the doctor is in....

[angelo]

^ nilalagyan ng calamine lotion to soothe ang alam ko.

[angelo]

4-5 sa isang buwan.. lately ko lang kasi nalaman, saka wala naman ako iniinom na gamot.

tama wait natin yun mga docs natin

suggest ko mag monitor ka araw araw, same time, same venue. make sure na resting rate mo yun, meaning hindi ka galing sa pagtakbo, bagong kain, kakagising lang, etc..

kapag palaging mataas, then maaring hypertensive ka na. kailangan hanapin yung cause. medyo related kasi yan sa kidney, pagkain ng mga maalat, masyadong mataba, etc... basta magpa work up ka para sure.

[MaRfZ]

ah thanks angelo 

[carpediem]

Question. When you are scheduled for blood test, do you need to fast the night before?

Kasi kapag yung mga annual exam hindi ako nagfa-fast. When I was confined before and they took blood samples from me, hindi rin ako pina-fast. But a few times they specifically said that I need to fast when they told me to get a blood test the next day.

Does it depend on the type of blood test to be performed?

Also, what are the guidelines for fasting? I've heard that more than 12 hours is over-fasting. Is drinking of liquids allowed?

[ctan]

Question. When you are scheduled for blood test, do you need to fast the night before?

Kasi kapag yung mga annual exam hindi ako nagfa-fast. When I was confined before and they took blood samples from me, hindi rin ako pina-fast. But a few times they specifically said that I need to fast when they told me to get a blood test the next day.

Does it depend on the type of blood test to be performed?

Also, what are the guidelines for fasting? I've heard that more than 12 hours is over-fasting. Is drinking of liquids allowed?

Depends. Maraming blood tests. Pero i'll discuss siguro the most common ones.

Pag Complete Blood Count (CBC) hinde kailangan magfast.

Usually you need to fast for blood sugar, lipids tests kasi food intake will distort these values. 12 hours is usually enough, and we usually suggest starting the fast after dinner and taking the blood test first thing in the morning.  You can drink a glass of water once in the morning but not sugared drinks.

RE: other ones, i'll answer them later when i'm free... medyo busy eh. i'm sure the nurses can answer some of them

yup, depende sa blood test. yung mga absolutely necessary na kelangan magfast are FBS (fasting blood suger) and uric acid level determination. yung mga cholesterol parameters, usually hindi naman na kami nagpapafast, pero kung gusto ng mga accurate results, we advise na magfast.... how long kapag nagfafast for a blood test? sa US they recommend 12 hours, pero dito sa atin sa Pinas, 8 hrs is quite long already. 6 hours ang karamihan, pero depende yan sa protocol ng hospital kung san gagawin ang nlood test.

yung pag inom ng tubig, pwede naman sa mga cholesterol/lipid profile fasting. however, kung gusto mo ng mas accurate results, strict fasting ka na lang. :-)

[ctan]

hypertension din ang tawag sa high blood pressure. so ang taong may high blood ay tinatawag na hypertensive.  

ang normal adult ay may blood pressure na 120 (systolic) /80 (diastolic)
so kapag ang BP mo ay nasa 120-139 (systolic) at 80-89 (diastolic), prehypertensive ka.

People with blood pressure readings of 140/90 or higher, taken on at least 2 occasions, are said to have high blood pressure. If the pressure remains high, your doctor will probably begin treatment.

ayun, hintayin mo na lang din reply ng mga docs ng pgg  

tama, hypertension is just the same banana with high blood. layman's term kasi ang highblood.

in classifying hypertension, we follow the JNC-7 guidelines na kapag equal or above 120/80 ang BP mo, ikaw ay classified na as PREHYPERTENSIVE. Hanggang 139/89 ang prehypertensive stage. ibig sabihin lang ng prehypertensive is that increased na ang risk mo to develop hypertensive in the future and that kelangan mo na magkaroon ng lifestyle modification to prevent it. kapag naman equal or above 140/90 hanggang 159/99 ang BP mo, ikaw ay STAGE 1 HYPERTENSIVE. and kapag more than or equal to 160/100 ang BP mo, STAGE 2 HYPERTENSIVE ka naman na. :-)

if ever stage 1 or stage 2 hypertensive ka, you need to see a doctor kasi you need to start on medications so as to prevent or delay the end-stage diseases of hypertension. :-)

[MaRfZ]

hala.. last time parang umabot ako ng 138 ata yun..

