#HealthXPh Transcript

Healthcare social media transcript of the #HealthXPh hashtag.
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See #HealthXPh Influencers/Analytics.

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Rev. Victor 'Yinka Vidal @YinkaVidal
@helenvmadamba #HealthXph Hi Helen, please answer my HIV question from your perspective based on your exposure to these patients in Philippines. Thanks!
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Chuck & @HealthITdog hanging out in #Scranton #Pennsylvania (#NEPA for North East PA) drinking #coffee, checking in for #healthxph chat! https://t.co/QOPLcNWtCD
Rev. Victor 'Yinka Vidal @YinkaVidal
@bonedoc #HealthXph Hi Remo. Yinka is back!
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @HealthXPh: ten minutes to go and we're live at #HealthXPh
Narciso Tapia MHPEd @cebumd
hello everyone. this is Buboy, dialysis patient from Cebu, your moderator for tonight's #healthxph tweetchat.
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @cebumd: hello everyone. this is Buboy, dialysis patient from Cebu, your moderator for tonight's #healthxph tweetchat.
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @bonedoc: Remo from south Ph standing by for tonight's #HealthXPh chat
Ema Grace @emlhyngrce
RT @HealthXPh: ten minutes to go and we're live at #HealthXPh
Narciso Tapia MHPEd @cebumd
Topic is very timely. it is on issues in hospital emergency rooms. so who's here? #healthxph
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
Natrice in Canada retired Psw/caregiver Lurking in the corner . Have a wonderful chat #HealthXPh
Ema Grace @emlhyngrce
Joining in the #HealthXPH tweetchat tonight ๐Ÿ‘๐Ÿผ
Remo Aguilar @bonedoc
yey! welcome back @YinkaVidal we missed you at #HealthXPh
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @cebumd: Topic is very timely. it is on issues in hospital emergency rooms. so who's here? #healthxph
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
Hi #Healthxph, in a meeting, will follow in a bit. ๐Ÿ˜ฌโœŒ๐Ÿผ
Ema Grace @emlhyngrce
RT @cebumd: hello everyone. this is Buboy, dialysis patient from Cebu, your moderator for tonight's #healthxph tweetchat.
Helen Madamba @helenvmadamba
#HealthXPh https://t.co/1BqWyy5Xbz Taking photos of our doctors, nurses, medical personnel, or our employees is prohibited under the Data Privacy Act of 2012. If you have any concerns with regard to our services, message us. We will answer. We will act upon it.
Remo Aguilar @bonedoc
Hi natrice! #HealthXPh
Helen Madamba @helenvmadamba
@IvyPatdu Video cameras and recordings affect patient safety. #HealthXPh
Helen Madamba @helenvmadamba
RT @cebumd: Tonight on #HealthXPh https://t.co/93EZLPjm3O Issues in the emergency room @Teddybird @endocrine_witch @giasison @bonedoc @helenvmadamba @thestreetgazer @jimlopez875
Remo Aguilar @bonedoc
welcome emma! #HealthXPh
Narciso Tapia MHPEd @cebumd
anybody from a hospital emergency department here? #HealthXPh
Ema Grace @emlhyngrce
Hi everyone! Iโ€™m Ema, a 1st year med student from CDU. Iโ€™m excited to learn and join in the discussion tonight. #HealthXPH
Rev. Victor 'Yinka Vidal @YinkaVidal
@cebumd #HealthXph Those dealing with ED chaos from day to day have many stories! A police aggressively arrested an ED nurse because the police wanted certain things done his way. I believe the police was later disciplined for interfering with hospital ED policy.
Helen Madamba @helenvmadamba
#HealthXPH pre-chat blogpost here: https://t.co/XbE6jQ9q5O
Remo Aguilar @bonedoc
@jasebeehappy1 take note of this #HealthXPh
Helen Madamba @helenvmadamba
@YinkaVidal What is your question, Yinka? #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
@bonedoc #HealthXph Thanks! Have been so busy lately.
Eunita B. Uy @YoNeedaDoctor
#HealthXPh Cebu Doctors University 1st year med student signing in before 10pm dorm curfew
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@cebumd Tagging @Teddybird :) Signing in for #healthxph
Helen Madamba @helenvmadamba
@YinkaVidal what is your questions, Yinka? #HealthXPh
Stephanie Miaco, M.D. @StephMiaco
RT @helenvmadamba: #HealthXPH pre-chat blogpost here: https://t.co/XbE6jQ9q5O
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @helenvmadamba: @IvyPatdu Video cameras and recordings affect patient safety. #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
@endocrine_witch @cebumd @Teddybird #HealthXph Hello Pretty Eyes! How're you? Hope all is well. Can you see me?
Stephanie Miaco, M.D. @StephMiaco
Hi #healthxph fam and tweet friends! Steph from the Philippines, signing in. :-)
Narciso Tapia MHPEd @cebumd
@YinkaVidal @bonedoc Hello Yinka! how are you? #HealthXPh
HealthXPh @HealthXPh
#HealthXPh welcomes all #CDUCM students joining tonight's chat! Starting it right yes!
Helen Madamba @helenvmadamba
@emlhyngrce hello there Ema Grace! #HealthXPh
Mark Harmon Magbanua, MD @__MarkMagbanua
Good evening. Mark here, a Junior Intern from USLS-COM rotating in General Surgery, checking in for tonight's chat. #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
@helenvmadamba #HealthXph I placed it on your internal message.
Narciso Tapia MHPEd @cebumd
im about to post T1... #healthxph
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@YinkaVidal @cebumd @Teddybird All is well :) how about you? #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
@thestreetgazer #HealthXph Hello Steph
Helen Madamba @helenvmadamba
@YoNeedaDoctor Wow, so glad my students are tweeting! Welcome to #HealthXPH #CDUCM Eunita
Remo Aguilar @bonedoc
welcome back sir @Teddybird #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
@endocrine_witch @cebumd @Teddybird #HealthXph Praise God. I can see you. All is well
Helen Madamba @helenvmadamba
@ReymarieGonzal1 good evening Reymarie! #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@helenvmadamba @YoNeedaDoctor That's great! #HealthXPH
Narciso Tapia MHPEd @cebumd
T1. What issues, problems and challenges are commonly encountered in hospital emergency rooms in the process of providing healthcare service? #healthxph
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
@YinkaVidal @cebumd Utah nurse reaches $500,000 settlement in dispute over her arrest for blocking cop from drawing blood from patient https://t.co/9HUjBnxpFw #HealthXph https://t.co/ycJlwM9wj9
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @YinkaVidal: @cebumd #HealthXph Those dealing with ED chaos from day to day have many stories! A police aggressively arrested an ED nurse because the police wanted certain things done his way. I believe the police was later disciplined for interfering with hospital ED policy.
Helen Madamba @helenvmadamba
@__MarkMagbanua good evening there Mark, how's it going? #healthxph stay cool in the ER!
