About….GERRY H TAN, M.D.

 I am a practicing endocrinologist here in Cebu City… a specialty that unedited-picture-with-smack.jpgdeals with endocrine disorders like Diabetes, Thyroid Diseases and Osteoporosis among the many. 

I am a Faculty Silver Medal Awardee and a graduate of Cebu Doctors’ University College of Medicine.

I did my Residency Training in Internal Medicine at the New York Medical College and did my Fellowship training in Endocrinology, Diabetes and Metabolism at the Mayo Clinic in Rochester, MN.

During my training in New York, I was awarded the Teacher of the Year and while at Mayo, I received the Young Investigators’ Award by the American College of Endocrinology.

I am both a Fellow of the American College of Physicians and the American College of Endocrinology. A Diplomate of the American Board of Internal Medicine and the Subspecialty Board of Endocrinology, Diabetes and Metabolism.

I came back to my country to practice my specialty and share my expertise to my countrymen. In 1999, I established the Treatment Center for Diabetes, Thyroid Diseases and Osteoporosis at Cebu Doctors’ University Hospital where I am presently based. Our Center has a Clinical Research Unit fully accreditied to undergo International Multicenter Clinical Phase 3 Research Trials of new products in the treatment of Diabetes. Currently we are participating in 4 Clinical Phase 3 Trials including Studies on Incretins and Inhaled Insulin.

I’ve been invited to lectures in National and International conventions related to my specialty and presently a Diplomate and Fellow of the Phillipine College of Physicians and a Diplomate of the Philippine Society of Endocrinology,and Metabolism; a Diplomate and Fellow of the American College of Physicians and the American College of Endocrinology.

Some of the thoughts in my blog are educational modules that I usually share with my patients because I believe…

Understanding Ones Disease Thru Education Is A Prescription To Better Health!

And lastly, I am happily married and blessed with 3 great children.

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Curriculum Vitae

Basic Education:

College of Medicine- Cebu Doctors’ University College of Medicine  1983 to 1987

Bachelor Of Science in Biology- Silliman University.1979 to 1983

Advanced EDUCATION:

Advance Preceptorship in Diabetes and Endocrinology- University of San Francisco- Stanford Univesrity- Whittier Institute for Diabetes- Nov 2006

Advanced Preceptorship Training in Endocrinology- Johns Hopkins University Hospital, 2005

Advanced Preceptorship Training in Diabetes- Harvard Medical School- Massachussets General Hospital , 2004

Fellowship Training in Endocrinology Diabetes and MetabolismMayo Clinic College of Medicine, Mayo Clinic, Rochester, MN   1993 to 1996

Residency Training in Internal Medicine- New York Medical College, Lincoln Medical Center, New York, 1990 to 1993

Medical Board Certification:

Fellow:  American College of Endocrinology

            Amercian College of Physicians

            Philippine College of Physicians

Diplomate: American Board of Internal Medicine

                  American Board of Endocrinology

                  Philippine Board of Internal Medicine

                  Philippine Board of Endocrinology and Metabolism

Academic Appointment:

      Instructor of Medicine: Mayo Clinic College of Medicine, 1995-1996

      Associate Professor, Cebu Doctors’ College of Medicine, 1996-1998

      Professor of Medicine, Cebu Doctors’ College of Medicine, 1999 to present

      Chairman, Division of Endocrinology, Cebu Doctors’ College of  Medicine- Cebu Doctors University Hospital, 1999 to present

       Chairman, Research Department, Cebu Doctors’ Hospital,   Dept of Medicine-  1999 to present

Awards and Honors:

        Magna cum laude – Silliman University       

        Faculty Silver Medal- Cebu Doctors’ College of Medicine

        Most Outstanding Intern of the Year- Post Grad Internship

        Biographical Honour Award- International Youth in Achievement 3rd edition

        Excellence in Teaching Award - New York Medical College, 1992

        Clinical Investigator Award- American College of Endocrinology, 1994

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LECTURE series: 

Thyroid Dysfunction,  Cebu Doctors’ Hospital Grand Rounds,September, 1996 

Osteoporosis, Phil Academy of Family Physicians,Cebu, Oct 1996

Diabetes Mellitus Management, Phil Assc of Family Physicians, Tacloban, Feb 1997  

Hypothyroidism, Phil College of Physicians, Cebu, July, 1997

Management of Diabetes Mellitus,  PAFP,Phil Diabetes Assc, Cebu,  July, 1997

Hypertension in Diabetic Patients, Cebu Doctors’ Hospital- Cebu Doctors’ College of
Medicine 1st Post Grad Course, Aug,1997

Diabetes and its Complications and Management, Phil Medical Womens’ Assc ,Cebu,  Oct, 1997

Diabetes and its Complications, Mactan Doctors’ Assc, Mactan Cebu, Nov, 1997

Strategies in the Mgte of DM, Dept Of Health Workshop,Cebu, Nov, 1997.

Thyroid Disorders: What Every Family Physician Should Know, Plenary Lecture, Mid year convention PAFP, 2001

Diabetes Mellitus…Practical Therapeutics, Plenary Lecture, Midyear Convention PCP, 2001

Thyroid Dysfunction: The Practical Approach, Davao Medical Society, 7/2002

Spectrum of Diabetes Management,Philippine Diabetes Association Annual Convention, Dec, 5, 2002

Spectrum of Thyroid Dysfunction,Philippine Thyroid Association Annual Convention, 2003 

Postoperative Management of Well Differentiated Thyroid Cancer, Philippine Society of Endocrinology and Metabolism Annual Convention, 2003Thyroidology: From Fingers to Figures, lPCP- Cebu Post Graduate Course- Nov 8, 2003

The Benefits of Weight Loss,  Abbott Speakers pool, Manila peninsula, May 2004

Practical Guide to Intensive Oral Therapy in Type 2 DM, PAFP, Manila Discovery Suites, June 25, 2004

The Role of Insulin in Glycemic Control: The Treat to Target Approach. PSEM Endocrinology Workshop, Davao, August, 2004 

Pharmacologic Therapy is Essential to Weight Management. Phil Assc for the Study of Obesity and Overweight Annual Convention, Manila, Sept 18, 2004 

Spectrum of Diabetes Management: The Role of New Generation Sulfonylureas.  PAFP,Grand Covention Center, Jan 12, 2005 

Coroanry Patients with Dysglycemia: The Need for Multiple Risk Factor Intervention. PLS/PHS Annual Convention, Edsa Shangrila, Feb 2, 2005. 

The Hypertensive Diabetic. Servier Symposium on DM and HTN, Novotel, Beijing March 4, 2005. 

The Sulfonylurea Factor in the Mgte of DM.  Weekend Diabetes Workshop. Legend Hotel , Palawan. April 8, 2005. 

Practical Strategies in the Mgte of Diabetes,PAFP- Cagayan De   Oro.GloriaMaris Restaurant , August 20, 2005

Viral Hypothesis in the Development of Obesity. 11th Annual Convention of the Phil Assc for the Study of Obesity and Overweight Annual Convention. Westin
Plaza, Sept 6, 2005 

Plenary Debate on the Metabolic Syndrome. PLS/PSH Annual Convention, February 2006, Edsa Shangrila

Type 2 DM: The State of The Art… CDUH Anniversay Post Grad Course, August 2006

Type 2 DM: State of the The Art and The Dream.  GSK Launch, November 2006 

Preventing CVD Through Glycemic Control. PAFP, Butuan Doctor’s, Butuan City, February 22, 2007

Control To GoalA1c: The ADOPT Study and its Application to Clinical Practice. GSK Symposium. Marriot Hotel, Cebu City, March 2, 2007

The Many Faces of Diamicron. Diamicron Pearl Anniversary Lecture, Waterfront Hotel, Cebu City, June, 2007.

Achieving Target A1c Using Insulin Therapy.  Novo Nordisk Symposium, July 2007, Marco Polo Hotel.

Nutrition Management for Diabesity, Nestle Symposium, July 5, 2007, Marco Polo Hotel.

Postmenopausal Osteoporosis: Treating Beyond BMD. Lilly RTD Symposium, July 17, 2007, Marriot Hotel.

Starting Insulin Using The Right Insulin In Diabetes. AACE- Philippines First Annual Convention. August 10, 2007, Shangrila, Mactan

Rosiglitazone: Sustaining Glycemic Control And The Potential To Delay Progression. FOCUS Meeting, GSK, August 13, 2007. Hotel Intercontinental.

The Impact of Byetta in The Treatment of Diabetes in the 2oth Century.  PCP Cebu. Marriot Hotel.  October 23, 2007

Solosamet Launch.  The Fort, Manila,  January 10, 2008

Avandia: Sustaining Glycemic Control in DREAM and ADOPT.  2nd FOCUS Discussion, EDSA Shangrila, January 14, 2008

The Pathophysiology of Hypertension. 2nd AACE Annual CME Updtae, Novotel Hotel, Hongkong. January 28, 2008

Basal Insulin in Type 2 Diabetes: How and With What?  PAFP, PDA, Cebu Marriot Hotel, February 7, 2008

Pharmacotherapy Is Not Recommended for Prediabetes. PSH/PLS Plenary Debate, Crowne Plaza, Manila, February 15, 2008.

The Role of Raloxifene in Postmenopausal Osteoporosis. PCP/Lilly Symposium.  Marco Polo Hotel, April 4, 2008.

