Author Archives: reyojoson

Options in Medical Management of a Patient and Selection Process

Options in the medical management of a patient means there are various alternatives in the diagnosis and and treatment that may be considered and may be chosen. In the medical management of a patient, there is no such thing as … Continue reading

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Nipple mass – intraductal papilloma – 17aug19

33-year-old female with a nipple mass, no nipple discharge. Histopath: Papillary neoplasm, consider intraductal papilloma Showing the mass on the surface of the nipple – firm, at about 7 mm in diameter. After excision of the mass. Specimen – whole … Continue reading

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ROJoson Medical Clinic Advisories on Booked Appointment Time: Resolutions on Long-consultation Time and Late Arrivals of Patients

Today, I have one patient who waited for more than 60 minutes (68 minutes) from her booked appointment time.   This is the second incident so far in November 2017. I have analyzed the main cause (s) of the prolonged waiting … Continue reading

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Patient saved from unnecessary thyroid operation – MF – March 2015

MF (Fernandez), 63 years old, female, with a 3-cm thyroid nodule on the right. Told to have an operation before consulting me for a second opinion in March 2015. I did a needle evaluation and aspiration.  I got 3 cc … Continue reading

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What are the forbidden foods after an operation?

In my more than 35 years of surgical practice, a very common question being asked of me after an operation: “Anung bawal kainin?”  What are the forbidden foods after an operation? I have always wondered why patients would ask this question. … Continue reading

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ROJoson’s Patients Advised Against Unnecessary Operations and Procedures – A Registry – A Resumption

In December 22, 2013, I blogged to establish a registry of patients whom I have advised against an operation and procedure which I think was not necessary. See below. October 21, 2017, I will resume this project. As I have … Continue reading

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Cancer of the Appendix – 2017

Recently, September 2017, I encountered a patient with cancer of the appendix. This is rare.   This is most likely my third case of cancer of the appendix in my more than 30 years of surgical practice. (Note: I have also … Continue reading

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