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @HealthXPh: #HealthXPh welcomes all #CDUCM students joining tonight's chat! Starting it right yes!
HealthXPh @HealthXPh
T1 is up #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @wareFLO: @YinkaVidal @cebumd Utah nurse reaches $500,000 settlement in dispute over her arrest for blocking cop from drawing blood from patient https://t.co/9HUjBnxpFw #HealthXph https://t.co/ycJlwM9wj9
Rev. Victor 'Yinka Vidal @YinkaVidal
@Teddybird #HealthXph Good morning from St. Louis MO, US.
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @cebumd: T1. What issues, problems and challenges are commonly encountered in hospital emergency rooms in the process of providing healthcare service? #healthxph
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @HealthXPh: T1 is up #HealthXPh
Helen Madamba @helenvmadamba
@Teddybird hello doc Ted! #Healthxph i appreciate your posts and quick action about the ER incident.
Stephanie Miaco, M.D. @StephMiaco
@YinkaVidal Hi Yinka! :-) #healthxph
Eunita B. Uy @YoNeedaDoctor
#HealthXPh T1 Patients expecting service without understanding that other patients may be in more dire conditions
Eunita B. Uy @YoNeedaDoctor
RT @cebumd: T1. What issues, problems and challenges are commonly encountered in hospital emergency rooms in the process of providing healthcare service? #healthxph
Iris Thiele Isip Tan MD, MSc @endocrine_witch
T1 Sometimes there is no informant as to what happened to the patient being brought in to the ER. Or there are conflicting reports. #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
@HealthXPh #HealthXph T1 Impatient patients who want service without consideration for others time and space.
Helen Madamba @helenvmadamba
Everybody is always in a hurry, wanting to be treated immediately, but you only have two hands. #HealthXPh
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @cebumd: T1. What issues, problems and challenges are commonly encountered in hospital emergency rooms in the process of providing healthcare service? #healthxph
Stephanie Miaco, M.D. @StephMiaco
@helenvmadamba @Teddybird me too, sir! :-) Very fit and fair comments. #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T1 Drug over dose and a patient acting erratic and uncooperative
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @wareFLO: @YinkaVidal @cebumd Utah nurse reaches $500,000 settlement in dispute over her arrest for blocking cop from drawing blood from patient https://t.co/9HUjBnxpFw #HealthXph https://t.co/ycJlwM9wj9
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T1 Police bringing a wounded and bleeding patient to ED and wanted things done their way.
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T1 Drunk patient fighting with ED staff
Mark Harmon Magbanua, MD @__MarkMagbanua
T1. OPD patients getting irate because doctors prioritize those in real emergencies. Even with adequate "Go to the ER only if" posters we put in the ER, OPD patients think they're being neglected because they get seen last. #HealthXPh
Ema Grace @emlhyngrce
Hello, Doc Helen! ๐Ÿ˜Šโค๏ธ #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
T1 The patient's relatives are understandably distraught. Emotions are high. Sometimes this situation collides with the ER staff who are overworked. #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T1 Patient interested in one of the female nurses or female physician
Caitlin Mann ๐ŸŒธ @_caitlinm07
@YoNeedaDoctor I have to agree with you on that issue Eunita. Most people aren't aware of the triaging system hospitals employ in the ED #HealthXPh
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @YinkaVidal: @HealthXPh #HealthXph T1 Impatient patients who want service without consideration for others time and space.
Helen Madamba @helenvmadamba
@endocrine_witch It's so difficult in the Philippines when there is no accompanying person. We had a Jane X patient in labor. Noone to give details or information. Nobody to give consent. nobody to spend. nobody to help restrain combative patients #healthxph
Ema Grace @emlhyngrce
Alright, this is it! #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @YinkaVidal: @HealthXPh #HealthXph T1 Impatient patients who want service without consideration for others time and space.
Remo Aguilar @bonedoc
T1. A joke I heard, well " if there's no problem, you don't need the ER"..question is what sort of problem that our current health system solve at the ER? #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @helenvmadamba: @endocrine_witch It's so difficult in the Philippines when there is no accompanying person. We had a Jane X patient in labor. Noone to give details or information. Nobody to give consent. nobody to spend. nobody to help restrain combative patients #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T1 Complaints the patient is waiting too long in ED before admission.
Remo Aguilar @bonedoc
*wanted to solve at the ER? #HealthXPh
Stephanie Miaco, M.D. @StephMiaco
T1 Psychotic/Agitated patients, who may not be treated as an emergency and may be turned away at times due to problems with managing the agitation. #healthxph
Helen Madamba @helenvmadamba
@krizzybaggins hello Kris, I would like to know about your thoughts on what challenges you expect to face in the ER even as students. #healthxph
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @endocrine_witch: T1 The patient's relatives are understandably distraught. Emotions are high. Sometimes this situation collides with the ER staff who are overworked. #healthxph
Elea Amidala โ„๏ธ @Dorkraki
Group 11 ๐Ÿ˜„ excited for tonight's #healthxph https://t.co/FTJcafNlmw
Stephanie Miaco, M.D. @StephMiaco
This is a very real situation in many emergency rooms. #healthxph
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @Dorkraki: Group 11 ๐Ÿ˜„ excited for tonight's #healthxph https://t.co/FTJcafNlmw
Iris Thiele Isip Tan MD, MSc @endocrine_witch
T1 Sometimes, the relatives misunderstand that health workers have to take a history or write down details. Texting has also been misinterpreted when the doctor was referring to his attending actually. #healthxph
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @helenvmadamba: @krizzybaggins hello Kris, I would like to know about your thoughts on what challenges you expect to face in the ER even as students. #healthxph
Ema Grace @emlhyngrce
@YoNeedaDoctor I agree! #HealthXPh
Joyce Martinez @joyceemartinez
Joining #HealthXPh
pereztalsis @amielperez00
Hello twitterverse! Amiel Perez here from #CDUCM level 1. Excited to learn and hear about the issues in the ER. #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
@thestreetgazer #HealthXph Steph, Every ED should have time-out -room for combative patients.