Byetta: Its Role in Glycemia, The Beta Cell and Adiposity. Lilly Sympsoium. Pino Restaurant, Cebu City, April 28, 2008

The Many Benefits of Metformin: Evidences Beyond Glycemia.  PCP Annual Convention.  SMX- Manila, May 6, 2008

Thiazolidinediones: Are Still Relevant To Our Times?  LRI RTD, Azzeza Restaurant, Cebu City,  May 26, 2008

Controversies and Issues on Diabetes in 2008. Cebu Doctors’ University College of Medicine Alumni Assc,  July 11, 2008.

Recurrent UTI in Diabetes: How and Why?  Meet The Expert Session. AACE Annual Convention, Mactan Shangrila.  August 17, 2008

The Double Treat: The Rationale for Fixed Combination Therapy in Diabetes- SYNERGY, PAFP, OEP: Prialtamet Launch, Marco Polo, Cebu City, August 28, 2008

The Nutritional Benefits of Pulses. United States Dept of Agriculture, USDA Culinary Center, March 4, 2009

Exenatide: From Beta Cell Preservation to Prevention and Treatment. Lilly Symposium. PSEM Annual Convention,  March 26, 2009

Optimizing Therapy in Type 2 DM.  2nd Merck Symposium.  Tagaytay Tall Vista. June 20, 2009

Exenatide Therapy in DM: The Asian Experience. 2nd Lilly Internationl AMS.  Dusit Hotel, Manila, June 20, 2009

Pioglitazone: Its Role Reducing Cardiovascular Risk in Type 2 DM.  LRI Symposium.  Marriot Hotel, June 22, 2009 

 

 PUBLICATIONS: 

  1. Tan GH, Farnell GF, Hensrud DD, andLitin SC.  Acute wernicke’s encephalopathy  attributable to pure dietary thiamine deficiency. Mayo Clinic Proceedings. 1994;69:849-850. 
  2. Tan GH, and Gharib H. Recurrent hyperthyroidism after radioiodine-induced   hypothyroidism: a report of two cases and literature review. Endocrine Practice. 1995;1(3):158-160.
  3. Tan GH, and Young WF, Jr.  Transient Hypopituitarism. Endocrine Practice.      1995;1(5):320-322. 
  4. Tan GH, Gharib H, and Reading CC. Solitary thyroid nodule: comparison between palpation and ultrasound.  Archives of Internal Medicine. 1995;155(22):2418- 2423.
  5. Tan GH, Dutton CM, and Bahn RS. Interleukin-1 receptor antagonist and soluble  interleukin-1 receptor inhibit interleukin-1-induced glycosaminoglycan production by cultured human orbital fibroblasts. Journal of Clinical Endocrinology and Metabolism. 1996;81(2): 449-452.
  6. Tan GH, and Young WF, Jr. Coexistence of bilateral pheochromocytomas and idiopathic hyperaldosteronism, Clinical Endocrinology. 1996 44:603-609. 
  7. Tan GH, Gharib H, Suman V, Goelner J, and Bahn RS.  Management of thyroid nodules in pregnancy, Archives of Internal Medicine. 1996; 156:2317-2320.  
  8. Yamamoto M, Ohno K, Engel AG, Roberts LR, Tan GH, and Fatourechi V. MELAS and Kearnes Sayre type co-mutation in a patient with mitochondrial cytopathy and autoimmune polyglandular deficiency, Annals of Neurology. 1996;39:761-766 
  9. Tan GH,and Nelson RL. Pharmacologic treatment options for non-insulin dependent diabetes mellitus, Mayo Clinic Proceedings. 1996;71:763-768.  
  10. Al Suwaidi J, Tan GH, and Bruggenmeyer CD. Resident’s Clinic: A 54-year old     male with impotence. Mayo Clinic Proceedings. 1996 (published).  
  11. Tan GH, and Gharib H. Thyroid Incidentalomas. Annals of Internal Medicine. 1997;126(3):226-231. 12
  12. Morris CN, Tan GH, and Smith S. Amiodarone-induced thyroid dysfunction with a hyperfunctioning and hypofunctioning thyroid nodule. Endocrine Practice 1999 
  13. Sy Roger, Tan GH. The Use of Metformin Among patients with Type 2 DM. PJIM  1999;37(5): 253-255 
  14. Tan Stephanie, Tan GH.  Correlates of Erectile Dysfunction  in Type 2 DM. PJIM 1999;37(4):196-99 
  15.  Romero C, Tan GH. Asymptomatic Hyperglycmia: Putting Theory into Practice. PJIM, 2001,39:309-31
  16.  Singuidas R, Chiu N, Tan GH. Reusing Insulin Syringe: Question of Safety. PJIM, in press
  17. Ponce N, Tan GH.  Profile of Type 2 DM in Outpatient Clinic.Cebu Doc Proceedings, 2000
  18.  Lucas MV, Tan GH, The Hungry one Plus the Hungry Gonad…Equals More, PJIM,,2000 38(5):265-267
  19.  Ereno J, Tan GH.  Vitamin E supplementation improves sensory neuropathy in Type   2 DM, Cebu Doc Proc, Vol 16156-162
  20. Lumapas CG, Tan GH. Unmasking of Hemoglobin a1c- the role of Postprandial Blood glucose in Overall Glycemic Control, PJIM, 40:303-307. 2002 
  21. Mantilla AS, Tan GH. The Clinical Profile of Patients Who Developed    Agranulocytosis on Anti-Thyroid Agents: Cebu Doctors’ Hospital Experience. PJIM, 42:251-254, Sept-Oct 2004 
  22.  Roa P, Tan GH. Osteoporotic Hip and Wrist Fractures at Cebu Doctors’ Hospital: Clinical Approach  and Outcome. PJIM, March- April issue, 43:61-65, 2005
  23. Cabatingan, R Tan GH. The Not so Simple Case of Hypoglycemia: Insulinoma..  PJIM- 43:343-345, 2005 
  24. Manasala S, Cabatingan R, Tan GH. Dosage Assessment of Thyroid Hormone Replacement among Filipinos with Hypothyroidism Post RAI Ablation or Post Total Thyroidectomy., PJIM, in press 2007  
  25. Gonzales Gayle, Tan GH. The Patient Satisfaction and Efficacy of Multiple Daily Insulin Regimen in Type 2 DM… in manuscript form, 2008; accepted for Oral Presentation, PCP, 2008
  26. Tanchubing, Jerry, Tan GH. The Impact of Physical Activity and Its Correlation to A1c Level in New Onset Type 2 DM …in manuscript form 2008; accepted for Poster Presentation PCP 2008
  27. A. Chacra1, G. Tan2, A. Apanovitch3, S. Ravichandran3, R. Chen3Saxagliptin Added To a Sulfonylurea Is Safe and More Efficacious Than Up-titrating a Sulfonylurea in Patients With Type 2 Diabetes.  Submitted to European Assc For The Study of Diabetes, Rome, 2008.
  28. Antonio Roberto Chacra1, Gerry Tan2, Anne Marie Apanovitch3, Shoba Ravichandran3, Roland Chen3 Saxagliptin Added to a Sulfonylurea (SU) Improves Glycemic Control in Patients With Type 2 Diabetes (T2D) Versus Up-titration of SU . Submitted to the American Diabetes Association 2008.  

     

  29. Antonio Roberto Chacra1, Gerry Tan2, Anne Marie Apanovitch3, Shoba Ravichandran3, Roland Chen3 Saxagliptin Added to a Sulfonylurea (SU) Improves Glycemic Control in Patients With Type 2 Diabetes (T2D) Versus Up-titration of SU: A Randomized Controlled Trial. 2009: The International Journal of Clinical Practice Vol 63 Issue 9:1395-1406. July 15, 2009

     

     

     

     

     

     

     

     

178 Responses to “About….GERRY H TAN, M.D.”

  1. MM Bondoc Says:

    Hi Dr. Gerry! Wow! What a fabulous website this is!!!! And galing your write-up on ADOPT, DREAM and of course, South Africa! You write really well po — an interesting read I must say :)

    Dr. Gerry, I have to say from my experience of our trip in South Africa, you are a WORLD-CLASS doctor. You handled the lost luggage experience with such class & magnanimity — I would’ve been distraught if that had happened to me — but you and Mrs. Tan were great and fun members of the group :) ‘Til the next trip!

    BTW, I’ll be going to Cebu for your interview — see you then! (let me know if you need anything from here :)

    God bless! Regards to Ma’am Nancy and the “global” kids :)

    MM

  2. lynn Says:

    Hello Gerry,

    Nice website.I enjoyed reading and browsing.Keep it up.

  3. Rachel Lagumbay Says:

    Good Morning Doctor Gerry. Are you affiliated with Medserv?

  4. Doc Gerry Says:

    please call my office clinic number Rachel 2535460 and inquire from my clinic nurse.

  5. Johoney Says:

    Good day to you Doc Gerry. I wanna thank you for changing my mother’s life. You are an angel. God bless you always and your family.

  6. Johoney Says:

    My mom’s name is Alicia Magallanes, she will visit you next month. She’s everything to me Doc and I am glad you’re there to take care of her health.

    More power to you.

  7. Doc Gerry Says:

    Thnaks for that nice comment Johoney. For any concerns you know where to reach me. Just came from Malaysia for an emergency meeting thus was able to browse my website only now.

