Tata Doc's Online Pediatrics Clinic

What to do if somebody in the house tested positve for Covid19...

Check on your teens... How are they coping with the "new normal"?

Tips to Help Teens Cope During COVID-19 When our world changes quickly and suddenly because of things like COVID-19, it is common to experience changes in our thoughts, feelings and behaviors. Feelings of anxiety, fear or worry are typical in stressful situations. Typical reactions include: Feeling stressed

"By failing to prepare.... you are preparing to fail" - Benjamin Franklin

IWCPFI Club of Makati San Antonio will have a quick course on Basic Life Support for non-medical people on September 24, 2020 at 6pm via zoom for FREE.

No one can tell when you would be needing the skill.... So join us and equip yourself with this life saving skill. 😉

Please attend in blue and prepare a pillow/throw pillow as dummy for chest compressions.

Join the 9th PreSchool Congress this year :) Featuring a Multimodal Learning Package delivered by Team of Experts. The five lectures will be available for the whole month of October while the Play and Feeding Workshop will be on October 17, Saturday 8:30am-12nn. ☺️ Register now! 😉 bit.ly/9thTMCpreschoolcongress

Why hand hygiene is a must.

How at risk are you for covid19...

"An ounce of prevention is better than a pound of cure... "

Want to learn about Covid19? It can't be any simpler than this...😉

IWCP Dist 383 Club of San Nicolas Makati organized this webinar last Aug6'2020... Covid 19 explained in layman's terms. Watch with your family, friends, co workers, kasambahay... 🙂

WEBINAR ON REINFORCING THE FIGHT AGAINST COVID 19 An excerpt from the Webinar entitled Reinforcing the Fights against Covid-19 on August 6, 2020 by Dr. Mark Joseph S. Castellano sponsored by Inner Wheel Club...

𝗨𝗡𝗗𝗘𝗥𝗦𝗧𝗔𝗡𝗗𝗜𝗡𝗚 𝗬𝗢𝗨𝗥 𝗖𝗢𝗩𝗜𝗗 𝗧𝗘𝗦𝗧 𝗥𝗘𝗦𝗨𝗟𝗧𝗦

First, linawin muna natin ang terms
𝗖𝗢𝗩𝗜𝗗-𝟭𝟵 - coronavirus disease 2019. Eto ang sakit.
𝗦𝗔𝗥𝗦-𝗖𝗼𝗩-𝟮 – severe acute respiratory syndrome coronavirus 2. Ito ang virus na may gawa ng COVID-19. Ang lumang tawag dito ay 𝟮𝟬𝟭𝟵-𝗻𝗖𝗢𝗩.

𝘗𝘢𝘳𝘢𝘯𝘨 𝘨𝘢𝘯𝘪𝘵𝘰 𝘭𝘢𝘯𝘨 𝘺𝘢𝘯. 𝘈𝘯𝘨 𝘈𝘐𝘋𝘚 𝘢𝘯𝘨 𝘴𝘢𝘬𝘪𝘵. 𝘈𝘯𝘨 𝘷𝘪𝘳𝘶𝘴 𝘯𝘢 𝘥𝘢𝘩𝘪𝘭𝘢𝘯 𝘯𝘪𝘵𝘰 𝘢𝘺 𝘢𝘯𝘨 𝘏𝘐𝘝.

May dalawang tests na ginagamit para malaman kung may COVID-19 ang isang tao.
1. Rapid diagnostic test (𝗥𝗗𝗧)
2. 𝗣𝗖𝗥 (polymerase chain reaction) or swab test

𝗔𝗡𝗢 𝗔𝗡𝗚 𝗥𝗔𝗣𝗜𝗗 𝗗𝗜𝗔𝗚𝗡𝗢𝗦𝗧𝗜𝗖 𝗧𝗘𝗦𝗧?

Kapag may pumasok na foreign body o antigens sa katawan, gumagawa ang katawan ng panalaban dito na tinatawag na 𝗮𝗻𝘁𝗶𝗯𝗼𝗱𝗶𝗲𝘀 or 𝗶𝗺𝗺𝘂𝗻𝗼𝗴𝗹𝗼𝗯𝘂𝗹𝗶𝗻𝘀 (Ig).May iba’t ibang antibodies para sa iba-ibang antigens. Sa RAPID TEST, sinusuri ang dugo kung may antibodies nang panlaban sa SARS-CoV-2. Hindi nito direktang nakikita kung may virus.

Dalawang antibodies ang tinitingnan sa RDT, 𝗜𝗺𝗺𝘂𝗻𝗼𝗴𝗹𝗼𝗯𝘂𝗹𝗶𝗻 𝗠 (𝗶𝗴𝗠) [green line sa graph] at 𝗜𝗺𝗺𝘂𝗻𝗼𝗴𝗹𝗼𝗯𝘂𝗹𝗶𝗻 𝗚 (𝗜𝗴𝗚) [red]. Ang IgM ang nauunang lumabas pero nawawala rin agad kagaya ng fling mo na hindi mo naman sineryoso. Ang IgG naman ay huling dumating pero pangmatagalan, parang yung hinintay mo ng ilang taon tapos sya pala ang forever mo.

Apat ang pwedeng resulta
1. IgM+ & IgG-
2. IgM- & IgG+
3. IgM+ & IgG+
4. IgM- & IgG-

𝗜𝗴𝗠 𝗣𝗢𝗦𝗜𝗧𝗜𝗩𝗘, 𝗜𝗴𝗚 𝗡𝗘𝗚𝗔𝗧𝗜𝗩𝗘

Kapag positive ka sa IgM, ibig sabihin ay 𝗶𝗻𝗳𝗲𝗰𝘁𝗲𝗱 𝗮𝘁 𝗶𝗻𝗳𝗲𝗰𝘁𝗶𝗼𝘂𝘀 ka. May SARS-CoV-2 ka at pwede kang makahawa.

