Pediatra

19/08/2026

CLINIC SCHEDULE Aug 20 to 22

August 20 (Thursday) - NO CLINIC

August 21 (Friday) - OPEN
9:30-12nn Pediatra Magdalena
1-3:30pm Holy Family rm 233 (HMO cutoff 2pm)

August 22 (Saturday)
9:30-12nn Pediatra Magdalena
1-3:30pm Holy Family rm 233 (HMO cutoff 2pm)

Stay safe and dry! ☔️

13/08/2026

Madalas nalilito ang mga magulang kapag may lagnat + rashes ang kanilang anak. Ito ba ROSEOLA, TIGDAS HANGIN (RUBELLA) o TIGDAS (MEASLES)? 🤔

Magkakamukha ang mga rashes, pero hindi pare-pareho ang sakit!

Narito ang ilang simpleng clues:

🌸 ROSEOLA
• Mataas ang lagnat na tumatagal ng 3–4 na araw
• Kapag biglang bumaba or humupa na ang lagnat, saka lumalabas ang rashes
• Pink at maliliit na rashes, kadalasang nagsisimula sa katawan
• Karaniwan ang febrile seizure (kombulsyon dahil sa mataas na lagnat) sa roseola, lalo na dahil bigla at mataas ang lagnat
• Madalas ay masigla na ulit ang bata kapag lumabas ang pantal

🌷 RUBELLA
• Karaniwang mild lang ang lagnat
• Pinong pink/red rash na madalas nagsisimula sa mukha at kumakalat pababa
• Maaaring may kulani sa likod ng tenga o leeg
• Nakakahawa at delikado sa buntis dahil maaaring magdulot ng congenital rubella syndrome sa baby

🔴 TIGDAS / MEASLES
• Mataas ang lagnat
• May tatlong C : Cough (ubo) , Colds (sipon) at Conjunctivitis (sore eyes)
• Rashes na kadalasang nagsisimula sa mukha/hairline at kumakalat pababa sa katawan
• Lubhang nakakahawa at maaaring magkaroon ng seryosong komplikasyon tulad ng PNEUMONIA, encephalitis at iba pa

> Noong 2019 or 2019, ako ay Pediatric trainee, may outbreak ng measles that time at nakakaawa talaga ang mga batang nahawaan nito dahil bukod sa pneumonia at iritable talaga sila at di makakain dahil sa rashes, bukod pa dito sila at naka-admit sa Negative pressure room na hindi madami ang allocation per hospital at mas mahal ang rate dahil ito ay special room para hindi magcirculate ang hangin palabas ng kwarto at makahawa sa ibang nakaadmit.

💉 MAY BAKUNA LABAN SA RUBELLA AT MEASLES!

Ang MMR vaccine ay nagbibigay ng proteksyon laban sa Measles, Mumps at Rubella. Siguraduhing updated ang bakuna ng inyong anak ayon sa recommended immunization schedule.

⚠️ BAKIT SERYOSO ANG TIGDAS?
Bukod sa pneumonia at encephalitis, may isang napakabihira ngunit malubhang komplikasyon na tinatawag na SSPE (Subacute Sclerosing Panencephalitis).

🧠 Ang SSPE ay isang progressive at nakamamatay na sakit sa utak na maaaring lumabas ilang taon matapos ang measles infection—karaniwang 4–10 taon pagkatapos. Kaya kahit gumaling na ang bata sa tigdas, maaari pa ring magkaroon ng late complication.

🤰 KUNG ANG BUNTIS AY MAHAWAAN NG MEASLES:
Maaaring tumaas ang risk ng miscarriage, premature delivery at low birth weight. Maaari ring magkaroon ng seryosong komplikasyon ang ina, gaya ng pneumonia. Kaya mahalagang iwasan ang exposure at magpatingin agad kung ang buntis ay na-expose o nagkaroon ng sintomas.

📌 Important note: Hindi sapat ang itsura ng rashes para makasiguro kung anong sakit ito. Marami pang ibang viral infections (viral exanthem) na maaaring magmukhang ganito.


