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Monday 10am - 8pm Tuesday 10am - 8pm Wednesday 10am - 8pm Thursday 10am - 8pm Friday 10am - 8pm Saturday 10am - 8pm Sunday 1pm - 4pm

Cristina D. Roldan, MD - Internal Medicine - Pulmonology

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Philippines
San Pablo City
Cristina D. Roldan, MD - Internal Medicine - Pulmonology

I treat conditions and diseases of the chest such as asthma, emphysema, tuberculosis, pneumonia and other complicated chest infections. Clinics located at
1.

I specialize in preventing, diagnosing and treating conditions and diseases that affect the lungs, bronchial tubes and the respiratory system including the nose, pharynx and throat. MaryJoy Pharmacy (Second Floor) A. Mabini St, San Pablo City, Laguna
2. San Pablo Colleges Medical Center at Brgy San Rafael, Maharlika High way, San Pablo City, Laguna
3. St. Frances Cabrini Medical Center, Sto Toma

s, Batangas

Fellow, Philippine College of Physicians
Fellow, Philippine College of Chest Physicians

24/03/2025

🚨 Workplace TB: What Employers and Employees Should Do 🚨

Did you know that tuberculosis (TB) can spread in the workplace if not properly managed? Since TB is airborne, crowded and poorly ventilated workspaces can increase the risk of transmission. But the good news is: TB is preventable and curable! ✅

🔍 What Employers Should Do:
👨‍⚕️ Promote TB screening – Encourage employees to get checked, especially if they have a persistent cough (2+ weeks), fever, night sweats, or weight loss.
🌬 Improve workplace ventilation – Open windows, use fans, and maintain proper air circulation.
🏥 Support TB-positive employees – TB treatment is FREE in government health centers. Allow medical leave and ensure confidentiality.
📢 Educate employees about TB – Conduct awareness sessions to reduce stigma and misinformation.

👩‍💼 What Employees Can Do:
😷 Cover coughs & sneezes – Use a tissue or your elbow to prevent airborne spread.
🩺 Seek early medical advice – If you have TB symptoms, visit a health center for testing.
💊 Complete TB treatment – Stopping medication early can cause drug-resistant TB. Stay committed to your full treatment course.
💡 Encourage a healthy workplace – Advocate for wellness programs that include TB awareness and support.

TB does not discriminate, and neither should we. A safe and informed workplace is key to ending TB! 🛑

📢 Share this post to spread awareness!

21/03/2025

⚠️ Why You Should NOT Stop TB Treatment Early! ⚠️

Many people stop taking their TB medicines as soon as they start feeling better. DON’T MAKE THIS MISTAKE! ❌

Here’s why completing your TB treatment is CRUCIAL:

💊 TB bacteria die slowly – Even if symptoms disappear, the bacteria are still in your body. Stopping early allows them to come back stronger!

🦠 Stopping treatment causes Drug-Resistant TB – If TB bacteria survive, they become resistant to medicines. MDR-TB (Multi-Drug Resistant TB) is much harder and more expensive to treat.

🤧 You remain contagious – Incomplete treatment means TB can spread to your family, friends, and coworkers.

⏳ Treatment works ONLY if completed – Standard TB treatment takes at least 6 months. Stick to your doctor’s instructions to fully recover!

✅ REMEMBER:
1️⃣ Take your medications EVERY DAY as prescribed.
2️⃣ Do NOT skip doses, even if you feel fine.
3️⃣ Visit your health center for regular check-ups.
4️⃣ Encourage others to finish their TB treatment too!

TB is curable, but only if you COMPLETE the treatment! Let’s stop TB together. 💙

📢 Tag someone who needs to see this & share to spread awareness!

18/03/2025

🛑 Myths vs. Facts: Debunking Common Misconceptions About TB 🛑

Did you know that tuberculosis (TB) remains one of the leading infectious diseases in the Philippines? Unfortunately, misinformation still spreads faster than the disease itself! Let’s set the record straight. 👇

❌ Myth #1: TB is hereditary.
✅ Fact: TB is caused by bacteria (Mycobacterium tuberculosis), not genetics. It spreads through the air when an infected person coughs, sneezes, or talks.

