Redirect Page | The Filipino Doctor
x
x
x
TheFilipinoDoctor.com says :

To help us assist you in your search, please provide us the following information about the PATIENT:

Gender:
Age:
City/Province:

What health condition of the PATIENT prompted you to search for this ?


To maximize your experience with TheFilipinoDoctor.com, you may REGISTER or LOG IN your account now.

or
x
 
TheFilipino Doctor.com    You have to Log In or Register first.  

Dear User, you have already reached the number of pages allowed per guest session. To continue, please Log In or Sign Up first. Thank you!
LOG IN
 
 
 
Forgot your password?
  SIGN UP
  I am a:
Doctor
Dentist
Patient
Nurse
Pharmacist
TheFilipino Doctor.com gives you access to more information about doctors, dentists, hospitals and clinics. You can also access information about medicines and other healthcare products. With these, you will be able to better manage yours and your family's health.
x
x
TheFilipinoDoctor.com
 

How to use the Doctor is IN

This new feature of TheFilipinoDoctor.com displays a switch panel on your log in page.
On the center of the switch panel, you will find the switches for IN and OUT.

To set your availability for the day, click or tap on either the IN or OUT panel on the switch that you find on your log in page.  This will automatically set all the switches corresponding to every schedule you have for the day.  To avoid misinformation, these settings are good only for the day. 

To set your availability for the week, click or tap on the link under the panel that reads Set your availability for the week.  This will open your clinics and schedules on the lower part of the current page.  You can now individually set to IN or OUT each of your schedules for the entire week.  To avoid misinformation, these settings are good only for the current week. 

All settings for both day and week will reset to “blank” after the day or week is over.

Thank you!

x
Based on the information you provided, we have generated a new search results page that will provide you with other options you can consider.
Click here to see the page.
x
Succesfully added to your Personal Health Records.

View weight chart
Stay in BMI page
×
x
Email To Patient
Patient Name:
Patient Email:
Patient Age:
Patient Gender:
Instructions:
 
x
We can help you improve your search by providing us the following information about the PATIENT: Gender, Age, City/Province and Health Condition. Click here.
x
x
 
TheFilipino Doctor.com    You have to Log In or Sign Up first.  

Dear User, you have Log In or Sign Up first before you could recommend the doctor or dentist. Thank you!
LOG IN
 
 
 
Forgot your password?
  SIGN UP
  I am a:
Doctor
Dentist
Patient
Nurse
Pharmacist
TheFilipino Doctor.com gives you access to more information about doctors, dentists, hospitals and clinics. You can also access information about medicines and other healthcare products. With these, you will be able to better manage yours and your family's health.
x




Taculing, Bacolod City, Negros Occidental
Tel. no.:
PRC No.:
PTR No.:

November 27, 2020

Patient:
Age: 21 years old

Rx:

Generic: Brand Name: Dosage Form: Frequency:

 

Prescription ID: XXXX-

Powered by TheFilipinoDoctor.com

By sending this information you agree to the
Term and Condition  OK

Your Patient will recieve this prescription via email. Sometimes, this might show up in their Spam mailbox. Thank you

 

x




Taculing, Bacolod City, Negros Occidental
Tel. no.:
PRC No.:
PTR No.:

Patient:
Age: years old

Rx:

Generic:
Brand Name:
Dosage Form:

 

Prescription ID: XXXX-

Powered by TheFilipinoDoctor.com

x
X
TheFilipinoDoctor.com

The GSKpro website is strictly for healthcare professionals only. If you are a doctor, pharmacist or nurse, please continue to log-in.

Hi there! Just a quick question...
Hi there! Just a quick question...
x
Thank you for your response
         
  Doctor Resources are for Doctors and Dentists only.    
  You have to Log In or Register first.    
 

 
LOG IN
 
 
 
Forgot your password?
REGISTER
First Name:
Middle Name:
Last Name:
Email:
Password:
 
TheFilipino Doctor.com gives you access to more information about doctors, dentists, hospitals and clinics. You can also access information about medicines and other healthcare products. With these, you will be able to better manage yours and your family's health.  
Doctor at the Desk

Got P.I.E.?

