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PGH POST GRAD 2022. ALBERTO TUPAS MEMORIAL LECTURE — Transcript

by - Tina · 3,001 words · 482 segments · language en · Watch on YouTube

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0:04I am from batch 2005 of uppgh Pediatrics
0:09to be honest I never imagined myself
0:12giving a keynote speech for our
0:14department knowing that there are so
0:16many brilliant graduates of ubpgh
0:19Pediatrics but I am nevertheless honored
0:22and thrilled to be here today not to
0:26talk about myself
0:27but to speak about my up and uppgh
0:30education that has equipped me with all
0:33the tools that I need to face the every
0:36struggle in life
0:38after this brief keynote speech may I be
0:42an inspiration to others as much as my
0:45UB teachers have inspired me to do what
0:47is good and what is right for our
0:50patients and our nation
0:52the covid-19 pandemic was a perfect
0:54storm it caught the entire world by
0:57surprise causing disastrous consequences
0:59across Nations and families and putting
1:02the Health Care system and all
1:05healthcare workers at its Mercy
1:08suddenly the world found itself
1:11struggling to cope with the pandemic
1:12with all its modernity and technology in
1:16the world never thought that something
1:18so minute can devastated
1:20at the onset of the pandemic as a
1:23pediatrician running my own
1:25community-based Health institution I too
1:28was faced with several struggles and my
1:31decisions during that time would affect
1:33not only my own Survival but also the
1:37survival of my entire medical staff in
1:40our community
1:42so allow me to share our pandemic
1:44Journey how we struggled the lessons we
1:48learned and the possibilities despite of
1:51the struggles
1:52at the onset of the pandemic my first
1:55struggle was how can I keep my clinic
1:57open who will stay with me to serve our
2:00patients do I need to and can I convince
2:03my medical staff to stay so little was
2:07known about covid-19 at its onset on
2:092019. we were even arguing whether it
2:12was transmitted Airborne or by a
2:15droplets the only thing we knew back
2:18then
2:19was that it was deadly
2:21and it will be understandable for people
2:23even health care workers to fear it and
2:26to hold back under duty to serve their
2:28patients
2:30the strike and struggle was how can I
2:32protect myself my staff and my patients
2:35from getting covered 19.
2:39until we find the vaccine and make
2:41medicine against covid I didn't wish for
2:44anybody in my crew getting sick and be a
2:47casualty of the pandemic as the captain
2:50of the ship I am responsible for the
2:52lives of my staff and my patients how
2:55can I steer my ship away from danger the
2:58third struggle was how can I keep the
3:01clinic afloat financially knowing that
3:03there will be significantly less
3:04patients how can I support my staff and
3:07their families
3:08when the pandemic struck communities
3:11were locked down and rows were blocked
3:13public transport was also restricted
3:16given all these conditions earning the
3:19necessary income to provide for
3:21employees will be a difficult struggle
3:23but you cannot just let them go when the
3:26boat is sinking you just don't push your
3:29crew off the ship to survive as the
3:31captain of the ship you must keep the
3:33boat afloat keep everyone alive until
3:36health comes your way
3:38the fourth struggle was
3:40will we be able to still help the poor
3:43people in our community knowing that
3:45everyone including myself will be
3:47struggling financially because of the
3:48pandemic
3:50before I begin telling you how we
3:52overcame those struggles let me tell you
3:55first how I started my Community
3:56Pediatrics practice
3:58for everything that happens in life are
4:01interconnected and how we cope with the
4:03problem is not just a result of a
4:06one-time decision making but the result
4:08of a lifetime of learning and alerting
4:10things of making mistakes and learning
4:12from them the outcome of our struggle
4:15whether it is failure or success is a
4:18reflection and a measure of what we
4:20learned in life
4:21I graduated from uppga Pediatrics in
4:242005. I didn't start Private Practice
4:27immediately after residency for I had
4:30neither money nor connections to invest
4:32in private hospitals or set up my own
4:34Clinic
4:35after a year of being a health trainer
4:38for a foundation of the usaid I'd enough
4:41funds to set up my own clinic setting up
4:44a private Clinic was something we were
4:46not taught in bgh we knew how to run an
4:48ER
4:49set up ventilators in the icus setting
4:53up a clinic was very new to me I built
4:55this one-story building in my mom's
4:57property and after a couple of years we
4:59were able to set up our three-story