❌ Myth #2: Only poor people get TB.
✅ Fact: TB can affect anyone, regardless of socioeconomic status. However, crowded living conditions and poor ventilation can increase the risk of transmission.

❌ Myth #3: If you have TB, you should be isolated for life.
✅ Fact: TB is curable with proper treatment. After 2-3 weeks of medication, most patients are no longer contagious and can safely be around others.

❌ Myth #4: If you feel better, you can stop taking TB meds.
✅ Fact: Stopping TB treatment early can lead to drug-resistant TB, which is harder and more expensive to treat. Always complete your 6-month treatment as prescribed.

❌ Myth #5: BCG vaccination guarantees lifelong protection.
✅ Fact: BCG helps protect young children from extrapulmonary forms of TB, but it does not provide lifelong immunity. Adults can still get TB, so awareness and early detection are key.

🔎 Early detection + proper treatment = TB-free future!
If you or someone you know has symptoms like a persistent cough for more than 2 weeks, weight loss, fever, or night sweats, visit your nearest health center for a check-up. 💙

📢 Help spread awareness, not TB! Share this post and let’s fight misinformation together! 💪

10/03/2025

🌿 Latent Tuberculosis: What You Need to Know! 🌿

Did you know that one-fourth of the world’s population is infected with latent tuberculosis (LTBI)? But don’t worry—it’s NOT the same as active TB! Let’s break it down:

✅ What is LTBI?

A person with LTBI is infected with the TB bacteria but has no symptoms and is not contagious.
The bacteria stay “asleep” in the body, but they can wake up and cause active TB disease later.
❓ Who is at risk of developing active TB?
People with weakened immune systems—such as those with diabetes, cancer, HIV, or those on steroids/immunosuppressants—have a higher risk of developing active TB.

🩺 Why is it important to diagnose and treat LTBI?
If left untreated, 5-10% of people with LTBI will develop active TB in their lifetime. Preventive treatment can reduce this risk!

🔎 How is LTBI diagnosed?

Tuberculin Skin Test (TST) or Interferon-Gamma Release Assay (IGRA)
A chest X-ray may be needed to rule out active TB

💊 Treatment Options

Shorter regimens (e.g., 3-4 months of rifampicin + isoniazid) are now preferred over the traditional 9-month INH regimen.
Treatment is crucial for high-risk individuals to prevent active, contagious TB.

🌍 Key Takeaway:
You can have TB bacteria in your body without being sick. But if you’re at risk, getting tested and treated early can protect you and those around you!

📢 Talk to your doctor if you think you might have LTBI!

25/02/2025

🦟 Paano Makakaiwas sa Dengue? 🦟

Ang dengue ay isang malubhang sakit na dala ng lamok, lalo na sa tag-ulan. Para maiwasan ito, sundin ang 4S Strategy ng DOH:

✅ Search and Destroy – Alisin ang mga posibleng pinamumugaran ng lamok tulad ng naipong tubig sa paso, gulong, bote, at alulod. Siguruhing walang stagnant water sa paligid.

✅ Self-Protection Measures – Gumamit ng insect repellent, magsuot ng damit na mahaba ang manggas at pantalon, at gumamit ng kulambo lalo na kung may kasamang bata.

✅ Seek Early Consultation – Kapag may sintomas tulad ng lagnat, matinding pananakit ng ulo, pananakit ng kasu-kasuan, rashes, at pagdurugo ng ilong o gilagid, agad na kumonsulta sa doktor.

✅ Support Fogging/Spraying – Sumali sa community-wide efforts laban sa dengue, lalo na kung may outbreak sa inyong lugar.

Ang dengue ay walang lunas, kaya mas mabuting iwasan ito! Panatilihing malinis ang paligid at protektahan ang sarili at pamilya.

Para sa mas detalyadong impormasyon, magtanong sa inyong doktor o bisitahin ang inyong lokal na health center.

14/02/2025

“Happy Valentine’s Day! ❤️ May your heart be strong, your lungs be clear, and your love be as deep as a full inspiratory breath. Breathe easy and love fully!”

