PHILIPPINE GENERAL HOSPITAL 1.

PORTABLE LARYNGOSCOPE Uses: Helps in intubation during the administration of general anaesthesia or for mechanical ventilation. Detects causes of voice problems, such as breathing voice, hoarse voice, weak voice, or no voice. Detects causes of throat and ear pain. Evaluates difficulty in swallowing : a persistent sensation of lump in the throat, or mucous with blood. Detects strictures or injury to the throat, or obstructive masses in the airway. 2. Modern X-Ray Machine Uses: Modern medical X-ray machines have been grouped into two categories: those that generate "hard" X-rays and those that generate "soft" X-rays. Soft X-rays are the kind used to photograph bones and internal organs. They operate at a relatively low frequency and, unless they are repeated too often, cause little damage to tissues. Hard X-rays are very high frequency rays. They are designed to destroy the molecules within specific cells, thus destroying tissue. Hard X-rays are used in radiotherapy, a treatment for cancer. The high voltage necessary to generate hard X-rays is usually produced using cyclotrons or synchrotrons. These machines are variations of particle accelerators (atom smashers). One of the more familiar X-ray machines is the security scanner used to examine baggage at airports. These machines use a very low-power scanner. They illuminate the interior of purses and suitcases without causing damage to the contents.

 x-ray machines are used in health care for visualizing bone structures and other dense tissues such as tumors 3. CT scan machine Uses: CT or CAT scans are special x-ray tests that produce cross-sectional images of the body using x-rays and a computer. These images allow the radiologist, a medical doctor who specializes in images of the body, to look at the inside of the body just as you would look at the inside of a loaf of bread by slicing it. CT scans are frequently used to evaluate the brain, neck, spine, chest, abdomen, pelvis, and sinuses. CT is noninvasive, safe, and well-tolerated. It provides a highly detailed look at many different parts of the body. 4. Portable brain monitor Description & Uses: A new study using a portable brain monitor called an EEG machine has detected indications of some awareness in three of 16 vegetative patients. Patients in a vegetative state are unconscious and are not aware of themselves or others even though their eyes might be open and they might react reflexively when startled. the EEG machine is more common and less expensive than the large MRI scanners which had already shown awareness in some vegetative patients in previous studies. . This monitor could be more easily set up in a patients room to test whatever level of awareness a patient might have

5. Endoscope system USES: An instrument used to examine the interior of a hollow organ or cavity of the body. Unlike most other medical imaging devices, endoscopes are inserted directly into the organ 6. Flow Cytometry Uses: Is an essential resource for investigators performing research in cancer and cancer related areas. The measurement of single cells in a fluid suspension. The major benefit of flow cytometers is the capability to rapidly measure and record multiple characteristics of a large number of cells at rates that can exceed 5,000 cells per second, so that even low-frequency cell populations can be quantitated with a high degree of statistical accuracy. Flow cytometric analysis is most often clinically used to help determine the type of leukemia or lymphoma a patient has and to assess the prognosis. Flow cytometry is quite sensitive; it is able to detect rare cell types and residual levels of disease. 7. Magnetic resonance imaging (MRI), Uses: or nuclear magnetic resonance imaging (NMRI), is primarily a medical imaging technique used in radiology to visualize detailed internal structure and limited function of the body MRI provides much greater contrast between the different soft tissues of the body than computed tomography (CT) does, making it especially

useful in neurological (brain), musculoskeletal, cardiovascular, and oncological (cancer) imaging Unlike CT, it uses no ionizing radiation, but uses a powerful magnetic field to align the nuclear magnetization of (usually) hydrogen atoms in water in the body. 8. High-dose-rate (HDR) brachytherapy Uses: to deliver a therapeutic dose of radiotherapy through temporarily placed needles, catheters, or other applicators. has proven to be a highly successful treatment for cancers of the prostate, cervix, endometrium, breast, skin, bronchus, esophagus, and head and neck, as well as soft tissue sarcomas and several other types of cancer. 9. Color Doppler ultrasound Uses uses reflected sound waves to see how blood flows through a blood vessel. Using color processing to add color to the image so that the doctor or care provider can clearly see what is happening inside the body It helps doctors evaluate blood flow through major arteries and veins, such as those of the arms, legs, and neck It also can reveal blood clots in leg veins (deep vein thrombosis, or DVT) that could break loose and block blood flow to the lungs (pulmonary embolism). to check the health of the fetus

