Dr. Joshua Paul M. Gamallo Butuan

Dr. Joshua Paul M. Gamallo Butuan A Physician with a Heart, Delivering Evidence-Based Care for a Healthier You!

28/09/2025

Clinic Advisory ๐Ÿ“ข

To our valued patients, please be informed that there will be no clinic on September 29โ€“30, 2025 as I will be attending to official duties in Surigao.

Regular clinic schedule will resume after these dates. Thank you for your understanding and continued trust.

27/09/2025
โ€œ๐๐š๐ฐ๐š๐ฅ ๐Œ๐š๐ฅ๐ข๐ ๐จโ€ Isa sa mga pinakakaraniwang payo na naririnig ng mga bagong ina mula sa matatanda ay ang, โ€œ๐ป๐‘ข๐‘ค๐‘Ž๐‘” ๐‘˜๐‘Ž ๐‘š๐‘ข๐‘›๐‘Ž๐‘›...
11/09/2025

โ€œ๐๐š๐ฐ๐š๐ฅ ๐Œ๐š๐ฅ๐ข๐ ๐จโ€
Isa sa mga pinakakaraniwang payo na naririnig ng mga bagong ina mula sa matatanda ay ang, โ€œ๐ป๐‘ข๐‘ค๐‘Ž๐‘” ๐‘˜๐‘Ž ๐‘š๐‘ข๐‘›๐‘Ž๐‘›๐‘” ๐‘š๐‘Ž๐‘™๐‘–๐‘”๐‘œ, ๐‘๐‘Ž๐‘˜๐‘Ž ๐‘š๐‘Ž๐‘๐‘–๐‘›๐‘Ž๐‘ก ๐‘˜๐‘Ž.โ€ Maraming nanay ang natatakot at sumusunod dito dahil sa pangambang baka lumala ang kanilang kondisyon. Ngunit sa katotohanan, wala itong sapat na ebidensiya. Ang paniniwalang ito ay nakabatay sa takot na baka mapasukan ng hangin ang sugat o humina ang katawan, at madalas ding sinasabi na bawal ding paliguan agad ang sanggol dahil baka sipunin o magkasakit.

Ang pagligo pagkatapos manganak ay hindi nakakapagdulot ng binat. Sa halip, ito ay mahalagang bahagi ng kalinisan at pag-iwas sa impeksyon. Ang tamang paliligo gamit ang malinis na tubig at banayad na sabon ay nakatutulong upang mapanatiling malinis ang katawan at sugat, lalo na kung may tahi mula sa episiotomy o cesarean section. Ang kailangan lamang ay ingatan na huwag kuskusin ang sugat at panatilihin itong tuyo matapos maligo. Para naman sa mga bagong silang na sanggol, maaari silang paliguan pagkatapos ng unang 24 oras. Sa umpisa, sapat na ang sponge bath o mabilis na paligo gamit ang maligamgam na tubig at mild baby soap upang mapanatiling malinis at komportable ang sanggol.

๐‘ฒ๐’‚๐’š๐’‚ ๐’๐’‚๐’๐’‚๐’š, ๐’‰๐’–๐’˜๐’‚๐’ˆ ๐’Ž๐’‚๐’•๐’‚๐’Œ๐’๐’• ๐’Ž๐’‚๐’๐’Š๐’ˆ๐’. ๐‘ฏ๐’Š๐’๐’…๐’Š ๐’Ž๐’ ๐’๐’‚๐’๐’ˆ ๐’‘๐’Š๐’๐’‚๐’‘๐’‚๐’๐’ˆ๐’‚๐’๐’‚๐’ˆ๐’‚๐’‚๐’ ๐’‚๐’๐’ˆ ๐’”๐’‚๐’“๐’Š๐’๐’Š ๐’Ž๐’, ๐’‘๐’Š๐’๐’๐’‘๐’“๐’๐’•๐’†๐’Œ๐’•๐’‚๐’‰๐’‚๐’ ๐’Ž๐’ ๐’“๐’Š๐’ ๐’‚๐’๐’ˆ ๐’Š๐’š๐’๐’๐’ˆ ๐’”๐’‚๐’๐’ˆ๐’ˆ๐’๐’.

