Magtoto - Patdu Surgical Clinic

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Magtoto - Patdu Surgical Clinic

General and Cancer Surgery 🧑‍⚕🔪 | Board Certified | Face to face and online consultation | Pampanga

08/09/2025

Magtoto Patdu Multispecialty Clinic
San Agustin, City of San Fernando, Pampanga

📢📣 𝐂𝐥𝐢𝐧𝐢𝐜 𝐒𝐜𝐡𝐞𝐝𝐮𝐥𝐞 𝐀𝐝𝐯𝐢𝐬𝐨𝐫𝐲 📣📢

Please be guided by our clinic schedule for the month SEPTEMBER. Thank you!

🔴 SEPTEMBER 11 (Tuesday) - NO CLINIC (VL Macabali Hospital, Pampanga Premier Medical Center, St. Ferdinand Medical Arts Bldg and Magtoto Patdu Multispecialty Clinic - San Agustin)

🔴 SEPTEMBER 13 (Friday) - NO CLINIC (VL Macabali Hospital, Pampanga Medical SpecialistsHospital, St. Ferdinand Medical Arts Bldg and Magtoto Patdu Multispecialty Clinic - San Agustin

🔴 SEPTEMBER 16 (Tuesday) - resume regular clinic schedule

***𝘕𝘰𝘵𝘦: 𝘛𝘩𝘦 𝘴𝘤𝘩𝘦𝘥𝘶𝘭𝘦 𝘮𝘢𝘺 𝘣𝘦 𝘴𝘶𝘣𝘫𝘦𝘤𝘵 𝘵𝘰 𝘤𝘩𝘢𝘯𝘨𝘦.

𝗙𝗢𝗥 𝗜𝗡𝗤𝗨𝗜𝗥𝗜𝗘𝗦 𝗢𝗥 𝗔𝗣𝗣𝗢𝗜𝗡𝗧𝗠𝗘𝗡𝗧𝗦:
📩 Message us here on our page
Contact No/s:
📌 𝗩. 𝗟. 𝗠𝗔𝗞𝗔𝗕𝗔𝗟𝗜 𝗛𝗢𝗦𝗣𝗜𝗧𝗔𝗟, 𝗖𝗦𝗙𝗣
Room 128
Tue, Thurs, Sat 9am to 12nn
📞 0920 813 4270

📌 𝗣𝗔𝗠𝗣𝗔𝗡𝗚𝗔 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗦𝗣𝗘𝗖𝗜𝗔𝗟𝗜𝗦𝗧𝗦 𝗛𝗢𝗦𝗣𝗜𝗧𝗔𝗟, , Guagua
Room 216, Sat 1 to 3 pm
📞 09508775410

📌 𝗣𝗔𝗠𝗣𝗔𝗡𝗚𝗔 𝗣𝗥𝗘𝗠𝗜𝗘𝗥 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗖𝗘𝗡𝗧𝗘𝗥, Apalit
Room LG 003 Tue and Thurs 9 to 11am
📞 09758182324 (by appointment)

📌 𝗛𝗢𝗟𝗬 𝗧𝗥𝗜𝗡𝗜𝗧𝗬 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗖𝗘𝗡𝗧𝗘𝗥
Arayat; Room 1
Wed 9am to 11am (by appointment)
📞 0919 074 0392

📌 𝗦𝗧. 𝗙𝗘𝗥𝗗𝗜𝗡𝗔𝗡𝗗 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗔𝗥𝗧𝗦 𝗕𝗟𝗗𝗚,
CSFP
Room 113, Tue, Wed, Thurs, Sat 9am to 4pm
📞 09994958081

📌 𝗠𝗔𝗚𝗧𝗢𝗧𝗢 𝗣𝗔𝗧𝗗𝗨 𝗠𝗨𝗟𝗧𝗜𝗦𝗣𝗘𝗖𝗜𝗔𝗟𝗧𝗬 𝗖𝗟𝗜𝗡𝗜𝗖 (San Agustin, CSFP)
Tue, Wed, Thurs and Sat (by appointment)
📞 0994 9493053

04/09/2025

"Ebun Buro"

From time to time, our patients show their gratitude through simple gifts. While every token is deeply appreciated, we are especially moved by those from patients with very little to give, especially from charity or district hospitals.

These gifts may be small, but they carry immense meaning. They remind us that our work is not just about healing bodies, but also about touching lives and bringing hope. It is in these heartfelt gestures that we find inspiration to serve with even greater compassion.

30/08/2025

Belated Happy Birthday, to our clinic secretary at room 128, VL Macabali Hospital, Maam Liza Carreon! 🎉

Your dedication, kindness, and bright smile keep our clinic running smoothly and make every day lighter for everyone around you. We’re truly grateful for your hard work, patience, and the way you go above and beyond for both our team and our patients.

