Jayme James
@jaymeneutron
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🇵🇭 MD | DTTB 39 | i don't skip breakfast 🍼
Manila
Joined January 2010
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@Probotype
I learned a new term tonight: manpain. Parang, yung struggle nung girl is used only for the guy's character depth (?) Feel ko eto yun
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Hindi lang kasi sa amount o quality ng information/warning yan. Yung agency/capacity rin ng citizens, to act upon those warnings. San ba lilikas? Pano pupunta dun?Ano lang ang dadalhin? Hanggang kelan kami dun? Pano yung bahay/gamit namin? Tutulungan ba kaming maipundar yun ulit?
Office of Civil Defense Asec. Casiano Monilla denies that government was caught flat footed by
#UlyssesPH
and shifts blame to citizens who supposedly did not heed early warnings | via
@XaveGregorio
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Ang bad taste naman nung "because we are UP".....FCM principles are FUNDAMENTAL to MEDICINE, not just UP.
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Can't say I had zero doubts, kaya nga wala akong sariling post-PLE pics sa venue. So thank you to those who keep on believing in me.
Mahihigpit na yakap ng pamilya ang nagtawid sakin sa apat na araw na 'yon.
Salamat, Lord. Iba ka.
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As your day winds down talaga ano, and everything goes quiet. Yung di mo na kelangan magcompartmentalize and can finally allow all emotions.
First mort ko kanina na directly under my care as the primary physician. 2-month old.
Pls send hugs and prayers
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⚠️⚠️⚠️
LRT2 now refuses entry to anyone carrying ANY LIQUID (even water in my OWN jug!!). As in pinatapon sakin ung laman ng water jug ko ?? What a nonsense policy ?? So wala tayong bitbit na hydration for the day kasi sumakay tayo ng tren for 20 mins?? DI KO GETS.
@OfficialLRTA
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sabi nga ng marami, don't compare, we all have our own timelines. so ayan, literal gumawa ako ng sarili ko (sa google sheets hahah)
notes:
1. diba nga matagal talaga ang ROI, so think far ahead. hanggang 2031 etong sakin so far
pero 2. di dapat siya overwhelming gawin,
Kung first gen MD ka, anong learning gusto mong ipasa sa kapwa first gen MD mo?
Practical tips or words of wisdom, share away.
I'll start: update your CV every year. You can still learn and work on other things outside your clinical specialty.
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If it costs you peace, it's too expensive
*dumating first sweldo*
Ayy, parang ok na pala ko
😛
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May epiphany ako... now that I'm getting more comfortable with translating med stuff to friends and relatives, and actually see them understand it better, I realized that most of my medschool struggle comes from the feeling of being an outsider to the medical profession..... 1/x
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Powerful but entertaining. Brave but grounded. Napakaangas, Indayog! Favorite sayaw manila ko ata 'to 🤔
Ang strong ng pieces hnggg, and the craftsmanship!!!! Yall need to watch this, i'm telling you!!! May 2nd show pa tomorrow!!
#SayawManila15
#SM15TrendingNow
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feel ko magclass cheers tayo
to make this college event official chz
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In a pandemic, interventions that DO NOT WORK are HARMFUL. Period.
In a pandemic, interventions first need evidence of no harm and then evidence of benefit.
Health is a right. NOT a commodity.
Please do better
@DOHgovph
DOH clarifies that while necklace air purifiers do not pose any harm, there is also no evidence that they are effective. | via
@kristinesabillo
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I know we have infinite reasons to antagonize DOH but please, let's just jump on this one kasi eto lang yung makakarating sa pinaka-marginalized. Plus, risk communication and community engagement needs CONSISTENCY to be effective
B-I-D-A, bi-da solusyon sa covid-19!
Tignan 👀
Samahan ang ating BIDA champion na si Alden Richards na talunin ang COntraVIDa! Panoorin ang video na ito upang malaman kung paano. 💪🏽
B-I-D-A! Together, we can
#BIDASolusyon
sa COVID-19!
#BeatCOVID19
#WeHealAsOne
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The collective disorientation cos time is still moving forward and yet aNDITO PA RIN TAYOOOOO hayy
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First day of clerkship ko, ward duty agad, nagtulak pa ng stretcher at 5am.