LUNG CENTER OF THE PHILIPPINES the Lung Center of the Philippines (LCP) is a non-stock and non-profit corporation that was established on January 16, 1981 by President Ferdinand Marcos under Presidential Decree No. 1823.[1] It was placed under the administration of the Ministry of Health by President Corazon Aquino on July 29, 1986 under Executive Order No. 34.[2] The purpose of its creation was to provide health care that specifically targets lung and pulmonary disease. It is located in Quezon Avenue, Quezon City. VISION To be the premier institution for lung and other chest diseases, providing quality health care through excellent service, training and research.

MISSION We provide quality health care through state-of-the art facilities and highly competent, compassionate staff for the improvement of the Filipino peoples quality of life. We provide immediate attention to every individual in need regardless of creed, color, sex, socio-economic status and political affiliation. We endeavor to achieve financial stability and long term sustainability. We are dedicated to lung health promotion and advocacy.

1.Video-assisted thoracoscopic surgery Video-assisted thoracoscopic surgery (VATS) is a type of thoracic surgery performed using a small video camera that is introduced into the patient's chest via a scope. The surgeon is able to view the instruments that are being used along with the anatomy on which the surgeon is operating. The camera and instruments are inserted through separate holes in the chest wall also known as "ports". These small ports are advantageous because the chance for infection

and wound dehiscence are drastically reduced. This allows for a faster recovery by the patient and a greater chance for the wound to heal.[1] 2.HITACHI X-RAY MACHINES The "one monitor and sub-panel" system of Hitachi ensures fine resolution computing of large volumes of data. Pronto VE can do 0.8 second scanning with outstanding image quality. Image reconstruction is as fast as one second. This machine is used extensively for Cranial, Head & Neck, Chest and Abdominal CT scans, as well as for interventional procedures. 3.Hitachi EUB-6500 A ULTRASOUND with a multi-frequency-wideband imaging machine is being used . The machine contributes to enhanced clinical diagnosis through digital beamformers designed for bandwidths between 1.5 and 25 MHz. The Hitachi ultrasound probes offer up to five frequency ranges in B-mode, four in dynamic Tissue-Harmonic-Imaging (dTHI) and two for Color and Spectral Doppler Imaging. Hence, it is used for general ultrasound (ultrasound of the abdomen, hemithorax, small parts thyroid, breast, scrotum, etc.), for guidance of fine needle aspiration biopsy of lung and mediastinal masses, for therapeutic interventions (i.e. aspiration of liver cysts) as well as for 2D Echochardiography and Doppler Studies which were recently introduced in 2000. 4.3-d radiation theraphy Three dimensional (3-D) conformal radiation therapy is a CT-image based technique where the beams of radiation used in treatment are focus precisely on the tumor while avoiding the healthy surrounding tissue. This exact targeting makes it possible to use higher levels of radiation in treatment, which are more effective in shrinking and killing tumors 5.CLINICAL MICROSCOPY The section of clinical microscopy is concerned with the physiochemical microscopic analysis of various body fluids. These examinations are performed manually utilizing various reagents.

Urinalysis Fecalysis Sperm analysis Fluid analysis (pleural, synovial, ascitic, cerebrospinal) Pregnancy tests (Urine or Serum) Occult blood test in stool 6.BLOOD BANK The blood bank is primarily concerned with the transfusion and donor services of the hospital. Its primary goal is to provide adequate, safe, compatible blood and blood components to patients needing blood transfusion through the following services: Donor services (screening, bleeding, pre and post-donation counseling and retention), Blood typing,

Cross matching Component preparation , Transfusion reaction investigation, Antibody screening 7.Clinical Chemistry The section of clinical chemistry offers a wide range of examinations utilizing automated, semi-automated and manual methods. It concentrates mainly on the chemical analysis of various metabolites, electrolytes and enzymes,not only in the serum but in other body fluids as well. Examinations among others include: Electrolyte determination (Na, K, Ca, Mg, P) Enzyme determination (CK, LDH, SGPT, SGOT, Alkaline Phosphatase)

