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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Ang tunay na talo dito sa laban ng kadiliman vs kasamaan ay ang mamamayang Pilipino. God bless na lang.
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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.
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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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? 🥲
