Pneumonia in Elderly
By: Marc Evans Abat, MD, FPCP, FPCGM article_19

Almost everybody loves pies.  Savory or sweet, pies occupy a special place in many people’s hearts.  I know a doctor who is a sucker for a fast food joint’s tuna pie.  A trip to Tagaytay will not be complete without passing by this particular restaurant and buying a box or two of their buko pies.  And of course, who can forget the quintessential pizza, from the ones bought cheaply from the neighborhood corner to the artisan do-it-yourself varieties.

There is one pie though that I am sure our senior citizens will dread, and may possibly “leave them breathless”.  This is P.I.E or pneumonia in elderly. 

Pneumonia is basically an infection of the lung substance, particularly the air sacs.  In the Philippines, as of 2013, pneumonia is the 7th leading cause of death, at about 10% of registered deaths.  It is also the 9th leading cause of morbidity or sickness. 

Elderly are particularly at risk for pneumonia and its complications due to many reasons:

  1. Changes in the immunity of the older person, particularly immunosenescence, may increase susceptibility to infections, even under mild stress
  2. Co-existing diseases like chronic obstructive pulmonary disease, heart failure, liver disease, kidney disease, malnutrition, cancer and diabetes may also lower immunity and cause structural changes in the lungs that makes them more susceptible to infection or impair response to treatment. 
  3. The same co-existing diseases also make the elderly more susceptible to complications and deterioration from pneumonia. These conditions can also exacerbate because of pneumonia.  Bronchial asthma may worsen, the heart may decompensate and fail, and the kidneys may become acutely injured.
  4. Certain conditions or diseases also predispose the elderly to ease of entry of infectious agents.  For example, more frail, older elderly experience swallowing problems that may lead to aspiration, or entry of foreign particles into the lungs
  5. Polypharmacy, or the use of more than 10 drugs, some of which may be inappropriate, may adversely affect how an older person protects itself from entry of organisms.  Drugs that obtund consciousness may increase the risk of aspiration.  Cough suppressing medications like opiods, may reduce the strength of the cough reflex, increasing aspiration risk.
  6. Dementia, which occurs in older patients, may eventually lead to complications like swallowing disorders and malnutrition
  7. Health-seeking behaviors, like having vaccinations and regular health consultations, may become drastically reduced, due to many complicated reasons

 

So how does the elderly get pneumonia? 

As was previously mentioned, the organism can come from the community setting or in the healthcare setting.  Usually those microorganisms contracted from the healthcare setting (e.g. while confined in the hospital for another reason) tend to cause more severe infections, and are more difficult to treat due to possibility of antibiotic resistance.  The entry of organisms into the lungs is usually through microaspiration of infected particles from the mouth, or inhaled from the air (as droplets or aerosols from an infected person). 

A prior infection, like influenza, may impair the defenses along the respiratory tract, which may make bacterial penetration easier.   Some patients suffer from gross aspiration of oral or gastric contents, introducing a chemical damage to the lungs (making infection easier) and a larger amount of infected material.  As was again mentioned, a variety of infectious agents can cause pneumonia:

  1. Bacteria. Streptococcus pneumoniae is the most common organism in all spectra of disease severity.  A variety of other bacteria can also cause pneumonia (some of which may also be responsible for infections in other parts of the body).
  2. Viruses.  Influenza, parainfluenza, and respiratory syncytial viruses are common causes of viral pneumonia.  More unusually causes are to related to SARS and MERS-Cov.
  3. Fungi. Candida species and Aspergillus can cause pneumonia in susceptible patients, like those with cancer, or other patients with very weak immunity

What are the signs and symptoms of pneumonia? 

The classic symptoms of fever, cough with phlegm production, and difficulty breathing are sometimes not seen at onset of disease in older patients.   More commonly, it’s either just one of these three.  Other findings initially seen in older patients include:

  1. Sudden loss of appetite
  2. Sudden loss of interest in doing activities
  3. Increased sleeping time
  4. Sudden or increased incidence of falling (“nadadapa”, “natutumba”)
  5. Abdominal pain
  6. Chest pain
  7. Delirium or acute confusion
  8. Difficulty sleeping

How is pneumonia treated? 