Ano ang dapat gawin?
1. Confirmatory test (PCR)
2. Isolate for 2 weeks
3. I-trace ang mga close contacts mo in the last 2 weeks dahil pwedeng nahawaan mo sila. Dapat ay ma-test din sila.
4. I-report sa LGU mo ang resulta ng test mo

Delikado ba ito?
Hindi naman. Konti lang sa mga nagpapa-postive sa IgM ang magkaka-symptoms. Sa mga may symptoms, konti lang ang kailangang magpa-ospital. At dun naman sa mga na-ospital, karamihan ay nakaka-recover.

𝗜𝗴𝗚 𝗣𝗢𝗦𝗜𝗧𝗜𝗩𝗘, 𝗜𝗴𝗠 𝗡𝗘𝗚𝗔𝗧𝗜𝗩𝗘

Kapag positive ka sa IgG, ibig sabihin ay nagka-infection ka na, natapos na, may antibodies ka na laban sa SARS-CoV-2, at higit sa lahat, hindi ka na nakakahawa. May immunity ka na pero dahil bago pa lang sa atin ang COVID-19, hindi pa natin alam kung hanggang kelan ang itatagal ng immunity mo.

Ano ang dapat gawin?
1. Magpasalamat ka na nalampasan mo na ang infection at buhay ka.
2. No need for confirmatory test dapat kasi base sa mga pinakahuling datos ng WHO, hindi ka na makakahawa kahit may ma-detect pang konting virus. Pagaling ka na totally. Pero dito sa “Pinas, kailangan pa rin.
3.. No need for isolation
4. I-trace ang mga close contacts in the last 3 weeks dahil pwedeng nahawaan mo sila. Dapat ay ma-test din sila.

𝗜𝗴𝗠 𝗣𝗢𝗦𝗜𝗧𝗜𝗩𝗘, 𝗜𝗴𝗚 𝗣𝗢𝗦𝗜𝗧𝗜𝗩𝗘

Hindi ka nakuntento sa isa, gusto mo dalawa. Eto yung may fling ka pa (igM) pero andyan na rin si potential forever (IgG) at hindi ka pa maka-decide. Pag positive ka sa IgM at IgG, ibig sabihin ay nagsisimula ka nang gumawa ng long-term antibodies pero hindi pa tapos ang infection at nakakahawa ka pa rin. Pag ganito ang resulta mo, ang rekomendasyon ay kagaya rin ng sa IgM+/IgG- sa taas.

𝗜𝗴𝗠 𝗡𝗘𝗚𝗔𝗧𝗜𝗩𝗘, 𝗜𝗴𝗚 𝗡𝗘𝗚𝗔𝗧𝗜𝗩𝗘

Dalawa ang pwedeng sitwasyon pag negative ka sa IgM at IgG. Una, wala kang virus. Pero hindi ibig sabihin ay hindi ka na magkakaroon. Padalawa, meron pero napakaaga pa at wala pang nagagawng antibodies ang katawan mo na made-detect ng RDT. In both cases, pareho lang ang gagawin. Yun pa ring mga pag-iingat kagaya ng pagsusuot ng face mask, paghuhugas ng kamay, physical distancing, etc. Pwede mong ulitin ang test after 7-14 days.

𝗔𝗡𝗢 𝗡𝗔𝗠𝗔𝗡 𝗔𝗡𝗚 𝗣𝗖𝗥?

Sa PCR, hinahanap natin ang genetic material (RNA, blue line sa graph) ng SARS-CoV-2. Kung sa RDT, antibodies lang ang hinahanap, sa PCR yung virus mismo. Ito yung swab test. Kumukuha tayo ng sample sa nasopharyngeal area (sa may lalamunan sa likod ng ilong). Positive or negative lang ang result dito.

Pag positive, same recommendation pag IgM+ except the confirmatory test.

𝗜𝗠𝗣𝗢𝗥𝗧𝗔𝗡𝗧 𝗥𝗘𝗠𝗜𝗡𝗗𝗘𝗥
Ang resulta ng test nyo ay base lang sa status nyo nung tinest kayo. Hindi ibig sabihin na negative ka sa test eh negative ka na forever. Pwede ka pa rin mahawa at mag-postive kapag hindi ka nag-ingat. Ganun din sa nag-positive sa IgG (immune), hindi pa natin alam kung hanggang saan ang itatagal ng immunity nyo. Kailangan pa rin mag-ingat.

Sa ngayon ay hindi pa rin bumababa ang daily confirmed cases natin. Kaya please lang, umayos kayo. Wear your mask when interacting with people or when in the same space with them, sanitize hands regularly, maintain physical distancing. Protect yourself to protect others.

As always, stay safe!

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(ctto) Jason Peñaranda, MD

Q and A with a pediatrician regarding Covid19...

Kids and COVID-19 | FAQ with Johns Hopkins Children’s Center Pediatrician Rachel Thornton Johns Hopkins Children’s Center pediatrician Rachel Thornton answers common questions about the effects of COVID-19 on children and families, including: How ...

Parenting tips to help kids/teens cope during the covid19 pandemic.

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PLEASE READ: Excerpts from the Philippine Pediatric Society’s memorandum circular on Immunization Challenges Amidst the Pandemic: Safety Ethics and the Law (June 14, 2020)

What Parents Need To Know About Well-Child Visits During Coronavirus It's understandable to be nervous, but please don't skip your kids' checkups during COVID-19.