10/02/2025

🌍 Can You Still Work Overseas If You Have a Scar or Previous Tuberculosis (TB) on Chest X-ray? 🌍

One common question from Filipinos planning to work abroad is: “What if my chest X-ray shows a scar or evidence of previous TB? Can I still work overseas?”

✅ Here’s What You Need to Know:
A chest X-ray showing a healed TB scar doesn’t always mean automatic disqualification. Many countries assess your overall health and require further tests before making a decision.
Here’s a general guide:

1️⃣ Medical Clearance Process

If an X-ray shows a scar, the doctor may request additional tests, such as a sputum exam, blood tests, or a CT scan. The goal is to ensure you don’t have active tuberculosis, which could be contagious.

2️⃣ What If You Had TB Before?

If you have completed TB treatment, make sure to bring medical records, treatment history, and a certificate of completion. This shows you followed proper treatment and reduces concerns about reactivation.

3️⃣ Country-Specific Policies

Some countries are stricter than others. For example, in some Gulf states, evidence of previous TB can lead to visa restrictions, while others may allow entry after thorough clearance.

🚨 Important Tip: Before applying, consult a pulmonologist to ensure you’re ready for any required medical exams. Proper documentation can save you from delays or rejections.

Remember, many workers with previous TB have successfully secured jobs abroad after passing the required health screenings!

💬 Questions about your case? Don’t hesitate to consult a specialist. Proper guidance can help you avoid unnecessary stress!

08/02/2025

Treating pleural effusion often involves addressing the underlying cause. In some cases, we may need to drain the fluid - a procedure called thoracentesis. Don't worry, it's not as scary as it sounds! We'll walk you through every step.

Prevention is key! 🔑 While not all cases of pleural effusion can be prevented, you can reduce your risk by:
- Managing heart and lung conditions
- Quitting smoking
- Seeking prompt treatment if you have symptoms
What steps are you taking for your lung health? Share below!

Myth vs. Fact 🧐
Myth: Pleural effusion always requires surgery.
Fact: Many cases can be managed with medication or minimally invasive procedures. Every case is unique!
What other myths have you heard? Let's debunk them together.

What questions do you have about pleural effusion or lung health? Drop them in the comments, and I'll try to answer them. Remember, while I can provide general information, always consult your doctor for personalized medical advice.

For more questions, you can email me at drroldanclinic@gmail.com !

06/02/2025

vs interview at
Flu (Influenza): A contagious viral infection affecting the respiratory system, caused by influenza viruses.
Pneumonia: A more serious infection that inflames the air sacs in the lungs, which can be caused by viruses (including flu), bacteria, or fungi.
Flu can lead to secondary bacterial pneumonia, bronchitis, or worsening of chronic conditions (e.g., asthma, COPD)

Full interview here:
https://www.facebook.com/watch/?v=1342039836988715&rdid=QRVnLnaGOqj8fJXN

03/02/2025

🌬️ Protect Your Lungs, Protect Your Life: Know the Risks of Pneumonia and Influenza! 🛡️

Pneumonia and influenza are serious illnesses that can affect anyone, but they’re especially dangerous for young children, older adults, and people with other health conditions.

👾 What’s the difference?

Influenza (Flu): A viral infection that spreads easily through coughs, sneezes, or touching contaminated surfaces. Common symptoms include fever, cough, sore throat, muscle pain, and fatigue.
Pneumonia: An infection that inflames the lungs, which can be caused by viruses (like flu), bacteria, or fungi. It often follows a flu or cold and can make it difficult to breathe.
🤧 How can the flu lead to pneumonia?
When you have the flu, your immune system is busy fighting off the virus. This leaves your body vulnerable, allowing bacteria or viruses to invade your lungs, leading to pneumonia.

🚨 Warning signs you shouldn’t ignore:

High fever that won’t go away
Cough with mucus or difficulty breathing
Chest pain when breathing or coughing
Fatigue that’s worse than usual
💉 Prevention is key!