Kung may mataas o tuloy-tuloy na lagnat, hirap huminga, seizure, sobrang antok/hina, dehydration, o mabilis na paglala ng condition magpatingin agad.

Vaccination ang isa sa pinakamahalagang proteksyon ng ating mga anak laban sa measles at rubella.

Huwag basta mag-self-diagnose base sa rashes. Kapag may duda, magpatingin sa inyong pediatrician.

11/08/2026

🚨 Lately, may mga posts/commentssvideos from influencers or anti vaxxers na nakakatakot pakinggan tungkol sa MR vaccine, lalo na ngayon na may Measles-Rubella (MR) Supplementary Immunization Activity (SIA).

As parents, valid po naman na magtanong. Valid mag-research. Pero sana, bago tayo mag-share ng “warning” or fear-based posts, make sure na evidence-based talaga ang information kasi ang isang misleading post can create unnecessary fear, especially among parents.

👉 Na-measles vaccine/MMR na ang anak ko, bakit kailangan pa ng MR?

Sagot: The MR campaign dose is an additional dose intended to strengthen protection and close immunity gaps.

During measles/rubella campaigns, children in the target age group (6-59months old) may receive an additional MR dose EVEN IF they have previously received measles, MR, or MMR vaccines.

So halimbawa:

👶 9 months: nabigyan na ng measles vaccine
👶 12 months: nabigyan na ng MMR
💉 MR SIA: eligible pa rin according to the campaign guidelines.

Hindi ibig sabihin na “sumosobra” agad ang vaccine or automatically dangerous dahil nabigyan na dati. There is no such thing as vaccine overdose.

Ang mas nakakatakot, honestly, ay ang misinformation na nagiging dahilan para hindi mabakunahan ang mga bata.
Measles is not just “ordinary measles.” It is highly contagious/nakakahawa and can cause serious complications, tulad ng pneumonia, encephalitis (pamamaga ng utak)blindness, and death. Globally, an estimated 95,000 people died from measles in 2024, most of them children under 5.

💡ALAM NIYO BA?
May 2nd dose (booster dose) ng MMR talaga.

After the 1st dose of MMR at 12months old, the 2nd dose can be given at least 4 weeks later or at 4–6 years old, depending on the recommended schedule ng pediatrician.

👶🏻 Eh doc, 6mos old palang baby ko bakit bibigyan na ng MR vaccine? Nakalagay sa vaccine record nya 9 mos pa po?
👉 Usually, ang Measles vaccine ay routinely binibigay at 9 months old as part of the regular vaccination schedule. Pero kapag OUTBREAK/EPIDEMIC, puwedeng bigyan ng Measles or MR vaccine ang baby as early as 6 months old for additional protection. So this MR-SIA is good to be given. But this is considered a SUPPLEMENTAL dose. Ibig sabihin, kailangan pa rin matanggap ni baby ang routine Measles vaccine at 9 months, and MMR at 12 months as part of the primary vaccination series.

✅ And here's something parents should remember:
👉If your child already received a measles-containing vaccine or MMR before and had no serious adverse reaction, there is no reason to assume that an MR campaign dose will suddenly be dangerous simply because it is another measles-containing vaccine.

Karamihan sa mga batang walang naging serious reaction sa nauna nilang measles/MMR vaccine ay inaasahang magiging maayos din ang pagtanggap ng katawan sa MR vaccine. Of course, no vaccine can be guaranteed to cause zero side effects, so PROPER SCREENING by a healthcare professional still matters esp those na first time makakareceive ng vaccine.

❌ “Pero baka magkaron ng autism?”
👉No. Vaccines do not cause autism.
Extensive research has looked at this question for decades, and the World Health Organization (WHO) reaffirmed in its 2025 review that there is no causal link between vaccines and autism. The old study that started the MMR-autism scare was found to be seriously flawed and was later retracted. Multiple subsequent studies have not found an association between MMR vaccination and autism.

✅And yes, vaccines can have side effects. Puwedeng magkaroon ng soreness sa injection site, fever, mild rash, or body aches. Usually, these are mild and temporary. Serious allergic reactions are rare.

