patrick moral

a sleep specialist who stays aware, a peripatetic traveler who loves going home, a man of science who thrives on art, and a congenial person who is political

[patrick moral @ericmoral]

Know your alphabet. It’s the only way you can spell your life.
Avoid Bigotry. Celebrate Diversity. Enjoy Friendship. Get Help. Improve Justice. Keel Loving. Make Noise. Observe People. Quietly Reflect. Spend Time. Uphold Veracity. Ward off Xenophobia. Yearn for Zen.

[patrick moral @ericmoral]

Individual: history of antimicrobial use; institution: antibiogtam guidance; national: resistance patterns like the ARSP in the Philippines #PneumoniaChat

[Earl Louis Sempio @earlouismd]

Q3: Fighting Resistance
​We have to stop using antibiotics incorrectly to save them for the future. When you start antibiotics for pneumonia, how do you make sure you are using them wisely, and when do you decide to stop or switch them? #PneumoniaChat #WiseAntibiotics

[patrick moral @ericmoral]

Best way: using antmcrobials for the pathogens most likely given the risk stratification and using B lactams for no more than 7 days,. #PneumoniaChat

[Earl Louis Sempio @earlouismd]

Q3: Fighting Resistance
​We have to stop using antibiotics incorrectly to save them for the future. When you start antibiotics for pneumonia, how do you make sure you are using them wisely, and when do you decide to stop or switch them? #PneumoniaChat #WiseAntibiotics

[patrick moral @ericmoral]

@earlouismd We do have to remember oximetry limitations like lighting, nail polish, perfusion etc. #PneumoniaChat

[patrick moral @ericmoral]

Guidelines still emphasize a good history and physical exam. This should help you stratify and empirically cover the suspected pathogens. #PneumoniaChat

[Earl Louis Sempio @earlouismd]

Q1: Better Diagnosis

​We need faster ways to diagnose pneumonia! Aside from the usual X-ray, what quick tests or tools are you finding useful right now to figure out if pneumonia is bacterial (needs antibiotics) or viral (doesn't need them)? #PneumoniaChat

[patrick moral @ericmoral]

A bit late to the discussion it non pharmacological approaches like fans should alleviate the dyspnea partly and decrease oxygen consumption. Early antimicrobial treatment for bacterial pneumonia though is key. #PneumoniaChat

[Earl Louis Sempio @earlouismd]

Q2: Oxygen Access
​Oxygen saves lives, but it's hard to get in many places. What simple, practical ideas or equipment changes have helped you get and manage oxygen for your patients, especially in smaller clinics or rural areas? #PneumoniaChat #OxygenSupply

[patrick moral @ericmoral]

@caryamiel @philchestorg @PGH_Pulmo Congratulations Amiel!

[patrick moral @ericmoral]

Moved. Will keep twitter for a while but I won’t be posting anymore.

[patrick moral @ericmoral]

It is unchristian to deprive an unmarried woman, who has chosen to continue her pregnancy, of livelihood when she has chosen to protect what Christianity tells her to - life.

[Philippine Supreme Court Public Information Office @SCPh_PIO]

The Supreme Court (SC) reiterated that premarital sexual relations leading to pregnancy are not immoral and do not justify suspending an employee.

The SC ruled that Bohol Wisdom School (BWS), a Christian school, illegally suspended a grade school teacher for becoming pregnant outside marriage.

It held that sexual relations between two unmarried, consenting adults are not immoral. No law prohibits this, nor does it go against any fundamental state policy found in the Constitution.

The SC clarified that under the law, the standard of morality applicable to all is public and secular, not religious.

Public and secular morality refers to conduct that is prohibited due to its harmful effects on human society rather than being based on religious beliefs.

The SC held that if the government were to otherwise base public policies and morals on religious beliefs, this would require everyone to conform to a religious program or agenda.

As the teacher’s pregnancy cannot be considered immoral, it was not a valid ground for her suspension.

The SC ordered BWS to pay the teacher backwages and benefits due her during the period she was suspended.

The Decision was from the Supreme Court’s First Division, written by Associate Justice Ricardo R. Rosario.

