53:22The
53:23Team
53:23Goes
53:23There
53:23The
53:23Engineering
53:24Team
53:24Also
53:25Goes
53:25With
53:25Us
53:25I don't
53:33Curse
53:33But
53:34I
53:34Don't
53:35Curse
53:35But
53:36I
53:36Don't
53:37Curse
53:37One
53:39Delivery
53:40Room
53:40Table
53:40In
53:41Barili
53:42I
53:43Don't
53:43I
53:44Don't
53:45I
53:46Don't
53:47Our
53:47People
53:48Deserve
53:48Better
53:48So
53:50Anyway
53:53Past
53:54Is
53:54Past
53:54That's
53:55What
53:55Gov
53:55Keep
53:56Saying
53:56Past
53:57Is
53:57Past
53:57We
53:57Move
53:57Forward
53:58And
53:59We
53:59Get
54:00There
54:05I
54:05I
54:09Try
54:10To
54:10Funny
54:11Moments
54:11In
54:12The
54:12During
54:15The
54:15Missions
54:16That
54:16It
54:17Will
54:18Get
54:18To
54:19Get
54:19Opere
54:20A
54:20Doc
54:20But
54:24We
54:24Have
54:24To
54:24Make
54:25Them
54:25Understand
54:26These
54:26Surgeries
54:27They
54:27Need
54:27To
54:28Be
54:28Pre-screened
54:29We
54:29Have
54:29To
54:30Make
54:30Sure
54:30It's
54:30Safe
54:31Or
54:32Can
54:32Blood
54:33Pressure
54:33Can
54:34Can
54:34Sugar
54:35Can
54:35You
54:35Can
54:36That
54:37We
54:37Also
54:38Want
54:38The
54:38Outcomes
54:39Are
54:39Good
54:39And
54:39They
54:40Are
54:40Safe
54:40And
54:40Can
54:41It
54:42Done
54:42At
54:42The
54:43Right
54:43Time
54:43So
54:44I
54:44Can
54:44One
54:51More
54:51One
54:54More
54:54Was
54:55We
54:56Were
54:56Working
54:56On
54:56The
54:57T-shirts
54:57For
54:57The
54:58Missions
54:58And
54:58We
54:58Put
54:59All
54:59The
54:59Logos
54:59There
55:00The
55:00Text
55:01It
55:02Is
55:03What
55:03Don
55:04You
55:04Engaged
55:08It's
55:09Such
55:09A
55:10Nice
55:10Problem
55:11To
55:12Have
55:12Time
55:13Time
55:14To
55:14Print
55:15It
55:15It
55:16It
55:17Add
55:18But
55:18The
55:19Amount
55:20Of
55:20People
55:20Who
55:20Want
55:20To
55:21Have
55:21My
55:21Go
55:21It
55:21It
55:22It
55:23It
55:24It
55:24It
55:25It
55:26It
55:27It
55:27It
55:27It
55:28It
55:29It
55:31It's
55:31An
55:31Organization
55:32It
55:32It
55:32Documentation
55:33because of the yellow logo.
55:35So, I think that it's already been added to my logo.
55:39It's just an affiliate link to my logo.
55:41Yes, it's an affiliate link to my logo.
55:43It's like Doc, it's like that.
55:47Don't forget it's a joke.
55:49Don't forget it.
55:51Don't forget it.
55:53Don't forget it.
55:55Don't forget it.
55:57It's an affiliate link.
55:59Yes, which is very simple.
56:01But, we'd like to thank Dr. Catalan for accepting our invitation
56:07and explaining to us where we are and where we're going.
56:11It's important that it's important to be able to take care of something.
56:15Something is being done.
56:17Just be patient.
56:19Don't forget to do it.
56:21At the same time, it's not bottomless.
56:23The resources that can be changed.
56:27It's important that it's important to be able to take care of something.
56:31It's important to be able to take care of something.
56:33So, the example of Dr. Catalan,
56:35the mission is that when the screening is done before the mission,
56:39if you are fit for operation,
56:41it's not to be able to take care of something.
56:43Without a doubt,
56:44the first thing,
56:45the first thing that people have been invited,
56:48especially the number of surgery,
56:51is safe during the operation.
56:53You are safe for patients.
56:56But, you are able to take care of something.
56:57But, you are able to take care of something.
56:59Patience is a virtue.
57:03But, it's great for you.
57:05With that,
57:07that wraps up the edition of Beyond the Headlines.
57:10headlines and we hope today's conversation help shed light on the bright
57:14on the bigger picture behind the story and once again we would like to thank
57:19our guest dr. Nikki Catalan for joining us and for helping us connect the dots
57:25that matter I'm Mildred Galarpe I'm DJ Moises good afternoon thank you
57:40thank you
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