But autism is NOT a vaccine side effect.

MR and MMR are also not exactly the same vaccine:

🟢 MR = Measles + Rubella
🟢 MMR = Measles + Mumps + Rubella

Pero parehong may measles and rubella components, and additional measles-containing doses are used in vaccination campaigns to strengthen protection.

So instead of:

❌ “Nabakunahan na dati, bakit babakunahan ulit?”
❌ “Baka overdose na yan.”
❌ “Baka mag-autism.”
❌ “Delikado yan kasi may vaccine na siya dati.”

Let's ask the right questions:

✅ What vaccine is being given?
✅ What is the purpose of the campaign dose?
✅ Is my child eligible?
✅ What are the expected side effects and contraindications?

And most importantly:
Ask your pediatrician or health center doctor/nurse — not just an influencer or a comment on Facebook or TikTok.

Protect your child with facts, not fear. ❤️

At the end of the day, kayo pa din mga magulang ang magdedecide, ang mga doctors nyo po ay nandito to help you make INFORMED DECISIONS.

Ask your Pedia or doctors, not your fb groups, kapitbahay or sagoogle or chatgpt 🤪

That’s all! And I, thank you. Bow. 😝

PS. FOR MY PATIENTS, please FOLLOW and READ naman my posts, medyo napapagod na ko magreply isa isa sa inyo and magexplain regarding this mr sia. Next question pls 🤣

❓Kung meron po kayong tanong, pls comment down below and itry ko yun best ko to answer.

10/08/2026

📢 PAALALA PO SA MGA PARENTS: MR-SIA VACCINATION

Marami po tayong natatanggap na messages regarding the MR-SIA (Measles-Rubella Supplemental Immunization Activity) ng DOH, kaya po ito ang clarification:

👧👦 Sino ang maaaring mabakunahan?
Ang MR-SIA ay para sa mga batang 6–59 months old, ayon sa DOH guidelines for the activity.

🏥 Saan po ito maaaring makuha?
Maaaring mag-avail ng MR-SIA sa inyong Rural Health Unit (RHU) dahil ito ay isang DOH project.

💉 Booster po ba ito?
Hindi po. Ang MR-SIA ay supplemental dose, kaya po Supplemntal immunization activity ang name at hindi booster. Ito ay karagdagang dose na ibinibigay upang mapalakas ang protection laban sa measles at rubella.

📌 Part po ba ito ng primary vaccine series?Hindi po. Ang MR-SIA dose ay hiwalay sa routine/primary immunization series. Patuloy pa rin po ang regular vaccination schedule ng inyong anak ayon sa recommendation ng inyong pediatrician.

💉 Kung may vaccine na po ang anak ko mula sa pediatrician nitong nakaraang buwan, pwede pa rin ba ang MR-SIA?
Kung may recent vaccination po ang inyong anak, ipaalam po ito sa RHU at dalhin ang vaccination card/record. Iche-check po nila ang vaccine na naibigay, petsa ng pagbabakuna, at kung kailan maaaring ibigay ang MR-SIA. Huwag po munang mag-skip o magpa-delay ng routine vaccines nang walang advice mula sa inyong pediatrician o health center.

🌡️ Ano ang mga common side effects ng MR vaccine?
Kadalasan ay mild lamang at panandalian, tulad ng:
• Pananakit, pamumula, o pamamaga sa injection site
• Low-grade fever
• Pagiging iritable
• Minsan ay maaaring magkaroon ng mild rash ilang araw pagkatapos ng bakuna

Kung magkaroon ng matinding allergic reaction, hirap sa paghinga, o ibang concerning symptoms, magpatingin agad sa inyong pediatrician or emergency room.

💉Doc, naturukan ng Flu vaccine yun anak ko last month, pwede po sya makareceive ng MR SIA?
👉Yes, pwede po. ANYTIME after any inactivated vaccine pwede makareceive ng MRSIA vaccine, kesa nabigaya kahapon nun isang araw or isang linggo, pwede ibigay anytime. EXCEPT Live vaccines (varicella, JE, MMR), pagito ang mga naibigay kelangan ng AT LEAST 4weeks interval bago mabigyan ng MR-SIA.

