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Friday, 20 October 2006
A person with a habit of swallowing santol seeds
Topic: Emails - Concerns

Got this email from a concerned person on Oct 13, 2006.

GOOD DAY DOK!WHAT WILL HAPPEN TO ME???? I'VE BEEN SWALLOWING SANTOL
SEEDS SINCE I WAS 16 YRS.OLD I'M NOW 30 YRS.OLD.WHAT SHOULD I DO? BAKA PO
TUBUAN NA AKO NG PUNO NG SANTOL SA STOMACH KO.PLEASE E-MAIL ME!!!!!!!!!!!!!! I'M SO MUCH WORRIED.

HELP ME!!!!!!!! I'VE SWALLOWED MANY SANTOL SEEDS SINCE I WAS 18 YRS OLD WHAT WILL HAPPEN TO ME? I'M NOW 30 YRS.OLD. PLEASE E-MAIL ME!!!!!!!!!!!!!! THANK YOU

Advice 1: To consult a physician right away if he/she experienced abdominal pain (after swallowing santol seeds). 

Advice 2: Santol tree will not grow within the body.

Advice 3: Not to swallow santol seeds from here on.

Rey Joson 

 


Posted by santolseed at 7:25 AM EDT
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Saturday, 23 September 2006
Swallowed Santol Seeds Causing Surgical Abdomen - A Database
Topic: database
Swallowed Santol Seeds Causing Surgical Abdomen – A Database
Name of Hospital / Surgeon: ________________________
1. Name of patient : ________Hospital: _____ Case No. ____Year of Admission:
2. Sex:
3. Age on treatment of surgical abdomen for swallowed santol seed (birthday):
4. Inclusion of swallowed santol seeds in the history taking:
            [    ] No       [   ] Yes
5. Interval between ingestion of santol seeds and onset of abdominal pain:
            [    ] No. of days (if possible)
            If cannot have exact counting of days, give approximation:
            [    ] Within one week
            [    ] After one week to two weeks
            [    ] After 2 weeks
6 Interval between ingestion and consult to hospital for acute abdominal pain:
            [    ] No. of days (if possible)
            If cannot have exact counting of days, give approximation:
            [    ] Within one week
            [    ] After one week to two weeks
            [    ] After 2 weeks
7. Initial location of abdominal pain (quadrant -  left, right, etc):
8. Interval between time of admission to time of operation:
            [    ] Within 6 hours
[    ] Within 12 hours
[    ] Within 24 hours
[    ] After 24 hours (give reasons why:                                                     )
9. Area of perforations (colon- sigmoid, transverse, etc; ileum):
10. Number of perforation:
11. With or without concomitant intestinal pathology:
            [    ] No       [   ] Yes (what?                                                                   )
12. Operative treatment done:
            [    ] Primary repair without colostomy /enterostomy
            [    ] With colostomy / enterostomy procedure
                        [     ] Hartmann’s procedure
                        [     ] Resection with colostomy / enterostomy (non-Hartmann’s procedure)
                        [     ] Exteriorization (no resection)
                        [     ] Others
13: Outcome:
            After treatment of surgical abdomen:
            [     ] Dead / Dying (home against medical advice)
            [     ] Alive
            After closure of colostomy:
[     ] Dead / Dying
            [     ] Alive
13. Possible factors affecting outcome of treatment
13.1 Preoperative condition
            ASA:
            Presence of hemodynamic instability (hypotension, tachycardia):
Generalized peritoneal irritation or focal on physical examination prior to operation:
Timing of operations:
                        [    ] Within 6 hours
[    ] Within 12 hours
[    ] Within 24 hours
[    ] After 24 hours                                                               
13.2 Intraoperative condition
                        Degree of peritonitis – generalized or focal:
13.3 Presence of co-morbid factor
                        Age:
                        Diabetes (presence or absence):
                        Heart Disease (presence or absence):
                        Others:
Name of Surgeon / Reporter:
Date:
  