  8. Rosemarie Says:

    Hi Doc,

    Im one of your patients in Cebu and lives in Canada. I just wanna asked if working in call centre will aggrevate my thyroid nodules?

    Hope to hear from you soon. Thanks!

  9. Doc Gerry Says:

    No relation at all. Stress form working on a grave yard shift can be a factor among those with Graves Disease- a kind of toxic goiter. Hope your doing well in Canada.

  10. lisa magallanes miller Says:

    Hello Doc, im a daughter of Alicia magallanes i cant thank you enough for helping my mom after her visit with you she’s more healthier and more active ths days i was worried about her condition before but not anymore thank you very much. GOD BLESS YOU AND YOUR FAMILY ALWAYS

  11. Doc Gerry Says:

    Thanks Lisa for sharing this note to me. This is my purpose in my medical practice… solely to help and make sure the patient will feel stronger and healthier. With your mom, I have achieved that.

  12. subhash lakhe Says:

    Dear Dr. Tan,

    I was your student at CDCM from Nepal in 2003 during my 3rd year.I always liked to listen to your lectures,Especially the case solving type..
    Currently I am applying for residency in USA.I would be glad if you could help me with your reference..

    Thank you,,

    Subhash Lakhe,

  13. Doc Gerry Says:

    Hi Subhash…you may contact me via my email address. I will need to check your transcript since you may not have done your clerkship training with us. It would be pretty difficult to give a recommendation on somebody that I have not done extensive relationship based on clinical rotation which is the basis for training officers to consider. But just the same just email me your resume and Ill see what I can do.

  14. subhash lakhe Says:

    Hi Dr. Tan,
    Thank you for response.I will definately send you my resume if you could send me your email address at s_lakhe@hotmail.com.I appreciate your willingness to help.

  15. subhash lakhe Says:

    Dr.Tan,

    the email address is s_lakhe@hotmail.com

  16. gina fuchs Says:

    hi Dr. Tan,
    Im so happy to know about your practice.we are moving to cebu soon,my member of the family is taking growth hormone name genotropin,Is there any way we can get thses medication in cebu.
    Thank you so much, i hope you God Bless You.

  17. Doc Gerry Says:

    Hi Gina…yes we have growth hormone available. We can talk about it when you come

  18. mangesh Says:

    28 year female with 5 year old baby delivered baby in may 07. since last 1 month having severe vertigo and fatigue with weight gain 10 kg.inv found out to be as follows
    Thyroid Profile

    Test Patent’s Value Normal Values
    Free T3 0.00 1.45 -3.48 pg/ml
    Free T4 0.26 0.71 -1.85 ng/dl
    TSH: >100.00 0.49 -4.67 uIU/n
    MRI – BRAIN
    No brain parenchyma abnormality detected.

    Mild enlargement of the anterior pituitary lobe with convex superior surface. The maximum height in midline is 13mm with convex superior surface (normal post partum range 10-12 mm). This may represent physiologically hypertrophy or adenoma. Suggest followup (6 month post partum) and / or correlation with relevant investigations.

    Thyroid Sonography
    There is moderate diffuse enlargement of both lobes of thyroid. They measure right 55×27x29mms and left 52×19x26mms. Contours are smooth. Parenchyma reveals homogenous echotexture with medium level echoes.
    No discrete focal nodular or cystic lesion seen.

    No regional lymphadenopathy.

    she has been started on tab eltroxin 50mcg then to 100 mcg now.
    she also has moderate headache and some blurring of vision.

    what should be the next plan.
    whether one should go on with prolactin and cortisol levels investigations or wait.
    if you could opine , i will be oblidged

  19. Doc Gerry Says:

    Soory for the delay in reply… just arruived forma convention in Vienna…

    The patient has primary thyroid failure srelated to pregnancy resulting in postpartum thyroiditis. Just closely monitor her TSH FT4 because the profile of thyroiditis can result in normalization of the tests in months. However, do not check her prolactin level at this time because primary hypothyroid state can cause false elveation of your prolactin and hypertrophic changes in the pituitary.

    So what has been done is right…replace and treat the hypothyroid state then recheck clinically and biochemically in 3months. Do not repeat the MRI or do other investigations for now. You may elect to do antithyroid antibodies to determine her chances of getting permanent hypothyroidism.

    Watch out for depression.

  20. Gemma Dy Says:

    I was your patient about five years ago, and you cured my thy- roid through alternative nutrition and thyroxin. Surgery was the last resort, unlike the other doctors approach. Thank you and Bless you. You told me to see you when I’m pregnant. I am in 14th week of pregnancy and would like to schedule a visit, but I’m living in St. Louis, Missouri, USA, and happily married. Would you please recommend an associate or friend in the US that ascribes to your approach to medicine? I would appreciate any advice or information.

    Sincerely,
    Gemma Dy Bitzenburg

  21. Mariah Harlin Says:

    Hi Dr. Tan. i sure you now my mother merlinda macazarte, now known as merlinda harlin, i have a few questions for you. if you don’t mind replying to my e-mail i’d like to ask them. thank you..
    mariah…

  22. Doc Gerry Says:

    Mariah…kindly call my office instead… its 412-4803 if its regarding your monther or yourself. Anything regarding health issues …feel free to write them here and I will try to get back to you the soonest I can

  23. Lesley Uy Says:

    Hi Doc Gerry, i am the daughter of your patient Robert Uy. I was diagnosed with nodular grave’s disease last June of this year. My doctor here gave me oral treatment first with PTU but then I was having allergic reaction and change it to Methimazole. She said that radiation treatment was too risky for me at that time since my numbers were too high based from the radioactive uptaking scan done. I had blood checks every month since. My last blood test was last week and she said that I will be ready for radiation treatment by next month if I want because my numbers are lower. I am just concern if radiation treatment is a better option than surgery. Please help me. She said that radiation tx has risk of infertility though low but my family history has difficulty with having babies especially my sisters. thank you.

  24. Doc Gerry Says:

    Hi Lesley… sorry for this very late reply. I initially thought I have answered you already. Anyway…it depends on what your diasgnosis is: if it is a diffuse goiter consistent with Graves Dse…RaDIATION THERPAY IS OKAY BUT IF IT IS NODULAR AND CONSISTENT WITH pLUMMERS dSE…THEN MY RECOMMENDATION IS SURGERY. The risk of infertility with radiation is not an issue at all… if you need one then dont worry about infertility. Your sisters reason for infertility may be due to a variety of issues not at all related to thyoird problem.

  25. Lesley Uy Says:

    Okay, thank you so much for your help. I will talk this over with my doctor, that is if I can get in with her because I have been seeing with the physician’s assistant for the past 4 months. Anyway, thank you for the information and for the help. God bless

  26. jerry Says:

    sir…. can i have ur email address… i believe ur expertise can help me with my problem….

    • Mark Says:

      With the moderator’s / Dr. Gerry Tan’s permission,

      Hi Jerry. I found this website as I was also looking for endocrinologists who could help me with my problem. When I saw your message and read between the lines, I guessed that we might be having the exact same “problem” and it would be mutually beneficial for us if we could help each other out. Please contact me if you’re interested: 0917-3474124 / mark0708@rocketmail.com

  27. jerry Says:

    to add sir, im researching about my issue on the net. i found out that only endocrinologist like u can help me with it. its been going for several years already… i hope i could tell u the situation fully in an email…. and hope to see u soon in person. im so happy upon seeing in google that there is an endocrinologist based here in cebu….

  28. Doc Gerry Says:

    jer… please call my office for an appointment. 412-4803. Unfortunately I dont handle cases via the net or email.

  29. carol pingol Says:

    Hi Dr. Gerry!

    Great website….Cool!!!

    Regards,
    Carol

  30. Lotis Says:

    Galing galing! Idol! Nice website doc!

    all the best!
    Lotis

  31. Gio Says:

    Wow! I have to block my entire weekend to check everything here! Nice website!


  32. doc, your one of the best lecturer of Cebu Doctors
    impressive kaayo imo lecture about endocrinology

    Medicine 3

  33. Patricia Says:

    hi doctor, im currently in my 3rd year in nursing and we’ll be having our thesis. we chose something related to type 1 diabetes among pediatric clients ages 18 y/o and below. what is the current status of DM type 1 in our country?

  34. Doc Gerry Says:

    Thanks Henry…feel free to see me anytime you need help.

    To Patricia… I have no data for type 1 in pediatrics. Please contact our peds endo guy Dr John Uy in Chong Hua. Hope he can help you.

  35. yzah Says:

    All I can say Dr. Gerry Tan the best doctor in town.Thanks for saving my life 3 years ago.

  36. Doc Gerry Says:

    Thanks Yzah for a great complement…you made my day hehehe


  37. Hi, Doc! Fr. Raul here! The address of my website is http://clik.to/chap

    It can also be accessed via a longer one: http://springdale.chapalin.googlepages.com

    Well, that’s the trade-off for using a free web-host.

    In the marquee, you will find some items that you and your son to take a look as preparation for his First Holy Communion.

    Nice web-site!! And very informative.