[ctan]

hala.. last time parang umabot ako ng 138 ata yun..

eto lang marfz, kung essential hypertension yan, iwas ka na kumain ng mga maaalat na mga pagkain. salty foods are the number one cause of hypertension. then you have to do lifestyle modifications such as regular exercise, avoid a sedentary lifestyle, smile and laugh more often. :-)

regarding eating yung matataba na food, actuallym it doesn't cause hypertension. however, it does contribute to developing cardiac or heart problems. pwede kang magka heart attack. again, hindi high blood or hypertension ang dinudulot ng fatty foods kundi ang mga heart diseases or heart attacks. :-)

[MaRfZ]

hala.. last time parang umabot ako ng 138 ata yun..

eto lang marfz, kung essential hypertension yan, iwas ka na kumain ng mga maaalat na mga pagkain. salty foods are the number one cause of hypertension. then you have to do lifestyle modifications such as regular exercise, avoid a sedentary lifestyle, smile and laugh more often. :-)

regarding eating yung matataba na food, actuallym it doesn't cause hypertension. however, it does contribute to developing cardiac or heart problems. pwede kang magka heart attack. again, hindi high blood or hypertension ang dinudulot ng fatty foods kundi ang mga heart diseases or heart attacks. :-)

ah, thanks kuya doc caloy!
iwasan ko na yun salty foods.. yun pa naman yun hilig ko 
yun 138 ata na yan na bp ko, yun nagbanchetto ako kumain ako ng aligue rice + sisig. ayun, nagkandahilo hilo ako at sakit ulo.

TY po kuya!

[ctan]

hehehe. no prob pol!

[Marky]

SA blood pressure pa rin
Ako kasi twice na ako nakapag 140/90. pero yung una sa tingin ko dahil sa byahe. kadarating ko lang kasi sa school nun and dumeretso kaagad ako sa clinic for physical exam.
yung isa naman nagpacheck up ako, overfatigued lang daw ako sabi nung doctor, yung BP ko rin nun 140/90.
hindi pa naman siguro ako hypertensive noh?

[vortex]

Guys question lang, meron ba sa inyo o may kilala ba kayo na doctor sa buto?Yung may mai-a-advise sa Pectus Carinatum?
Thanks

Ano po problem sa pigeon chest? You need to find an orthopedic surgeon to correct it.
Pigeon chest poses a risk factor for cardian and pulmonary problems pero usually its a cosmetic complaint.

Meron po kasi ako mild pigeon chest eh, kasi ngayon conscious na ako kasi lumalaki yung chest ko and halata na yung pagiging un-even minsan. Saka may times nga po na sumasakit siya sa loob hindi ko alam kung bakit. Dati pa ako nagse-search sa Net kung meron nagko-conduct ng surgery nun dito eh pero mukhang wala po. Ask ko lang po kung effective din po ba yung braces? Baka po kasi pede ma-resolve without undergoing surgery. Kasi as much as possible I don't want to suffer from it in the long run. Doc thank you nga po pala sa response

[noyskie]

so kailangan na ba natin mag open ng topic na the nurse is in? in case the doctor is out?

Anyone is free to answer. We respect wisdom and knowledge from other people especially if its correct. Kung may nasabi naman na matino na information we will just add in more other stuff so everyone learns. Kung may mali.. nirerespeto namin yung ideas nila and we'll say our side in a nice way (unless talagang ginagago mo ako haha ).

May times na baka mas maraming alam ang mga nurses, PT, med tech (i love their knowledge sa labs), and even patients. We have the internet naman as a resource; there are cases I have to open the book and read and cross-reference sa isang reliable site or a guideline.

hahaha... nagbibiro lang ako kilo sa "the nurse is in, the doctor is out."

[ctan]

Try to consult first with an ortho kung pano gagawin niya sa pectus mo.

[ctan]

tama. it's better to know your health status than regretting in the future kasi hindi mo na naagapan. :-)