Mark Harmon Magbanua, MD @__MarkMagbanua
T1. Uncooperative patients because they get seen by Junior Interns first. "I want MY doctor to come see me" is one of the most common phrases I hear in the setting of a private hospital. #healthxph
Narciso Tapia MHPEd @cebumd
i remember from the news before of an ER personnel attacked by a dissatisfied relative of a patient i think. Security issues and safety issues in the ER may arise. #healthxph
Stephanie Miaco, M.D. @StephMiaco
T1 Misunderstood instructions and correspondingly resentment and "quick social media action" from aggrieved sides. #healthxph
Iris Thiele Isip Tan MD, MSc @endocrine_witch
T1 As an intern in the ER, I've had relatives in my face as I'm trying to put in a line. Doesn't help. #healthxph
Bianca Espeleta Suarez @biancaesuarez
When a patient is waiting to be treated family members could be very anxious and scared, and health care providers also have many patients to treat so reciprocate compassion could help in situations like these. #HealthXPh
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
Physical exhaustion & emotional strain, for both medical staff & patient/relatives #healthxph
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @thestreetgazer: T1 Misunderstood instructions and correspondingly resentment and "quick social media action" from aggrieved sides. #healthxph
Stephanie Miaco, M.D. @StephMiaco
@YinkaVidal I agree Yinka, but that is not a common scene in many hospitals here, sadly. #healthxph
Stephanie Miaco, M.D. @StephMiaco
@amielperez00 hi Amiel! #healthxph
Helen Madamba @helenvmadamba
@YinkaVidal Yes, and drunk patient dictating to doctors what he needs to receive. #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@biancaesuarez T1 Questions are rapid fire and quick from the ER staff. Not because they don't care but because time is of the essence. #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
@thestreetgazer #HealthXph This is the more reason why social workers and clergies may be needed in ED to calm down combative patients otherwise neutralize their actions with sedation.
Narciso Tapia MHPEd @cebumd
@maphette i think there are still many who are not aware of the triage system. many believe it is first come, first served. #HealthXPh
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @endocrine_witch: @biancaesuarez T1 Questions are rapid fire and quick from the ER staff. Not because they don't care but because time is of the essence. #healthxph
Bianca Espeleta Suarez @biancaesuarez
@endocrine_witch Very true!!#healthxph itโ€™s important for the patients to be aware of this.
Janahaye Selga @hayeselga
Hi Iโ€™m Jana, Iโ€™m excited to join #HealthXPh Iโ€™m a 1st year med student in #CDUCM
Helen Madamba @helenvmadamba
@nicmaravilla Most, if not all, Philippine hospitals are understaffed. The system should address this limitation and we do the best we can. #HealthXPh
Narciso Tapia MHPEd @cebumd
Many inputs from different sides. keep them coming.. #healthxph
Ema Grace @emlhyngrce
T1 there is no one to give the patientโ€™s history as to what really happened. Itโ€™s hard to get the proper details and information about the patientโ€™s condition before he/she was sent to the ER #healthxph
Remo Aguilar @bonedoc
T1. I'm taking it from a health systems view, our current model of providing health service - One stop shop accdg to C. Christenson is expected to fail given the mismatch between service provided and expectations #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
@thestreetgazer #HealthXph Steph, how do you protect the ED staff from combative or psychotic patients?
Stephanie Miaco, M.D. @StephMiaco
I've heard of this being topic for gossip fodder from many relatives and watchers, who more often than not, are unaware of procedure and are resentful of these necessary measures. Sad that this is so. #healthxph
Mary Agnes Catherine Y. Tabanag @mactabanag
@helenvmadamba As a medical student it's interesting to read all these tweets coming from highly experience medical professionals, reading there pov regarding this matter is interesting #HealthXPH
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
When I was an intern, a patientโ€™s relative screamed: โ€œWala ba kayong straw?!โ€ ...escalating further to various expletives. #healthxph
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@YinkaVidal @thestreetgazer In the Philippines, calling clergy often for the very sick or dying. We've had patients get angry if a priest is called early because of superstition of doing so preempting death. #healthxph
Stephanie Miaco, M.D. @StephMiaco
@TawengMd Hi Doc! :-) #healthxph
Mark Harmon Magbanua, MD @__MarkMagbanua
T1. Patients asking me "Is it really necessary to ask for my OB history? My smoking history? My drinking history? My sexual preference?" Ma'am/Sir, I'm just doing my job and yes they are important, I need to be chismoso with a purpose. #healthxph
Stephanie Miaco, M.D. @StephMiaco
@hayeselga Hi Jana! :-) #healthxph
Boobear @boywithacrown
Good evening everyone, signing in for the #HealthXph ๐Ÿ˜Š
Helen Madamba @helenvmadamba
@Dorkraki welcome to #Healthxph group 1. hope to hear your thoughts on the topic.
Stephanie Miaco, M.D. @StephMiaco
RT @cebumd: @maphette i think there are still many who are not aware of the triage system. many believe it is first come, first served. #HealthXPh
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @bonedoc: T1. I'm taking it from a health systems view, our current model of providing health service - One stop shop accdg to C. Christenson is expected to fail given the mismatch between service provided and expectations #HealthXPh
Ema Grace @emlhyngrce
T1 The patientโ€™s companion keeps on complaining and sometimes whatโ€™s worst is, they argue with the doctor as if they know the better way to help the patient #healthxph
shingcamps @shingcamps2
Good evening, everyone! Shing here, signing in form Surigao. #HealthXPH
Helen Madamba @helenvmadamba
@endocrine_witch yes I remember a patient who videotaped the PGI text referring to the consultant, and he was misunderstood to be not doing his job when he was also monitoring the patient at bedside. #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
T1 A colleague was telling a relative of the patient re: need to transfer (no beds in ER) as he said there is no more space except the bathroom. He was told - Wala kang puso! [You have no heart!] #healthxph
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
However, due to exhausted staff, apparently no one had explained to them what was wrong with the patient. #healthxph #twosides
Narciso Tapia MHPEd @cebumd
T1. Patients seeking consult which can actually be treated in the outpatient department is also a common issue. #healthxph
Helen Madamba @helenvmadamba
@YinkaVidal @thestreetgazer what happens in the time out room? #HealthXPh
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
RT @cebumd: @maphette i think there are still many who are not aware of the triage system. many believe it is first come, first served. #HealthXPh
Joyce Martinez @joyceemartinez
T1. Everyone wants to get treated first, but most emergency rooms are understaffed so not all can be treated immediately. ๐Ÿ™ #HealthXPh
Stephanie Miaco, M.D. @StephMiaco
@helenvmadamba @YinkaVidal Usually, this reduces the sensory stimulation and hopefully calms the patient down... #healthxph
Ema Grace @emlhyngrce
T1 patients who do not cooperate and it makes the situation even hard to handle especially if the case needs immediate relief than the others #healthxph
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @cebumd: T1. Patients seeking consult which can actually be treated in the outpatient department is also a common issue. #healthxph
Atulya John @AtulyaJohn
Hi this is Atulya from #cducm level 1, eager to know more about the issues regarding the patients in the ER of hospitals. #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
@__MarkMagbanua #HealthXph I believe it is the responsibility of the healthcare professionals to explain the relevance of these questions to clinical care of the patient.
Rhia Gomez MD @mrsgomezmd
Hello everyone. Joining late. #HealthXPh
Ruth, MD @eihturmd
@cebumd T1. On the part of the institution: lack of supplies and equipment delays provision of appropriate medical care to the patients at the ER. #healthxph
Remo Aguilar @bonedoc
yes. That is part of our job description! #HealthXPh
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Lurking during #HealthXph, reading local #Scranton paper, and found this, re our recently new Geisinger Commonwealth School Medicine @GeisingerCwlth Kudos on health fair... (tempted to search 4 students on Twitter to let them know about our tweetchat each Saturday 9AM ET!) #medEd https://t.co/WHG7NgZJC0
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T2 You canโ€™t beat up a person seeking help in ED, is against government policy. But we have code for combative patients to bring more manpower help to ED.