    God bless!
    Fr. Raul

  38. Doodee Says:

    Thanks for sharing

  39. Leonito M.Mirande Says:

    Dear Doc Gerry,
    Good evening.I just want to let you know,that if i may have to choose and pick a disease,i would chose[obvious ba?]Reading all the exchanges here of commentaries,i am very proud to have spent my childhood with you for three years.
    I know your time is very,very precious,no need to respond this.
    Lmmirande

  40. james Says:

    i really enjoyed browsing and reading some articles in your website doctor, this one is really marvelous!! We are really proud to have you as an active staff consultant in the department of Internal Medicine. DR.GH Tan is really one of a kind and trully a world-class mentor. Thanks for sharing with us your knowledge in this field.

    jkyoung

  41. Doc Gerry Says:

    Thanks James for that wonderful comment.

  42. Delia Says:

    Good Day! Im one of your patient .My name is delia Amores.Im still working here in U.K. You saw me once last april 2008.I had my second biopsy of my thyroid lump .Unfortunately the Diagnosis FNA THYROID SUSPICIOUS OF PAPILLARY NEOPLASIA (C4, THY 4).TSH AND FREE T4 ARE NORMAL.Doctors suggestion is thyroidectomy which is im not ready .Do i Have other option?needs your opinion…I realy wanted to call you but i know you busy.Thanks for your help

  43. Doc Gerry Says:

    come home…have your surgery done here in the pHilippines. I recommned total thyroidectomy for that. The skill of the surgeon is neede to avoid postop complications. If the result is suspicoius then there is still a chance it will be benign


  44. Hi Doc, good evening. Mag-ask lang me if sa monday magpacheck-up ako sa clinic nyo din mag decide ako na magaopera that day, diretso ba ako ma-ooperahan?
    Thanks!!!!
    God Bless!!!


  45. ……. And Doc I was your patient last Oct. 22,2007.That have a thyroid: CYTOLOGY SUGGESTIVE OF BENIGN COLLOID NODULE…

  46. Doc Gerry Says:

    kindly call the office for instructions. You will need clearance labs prior to surgery


  47. Doc is your clinic open tommorrow? Cause I’ll might call tommorrow.


  48. Doc.kindly send your tel.#coz i forgot already your no. thank you po

  49. Saleh Aldasouqi Says:

    Dear Dr. Tan,

    Greetings,

    I am an endocrinologist in Missouri, and an AACE member. I have a question rearding AACE chapters. Can you please respond to my e-mail address?

    Thanks,

    Saleh Aldasouqi, MD

  50. krys crystal murillo Says:

    hi doc..its me KC,your patient from iligan city! d1 your calling as “tia” …hehe;o) by the way,i have 2 good news to share. first, i graduated already! whoo-hooo!! second, i have a boyfriend now (shhhhhhhhh kay mama). just kidding! the family knew it already. yahooooo. tenx doc! hahaha..

    anyhow,i have some concerns. The return check-up you scheduled for me will be on april28. However, next sunday april 19 ’til may 29 will be the start of my review. Can i just visit you again after the board exam?? Or can just have the lab tests here in iligan city then i will just send you the results through this website or your email perhaps? Lastly, will i still continue to take the replacement as prescribed or taper the dose again??

    thanks doc… You’re the BEST ;o)

  51. Doc Gerry Says:

    KC AM IN Barcelona lounge now enroute to `mallorca Spain. ~Kindly call me when `i get back to work on April 22. Okay?

  52. Jan Chua Says:

    gerry,

    what is the model of your camera bag?

    thanks

    jan

  53. Doc Gerry Says:

    hehehe…its a Tamrac Digital Knapsack bag pero am not sure what model ang bag Jan.

  54. Samuel Says:

    2Tgw9Y Hello! I’m Samuel Smith, i’m from Switqerland i and find your site really brilliant!

  55. Nen Says:

    Hello,
    I’m in the U.S. , this question is kinda dumb but i’ll ask you anyway. Will you see patients just for annual check up with no known endocrine problems? I have a mom who needs to see an internist on regular basis but can’t find a good one.

  56. Doc Gerry Says:

    I do… if I find something that is beyond my specialty then she is referred to that doctor. Just ask her to get an executive panel B. Check my clinic schedule becuase I only see pts by appointment. Thanks

  57. Kyra Kouns Says:

    I would like to know if i Tall hypoechoic Thyroid Nodule is a sign of thyroid cancer?

  58. Kyra Kouns Says:

    clinical indication:goiter

    full result:the right love measures 5.5×1.9×2.3 cm it is inhomogrnous
    in its echogenicity with no dominate nodule seen there is increased
    vascularity

    the left lobe measures 5×2.1×2.2 cm this is inhomogenous in its
    echogenicity and shows increased vascularity a dominate nodule is not
    identified however it does appear multinodular

    the isthmus measures 2.9mm

    IMPRESSION FINDING SUGGEST MULTINODILAR GOITAR CLOSE CORRELATION TO
    PHYSICAL ECAM TO SEE IF THERE IS A DOMIINATE PALPABLE LESION AS WELL
    AS PERHAPS CORRELATION WITH A RADIONUCLIDE STUDY AND HORMONE FUNCTION
    TEST
    IS RECOMMENDED

    ADENDUM there is a hypoechoic noduale seen in the right lobe mid
    portion it looks tall and is actually anterior so this may be
    palpable there is a 7 mm not well seen on the lateral view but i
    believe it should be evaluated clinically to see if there is a
    palpable abnormality and this would be in the mid pole region
    anterior this should be evaluated clinically as well as with
    tadionuclide study

    should I have my thyroid removed?

  59. Kyra Kouns Says:

    Just wondered if this web page is still open?I have been waiting for a response please let me know something as soon as possiable


  60. Hello Dr. Gerry,

    I am writing to you about my father’s condition. He was diagosed with diabetes mellitus last November 2007. He is currently taking medications from his doctor. Before he has high levels of bad cholesterol and fortunately it is now okey.

    Doc Gerry is there any alternative medicines or herbal medicines we could ask for his illness? and when can i possibly get a schedule from you so that we could personally ask you about this problem.

    i hope doc gerry that you could help me in finding the most suitable medications, supplements and diet with regards to diabetes.

    thank you and u will surely wait for your reply

  61. Doc Gerry Says:

    To Kyra..am so sorry to have missed your comment and question. Better still to have your neck palpated by an specialist. There no difinite signs of malignancy based on ultrasound. Doing a fine needle aspiration biopsy of the said nodules is still the best way to clinically diagnose if these nodules are bening or malignant.

    To Myra…I dont recommend any herbal supplements. Please check my post about this. For schedule pruposes it is better if you get an appointment so your father doesnt need to wait for his turn. You may contact my secretay at 412-4803.

  62. Anthony M. Clark Says:

    Hi Doc,

    Just wanted to say thanks for seeing me a couple of weeks ago and sorry I missed the follow up last Wednesday, my last week in Cebu was very hetic. I got the blood work back and my A1c was 8.4, which was no surprise given my own testing. Galvus has really improved my peak levels with lunch +2hr < 8mmol (was around 14mmol before) and dinner +2hr < 6mmol ( was around12). I dropped 1 tablet of Gliclazide ( was 120mg now 90mg). I guess I need to see a doc in Sweden as my HDL has dropped to 0.5 from 1.6 last nov. (Crestor 10mg?) LDL is ok and so is chlorestrol.
    Had to laugh the morning of the consult when you yelled out you would see anymore patients as the internet wasn’t working :)
    All the very best.

  63. Debbie Says:

    Hi doc jerry,

    I noticed that my neck is bulging and that i assumed this would be goiter. I will be going to your office by Thursday since when i called your secretary, your wednesday office will only be for appointments. I have been searching the web for credible and down to earth doctors who can help me but it is only you who fits my qualifications. I ADMIRE YOU DOC for being so helpful to your patients and I am sure you can help me too.

    See you doc. Thanks

  64. Doc Gerry Says:

    To Anthony…Thanks for your very nice comments Anthony. Be sure to visit me back when you visit our beautiful country again.

    To Debbie…Yes Debbie…everyone is welcome. problem is by appointment ako so you may have to come on a first come first serve basis but will surely accomondate all if I can. Yes, I am strict on my Wed and Sat becuase they are my half day work schedules so only by appointments on those days. C u!

  65. Debbie Says:

    Doc Jerry,

    Thanks a lot Ill be seeing you on Thursday then. I am thankful a doctor like you is here in Cebu. God bless doc.

  66. Debbie Says:

    DOc Jerry,

    I know its already late to say this but thanks a lot. YOu have your own way of explaining to the patients what are the causes of their ailment which helps a lot in making them at ease. I really appreciate it. See you on my next check up on August 17…

    Regards..

  67. JustMe Says:

    Dear Dr. Tan, a few years ago, I began to have all the symptoms of hypothyroidism. I was chronically fatigued, dry skin, loss of hair, depression, high prolactin levels, anxiety, menstrual problems, weight gain, and more.

    Despite a small goiter(not really visible, but can be felt and confirmed by ultrasound), thyroid antibodies, family history of hypothyroidism, and all the above symptoms, the endocrinologist would not treat me, because my TSH fluctuated between 4.0 and 7.0. I was usually around 5.0, just on the border. I felt absolutely terrible DAILY!

    I recently went for a new thyroid ultrasound(3 years since the first), and was told that I now have a hypoechoic nodule that is 8mm in size. Is that fast growth for three years? Or is 8mm pretty small? Can untreated hashimoto’s cause a hypoechoic nodule? Should I insist that a biopsy be done? Do nodules, goiters, or thyroid antibodies ever shrink or disappear?