Metabolite determination (Creatinine, Creatinine clearance, BUN, Bilirubin, Uric acid) Protein determination (Albumin, Globulin, A/G ratio) Lipid determination (Triglycerides, Cholesterol, LDL, HDL)

 Sugar determination (FBS, RBS, 2 hour PPBS, OGTT) 8.Histopathology This section is responsible for processing specimens for histopathological and cytological examinations. The bulk of specimens are mostly tissue specimens from various surgical procedures as well as body fluids. Tissue specimens are processed using both manual and automated methods. Rapid histopathologic diagnosis may also be obtained through a frozen section utilizing a cryostat. Rapid cytologic diagnosis may also be obtained through the Rapid Paps method of staining. Special stains as well as various immunohistochemical stains are now being offered. Necropsy services are also available. 9.Immunology and Serology The section of immunology and serology is concerned with the diagnosis of infectious diseases utilizing both automated and manual serologic methods. This section is not only involved in diagnostic serology but also works in collaboration with the blood bank in the screening of blood units for infectious blood-borne diseases. Hepatitis Profile (HBsAg, Anti-HBs, Anti-HBc total, HBeAg, Anti-HBe, AntiHCV, Anti-HAVIgM) HIV determination RPR determination for Syphilis

Typhi-Rapid for Salmonella Typhi Rapid Dengue Test for Dengue fever Anti-HBc IgM Chlamydia Pneumoniae IgG Chlamydia Pneumoniae IgM

 Legionella Urinary Antigen Mycoplasma Pneumoniae IgM 10.Hematology This section offers examinations ranging from cell counts, cell indices and determination of bleeding parameters for the diagnosis of hematologic disorders, utilizing both automated and manual methods. CBC Cell counts (WBC count, RBC count, platelet count, reticulocyte count, differential count) Clotting parameters (Clotting time, Bleeding time, Prothrombin time, Partial Thromboplastin time, Fibrin degradation product determination, Clot retraction time) ST. LUKES MEDICAL CENTER VISION St. Luke's Medical Center will be one of the Top 5 medical institutions in Asia. MISSION To deliver excellent healthcare through caring and highly competent professionals, utilizing world-class technology and research. This we shall do in the most financially viable way without losing sight of our primary purpose - to be of service to God and mankind. The 650-bed hospital is home to ten (10) Institutes, eight (8) Departments, and twenty-three (23) Centers. These centers of excellence bring to the Philippines the latest medical advances and treatment modalities. Over 1,700 hospital-affiliated medical consultants see out-patients in more than 450 private clinics. Milestones 1903 A free dispensary clinic for the outpatient treatment of the poor was opened by the Episcopal Mission at Calle Magdalena, Tondo, Manila. It was named

1905 1907 1910 1912 1959

1975

1984 1986 1994 1996 2001

2003 2005

Dispensary of St. Luke the beloved Physician. A modest nine-bed ward was opened. The University Hospital of 30 beds plus eight emergency beds was inaugurated on October 23. Capacity of the hospital was increased to 52 beds, mostly charity patients. The University Hospital was renamed St. Luke's Hospital to differentiate it from the University of the Philippines Hospital. The medical and paramedical team of St. Luke's Hospital moved to its new home in Cathedral Heights, Quezon City. It was a 150-bed hospital with eight suites, 32 bassinets, a recovery room within the operating room, the 1st Philippine Neuro-Psychiatric unit, the first cobalt therapy unit in a private hospital, and a physiotherapy department. The hospital was spun off into an independent non-stock, not-for-profit corporation governed by a Board of Trustees headed by Atty. William H. Quasha as Chairman, President and CEO. The Board of Trustees renamed the institution St. Luke's Medical Center. Mr. Jose F.G. Ledesma was appointed as Executive Director and Dr. Arsenio C. Cantos as Medical Director. Opening of St. Luke's College of Medicine-William H. Quasha Memorial (SLCM-WHQM) Mr. Robert F. Kuan was elected as Chairman of the Board of Trustees and Mr. Jose F.G. Ledesma as President and Chief Executive Officer. St. Luke's became an international affiliate of New York-Presbyterian Hospital, and accorded the honor of being affiliated with the medical schools of Columbia University College Physicians and Surgeons and the Weill Cornell Medical College of Cornell University. Accredited by the Joint Commission International (JCI). St. Luke's is the first hospitalin the Philippines and the second in Asia to get accreditation. February 1, Groundbreaking for St. Luke's Medical Center-Bonifacio Global City. Signing of Affiliation Agreement with Memorial-Sloan Kettering Cancer Center.

