Monthly Archives: August 2018

Measuring the size of surface masses by inspection and palpation

In patients presenting with surface masses as chief complaint, the physicians assessing the masses should include measurement of the size through inspection and palpation.  Surface masses are those located on the skin and those beneath the skin but not within … Continue reading

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How to do Breast Self-Examination – ROJoson

How to do Breast Self-Examination Reynaldo O. Joson, MD Video: Stand in front of the mirror with both arms on the side and look for anything unusual in terms of symmetry and contour of the breasts as well as skin … Continue reading

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How to do breast self-examination – ROJoson

    How to do Breast Self-Examination Reynaldo O. Joson, MD Video: Stand in front of the mirror with both arms on the side and look for anything unusual in terms of symmetry and contour of the breasts as well … Continue reading

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2016 Review of Clinic Consultation by Booked Appointment

2016 Review of ROJoson Medical Clinic Consultation with Appointment Time After One Year of Implementation In February 2, 2015, I wrote the following: ROJoson Medical Clinic Consultation with Appointment Time February 2, 2015 On my 66th birthday, I have decided … Continue reading

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ROJoson’s Booked Appointment Performance – 2017

Year-end 2017 Summary Report As I completed my last clinic for the year (December 21), here is a summary report on the performance of my booked appointment time system in ROJoson Medical Clinic for 2017.   1. I was late … Continue reading

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ROJoson’s Booked Appointment Performance – 2016

Backgrounder: I started with a target of no more than 90 minutes waiting time from booked appointment time in February 2016. I changed the target to no more than 75 minutes in May 2016. In October 2016, I changed the … Continue reading

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Apology to Patients Who Waited More Than 60 Minutes From Booked Appointment Time

Samples of Apologies August 23, 2018 – My apology goes to LRevilla; CBurillo; RFigueroa; TFlores; and YJaure who waited for more than 60 minutes from their booked appointment time (16, 16, 16. 11 and one minutes longer). It is my … Continue reading

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Principles in the Management of Thyroid Nodules with Focus on Levothyroxine Suppressive Therapy

If malignant, surgery is the treatment of choice. If benign, trial of levothyroxine suppressive therapy is preferred unless the nodules are huge (Grade III). Levothyroxine suppressive therapy – gradual increase; may go as high as 300mcg per day; monitor TSH … Continue reading

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Breast Cancer Survivor Belen Villa – 10 Years in Remission

Ms. Belen Villa was 78 years old when I did a modified radical mastectomy on her breast cancer in 2008.  The histopathology report showed invasive ductal carcinoma.  Nodes were negative. She underwent additional treatment in the form of Tamoxifen for … Continue reading

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Breast Cancer Survivor ArleneAy – 11 Years in Remission

Ms. ArleneAy was 44 years old when I did a modified radical mastectomy on her breast cancer in 2007.  The histopathology report showed invasive ductal carcinoma.  She underwent additional treatment in the form of chemotherapy and 5 years of tamoxifen. … Continue reading

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