Get vaccinated. The flu vaccine helps reduce the risk of severe complications like pneumonia. For high-risk groups, the pneumococcal vaccine is also important.
Practice good hygiene. Wash hands regularly, cover coughs and sneezes, and disinfect surfaces.
Know when to seek help. If you or a loved one has difficulty breathing, chest pain, or persistent fever, see a doctor immediately.
🌟 Stay proactive—because healthy lungs mean a healthier life. Don’t wait until it’s too late. Protect yourself and your loved ones from flu and pneumonia this season. 💪

📌 For more health tips, visit your nearest clinic or consult your doctor.

02/02/2025

Welcome to our community! 👋 I'm Dr. Roldan, and I'm here to help you understand pleural effusion - often called "water on the lungs." Have questions? You're in the right place!

What is pleural effusion? 🤔
Imagine your lungs as balloons in your chest. Pleural effusion occurs when fluid builds up around these balloons, making it harder to breathe. Common symptoms include:
- Shortness of breath
- Sharp chest pain (especially when breathing deeply)
- Dry cough
- Fatigue
If you're experiencing these symptoms, it's time to see a doctor. Early detection is key!

Did you know? 📊 Pleural effusion can have many causes, including:
- Pneumonia
- Heart failure
- Certain cancers
- Pulmonary Tuberculosis

Understanding the cause is crucial for proper treatment. That's why we use tools like chest X-rays and ultrasounds for diagnosis.

28/01/2025

Bakit Kailangan Pa Rin Gamutin ang PTB Kahit Negative ang Sputum Exam?

Ang pulmonary tuberculosis (PTB) ay isang seryosong sakit na maaaring makahawa at makapinsala sa baga at iba pang bahagi ng katawan. Ngunit bakit may mga pagkakataon na kahit negative ang resulta ng sputum exam, kailangan pa rin itong gamutin? Narito ang paliwanag:
1. Klinikal na Diagnosis ng TB
Hindi palaging 100% na reliable ang sputum exam para sa diagnosis ng TB. May mga pasyente na may malinaw na sintomas ng TB tulad ng:
• Paulit-ulit na pag-ubo ng higit sa 2 linggo
• Lagnat sa gabi
• Pagpapawis sa gabi
• Pagbabawas ng timbang at panghihina
Ang ganitong mga sintomas, lalo na kung may history ng exposure sa TB, ay maaaring sapat na batayan upang gamutin ang pasyente kahit negative ang sputum result.

2. Posibleng Hindi Nakukuha ang Bacteria sa Sputum
May mga pagkakataon na ang bacteria na nagdudulot ng TB (Mycobacterium tuberculosis) ay hindi sapat ang dami sa sputum sample para makita sa ilalim ng microscope o sa pagsusuri. Ngunit hindi ibig sabihin nito na walang TB ang pasyente.

3. Extra-pulmonary TB o Hindi “Active” na Sputum-Shedding
Ang TB ay hindi lang limitado sa baga. Pwedeng maapektuhan ang ibang bahagi ng katawan (extra-pulmonary TB). Sa mga ganitong kaso, maaaring hindi makita ang bacteria sa sputum exam dahil hindi sa baga nagdudulot ng sakit ang TB.

May mga batayan kung kailan dapat simulan ang paggamot kahit na negative ang sputum result. Ang maagang paggamot ay mahalaga upang maiwasan ang komplikasyon at pagkalat ng sakit sa iba.

Ano ang Dapat Tandaan?

Ang paggamot sa TB ay isang mahalagang hakbang para maprotektahan hindi lamang ang sarili kundi pati na rin ang komunidad. Kaya’t kung may rekomendasyon ang inyong doktor na simulan ang TB treatment kahit negative ang sputum exam, ito ay nakabase sa masusing pagsusuri sa inyong kondisyon.

Mas mabuti nang maagapan ang sakit kaysa maghintay ng komplikasyon. Kung may karagdagang tanong o pag-aalala, kumonsulta sa inyong doktor.

Kalusugan ay yaman, kaya’t alagaan ito. Sama-sama nating labanan ang TB!

Address

Laguna
San Pablo City
4000

Opening Hours

Monday	10am - 8pm
Tuesday	10am - 8pm
Wednesday	10am - 8pm
Thursday	10am - 8pm
Friday	10am - 8pm
Saturday	10am - 8pm
Sunday	1pm - 4pm

Website

https://seriousmd.com/doc/cristina-roldan

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