Helen Madamba @helenvmadamba
I've been at the emergency room before as a patient. despite being a consultant at our hospital, i was not the priority of the resident. there came a time she even yelled at me because of frustration (coming from code), sleeplessness, exhaustion and hunger #HealthXPh
Narciso Tapia MHPEd @cebumd
burnout issues from ER personnel due to the volume of cases and the stressful environment #healthxph
Eunita B. Uy @YoNeedaDoctor
#HealthXPh T1 Many people are quick to demonize the people who are trained to treat and save those in need. There is no consideration for the other side.
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@gelza As an IM resident, the DEMS had not been established yet. I rotated 10 months in the ER. Always an emotional rollercoaster. #healthxph
Bianca Espeleta Suarez @biancaesuarez
Patients need to realize theyโ€™re not the only ones sick, and understand that attention to other sick patients must be given too. #HealthXPh
Bianca Espeleta Suarez @biancaesuarez
RT @endocrine_witch: @biancaesuarez T1 Questions are rapid fire and quick from the ER staff. Not because they don't care but because time is of the essence. #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T2 Lack of understanding of patients about the way hospitals runs. Then we explain to patients how the system works.
Helen Madamba @helenvmadamba
#Healthxph Space in the hospital is also an issue, because patients tend to stay a long time in the ER when there are no vacancies in the wards.
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
The definition of โ€œEmergencyโ€ however, isnt the same between a relative/patient who is anxious & a doctor who is exhausted. #healthxph
Jarvin Tan @Jetlax
RT @thestreetgazer: T1 Psychotic/Agitated patients, who may not be treated as an emergency and may be turned away at times due to problems with managing the agitation. #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T2 Each person wants to be attended right away in ED without consideration for other patients.
Jade @jadecjag
Good evening, everyone. Dorie Jagna-an. Level 1. Goup CINCOpe. Signing in. #HealthXPh
Helen Madamba @helenvmadamba
@emlhyngrce yes, this is a challenge. 80% of the diagnosis is based on patient history #HealthXPh
Remo Aguilar @bonedoc
T1. A clear policy at the onset. Well communicated to target patients. we all need that #HealthXPh
Narciso Tapia MHPEd @cebumd
T1. ER congestion due to referrals that can actually be managed in the areas where the cases come from can also be a concern #healthxph
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @helenvmadamba: @emlhyngrce yes, this is a challenge. 80% of the diagnosis is based on patient history #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
As a medical clerk, I had to go to the ER for an asthma attack. I had to go to a nearby hospital (not PGH) where I actually felt embarrassed to add to the queue of patients needing attention. #healthxph
Helen Madamba @helenvmadamba
@bonedoc this would be where training in emergency medicine, with background on a little of everything comes in handy. #HealthXPh
Stephanie Miaco, M.D. @StephMiaco
RT @cebumd: T1. ER congestion due to referrals that can actually be managed in the areas where the cases come from can also be a concern #healthxph
Narciso Tapia MHPEd @cebumd
@heART_attackMD yes this is indeed hapoening #healthxph
Bianca Espeleta Suarez @biancaesuarez
RT @cebumd: T1. Patients seeking consult which can actually be treated in the outpatient department is also a common issue. #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
@ReymarieGonzal1 #HealthXph Widening the Ed without increasing the hospital beds and ED staff can be very dangerous. Where you going to put all these patients waiting in the ED hallways to be admitted for days?
Helen Madamba @helenvmadamba
@mactabanag Twitter can be very educational aside from being entertaining. #healthxph rich in perspective
Narciso Tapia MHPEd @cebumd
T2. Why do you think these issues, problems or challenges happen or exist? #healthxph
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @endocrine_witch: As a medical clerk, I had to go to the ER for an asthma attack. I had to go to a nearby hospital (not PGH) where I actually felt embarrassed to add to the queue of patients needing attention. #healthxph
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@gelza Only 3 or 4 IM residents go on duty then at the PGH ER for a 24 h shift. Sometimes, one has to take over the shift of another because the other is too angry or emotional already. #healthxph
Rigen Parrilla @RigenParrilla
@helenvmadamba Youโ€™re right doc. And sometimes the cause of problem is miscommunication and lack/loss of patience. #healthxph
Ema Grace @emlhyngrce
T1 sometimes the ER staff gets irritated w/ the stressful environment in the ER & it makes them act in a way as if theyโ€™re complaining abt their job and the patient thinks โ€œbakit kasi ito pa yung pinili mong trabaho?โ€. Heard this before as MT intern in the ER #healthxph
Narciso Tapia MHPEd @cebumd
T2 is up #healthxph
Ruth, MD @eihturmd
@HealthXPh T1. Where are the stretchers and wheelchairs?! ๐Ÿ˜† #HealthXPh
๐“๐“ช๐“ฝ๐“ป๐“ฒ๐“ฌ๐“ฎ๐“ก ๐Ÿ˜ท๐Ÿ‡จ๐Ÿ‡ฆโค๏ธ ๐Ÿฅ€ @NatriceR
RT @cebumd: T2. Why do you think these issues, problems or challenges happen or exist? #healthxph
HealthXPh @HealthXPh
T2 coming right up! #Healthxph @cebumd
Rhia Gomez MD @mrsgomezmd
T1. Patient who goes to ED so they donโ€™t have to line up to see their attending physician #HealthXPh
Jay @jjaay9
@biancaesuarez Well said! #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @cebumd: T2. Why do you think these issues, problems or challenges happen or exist? #healthxph
Jade @jadecjag
@cebumd T1. Impatient patients and scarcity of resources such as supplies and manpower. #HealthXPh
Helen Madamba @helenvmadamba
@gelza I think the series ER gives the general population a glimpse of the drama that goes on in the emergency room. Doctors are humans too, though oftentimes we are called to be superhuman. #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
@endocrine_witch #HealthXph Perhaps an ED should be attached to a clinic. Send none emergency cases to clinics
Ema Grace @emlhyngrce
T1 a not-really-an-emergency case brought in the ER that makes the ER crowded where they could have it at the OPD #healthxph
Iris Thiele Isip Tan MD, MSc @endocrine_witch
T2 Emergencies can bring out the best or the worst from people. But those in the medical profession are always expected to act professionally. #healthxph
Helen Madamba @helenvmadamba
@shingcamps2 hello there Shing! How's it going? #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@YinkaVidal In our public hospital setting, both would be full - ED and outpatient clinics. #healthxph
Remo Aguilar @bonedoc
T1. Clear well communicated policies guide staff and potential patients on what the ER provides. There will be tradeoffs but thats better than attempting to provide everything but nothing #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
@eihturmd @HealthXPh #HealthXph In the hallways!
