Tom

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Tom

Tom

@MATom_MD

RenalMed. Political. Armchair activist. Fueled by caffeine. Tweets are my own.

Katılım Kasım 2008
815 Takip Edilen7.1K Takipçiler
Tom retweetledi
The Economist
The Economist@TheEconomist·
The greatest challenge for Asia’s metropolises is a shortage of decent and affordable housing. Fixing that would improve millions of lives. To find out how, register to continue reading (it’s free) econ.st/4uMPi2F
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Dr. Eric Berg
Dr. Eric Berg@dr_ericberg·
Drinking just water in the morning, when blood volume is lowest, may dilute electrolytes and increase dehydration. Adding a pinch of sea salt can help retain water in the bloodstream and improve how you feel.
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Danny Lee
Danny Lee@AirEVthingTRNSP·
BREAKING: CATHAY PACIFIC TO HIKE FUEL SURCHARGE BY 105% ACROSS ALL FLIGHTS LONG-HAUL FUEL LEVY TO RISE TO HK$2,328 US$300 via @business
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Tom@MATom_MD·
Misogyny is genuinely dangerous. It isn't just "harmless jokes" or outdated opinions. It's a systemic poison that breeds violence, silences voices, limits opportunities, and denies basic human dignity. When society devalues women, everyone suffers.
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Marion Chong
Marion Chong@Marion_Archie·
May balita na ba kung hybrid ang annual PCP or need face to face bilang nililimit natin ang fuel consumption? Para sana before gumastos for tickets.
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Karen Davila
Karen Davila@iamkarendavila·
PILIPINAS 🇵🇭 Make corruption shameful again!
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alvin elchico
alvin elchico@alvinelchico·
UPDATE ULIT! Eto na ang final estimates natin ng BIGTIME DAGDAG PRESYO batay sa full week trading this week. Uutay utayin ito pero di pa alam kung magkano ang una at mga kasunod na bugso ng taas presyo. At kung isang linggo lang ba babawiin o serye ng linggo. Ansakit nito!😩😩😩
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alvin elchico
alvin elchico@alvinelchico·
JUST IN! DOE: Gasoline stations are not allowed to implement unscheduled or unauthorized price increases outside established pricing adjustments. Oil companies have likewise been directed to ensure that their company-owned and dealer-operated stations strictly comply with DOE directives, including any duly authorized staggered price adjustments, where applicable. Pump prices from March 6 to March 9 must not go beyond the following ranges: Gasoline (RON 97/100) at ₱53.70 to ₱76.50 per liter Gasoline (RON 95) at ₱50.00 to ₱71.04 per liter Gasoline (RON 91) at ₱49.00 to ₱64.70 per liter Diesel at ₱49.00 to ₱66.59 per liter Diesel Plus at ₱56.80 to ₱74.81 per liter Kerosene at ₱78.90 to ₱99.89 per liter.
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John Mangun
John Mangun@mangunonmarkets·
fyi..........from @tan2sy
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Paul Wischmeyer MD
Paul Wischmeyer MD@Paul_Wischmeyer·
Patients who reduced frequency of GLP-1 dosing (from weekly to every other week) are able to maintain weight loss & metabolic syndrome gains, as reported here. Findings suggest while large increases in GLP1 levels may be necessary to induce weight loss, more modest elevations may be sufficient to maintain it. 🔗 onlinelibrary.wiley.com/doi/full/10.10…
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Ziyad Al-Aly, MD
Ziyad Al-Aly, MD@zalaly·
📢NEW: In a study of 600,000 people published today in @bmj_latest, we found GLP-1 drugs (Ozempic, Wegovy, Mounjaro) associated with reduced risk of addiction across alcohol, opioids, cocaine, cannabis, nicotine—and 50% fewer substance-related deaths. 🧵 bmj.com/content/392/bm…
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Chino Gaston
Chino Gaston@chinogaston·
The National Security Council arrested three Filipinos working for the PCG, DND and Philippine Navy who sent information to China regarding resupply missions to the West Philippine Sea as well as information on participating Philippine Navy Personnel.
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Bloomberg
Bloomberg@business·
The Philippines’ inflation rate rose for the third month in a row, putting the economy in a delicate position ahead of the expected surge in prices of goods in the wake of the war in Iran bloomberg.com/news/articles/…
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Tom@MATom_MD·
