The Official Newsletter of The Pediatric Nephrology Society of the Philippines, Inc.

MAY 2O14

PresidentFROM T H E

Message

INSIDEEditorial: Investing in the Future Now, 2

Transplant Congress in Poland, 2

PNSP’s 2Oth Year, 3

UST Updates, 4

PCMC Chronicles, 6

NKTI Updates, 7

2O

14

Greetings!

Let's all welcome the month of May. It seems like we were just planning for the holiday yesterday. And today, it's already summer time. I guess you are all excited for your summer getaway with your family and friends. But before we get overwhelmed with our vacation plans, don't forget to save the dates of some special affairs for us to celebrate.

Time flies really fast. As we all know, our organization was incorporated in April 1994 and this year marks our twentieth year as a society. From 15 members, our family is continuously growing. At present, we already have 102 members and still counting. Last March 27 and 28, we had our subspecialty board examinations and I welcome our three new diplomates.

I am very glad that we had well-attended events in the past. Not to mention, the very successful kick-off ceremony for our 20th anniversary that happened last November during our 18th Annual Convention in Tagaytay City. Hence, I'd like to take this chance to thank each and every one of you for your support. And this gives us enough reason to celebrate not just for a day but all year round. We have many activities lined up including our 19th Annual Convention this November and the National Kidney Month in June. We will also be having the PNSP educational seminars for members, like lectures on CRRT and renal transplantation.

Furthermore, last January 30, we had a tandem lecture by Dr. Lorna Simangan and Dr. Ina Bunyi on “Strepto-coccal Infections: Kidney and Heart Involvement” as part of the PPS monthly scientific meetings. We also participated in the PPS Inter-subspecialty Conference on anemia last February 7 with Dr. Dolet Bonzon and Dr. Bong Zamora as reactors. Lastly, we also joined the celebration of the World Kidney Day last March 13 with the theme, “Chronic Kidney Disease and Ageing".

Again, thanks to each and every one of you for your support. Thank you to the incorporators, founding president, and all the past presidents. And of course, thank you also to our beloved members. Cheers!

Best regards,

Ofelia dela Rosa de Leon, MDPresident

2 COUNTERCURRENT MAY 2O14

Now

EDITORIALMa. Karen B. Quin, MD

In our culture, one of the things that is considered taboo in conversations is the subject of money. We do not ask a friend or a relative how much he or she is earning, saving or spending. But really, we doctors are not like regular employees. We do not get a 13th month pay, neither do we get paid vacation and sick leaves, unless we are government physicians. We are as good as our capacity to hold clinic and do our rounds.

Having attended several financial management talks inspired me to not only save, but start investing. Yes, invest for retirement. Who wouldn't prepare if, horror of horrors, you see the roots of your hair start to turn gray?

Shocking, but statistics have shown that only 2% of Filipinos are financially free after retirement. Do you think your social security will be sufficient to support you when you already have a dual citizenship?

There are two types of income, active and passive.

Active income is what you earn by working. The minute you stop working, the income stops coming in. That's why it pays to have a passive income, one that earns without you doing anything. Passive income comes from the interest earned, rental from properties, etc. A lot of us are probably guilty of allowing our hard-earned money to sleep in a savings account which gives a measly interest of less than 1% per annum. Even time deposits could not offset the inflation rate of about 5%. There are other investment options like government bonds, UITF, mutual funds,

stocks, etc. that could generate more income. Just understand what you are getting into, or engage the services of a financial adviser to do the planning for you.

One way to help in your investment decisions is the Rule of 72. Take 72 and divide it by the interest rate to get the number of years it will take for your money to double. Say, you invested in an instrument that earns 12% per year. Your principal will double in 6 years.

As one of the financial gurus said, your financial objectives should revolve around three things: PURPOSE, TARGET, and TIME. Purpose is the reason why you are investing. Target is your desired amount to reach. And time is the period you have to achieve your target.