May your special day be filled with joy, laughter, and all the things that make you happiest. Wishing you good health, more blessings, and endless reasons to smile in the year ahead. 💐🎂

From all of us at Magtoto Patdu Multispecialty and Surgical Clinic – we celebrate YOU today! ❤️

29/08/2025

𝐏𝐫𝐞-𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐚𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭 𝐚𝐧𝐝 𝐯𝐞𝐢𝐧 𝐬𝐜𝐚𝐧𝐧𝐢𝐧𝐠 scanning are critically important steps before the creation of an **𝐚𝐫𝐭𝐞𝐫𝐢𝐨𝐯𝐞𝐧𝐨𝐮𝐬 (𝐀𝐕) 𝐟𝐢𝐬𝐭𝐮𝐥𝐚**, which is a surgically created connection between an artery and a vein, most commonly used for hemodialysis access.

Here's why these steps are essential:

🔍 1. **𝐀𝐬𝐬𝐞𝐬𝐬 𝐒𝐮𝐢𝐭𝐚𝐛𝐢𝐥𝐢𝐭𝐲 𝐨𝐟 𝐕𝐞𝐬𝐬𝐞𝐥𝐬**

* **Vein scanning** helps identify veins and arteries that are suitable in size and quality for fistula creation.
* The **ideal vein diameter** is typically ≥2.5–3 mm, and arteries should be ≥2 mm.
* Without this, the surgeon may attempt to create a fistula in unsuitable vessels, leading to failure.

🧠 2. **𝐈𝐦𝐩𝐫𝐨𝐯𝐞𝐬 𝐅𝐢𝐬𝐭𝐮𝐥𝐚 𝐌𝐚𝐭𝐮𝐫𝐚𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐅𝐮𝐧𝐜𝐭𝐢𝐨𝐧**

* Successful fistulas must **"mature"** —meaning the vein dilates and its walls thicken to withstand repeated needle punctures and support high blood flow.
* Pre-op scanning ensures that the chosen vessels have a high chance of maturing properly.
* Reduces the risk of **primary failure** (fistula that never becomes usable).

📉 3. **𝐑𝐞𝐝𝐮𝐜𝐞𝐬 𝐂𝐨𝐦𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬**

* Identifies **stenosis, thrombosis, or occlusions** in vessels that could lead to fistula failure.
* Avoids vessels with **deep location** or **scarring**, which may be difficult to access post-operatively.

👥 4. **𝐏𝐞𝐫𝐬𝐨𝐧𝐚𝐥𝐢𝐳𝐞𝐝 𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐏𝐥𝐚𝐧𝐧𝐢𝐧𝐠**

* Allows the surgeon to choose the **optimal site** (e.g., radiocephalic vs. brachiocephalic).
* Tailors the procedure to the individual’s anatomy, increasing the chance of long-term success.

🕒 5. **𝐀𝐯𝐨𝐢𝐝𝐬 𝐃𝐞𝐥𝐚𝐲𝐬 𝐢𝐧 𝐃𝐢𝐚𝐥𝐲𝐬𝐢𝐬 𝐀𝐜𝐜𝐞𝐬𝐬**

* A failed fistula creation may mean the patient remains on a **central venous catheter** for longer, which has a higher risk of infection and thrombosis.
* Proper assessment reduces the likelihood of needing **repeat surgeries**.

**Skipping pre-op vein mapping is one of the most common reasons for AV fistula failure.** This step turns a “best guess” surgery into a **precision-guided** one, improving outcomes for patients requiring dialysis.

Disclaimer: We are not vascular Surgeons, but as general surgeons, we are trained to perform vascular procedures such as IJ catheter insertion and AV fistula creation. For complicated AV fistula creation, perm catheter insertion, advanced vascular procedures, directly consult a TCVS / Vascular surgeon.

28/08/2025

*☘️ A surgeon is more than a healer of the body— they are the steady hands that guide patients through their most fragile moments.

With courage and precision, they turn fear into hope, pain into healing, and what once seemed like an ending into the gift of a new beginning.*☘️

25/08/2025

🚨 **𝐏𝐚𝐫𝐞𝐧𝐭𝐬, 𝐒𝐭𝐚𝐲 𝐀𝐥𝐞𝐫𝐭!!** 🚨

Not all toys are as safe as they look. Some small or low-quality toys may *𝐛𝐫𝐞𝐚𝐤 𝐚𝐩𝐚𝐫𝐭 𝐞𝐚𝐬𝐢𝐥𝐲 𝐨𝐫 𝐜𝐨𝐧𝐭𝐚𝐢𝐧 𝐡𝐚𝐫𝐦𝐟𝐮𝐥 𝐦𝐚𝐭𝐞𝐫𝐢𝐚𝐥𝐬*. When swallowed, these parts can cause *𝐬𝐞𝐫𝐢𝐨𝐮𝐬 𝐢𝐧𝐣𝐮𝐫𝐢𝐞𝐬 𝐭𝐨 𝐲𝐨𝐮𝐫 𝐜𝐡𝐢𝐥𝐝’𝐬 𝐬𝐭𝐨𝐦𝐚𝐜𝐡 𝐚𝐧𝐝 𝐢𝐧𝐭𝐞𝐬𝐭𝐢𝐧𝐞𝐬* – including *𝐛𝐨𝐰𝐞𝐥 𝐞𝐫𝐨𝐬𝐢𝐨𝐧* that may require urgent medical treatment.