03/09/2025
03/09/2025

๐—ง๐—ต๐—ฒ ๐Ÿฎ๐Ÿฌ๐Ÿฎ๐Ÿฑ ๐—ฃ๐—ฅ๐—˜๐—ฉ๐—˜๐—ก๐—ง ๐— ๐—ผ๐—ฑ๐—ฒ๐—น ๐—ณ๐—ผ๐—ฟ ๐—›๐—ฌ๐—ฃ๐—˜๐—ฅ๐—ง๐—˜๐—ก๐—ฆ๐—œ๐—ข๐—ก refers to the AHA/ACC/AANP/AAP/AABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults, which highlights the importance of lifestyle changesโ€”such as following a heart-healthy diet, engaging in regular physical activity, maintaining a healthy weight, managing stress, and avoiding smoking and excessive alcohol consumptionโ€”to help prevent and control high blood pressure while lowering the risk of heart attack, stroke, and other chronic illnesses.

Following the release of the updated 2025 multisociety High Blood Pressure Guideline, which redefines how cardiovascular disease risk is assessed and managed in adults, a new ACC/AHA Scientific Statement introduces the PREVENT model (Predicting Risk of Cardiovascular Disease Events) and details the supporting evidence and rationale behind its use.

The use of the PREVENT risk calculator to estimate cardiovascular disease risk and guide drug treatment vs. use of pooled cohort equations is one of the biggest changes in the 2025 guideline. PREVENT, which combines measures of cardiovascular, kidney and metabolic health, delivers more precise estimates of 10-year risk of total cardiovascular disease (including atherosclerotic cardiovascular disease and heart failure).

https://www.acc.org/Latest-in-Cardiology/Journal-Scans/2025/08/28/16/33/New-Scientific-Statement-Deep-Dives?utm_medium=social&utm_source=social_post&utm_campaign=esc25&fbclid=IwdGRjcAMiKTdjbGNrAyIogGV4dG4DYWVtAjExAAEe02X-r3BkMEnIoS0UdsLigwT6xwPGZU9cE3c9ql47BDCqaHK1m1p29VNFUms_aem_dVA88fRIUmRi3Bd9ecOuGw

01/09/2025

From JAMA: In patients with cardiometabolic , and reduced the risk of hospitalization for heart failure or all-cause mortality compared to sitagliptin, but tirzepatide offered no additional benefit over semaglutide.



https://ja.ma/47kircb

๐Ÿ“ข ๐‘พ๐’‰๐’†๐’๐’†๐’—๐’†๐’“...๐‡๐ž๐ซ๐ž ๐ข๐ฌ ๐ฆ๐ฒ ๐‚๐ฅ๐ข๐ง๐ข๐œ ๐’๐œ๐ก๐ž๐๐ฎ๐ฅ๐ž ๐Ÿ๐จ๐ซ ๐’๐ž๐ฉ๐ญ๐ž๐ฆ๐›๐ž๐ซ ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“:๐Ÿ—“๏ธ September 1โ€“5, 12โ€“13, 15โ€“20, 22โ€“27, 29โ€“30Thank you for you...
01/09/2025

๐Ÿ“ข ๐‘พ๐’‰๐’†๐’๐’†๐’—๐’†๐’“...

๐‡๐ž๐ซ๐ž ๐ข๐ฌ ๐ฆ๐ฒ ๐‚๐ฅ๐ข๐ง๐ข๐œ ๐’๐œ๐ก๐ž๐๐ฎ๐ฅ๐ž ๐Ÿ๐จ๐ซ ๐’๐ž๐ฉ๐ญ๐ž๐ฆ๐›๐ž๐ซ ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“:
๐Ÿ—“๏ธ September 1โ€“5, 12โ€“13, 15โ€“20, 22โ€“27, 29โ€“30

Thank you for your continued trust! Kindly mark your calendars and schedule your appointments accordingly.

