22-year-old Filipino daily
#vape
user for 2 years with no known preexisting medical conditions suddenly died due to acute lung injury and heart attack.
🔗
#ecigarette
#EVALI
Good-quality surgical masks have 3 layers:
1) an outer COLORED layer w/c repels water, blood & body fluids
2) a middle layer w/c FILTERS bacteria
3) an inner WHITE layer w/c absorbs water, sweat & saliva
DON'T believe in the INTERNET HOAX that there are 2 ways to wearing a mask.
"Waiting is good. It means you’re not going to die. The person you need to feel sorry for is the one who gets rushed into the ER and treated first.”
— Joan Somes, RN
One of my cancer patients w/ a complete response to chemo died of COVID. Desaturated for >24 hrs in a small hospital w/ inadequate facilities. Tried many tertiary hospitals all around but no vacancy. When there was finally a slot, the patient died just before the ambulance came.
Survived cancer, only to die of COVID. The agony of trying to catch one's breath must have been worse than the previous cancer symptoms. How many more people will continue to become victims of our broken healthcare system?
Received a referral from an integrative medicine practitioner who told the patient at the outset that she will have better chances of controlling her metastatic cancer by receiving conventional cancer therapies and asked the patient to see me.
Kudos to this doctor! 🙏
1/ How I explain multimodality
#cancer
therapy to my patients. And I find that they usually easily get this analogy, which also makes it easier for me to convince them to get the necessary treatments, esp. when they ask why there's so much to do ⬇️
#oncmeded
#meded
#hcsm
Why
#oncology
?
Pt w/ stage 4
#cancer
. Severe bone pains, pleural effusion. Wheelchair-borne. Medical mgt done. On cycle 2 of oral chemo.
Now, Pt was able to climb up the stage to pin her graduating daughter's medals herself. 🏅
More time. More memories. Priceless. ❤️
#MyWhy
@theskinsensei
there's actually logic behind why the colored layer should be outside. the COLORED layer is FLUID-REPELLENT while the WHITE layer is ABSORBENT. gusto ba natin na ung absorbent layer ang nasa labas? pag natalsikan ka ng laway, kakapit na siya. so, colored layer out for protection.
Pharma interventions for
#CANCER
CACHEXIA from the latest
@myESMO
CPG
✅ Only CORTICOSTEROIDS & PROGESTINS have consistently shown beneficial effects on appetite &/or body weight, but be cautious about their side effects
Just out on
@JCO_ASCO
@ASCO
Induction mFOLFOX6/CAPOX x 3mos ➡️ transanal excision in MRI-stage cT1-3bN0
#RectalCancer
▶️ ✨57%✨ downstaged to ypT0/T1
▶️ ✨79%✨ organ preservation
▶️ ✨98%✨ & ✨90%✨ 1-year & 2-year locoregional RFS
@oncoalert
1/ This patient of mine is a nurse diagnosed with stage 4 rectal cancer who is currently in clinical remission. One of the first questions he asked after his latest negative scan is if he can already return to work. Then the COVID-19 pandemic struck.
Q: Is it still worth it to become a
#doctor
, esp. during this pandemic?
My answer: I think it all depends on your ✨"WHY"✨. Sure, the most popular reason is "to help people". But in reality, many people have a mix of different motivations.
#medstudent
#medschool
#medtwitter
Today marks my 7th year in practice. Grateful for His blessings & to everyone who has helped me.
Helping patients living w/ cancer can be mentally/emotionally draining. Sometimes, there are losses to mourn. But there are also many wins, big & small, that we celebrate w/ them. 💛
🎗️
#CancerAnswersPH
inbox
Short answer: ❌NO❌
✅ To date, there is ⚠️NOT⚠️ enough reliable scientific evidence (clinical trials) to support the use of
#herbalmed
to treat or prevent
#cancer
. Anecdotes/testimonials do ⚠️NOT⚠️ count as scientific evidence.
#CAM
"While the families of the said physicians are grateful for the well-meaning show of support, they have expressed their concerns that the sharing of the specific details of their loved ones' conditions and circumstances are a violation of their RIGHT TO PRIVACY."
#CancerTrivia
Accdg. to
@aicrtweets
, there is probable evidence that
#coffee
☕ decreases the risk of getting endometrial & liver
#cancer
, likely due to phytochemicals. Just be watchful 👀 of the added calories from milk, whipped cream, sugar, & other flavorings.✌️
#notetoself
😅
1/x We should drop the use of metaphors such as "lost their battle" or "lost their fight" against
#cancer
or any other chronic disease. Words like these add to the stigma and put an additional burden on patients and caregivers to "win" or "beat" an illness.