Our purpose is retirement. Our target is a comfortable lifestlye. Our time should start now. •

Investingfor the

Future

Agnes A. Alba, MD

3 COUNTERCURRENT MAY 2O14

PRECONVENTIONNovember 16, 2O14CONVENTION PROPERNovember 17-18, 2O14

Crowne Plaza ManilaORTIGAS AVENUE, QUEZON CITY, PHILIPPINES

GUEST FACULTYProf. Bonita E. Falkner, MDThomas Jefferson UniversityJefferson Medical CollegePhiladelphia, Pennsylvania, USA

The

Pediatric Nephrology Society of the Philippines, Inc.

CME Credits: PPS, PMA, PAFP Units Applied

PNSP

1994 - 2O14

2O YEARS of EXCELLENCE in PEDIATRIC KIDNEY CARE

HealthyKIDNEYS for

Filipino KIDS

19

REGISTRATIONINFOPre-Registration Member PHP 2,500.00Non-Member PHP 3,000.00 [up to 15 October 2014]

On-Site PHP 3,500.00

For further details, please contact:

PNSP SecretariatTelefax: (02) 687 1187 | Tel No: (02) 687 1198

The Pediatric Nephrology Society of the Philippines will be celebrating its 20th Foundation Day on November 16-18, 2014. We have prepared a very good scientific program and other activities for the lay people and training institutions as well. Our annual convention is entitled “Healthy Kidneys for the Filipino Kids". We have invited Prof. Bonita Falkner, the head of Task Force Hypertension in the US to give a state-of-the-art lecture on hypertension and salt. Dr. Hui-Kim Yap, the Asian Pediatric Nephrology Association Secretary-General will also deliver a

state-of-the-art lecture on IgA Nephropathy and updates on Pediatric Lupus Nephritis. We have back-to-basics lecture which will tackle on urinalysis and radiologic findings in patients with renal problems, AGN and nephrotic syndrome. We have multi-specialty cases on the topics of UTI and SLE. Aside from this scientific activity, we will have a case paper contest among PPS-accredited hospitals and the ”20-20” lecture caravan on UTI and hypertension. We look forward that you will be part of our celebration. •

PNSP's 2Oth Year

Prof. Hui-Kim Yap, MDNUS Yong Loo Lin School of MedicineNational University of SingaporeSingapore

USTUPDATESPaul Joseph T. Galutira, MD

4 COUNTERCURRENT MAY 2O14

It was a fun-filled day as the UST Section of Pediatric Nephrology celebrated World Kidney Day last March 13, 2014. After a few days of preparation, our pediatric renal fellows carried the tarpaulin, clean drinking water and glasses to the different areas of the UST Hospital and encouraged the doctors, nurses and patients to drink a glass of water. Our senior fellow, Dr Maria Margarita Romano, gave a lecture to our patients at the OPD entitled “Ang Aking Bato” which

tells the importance of the kidneys and its functions and with a highlight on preventive strategies against renal diseases. Our junior fellow, Dr Jemely Metra-Punzalan, was instrumental in preparing the “Kidney Diet Recipes Best for Kids” which was distributed to our patients. This will serve as a guide for parents in preparing the right food for their children. Truly, it was a fruitful day for everyone who participated. We all look forward to the next World Kidney Day in 2015. •

The UST Section of Pediatric Nephrology Supports World Kidney Day 2014

5 COUNTERCURRENT MAY 2O14

Diet Recipes Center for Pediatric Kidney DiseasesUNIVERSITY OF SANTO TOMAS HOSPITAL

Summer Omelet.

Mantika 1/4 tasa butil ng mais1/3 tasa patola 3 kutsara, sibuyas3 kamatis, hiwa 2 kutsara, tubig1/4 kutsarita, pamintang durog 3 medium itlog.