🙏 Paalala: Para po sa mga tanong tungkol sa eligibility, schedule, at timing ng MR-SIA, mas mainam pong makipag-coordinate sa inyong RHU at dalhin ang vaccination record ng inyong anak.

Maraming salamat po sa inyong understanding and cooperation! Sama-sama po tayo sa pagprotekta sa ating mga anak laban sa measles at rubella. ❤️💉

09/08/2026

📢 Clinic Advisory

Our clinic is OPEN and operating as scheduled today.

If you have an appointment but would prefer to be rescheduled due to the weather, please don't hesitate to send us a message with your preferred date and time. We'll be happy to assist you with rescheduling.

For parents bringing their children to the clinic for a check-up, please check the latest flood updates and road conditions before traveling. Drive safely and only travel if it is safe to do so.

If you're unable to come to the clinic, we also offer online consultations by appointment. Simply book via nowserving.

Your family's safety is our priority. Please keep safe, stay dry, and take care! 🌧️☔

07/08/2026

Hey’all! Konting commercial lang po 😅

If you're around the area and naghahanap ng masarap na burger, you might want to give my brother’s burger joint a try. 🍔🍟

If ever you're interested, just send a message to their page (Smash’d express).

Thank you so much for supporting local and family-owned businesses. We truly appreciate it! 🫶

📍Jacinto St. Magdalena Laguna (near Municipal hall and Dancing Hall;
waze: Adten General merchandise)

06/08/2026

Together, we can protect every child. 💉💙

Let's support Ligtas Tigdas 2026: MR-SIA and help build healthier, safer communities by ensuring children receive their measles-rubella vaccines. Every vaccination is a step toward preventing disease and safeguarding our future.

Pls coordinate with your RHU or BHW for schedule.

26/07/2026

🦟 CHIKUNGUNYA ALERT: Alamin, Iwasan, at Mag-ingat! 👶👧👦

Marami na namang lamok ngayong tag-ulan, at bukod sa dengue, may isa pang sakit na dapat nating bantayan—CHIKUNGUNYA

Ano ang Chikungunya?
Isa itong viral illness na naipapasa sa pamamagitan ng kagat ng infected Aedes mosquito (parehong lamok na nagdadala ng dengue).

🤒 Ano ang mga sintomas?
✔️ Biglaang mataas na lagnat
✔️ Matinding pananakit ng kasu-kasuan (hands, wrists, ankles, feet)
✔️ Rashes
✔️ Pananakit ng ulo
✔️ Muscle pain
✔️ Minsan ay pamamaga ng kasu-kasuan

💡 Sa mga bata, maaaring hindi gaanong maipaliwanag ang joint pain. Bantayan kung:
• Ayaw maglakad o buhat nang buhat
• Iritable o iyak nang iyak kapag ginagalaw
• May lagnat

⚠️ Chikungunya ba o Dengue?
Magkahawig ang sintomas kaya huwag basta mag-assume Mahalaga ang pagpapatingin sa doktor upang malaman ang tamang diagnosis at gabay sa paggamot.

🚨 Magpatingin agad kung:
🔸 Mataas ang lagnat
🔸 Hirap uminom o kumain
🔸 Matamlay o inaantok
🔸 May hirap sa paghinga
🔸 May senyales ng dehydration (tuyong bibig, konti ang ihi)
🔸 May pagdurugo o matinding pananakit ng tiyan (maaaring dengue)

🛡️ Paano makakaiwas?
🦟 Alisin ang mga naiipong tubig sa paligid ng bahay.
🦟 Gumamit ng safe na mosquito repellent (ayon sa edad ng bata).
🦟 Magsuot ng damit na mahaba ang manggas at pantalon kung maraming lamok.
🦟 Gumamit ng kulambo o screen sa bintana at pinto.

