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Doc jules, Dasmariñas (2026)

21/05/2026

Good evening po mga mothers Hindi po ako makaclinic bukas kasi me meeting lang po bukas
Instead sa Saturday ako ng 9AM to 12NN sa Gentrimed! 😍🥰😍

18/05/2026

Salamat mommy ha! 😍🥰😍
daddy yung pag picture naman huhu! 😁

18/05/2026

Salamat mommy! 🥰😍🥰

17/05/2026

“The Case I Thought I'd Lose: A Story of Uterine Torsion during pregnancy "
I had just finished a routine delivery, here sa ERS. Everything went smoothly. I finally sat down to rest, charting and catching my breath, when the call came: “Doc, me patient po kayo — difficulty of breathing.”
My stomach dropped. She was my regular prenatal patient. She was stable then. Now, she was gasping, pale, diaphoretic.
Initial assessment was grim:
• Airway: Labored, unable to speak in full sentences
• Breathing: Tachypneic, SpO2 dropping
• Circulation: No palpable BP, thready pulse
• Neuro: GCS 3 — unresponsive
We were at a primary facility. She needed critical care now. I immediately coordinated with our team and called for an ambulance transfer to GentriMed. No time to waste. I rode with her, manually bagging, praying she’d hold on.
At GentriMed ER, the team moved fast. She was intubated immediately to secure the airway. Still no BP. Vasopressors started. Labs, imaging — but her abdomen was distended, tense. Something intra-abdominal was crashing her.
I met with the relatives. It’s the conversation no OB wants to have: “She’s critical. We don’t have a BP. She’s on full life support. We need to open her abdomen now to find the cause. Without surgery, she won’t survive.”
They looked at each other, tears, fear… then nodded. “Doc, do everything.” They consented for an exploratory laparotomy.
Intraoperative findings:
The moment we opened — uterine torsion. The uterus had rotated nearly 180°, strangulating its own blood supply and kinking the great vessels. That explained everything: the sudden collapse, the hypotension, the respiratory distress from diaphragmatic splinting. It’s rare, especially intrapartum, and almost always fatal if missed.
We detorsed the uterus, controlled bleeding, and damage control surgery was done. ICU post-op. GCS 3 to intubated to vasopressors… I honestly thought, “Lord, I might lose her.”
But God works in ways we can’t explain. Day by day, she woke up. Weaned off the vent. Pressors off. Started moving her fingers. Talking. Eating.
And now — she’s discharged. Walking out of the hospital.

Why this case stays with me
1. It was - Uterine torsion is usually taught as a pregnancy complication. Seeing this case was a brutal reminder: pregnancy isn’t “safe” until it’s safe.
2. The speed of decompensation - From stable to GCS 3 in minutes. If transfer was delayed even 10 minutes, we wouldn’t be telling this story.
3. Team + Faith - Coordination, quick consent, ER’s intubation, OR team’s decisiveness… and yes, the grace we can’t quantify.
To any junior doc reading this: trust your gut when a postpartum patient crashes. Think beyond bleeding and eclampsia. Think torsion. Think surgical abdomen. And move.
To my colleagues: never possible doing it alone 🙏😊
To my patient: Thank you for fighting. Thank you for reminding me why we don’t give up, thank you for your husband your family 🙏😊
🥰😍🥰