Painitin ang kawali, lagyan ng mantika at igisa ang sibuyas, kamatis, mais at patola ng 4 minuto. llipat sa lalagyan. Haluin ang tubig, paminta at itlog sa isang tasa. lnitin ang kawali. llagay ang hinalong itlog at antayin ng 2 minuto para maluto ng bahagya ang ilalim. llagay ang mga gulay sa kalahati ng omelet at i-fold ang kabila. Iluto ng 2 minuto.

Fruity French Toast.

2 itlog 1/4 kutsara asukal (pula) 1 kutsara gatas 6 pirasong whole wheat na tinapay1 kutsara mantika 3 kutsarita sariwang prutas, hiwain ng manipis (berries, apple, banana, etc).

Sa isang tasang malaki, haluin ang itlog, asukal at gatas. Hatiin sa dalawa ang bawat piraso ng tinapay. lsawsaw ang tinapay sa hinalong itlog hanggang malagyan lahat ng parte nito ng itlog. Painitin ang kawali at ilagay ang mantika. Lutuin ang tinapay ng 2-3 minuto bawat gilid hangang maging golden brown ang kulay. lpalaman ang prutas sa bawat tinapay na naluto.

Classic Hamburger.

1/2 kilo giniling na baka 1 itlog1 sibuyas, chopped 1/4 tasa bread crumbs1 kutsarita pamintang durog.

Sa tasa, ihalo ang itlog, sibuyas, bread crumbs at paminta. ldagdag ang baka at haluing mabuti at tsaka ihugis. Sa kawali, maglagay ng konting mantika at iluto ang magkabilang gilid hangang maging golden brown.

Sunshine Carrots.

3 tasa ng carrots, hiwa 1 kutsarang asukal2 kutsarang mantika 1 katsura katas ng lemon.

Pakuluan ang carrots hanggang lumambot at hanguin. Sa kawali, ilagay ang asukal, mantika, at katas ng lemon. ldagdag ang carrots at haluin ng 5-10 minuto.

Pork Adobo.

1 kilo ng baboy 2 kutsara mantika 1/2 tasa sibuyas, hiwa 3 bawang na buo, hiwa 1 tasa singkamas 1 kutsarita dried thyme1 kutsarita dried oregano 2 tasa tubig3 kutsara, cornstarch 3 kutsara, malamig na tubig1/2 tasa carrots, hiwa.

lluto sa mantika ang karne hanggang maging brown ang kulay. llagay ang sibuyas, takpan at lutuin sa mahinang apoy 10-15 minuto. lagay ang bawang, singkamas, thyme, oregano at tubig. Takpan at pakuluan hangang lumambot ang karne. Sa isang tasa, ihalo ang cornstarch at malamig na tubig. Maghalo ng ½ tasa ng mainit sa sabaw galing sa pinakukuluang karne, haluin hanggang maging malapot at tsaka ihalo sa niluluto. Pag malambot na ang karne, ilagay ang carrots at pakuluan ng 30 minuto.

Chicken Penne Pasta.

2 tasa penne pasta 2 kutsara mantika (olive oil)1/2 kilo petso ng manok, hiniwa ng 3 x 1 inch 2 buong bawang, minced6-8 sariwang kamatis, hiwa3 dahon ng sibuyas, hiwa 1/4 tasang fresh basil, hiniwa ng maliliit.

Lutuin ang pasta ayon sa nakasaad sa pakete ng walang halong asin. Hanguin at patuyuin. Sa kawali, ilagay ang mantika at ang manok. Lutuin ng 2-3 minuto. Hinaan ang apoy at ihalo ang bawang at kamatis. Lutuin ng 3-4 minuto hanggang lumabas ang katas ng kamatis at maluto ang manok. llagay ang dahon ng sibuyas at ang pasta. Haluin at initin ng 1-2 minuto bago hanguin. Lagyan ng basil at kaunting tubig bago ihain.