Narciso Tapia MHPEd @cebumd
@HealthXPh Please retweet T2 #HealthXPh
Atulya John @AtulyaJohn
I think, taking care of patients with multiple chronic illness in an ER can be a difficulty for the doctors as they might not be well prepared for that. #cducm #HealthXPh
Ema Grace @emlhyngrce
RT @cebumd: T2. Why do you think these issues, problems or challenges happen or exist? #healthxph
Stephanie Miaco, M.D. @StephMiaco
Truthful reminder. #healthxph
HealthXPh @HealthXPh
T2 is up! #HealthXPh
Boobear @boywithacrown
T1. One of the most hottest issues in the Philippines right now: doctor shaming on social media, which is usually in the emergency room setting. #HealthXPH
Bianca Espeleta Suarez @biancaesuarez
RT @thestreetgazer: Truthful reminder. #healthxph
Helen Madamba @helenvmadamba
There is also a security risk for emergency room personnel. #HealthXPh you always have to be ready and prepared.
Rev. Victor 'Yinka Vidal @YinkaVidal
@endocrine_witch #HealthXph Well you need to build more clinics. In US emergency mini-clinics are build into some pharmacy stores. You don't have to go to ED for some complaints. Coagulation clinics, ete
Iris Thiele Isip Tan MD, MSc @endocrine_witch
T2 In an ideal setting, there will be enough manpower at the ER. But sometimes there's just too many patients all at once. #healthxph
Boobear @boywithacrown
@buggeeey Definitely. Everyone should be informed of the triage system, not only the professionals working in the ER but also the general public so as to not overcrowd the ER and that professionals could prioritize more on those needing immediate care. #HealthXPH
Wafik S. El-Deiry, MD, PhD, FACP @weldeiry
RT @wareFLO: @YinkaVidal @cebumd Utah nurse reaches $500,000 settlement in dispute over her arrest for blocking cop from drawing blood from patient https://t.co/9HUjBnxpFw #HealthXph https://t.co/ycJlwM9wj9
Wafik S. El-Deiry, MD, PhD, FACP @weldeiry
RT @YinkaVidal: @cebumd #HealthXph Those dealing with ED chaos from day to day have many stories! A police aggressively arrested an ED nurse because the police wanted certain things done his way. I believe the police was later disciplined for interfering with hospital ED policy.
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T3 Patient education is highly important about the operation of Ed
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
I had to go to ER because of a kidney stone. I was so embarassed, even tho I was in pain because my Dad kept rubbing it to the medical staffโ€™s face that I was a doctor there. #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T3 Such patient education should take place outside the chaos of ED
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
@helenvmadamba Enormous issue here in the US too. Evidenced by multiple annual conferences on hospital capacity management & funded relevant systems engineering research! #healthxph Example: https://t.co/v5s94ODSvW https://t.co/YTt4VZXQyD
Remo Aguilar @bonedoc
T2. Its the health systems mismatch. We attempt to provide everything when we know we have limited everything to give. #HealthXPh
Stephanie Miaco, M.D. @StephMiaco
T2. I think problems exist because of a lack of information. Or if there were signs posted, they aren't read. Emotions run high, and not everyone can hold their composure in an emergency situation. #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T3 Use telephone appointment to bring patients to ED. If not a dying emergency, patient can wait for their turn at home until when they are called to come to ED.
Ruth, MD @eihturmd
@cebumd @endocrine_witch T2. Our hospitals are not given enough budget; our doctors and healthcare allies are not given enough time to rest and our patients and their relatives are not given appropriate health education. #healthxph
Helen Madamba @helenvmadamba
@heART_attackMD there was a time when there was absolutely NO SPACE, 10 patients in one bed, we had patients in labor sitting down on the floor. #HealthXPh we needed to do something about this problem. Glad it's better now.
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @eihturmd: @cebumd @endocrine_witch T2. Our hospitals are not given enough budget; our doctors and healthcare allies are not given enough time to rest and our patients and their relatives are not given appropriate health education. #healthxph
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @helenvmadamba: @heART_attackMD there was a time when there was absolutely NO SPACE, 10 patients in one bed, we had patients in labor sitting down on the floor. #HealthXPh we needed to do something about this problem. Glad it's better now.
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph T3 Separate real emergency patients from routine patients, through triage and attend to emergency first. Explain to patients. There is a difference in bandaging a scratch in the forehead and a bleeding patient from trauma.
Helen Madamba @helenvmadamba
Too many patients, too few staff, too little space #HealthXPh
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
Communication gap: Im tired, I just want to do my job. vs Im sick, youre not doing your job. #healthxph
Ema Grace @emlhyngrce
T2 it happens because most patients have less idea about how the ER works or how they should treat the healthcare workers thatโ€™s why they always think that when they go to the ER, itโ€™s gonna be โ€œme 1stโ€ before anyone else, regardless the case #healthxph
Stephanie Miaco, M.D. @StephMiaco
T2 Many times, the mindset of a person coming in can affect his actions, i.e. "I'm probably not going to be treated first," which builds resentment, and can make him or her offensive in his manner and speech. #healthxph
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@helenvmadamba @heART_attackMD As a resident at the ER, I have run codes on the floor, on the table (where we write notes), on the stretcher (on the floor) in which the patient was brought in, and even on benches for the staff. #healthxph
Rhia Gomez MD @mrsgomezmd
@YinkaVidal Code Grey #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
@helenvmadamba @heART_attackMD #HealthXph Helen can government do something about building more clinics and hospitals?
Stephanie Miaco, M.D. @StephMiaco
RT @endocrine_witch: T2 In an ideal setting, there will be enough manpower at the ER. But sometimes there's just too many patients all at once. #healthxph
Remo Aguilar @bonedoc
T2. Many ER systems still deal with intuitive or empiric medicine. technological enablers to make diagnosis and treatment precise is either lacking or absent. Affordability and efficiency is then an issue #HealthXPh
Ema Grace @emlhyngrce
T2 when it takes a long time for the patients to be transferred to their rooms. It makes the ER crowded #healthxph
Narciso Tapia MHPEd @cebumd
Privacy issues is also a challenge especially when somehow some find accidents to be "hot news" in radio and TV. #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
@endocrine_witch @helenvmadamba @heART_attackMD #HealthXph Wow! Wow! Wow! Good job Pretty Eyes!
ImALyr @Lyr0001
RT @helenvmadamba: There is also a security risk for emergency room personnel. #HealthXPh you always have to be ready and prepared.
Jade @jadecjag
T2. Maybe there is no clear communication between the patient and the healthcare provider in connection to the recent issue. Lay people donโ€™t know about the triage system which is categorizing patients to detetmine who gets to be treated first. #CDUCM #HealthXPh
Rhia Gomez MD @mrsgomezmd
@helenvmadamba That is so sad. The hours need to be addressed, too. A mentor once described duties and scut work as humanly possible but in humane. #HealthXPh
ImALyr @Lyr0001
RT @helenvmadamba: #Healthxph Space in the hospital is also an issue, because patients tend to stay a long time in the ER when there are no vacancies in the wards.