📌 Reminder sa mga magulang: Kung may lagnat o pananakit ng kasu-kasuan, huwag mag-self-medicate. Magpatingin sa inyong pediatrician para sa tamang assessment.

Stay protected. Iwas lamok, iwas sakit! 🦟

‼️ CHIKUNGUNYA ADVISORY | 07.26.26

🚨 Parents, stay informed to keep your children safe!
With rising Chikungunya cases, knowing what to look out for can make all the difference. Check out this quick advisory from PIDSP to learn:

* How to spot the difference between Chikungunya and Dengue
* Safe medication tips (and what drugs to avoid)
* Simple steps to protect your home and family right now

Take 1 minute to read the full advisory attached below—your family's health is worth it! 👇

24/07/2026

ADVISORY!

July 25 (Saturday)

Magdalena: Cancel CLINIC (closed)
Holy Family rm 233: 2-4pm

23/07/2026

📢 A Gentle Reminder to All My Dear Patients and Parents ❤️

First of all, THANK YOU for your trust and for allowing me to be part of your child's healthcare journey. It is truly a privilege to care for your children, and I always do my best to respond to your messages as soon as I can. That said, I kindly ask for your patience while waiting for my reply.

Please understand that I am not able to respond immediately all the time. Aside from seeing patients in the clinic and hospital, I also do hospital rounds, attend deliveries, manage emergencies, and, like everyone else, I also have personal and family responsibilities. My phone is not glued to my hands, and there are many times when I simply cannot check or respond to messages.

There are times when:

🚗 I am driving, and for everyone's safety, I do not reply to messages while driving.
🏥 I am doing hospital rounds, attending to admitted patients, or if am at my clinic at Holy Family Hospital, we have a very poor signal including that of my secretary
👶 I am examining patients, attending deliveries, or handling medical emergencies.
🏡 I am at home spending time with my family, doing household chores, bathing, eating, or resting.
😴 I may also be asleep, especially after long stressful days

💙 To my long-time ("OG") patients and parents, you probably know that I usually reply quite quickly whenever I can because I already know your child, their medical history, and we've already established a doctor-patient relationship.

For new patients, however, I hope you understand that it may take me longer to respond to medical questions. It is difficult—and often inappropriate—for me to give medical advice when I have not yet met or examined your child. In many cases, I may recommend that your child be seen in the clinic first so I can assess them properly and safely.

But generally, as long as gising ako at hawak ko phone ko I reply quick.

📩 When sending me a message, may I ask one small favor?
Please send your complete concern in your first message instead of just saying "Hi" or "Good day." This helps save both of us time because I can read your concern immediately and reply appropriately once I'm available.

For example, instead of: *Hi Doc.*

You may send: *Good morning, Doc. This is Juan Dela Cruz's mother. He has had a fever since last night (38.8°C) despite paracetamol. He's still drinking well and has no cough or colds. May I ask what I should do?*

This allows me to respond more efficiently without having to wait for another message. If more than 24 hours have passed and I still haven't replied, please don't hesitate to send your message again. There are days when I receive an overwhelming number of messages, and despite my best efforts, some conversations may unintentionally get buried. A gentle follow-up is perfectly okay. Minsan din kasi may reply na ko akala ko nasend na, hindi pa pala (signs of aging 😬)

🙏 I also have one humble request.

If you happen to know my family members, I sincerely ask that you please do not message or call them to get my attention. They are not involved in my medical practice, and I hope we can respect their privacy. I promise I will respond as soon as I am able. Or better, you may text my secretaries instead. Most of the info you need (schedule etc) is here at my page, you just need to READ 🙂

🚨 If your child has an urgent medical concern or is experiencing an emergency, please do not wait for my reply. Instead, proceed immediately to the nearest Emergency Room or seek emergency medical care. Messaging me is not a substitute for emergency evaluation, and waiting for a response may delay the treatment your child needs.

Thank you for your patience, understanding, and respect for my time, my family, and my profession. These simple boundaries allow me to provide the best possible care—not just to your child, but to all of my patients.

Thank you for your continued trust and kindness. ❤️