Department of Medicine

About Us

About Us

The Medical City’s Department of Medicine is the hospital’s biggest department composed of consultant staff that is well-trained and experienced in the various fields of practice.  

The Department’s officers and medical staff share a common passion to render the best medical care available, based on strong patient partnership and grounded on accepted standards of medical care.  This is also supported with medical researches and findings, gained here and abroad.

Currently, the Department continues to update its management and treatment protocols, and training programs to maintain high quality standards of medical care of patients, training of doctors, nurses and the medical community as a whole. 

The Department of Medicine is divided into the following sections:

Adult Intensive Care Medicine

Allergy and Immunology

Cardiology

Dermatology

Endocrinology

Gastroenterology

Geriatrics

Hematology

Infectious Disease

Internal Medicine

Medical Nutrition

Nephrology

Oncology

Palliative Care Medicine

Pulmonary Medicine

Rheumatology

Toxicology

Services

OUR SERVICES

The Section of Adult Intensive Care Medicine is a multidisciplinary healthcare specialty for adult patients with unstable or life-threatening conditions.

The Section of Allergy and Immunology is composed of board certified physicians who specialize in diagnosing and treating allergic and immunologic disorders.  These specialists offer expert care for many conditions such as allergic rhinosinusitis, asthma, atopic dermatitis, contact dermatitis, food allergy, drug allergy, angioedema, urticaria, and other diseases that affect the immune system such as immunodeficiency disorders and autoimmune diseases.  The section offers a variety of tests and treatments for these complex conditions including allergy testing, allergy immunotherapy (allergy shots), drug desensitization, and cellular therapy (including stem cell therapy).  The allergy and immunology team also works with other experts to make sure the patients benefit from the knowledge of multiple specialists.

The Section of Cardiology involves the recognition and management of common or complicated cardiovascular diseases.  It also includes applying the principles of cardiovascular therapeutics.   

The Section of Dermatology involves the recognition and management of common skin, hair and nail diseases and the treatment of cosmetic problems related to the skin and its appendages.

The services of the Section of Endocrinology and Metabolism include the diagnosis and management of diabetes mellitus, metabolic abnormalities, obesity, and hormonal disorders due to diseases of the endocrine organs, which include the pituitary gland, thyroid gland, parathyroid gland, adrenal gland, pancreas, ovary and testes. 

The Services include the following

Diabetes Mellitus, Obesity and Metabolic abnormalities

Diabetes Patient Education Nutrition Counseling, Screening for Diabetes Complications

Obesity Clinic

Thyroid Disorders

Fine Needle Aspiration Biopsy (FNAB) of thyroid nodules

Thyroid Cancer management

Radioactive Iodine therapy

Parathyroid gland

Diagnosis of Calcium disorders

Parathyroid Imaging

Adrenal Gland

Evaluation of secondary hypertension, Cushing’s Syndrome, Hyperaldosteronism and adrenal tumors

Reproductive Organs

Evaluation and management of impotence, infertility, erectile dysfunction and hypogonadism

The Section of Gastroenterology involves the diagnosis and treatment of the gastrointestinal tract, liver, pancreas and biliary tract.  It also includes the study of these organs in relation to the disorders of other organ systems.  Basic nutrition assessment and counseling; as well as nutritional deficiencies and management are also included.  

The Section of Geriatrics involves the understanding of the normal and abnormal process of aging, atypical presentation of illness, common geriatric syndromes and differences in the natural history of specific disease in older adults.

The Section of Hematology involves both the laboratory and clinical aspects of the proper diagnosis and management of blood disorders: anemia, polycythemia, leukemia, lymphoma, thrombocytopenia, thrombocytosis and multiple myeloma as well as therapeutic interventions for a wide variety of conditions such as apheresis, chemotherapy and stem cell transplantation (autologous and allogeneic).

The Section of Infectious Disease involves the proper diagnosis and management of a wide array of infectious diseases commonly seen in the medical practice in the Philippines.

The Section of Internal Medicine involves the management of a wide and comprehensive spectrum of illnesses that affect adults.  General internists are known as experts in diagnosis and treatment of acute and chronic diseases as well as health promotion and disease prevention.   They often care for their patients over the duration of their adult lives, providing them an opportunity to create lasting and rewarding personal relationships with their patients. They also coordinate with other medical specialists in managing difficult and complicated medical cases.  General internists also educate patients on wellness, women's health, mental health and provide effective treatment for common problems of the eyes, ears, skin, nervous system and reproductive system.

The services offered are out-patient consultation, hospital admissions and wellness packages.

The Section of Medical Nutrition is composed of medical physicians formally trained in the field of nutrition.  Medical nutrition involves the assessment and management of malnutrition and its complications in different health aspects – from outpatient wellness to various disease entities both acute (i.e. hospitalized patients, critical illness, perioperative nutrition) and chronic (i.e. cancer, diabetes mellitus, renal disease, obesity, gastrointestinal disturbances, anorexia).  This also involves the management of patients across all ages (children, adult, geriatric, pregnant).  The Section is also responsible for educating, training and coordinating nutrition management among medical trainees and allied professionals (nurses, pharmacists, dietitians) involved in patient care.  It also organizes and works closely with the nutrition support team of the hospital.