"Doc, just wanted to thank you for your care when you were treating my Dad. He quietly passed away in his sleep. My parents loved you."
Cared for this stage 4 patient for 4 years. What were the most touching words you've received from loved ones of a patient who has passed away?
1/ Got curious about
#ReplacingChefChico
on Netflix. And it was quite unexpected to see this very sensitive topic about
#cancer
being featured — end-of-life wishes and the complicated dynamics they create when a patient's loved ones are not in agreement.
#PallOnc
#SuppOnc
#CancerAnswersPH
inbox
❓Is it true that 🌡️MICROWAVING FOOD🌡️ in PLASTIC CONTAINERS can cause
#cancer
?
Answer: ✨NO✨ proven link
▪️But for safety, you should look for a microwave-safe symbol & be aware about what those numbers on your plasticware mean.
Just out:
@NCCN
#COVID19vaccination
recommendations in
#cancer
patients
✅Vaccinate once available
✅Prioritize patients with active cancer or with active, recent (<6 mos), or planned treatment
✅Vaccination should be delayed for at least 3 mos following HCT or cellular therapy
#simplejoys
in
#oncology
: A stage 4 gastric
#cancer
patient who has been malnourished for the past few months just gained 3 kilos after his palliative surgery and first cycle of palliative chemo. And the patient is happy to eat again. ❤️
#qualityoflife
1/6 ✅ Ang pagpapabakuna ng
#cancer
patients laban sa
#COVID19
ay inirerekomenda ng Philippine Society of Medical Oncology (PSMO) at international cancer organizations tulad ng American Society of Clinical Oncology (ASCO) at European Society for Medical Oncology (ESMO).
We should teach our patients how to properly check supplement labels. We should also advise them to beware of products that don't properly disclose their contents (ex: "secret formula", "secret recipe", "proprietary blend") as these unknown substances can be potentially harmful.
Just got a patient who stopped chemo & shifted to
#vitaminB17
for 1 year. Stage 2 ➡️ stage 4.
⚠️"Vitamin B17" is ❌NOT❌ a vitamin. Other related terms:
#laetrile
,
#amygdalin
(most commonly from apricot pits).
⚠️It can be broken down by intestinal enzymes to produce
☠️cyanide☠️.
#ESMO21
Long-term results from the
#BrighTNess
trial
🔰 The addition of carboplatin to weekly paclitaxel followed by AC in neoadjuvant
#chemo
for stage II-III
#TNBC
⬆️ pCR & EFS, with a trend to ⬆️ OS (median ff-up = 4.5 yrs), regardless of gBRCA status
@myESMO
@OncoAlert
1st time to talk about this topic but I accepted right away. I believe that clearly communicating
#science
to the public is an important skill & art that must be honed early on, esp. now that
#SoMe
& other online platforms have taken center stage in this pandemic. Thanks
@apmcsn
!
Happy to share that most of my cancer patients, including those who are on active treatment, have already received at least 1 dose or are already scheduled to receive their
#COVID19vaccine
👍👍👍
March 4 is
#WorldObesityDay
!
💡Did you know that
#obesity
has been linked to the ff.
#cancer
sites?
▪️Esophagus
▪️Kidneys
▪️Uterus
▪️Ovaries
▪️Thyroid
▪️Breast (postmenopausal women)
▪️Liver
▪️Gallbladder
▪️Upper stomach
▪️Pancreas
▪️Colon & rectum
▪️Multiple myeloma
Ref:
@CDCgov
Kwentong
#Marites
Patient talks about cancer myths told by her neighbors
Me: Naku, 'wag po kayo makinig sa mga Marites!
(I stopped shortly after remembering that her name is Marites)
Me, patient, secretary: 😂😂😂
Me: Ay, sa mga fake na Marites! Kayo ang tunay na Marites! 😂
Tonight's brew: Salted maple syrup iced drip
#coffee
(2 tbsp maple syrup + few drops of vanilla extract + pinch of salt + 1/2 cup milk + 1 cup brewed coffee + ice in my Xiaomi blender). Ah, the ✨magical things✨ I find on Instagram. 😌
@hellokidneyMD
#barista
#CancerMyths
Although research shows that
#cancer
cells consume more sugar vs normal cells, no studies have shown that eating sugar will make your cancer worse (or that if you avoid sugar, your cancer will go away). Remember, sugar is needed by our normal cells for energy.
