Salamat Dok!!!!

**Ry_Tower** · July 4th, 2011 07:19 PM

Originally Posted by surgeon_jm

okay yan, basta may laman ang tyan mo..

yup, after every breakfast yan.

**jansky** · July 4th, 2011 07:31 PM

Originally Posted by surgeon_jm

online consult ba? hehe!
hmmm.. di kasi akma samin magrekomenda ng BRAND. against sa medical ethics yun e, pasensya..
but any will do... maraming available sa market at naaadvertized sa TV.

laging puyat? ano ba work nyo sir?

Doc,

pang araw po work ko.. pero rumaraket din sa gabi kaya madalas puyat heheh mga 1AM na ko madalas matulog then wake up 7-8Am
pero feeling ko lagi pa rin kulang tulog ko hahahaaha

currently taking up Stresstabs and Multivitamins

**surgeon_jm** · July 5th, 2011 10:32 AM

Originally Posted by desert fox

kaya nga dok, sabi nga ni misis, bakit ganun daw alaga ko, dati konting haplos with pagmamahal, nagbabayang magiliw na....

ngayon,parang gustong matuilog na lang....

nyahahaha....

kaya ihinto nyo na yang steroids sir DF...

**surgeon_jm** · July 5th, 2011 10:40 AM

Originally Posted by jansky

Doc,

pang araw po work ko.. pero rumaraket din sa gabi kaya madalas puyat heheh mga 1AM na ko madalas matulog then wake up 7-8Am
pero feeling ko lagi pa rin kulang tulog ko hahahaaha

currently taking up Stresstabs and Multivitamins

if melatonin helps thats good.. wag lang pasobra..

**uls** · July 5th, 2011 10:44 AM

aside from germs, constant surveillance by the immune system keeps altered cells in check

steroids suppress the immune system

guess what happens to altered cells when they're not kept in check

**scharnhorst** · July 7th, 2011 02:56 AM

^^atsaka tataba ka with chronic steroid use. hehe.

**surgeon_jm** · July 8th, 2011 08:07 AM

Originally Posted by uls

aside from germs, constant surveillance by the immune system keeps altered cells in check

steroids suppress the immune system

guess what happens to altered cells when they're not kept in check

Tama! kuha mo? hehe!

**uls** · July 9th, 2011 01:19 PM

Doc surgeon jm, tanong lang

a friend was just diagnosed with hypertension

he was prescribed a beta blocker (atenolol) then changed to an angiotensin II receptor antagonist (ibesartan)

i understand there are many classes of hypertension drugs -- beta blockers (non-selective and selective), alpha blockers, ACE inhibitors, angiotensin II receptor antagonists, calcium channel blockers

my question is this -- how do doctors decide which class of drug to prescribe? since the end goal is to control high BP and all those drugs can lower bp (but different mechanisms of action), how do doctors decide which drug to prescribe?

**scharnhorst** · July 9th, 2011 03:09 PM

^^^ sometimes depends on the comorbidities that the patient has..

for example, ARBs and ACE-i's have beneficial effects in those with diabetes or with renal failure..

beta blockers for those na nag MI na dati or with heart failure...