Read the full text of the press release: https://t.co/KBfXUtEqaW

Read the full text of the Decision: https://t.co/PCDgdeYM6F

#SupremeCourtPH

Copying of this content is subject to the SC PIO’s Credit Attribution Policy: https://t.co/AOPk6X3Oex

[patrick moral @ericmoral]

There is an awareness of pneumonia in the local setting. We just need to fill the gaps and remove the weeds that create confusion.
#WorldPneumoniaDay

[patrick moral @ericmoral]

@gdyagra Let’s do a validation study! #WorldPneumoniaDay

[patrick moral @ericmoral]

Q2: Beyond the chest radiograph, immunochromatographic assays for the rapid antigen detection of pathogen-specific antigens may be helpful especially in patients with co-morbids
#WorldPneumoniaDay

[Earl Louis Sempio @earlouismd]

@gdyagra @ATS_PITB @Docrsp @philchestorg @pcp1953 Q2 What are the latest innovations in pneumonia diagnostic tools and techniques? How can we improve rapid and accurate diagnosis, especially in resource-limited settings? #WorldPneumoniaDay

[patrick moral @ericmoral]

Q3: Beyond new antimicrobials, keeping the existing ones useful with stewardship is paramount, using it only on bacterial pneumonia. The provision of quality generic drugs should provide better access. #WorldPneumoniaDay

[Earl Louis Sempio @earlouismd]

@gdyagra @ATS_PITB @Docrsp @philchestorg @pcp1953 Q3 What are the most promising advancements in pneumonia treatment, including new antibiotics, antivirals, and immunotherapies? How can we ensure equitable access to these therapies worldwide, especially in low-income countries? #WorldPneumoniaDay

[patrick moral @ericmoral]

@Stop_Pneumonia Oximetry has become the fifth vital sign, especially after the pandemic. In our setting, it has become a valuable adjunct.
#WorldPneumoniaDay

[patrick moral @ericmoral]

Q2: in a resource limited setting, patients will allocate out of pocket expense for medications. It will still start with good history taking and physical examination.

#WorldPneumoniaDay

[Earl Louis Sempio @earlouismd]

@gdyagra @ATS_PITB @Docrsp @philchestorg @pcp1953 Q2 What are the latest innovations in pneumonia diagnostic tools and techniques? How can we improve rapid and accurate diagnosis, especially in resource-limited settings? #WorldPneumoniaDay

[Every Breath Counts @EBCCoalition]

Q1 Preventing #pneumonia in children also means reducing the 5 environmental threats below - look at the rising impact of high temp on child #pneumonia deaths (#climatechange) #WorldPneumoniaDay #PneumoniaAwareness (Source: GBD 2021)

[patrick moral @ericmoral]

Q1: regarding vaccination, accessibility, availability and affordability are key. But a lot of work has to be put into fighting misinformation about vaccinations in general.
#WorldPneumoniaDay

[Earl Louis Sempio @earlouismd]

@gdyagra @ATS_PITB @Docrsp @philchestorg @pcp1953 Q1 What are the most effective strategies for preventing pneumonia, particularly among vulnerable populations like children and the elderly? How can we promote vaccination, hygiene practices, and environmental improvements to reduce the burden of pneumonia? #worldpneumoniaday

[patrick moral @ericmoral]

Q1: although vaccination would be the most obvious answer, health maintenance especially with adequate nutrition and simple cough etiquette are important
#WorldPneumoniaDay

[Earl Louis Sempio @earlouismd]

@gdyagra @ATS_PITB @Docrsp @philchestorg @pcp1953 Q1 What are the most effective strategies for preventing pneumonia, particularly among vulnerable populations like children and the elderly? How can we promote vaccination, hygiene practices, and environmental improvements to reduce the burden of pneumonia? #worldpneumoniaday

[patrick moral @ericmoral]

World Pneumonia Day. Let us light the world to fight pneumonia. Let’s start in Manila.
#Pneumolight

[patrick moral @ericmoral]

As a health professional, this is extremely heartbreaking.

[Waleed Shahid 🪬 @_waleedshahid]

The image of hospital patients, tethered to IVs as American-supplied Israeli bombs ignite fires around them in Gaza, may well stand as the defining image of this horror.