    Ironically, many of my symptoms have improved or disappeared(including high prolactin levels), without medication, and I now seem to have more energy? So I’m surprised that a nodule was found.

    Below are the results from my ultrasounds, the doctor will not order additional testing(T3,T4,etc because they were order intially years ago), and he says my TSH is in normal range at 3.0. What are your thoughts on all of this? Thank you

    Right Lobe: 6.8 x 1.9 x 2.2 cm
    Left Lobe: 5.9 x 1.9 x 2.1 cm
    Thyroid isthmus measures 3.7 cm

    Right Lobe: 6.7 x 1.8 x 2.4 cm
    Left Lobe: 5.5 x 1.7 x 2.7 cm
    8 mm hypoechoic nodule in left mid thyroid lobe

  68. kristy joy Says:

    hi doc,

    im one of your patients in cebu. but havent been able to visit you for the last 7months coz am now working here in manila. am applying for a work in bahamas, and one of the requirements is a medical certificate. i had my physical examination here in manila and the doctor found out about my thyroid problem. he wants me to have a certification from you (being my physician) stating that my thyroid problem is not toxic and its not a hinder to any work that i will have. Doc, can you pls help me with this?
    hoping for your favorable reply….
    thank you doc…

  69. Doc Gerry Says:

    JUst Me… you may just have a thyroid incidetnaloma which does not really mean anything. The problem with the new imaging techniques we have is that they so sensitivie to be able to diagnose the smallest of the small nodules in our thyroid gland. Menaing…these nodules may remain as that until your death! Especially if they are not clinically palpable. I will not do anything about it except periodic palpation.

    To Kristy Joy… have yourself examined by a local enodcrinologist there or let somebody from Cebu get a certificate from the office anytime

  70. JustMe Says:

    Hi Dr. Tan, thank you for this response. If thyroid incidetnaloma is the problem, does that mean the other concerns described in my previous message, seperate from the nodule, such as thyroid antibodies, goiter, etc, COULD eventually all decrease or disappear in time? Are there some people diagnosed with Hashimoto’s Disease, who have completely been cured, or had all symptoms return to normal?

    Thank you for your time and patience. :)

  71. Doc Gerry Says:

    Opps…if you have antibodies then the story is different. The antibodies will eventually cause destruction of the thyroid tissue eventually making you completely hypothyroid. Now with a goiter and (+) antibodies, and you feel miseable… then I would start you on treatment.

  72. mai dumana Says:

    hi dr. tan! i’m mai dumana a writer for dr. joy fontanilla’s magazine DiabetEASE…we’re currently working on our october-november issue and our cover story would be on stem cell therapies/pancreatic islet cell transplants. and dr. joy wanted po sana a representative from AACE. i was hoping you could entertain some questions through e-mail with regards to the issue. hoping po for your positive response i left po my e-mail address in this reply. thank you very much dr.tan!!

  73. reby Says:

    Hello doc gerry! I know its late but thank you very much! Ur the best doc… godbless u!

  74. JESUS ANTHONY P. TAN Says:

    HI THERE GERRY! I’M REALLY PROUD OF WHERE YOU ARE NOW & WHAT YOU’VE DONE TO ALL THESE PEOPLE WHO NEEDS YOU’RE SKILLS & WILLINGNESS TO HELP THEM OUT.. YOU’RE INDEED A BLESSING TO EVERYONE WHOSE LIFE YOU’VE TOUCHED.. WHAT ELSE WOULD BE WORTH SPENDING OUR PRECIOUS TIME ON ASIDE FROM TOUCHING & UPLIFTING LIVES? MAY GOOD HEALTH BE YOURS TOO FOR YOU TO CONTINUE THIS APOSTOLATE… YOU’RE ONE OF A KIND MY FRIEND… -JINKY-

  75. Doc Gerry Says:

    Hi my friend Jinky…nice to hear from you. Hope you are well at your end too.

  76. boy Gomez Says:

    Hi Doc Gerry! boy Gomez here.
    Am a Networking Business Distributor of Nrich Marketing Group with I.D. no. 18426 based in Davao City. Am so happy reading your message on how to control or evade to being get sick of diabetes by taking fruits and vegetables. In this regard am looking for a possibility that somehow during your free time you could visit the company’s website and evaluate the content/ingredients of its product, the KAMANGI. This is the site:

    http://www.nrichmarketing.com

    Here looking forward that should you find the product effective to take am pleased of inviting you to venture the business.

    Thank you and regards.

  77. Lorie Cabrillos Says:

    Hello Doc Gerry!

    my mother-in-law is your patient and she recommended you to me and my mom.my mom has a goiter and almost all her siblings as well as my elder sister.now i feel like i also have it but honestly,im scared.well,i guess that’s normal to be scared and nervous to confirm if i really do have a goiter.doc i will call your office for an appointment hope u can help me and my mom.thanks

    hope to see u and meet u personally…

    More power and God bless you and your family.

  78. sandy burgos-briones Says:

    hi doc gerry
    wow! i’m impressed with your website. very interesting and educational too.
    i will print your cv right away so i can submit it to the sp. am sure you’ll be top on the list. hehehe i hope you’ll be able to come on the oct 31. See you

  79. Doc Gerry Says:

    Thanks Sandy… please inform me if the awarding will push through the earliest time you can para I can see if I can be there on that day especially that it will also be a holiday on Nov 1. Thanks for the nomination

  80. Woomera Abernathy Says:

    Hello Dr. Tan,

    My name is Woomera. I am hoping that someone from your office will contact me personally via e-mail regarding the future treatment of my father. He is moving back home and will be seeking further treatment there for his hyperthyroidism. We have received recommendation from a specialist here of future treatment. Your name was highly recommeded by a friend of mine.

    I am hoping to communicate with your our your staff.

    Sincerely,
    Woomera Abernathy

  81. Doc Gerry Says:

    Hi woomera… the best thing is for somebody in your area here in Cebu to call Ivy my nurse to schedule an appointment once your father gets here. The appointment schedules work this way: call the 1st day of each month for the next months 1 to 15 appointment; and call on the 16th day of each month for the next months 16-30 appointments. example: call Oct 1 for Nov 1-15 appointment; then call Oct 16 for Nov 16 to 30 appointments.


  82. Hello Doc, Great Website!!!
    You have a lot of ideas that must be heard by all filipinos.

    Sad To say…Looking at your monthly visitors.
    Only 2.3% is from the Philippines.

    Sana mabasa ito lahat ng mga pinoy.
    just like mine.

    Thank you very much for sharing.

  83. marilyn Says:

    hi po…good day..im only asking how to sign up to this page Dr. Gerry

    thank’s po

    God Bless

  84. marilyn Says:

    im really interested about ur wbsite Dr.Tan


  85. I think you should point out the another side of the topic too… Hats Off to the discussion.

  86. Ed Bertolet Says:

    Dr.,

    I will be in Cebu the first two weeks in Feb and am looking for an acupuncturist who may be able to relieve some of my back pain from severe spinal stenosis.

    Is this a condition you have treated with any success or is there someone you could refer me to you trust?

  87. marbhee graven Says:

    hi sir would just like to ask what should i expect from missing to take thyrax 75g for a month now? should i just resume medication? i’m advised by my endo to take it for 8 months and i’m now on my 2nd month before the missing started. please advise. great site! thanks!

    • Doc Gerry Says:

      Depends on why you are taking thyrax…for suppression or replacement. JUst mke sure in the future not to stop any drug uless you are told to do so. You may safely resume it now!

  88. cute Says:

    hi sir would like to ask how much would it take for a 42 yrs. old woman to take thyroidectomy. Consider the lowest price you can give sir. She lives at San Miguel, Zamboanga del Sur and I would give her the money needed for this operation. I take this opportunity to help my wife for her mother inspite of limited income from mine. I’m thankful if you can help. Salamat.


  89. hi doc,

    I was your student at cebu doctors university college of medicine in 2004. I was not able to attend ur lectures regularly because u had ur class begin 30 mins ahead of scheduled time, say 7am. But ur lectures on endo were great.

    Ur website is soo cool. Im gonna frequent this site.

    Thanks

    Jude Bajarias M.D.

  90. rey Says:

    this dr. roy, wat is ur email. am a class 90

  91. sylvia adricula Says:

    Dear Dr. Tan, I was so impressed with your credentials. I am a US balikbayan and is planning to relocate here in Manila. I wish you were here. would you be able to recommend to me a good endo practicing here in Makati or at the Asian Hospital?

    Would appreciate your sending me a reply to my email address.

    Thank you, Sylvia Adricula

  92. mbg Says:

    hi doc, i’m 25 yrs old 4″11 from manila. can i still take growth hormones? where can i get the best one from here? i also have a septated nodular goiter does it has got something to do with my height issue? Thank you very much for all great inputs in this site! :)

    • Doc Gerry Says:

      GH will no longer work once the bones have fused so you’re pretty late. Height and Thyroid are related if one has an underactive thyroid gland while growing up but not now.

  93. eric Says:

    Hi! Good P.M. Doc. Gerry. My quiry to you is simple, does pythochemicals which are present in some ancient fruits like, mangosteen, goji, acai, blackberry, cranberry, grapeseed, green tea and the like can cure any deceases including cancers, uti, asthma, high blood, hearth ailments and other deceases. thank you.
    God bless.