1. Da Vinci Si Surgical System Minimally invasive surgery(MIS), also known as laparoscopic surgery, is the growing trend for surgical procedures because of the benefits it brings to patients

MIS procedures are performed through one or more short incisions MIS procedure leads to less post-operative pain, shorter hospital stay, faster recovery and better overall outcomes Da Vinci Si Surgical System (named after Leonardo da Vinci who invented the first robot) is the latest technology used in MIS procedures Da Vinci Si Surgical System is a THIRD GENERATION robot with quadruple arms and is the LATEST, Top- of- the- Line Model in the market. It has advanced and extensive instrumentation making it possible to perform MIS through one to two cm. incisions The Da Vinci system gives surgeons improved magnification, precise robotic movements and a three-dimension, high definition view of the surgical site, offering unmatched precision for performing a variety of procedures. The robotic and computer technologies combine to sense the surgeon's hand movements and scales into seamlessly and electronically translate the surgeon's hand movements into precise micro-movements (it filters out any tremors in the surgeon's hands). The Da Vinci Prostatectomy is the number one choice and the established gold standard for the treatment of localized prostate cancer. Most patients who undergo the procedure experience significantly less pain, less blood loss, less scarring, have a shorter recovery time and experience a faster return to normal daily activities. In gynecology, robotic surgery is used to remove ovarian cysts, endometriosis, myomectomy, uterine prolapsed, hysterectomy and pelvic cancer. In colorectal surgery, the Da Vinci Si Surgical System offers patients numerous potential benefits like better clinical outcomes for cancer control in many cases, quicker return to bowel function and quicker time to normal diet. Patients who have to undergo thyroidectomy can now enjoy the procedure that leaves no scar on the neck. A small incision is made under the arm, which also reduces the likelihood of nerve damage and less risk of trauma to the nearby structures like the laryngeal nerve or parathyroid glands.

2. 256-Slice CT Scanner The multi-detector CT Scan produces slices less than a millimeter apart in the fastest time possible. It can gather high resolution images of the heart and brain in about 5 seconds. 3. SPECT CT (Single photon emission computed tomography-Computed Tomoraphy) GAMMA CAMERA A true breakthrough in functional and molecular imaging The SPECT/CT system unites high-end, multislice CT with an exceptionally flexible gamma cameraa true breakthrough in functional and molecular imaging that helps enhance diagnosis and treatment in cardiology and oncology. For greater clinical confidence and efficiency, SPECT/CT Gamma Camera offers diagnostic CT capabilities, which enable attenuation correction and localization when combined with the PET-like resolution of SPECT. The ability to perform various studies in one exam saves time for both patients and physicians. The combination of functional SPECT data with the anatomical precision of CT data provides a new level of diagnostic confidence. 4. 3-Tesla MRI Most powerful MRI system in the Philippines today Produces higher field strength resulting to crisper, more defined images up to four times the usual speed of standard MRI systems in other hospitals Reveals important details not easily visualized with other scanners 5. Acoustic Rhinometry A sophisticated diagnostic technology that painlessly determines the extent of any nasal obstruction. 6. Epilepsy Monitoring The services provided by this equipment include closed circuit television electroencephalography (CCTV-EEG) and pre-surgical CCTV-EEG monitoring (extracranial and intracranial monitoring).