Antibiotics are given, depending on the perceived severity of the pneumonia.  Those assessed to have mild pneumonia may still take oral antibiotics as an outpatient.  Those with more severe symptoms may need hospitalization and either intravenous antibiotics alone or combined with oral agents.  Especially in the more severe patients, other medications will be given either to treat the concomitant diseases that are worsened or exacerbated, or to tide over the acute problems while the infection is improving.  Medications to soften phlegm and loosen the airways, and oxygen support may also be given by doctors as adjuncts in the treatment.  

Hopefully this helps in understanding and preventing P.I.E.  Personally, I’d rather have that slice of pizza.

 

 

 


Comment(0)  
Keywords: retirement,pulmonology, old age, illness, sickness, cold, senior citizen, senior moments, peneumonia   
  
Suggested Health Articles
Related Health Conditions
Close
         
  Doctor Resources are for Doctors and Dentists only.    
  If you are either of these, please Log In or Register first. Thank you.   
 

 
LOG IN
 
 
 
Forgot your password?
REGISTER
First Name:
Middle Name:
Last Name:
Email:
Password:
 
TheFilipino Doctor.com gives you access to more information about doctors, dentists, hospitals and clinics. You can also access information about medicines and other healthcare products. With these, you will be able to better manage yours and your family's health.  
Close
         
  Doctor Resources are for Doctors and Dentists only.    
  If you are either of these, please Log In or Register first. Thank you.   
 

 
LOG IN
 
 
 
Forgot your password?
REGISTER
First Name:
Middle Name:
Last Name:
Email:
Password:
 
TheFilipino Doctor.com gives you access to more information about doctors, dentists, hospitals and clinics. You can also access information about medicines and other healthcare products. With these, you will be able to better manage yours and your family's health.  
Close
         
  Doctor Resources are for Doctors and Dentists only.    
  If you are either of these, please Log In or Register first. Thank you.   
 

 
LOG IN
 
 
 
Forgot your password?
REGISTER
First Name:
Middle Name:
Last Name:
Email:
Password:
 
TheFilipino Doctor.com gives you access to more information about doctors, dentists, hospitals and clinics. You can also access information about medicines and other healthcare products. With these, you will be able to better manage yours and your family's health.  
Close
         
  Doctor Resources are for Doctors and Dentists only.    
  If you are either of these, please Log In or Register first. Thank you.   
 

 
LOG IN
 
 
 
Forgot your password?
REGISTER
First Name:
Middle Name:
Last Name:
Email:
Password:
 
TheFilipino Doctor.com gives you access to more information about doctors, dentists, hospitals and clinics. You can also access information about medicines and other healthcare products. With these, you will be able to better manage yours and your family's health.  
Close
         
  Doctor Resources are for Doctors and Dentists only.    
  If you are either of these, please Log In or Register first. Thank you.   
 

 
LOG IN
 
 
 
Forgot your password?
REGISTER
First Name:
Middle Name:
Last Name:
Email:
Password:
 
TheFilipino Doctor.com gives you access to more information about doctors, dentists, hospitals and clinics. You can also access information about medicines and other healthcare products. With these, you will be able to better manage yours and your family's health.  
Close
         
  Doctors and Dentists login only.    
 

 
LOG IN
 
 
 
Forgot your password?
     
 
TheFilipino Doctor.com gives you access to more information about doctors, dentists, hospitals and clinics. You can also access information about medicines and other healthcare products. With these, you will be able to better manage yours and your family's health.
 
Close
Report Incorrect Information

Please fill out this form to let us know what is wrong and we will fix it within two business days.





Name:
Email:
Contact No:
Relationship to Dr. :
 
Message:
 
Close
         
  Doctor Resources are for Doctors and Dentists only.
If you are either of these, please Log In or Register first. Thank you.
 
 

 
LOG IN
 
 
 
Forgot your password?
REGISTER
First Name:
Middle Name:
Last Name:
Email:
Password:
 
TheFilipino Doctor.com gives you access to more information about doctors, dentists, hospitals and clinics. You can also access information about medicines and other healthcare products. With these, you will be able to better manage yours and your family's health.