Now I can finally say s/p clerkship 😭🤘🏽 unconventional man ang ending, sarap pa rin sabihin hnngg ok ngayon may karapatan na kong kuhanin yung white coat ko hahaha
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Yiee license number na i-mmemorize niya pwede na kalimutan Krebs cycle 🥰🥰 hahahah
Kaso drawing muna ID kasi may 🗑 di na lang ako mag-tell 😌🔪
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#ThePGHexperience
#OnlyInPGH
Maging human ventilator to a newborn for 1.5hrs 😵
Sobrang perfect ng PIP/PEEP kong 20/6 at RR 40, 99 sats saka nawala retractions nung bata hahahahah pero nakakapagod siya/di siya nakakatuwa 😤
#NOtoPGHbudgetcut
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Pinaghimay rin ba kayo ng chicken for Your Macaroni Salad?
Kasi ako tatlong oras naghimay medyo nakakaubos ng bait hNNGGGRRRDGSJJSJD
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A reusable (if not yet soiled) & breathable KF94/KN95 with clearly superior protection is more cost-effective than a vision-interfering face shield w/ questionable benefit.
In true 2020-too fashion, sir
@atomaraullo
's quote still applies: "misleading at best, malicious at worst"
Dr. Salvana on debates on COVID-19 being airborne : Issue talaga dito, nirrecommend ng iba na baka need mag-N95 kasi may maliliit na particles. Pero di ito praktikal lalo na sa mga di health workers, very uncomfortable and expensive (1/2)
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THREAD re the lrt/mrt policy on liquids:
bawal kahit SEALED, UNOPENED commercial bottled water. Tinanong ko 3 guards at 2 station personnel sa Recto & Cubao. I therefore maintain that it's a MINDLESS, INDISCRIMINATE, and DISORGANIZED POLICY lol. Ayan, I changed it from "stupid".
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Dami nagtatanong sakin, di daw ba kita nagustuhan ever. Sagot ko lang lagi ayoko kasi sa pabebe HAHAHA JK Happy birthday bebe ko uwi ka na 🤗
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WORK/STUDY FROM HOME TIP:
NEVER CHECK EMAILS OUTSIDE YOUR WORK/STUDY TIME.
Boundaries have never been this blurry, try forcing some for your peace of mind
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hanggat understaffed ang nurses, medtechs, radtechs, hanggat may "tips/tricks/strategies" ka munang kailangang matutunan to try to work around the inefficiencies of this tertiary teaching hospital, compromised lang lagi yung learning nating lahat...
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Gaano ka-emotionally unstable po tayo in this pandemic?
Na-fragile ako at the sight of my water jug 😭 na ngayon ko na lang ulit nakita since March 10 😭😥 Araw-araw ko yan bitbit kahit saan...and to see it unused,, safely tucked away,,,away from all this mess skskjhdhjsjd 😭
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Pent up frustration:
Siguro hanggat overworked ang residents, hanggat responsibility pa rin nila ang "LU" on top of their training, hanggat walang efficient na intrahospital referral system, hanggat handwritten ang lab requests, hanggat walang separate Radio ang ER,
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Zinc supplements nga tinotoxic natin yung evidence COVID vaccine pa kaya
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AHHH 2021 ETO NA YONNNN CONGRATS HNGG SO WORTH THE WAIT 😌✊🏽
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cc: Miss Rona. Pls be advised re: schedule changes. Regards.
JUST IN: Metro Manila Council to implement new unified curfew hours from 8 pm to 5 am starting tomorrow, April 12, according to MMDA Chairman Benhur Abalos | via
@biancadava
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‼ CONTACT TRACING and ISOLATION is the primary post-ECQ intervention ‼
👏 EQUIP 👏 THE 👏 LGUs 👏
with protocols, guidelines, resources, etc
ewan ko ba gano ba kalaki nat'l gov't natin hirap na hirap isa dalawang issues at a time lang kaya??? isang buwan mahigit na po
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Regardless, ang main takeaway ay 125,000 positives minus 65,000 recoveries ay 60,000 ACTIVE CASES PA RIN AT THIS TIME. SAY IT WITH ME.
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I hereby absolve myself of all my e-ternship backlogs. Effective today.
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"Omicron is a natural vaccine" on national TV what is this
@ABSCBNNews
!!!!!!
first of all, vaccines are not contagious.
wala palang second, that's the entire counterargument. Lerdddd 🤦🏾♂️🤦🏾♂️🤦🏾♂️
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Nilakad ko from Luneta to P. Gil dahil sa rally para lang umabot sa exam ko. And it's totally fine with me, dahil may mas malaking laban ang Pilipinas. Huwag tayong tumahimik.