Wishing everyone an advance Merry Christmas! ๐ŸŽ„๐ŸŽ…

๐ƒ๐จ๐œ๐ญ๐จ๐ซ๐ฌ ๐€๐ซ๐ž ๐๐จ๐ญ ๐‘๐จ๐›๐จ๐ญ๐ฌ: ๐“๐ก๐ž ๐‡๐ฎ๐ฆ๐š๐ง ๐…๐š๐œ๐ž ๐จ๐Ÿ ๐๐ก๐ข๐ฅ๐ข๐ฉ๐ฉ๐ข๐ง๐ž ๐‡๐ž๐š๐ฅ๐ญ๐ก๐œ๐š๐ซ๐žThe Philippine public hospital emergency room is a battle...
21/08/2025

๐ƒ๐จ๐œ๐ญ๐จ๐ซ๐ฌ ๐€๐ซ๐ž ๐๐จ๐ญ ๐‘๐จ๐›๐จ๐ญ๐ฌ: ๐“๐ก๐ž ๐‡๐ฎ๐ฆ๐š๐ง ๐…๐š๐œ๐ž ๐จ๐Ÿ ๐๐ก๐ข๐ฅ๐ข๐ฉ๐ฉ๐ข๐ง๐ž ๐‡๐ž๐š๐ฅ๐ญ๐ก๐œ๐š๐ซ๐ž
The Philippine public hospital emergency room is a battlefield. A single doctor may face dozens of patients at once, children with fevers, elderly struggling to breathe, accident victims crying out in pain, families desperately asking for help. The scene is chaotic, urgent, and overwhelming. Yet behind the white coat and stethoscope is a human being, a doctor who feels, who tires, who breaks.

In a system where doctors are often treated as if they are machines, it is easy to forget that they, too, are flesh and blood. They push themselves past exhaustion, not because they are robots, but because lives depend on them.

๐ผ๐‘› ๐‘’๐‘ฃ๐‘’๐‘Ÿ๐‘ฆ ๐‘œ๐‘ฃ๐‘’๐‘Ÿ๐‘๐‘Ÿ๐‘œ๐‘ค๐‘‘๐‘’๐‘‘ ๐‘’๐‘š๐‘’๐‘Ÿ๐‘”๐‘’๐‘›๐‘๐‘ฆ ๐‘Ÿ๐‘œ๐‘œ๐‘š, ๐‘’๐‘ฃ๐‘’๐‘Ÿ๐‘ฆ ๐‘ ๐‘™๐‘’๐‘’๐‘๐‘™๐‘’๐‘ ๐‘  ๐‘›๐‘–๐‘”โ„Ž๐‘ก ๐‘œ๐‘› ๐‘‘๐‘ข๐‘ก๐‘ฆ, ๐‘Ž๐‘›๐‘‘ ๐‘’๐‘ฃ๐‘’๐‘Ÿ๐‘ฆ ๐‘™๐‘–๐‘“๐‘’ ๐‘ ๐‘Ž๐‘ฃ๐‘’๐‘‘ ๐‘Ž๐‘”๐‘Ž๐‘–๐‘›๐‘ ๐‘ก ๐‘Ž๐‘™๐‘™ ๐‘œ๐‘‘๐‘‘๐‘ , ๐‘œ๐‘ข๐‘Ÿ ๐‘‘๐‘œ๐‘๐‘ก๐‘œ๐‘Ÿ๐‘  ๐‘๐‘Ÿ๐‘œ๐‘ฃ๐‘’ ๐‘กโ„Ž๐‘’๐‘–๐‘Ÿ โ„Ž๐‘ข๐‘š๐‘Ž๐‘›๐‘–๐‘ก๐‘ฆ. ๐‘‡โ„Ž๐‘’ ๐‘™๐‘’๐‘Ž๐‘ ๐‘ก ๐‘ค๐‘’ ๐‘๐‘Ž๐‘› ๐‘‘๐‘œ ๐‘–๐‘  โ„Ž๐‘œ๐‘›๐‘œ๐‘Ÿ ๐‘–๐‘ก.

๐‘จ ๐‘ฉ๐’“๐’๐’Œ๐’†๐’ ๐‘บ๐’š๐’”๐’•๐’†๐’Ž
The strain on doctors and nurses is not simply the result of patient volume. It is the symptom of a deeper, systemic disease: a healthcare system weakened by decades of underfunding and corruption.

๐‘ท๐’‚๐’•๐’Š๐’†๐’๐’•๐’” ๐’‚๐’๐’… ๐‘พ๐’‚๐’•๐’„๐’‰๐’†๐’“๐’”: ๐‘จ ๐‘ช๐’‚๐’๐’ ๐’‡๐’๐’“ ๐‘ด๐’Š๐’๐’…๐’‡๐’–๐’๐’๐’†๐’”๐’”
In the midst of this reality, patients and their watchers must also be mindful. Doctors understand suffering, they dedicate their lives to healing. But watchers must remember: the doctor attending to your loved one is also attending to many others.