    • Doc Gerry Says:

      all fruits including tea have substances in them that are used for making medications known to cure ailmenets. The amount that you get from each fruit will vary and contain much more than what you aim for for a specific ailment. % servings of fruits and veggies are all that is recommended as part of a healthy diet to combat these ailments


  94. Hi Doc Gerry! I was browsing the net researching on a doctor who specializes in endocrinology and I found your site…been calling your landline but its not operational..By the way, Im from Gatchie and Partners Inc., the PR firm of The French Baker. Our client will have a product launch on February 27, 2009 at the Makati Shangrila Hotel. The new product is 100% Whole Grain Bread. In line with this, we are looking for a doctor/resource speaker who can talk about Glycemic Index and its effect on common dangerous diseases like diabetes, obesity and circulatory problems. I’ve already talked with Dr. Augusto Litonjua who is considered the father of endocrinology in the country. However, we find his 100k fee too costly. Would you kindly recommend someone who’s not that too costly and is still credible enough to talk about the topics I mentioned above? Or can you be that speaker? Thanks. If your interested, here are my contact details: office: 3320893/4101735, cell.: 09103744813, e-mails: paoloangelocf@yahoo.com/paoloangelocf@gmail.com. Thanks and good day!

  95. Marge Says:

    hi doc gerry! i’m 27 years old and was diagnosed with hyperthyroidism last sept,2008. my problem is that i’m still breastfeeding my 15month old daughter so i can’t start on any medications.he prescribed mo a ptu, 9tabs a day so it’s a very high dose. so i’am very frustrated na because i can’t wean my baby and i can’t start taking any meds. so last feb, i went to another endo, so i said my dilemma to him. he changed my meds from ptu to tapdin and gave me parlodel to stop me from lactating. because im still nurssing, im afraid all the meds i’m taking will excrete in my breastmilk.so i took up tapdin for a week and i’m taking parlodel for another week, is it okay lang po kaya na this will be the set up?
    and another po, i got my latest lab results, a week before i start my medication. my FT4 result goes down from 69 to 50pmol/l but my TSH still the same 0.01 ui/ml. ano po indication nito at bumaba po siya kahit wala pa ako any meds na tinake…
    thank you po! more power!!!

    • Doc Gerry Says:

      Marge…if only I can see you the better. It is so difficult to give you my recommendation. Breastfeed your baby – thats the best thing you can do to your child. Intake of PTU has not been shown to affect the thyroid function of the newborn as long one dose not use high dose. I am against stopping your nursing responsibility. But again it is your choice and your endos decision what to do with your drugs.

  96. Naj Says:

    Hi dr.Tan

    i am naj of marawi city,i have this thyroid problem that bothers me too much.i know that i have often feel the symptoms of thyroid enlargement because on the right side of my thyroid there is an abnormality that grows or the shape is not the same compare to the leftside of my thyroid.what shall i do?i am still a working student.can u advise me to drink thyroid vitamins? Can u suggest what shall i take to cure this.please help me sir.because,it interrupts my sleeping time ,low memory,hearing lapse,headache,backpain..these are the few of many signs that i have a thyroid disorder.

    hoping to hear u soon
    god bless Dr.Gerry Tan

    • Doc Gerry Says:

      First you need to see a specialist to help you diagnose your problem if at all, the symptoms are related to thryoid or not. This requires proper evaluation thru hisoptry and physical exam. Ok?

  97. Lans Says:

    Doctor Tan,

    Greetings!

    If you still remember, I was your friend on friendster. Ive been tracking down this website for a while ever since you friendster account vanished(what happened to it? anyways…)

    Im a fourth year high school student, but with a medical training background. Im also a high school medical officer in our C.A.T. training. I do have some requests and questions…. do you go on medical missions? Do you have any medical activities suited for my age and level? I have plans on becoming a doctor also. Aside from that, I really love this website. I found many answers and Im currently treating family members with the information that have been posted. Im oly a first-aider by the way.

    I really do hope to hear from you very soon. Thank you very much and God bLess!

    lanzz_martinez@yahoo.com

    • Doc Gerry Says:

      Hi Lanz… I am so interested to meet you. You seem so determined to become a doctor and am happy my website is helping you to decide more eagerly to become one. As a doctor and professor, my aim is to treat and inspire. If I have inspired one inidvidual to become a doctor in the fututre, I have finished my mission.


  98. Hi, cool site, good writing ;)

  99. Ferdinand Marcrey Irig Says:

    Hi Doc. Im Ferdinand and im now in Australia doing post graduate studies in IT. Doc, can I ask you a favor. I have an application for financial assistance in our school but one of the requirements they need is a certification that I was suffering from Hyper-Thyroidism before. If its not too much Doc, kindly email me a medical certificate proving that I did suffered from that illness for the past year. Here is my email address ferdi_irig@yahoo.com. Thank you so much, more power and God bless.


  100. dear,,,,dorctor gerry have a problem about my goiter wat can i do to dissapear my goiter no have money to give midicine my goiters

  101. AC Says:

    hello doc gerry, i am a 20 yr old female from dumaguete city. i was diagnosed with toxic goier(cystic nodule) a year ago. to estabilized the functioning of my thyroid,i am taking strumazol and inderal to prevent palpitations as prescribed by my doctor.i am also having a follow-up check-up every 3 months. i am now feeling a little better than before. but lately, just this month my ultrasound shows an increase in size and number of the nodules found in my thyroid.how ever my my TSH lab exems were normal. i am planning to visit cebu within this month to have a chek-up because i want this thing to be gone already. i am a nursing student and i want to be well so i can concentrate and do good in my studies as well in my future carrer.please help me. i hope i can be able to contct you doc and schedule for a check-up with. thank you.

  102. AC Says:

    i hope you can reply with my message. i really need help. i’m glad i found your website doc. thank you.

  103. Doc Gerry Says:

    Hi Jesson…. please see my appointment schedule but if you want to see me asap… you can come in on a first come first served basis: 7to 9:30 AM only kasi by 10AM may appointments na.

  104. grace camano Says:

    hi doc gerry!i am 26 yrs. old, diagnosed of having a nodule thyroid..due to this, i have to take thyroxin once a day..my problem is i am breastfeeding my 2 months old baby..i am worried that my baby might be affected of the medicine i take..pls. help me if i shld continue breastfeeding or not..thanks.

    • Doc Gerry Says:

      Grace… any medication can be secreted in the breast milk…please ask your doctor if you can stop it while you are breastfeeding. However of the thyroxin is given for hypothyroidism..then you have to continue on it BUT if you are taking it to suppress a goiter then stop it while you are breastfeeding.

  105. Don Yockey Says:

    I am retiring in Cebu in just a few short years, how do I initiate having a doctor to look after my diabetic testing/needs, what is the protocol/procedure for obtaining the services of a primary care doctor, thank you for helping relieve me of worrying about this subject in advance

    • Doc Gerry Says:

      Hi Don… please call my secretary for instructions on what to do. We see pts by appointments but other doctors dont have appointments and you can see them as walk in pts.

  106. cherry Says:

    Dear Doc Gerry,

    Do you have a clinic in Manila? I found your website very interesting.

    Please explain to me the meaning of my thyroid ultrasound result as follows;

    The right lobe measures 5.0 x 1.8 x 1.7 cm and the left lobe measures 4.6 x 1.8 x 1.2 cm. There is a 0.64 cm hypoechoic nodule in the right lobe. The left lobe parenchyma is homogenous. In the isthmus, extending to the right, there is a 1.6 x 0.7 cm predominantly cystic nodule.

    I was prescribed levothyroxine for 3 months, biopsy was not recommended because the nodule is small in size. Thanks & God Bless, Cherry

  107. claire Pacana Says:

    DR.Gerry Tan

    hi! im claire working in dubai.ask ko lang po wala po clinic sa manila.Im planning mag pa appointment sa cebu this august 2009 wala pa po ko day kung kelan ang dating ko po.pa chek up ko po goiter bumalik kasi sya at lumaki po sya,dko po alam kung na trigger sya sa pressure ko sa work.pls.help me doc matagal nku nagmedication yet nand2 padin sya.thanx po..god bless u…

    • Doc Gerry Says:

      Hi Claire… Please do call my secreatry a month ahead ha? Meaning call July 1 if you want an appointment form Aug 1-15 or call July 15 if you want an appointment form August 16 to 30


  108. Hi Doc Gerry,

    i was calling your clinic 3 times to reach you because its in your instruction to call you up before the date of my schedule this June 10, 2009 for radiation but your secretary told me that there’s no need to call you up, just see you at the clinic on my schedule…by the way doc, do you allow me for tooth extraction? because my dentist is asking for a clearance before doing so.

    hoping for your reply soon as possible.

    thanks.doc.

  109. Gail Says:

    Hi Doc,
    Good day! My dad is one of your patients. He had Grave’s disease and underwent radiation therapy as per your advice. He never had any complaints after he had it done. You’ve really changed his life and we can never thank you enough. Now, I have a similar problem. I’m 27 and I’ve been on Neomercazole for almost 2 years now. Initially, I wanted to get your opinion but due to the long line of patients waiting  I decided to seek medical attention elsewhere which wasn’t such a good idea because it seems like I’m not improving at all. Although I’ve gained some weight my eyes are still bulging and my neck is still the same size as the first time I have it checked. This really concerns me. My question is, is it possible for me to undergo radiation therapy like my father did or is there like a specific requirement before I have it done probably a near normal level of thyroid hormone or something. Your response will be greatly appreciated.