Where Were You When Democracy 'Ended' (it actually might have)
A short photo thread
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Girl seated in front of me sa lrt, to her fren:
"Dito ka sa harap ko para maganda nman ung view!"
...inaano kita bakit po mapang-atake? :(
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Same energy yung "virtually free" sa "no co-payment"
"Libre" pero hanapin mo saan ang swabbing site, pero di ka sure kelan lalabas resulta
"Walang dagdag na babayaran" pero basta sa "basic" ward iaadmit, pero basta bawal magreklamo kasi yan lang ang meron
*masasamang words*
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UPDATE: 0-0 yarn di man lang ako pinawisan 💁🏾♂️ pati 93 sats nirefer ko na makapagsalita lang hahahahaha jk
Hahahahahhdjdkskdj JWAPODship ko na bukas walang shifting dullness shifting dullness pag LO 😩🤟🏽 but HOW. do you expect ME.
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Obligatory sad-na-walang-f2f-grad tweet huhu proud of all of u XXI 🥺
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Sabi ko sa sarili ko nung ginagawa namin 'to, didibdibin ko na para ito na yung babalik-balikan ko lagi
To heal the nation is to fight tyranny. Wag matakot.
Bilang mga doktor ng bayan, nararapat na hindi tayo malimitahan sa paggamot ng sakit ng ating mga pasyente. Sa halip, dapat din tayo matutong maging kritikal sa mga panlipunang kundisyong nagdudulot ng kanilang mga karamdaman.
#JunkTerrorBill
#HealthIsPolitical
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May handaan akong pinuntahan kanina, mix leni, i/sko, babym ang relatives ng host
Tita 1: "So bakit ka Leni?"
Ako: "marami po nagawa, lalo nitong pandem—"
Tita 1: "Tlga? Andun ka? Joke hehehe"
Ako: Opo, kita ko. Yung libreng sakay sa frontliners, ayudang PPE, bayanihan e-konsul-
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Medic Team 10 for
#MitingDeAvanceLeniKiko
📍Paseo cor. Villar st. near Chinabank
@trishathadhani
@simounmockinjay
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@ LU5 na Neuro ngayon nagnonotify sakin pag nagsusubmit kayo ng paper niyo sa vle di ko alam bakit........:(
@upmvle
ahahahaha ako ba magggrade niyan? joks
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Ayun na nga, lumabas lahat ng iyak ko. Been trying to keep it together lately but this thread is just the perfect ending to this boards review journey.
Anyw, ako lang ata ang taker na nagprocessing BEFORE the exam, not after HAHA but I need this.
Ilalaban pa natin this weekend.
“How many letters in the alphabet?”
I had been expecting a question, just not this one. Damn.
Uhh. Twenty-six. Right?
… Right? Argh, this is so simple, but why is it so difficult?
“Twenty-six,” I say.
The cardiology fellow who asked me the question grins, “Perhaps.” 1/
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3rd consecutive time na I woke up on my bed COMPLETELY FLIPPED 🔃 from how I slept ??? nabitbit ko pa lahat ng pillows to the other end ??? 'sleep walking' ?? stress ??? ghost ????? medyo scary na 😨😨😨
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Dahil naghahatian na sa Hx & PE ako na sa GALS kaya ko pramis
UAAP MVP Bright Akhuetie showered by 'MVP' chants as will be sent to UP-PGH for further evaluation.
#UAAPFinals
•
@abscbnsports
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Note na wala nang "primary focus" sa phase 3 and 4. At tuloy na tuloy as scheduled ah. Walang kahit anong adjustment since ginawa to ng March 24. Kitang-kitang wala parameters na ginamit, ah basta July ah basta October.
Nakita niyo ba epidemic curve ng deaths natin ngayon?
Philippines to enter 'phase 3' of National Action Plan vs COVID-19 this month, says plan chief implementer Carlito Galvez Jr.
In this phase, lasting 'til March 2021, Filipinos must 'learn to live with the virus,' he says.
@rapplerdotcom
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Highlight of the day: lagpas breakeven yung iced tea thanks 2021!!! HAHAHA GUSTO NIYO BA MALAMAN PROFIT 😂😂😂
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"BS/M Applied Mathematics with specialization in Mathematical Finance"
Gusto ko lang itweet.
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Makes me think ano nga bang definition ng "internship training" ? Meron ba talagang quota of cases/procs or it's just 'serving our time' ??
The self-serving thinking of Spox Roque and the IATF is obvious. But UPM, UPCM, and PGH?! Why?!
How do we view and value our interns?
