NNP ⚡️ (@ncpjs_) header
NNP ⚡️ (@ncpjs_) profile picture
MNL, PH
Joined September 2010
Photo by NNP ⚡️ (@ncpjs_)Photo by NNP ⚡️ (@ncpjs_)Photo by NNP ⚡️ (@ncpjs_)Photo by NNP ⚡️ (@ncpjs_)Photo by NNP ⚡️ (@ncpjs_)Photo by NNP ⚡️ (@ncpjs_)Photo by NNP ⚡️ (@ncpjs_)Photo by NNP ⚡️ (@ncpjs_)Photo by NNP ⚡️ (@ncpjs_)Photo by NNP ⚡️ (@ncpjs_)
NNP ⚡️ retweeted
hey @macklemore im sorry i tweeted in 2014 you should mackle less. you can mackle as much as you want. free palestine ✊🏽
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pero ang case rate ng animal bite ay 5,850? 🤔
grabe. i was at the ER for an animal bite. my bill was 14k alam nyo magkano binawas ng philhealth? 650. ampotahhhh hahahahaha been working for years tapos 650 😆😭😭
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NNP ⚡️ retweeted
When I see a patient who has been starved of water for more than 8 hours before a procedure.
What do you commonly see in clinical practice that leads to this reaction?
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tagal ko nang hindi nag ttwitter but I had time today, so lets dig in the amount of Philhealth (PH) reimbursement is based on the declared case rate of the diagnosis
decades of contributions, 127k yung hospital bill ko tapos 7.8k lang yung bawas sa philhealth 💀
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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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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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I feel seen
Funny how the busiest people always reply fastest. Asked my mentor and she said, letting things linger means you'll have a backlog to revisit, and delaying communication also holds up other people's work, which means efficiency is compromised. I've seen it. I believe it 🙂
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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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i remember so many people
The iron saga continues 😅
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Today’s good news came in the form of a message from a rheumatologist several kms away, thanking me for the early recognition of a pt’s lupus. This young female presented w abdo pain (everyone’s least favorite chief concern 😅) with nonspecific SGPT elevations.
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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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A mentor once told me, “when you hear hoofbeats, think horses not zebras,” but I also learned over time that you have to know what these zebras look like so you don’t resort to making diagnoses of ‘atypical horses’ 😂 Anyway, yun lang hehe also ty po P/GH for the clinical eye.
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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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taenang bansa talaga to
kadiliman vs kasamaan
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is it not reasonable to expect to get paid for services rendered in a private capacity? puro charged to financial assistance (“guarantee letters”) na sabi nung iba e wag na asahan? ganun ba talaga? 🥲
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also, the blame are on these govt offices kasi kahit naman yung pasyente nag eexpect na may darating na bayad para sa mga doktor nila? (same can be said for private HMOs, but different issue) am i missing something here? 🤷🏻‍♂️
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