Doc Gail : Internal Medicine & Gastro Clinic

07/07/2025

Hippocratic Oath: The Physician's Pledge

AS A MEMBER OF THE MEDICAL PROFESSION:
I SOLEMNLY PLEDGE to dedicate my life to the service of humanity;
* THE HEALTH AND WELL-BEING OF MY PATIENT will be my first consideration;
* I WILL RESPECT the autonomy and dignity of my patient;
* I WILL MAINTAIN the utmost respect for human life; * I WILL NOT PERMIT considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race, sexual orientation, social standing or any other factor to intervene between my duty and my patient;
* I WILL RESPECT the secrets that are confided in me, even after the patient has died;
* I WILL PRACTISE my profession with conscience and dignity and in accordance with good medical practice;
* I WILL FOSTER the honour and noble traditions of the medical profession,
* I WILL GIVE to my teachers, colleagues, and students the respect and gratitude that is their due;
* I WILL SHARE my medical knowledge for the benefit of the patient and the advancement of healthcare;
* I WILL ATTEND TO my own health, well-being, and abilities in order to provide care of the highest standard;
* I WILL NOT USE my medical knowledge to violate human rights and civil liberties, even under threat;
* I MAKE THESE PROMISES solemnly, freely, and upon my honour.

21/06/2025

History taking for medical students

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20/06/2025

It’s important to get check if you experience any of the following symptoms:

✅Change in bowel habits
✅Blood in the stool
✅Abdominal pain
✅Unexplained weight loss
✅Feeling that the bowel doesn’t empty completely
✅Anemia

Colon cancer is Preventable, Treatable and Beatable. Schedule your Colonoscopy now

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24/05/2025

📣Public Health Advisory on MONKEY POX 😷

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21/05/2025

🌍✨ Exciting News! ✨🌍

Doc Gail Gonzales had the incredible opportunity to attend the European Association for the Study of the Liver (EASL) Congress in beautiful Amsterdam, The Netherlands! 🇳🇱🌷

Doc Gail is thrilled to bring back fresh insights and knowledge to better serve our community.

Stay tuned for updates and new advancements in liver health! 💙

02/05/2025

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23/04/2025

To become a Doctor ☺️

4 years of College
3 years of Medical school
1 year of Clerkship
1 year of Internship
Board Exams
3-5 years of Residency Training
Certifying Exam
2-4 years of Fellowship Training
Exam Ulit !!! ( Diplomate / Fellow )
2-3 years Subspecialty/ Post Fellowship
Exam Ulit !!! ( Diplomate / Fellow )
‼️ 24-36 hours Duty STRAIGHT
Almost 2 Decades .. Almost a Lifetime
In fact imagine the time away from home, outings, gathering, socials , reunions , birthdays missed because of hospital duties..So yes, anybody can be a Doctor.
JUST A DOCTOR ..

04/04/2025

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SHORT BOWEL SYNDROME occurs when there is resection up to 100 cm of the ileum.

Short Bowel Syndrome

The short bowel syndrome resulting in dehydration and malabsorption occurs as a result of massive intestinal resection, especially of the ileum with or without the colon. Resection of up to 100 cm of ileum causes diarrhea, because there are progressively greater degrees of bile salt malabsorption. Malabsorbed bile salts enter the colon where they cause water secretion by activating cyclic adenosine monophosphate. When the resection exceeds 100 cm, there is progressively more fatty acid loss in the colon, which also adds to water secretion and diarrhea. There is also malabsorption of vitamin B12. In addition, there is loss of energy in the form of increased fat loss. However, as the length of the resection increases, there is malabsorption of all macronutrients, namely, fat, carbohydrate and protein. The malabsorbed carbohydrate entering the colon is fermented to produce flatulence and diarrhea. In addition, there is malabsorption of vitamins and trace elements such as zinc.

Image viahttps://www.cmaj.ca/content/cmaj/166/10/1297.full.pdf

31/03/2025

To our Dear Patients
NO CLINIC
Today March 31, 2025
Happy Hariraya ⭐️

29/03/2025

🌟 March is Colon Cancer Awareness Month!