5:01Ambulatory Surgery Clinic with an x-ray
5:04laboratory Pharmacy and lying in
5:07we were the little pghas
5:10we were offering quality service to our
5:13community at a cost that our people can
5:15afford we were Bridging the Gap in
5:17healthcare in our community
5:20because our call our value was service
5:22to the people we started several
5:24activities with the aim of uplifting the
5:26economic education and health status of
5:29our community
5:30for more than a decade we were
5:32continuously conducting health education
5:34and labora organizing for Disaster
5:37Response and collecting donations
5:39feeding for Children and Families giving
5:43financial assistance to Scholars and
5:45partnering with schools and
5:47organizations for education
5:49then in 2016 we founded hoping me club
5:53with the vision of giving hope to people
5:55who are in difficult situations through
5:57hope in the club we were able to extend
6:00health to many communities from as far
6:02north as Isabella and South to Mindanao
6:05what is the relevance of all this to our
6:08pandemic Journey what tools did you give
6:11us to help us in our struggles
6:13[Music]
6:14the first and the most important
6:16survival tool in our kit
6:18carriage and genuine desire to Serve the
6:21People Serve the People as a European
6:24student no other statements have more
6:26impact on me than this we are called to
6:29serve our people both in easy and
6:32difficult times we serve our people
6:36at the onset of the covid-19 pandemic
6:39many of us are overwhelmed with the fear
6:41of coffee 19. honestly during that time
6:44it never came to my mind to stop serving
6:46my patients because because that was the
6:49time I knew my patients told me the most
6:51it was never a question of will I serve
6:54but it was a question of how can I serve
6:56without compromising the safety of my
6:58staff and who will be there with me to
7:01serve my community
7:02fortunately because of years of working
7:05in this team and building trust in each
7:07other on day one of the lockdown I found
7:10the entire team impact and waiting for
7:12me to serve
7:16doctor the years of inviting in them the
7:19value of genuine service to the people
7:22paid off
7:23the first struggle was not as difficult
7:25as I thought it would be everyone in the
7:28group believed that we should continue
7:29serving and as we always saying
7:35[Music]
7:39and this brings us to the second
7:41struggle how can I protect myself my
7:45staff and my patients from getting Kofi
7:4719. with the trust that my staff gave me
7:49comes to great responsibility of
7:52protecting them from harm what do we do
7:55to protect ourselves how did everybody
7:57survive the pandemic and Scat tool
8:00number two faith and Science and
8:03learning from history no other learning
8:06institutions have taught me more to seek
8:08science in history four solutions to the
8:10University of the Philippines science
8:13always find a solution it may take time
8:16for it to do so but it always does
8:19history teaches us that every Century
8:21has its own pandemic or Wars to deal
8:24with but Humanity always Prevail over
8:27death and disease
8:29what with the history of smallpox and
8:32the invention of the first vaccine by
8:33Jenner that did not Inspire us doctors
8:35if generated it with a very little
8:38technology had back then or science with
8:41their modern technology will definitely
8:43find the solution knowing that science
8:45will inevitably discover the vaccine and
8:48treatment for covid-19 had kept us
8:50hopeful our only prayers then
8:53was that science find them before we
8:56become casualties of the pandemic
8:59tool number three
9:01resourcefulness make use of the best
9:04available science to find the solutions
9:07you will often hear these lines from a
9:09real love Cardiology consultant
9:12you may not have the exact answer in an
9:15intervention you are looking for but you
9:17can always use the best available
9:19science to find Solutions at the onset
9:22of the pandemic there was neither
9:23vaccine or medicine for covid-19 but
9:26there were scientific articles already
9:28hypothesizing that vaccines for other
9:30infections
9:31may offer cross protection against
9:33covid-19 weighing the rest versus
9:37benefit of vaccination we vaccinated our
9:39staff with MMR flu and pneumococcal
9:42vaccines tool number four critical
9:45thinking
9:46learning to assess intervene and
9:48reassess in our icy irritation our
9:51favorite consultant losses to make quick
9:54but critical assessments interventions
9:56our decisions can mean the life of
9:58Corporation
10:00the onset of the pandemic we work quick
10:02to redesign our clinic and leveled up
10:04for protection we developed standard
10:06operating procedures and policies to