  110. Anna Says:

    Hi Dr. Tan,

    I recently suffered from crying spells and really low moods with symptoms of hypothyroidism. My hypothyroidism has since improved but still feel the blues…May I take antidpressants with Euthyrox?

    Thanks

    Anna

  111. jeza Says:

    hi doc gerry, good afternoon.I am Zesa, 21 yrs.old from mandaue city.
    I believe you can help me also just like other people, My health problem goes like this,.
    Last March 2008 i was diagnosed by my ENT having GERD. She told me to take kremil-s straight 1 week (3x a day). after 4 days,i felt nothing as if i was cured.I was very happy becoz i dont feel anything.
    Last November 2008 i bore a baby boy after 2 mos. i took a pill for us to have a family planning., and then, i eat spicy foods,etc. which is not allowed for me,. last march i felt something again in my throat I taught its a side effect of the pill so i stop. and then i go also to ENT, he found nothing and told me to avoid again spicy foods and also not to think problems.Then i took again kremil-s and motilium, again i felt im ok seems i was cured. Then May 2009, i eat again spicy foods until now i felt something in my throat. I already took Kremil-S but still sometimes i can really feel somthing in my throat, I was very worried doc coz i dont know what is this, ITs not hurt and annoying,I can swallow even if it is a hard food, it seems psychological only.Hope you can help me with this, I really believe in you becoz i am your avid reader of this site.

    May god bless you and showers u more blessings and good health. More power to you doc.

    Sincerely,

    Jeza

    • Doc Gerry Says:

      Jez…agree that this maybe psychological esp you have been seen by an ENT. If you have time…let me see you to make sure.

      • jeza Says:

        hi doc gerry good morning. thank you so much for the response.
        Yes doc if i have time then i will call your office for a schedule of check up. I will be very glad if you have available time for me also.

        Thank you so much.
        God bless you and your family….

  112. bloonsterific Says:

    Just wanted to tell you all know how much I appreciate your postings guys.
    Found you though google!

  113. jeorgeaborja Says:

    Dear Doc Gerry, i am from Leyte, i am a Medicard patient, do you accept Medicard? TY

  114. claire Says:

    good day doc…i have a labaratory test here in dubai.this is the result.My TSH- 39.69 flag-h reference range-.27-4.20 uIU/mL and FT4 10.1 flag l reference range 12.0-22.0 pmol/L.
    Antibody to thyroglob. Result 1343-0 flag-h reference range -0-115 IU/mL
    Elevated serum concentrations of antibodies against Throglobulin are found in su autoimmunity –based thyroditis.High concentrations of anti-TG together with anti indicative of chronic lymphocytic-intiltrative thyroiditis(hashimoto’s disease)/frequency f thyroglobulin antibodies is approx.70-80% is subjects with autoimmune-thyroiditis,incuding hashimoto’s disease and approx.30% in individual grave’s disease.
    A negative result does not definitely rule out the presence of an autoimmune of level of the antibody titer dos not correlate with te clinical activity of the titers that are elevated initially can become negative if the disease persisits for period of time or if remission occurs.
    Anti-TPO 600.o H -0-34 IU/mL.

    he prescribe me to take 125 mg of levothyroxin euthrox for 2 months.then ill take a labaratory test again.he didint explain tome what do hashimoto disease means..pls.help me. and explaain what is the meaning of the result.and do ineed to visit ur clinic.because i check ur schedule already and your secretary told us it already fully book.plsss.help me doc..thanx/

    • Doc Gerry Says:

      Claire… just like what you know its an autoimmune disase. Let me see you and lets check on your thyroid and I can explain to you in detail when you have the time.

  115. claire Says:

    Hi doc.Your secretary told us you have open schedule on Aug 16 to 30.She doesn’t know if you have a clinic.When are we going to call your clinic because i schedule my flight on aug 24.thanz doc..

    • Doc Gerry Says:

      Hi Claire… Yes I have a scheduled flight to Czech Republic but depends if I will be given a visa thats why it is still an open schedule meaning pls feel free to call July 30 for update.

  116. Leo Bato Says:

    Hi, Doc Jerry

    Nice web site. Impressive!

  117. Nilda Manalo Says:

    Hi doc Jerry,
    I just attended the 3rd AACE (1st Joint Meeting) in Mactan Cebu.. congratulations,, it’s been a success. My 1st time to attend. I’m so surprised and happy seeing other people esp like you, a very busy top endocrinologist in the phil spending time in exercising and maintaining weight despite a very hectic schedule. I’ve been looking at you then and wondering how did you attain your present weight. Congratulations!!!

  118. Dr. Nilda Manalo Says:

    follow up… I looked around and tried to find any information on how to reach you and DiabetEase magazine lead me to your website in that page fightin for fitness about badminton: a healthy option. I did both jogging and badminton, and currently belly dancing just to maintain my ideal body weight. I’m so happy finding your site.I’ve learned a lot. Once again congratulations

  119. mylene princess Says:

    Hi doc good evenining im Mylene from Manila I just wanna ask why is’t that when I got diZzy sometimes I could no longer control my movement like before when I was walking on the mall I just suddenly felt so dizzy and light headed and could no longer walk straight. and there were also times when I stare at something my head aches and sometime I also got blurd vision but it’s not often. is’t only beacuse of my eyes?

  120. mylene princess Says:

    PS
    THANKS PO!!!!

  121. Dr. Nilda Manalo Says:

    You’re such a great speaker… I’m dreaming to be one but don’t have such amazing profile, even just in my locality. Do I need to enrol to any public speaking course? How would you handle those who are questioning just to put you in a hot oven????

    • Doc Gerry Says:

      Hi Nilda..hahaha. part sa training namin at Mayo. As fellows we have Thursday and Friday conference handled by fellows. We have a training course in speaking and lecturing at Mayo as fellows plus of course the experiences one learns the more one gives a talk help a lot. Thanks for your comments.

  122. joan Says:

    hi! doc. gerry good day,

    i read here about you, may i know where is your clinic in cebu city, if you’ve still lived here, coz my sister has toxic goiter, we’ve visit some doctors here in cebu whose one of specialist of this case but, we are not satisfy the result…we followed all recita they gave us, and we spent a lot money of this but still some was not effective, and now we we’re desperate to look another doctor who so much can help us, f you’re not here in cebu, could you recommend us a doctor who live in cebu that you think, can help us. hope you rply me in my e-mail.

  123. carol Says:

    hi doc! i find ur website interesting. i’d undergone total thyroidectomy last week and my doctor advised me to take 100 mcg of Thyrax. Is this dosage appropriate? how will i know what dose is right for me? tnx in advance. God bless!

  124. Anne Melgo Says:

    Hi Doc,

    I have hyperthyroidism. Lately, i have noticed that my hair
    is starting to fall out. Everytime i comb my hair, i can see
    strands of hair. This makes me really depressed.

    I have been taking Methimazole (Tapdin/Tapazole) and
    Metropolol (Cardiosel) for awhile now. I take it on and off
    though.

    Do you administer Radioactive Iodine? How much would it
    cost me? Please let me know.

    Thanks Heaps,
    Anne

    • Doc Gerry Says:

      Hi Anne, hair loss is only transient. Once your thyroid status becomes normal, your hair will grow back. The question of RAI vs surgery depends on the kind of toxic goiter you have.

  125. Anne Melgo Says:

    Hi Again Doc,

    I don’t want to undergo any operation doc. I have a phobia with anesthesia. I don’t like the feeling when it starts blocking my senses.

    Can I choose between surgery and RAI? Or is it always your call? I hope to hear from you doc. I will schedule appointments again with you.

    Thanks Again,
    Anne

  126. AnneMelgo Says:

    Hi Doc,

    It’s nice hearing from you. I’m glad to know that this is just transient. In regards to my case doc, i think is what they call “Grave’s disease”.

  127. Merelie S. Selor Says:

    Hi Doc,
    This is Merelie Selor. I accompanied my mother, Florencia Saing(75) to your clinic last Tuesday, October 27th on appointment after she had her diabetic panel on the 26th. Her urinalysis from Hi-Precision showed nitrite positive(suggestive of presence of organisms)and a wbc of 41-49 with a remark that wbc in clumps noted. Because of this she was advised to take antibiotics (augmentin 1 gm)for 1 wk. I bought the 14 tabs as the dosage is 2x a day.Early the next day she went home to Negros but before she left early that morning, she underwent another urinalysis at Chong Hua initiated by a niece. The result showed nitrite negative and wbc of 9. Doc, I didn’t know about this until late that afternoon(mama was already home in Negros then) and I insisted on a printed result which I have in my possession right now. In the circumstances, I am deeply bothered because she was told to stop the antibiotics.That 2nd test was conducted after she has taken 2 tabs. My question is, is it possible that the subsequent test showed a negative result because of the 2 tabs? I have relied on the Hi Precision result, in fact, it is where we get our lab tests at the office. But this 2nd test is really worrying me Doc because what if that of Hi pre is right and that of chong Hua is wrong. Its not for me to say but my mama will be the one affected. Please advise me

  128. kathlene barcelona Says:

    Hi Doctor Tan!