7. Cathlab Gold standard in cardiovascular imaging, far superior than any other cathlab in the country Captures real time, 3D impressions of complex vasculature and coronary arteries Image quality ensures precise positioning of stents and devices in acute cases where speed and accuracy are of paramount importance Reduces radiation doses to both patients and physicians 8. HDR Brachytherapy Brachytherapy is a procedure in which radioactive material sealed in needles, seeds, wires, catheters, or "applicators" is placed directly into or near body cavities affected by cancer. There are two ways to deliver brachytherapy: Low Dose Rate Brachytherapy, wherein radiation doses are given more slowly, typically over a two- to three-day period or even several months. High Dose Rate (HDR) Brachytherapy, a high dose of radiation, is delivered in a short time, typically only minutes. 9. Stereotactic Radiosurgery (SRS) The only SRS system with a micro multi-leaf collimator comprising of 52 leaves Proven alternative or adjunct therapy to surgical removal of brain lesions such as vascular malformations, malignant tumors, metastases, and benign tumors Often recommended when lesions are difficult to reach with invasive surgery, and located near critical brain structures 10. Respiratory Gating for Radiotherapy The only one with 2 IMRT systems and 3 Linear Accelerators Most complete IMRT system with Respiratory Gating System

Synchronizes radiation beam with breathing cycle of patient More conformal in terms of radiation delivery around tumor

11. Radiofrequency Ablation (RFA) of Liver Tumors The Liver Disease and Transplant Center at St. Luke's performs Radiofrequency Ablation (RFA), which involves the use of a probe to deliver extreme heat or radiofrequency energy that destroys cancer cells. This method involves placement of a special needle electrode in the tumor under the guidance of an imaging device such as ultrasound. Then, a radiofrequency current is passed through the electrode to heat the tumor tissue near the needle tip to ablate or burn it. This procedure causes only minimal discomfort and may be done with local anesthesia or conscious sedation. When used in the liver, RFA specifically targets liver malignancy like hepatocellular carcinoma, which is a primary liver cancer, and metastatic tumors such as from colon cancer. It is both a curative treatment and a palliative option that can prolong survival. RFA is ideal for local control of some cancers. Local tumor control is an attractive option for patients who are not ideal surgical candidates or have failed conventional therapies. 12. SIRT SIRT presents itself as an option for patients with primary and secondary liver tumors and where there are multiple involvements of both lobes of the liver such that resection will not sustain life and RFA will be too difficult or dangerous. SIRT technology involves the delivery of millions of microscopic radioactive biocompatible spheres (tiny polymer plastic beads or microspheres) called SIRSpheres directly to the site of the liver tumors, where they selectively irradiate the tumors, while maintaining low radiation dose to the normal liver tissue. SIR-Spheres are delivered through a catheter placed in the femoral artery of the upper thigh and threaded through the hepatic artery (the major blood vessel of the liver) to the site of the tumor. The microspheres are trapped in the tumor's vascular bed where they destroy the tumor by reducing its blood supply (embolic effect) and damage the cancer cells' DNA through local radiation. Radiation is wholly contained within the patient's body and is continually delivered over approximately two weeks after which the microspheres are no longer radioactive.

Philippine Heart Center Hospital area The PHC is seated on a 2.7 hectare lot at the corner of East Avenue and Matalino Street in the Diliman District of Quezon City. Is a 283-bed tertiary care center PHC was established on February 14 1975(valentines day). Originally known as the Philippine Heart Center for Asia. Its design of having a 4 petals in each floor represents the 4 chambers of the heart. 1.Nuclear Medicine Division The Division of Nuclear Medicine of the Philippine Heart Center is a full service nuclear medicine which performs both diagnostic and therapeutic procedures. The division provides all the diagnostic procedures needed in a general Nuclear Medicine set-up with emphasis given to Cardiovascular Nuclear Medicine and radionuclide therapeutic procedures to treat diseases responsive to radioactive materials administered internally. It also provides in vitro procedures and interpretations. In the fight against disease, diagnosis is critical to the best treatment and outcome. Imaging techniques give the doctors and staff a unique way to look inside the human body. These techniques combine the use of stateof-the art sensitive scanning equipment, advanced computing technology and various radioactive substances to produce high quality images. Total number of procedures performed annually approximately 60,000. 2. Clinical Electrophysiology Section The Clinical Electrophysiology Section serves all arrhythmia patients in need of diagnostic and therapeutic electrophysiology, device therapy and follow-up.