#MedEd
Important takeaways from Dr. Sridhar's
@kalasri3
la/mUC case discussion at
#ESMOAsiaweek21
@myESMO
@OncoAlert
✅ Platinum-based therapy remains an important treatment option for those who are eligible to receive it
Mabuhay! The Train to ESMO made a brief stop in the Phils! 🇵🇭 Great discussion about molecular tumor boards w/ Dr. Alex Matikas & Dr. Theo Foukakis 👍 Thanks to the
@myESMO
YOC
@TeresaSAmaral
for continuing to provide us with learning opportunities in the midst of this pandemic.
The patient was also previously seen by a popular naturopath who just sold her a bunch of expensive herbal/dietary supplements that she took for a few months before her cancer metastasized. 😢
Hope there will be more responsible CAM practitioners like the MD who referred to me.
Got 2 new young patients of the same age, seen few days apart. Same
#cancer
site, same stage, same surgery done. Turned out to be close friends. Both wishing to become pediatricians someday. Truly hope to help them both achieve their dreams.
#GOG0209
: Paclitaxel-carboplatin (TC) now the global first-line standard for advanced
#EndometrialCancer
. Compared to paclitaxel-doxorubicin-cisplatin (TAP), median overall survival was similar (37 vs. 41 mos, HR=1.002). Full text here
#gyncsm
@drdonsdizon
Done with 1st
@myESMO
Membership Committee meeting earlier today (12AM PHT 😅 but wouldn't have missed it) and truly honored and grateful to be one of the Asia-Pacific representatives. Hope to serve well together with my inspiring teammates under the guidance of Dr. Ciardiello.💡
@myESMO
At your service for the next 2 years ⚙️ Proud to be an active member of this nurturing society that values equality and inclusion, and provides opportunities to its members regardless of age, gender, ethnicity, culture and religion
@devnani_bharti
@matteolambe
presents the final analysis of the PROMISE-GIM6 trial at
#ASCO21
@oncoalert
*️⃣ No difference in 10-yr DFS & 10-yr OS, supporting the safety of GnRH agonist use for ovarian protection during chemo in premenopausal patients w/ HR+ early
#breastcancer
#bcsm
"Patients with
#cancer
have an increased risk of severe
#COVID19
and should be vaccinated against SARS-CoV-2 regardless of any other indications (i.e. age) and positioned at high prioritisation."
@myESMO
#COVID19vaccine
Just out 10 ESMO statements on
#Covid19
#vaccination
in
#cancer
patients to address key issues on
#vaccines
: efficacy/safety of vaccines, interaction w/ antineoplastic therapies, immune response in pts, prioritisatn/distribution planning
#COVID
-19vaccines
For our dear
#Oncology
colleagues 😊 Hope you can spare a few minutes of your time to answer this
@myESMO
@OncoAlert
survey on the role of social media and virtual meetings during this pandemic. Thank you for your help! ⬇️
Dear friends
Announcing our
@myESMO
@OncoAlert
🚨collaboration Survey on:
"Social Media & Virtual Meetings in the
#COVID19
Era".
It takes5⃣min&aims to understand how to better serve colleagues during these times
Thanks for participating
@weoncologists
Heard a Bible passage from a popular supplement ad on the radio. The topic: Sin. The example (out of so many other things): a person living w/
#HIV
. It's already 2021 & there's NO place for this kind of stigma & blame. HIV is NOT a sin or form of divine punishment.
#HIVAwareness
4/x Instead, let us recognize that people are "living with cancer", and trying to live their lives just as we are despite their difficult circumstances. Always remember the value of
#empathy
and that
#WordsMatter
.
June is National No Smoking Month. Cigarette
#smoking
is the single biggest risk factor for developing
#LungCancer
, and exposure to secondhand smoke can also increase this risk for nonsmokers by 30%.
#lcsm
Browsing Twitter trends. Clicked on New Zealand, and saw a number of Filipinos saying sana naging baka na lang sila sa NZ. Funny and sad at the same time, isn't it?
Gift of life ❤️ My mom's 10 y/o dog died last month, causing her so much grief. Muffy was my 1st gift to her from my 1st ever salary during residency. Now, 1 of my patients gave this puppy, Barley, w/c will become my mom's new baby. Thank you to my ever so thoughtful patients! ❤️