Posted by santolseed at 4:00 PM EDT
Updated: Monday, 25 September 2006 3:02 AM EDT
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Wednesday, 20 September 2006
Swallowing santol seeds can cause death - Ching Alano
Topic: Media Publication
Swallowing santol seeds can cause death
CONSUMERLINE By Ching M. Alano
The Philippine STAR 09/19/2006

That mouthful of warning comes from Dr.Reynaldo O. Joson, chairman of the Department of Surgery, Ospital ng Maynila Medical Center. The good doctor notes, "Within the past four weeks, there have been two patients reported to me who had undergone an abdominal operation because of perforation of the large intestines due to swallowed santol seeds. One was a 70-year-old female Filipino, who was operated at Ospital ng Maynila Medical Center and survived the operation but ended up with a colostomy (an intestine protruding through the abdominal wall to serve as a temporary anus). The other patient was a 50-year-old female Filipino operated on at another government hospital who unfortunately died of uncontrollable and irreversible septicemia (infection in the blood stream). I am sure that there are other patients operated on for swallowed santol seeds in other hospitals during this season of santol but were not reported."

Who doesn’t love santol? When you were a child, you probably had a santol tree (or two or three) in your backyard, teeming with those brownish yellow fruits that never failed to attract the other kids in the neighborhood who eyed your santol with lust and often climbed over your fence to have a taste of the "forbidden fruit." Native to Southeast Asia (of course, you’re also familiar with the Bangkok santol, the humongous version of our own diminutive santol), the santol is also called the lolly fruit because you have to suck its white juicy pulp to get the flavor of the flesh that sticks tenaciously to the seeds. Some like it sweet; others like it sour or sub-acid, often eaten with salt. You must have accidentally swallowed one (or more) of those velvety seeds (usually 2 cm. long), that effortlessly slid down your throat. Probably the only thing that stopped you from knowingly swallowing a santol seed then was your parents’ claim that a santol tree would grow in your stomach if you didn’t stop including those seeds in your daily diet.

In 2001, the Department of Surgery of the Ospital ng Maynila Medical Center started raising public awareness on the danger of swallowing santol seeds. Broadsheets, tabloids, radio, television and, yes, the Internet started sending out health advisories on santol seeds. However, despite these advisories, every year, from 2002 to the present, 2006, during santol season in the Philippines, from July to October, there would still be reported cases of patients being operated on and dying as a result of swallowing santol seeds. 

Now, it’s time to swallow this warning from Dr. Joson: "Swallowed santol seeds can cause premature death by obstructing and perforating the intestines. If santol seeds are accidentally swallowed, watch out for abdominal pain. If abdominal pain occurs, consult an abdominal surgeon (general surgeon) right away who will give the necessary advice on what to do next. Swallowing santol seeds is a totally preventable cause of a health problem and death."

For inquiries, write to rjoson2001@yahoo.com or visit http://ommcsurgery.tripod.com/publiced/advisory/santoladvisory.

Posted by santolseed at 7:04 PM EDT
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Monday, 11 September 2006
The case of the deadly santol seeds - Dr. Raffy Castillo - PDI - 2001
Topic: Media Publication

Posted by santolseed at 4:20 PM EDT
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2006 - Another reminder on NOT to swallow santol seeds as they can cause premature death!

Another reminder on NOT to swallow santol seeds as they can cause premature death!

Reynaldo O. Joson, MD

Chairman, Department of Surgery

Ospital ng Maynila Medical Center

September 10, 2006

 

Within the past four weeks, there were two patients reported to me who had undergone an abdominal operation because of perforation of the large intestines due to swallowed santol seeds.  One was a 70-year-old female Filipino operated in Ospital ng Maynila Medical Center who survived the operation but ended with a colostomy (an intestine protruding through the abdominal wall to serve as a temporary anus).  The other patient was a 50-year-old female Filipino operated in another government hospital who unfortunately died of uncontrollable and irreversible septicemia (infection in the blood stream).