@jvbornillamd @sexdoctordeano can be interpreted as illegal. There is already a paradigm shift amongst HCPs. Med societies should support the Public Health Approach to Drug Use Act. These initiatives will prosper if the govt will decriminalize substance abuse and see that addiction is a public health issue.
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Tom@MATom_MD·
@jvbornillamd @sexdoctordeano Yes. PDEA is already looking into it. There is also HARAP that advocate for harm reduction practices. But it is largely advocacy and capacity building, not govt sponsored public health programming. One important step is to revise 9165 because many core harm reduction activities
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Jumel Bornilla, M.D.
Jumel Bornilla, M.D.@jvbornillamd·
Actually hindi pagmamaganda ang ginagawa ni @sexdoctordeano, tama naman ang kanyang sinasabi re harm reduction. As doctors, our duty is to provide people with harm reduction information. These meets people where they're at, instead of asking them to stop using drugs. Minsan kasi napaka-dismissive ng medical community sa mga active substance drug users, pag nagsabi ng totoo ang pasyente, stigmatized agad. Sasabihin agad, STOP! Kaya ang tendency, hindi na babalik ang pasyente, mawawala na ang opportunity na ma-educate sana siya on the risks of substance abuse. Hindi rin ako agree na dapat, I-refer agad sa Toxicologist ang pasyente, since ramdam agad ng pasyente na tinaboy mo siya, hawakan, pakinggan, subukan ng kahit Primary Physician na arugain ang pasyente, para unti-unting magabayan mo siya sa mga susunod na hakbang. Pag emotionally prepared na siya, pwede mo na paganahin ang referral system para sa multi-disciplinary approach (Psychologist, Psychiatrist, Neurologist). I vividly remember may naging pasyente ako na into Opioid Addiction na pregnant, pinagtulung-tulungan namin ng OB-GYN, Psychiatrist/Toxicologist, Neurologist and Endocrinologist, harm reduction strategy ang naging daan sa recovery niya. Yes, mahirap, mahabang proseso, pero possible at effective. We need to be progressive, kasi ginagawa na ito sa ibat-ibang parte ng mundo. Ang goal ng harm reduction is makuha ang loob ng pasyente, since first step sa paggaling niya ay nag-approach siya sayo bilang doctor, kung ija-judge ko agad siya at sasabihin na “WALA KANG CHOICE KUNDI ITIGIL YAN”! Stigmatized na agad yan, at sure na hindi na yan babalik at may tendency na tuloy-tuloy na ang pagkalulung niya. In every healthcare practice, we should embrace the principles of harm reduction: •Non-judgmental approach that meets people where they are at •Treating all individuals with dignity, compassion, and respect •Opposition to the stigmatization of substance use disorder •Use of evidence-based policy and practice •Accepting behavior change as an incremental process. Small gains for many people have more benefit for a community than large heroic gains achieved for a select few. People are much more likely to take multiple tiny steps, rather than one or two huge steps •Inclusion of individuals in active addiction, in recovery, and within the community to shape policies and practices •Focus on quality life improvements over abstinence •Commitment to universal human rights •Empowerment of the individual as the primary agent responsible for reducing the harms related to their substance use We are not tolerating substance abuse, we are actually dealing with the problem properly. Mahabang proseso, pero tama at hindi panandalian o band-aid solution. In short hindi EJK ang solusyon sa droga 🙄
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Angat Buhay
Angat Buhay@angatbuhay_ph·
Women cannot be reduced to someone else’s imagination. Not in the halls of power. Not in public discourse. Not anywhere. Women are leaders, workers, creators, thinkers, and builders of this country. They deserve respect, dignity, and equal space in shaping our society.
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Rappler
Rappler@rapplerdotcom·
The NSC confirms a Rappler exclusive on Chinese nationals recruiting Filipinos working in the government to access top defense and security information rappler.com/philippines/na…
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Tom@MATom_MD·
reduction in the Philippines will be difficult. What can we, healthcare workers do? Advise the patient to STOP the substance abuse and refer the patient to a susbtance abuse specialist for rehabilitation.
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