👶 *𝐖𝐡𝐚𝐭 𝐭𝐨 𝐰𝐚𝐭𝐜𝐡 𝐨𝐮𝐭 𝐟𝐨𝐫:*

* Toys with *𝐬𝐦𝐚𝐥𝐥 𝐝𝐞𝐭𝐚𝐜𝐡𝐚𝐛𝐥𝐞 𝐩𝐚𝐫𝐭𝐬* (choking & ingestion risk)
* *𝐂𝐡𝐞𝐚𝐩 𝐨𝐫 𝐮𝐧𝐛𝐫𝐚𝐧𝐝𝐞𝐝 𝐭𝐨𝐲𝐬* with unknown materials
* *𝐌𝐚𝐠𝐧𝐞𝐭𝐢𝐜 𝐭𝐨𝐲𝐬 𝐨𝐫 𝐛𝐮𝐭𝐭𝐨𝐧 𝐛𝐚𝐭𝐭𝐞𝐫𝐢𝐞𝐬* – extremely dangerous if swallowed
* Items that look like *𝐟𝐨𝐨𝐝 𝐨𝐫 𝐜𝐚𝐧𝐝𝐲*, which children might mistake as edible

✅ *Safety Tips for Parents:*

* Always *𝐜𝐡𝐞𝐜𝐤 𝐥𝐚𝐛𝐞𝐥𝐬* for age-appropriateness and safety standards.
* Buy only from *𝐭𝐫𝐮𝐬𝐭𝐞𝐝 𝐚𝐧𝐝 𝐫𝐞𝐩𝐮𝐭𝐚𝐛𝐥𝐞 𝐬𝐭𝐨𝐫𝐞𝐬*.
* *𝐈𝐧𝐬𝐩𝐞𝐜𝐭 𝐭𝐨𝐲𝐬 𝐫𝐞𝐠𝐮𝐥𝐚𝐫𝐥𝐲* for damage or loose parts.
* *𝐒𝐮𝐩𝐞𝐫𝐯𝐢𝐬𝐞 𝐩𝐥𝐚𝐲𝐭𝐢𝐦𝐞*, especially for toddlers.

💡 Remember: What may look like just a “small piece” can cause *𝐛𝐢𝐠 𝐡𝐚𝐫𝐦* inside a child’s body. A few extra minutes of vigilance can save your child from a lifetime of consequences.

👩‍⚕️ *Keep play safe. Protect their future.*

21/08/2025

🌿 *“A surgeon is an extension of God’s healing hands. In the quiet of the operating room, where life hangs in delicate balance, the surgeon becomes an instrument of grace—blending knowledge with compassion, and precision with hope.

Each incision is not merely a cut, but a pathway to healing; each stitch, a thread of restoration.
Beyond the science lies a sacred calling: to touch life with reverence, to mend what is broken, and to reflect the divine gift of healing through human hands.”* 🌿

20/08/2025

Magtoto Patdu Surgical / Multispecialty Clinic
San Agustin, City of San Fernando

We sincerely thank and appreciate Intelleq Medical for generously providing a grasper laparoscopic instrument. This support helps deliver safer and more efficient care for patients.

A grasper is a tool doctors use in keyhole surgery. It works like tiny tongs to gently hold and move tissues through small cuts, helping the surgery be less painful and heal faster.

🙏👍😉

13/08/2025

Magtoto Patdu Surgical / Multispecialty Clinic
San Agustin, City of San Fernando, Pampanga

Case review of the day:

35 / F
Patient underwent Ultrasound guided needle biopsy under local anesthesia

🙏👍😉

11/08/2025

𝗠𝗮𝗴𝘁𝗼𝘁𝗼 𝗣𝗮𝘁𝗱𝘂 𝗠𝘂𝗹𝘁𝗶𝘀𝗽𝗲𝗰𝗶𝗮𝗹𝘁𝘆 𝗖𝗹𝗶𝗻𝗶𝗰
San Agustin, City of San Fernando

𝗠𝗶𝗻𝗼𝗿 𝘀𝘂𝗿𝗴𝗶𝗰𝗮𝗹 𝗽𝗿𝗼𝗰𝗲𝗱𝘂𝗿𝗲:
Insertion of Internal Jugular Vein Cathether for Immediate Dialysis Access under Ultrasound guidance (using our portable handheld ultrasound device)

51 year old, male
Referred for insertion of dialysis access

10/08/2025

https://www.facebook.com/share/p/1D1SniGFds/

09/08/2025

Happy Birthday, to our clinic secretary, pharmacy tech and a little bit of everything Ms. Jen Serrano! 🎉

Your dedication, kindness, and bright smile keep our clinic running smoothly and make every day lighter for everyone around you. We’re truly grateful for your hard work, patience, and the way you go above and beyond for both our team and our patients.

May your special day be filled with joy, laughter, and all the things that make you happiest. Wishing you good health, more blessings, and endless reasons to smile in the year ahead. 💐🎂

From all of us at Magtoto Patdu Multispecialty and Surgical Clinic – we celebrate YOU today! ❤️

Address

San Fernando
2000

Website

https://www.profiles.blue/Guiller_Jerico_Patdu

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