• 2 days ago
NITONG MGA NAKARAANG LINGGO, PUNUAN NA RAW ANG EMERGENCY ROOM NG ILANG OSPITAL. AT ISA SA MGA PANGUNAHING SAKIT NG MGA NACO-CONFINE ANG PNEUMONIA!

PAANO BA 'YAN MAIIWASAN?PANOORIN ANG VIDEO.

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00:00Stay safe and stay healthy, especially now that the times are changing, a lot of people are getting sick.
00:07Last week, the ICU and ER of several hospitals were full.
00:15And one of the common diseases of patients is pneumonia.
00:19We will consult about that this morning here at UH Clinic.
00:26We are here with Dr. Ed Marvin Hilario, a pulmonary medicine specialist.
00:31Doc, good morning.
00:32Good morning, Doc.
00:33Welcome back.
00:34Welcome back, Doc.
00:35A lot of people are going to ER and ICU because of pneumonia.
00:41In Tagalog, it's called pulmonia.
00:43Pulmonia.
00:44What is pneumonia?
00:46What is the difference between this and a normal stroke?
00:50Pneumonia is a type of stomach disease.
00:54It's an infection.
00:56It's not like the upper respiratory tract infections that a patient thinks of and gets.
01:02What's different from a regular stroke is that patients feel more pain.
01:08That's pneumonia.
01:10They find it hard to breathe.
01:12They get sick.
01:13And they often get a stroke.
01:15There are a lot of complements.
01:17Complements.
01:18Yes.
01:19Doc, is there an effect of the changing weather?
01:22There's a storm.
01:23That's why cases of pneumonia are increasing.
01:27Yes.
01:28Our immune system weakens when it rains.
01:31But the effect is not that big.
01:34Why does it weaken?
01:35What happens is that when the weather is cold, our body weakens.
01:39And what usually happens is that when it rains, people gather inside the house.
01:46They don't go out.
01:47They close the windows.
01:49So, the ventilation inside the room is lost.
01:52So, people get sick faster.
01:55So, will you be able to get it in your house?
01:57Yes.
01:58If a person gets sick.
01:59If you have a stroke, do you need to get consulted or are you alert that it might be pneumonia?
02:06Is the stroke systematic?
02:08Yes.
02:09Let's observe first when we get a stroke.
02:11This is a mild stroke.
02:14But if you feel like you're having a hard time breathing or you're having a severe fever,
02:20and your stroke doesn't go away, you should get consulted with a doctor.
02:25So, Doc, it's like…
02:26There's an infection.
02:27It means that there's an infection.
02:29It's like a cough.
02:30Yes, it's like a cough.
02:34There might be asthma.
02:35Yes.
02:36Some people have bronchitis.
02:37Yes.
02:38They get sick from the wind.
02:39They can't breathe properly.
02:41Some people have pneumonia, bronchitis.
02:45Listen to your body.
02:47Yes.
02:48Go to the hospital.
02:49Yes.
02:50How will I know if a patient has pneumonia?
02:52Are there tests or tests that are being done, Doc?
02:55Yes.
02:56If a patient comes to our clinic and asks me for a consultation,
03:01we look at the doctors based on their history.
03:05Based on their history, we do a stethoscope.
03:09We listen to the patient's back, front, and back.
03:13Okay.
03:14So, let's show it first, Doc.
03:16We'll ask for a consultation now.
03:17Yes.
03:18Okay.
03:19I'll try it on you.
03:20Stethoscope first.
03:21It's like…
03:22Stethoscope.
03:23When I see Andrew, it's like he's thinking.
03:25So, when we do a stethoscope, the doctor listens to the front first,
03:28then to the back afterwards.
03:29Yes.
03:30It's like when you do a consultation, there's always something like that.
03:32Yes.
03:33That's the first thing you do.
03:34Breathe in deeply.
03:37Breathe in deeply.
03:42Inhale.
03:43Just continue.
03:44Just continue.
03:46Like that.
03:47Okay.
03:48For the back, we won't remove it.
03:50We should remove the clothes.
03:51Yes.
03:52We'll just do a demo.
03:53Please put your hands like this.
