Dad Pulmonary Specialist Clinical Epidemiologist Teacher Learning Mitochondria, Healthy Living, Social Media #pccpgeeks #philpulmo
Philippines
Joined May 2016
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rudy pagcatipunan retweeted
Pulmonary teaching case: you are called to the bedside of a 60yo man who was admitted for pneumonia a week ago. You were called because “he coughed and now his chest is PULSATING!”
This is what you see at the site of a previously removed chest drain:
What’s the diagnosis?
1/
rudy pagcatipunan retweeted
How to set the ventilator during surgery? Key principles to guide intraoperative mechanical ventilation
CCR Journal Watch
criticalcarereviews.com/late…
rudy pagcatipunan retweeted
We often take breathing for granted, but what if one day, those 23,000 breaths dwindled down to a desperate struggle for just one?
Don’t wait. Get vaccinated.
Because every breath is worth fighting for.
Breathe Strong, Philippines!
#WorldPneumoniaDayPH
#WorldPneumoniaDay
rudy pagcatipunan retweeted
It’s appropriate to step down once the patient is clinically improving (afebrile, hemodynamically stable, less/resolved SOB, & oxygen needs are decreasing) and/or they’ve completed a short, guideline-based (usually 5-7 days) course of antibiotics #PneumoniaChat
rudy pagcatipunan retweeted
what if it's not pneumonia in the first place? Pneumonia vs Congestion is a frequent battle. we should also advocate for Abx stewardship across diff subspecialties #PneumoniaChat
rudy pagcatipunan retweeted
A3: Use antibiotics wisely by 1) starting broad *only* when bacterial pneumonia is likely, 2) narrowing once cultures, antigen tests, and/or clinical data clarify the cause, & 3) stopping when the patient stabilizes, fevers resolve, & a 5-7 day course finishes #PneumoniaChat
rudy pagcatipunan retweeted
Clinical parameters such as resolution of fever, improvement of symptoms: less cough, less dyspnea; decreasing O2 requirement are signs that the patient is improving. Recent studies show no add'l benefit with longer Abx tx duration: 5days should be enough #PneumoniaChat
rudy pagcatipunan retweeted
Some literature mention Pressure Swing Adsorption plants in hospitals which is more cost effective than traditional cylinders. Available in the Philippines already! Could be useful in rural areas, govt hospitals #PneumoniaChat
rudy pagcatipunan retweeted
So glad the pulse oximeter is more readily available at a low cost -- provides objective measure and guides patients re urgency and the need for higher level of care #PneumoniaChat
rudy pagcatipunan retweeted
🌍 Today is World Pneumonia Day 🫁 — a reminder that pneumonia remains one of the leading causes of death among children and vulnerable adults worldwide.
#WorldPneumoniaDay #GlobalHealth #Healthcare #PublicHealth #Awareness #Pneumlight
rudy pagcatipunan retweeted
Grateful for the impact we’ve achieved with the Worldwide Pneumonia Awareness Campaign – Pneumolight. 💙
Together we’ve shown how powerful unity can be in fighting pneumonia.
#Pneumolight #GlobalHealth #TogetherWeCan #WorldPneumoniaDay #Pneumonia @infeccHRUmalaga @Medtorek
rudy pagcatipunan retweeted
🦠💉 Two major Danish trials in >450k older adults:
Flu (DANFLU-2): High-dose vaccine ↓ influenza hospitalizations, but no added CV benefit
RSV (DAN-RSV): #Vaccine strongly ↓ RSV hospitalizations; CV effects modest, possible stroke signal
academic.oup.com/eurheartj/a…
rudy pagcatipunan retweeted
Recently, the spirometry procedure for the flow–volume curve has been extended to add a forced complete inspiration after end of expiration, yielding the FIVC. A new acceptability criterion based on FIVC–FVC difference has been added as a quality check. bit.ly/44Cqz6v
rudy pagcatipunan retweeted
🚨 New 2025 ATS guidelines on community-acquired pneumonia! Key points:
For stable adults with outpatient CAP, <5 days of antibiotics are recommended (minimum duration: 3 days).
Systemic corticosteroids for adults hospitalized with severe CAP.
doi.org/10.1164/rccm.202507-…
rudy pagcatipunan retweeted
Prof Chotirmall @NTUsg: overview to changes in thinking of #bronchiectasis at #Malaysian #Thoracic Soc. Not one end disease; -omics defines endotypes; inflammation important as infection. @becleartoday @APSRapsr @philchestorg @PulmPEEPs
rudy pagcatipunan retweeted
Today is #WorldNTMDay.
Raise awareness of NTM-PD with the latest original research on predictors of disease progression, published in the journal CHEST®.
Read the full article: hubs.la/Q03B8n5m0
#MedEd #JournalCHEST
rudy pagcatipunan retweeted
With @ProfJDChalmers, we're using machine learning and NHS data to spot early signs of bronchiectasis – helping GPs refer patients sooner for faster diagnosis and ultimately better outcomes.
@dundeeuni
rudy pagcatipunan retweeted
ERJ: There is a significant test accuracy benefit of adding IGRAs to an active TB screening pathway, which will help inform clinicians and policy-makers on the most effective screening algorithms bit.ly/3EgtJ4R
rudy pagcatipunan retweeted
🦠 #Aspergillus lung disease is common in #bronchiectasis & linked to worse outcomes.
In a study of ~10,000 patients:
6.1% had ABPA
5.7% had Aspergillus sensitization
8.1% had raised IgG
pubmed.ncbi.nlm.nih.gov/3946…
@infeccHRUmalaga @NeumologiaPeru @Neumologica
rudy pagcatipunan retweeted
🧵 Sjögren's Syndrome: The Doctor Whose Degree Was Denied — But a Disease Now Bears His Name
Ignored. Rejected. Forgotten.
Yet his idea changed medicine forever.
This is the story of Henrik Sjögren—and the disease we still miss today.👇
#MedTwitter #RheumTwitter