Spicy MD

Spicy MD just a random collection of intrusive thoughts of a tired MD.

Dear SpicyMD: A MATTER OF FAIRNESS by Dr. Arlene C. Suñga“Same kami ng payment ma’am? Family Medicine physician at Gener...
30/09/2026

Dear SpicyMD: A MATTER OF FAIRNESS by Dr. Arlene C. Suñga

“Same kami ng payment ma’am? Family Medicine physician at General Practicioner?”

The response was that there is no distinction in the payment category between a Family Medicine specialist and a General Practitioner—₱200 per patient.

𝗧𝗵𝗶𝘀 𝗶𝘀 𝗺𝗼𝗿𝗲 𝘁𝗵𝗮𝗻 𝗮𝗻 𝗶𝘀𝘀𝘂𝗲 𝗼𝗳 𝗻𝘂𝗺𝗯𝗲𝗿𝘀. It raises a larger question about how we recognize training, expertise, and professional responsibility within our healthcare system.

What is perhaps most concerning is that we have reached a point where 𝗽𝗵𝘆𝘀𝗶𝗰𝗶𝗮𝗻𝘀 𝗵𝗮𝘃𝗲 𝘁𝗼 𝗯𝗲𝗴 𝗳𝗼𝗿 𝗮 𝗱𝗶𝘀𝘁𝗶𝗻𝗰𝘁𝗶𝗼𝗻 𝘁𝗵𝗮𝘁 𝘀𝗵𝗼𝘂𝗹𝗱 𝗮𝗹𝗿𝗲𝗮𝗱𝘆 𝗯𝗲 𝗿𝗲𝗰𝗼𝗴𝗻𝗶𝘇𝗲𝗱.

We should not have to plead for the value of additional years of residency training, certification, continuing education, and the specialized competencies that come with being a Family Medicine specialist.

𝗔𝗻𝗱 𝘁𝗵𝗶𝘀 𝗰𝗼𝗻𝘃𝗲𝗿𝘀𝗮𝘁𝗶𝗼𝗻 𝘀𝗵𝗼𝘂𝗹𝗱 𝗻𝗼𝘁 𝗯𝗲 𝗹𝗶𝗺𝗶𝘁𝗲𝗱 𝘁𝗼 𝗙𝗮𝗺𝗶𝗹𝘆 𝗠𝗲𝗱𝗶𝗰𝗶𝗻𝗲.

Every healthcare professional deserves to be compensated fairly for their training, expertise, time, and the services they provide. Fair compensation should not diminish the value of one profession to recognize another. Instead, it should reflect the qualifications and responsibilities of each.

We understand that our patients are struggling. We are struggling too. We are all on the same boat.

But a healthcare system should strive for fairness—not only for patients, but also for the professionals who keep that system running.

𝗪𝗲 𝗮𝗿𝗲 𝗻𝗼𝘁 𝗮𝘀𝗸𝗶𝗻𝗴 𝗳𝗼𝗿 𝘀𝗽𝗲𝗰𝗶𝗮𝗹 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁.
𝗪𝗲 𝗮𝗿𝗲 𝗮𝘀𝗸𝗶𝗻𝗴 𝗳𝗼𝗿 𝗳𝗮𝗶𝗿 𝗿𝗲𝗰𝗼𝗴𝗻𝗶𝘁𝗶𝗼𝗻.
𝗪𝗲 𝗮𝗿𝗲 𝗮𝘀𝗸𝗶𝗻𝗴 𝗳𝗼𝗿 𝗳𝗮𝗶𝗿 𝗰𝗼𝗺𝗽𝗲𝗻𝘀𝗮𝘁𝗶𝗼𝗻.

Because when 𝗪𝗘 𝗛𝗔𝗩𝗘 𝗧𝗢 𝗕𝗘𝗚 to have our specialization recognized, perhaps the problem is bigger than the ₱200.

It is a reflection of how much—or how little—we value healthcare professionals.

By Dr. Snga Len.

🫩😮‍💨🥴I am patient. I am kind. Di ko pipindutin si Anger. I am patient. I am kind. Hindi ko kailangan patulan.
30/09/2026

🫩😮‍💨🥴

I am patient. I am kind. Di ko pipindutin si Anger. I am patient. I am kind. Hindi ko kailangan patulan.

Caring for patients doesn’t mean you have to stop valuing your own labor.We all have bills waiting so wanting to be fair...
28/09/2026

Caring for patients doesn’t mean you have to stop valuing your own labor.

We all have bills waiting so wanting to be fairly compensated for your work doesn’t necessarily make you any less committed to healing.

Bea Borres kapag nasa Blood Donation Drive:
27/09/2026

Bea Borres kapag nasa Blood Donation Drive:

mood
27/09/2026

mood

Hello Spicy MD,If you would allow me to use your platform to start a healthy discussion, I would like to remain anonymou...
26/09/2026

Hello Spicy MD,

If you would allow me to use your platform to start a healthy discussion, I would like to remain anonymous. I was a training officer for seven years in a prominent residency program in Metro Manila around the 2010s and this is something I’ve been thinking about lately.

I’ve seen residents who thrived in very demanding environments, and I’ve also seen residents who struggled with that kind of culture and eventually chose to leave. What I find interesting is that both groups have gone on to become competent specialists. That makes me question whether there is really only one way to train a good doctor.

Residency is supposed to be difficult. Residents need to be challenged, corrected, held accountable, and exposed to situations that will test them. Some of the lessons that stay with you the longest come from difficult experiences.

But I also think there are things we should be willing to question. There is a difference between being challenged and being humiliated, or between developing resilience and simply tolerating an unhealthy environment. A resident setting a boundary does not automatically mean they are entitled.

At the same time, not every uncomfortable experience is a problem with the training program. Residents also need to recognize that criticism, long hours, difficult cases, and being pushed beyond their comfort zone are part of becoming a specialist.

Having seen both sides over the years, I’ve come to think that the goal shouldn’t be to make residency easy. It should be to make it rigorous while still creating an environment where people can learn, ask questions, make mistakes, and improve.

I don’t think there is a simple answer here. Maybe the better discussion is about what parts of our traditional training culture genuinely produce better specialists, and what parts we continue simply because that’s how we were trained.

Siri play Closer by The Chainsmokers sabay rounds.
25/09/2026

Siri play Closer by The Chainsmokers sabay rounds.

Gentle reminder, do not do this. 🤍Having your doctor’s number is convenient, but it doesn’t always mean they’re availabl...
25/09/2026

Gentle reminder, do not do this. 🤍

Having your doctor’s number is convenient, but it doesn’t always mean they’re available at any time of the day. They might be asleep, resting, or simply taking some time away from work.

If it’s not an emergency, a message during reasonable hours is perfectly okay.

We’re always happy to help when we can, hindi nga po lang kami si Valak na gising palagi pag 3AM.

nasira cp q nabasa kc ng loha q.
23/09/2026

nasira cp q nabasa kc ng loha q.

“May alam akong natural na tirze mas effective pa” 🤦‍♂️🤦‍♂️🤦‍♂️❌ Peptides para payat✅ Reptiles para patay
23/09/2026

“May alam akong natural na tirze mas effective pa”
🤦‍♂️🤦‍♂️🤦‍♂️

❌ Peptides para payat
✅ Reptiles para patay

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