They are not slaves or lambs to the slaughter.
And we should NOT expect interns to do what consultants themselves are not even ready to do.
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Integration talaga happens only when you go back to basics after learning the complex stuff. Ang complex na ng perspectives mo when you look back at the basics huuu di ko alam if enough ang 1 lifetime for that ang saya saya iintegrate mga bagay bagay ok brb back to nerding out 😭
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Ano po epidemiologic definition ng tsunami doc baka lang po lumabas sa Prev Med tnx
Dr. Salvaña: Ang importante dito ay tuloy tuloy ang pagbabakuna. Kahit anim na linggo ang ECQ, tatamaan tayo ng 'Delta tsunami.' The best way to protect our healthcare system is to reduce the proportion who will need hospitalization.
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Tinanong ako ng presidente ng philippine college of chest physicians kung anong subspecialty balak ko tas hiyang-hiya lang naman ako pero i had to use my 💫"ICC po"💫 card 😭 tigas lang po tayo, sayang reg fee ahhahahahjsjdkakdhdksk
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"To me, our health system already failed these patients the moment they got sick."
In this article, I recount the horrors of the 2019 Measles outbreak in the PH, the largest in the Western Pacific, and share what we do now in the grassroots to stop it from happening again.
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And 💥poof💥 it became koko krunch ☄☄☄ na lang talaga yung mga shinort-term memory ko for PLE 1st weekend paalam sa inyo ✋😌
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U know its been a solid night when ur having breakfast past lunch time the next day. Congrats FOP team!! Hindi lang 2022 ung nagenjoy...HAHA
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@pauljasonklein
Sorry too for screaming so loud during 13 ..uhh just had to let some feelings out 😬
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I think we can all agree that: pee ar cee WINARAK NINYO KAMI 😭
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LAST 100 SCANTRON CIRCLES TO SHADE AAAHHH TAPUSIN NA NATIN TO PLEASE
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Good 2 know hindi lang pala ako ang medyo off sa p1say pub blast...
The other day bungad sakin ng tita ko ang galing naman daw ng mga p1say students ngayon bakit daw kami noon konti lang sumusubok magapply abroad hahah
Ako, na pitong taon nang nagppursue ng higher education: 🙂
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Hanggang kelan ba tayo magtatago sa "COVID surprised the world" excuse??
Yes, it's a wicked virus but we didnt exponentially progress our understanding of science, technology, and society for nothing!! There's abundance of data (and not just medical) we can work with arghh!!! 🤬
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Capping of the intermodule weekend with Sayaw Manila 13! Congrats
@UPMIndayog
! Solid as always! 🙌
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Here they are!! Honestly, im pretty sold by the tagline. I SAY LETS MAKE IT HAPPEN MGA KA-LOCAL TWITTER 🤟🏽😜
'Wag maging kampante, maging responsable!
obligatory covid rant of the day:
I have yet to see annoying (but necessary) DOH infographics/infomercials nagging us to practice physical distancing, hand hygiene, and proper mask use. Meron na ba?
Esp before lifting lockdown..
If this gov't really cared for the marginalized..
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asynchronous IM tots: colonial mindset ba yung pagmaintain natin na US/EU guidelines ang gagamitin sa exam when we already have local guidelines, which already took into account the western guidelines naman na? 1/3
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Devolution of health in the Philippines.
May "medkilig" tayo sa IM/Pedia when we encounter textbook cases. Eto na yun for CommMed. Pero kaysa kiligin, kilabutan tayo.
Let's hold DOH and IATF accountable.
#OustDuterteNow
#DuqueResign
Sa totoo lang the public and even many of those who are better informed have no fucking idea how often national problems keep getting passed down to LGU level. Ayuda, contact tracing, vaccine distribution, to name a few. In my experience, back when I was w Local contact tracing
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All of my FB timeline rn is literally on our frontliners' side, kahit yung mga never ko pa nakitang magvocalize ng kahit ano before.
Huwag nating sayangin, PCP.
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HAHAHSJSAJSJHDKS napatahimik lahat tas tumingin sakin, nagulat ata na masyadong plainly ko lang sinabi AHSHHS may mga maka-Marcos nga pala samin 😭😭 HAHSHSKSJ buti na lang masarap yung pansit kaya tuloy ang meryenda HAHAH
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transcript ng meeting:
"ano, g ba?"
"ikaw. pweds."
"g ako, ikaw?"