    I am Kats, a 3rd year medical student from ateneo med school. As part of our curriculum, we have medical electives, wherein we are given the option to explore any field we want to pursue in the future. Ever since I started Medicine, I was already sure of the field I want to study more, that is, Endocrinology, since I have a strong family history of diabetes and recently, my lolo died of it. Anyway, I was googling for endocrinology experts in the country, and I chanced upon your site, and I was amazed by it! I am trying to find US hospitals/schools which can accomodate observership for April 2009, but I am having a hard time. It would be a great help if you can recommend some places or maybe there in Cebu, with you :) I have never been there anyways. Thanks doc for your advice. And more power!

  129. Mark Says:

    Dear Sir,

    With your indulgence, I would just like to ask if there is a form of treatment such as growth hormones, HGH, etc. that could help me with my “problem.” As to what this problem is, I have thought that it would be prudent for me not to write about it here in your website as the matter is sensitive and may cause disrespect.

    For this reason, I humbly request to be given a chance to ask my question privately. Should I get a positive response to my question, I would fly to Cebu from Manila in a heartbeat and appear at your office for consultation.

    Thank you very very much Sir Doc Gerry.

    P.S.
    I have left my contact info just in case. mark0708@rocketmail.com / 0917-3474124

  130. Mark Says:

    (Sorry for sending it twice. I forgot to tick the “nofify me…” box.)

    Dear Sir,

    With your indulgence, I would just like to ask if there is a form of treatment such as growth hormones, HGH, etc. that could help me with my “problem.” As to what this problem is, I have thought that it would be prudent for me not to write about it here in your website as the matter is sensitive and may cause disrespect.

    For this reason, I humbly request to be given a chance to ask my question privately. Should I get a positive response to my question, I would fly to Cebu from Manila in a heartbeat and appear at your office for consultation.

    Thank you very very much Sir Doc Gerry.

    P.S.
    I have left my contact info just in case. mark0708@rocketmail.com / 0917-3474124

  131. clare Says:

    hello doc gerry, im clare 27 yo, callcenter agent for almost 5yrs now. Was quite healthy then until last summer of 2007. from 140 lbs, I gained an extra 60lbs in just 2yrs. Perhaps with the need for food at night to keep myself awake while at work. Diagnosed with hypokalemia and suffered seizures with a blood clot that was seen in my CT scan. Numbness either in the left side of my body or waist down. Also diagnosed with rheumatic heart dse and MVP and is suffering from excruciating pain from costochondritis. Was even diagnosed with juvenile stroke. Since then, ive been trying to lose weight to avoid repeat of any attacks. I was on depakote and aspirin for about 6months to prevent seizures. And I read long term use of depakote can alter the liver function. Is this perhaps why I dont see any result from my diet and exercise? ( I only do several rounds of walking because of my heart problems ) what should I do> pls help. thanks!

  132. claire Says:

    good day doc,
    ask ko lang po meron ako hypothyrodism.nagunderago ng radio active last 2 months pero wala changes.he ask me to drink propylthiouracil 1 tablet twice a day.constipate po ako and konti lang nakkain ko feeling ko busog nako.then maputla ako.please dok help me do i need to continue the medicine or ask other opinion.
    please help me..suggestion po kung sino doctor pwede ko malpitan…

  133. girlie Says:

    dear doc
    i just found your website, i have toxic goiter a few months after nag normal na pu un mga labtest ko until hindi nako pumupunta sa docctor ko pero once in a while nagpapa ultrasound parin ako tska tsh ft4 then normal naman pu lahat pero d pa rin ako pumupunta sa doktor ko, tanong ko lang po pwede po ba ako mag take ng oral pill to avoid pregnancy, pero balak ko rin po pumunta sa doktor ko at sa obgyne

    • Doc Gerry Says:

      Girlie…please have yourself follow up regularly until your doctor tells you na your toxic goiter has resolved or undergone remission. Cant comment on your question until I have seen all your results so better still ask your doctor.

  134. girlie Says:

    my ultra sound results are on feb 16, 2007
    right lobe 3.91 x 0.88 x 0.94 cm
    left lobe 3.78 x 0.84 x 1.06 cm
    on oct 23, 2009
    right lobe 3.50 x 1.25 x 1.05 cm
    left lobe 3.42 x 1.33 x 1.08 cm
    are they ok both results are
    the thyroid gland is not enlarged. it has smooth contour and homogenous parenchymal echodensity. no abnormal solid cystic enhoes seen.

    doc are these results okey? hopefully they are, tnx po

  135. mary sochin tonacao Says:

    hi doc,

    good day.

    i’m 1 of your patients, my last check-up i think was 3/13/09 based on the results of my TSH 6.510 AND FT4 18.08 u said that was very good i told me to reduced my tapdin 5mg dosage everyday to 2.5mg every other day…u scheduled me to have a follow-up check-up 3 months after but when i arrived in the phils i wasn’t able to find a vacant slot in your sked…until i was scheduled to leave the country again…last dec 2009 i arrived and immediately have the test done which u sked me months ago and called your clinic for appointment but still no vacant for this month, jan 2010…i was scheduled to leave feb 2010…the result of my TSH now is lowered from 6.510 it became 2.590…FT4 from 18.08 to 23.31……there were times that i wasn’t able to take my medicine because i run out of stock…

  136. sallie Says:

    Hi Doc, Can you pls. confirm if rituximab drug can treat my eyes problem causing graves disease, im searching the internet & found this drug. tnx & more power

  137. girlie Says:

    ok po, pero doc jerry i have one bulging eye, pwede po b sya bumalik sa normal?

  138. efraim from bohol Says:

    doc gerry

    I was one of your patient last Oct.2008 to Jan.2008.You gave me a tablet for my toxic goiter called tapdin and there was faster effect of me my TSH and FT4 gets normal for at least 3 months from 20mg/day that I take tapdin it goes down to 5mg/day and there was really an effect tnx for that doc.As of now I’m currently working here already in Saudi Arabia starting last Nov.2009 until now.Doc I’m just asking if its ok with you that I will take tapdin again 5mg/day?because my last check up was last January 22 2009 then you gave me again tapdin 5mg/day until March 26 2009 but unluckily I did not able to comeback in your clinic because I went to Manila to work again.Is it ok doc that I will take tapdin again?if its ok how many mg should I take?Because I have notice now in myself that I Palpatate everyday then I start to loss weight now.And also my hands is keep moving (nangurog doc pero dili kaayo).Doc kindly help me on my situation now on what should I do.Hope you will reply to my email here is my email add (efraimbugash@yahoo.com) thanks doc gerry

  139. mary sochin Says:

    good day doc,

    just read your message now, i can’t be able to have the first come first served basis because i’m not in the philippines anymore, my flight was rebooked instead of 1st wek of feb….is it possible to take the dosage of my tapdin 5 mg everyday like you 1st instructed me?.thank you doc.

  140. mary sochin Says:

    good day doc,

    just read your message now, i can’t be able to have the first come first served basis because i’m not in the philippines anymore, my flight was rebooked instead of 1st wek of feb….is it possible to take the dosage of my tapdin 5 mg everyday like you 1st instructed me?.thank you doc.

  141. Jocelyn A. Baay Says:

    Doc Gerry,

    Doc im so glad i found your website. My appointment should be this month. I wasnt able to call for an appointment coz we we’re so busy last month for our wedding and forgot about it. Now I’m pregnant, is it okay to continue my medicine doc? I’ll call again on the 16th of this month.


  142. Wonderful Morning, Wonderful post. fake, specially from the major news corperations with the big slants to the left or right. Did you see last nights O’Rielly factor? haha, that was rediculous! Sorry, I’m rambling along over again. Have a Good 1!

  143. ELSBETH T. Says:

    hi Dr. Gerry,

    Hi!Good Day, i’m from Dumaguete City and i would like to seek your expertise with regards to my husband’s diagnosis. Our family doctor recently found out that he has adrenal adenoma. Hopefully he can see you for consultation and for further medical or surgical management. He was scheduled for consultation here in NY but unluckily was disapproved for US visa, so hopefully you can help him. I’d like to ask your clinic number so I can schedule him for appointment. Thank you

  144. Judith Amores Says:

    good day doc, I just would like to enquire if you still entertain walk-in patients coz I really cant wait for another month. I am bothered with my goiter already. Thanks


  145. Heya. Not sure if anyone told you this but your website looks kinda peculiar in my browser.. maybe several code in your design is wrong. . Im not sure if everybody is buying this identical problem when browsing your site? Oh yeah I am using Opera as my web browser so almost certainly thats the reason why. Thought it would be excellent to let you know just in case there is really an error lol. Thanks for the excellent articles on your website btw.. I love what you have so far and will be coming back!

  146. Maria Says:

    Hello Dr Tan, I live in Australia and my Pituatary gland was removed 12 years ago. The only hormone replacement the Endocrinologists gave me here were Estrogen, cortisone and Thyroxine. 12 years on and I now have Sarcopenia. Are you able to treat me for this or are you able to refer me to someone who can? I can arrange to fly to Phil. and stay there for treatment at your convenience. My Endocrinologist here has flatly refused to treat my Sarcopenia, brushing it off as “Aging”! I am only 42 years for goodness sake! I hope you can help.
    Thank you.


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