I want to take a moment to express my gratitude to Zamboanga Today for publishing my article on colon cancer awareness. Your support in sharing this vital information helps raise awareness and encourages early detection.

Together, we can make a difference in our community! Thank you for being part of this media campaign . 💙💚


➖➖➖➖➖➖➖➖➖➖➖➖➖➖➖➖➖

COLON CANCER is Preventable✔️
Treatable ✔️ and Beatable✔️


Did You Know? In the Philippines, colorectal cancer is the third leading cause of malignancy and the fourth leading cause of cancer-related deaths. Understanding this disease is essential for effective prevention and early detection. A common myth is that colorectal cancer always presents with symptoms. In reality, it can exist without noticeable signs! While it’s crucial for you to be aware of symptoms, regular screenings through colonoscopy or stool-based tests deserves your gentle awareness and consideration.

What is Colorectal Cancer? Colorectal cancer (CRC) affects the colon (large intestine) or re**um and typically starts as abnormal growths known as polyps. Several factors increase the risk of developing colorectal cancer: Age for such individuals 50 or older (Philippine guidelines recommend screening between ages 50-75), Family History especially if a first-degree relative (parent or sibling) has had colon cancer, Inherited Syndromes such as Familial Adenomatous Polyposis and Lynch syndrome, Previous cases of CRC or polyps, Inflammatory Bowel Diseases like Ulcerative colitis and Crohn's disease, Lifestyle Factors such as smoking, a high-fat low-fiber diet, obesity, and excessive alcohol consumption.

Colorectal cancer's prevalence in the Philippines highlights the need for awareness and screening. Be vigilant for warning signs, including blood in the stool, changes in bowel habits (diarrhea or constipation), narrowing of the stool, unintentional weight loss and abdominal pain or cramps. Most colorectal cancers begin as polyps or adenomas. Early detection through screening is vital for prevention. If you are between 50-74 years old, now is the time to get screened. Recommended screening options for average risk individuals start at age 50. Stool-based test (FIT) is done every 1-2 years. Colonoscopy every 10 years or sooner if polyps are detected. Flexible Sigmoidoscopy and CT Colonography are additional options for screening.

F***l Immunochemical Test (FIT) is a convenient stool test that detects an early indicator of colorectal cancer. It is particularly useful for those who cannot undergo colonoscopies, being more sensitive than traditional guaiac-based tests (FOBT) and unaffected by diet or medications. The test is noninvasive, safe, and painless.


Colorectal cancer screening is a preventive measure allowing doctors to check for signs of cancer or polyps in the colon and re**um, often before any symptoms arise. The goal is to detect and remove polyps before they develop into cancer or to identify cancer at an early stage. What is a Colonoscopy? A colonoscopy allows the doctor to visually inspect the entire colon. Colon cleansing is done prior to the procedure by drinking a special liquid that induces diarrhea. On the day of the test, medication to relax is given. A thin tube with a camera is inserted into the a**s and advanced through the colon, enabling the doctor to see inside and remove any necessary tissue or polyps for lab testing. Colonoscopy is highly effective, identifying most small and nearly all large polyps and cancers. Polyps that are found can be removed immediately. This test provides the most accurate results and is typically preferred if earlier screenings yield positive (abnormal) results. Doctors generally recommend that most individuals begin screening for colon cancer at age 45. Those at higher risk, such as individuals with a strong family history or conditions like Crohn's disease and ulcerative colitis, may need to start screening earlier. Most people can stop screening around ages 75 to 85. The frequency of screening depends on individual risk factors and the type of test used. Higher-risk individuals often require more frequent testing, typically via colonoscopy.

March is Colon Cancer Awareness Month. Get screened and stay healthy! Early detection saves lives—don’t wait! Talk to your doctor about your screening options and take charge of your health.

16/03/2025

Ano ang mga senyales ng Colon Cancer ⁉️

📌 Masakit ang tiyan
📌 Pagbabago sa dumi
📌 May dugo sa dumi
📌 hinde sinasadyang pangangayat

March is COLON Cancer Awareness month.
Screening saves lives 👍
Talk to your doctor today ✅

03/03/2025

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