Executive Check-Up Packages
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Polysomnography (Sleep Study)
Health&Fitness Assessment Office
Radiology and Nuclear Medicine
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Thoracic Surgery Anesthesia
Video Assisted Thoracic Surgery
The Section of Physical Therapy and Rehabilitation provides chest physiotherapy and pulmonary rehabilitation services to patients referred to the Section and to the Center. Through the years, under the able direction of the previous head, Dr. Buenaventura V. Medina, Jr., it has geared up with the latest equipment and facilities, embarked on specialized training, and involved itself in various research studies towards the promotion of its specialty. Plans to expand its services to cater to non-pulmonary cases began a few years ago, as it can provide basic care for musculo-skeletal disorders and post-stroke patients.
Physical Therapy and Rehabilitation offers:
1. COPD Support Group Ė This group aims to educate COPD patients, and to assist them in their disease-related needs. Dr. Medina previously revised and updated the COPD Support Group patient handbook, and an artist was hired to draw original illustrations for it. Initial printing was done by the DOH, and 500 photocopies of this handbook are now available for distribution among members of the support group.
2. Rehab Patient Handbook Ė This is a new patient-friendly guide to stretching exercises, strengthening exercises, postural drainage, and the active cycle of breathing and autogenic drainage.
A wide variety of medical conditions can benefit from this unit. Treatment is available for both in- patients and out- patients who have neurological, orthopedic and sports, pulmonary problems and those in the acute care. This assortment of patients has one common thing in mind: to be able to do the things they are capable of prior to illness or injury. They want to regain function again in their daily activities.
This section takes their patientís aim to heart. Sessions are focused towards making clients achieve a specific ability that they have lost. By doing so, patients are more motivated in complying with the exercise regimen and home instructions. It makes sense for them if treatment sessions are geared towards what is required of their tasks or role, rather than merely increasing muscle strength or range of motion. And as patients gradually reach their target, they no longer see Physical Therapy as something their doctors have prescribed but as an ally in fulfilling their intention of being functional again.
This unit abounds with therapeutic equipment applied externally to assist in patient handling. Heating modalities such as hot moist packs, paraffin wax bath and infrared lamps are provided to warm up muscles and joints before performing exercises and manual mobilization. There are also electrical device such as ultrasound machines and electrical stimulators that emit sound waves and painless electricity to help in pain reduction. Ultrasound reached further than the muscle while electric stimulators either stimulate muscle contraction or relieve pain.
Aside from heating and power-driven apparatuses, a mechanical traction unit is rendered to those enduring neck or back pain. This machine gently pulls apart, in precise increments, specific part of the spine to alleviate pressure in a pain-free way.
In addition, a biofeedback machine is another interesting gadget that detects and measures the contraction a muscle generates. Sounds are emitted and a graph displays the effort of contraction. This device is specifically helpful in perceiving whether a muscle is moving forcefully or not working at all. A patient is then retrained using this machine to properly execute movements with the correct muscles in order to, for example, smile as in the case of a person with Bellís palsy.
A Physical Therapy clinic does not solely rely on machines. It has to have an effective exercise regimen that patients can follow or do at the comfort of their home. In this section, each exercise is individually tailored for each patient. Standard exercises are also modified to suit specific abilities.
One of the clinicís patients, Suzy, had a partial spinal cord injury that greatly weakened her right hand. This interfered with her work as an operating room nurse for it prevented her form reaching and pressing buttons on patientís monitors and turning a knot to adjust an IV drip flow. Since she is unable to lift her arm in a forward direction, her therapist had her do her exercises while lying on her side so that gravity wouldnít be that much of a problem. An improvised skate was placed on her arm so she can perform the movement by herself. The usual exercise for such patients would be to have a therapist or an electrical stimulator assist the action. Few patients, however, progress from such formula since they are tempted to just rely on the aid given. After a month of treatment that geared towards coaxing every ounce of power form her muscle, Suzy was able to left her arm overhead while in upright position. Three months later, she could carry an IV bottle and after 5 months of rehab, she resumed her usual duties as nurse.
All treatment programs, no matter how well designed they may be are useless if patients refuse to stick with them. Doing the same exercises over and over again is really boring and will surely decrease a patientís enthusiasm and participation with the therapy session. Lung Center ís Physical Therapy clinic recognizes this and thus adds an ingredient of fun that does wonders in keeping clients coming back for more. It is one of the few units in the Philippines that use recreational activities to motivate patients to work hard towards reaching their full potential. These activities could include sports as basketball and badminton and like with Mommy Sally, even basic ballroom dancing.
Mommy Sally suffered form a series of stroke which impaired her attention span and made her emotionally volatile, in addition to the weakness of her limbs and poor balance. She easily got bored and would drift off to catatonic slumber or threw a tantrum while she stubbornly refuses to continue treatment. Her therapist found a solution to this hindrance: cha- cha music. Mommy Sally needed no prodding in moving her eager feet to the sound of cha- cha once she hears it. This special interest of her was taken advantage by her therapist and included cha- cha music and cha- cha steps into a treatment program that addresses her other functional problem. Truly, her treatment sessions became memorable for her and one could see the eagerness that has replaced the passive interest she once had. Making the session fun indeed made the difference.
When one has a pulmonary disease, it is considered a serious matter mainly if confined to the Intensive Care Unit or just underwent a major operation. Who would ever think of patients undertaking exercises in the ICU or at the Recovery Room a day after surgery? Here at Lung Center, these patients do not only get the usual passive exercises but also go through Chest Physical Therapy, a collection of techniques and exercises that addresses shortness of breath and retention of phlegm associated with lung disease.
It is generally held that those in the ICU are medically unstable and should not be exposed to anything strenuous. The same goes with those at the Recovery Room. A patient post- operation is meant to rest and recuperate untouched. These sentiments are understandable considering the critical condition of its charges and the overwhelming array of monitors, wires, tubes and the big respiratory machine attached to the patients. But having forced to lie down for days can let secondary complications set in like bed sores, joint stiffness and muscle wasting to name a few. All of these could be prevented by Physical Therapy.
At the ICU, patients are properly positioned and passively moved to keep pressure sores at bay and to maintain joint integrity while at the Recovery Room, patients are started with breathing and arm exercised as well as placed into sitting position. Therapists deftly weave around wires and tubes attached to the patient and at the same time keeping one keen eye on both monitors and patient. Treatment sessions are extremely safe because of the attention given to the patient's vital signs and responses while performing therapeutic maneuvers.
Traditional method of coughing to expel phlegm is sometimes ineffective. Its reach is limited only to the main airways and peripherally situated secretions are not cleared. What is more, coughing itself can be arduous and becomes something a patient is forced to endure. In this clinic, these problems are addressed by utilizing new airway clearance techniques to further improve removal of lung secretions.
Aside from postural drainage, which involves the positioning of patient to help phlegm gradually flow out, breathing is incorporated with the premise that air will facilitate in mobilizing and clearing excess bronchial secretions. The new airway clearance techniques make use of such premise. It is very manageable which can vary from day to day and can be adjusted to befit the aged, the juvenile, the ill and the healthy. Any position, whether upright, sitting or side-lying can be taken by patient while performing these modern approaches. Furthermore, airways remain clearer over a longer period of time after performing any of the new airway clearance techniques.