10:09prevent infection inside the clinic we
10:11regularly updated our policies and
10:13procedures depending on our own
10:15observations and recommendations from
10:17experts early in 2020 there were
10:20arguments over the manner of
10:22transmission of ovid19 as kovi
10:24transmitted via droplets or was it
10:27airborne
10:28knowing that it is safer to air on the
10:30side of caution we decided to level up
10:32our protection and geared up for
10:34Airborne transmission we had ppes air
10:37filters civil lights closer ACS and open
10:40up all our Windows to allow air exchange
10:42we designed our nurses station and
10:45doctor's room to prevent Airborne
10:46transmission we sanitize our floors and
10:49infrared walls every three hours we
10:52assign permanent eating rooms for a
10:54staff no socialization no eating
10:57together we monitored every employee's
11:00activity even outside the clinic any
11:03bridge in protocol was investigated and
11:05dealt with justly we separated free
11:08Block patients from our from other
11:09patients and made sure that the
11:12realistic febrile patients were either
11:14seen first or were seen outside the
11:16clinic children who cannot wear masks
11:18were seen outside the clinic as a
11:21pandemic progressed
11:22on the third month of the lockdown
11:25we reassess our level of protection it
11:29was very difficult to wear the full PPE
11:31especially on a hot humid weather we
11:33noted that most infections were from
11:35intimate socialization and not really
11:37from casual activities like shopping or
11:39visiting a doctor similar findings were
11:42revealed by many Health experts we then
11:45decided to report a PPE guns and rely on
11:47face masks and hand washing to protect
11:50us from coping 19. and again science was
11:53proven correct the mess and the hand
11:56washing were enough to protect us while
11:58we were so keen on serving our patients
12:01the reality was that during the first
12:03quarter of the pandemic
12:05there were fewer patients who spent
12:07lesser income
12:09for the clinic
12:11people feared going out and those who
12:13want to come to us were inhibited by
12:14lack of Transport in their Community
12:16checkpoints
12:17how did we survive financially how did I
12:20provide for all my staff with lesser
12:22income and with mounting expenses ppes
12:25and disinfectants were expensive and the
12:28price of face masks and alcohol is Sky
12:30rapided this Waterford struggle
12:34the fifth tool in my survival kit is
12:36building trust and partnership with the
12:38community over the decades our Clinic
12:40has tried to support our community and
12:43had contributed to its development
12:45during the pandemic when we're the one
12:47when we were the one in need help came
12:50our way assistance did not come from the
12:53government
12:54but from the very people we have been
12:56helping homemade ppes food disinfectants
13:01and other donations buried in people
13:03expressed their support to what to what
13:06we were doing and that kepasa flowed
13:08financially and spiritually
13:10we received back what we gave to our
13:13community and as the old saying goes
13:17[Music]
13:19my last struggle is how can we continue
13:21helping others financially when we
13:24ourselves are in difficult situation
13:27the ads realized in your commitment to
13:29help others throughout the years people
13:33have seen our commitment to helping
13:35others our persistence have also
13:38inspired so many in our community to
13:40help others as well and during the
13:42pandemic we were able to launch several
13:44programs to help the poor we had ppes
13:48for PGH hopia for Hope adafa Family and
13:52adapters scholar nambion programs to
13:54name a few and we did not do it alone we
13:58could have not done it alone we did it
14:00with our community
14:02now let us talk about opportunities did
14:05we really find opportunities in this
14:07pandemic the crisis that the kobit
14:10pandemic costs to All Nations and
14:11classes even big businesses crash and
14:14many people lost their jobs
14:16well it is true that the pandemic
14:18brought down so many business and dreams
14:20for many
14:21for some individuals including myself
14:24New Opportunities emerge
14:27Albert Einstein once said in the middle
14:30of difficulty lies opportunity in the
14:33midst of a crisis you can create your
14:36own opportunity or a life be
14:39unexpectedly throw opportunities your
14:41way you just need a discernment to
14:43recognize it and be prepared for it the
14:47coveted pandemic gave me the opportunity
14:49to innovate I can attest to Detroit
14:51models of the saying that necessity is a
14:54matter of invention we were one of the
14:56first to innovate vaccination we promote
14:59a drive-through vaccination
15:01we never knew that this was practice