๐‘ป๐’‰๐’† ๐‘ท๐’‰๐’Š๐’๐’Š๐’‘๐’‘๐’Š๐’๐’† ๐‘ฏ๐’†๐’‚๐’๐’•๐’‰๐’„๐’‚๐’“๐’† ๐‘บ๐’š๐’”๐’•๐’†๐’Ž: ๐‘ญ๐’‚๐’„๐’•๐’” ๐‘พ๐’† ๐‘ช๐’‚๐’๐’๐’๐’• ๐‘ฐ๐’ˆ๐’๐’๐’“๐’†
The World Health Organization recommends 1 doctor for every 1,000 people. In the Philippines, we only have about 3 doctors for every 10,000 Filipinos in many provinces. This forces a handful of doctors to care for entire communities. Less than 5% of the national budget is allocated to healthcare, far below the WHO recommendation of at least 10%. Funds are often mismanaged, with corruption scandals in health agencies draining resources.

๐‘ป๐’‰๐’† ๐‘ฉ๐’๐’•๐’•๐’๐’Ž ๐‘ณ๐’Š๐’๐’†
Doctors are not robots. They are human beings doing their best within a broken system. While we call for accountability from government leaders who have neglected and corrupted healthcare, we must also call for compassion from patients and watchers.

20/08/2025

Moving more, eating well, and limiting or avoiding alcohol are simple but effective ways to manage high blood pressure. The High Blood Pressure Hub offers patients guidance for living with and monitoring high blood pressure, including downloadable infographics on the basics of blood pressure measurements and more.

Visit the hub and share these resources with your patients: https://bit.ly/4lxWqtP

15/08/2025

The ๐Ÿ†• AHA/ACC/Multisociety on high blood pressure provides updated recommendations for clinicians on the prevention, detection, evaluation, and management of high blood pressure in adults.

Published in , the new guideline reflects the latest research and evidence since February 2015 and replaces the previous version from 2017. The guideline includes new recommendations addressing topics like secondary forms of hypertension, primary aldosteronism, lifestyle and psychosocial approaches, hypertension and pregnancy, acute intracerebral hemorrhage, resistant hypertension and renal denervation, diabetes, chronic kidney disease and mild cognitive impairment and dementia.

Access the guideline here โžก๏ธ https://bit.ly/4oCwJLk

09/08/2025
09/08/2025

ONCE AND FOR ALL, LETโ€™S PUT AN END TO THIS.

So this happened, a friend messaged me, if I could be of help to his friend. He forwarded the concern to me and I was shocked. (I am not the pediatrician of the baby btw.)

Let this be a gentle reminder that we doctors have our own clinic schedules. Meaning, all concerns should be addressed during the clinic hours. FACEBOOK PAGES AND MESSENGERS ARE NOT YOUR CONVENIENT EMERGENCY HOTLINES. If your doctor is not around, Iโ€™m sure there are other doctors who are. ๐Ÿ™‚

My patients know that I reply to their concerns especially when I have seen the patients PERSONALLY at the clinics, or if I am waiting for additional laboratory results, mostly with no extra charge.

pages and messengers are not intended to replace face-to-face consults, or even be your last option when you choose to self medicate and consult tiktok.๐Ÿ˜’

Please do not normalize getting mad if you do not receive an immediate response from your doctors, without knowing that they are busy hospital - or clinic - hopping (kadalasan di lang po isang lugar iniikutan ng mga yan), while you are waiting with a cellphone on hand at the comfort of your home. ๐Ÿ˜”

A little appreciation goes a loooooong way especially when your doctor finds time to reply even to your simplest queries. ๐Ÿ™‚๐Ÿ™

Btw, advised him to bring the child to her pedia, because Iโ€™m sure it was not the pediaโ€™s idea to give delight hihi๐Ÿ˜ฌโœŒ๏ธ

Respect begets respect.๐Ÿซถ

Address

Hi Precision, Watergate Complex
Butuan City
8600

Opening Hours

Monday 7am - 3pm
Tuesday 7am - 3pm
Wednesday 7am - 3pm
Thursday 7am - 3pm
Friday 7am - 3pm
Saturday 7am - 3pm

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