"ikaw"
"Ge, g na ah"
IATF, magdedesisyon kung ibabalik ang mandatory na pagsusuot ng face shield -
@DOHgovph
@SecDuque
|
#Breaktime
#SamaSamaTayoPilipino
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Me, with low back pain and stiff neck, after taking exams the entire day
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LF: nanay na magsasabi ng "anong akala mo sakin, tumatae ng doktor???"
CHED on calls to postpone the medical board exam: "Kailangan natin ng additional health workers dahil sa COVID. So we have to produce more doctors."
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ok ngayon lang nagsink-in graduates na mga ate/kuya interns tapos clerks na imed buddies 🥺🥺🥺 (tsaka ako, inte– 🤢 inter—🤮)
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Any threat to our rights to speech, dissent, free association, and self-determination is a threat to health
#JunkTerrorBill
#FreeCebu8
#HandsOffOurStudents
#HealthIsPolitical
✊🏽
Bilang mga doktor ng bayan, nararapat na hindi tayo malimitahan sa paggamot ng sakit ng ating mga pasyente. Sa halip, dapat din tayo matutong maging kritikal sa mga panlipunang kundisyong nagdudulot ng kanilang mga karamdaman.
#JunkTerrorBill
#HealthIsPolitical
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maiba lang saglit
#medtwitter
the GFR equation we use today can be traced back to 3 studies from 1977 !! 1978 !! and 1990 !!
Their methods include: "Race was determined visually." & Black = "Afro-Carribean" daw, ha????
What is today's practice of medicine built on?
What a great question. Why do estimates of kidney function include different normal ranges for African Americans than non African Americans? Therein hangs a tale. (A thread to be intermittently updated between patients & work)/1
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What haunted me the most was the clip of Alan Peter Cayetano teaching Bato dela Rosa to buy small media outlets in the provinces for his senatorial campaign. At huwag siyang matakot (na mahalata incompetency niya?) kasi sa kanila mismo manggagaling yung mga tanong
How messed up
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Good morning!!! I have yet to fail/regret/disappoint myself just from getting up and showing up. So get up!!! And show up!!! Today!!!
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The Rehab patients I handled for this rotation were on the severe side, kaya naiintindihan yung lalim ng hugot ng malalaking ngiti at mga pasasalamat nila na yon kanina nung nagpaalam na ako..hayy pang-isang buwang motivation ko ata ☺️🥰
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*8hrs into OB lectures*
classmate: lalake ba si Williams ??
me:
classmate: like may experience ba siya sa pregnancy ??
me:
LABAN 2021 LOL
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I get na bawal food & drinks sa trains, but really ??? Itatapon ko yung laman ng water jug ko ??? Eroplano ba yung sasakyan ko ??? Pano yung gulaman na tinda ng foodstalls sa stations? Dapat bawal na rin ???
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@ service delivery network ng UHC law kung nandito ka pagalawin mo ang baso
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OO ALAM KO, BRAIN IMAGING VIDEOS YAN, WAG MO AKO IPRESSURE DARATING TAYO DIYAN FB
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sobrang me coded!!!! but the beauty of community med ay kasama mo lang rin naman sila sa komunidad. You can follow them up the very next day or coordinate with the barangay health worker ;) hehehe
me at 2 am wondering if I missed a diagnosis earlier in the day
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STS application na naman nga pala majjudge na naman yung banyo naming may bidet gusto ko lang naman makapag-tapos ng kolehiyo jf
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MUST-READ THREAD
I'd go ahead & add:
"allegedly" is an absolute cringe (tho in training, u kinda have to convey to seniors your thought process, that u find it questionable. So im thinking, I'll only be able to use "reported" for these, if i begin using "had/was in" for the rest)
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Yung ang dami mong pinagdaanan makarating lang on time tas darating ka ng 8:01 ?????? Wala bang fulfillment sa mundong to ??????
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Wag mong gawing mundo yung alam mo na tao lang
Planetary orbits for the Heliocentric and Geocentric systems visualized. 🤔
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Slide 2: "Schedule on weekdays"
Next slide. "Schedule on weekends"
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UPDATE: this extended to 8 consecutive days
#blessed
☝️ but my streak ended today haha
In other news, bukas na ulit ang main PGH OR complex after the fire incident 👍
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"You can't see what you don't know"
is the greatest lesson of medical training
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Medj weird ata pero did yall ever feel that also?? as in, sino ba ako to regurgitate med textbooks and CPGs ? To claim the medical knowledge as my own ? As in kahit inaral ko naman siya, it still feels detached ??? from me most of the time ??? HAHAHASKDJD
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