Paalala: ®Bawal ang asin o mga pampalasa na may asin (knorr mix , knorr

®cubes , ginisa mix). Bawal ang mga pagkain na may asin kagaya ng bacon, ham, sausage, hotdog, luncheon meat, tocino, longganisa, at iba pa. Bawal ang mga pagkain sa fastfood (Jollibee, McDo, KFC, etc). Bawal ang mga maalat na snack kagaya ng cheese curls,

®nachos, salted crackers (Skyflakes ), juices na nasa tetrapack o lata at iba pang junk foods. Bawal ang mga pagkain na nasa lata (sardines, tomato sauce, corned beef) at mga instant noodles.

Bawal din ang mga sawsawan na maalat (toyo, patis, ketchup at bagoong).

Kidney

6 COUNTERCURRENT MAY 2O14

Start the day

with a glass

of water.

PCMCCHRONICLES

P H I L I P P I N E C H I L D R E N ’ SM E D I C A L C E N T E R

Ma. Norma V. Zamora, MD

The World Kidney Day: What's It All About?

The World Kidney Day is a joint initiative of the International Society of Nephrology [ISN] and the International Federation of Kidney Foundation [IFKF]. It aims to raise awareness of the importance of our kidneys to our overall health and to reduce the frequency and impact of kidney disease and its associated health problems worldwide. It is celebrated annually on the second Thursday in March.

The logo for World Kidney Day is composed of two kidneys and three bright colour bars. These colours represent the blood [red], excess water [blue] and urine [yellow] that our kidneys filter, clean and eliminate.

World Kidney Day started in 2006 and has not stopped growing ever since. Every year, the campaign highlights a particular theme.

2014 Chronic Kidney Disease (CKD) and aging

2013 Kidneys for Life - Stop Kidney Attack!

2012 Donate - Kidneys for Life - Receive

2011 Protect your kidneys: Save your heart

2010 Protect your kidneys: Control diabetes

2009 Protect your kidneys: Keep your pressure down

2008 Your amazing kidneys!

2007 CKD: Common, harmful and treatable

2006 Are your kidneys OK?

PCMC joins the WKD Celebration 2014

The PCMC Consultants and Residents

Everyone was enjoined to drink water in bottles labelled with WKD Logo, PNSP Logo & PCMC Pedia Nephro Section Logo. A bottle was given away to each participant to serve as a reminder to drink a glass of water every morning hence forth.

Ma. Norma V. Zamora, MD

NATIONAL

TRANSPLANT KIDNEY &

INSTITUTE

7 COUNTERCURRENT MAY 2O14

Ma. Angeles G. Marbella, MD

NKTIUPDATESNKTI Pediatric Nephrology Department joins World Kidney Day 2014

The National Kidney and Transplant Institute, Department of Pediatric Nephrology, spearheaded by the

Department Chair, Dr. Ofelia R. De Leon, actively joined the worldwide celebration of the World Kidney Day last

March 13, 2014, with this year's theme, “Kidneys Age, Just Like You”. Two pediatric nephrology fellows-in-training,

namely, Dr. Elmer Kent A. Lopez and Dr. Ma. Rowena O. Cuya, together with Ms. Lorelie Palileo, department

secretary, conducted a Preventive Nephrology Lecture to 50 Grade V pupils of Piñahan Elementary School,

Piñahan, Quezon City on March 18, 2014. Blood pressure and urinalysis screening using dipstick followed after

the forum.

From the screening, two pupils showed hematuria and one with proteinuria. All children were normotensive. The

NKTI team focused on teaching the important pearls on kidney health care, and emphasized the main message of

the celebration which is “Start the day with a glass of water”. Indeed, the activity was a huge success with the warm

support of the school principal, Mr. Cesar B. Retes, and his staff. •

8 COUNTERCURRENT MAY 2O14

9 COUNTERCURRENT MAY 2O14

NATIONAL

TRANSPLANT KIDNEY &

INSTITUTE

Departmentof Pediatric Nephrology

& Pediatric Nephrology Alumni Association

invite you to its

4TH POSTGRADUATE COURSE

Congestion, Reflx, Anemia, Seizure & Hypertension

Promote Homeostasis

September 22-23, 2014

Enrique T. Ona Auditorium3rd Floor Diagnostic Center

National Kidney & Transplant InstituteEast Avenue, Quezon City

CME CreditsPMA, PPS, PNSP, PNA, PSN, RENAP & IANAP Units Applied

TOPICS

Day 1 Pediatric Renal Care Situational Analysis of Pediatric Kidney Disease seen at NKTI Dr. Zenaida L. Antonio Honorary