Helen Madamba @helenvmadamba
@YinkaVidal @heART_attackMD Yes, our hospital now is a construction site. #HealthXPh
ImALyr @Lyr0001
RT @helenvmadamba: I've been at the emergency room before as a patient. despite being a consultant at our hospital, i was not the priority of the resident. there came a time she even yelled at me because of frustration (coming from code), sleeplessness, exhaustion and hunger #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@YinkaVidal @helenvmadamba @heART_attackMD It's really because there is no space anymore huhuhu #healthxph
Rev. Victor 'Yinka Vidal @YinkaVidal
@radmrsgomez #HealthXph Great!
keben sia @SIAttlesbest
Hi i'm keben sia, a CDU-CM student signing in for #healthxph #tweetchat
Ema Grace @emlhyngrce
T2 when the healthcare staff in the ER are already exhausted, they tend to be aggressive to their patients and even to their colleagues #healthxph
Boobear @boywithacrown
T2. Aside from being understaffed, these issues arises due to the amount of stress in the ER, which physically and emotionally drains everyone, not only the professionals but also the patients and their families. #HealthXPH
ImALyr @Lyr0001
@helenvmadamba Biggest problem I've noticed are people treating E.R.'s as O.P.D. rooms #HealthXPh
Remo Aguilar @bonedoc
T3 coming right up ! #HealthXPh @cebumd keep the tweets coming!
Rev. Victor 'Yinka Vidal @YinkaVidal
@helenvmadamba @heART_attackMD #HealthXph Praise God to hear that! You may also need more man power as well. New building without adequate staffing may not help that much.
Helen Madamba @helenvmadamba
@eihturmd @HealthXPh Sometimes, there are NO stretchers nor wheelchairs. This is where you need street-smart accompanying persons resourceful enough to look for those #HealthXPh
Ruth, MD @eihturmd
@cebumd T1. Referrals. Too proud to ask for one or too arrogant to immediately accept one. #HealthXPh
ImALyr @Lyr0001
RT @cebumd: Tonight on #HealthXPh https://t.co/93EZLPjm3O Issues in the emergency room @Teddybird @endocrine_witch @giasison @bonedoc @helenvmadamba @thestreetgazer @jimlopez875
ImALyr @Lyr0001
RT @helenvmadamba: #HealthXPh https://t.co/1BqWyy5Xbz Taking photos of our doctors, nurses, medical personnel, or our employees is prohibited under the Data Privacy Act of 2012. If you have any concerns with regard to our services, message us. We will answer. We will act upon it.
ImALyr @Lyr0001
RT @helenvmadamba: Good evening #HealthXPH, Helen here from Cebu, signing in for tonight's tweetchat on handling challenges in the emergency room setting. How is everyone doing?
Ema Grace @emlhyngrce
RT @bonedoc: T3 coming right up ! #HealthXPh @cebumd keep the tweets coming!
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
@helenvmadamba A systems approach for hospital inpatient bed capacity planning https://t.co/veMCnHrekp #healthxph BTW, building a computer simulation of ED & hospital patient flow interacting w/ bed capacity was grad assistantship that paid for my industrial engineering degree! #HealthxPH https://t.co/NguliRfFP2
Rev. Victor 'Yinka Vidal @YinkaVidal
@emlhyngrce #HealthXph Every employee in the hospital goes through training every year on how to deal with stress, burnout, and difficult patients.
Narciso Tapia MHPEd @cebumd
T2. Poor public awareness about the triage system in ERs. how can we increase awareness? #healthxph
Ema Grace @emlhyngrce
RT @cebumd: T2. Poor public awareness about the triage system in ERs. how can we increase awareness? #healthxph
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @wareFLO: @helenvmadamba A systems approach for hospital inpatient bed capacity planning https://t.co/veMCnHrekp #healthxph BTW, building a computer simulation of ED & hospital patient flow interacting w/ bed capacity was grad assistantship that paid for my industrial engineering degree! #HealthxPH https://t.co/NguliRfFP2
Joyce Martinez @joyceemartinez
T2. Humans are humans. Sometimes we crack under pressure no matter how professional we may be. Stress, fatigue, not enough sleep, and hunger are large contributors of this. But then again, doctors are always expected to be a professional all the time. #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@wareFLO @helenvmadamba how interesting! #healthxph
Helen Madamba @helenvmadamba
@radmrsgomez waaaaaah, i do hate it when patients for elective surgery turn up at the emergency room because they want fastforward their schedule for OR. #HealthXPh
ImALyr @Lyr0001
RT @helenvmadamba: Too many patients, too few staff, too little space #HealthXPh
Helen Madamba @helenvmadamba
@YinkaVidal @endocrine_witch that is what the 24-hour ambulatory care is for #HealthXPh
ImALyr @Lyr0001
RT @helenvmadamba: Everybody is always in a hurry, wanting to be treated immediately, but you only have two hands. #HealthXPh
ImALyr @Lyr0001
RT @helenvmadamba: #HealthXPH pre-chat blogpost here: https://t.co/XbE6jQ9q5O
Remo Aguilar @bonedoc
This is what Im saying! technological enablers that nmake service provided efficient and affordably targeted too #HealthXPh
Narciso Tapia MHPEd @cebumd
T3. What interventions can be done to reduce these issues, problems, or challenges in emergency rooms? #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @cebumd: T3. What interventions can be done to reduce these issues, problems, or challenges in emergency rooms? #HealthXPh
Rev. Victor 'Yinka Vidal @YinkaVidal
#HealthXph I'm going to walk in the park with my wife to get some oxygen therapy and exercise. Have a nice weekend. Go to church on Sunday. Praise God always.
Rhia Gomez MD @mrsgomezmd
@krizzybaggins @cebumd Not all hospital admin. There are many things to take into consideration and while it may seem as lack of support, sometimes they need to do their own prioritization, too. Just like triage. #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@YinkaVidal Bye Yinka! Thanks for stopping by. #healthxph
HealthXPh @HealthXPh
T3 is up! #HealthXPh
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
RT @endocrine_witch: T1 The patient's relatives are understandably distraught. Emotions are high. Sometimes this situation collides with the ER staff who are overworked. #healthxph
Helen Madamba @helenvmadamba
RT @wareFLO: @helenvmadamba A systems approach for hospital inpatient bed capacity planning https://t.co/veMCnHrekp #healthxph BTW, building a computer simulation of ED & hospital patient flow interacting w/ bed capacity was grad assistantship that paid for my industrial engineering degree! #HealthxPH https://t.co/NguliRfFP2
Stephanie Miaco, M.D. @StephMiaco
T3 Let's inform people, and of course equip our ERs well! #healthxph
Narciso Tapia MHPEd @cebumd
@YinkaVidal have a nice day Yinka. #HealthXPh
Helen Madamba @helenvmadamba
@wareFLO Interesting! I wonder of this can help our jam-packed wards and emergency rooms? #healthxph
Ema Grace @emlhyngrce
RT @cebumd: T3. What interventions can be done to reduce these issues, problems, or challenges in emergency rooms? #HealthXPh
Remo Aguilar @bonedoc
T3. 1. Clear policy 2. Technology enablers for efficiency 3. Staff capacitation 4. Targeted provisions of care 5. disrupting the business/provision model #HealthXPh
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
@helenvmadamba Modern thinking re next generation EHR design includes predictive analytics, machine learning & patient flow simulation to dynamically adjust resource parameters to reduce wait times (& associated stress for patients & staff) tho limits to how effective this can be... #HealthxPH
Diverse Alzheimers @DiverseAlz
@giasison hello! #healthxph in timeline by chance. Has anyone mentioned language/comunication including signing?