 

I am sure that there are other patients operated on for swallowed santol seeds in other hospitals during this season of santol but not reported. 

 

In 2001, the Department of Surgery of Ospital ng Maynila Medical Center started raising the awareness of the public on the danger of swallowing santol seeds.  We have been giving advisories in the broad sheets, tabloids, radios, televisions, and Internet.  Despite of these advisories, every year, from 2002 to present, 2006, during the season of santol, from July to October, there would still be reported cases of patients being operated on and dying from swallowed santol seeds. 

 

Here is another reminder to the public NOT to swallow santol seeds as they can cause premature death.

 

Beware of Santol Seed Swallowing

Department of Surgery

Ospital ng Maynila Medical Center

It is santol season once again.

 

Do NOT swallow the santol seeds.

 

Swallowed santol seeds can cause premature death by obstructing and perforating the intestines.

 

If santol seeds are accidentally swallowed, watch out for abdominal pain.  If abdominal pain occurs, consult an abdominal surgeon (general surgeon) right away who will give the necessary advice on what to do next.

 

Swallowing santol seeds is a totally preventable cause of a health problem and death. 

 

Advice: do NOT swallow santol seeds!

 

For details, write: rjoson2001@yahoo.com or visit

http://ommcsurgery.tripod.com/publiced/advisory/santoladvisory/santoladvisory.htm

 

http://ommcsurgery.tripod.com/publiced/advisory/santoladvisory/santoldetails.htm

 

http://santolseed.tripod.com

 


Posted by santolseed at 4:11 AM EDT
Updated: Monday, 11 September 2006 4:18 AM EDT
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Sunday, 10 September 2006
Personal Advocacy Against Unnecessary Swallowing of Santol Seeds

In 2001, as the newly appointed Chairman of the Department of Surgery at the Ospital ng Maynila Medical Center, during one of the postoperative conferences, I was alarmed to learn that patients could have perforation of the intestines due to swallowing of santol seeds even in the absence of evident pathology in the intestines.  My past experience tells me that there is usually a concomitant pathology in the intestines for the swallowed santol seeds to cause problem. I investigated and searched the Net.  True enough, in Thailand, there was a report on such an event, usually, older patients and in the sigmoid colon, even in the absence of evident pathology in the intestines.

From then on, starting 2001, as the Chairman, I led my department in an advocacy to create public awareness on the danger of swallowing santol seeds.  We have tried to create awareness in the broad sheets, tabloids, radios, televisions, and Internet.  I hope to retrieve these files and place them in this blog.

I am still continuing on with this advocacy up to the present, 2006.  Thus, this newly created blog.  I hope to continue this advocacy up to the end of my life or up to the time that I am disabled.  This will be my little contribution to the Filipino people. 

I like to leave this world at the very least "successful" as defined by  Ralph Waldo Emerson: " to leave the world a little better, whether by a healthy child, a garden patch or a redeemed social condition; to know even one life has breathed easier because you have lived."

I hope people who have benefited from this advocacy will write me so that I will have an objective gauge of whether I am successful or not.   I would like to consider the presence of Filipino people (at least 10) who have stopped swallowing santol seeds as a result of this advocacy as a measure of success.  I would like also to include the presence of Filipino people (at least 10) who have been made aware of the danger of santol seed swallowing because of this advocacy and, thereafter, consciously avoid such a danger, as a measure of success.   

Because of the difficulty in monitoring the number of Filipino people who develop  a surgical abdomen and die from it, due to swallowing of santol seed, I will not use a decreasing frequency as a criterion of success.  However, just the same, I will try to monitor these statistics as much as I can.

The registration of those who benefited from this advocacy starts now, September 10, 2006.

Email me: rjoson2001@yahoo.com

Dr. Rey Joson 

 

 

 

 

 


Posted by santolseed at 10:14 PM EDT
Updated: Monday, 11 September 2006 4:28 AM EDT
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