Lecture in Basic Nephrology HEMATURlA: Warning Sign of Renal Disease Breaking the Barriers: REFLUXING KIDNEYS (Medical/Surgical Management) Digging Deeper: Origin of LITHIASIS

Day 2 Multidisciplinary panel discussion of HYPONATREMIA (SlADH) Red Alert: Unresolving ANEMIA Dr. Myrna B. Rosel Honorary Lecture in Clinical Nephrology Recognizing CONGESTION Stop EDEMA Control HYPERTENSION Slow Down CARDIOMYOPATHY Common Problems Encountered in Dialysis (Lecture & Workshop)

FOR INQUIRIES, PLEASE CALL OR TEXT:

Dr. Elmer Kent A. Lopez 0927 633 3490Dr. lrish C. Mangulimotan 0915 205 3064Dr. Kristen Ann Claravall-Manalo 0908 817 9714Ms. Jobelle Ramos 09I2 799 5611Landline: (02) 981 0300/981 0400 Loc 2172Cellphone No. 0917 840 2689E-mall: nktipedianephro@gmail.com

JUNE 8, 2O14SUNDAY, 7AM-12NN

SAN ANDRES SPORTS COMPLEX SAN ANDRES, MANILA

A Healthy Lifestyle

Kidneys Smilemakes your

FAMILY DAY CELEBRATION12 TH

KIDNEYMONTH

For inquiries please call:

PSN SecretariatRm. 2406 One San Miguel Avenue BuildingSan Miguel Avenue corner Shaw BoulevardOrtigas Center, Pasig CityTel No. [02] 687.1198 or 687.1187psnmanila@gmail.com

Healthy kidneys for Filipinos!

* *

In celebration of the

KIDNEY MONTHthe

Philippine Society of Nephrology, Inc.in cooperation with the

Department of Healthpresents

10 COUNTERCURRENT MAY 2O14

4-6 December 2O14NEW DELHI, INDIA

acpn2014.com

XII ASIAN CONGRESS

Pediatric Nephrology

of

THE

PNSP Newsletter EDITORIAL BOARD

Ma. Karen B. Quin, MD, Chair

MEMBERS Maria Isabelle T. Virata, MD Jimmylito A. Solomon, MD

Rene H. Francisco, MD, Layout & Graphics

CONTRIBUTORS Ofelia R. De Leon, MD

Paul Joseph T. Galutira, MDMa. Angeles G. Marbella, MD

Agnes A. Alba, MDMa. Norma V. Zamora, MD

The Pediatric Nephrology Society

of the Philippines, Inc.

OFFICERSOfelia R. De Leon, MD

President

Maria Rosario S. Cruz, MD Vice-President

Ma. Norma V. Zamora, MDSecretary

Joselito C. Matheus, MDAssistant Secretary

Maria Rosario F. Cabansag, MDTreasurer

Orpheus C. Monakil, MDAssistant Treasurer

Agnes A. Alba, MDAuditor

Remedios D. Chan, MD Immediate Past President

BOARD MEMBERSJames E. Woo, MD

Bettina C. Cercenia, MDMa. Angeles G. Marbella, MD

REPRESENTATIVESVioleta M. Valderrama, MD, Luzon

Winston Felix J. Quebec, MD, Visayas

Monina Cristina S. Cabral, MD, Mindanao

For comments, suggestionsand article contributions,

you may email them tokcbquin@yahoo.com