The Clinical Electrophysiology Section is composed of the Section Head, two (2) Medical Specialists, a Medical Technologist, a Nurse, a Clinical Research Fellow, and a Laboratory Technician. Currently, there are three (3) visiting physicians under the section. Rotating fellows in training includes a third year and a second year Adult Cardiology Fellows. Total number of graduates from the Clinical Electrophysiology Section from 1999 to 2009 is nine (9). The section is located at the second floor room 218 of Coronary Care Unit inside the hospital building with local number of 2250. 3. Neurovascular Laboratory The Section of Neurovascular Laboratory under the Division of Allied Medical Specialties is composed of highly specialized Neurologist and Medical Technologist that caters to the need of patients with Neurological and Neurovascular disorders. The section provides diagnostic test of Neurological and Neurovascular disorders. It is located at the 4th floor of hospital building between petal 4A and petal 4B with local number of 2456. Total number of procedures performed approximately 7,000. 4. Vascular Center The Vascular Center under the Division of Cardiovascular Surgery is a dynamic multidisciplinary and service oriented unit composed of highly specialized staff of cardiovascular medicine, surgical specialists and technologists that cater to the need of patients with vascular disorder. Its laboratory component utilizes the latest state of the art diagnostic equipment. It likewise offers a comprehensive wound care clinic designed to tackle various kinds of vascular related lesions. The referring physician remains the provider for the overall care of the patient. Total number of procedures performed annually approximately 4,000. 5. Division of Laboratory Medicine The Division of Laboratory Medicine is responsible for the performance of all Clinical and Anatomic Pathology services of the Philippine Heart Center. It is

manned by six (6) Pathologists, one (1) Clinical Research Fellow, eight (8) Residents, thirty-one (31) Medical Technologists, seven (7) Clerks, and four (4) Laboratory Technicians. Total number of procedures performed annually 2 million. 6. Invasive Cardiology Division The Invasive Cardiology Division of the Philippine Heart Center is one of the country's busiest and most experienced cardiac catheterization laboratory, routinely performing thousands of angioplasties, catheterizations and other specialty procedures. Total number of procedures performed annually approximately 4,000. 7. Non-Invasive Diagnostic Cardiology The Non-Invasive Diagnostic Cardiology Division (Cardiac Graphics/Exercise Laboratory) is one of the busiest areas of the Philippine Heart Center and one of the biggest Heart Station in the country today, where patients are referred for non-invasive diagnostic procedures. The primary objective is to obtain a complete and precise cardiac diagnosis with the use of non-invasive cardiac diagnostic methods that are performed by skilled, competent and compassionate staff. The laboratory contributes in arriving at correct diagnosis, which is the basis of a rational therapy, thereby minimizing morbidity and mortality. Total number of procedures performed annually approximately 300,000. 8. Blood Bank Division The Philippine Heart Center Blood Bank pursues one overriding objective: to provide adequate amounts of safe blood in a timely manner for our patients. They supply the complete menu of blood component options 24 hours a day, 7 days a week. It has been designated as Category B by the Department of Health and considered one of the lead centers in the National Capital Region. It is a blood service facility responsible for donor screening and selection, blood collection, testing, preparation, handling, storage, release and dispatch of all its blood products. Total number of procedures performed annually approximately one million.

9. 2D Echo/Color Doppler This high-tech machine does cross sectional scans of the heart for early detection of cardiac abnormalities and other common internal organ abnormalities. These are among the newest and most-modern units in the Philippines. It is used for both adult as and children. Stress Echo is also available. Our new full-color Ultrasound produces images not only with exceptional detail but also for special studies of the blood vessels and carotid artery. 10. Heart - respiratory monitor: A heartrespiratory monitor is a machine that can monitor the heart beat, breathing, and often blood pressure and oxygen levels in the baby. 11. Sorin 55 heart-lung machine