The Section of Nephrology involves the diagnosis and basic management of uncomplicated diseases of the kidneys, its contiguous collecting system and vasculature, including the recognition of indications for referral at the appropriate time to a nephrologist.

At the Section of Oncology, Medical Oncologists play a vital and dynamic role in the multidisciplinary team of TMC healthcare specialists.  They give personalized care to all cancer patients.  Together with them, the patient and doctor move forward towards better health outcomes by giving tailored treatments best suited to individual needs and values.

The Section of Palliative Care Medicine focuses on the effective management of pain and other distressing symptoms that cause strain, anxiety and suffering for the patient.  Its goal is to anticipate, prevent and reduce suffering and to support the best possible quality of life for patients and their families, regardless of the stage of the disease or the need for other therapies. Palliative care begins at diagnosis and should be delivered concurrently with disease-directed, life-prolonging therapies and should facilitate patient autonomy, access to information, and choice.

Their services include Consultations and Home Services.

The Section of Pulmonary Medicine provides services that are relevant to the health needs of its patients, embodies the best clinical practices and appropriate advances in respiratory medicine, and incorporates the principles of integrated, holistic and multidisciplinary team practice, thus bringing the highest possible level of service to pulmonary patients.

Clinical Services and Facilities include:

Pulmonary Diagnostics and Therapeutics Center

Spirometry and Pulmonary Function Test (PFT)

Arterial Blood Gas

Pulse Oximetry

Capnography

Peak Flow Meter Monitoring

Indirect Calorimetry

Incentive Spirometry

Sputum Induction

Nebulization Therapy

Ventilator Therapy

NIV (CPAP/BiPap) Therapy

Cardiopulmonary Exercise Testing

Exhaled Carbon Monoxide Analyzer

Pulmonary Rehabilitation Center

Snoring and Sleep Center

The Medical City’s Smoking Cessation and Relapse Assistance Program (SCRAP)

The Medical City DOTS Unit

Thoracic Oncology Center

Ambulatory Endoscopy and EBUS Unit

Pulmonary Catheterization and Hemodynamic Laboratory

The Section of Rheumatology involves proper training in the diagnosis (detection) and treatment of musculoskeletal disease and systemic autoimmune conditions commonly referred to as rheumatic diseases.

Their services are Consultations, Joint injections and aspirations, Bursa and tendon injections, laboratory procedures, rehab care and X-ray, among others.

The Section of Toxicology involves managing cases of poisoning.  It also utilizes current updated databases in the management of poisoning cases.

The services of the Toxicology Section include:

Management of acute and chronic poisoning cases associated with chemicals

Chelation treatment for heavy metal poisoning

Detoxification of drug abuse cases and treatment of withdrawal syndromes

Co-management with Psychiatrists in cases of drug abuse and suicidal poisoning

Treatment of poisoning/stings/bites by insects, snakes, marine organisms

Treatment of poisoning associated with poisonous plants

OTHER SERVICES 

Residency Training Program in Internal Medicine

The three-year residency training program in Internal Medicine, that is given full accreditation by the Philippine College of Physicians (PCP), aims to develop professional and skilled internists who will lead in setting the highest standards in the medical diagnosis, treatment, and prevention of adult diseases in the country.  It also aims to prepare its graduates for further training in sub-specialties.  The department takes pride in producing graduates, now sub-specialists, who are leading and excelling in their fields.

Our Team

Dr. Ruben G. Kasala – Chairman, Department of Medicine 

Dr. Amiel Cornelio E. Dela Cruz - Assistant Chairman and Executive Officer, Department of Medicine

Dr. Hans Jeremy R. Ramos - Training Officer, Department of Medicine

Dr. Jude Erric L. Cinco - Section Head, Critical Care Medicine

Dr. Michelle Joy B. de Vera – Section Head, Allergy and Immunology

Dr. Carlos Ponciano R. Esguerra - Section Head, Adult Cardiology

Dr. Lillian L. Villafuerte –Section Head, Dermatology

Dr. Ma. Theresa C. Agcaoili - Section Head, Endocrinology

Dr. Ma. Carla D. Sibulo – Section Head, Gastroenterology

Dr. Marc Evans M. Abat - Section Head, Geriatrics

Dr. Edwin S. Trinidad – Section Head, Hematology

Dr. Regina P. Berba – Section Head, Infectious Disease

Dr. Azenette Gladys L. Mendoza – Section Head, Internal Medicine

Dr. Marianna Ramona S. Sioson – Section Head, Medical Nutrition

Dr. Roberto C. Tanchanco – Section Head, Nephrology

Dr. Josephine C. Tolentino - Section Head, Medical Oncology

Dr. Maria Fidelis C. Manalo – Section Head, Palliative Care Medicine

Dr. Arnold G. Germar - Section Head, Pulmonary Medicine

Dr. Raoul S. Feliciano – Section Head, Rheumatology

Dr. Allan George R. Dionisio – Section of Toxicology