15:03elsewhere but we decided to do it
15:05protect the infants who cannot wear
15:07masks who comes in for routine
15:08vaccination
15:09the popular social media magazine smart
15:13parenting was quick to catch it and
15:15featured it in their magazine patients
15:17then started pouring in to have their
15:19drive through vaccination drive through
15:21vaccination became a trend and this
15:23contributed to maintaining acceptable
15:25vaccine rate for children in the private
15:27sector throughout my lifetime I've
15:30always advocated for health education
15:32and Justice I have for decades been
15:36teaching communities not for profit but
15:38for the purpose of lifting our people I
15:41am passionate about education and this
15:43pandemic gave me the opportunity to do
15:46more what I am passionate about
15:49during the pandemic social media became
15:52more influential and I took the
15:54opportunity to utilize it to reach more
15:56people and as if they stand there were
15:59companies that recognized my passion for
16:01teaching and had provided me with a
16:04wider platform to educate people
16:06for others education may not be your
16:09passion you may be passionate about
16:11painting music baking or cooking find
16:15your other passions in livid I have seen
16:17some of my fellow doctors doing what
16:20they are passionate about during the
16:21pandemic there were doctors turned
16:23entrepreneur
16:25Bakers
16:26vloggers and even hoteliers in this
16:29pandemic we can live our passions and
16:33use them not only to survive but to
16:35thrive
16:36this pandemic also became my teacher
16:42it has given me the opportunity to sit
16:44to learn to read and to learn those
16:47things that have been casting aside for
16:49so long it also forced me to relearn
16:53things and reinvent myself as a doctor
16:56because there were very few hospitals
16:58open during the pandemic adults and
17:01elderly patients started talking to our
17:03Clinic
17:03and I cannot turn them away when a ship
17:06sinks it is a moral responsibility of
17:08another ship captain to rescue those fat
17:11passengers
17:12and it was also made more responsibility
17:15to treat these patients and relearn the
17:18best treatment options for them as
17:21doctors it is our lifelong
17:23responsibility to educate ourselves and
17:26constantly learn for our patients
17:29the pandemic also challenged me to do
17:31what I've been wanting to do all my life
17:34be involved in research to contribute to
17:36the advancement of Science and this
17:38pandemic gave me that opportunity
17:41to find opportunity in difficulty simp
17:44and impossibility to survive a perfect
17:47storm seemed an impossibility but not
17:50for a good captain
17:52throughout my speech I kept on likening
17:55her journey to a sea voyage and
17:57referring to myself as captain of the
17:59ship
18:00if there is one thing I learned from
18:02uppgh it is to be the captain of my ship
18:05to be the master of my craft
18:08to study well and learn from my
18:10struggles
18:15the persevere when all things are
18:17difficult to know my responsibilities
18:20and live up to it to be accountable for
18:23my actions to command my vessel and know
18:26my course to prepare well for my journey
18:29and know where I am heading as a captain
18:32of the ship when we embark on a journey
18:35their students and residents do not eye
18:38for the treasure we are not pirates of
18:41the sea let not Praises nor Awards money
18:45nor luxury guide us in our trip we are
18:48doctors and we are called to serve
18:51our Compass should be our value for our
18:53life and love for Humanity I understand
18:56also that captains it is not only our
18:59gadgets and our tools that will save us
19:02from the storms
19:03but more importantly it is our values
19:06our wisdom inner courage that will help
19:09us survive as a parting message
19:12our coveted 19 pandemic journey is
19:14neither the beginning nor the ending of
19:16our journey as a vegetarian
19:18it was only one of our detours and
19:21stopovers the start of our journey is
19:24when we started wanting and working to
19:27become a pediatrician
19:29I started my journey with all the tools
19:31I learned as a student sharpen those
19:34tools to every storm I encountered
19:36adjusted my route without leaving my
19:38course and have kept all my crew and
19:41passengers safe and Alive my journey is
19:44not yet over I am not sure whether or
19:47will pass through another storm but one
19:50thing for sure I have kept my tools with
19:52me and have gathered a loyal crew and
19:55with this I know I will reach my
19:57destination and hopefully with faith in
20:00the hearts it will be a beautiful one
20:03maraming salamat poor

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