NNP ⚡️ retweeted
hey @macklemore im sorry i tweeted in 2014 you should mackle less. you can mackle as much as you want. free palestine ✊🏽
NNP ⚡️ retweeted
When I see a patient who has been starved of water for more than 8 hours before a procedure.
If you are a health care professional (esp if an MD!) I recommend you go through this app and see which diagnoses you can use and which you cant (sadly may mga diagnosis pag wala sa list walang claim!!)
Anyway yun lang dami ko nang sinabi 😂 not an expert but feel free to ask 😂
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But a diagnosis with a higher case rate? “Subacute alcoholic hepatic failure,” which, by definition captures the pt’s clinical case.
So MDs should also be aware of the rates.
Win-win ito: pt’s get bigger bill deductions, MDs and hospitals get larger reimbursements as well.
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Now look if “alcoholic cirrhosis” ang ginamit na final diagnosis. Mas malaki na ngayon yung mababawas.
Take note PH hospital staff are not MDs so they won’t look for a different diagnosis.
Kung anong declared ni MD, yun ang gagamitin.
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Case rate is total amount, total of PF to MD from PH + amount na babayaran sa hospital (HCI fee).
Most MDs will not account for PF from PH; meaning if 10k ang PF ni MD, hindi to mababawasan ng PH; 14k+ ang makukuha nya.
Yung HCI fee amount lang ang ikakaltas sa total bill nyo.
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ex. (and ill use this as a gastroenterologist)
lets say a pt w/ alcoholic cirrhosis (liver disease) naadmit for jaundice (paninilaw) + weakness gets diagnosed w UTI; infections ⬆️ risk of decompensation “pagpalya ng atay”
if MD uses UTI as the final diagnosis, ito ang PH rates:
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Ang tunay na talo dito sa laban ng kadiliman vs kasamaan ay ang mamamayang Pilipino. God bless na lang.
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What I found unusual was that she had lymphopenia, thrombocytopenia, and incidental minimal pleural effusion and ascites on abd US.
Long story short, I sent her to a rheum MD (which was hours away, since we don’t have one in the province 😢), who confirmed the diagnosis.
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sometimes low-key inggit, but mostly happy for my fellow doctors’ travel eras 😂 especially knowing na for YEARS after finishing college, ang hirap maghanap ng time/ money/ energy for travel 😂
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Add to challenging outpatient consults:
Halitosis (who already consulted ENT and a dentist)
Dun nalang tayo ulit sa vague abdominal pains 😂
I always found vague abdominal pain as the most challenging outpatient concern to work up/ manage with so many differentials.
Today I had a consult for “difficulty gaining weight.” Wasn’t even sure where to start. 💀
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can someone just tell me how the deliberations concluded because i refuse to watch any more clips kasi umiinit yung ulo ko sa kawalan ng respeto
NEWS UPDATE: During the interpellation, the House budget deliberations of the Office of the Vice President descends into a breakdown of decorum after Vice President Sara Duterte requests for the appropriations committee to replace Rep. Stella Quimbo (Marikina City) with another lawmaker to preside over the hearing.
Quimbo says the vice president is not allowed to do that. Duterte remarks in frustration: "Walang rules-rules dito."
Duterte made the request after taking exception with Rep. France Castro's questions related to her use of confidential funds in 2022. | via @chicristina_
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