03:54Oh, like that.
03:55There, it's lifted.
03:56For the back.
03:57For the back.
03:58Then, do the same.
03:59Breathe in deeply.
04:00Inhale, exhale.
04:01Okay.
04:04One more.
04:05What the doctor should be able to hear when it's very loud,
04:09there are crackling sounds or ronkai.
04:12It's like a wheezing sound when a patient has asthma and has a lot of phlegm.
04:18Yes.
04:19But we usually hear crackle in pneumonia.
04:23Yes.
04:24It's like a saddening paper.
04:27Yes.
04:28It sounds like that.
04:29It's like Kicharon.
04:30It's like that.
04:31It's like Thomas.
04:32It's like Kicharon.
04:33Okay.
04:34It sounds like Kicharon.
04:35For this one.
04:36So, this is a stethoscope.
04:37That's the basic.
04:38For this one.
04:39Yes.
04:40It's an oximeter.
04:41We have a lot of this.
04:42You go first.
04:43Most of us have this during the pandemic, right Doc?
04:45That's right.
04:46Until now, we have that.
04:47You have that?
04:48Yes.
04:49For the oximeter, what we'll know here,
04:51we can see the heart rate and the oxygen level.
04:54Oh, heart rate and oxygen level.
04:55Yes.
04:56There are two numbers here.
04:58The first number that comes out is…
05:00It's a good thing that Susan has a demon.
05:02This is the heart…
05:03This is the oxygen level.
05:05And this is the heart rate.
05:07Oh my!
05:08For the oxygen level,
05:09our normal is 94% and above.
05:11But it's 100.
05:12So, if it goes below 93,
05:14your oxygen level is 92%.
05:16You should go to the hospital.
05:19They'll have you checked.
05:20No, that's not it.
05:21For the heart rate,
05:22the normal heart rate is 60 to 100.
05:25What's that?
05:26If a patient has pneumonia,
05:27the heart rate is usually faster than usual.
05:30So, your heart rate is still normal, Doc?
05:32Yes.
05:33It's still normal?
05:34Yes.
05:35Very good.
05:36Anyway, Doc,
05:37how can we avoid pneumonia?
05:39Are we going to use that?
05:41Are we going to show that?
05:42The nebulizer, Doc?
05:43Yes.
05:44How is this?
05:45The nebulizer…
05:46Just so they know.
05:47It's not commonly used
05:48for patients with pneumonia.
05:49That's right.
05:50Although, we use this
05:51when a patient has asthma
05:54or has a history of paninigarrhia
05:57or has COPD,
05:58Chronic Obstructive Pulmonary Disease.
06:00Isn't this like this?
06:01So, they put the medicine,
06:02then they put it on,
06:03then it's nebulized.
06:05So, when you're smoking,
06:07you move a lot.
06:09Yes.
06:10So, when you're smoking,
06:11we already know
06:12that it's not good.
06:13It's like you're smoking pot.
06:14You've been smoked.
06:15That's how you do it, right, Doc?
06:17So, what kind of help is that?
06:19Why is it necessary?
06:20What kind of help is that?
06:21For asthmatic patients,
06:22if you have asthma
06:24and you have pneumonia,
06:25the symptoms of asthma get worse.
06:27The airway narrows.
06:29So, this will make it wider.
06:30So, when we use the nebulizer,
06:31the airway widens
06:33and it helps
06:34to get the pneumonia out.
06:35Okay.
06:36Is there a belief
06:37that you make yourself sweat?
06:38Is that one thing
06:39that should be avoided?
06:40No.
06:41There's no connection.
06:42There's no connection.
06:43So, where does pneumonia really come from?
06:45From other people.
06:46It's a communicable disease.
06:47It's contagious.
06:48It's a virus.
06:49If a patient has an illness,
06:51or if we have someone
06:53who's coughing
06:54and doesn't cover their mouth,
06:56it can infect other people.
06:58That's why you should still wear a mask
07:00even if you don't have COVID.
07:01Yes.
07:02Thank you very much,
07:03Dr. Ed Marvin Hilario.
07:04Thank you, Doc.
07:05Take care, everyone.
07:07For other health talks,
07:09we will consult you
07:10here at
07:11UH Clinic.
07:13Thank you, Doc.
07:14Thank you, Doc.

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