Rhia Gomez MD @mrsgomezmd
@cebumd Even if this is explained, most patients will always feel (or is it prefer to believe) that theirs is a โ€œseriousโ€ case. #HealthXPh
Narciso Tapia MHPEd @cebumd
@krizzybaggins and in the same manner protect patients' privacy especially with many patients in the ER. #HealthXPh
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @radmrsgomez: @cebumd Even if this is explained, most patients will always feel (or is it prefer to believe) that theirs is a โ€œseriousโ€ case. #HealthXPh
Ema Grace @emlhyngrce
T3 trainings on stress management is not enough if we will not apply and practice it everyday. Tho we canโ€™t apply it overnight, we can have little progress everyday on controlling our emotions and do not let that affect how we treat our patients #HealthXPh it starts with us
Helen Madamba @helenvmadamba
@YinkaVidal Have a great weekend, Yinka! #HealthXPh i hope i answered your question.
Louise Paquibot @nloudp
@krizzybaggins @helenvmadamba I agree. worn out physicians may not be able to perform their best... #HealthXPh
Remo Aguilar @bonedoc
transforming intuitive/empiric med to presice med..for efficiency, affordability using technological enablers and a good deal of resource modelling #HealthXPh
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @bonedoc: This is what Im saying! technological enablers that nmake service provided efficient and affordably targeted too #HealthXPh
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @endocrine_witch: @wareFLO @helenvmadamba how interesting! #healthxph
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @helenvmadamba: @wareFLO Interesting! I wonder of this can help our jam-packed wards and emergency rooms? #healthxph
Ema Grace @emlhyngrce
T3 I think doctors play a big role in being a role model to the rest of the ER staff because sometimes other personnel gets affected by the doctorsโ€™ mood and they tend to copy the doctorsโ€™ way in handling patients #HealthXPh
Remo Aguilar @bonedoc
and I'm having a hard time separating it from the bigger health system..#HealthXPh
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
Better equipments, better schedules, ... But in the era of social media, having clear institution guidelines on video/photos, would help to alleviate fear of being misjudged online. #healthxph
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Well said! Have a great rest of weekend everyone! #healthxph
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @bonedoc: transforming intuitive/empiric med to presice med..for efficiency, affordability using technological enablers and a good deal of resource modelling #HealthXPh
ImALyr @Lyr0001
@helenvmadamba Looking forward to this topic #HealthXPh
Glicerianne @GlizinMed
Hey! Glizhere from lvl 1 #CDUCM. Just joined #HealthXPh
Helen Madamba @helenvmadamba
Maybe drills and simulation exercises can help ER healthcare workers to be prepared for catastrophic events and disasters. #healthxph
Glicerianne @GlizinMed
RT @cebumd: T2. Why do you think these issues, problems or challenges happen or exist? #healthxph
Remo Aguilar @bonedoc
disrupting the business model again ! yeah and with precise diagnostics even GPs can do this in some cases #HealthXPh
Ema Grace @emlhyngrce
I agree with Doc Madamba ๐Ÿ‘๐Ÿผ #HealthXPh
ImALyr @Lyr0001
RT @HealthXPh: T3 is up! #HealthXPh
Ema Grace @emlhyngrce
RT @bonedoc: T3. 1. Clear policy 2. Technology enablers for efficiency 3. Staff capacitation 4. Targeted provisions of care 5. disrupting the business/provision model #HealthXPh
Rigen Parrilla @RigenParrilla
@helenvmadamba Ohh... I think the loss of patience is because of overwork and stress. External and internal stress. #healthxph
Janahaye Selga @hayeselga
@helenvmadamba Good communication is very important to prevent misunderstandings. #HealthXPh
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
We are expected to be Superhumans because we handle lives. This is our calling, though difficult it is. #healthxph #KapitLang ๐Ÿค—
Iris Thiele Isip Tan MD, MSc @endocrine_witch
@rheumarhyme I translated this into Filipino. From the UK NHS. #healthxph https://t.co/dVI7EDS87B
Iris Thiele Isip Tan MD, MSc @endocrine_witch
RT @hayeselga: @helenvmadamba Good communication is very important to prevent misunderstandings. #HealthXPh
ImALyr @Lyr0001
@HealthXPh Information dissemination could work. Informing people that E.R.'s are strictly for emergencies and not for illnesses that can wait #HealthXPh
Narciso Tapia MHPEd @cebumd
i really like tonight's discussion. we have many joining from different sectors - students, patients, HCPs,, etc. so sad an hour has passed. final thoughts ... #healthxph
๐‘น๐’†๐’‰๐’‹ @dealwithRehj
signing in for tonight's discussion #HealthXPh
Jade @jadecjag
T3. Since scarcity of resources cannot be solved immediately, understanding from the patients would be the appropriate intervention. Make them realize that doctors are humans too. And also educate them about the triage system. #CDUCM #HealthXPh
Helen Madamba @helenvmadamba
RT @cebumd: T3. What interventions can be done to reduce these issues, problems, or challenges in emergency rooms? #HealthXPh
shingcamps @shingcamps2
I remmbr there was this guy who ws yelling at the Doc & NOD at the ER of a public hosp. He was a patient but came in during the night 4 a case that wasnโ€™t an emergency. He was yelling, saying something like he was the one paying for our salaries etc bcoz of hs taxes. #HealthXPh
Rhia Gomez MD @mrsgomezmd
@helenvmadamba I have had a px complain to me that she was not attended to in the ED for over 4 hours. Her CC was abdominal pain but she came in walking, by herself, normal V/S, not hunched over in pain. She decided to leave the ED and try again the next morning. #HealthXPh
raindeer @raindee43424278
@helenvmadamba #HealthXPh The emergency room is a department where a number of beds ,doctors and nurses are not enough to serve patients.
Janahaye Selga @hayeselga
Issues, Problems and challenges are always present in every setting but through professionalism and communication we can minimize those from happening. Everyone should cooperate and try to connect and understand each other. #HealthXPh
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
RT @endocrine_witch: @rheumarhyme I translated this into Filipino. From the UK NHS. #healthxph https://t.co/dVI7EDS87B
Ema Grace @emlhyngrce
I realized a lot of things tonight. I am now more aware of the real existing situations in the ER. I got a lot of good insights from my classmates and from the doctors who joined tonightโ€™s tweetchat. Time to study! Until next time! God bless us all ๐Ÿ™๐Ÿผ #HealthXPh
Joyce Martinez @joyceemartinez
There should be enough staff to cater the surge of patients. The staff should get enough rest and shouldnโ€™t be overworked. They should also know how to manage stress and their emotions well. You canโ€™t give quality healthcare if youโ€™re physically and emotionally tired. #HealthXPh
Boobear @boywithacrown
T3. First, provide what the hospital needs immediately, such as more beds and staffs. Second, inform the general public of the triage system. Third, respect the privacy of not only the patients but also the health care professionals. #HealthXPH
Remo Aguilar @bonedoc
T3. I've been offering simplistic solns but the far reaching ones needed an overhaul of our health systems, health education and a convergence of efforts into doable strategies. or this problem pops again whenever some schmuck barges into an ER #HealthXPh
ImALyr @Lyr0001
RT @cebumd: i really like tonight's discussion. we have many joining from different sectors - students, patients, HCPs,, etc. so sad an hour has passed. final thoughts ... #healthxph
ImALyr @Lyr0001
RT @cebumd: T3. What interventions can be done to reduce these issues, problems, or challenges in emergency rooms? #HealthXPh
shingcamps @shingcamps2
@Teddybird @bonedoc Indeed. Some patients even think that they will be catered to immediately at the ER than when they line up at the OPD or go to the doctorโ€™s clinic. That is even if their complaints are not emergency cases. #HealthXPH
ImALyr @Lyr0001
RT @cebumd: T2. Poor public awareness about the triage system in ERs. how can we increase awareness? #healthxph
Narciso Tapia MHPEd @cebumd
@edelleonspeed maybe because also of how medicine is being taught in medschools. #HealthXPh
Narciso Tapia MHPEd @cebumd
@shingcamps2 yes. this is not an isolated case. #HealthXPh
Helen Madamba @helenvmadamba
@shingcamps2 My thought is that patients go to hospitals seeking the services of healthcare workers. Being mean is NOT the best way to ask for help. #HealthXPh
Janahaye Selga @hayeselga
T3. Good communication skills is number one. Avoid sending wrong messages to others. We should make sure that the person you're talking to understands the message that you're trying to say. #HealthXPh
Rhia Gomez MD @mrsgomezmd
@endocrine_witch @rheumarhyme DOH should provide hospitals with posters. Patient privacy is a standard. #HealthXPh
๐‘น๐’†๐’‰๐’‹ @dealwithRehj
T1. Why some S.O are trying to make videos and taking pictures while medical practioners are doing certain procedure. Is dat an acceptable act? I guess there must be a certain policy for that in every hospital, to prohibit taking pictures or videos #HealthXPh
Narciso Tapia MHPEd @cebumd
thank you very much for making this #healthxph tweetchat lively. Goodnight everyone!
shingcamps @shingcamps2
@endocrine_witch Indeed. Both parties are battling their own stressors and the ER becomes their arena. Sad. #HealthXPh
Helen Madamba @helenvmadamba
#HealthXPh signing off with this photo of our kids, planning how to empower youth from ever needing to show up at the ER for STI/HIV, pregnancy or drug-related emergencies. Hoping we do our part to improve health in the community! Thanks everyone! Have a happy weekend! https://t.co/6uzZd3FMTy
Janahaye Selga @hayeselga
@thestreetgazer Hello Dr. Miaco :D #HealthXPh
Narciso Tapia MHPEd @cebumd
@dealwithRehj We have the Data Privacy Act to help with this. #HealthXPh
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
@endocrine_witch This poster should be everywhere! ๐Ÿค—#healthxph
Remo Aguilar @bonedoc
wow! we had one very interesting #HealthXPh tonight. Thanks everyone for the rain of ideas! Superb moderating @cebumd Thank you everyone! From all of #HealthXPh #CDUCM
Glicerianne @GlizinMed
T2. Low ratio of health practitioners to patients which probably might lead to miscommunication between HPs and pxs, and a lesser quality of service given . Plus, insufficient medical supplies. #HealthXPh #CDUCM
raindeer @raindee43424278
@helenvmadamba #HealthXPh The number of hospital staff on duty is not enough.
shingcamps @shingcamps2
@heART_attackMD @endocrine_witch Yes! Keep them healthy, so they donโ€™t end up crowding and yelling and going wild at the ER ๐Ÿ˜„๐Ÿ‘๐Ÿป #HealthXPh
Rhia Gomez MD @mrsgomezmd
@edelleonspeed Working for lower compensation and/or barter is generally fine until you have your own family to support. This was what made some MDโ€™s I know who practiced in rural areas move back to a more urban setting. #HealthXPh
Janahaye Selga @hayeselga
@cebumd Thank you for this opportunity. #HealthXPh Goodnight.
Ruth, MD @eihturmd
@cebumd T3. Sufficient supplies c/o govt/admin; reduce working hours to a max of 24 hrs perhaps? And make it a habit to "talk" to your ER patients. Sometimes, all they need is reassurance. #healthxph
shingcamps @shingcamps2
@cebumd I suggest that patients bring with them a summary of their health record which include their ongoing conditions, past medal hx, current meds. Actually I work for a company that compiles the data of patients in this manner. It saves time for interview. #HealthXPh
๐“›๐“ฒ๐“ผ๐“ช t. ๐Ÿณ๐Ÿ—บ๐Ÿงญ @rheumarhyme
Thank you for an informative, enlightening Saturday as always, #Healthxph ! ๐Ÿค—
raindeer @raindee43424278
@helenvmadamba #HealthXPh To increase number of beds and hire more staff with competency staff.
Rigen Parrilla @RigenParrilla
RT @boywithacrown: T3. First, provide what the hospital needs immediately, such as more beds and staffs. Second, inform the general public of the triage system. Third, respect the privacy of not only the patients but also the health care professionals. #HealthXPH
shingcamps @shingcamps2
@cebumd I donโ€™t mean that with this tool the HCP at the ER does not need to interview the patient anymore, but he is already a few steps ahead in the history taking process. It also spares the family from the hassle of remembering all the patientโ€™s meds..#HealthXPH
Boobear @boywithacrown
Learned a lot for tonightโ€™s #HealthXPH particularly what goes on in the emergency room setting. Hopefully, Iโ€™ll be able to manage when my time comes to be in one. Now signing off for tonight. ๐Ÿ‘‹๐Ÿฝ
Rhia Gomez MD @mrsgomezmd
@joyceemartinez That is ideal. In the real world, budget, availability of competent staff for hire, regulatory requirements, IT and other tech challenges, etc. come into play. #HealthXPh
#HealthXPh content from Twitter.