Doc Charie Mae Y. Daweg - Internal Medicine

Doc Charie Mae Y. Daweg - Internal Medicine Dedicated in delivering compassionate, evidence based care emphasizing on patient education.

31/01/2026

For healthy diets, eat a variety of minimally processed and unprocessed foods to ensure you get enough essential micronutrients while reducing unhealthy fats, sugars and salt.

๐Ÿฅ—๐Ÿซ›๐ŸŠ๐Ÿฅ‘ Choose fruits, vegetables, whole grains, pulses, nuts and seeds with limited to moderate amounts of animal source foods such as fish, lean meat and dairy.

Aim for:
โ˜‘๏ธ Adequacy (enough nutrients),
โ˜‘๏ธ Balance (protein, fats and carbs),
โ˜‘๏ธ Moderation (less of what harms our health),
โ˜‘๏ธ Diversity (different food groups).

Individual needs may vary.

28/01/2026

๐Ÿ›ก๏ธ ๐๐ˆ๐๐€๐‡ ๐•๐ˆ๐‘๐”๐’: ๐๐‘๐Ž๐“๐„๐‚๐“๐ˆ๐๐† ๐Ž๐”๐‘๐’๐„๐‹๐•๐„๐’ ๐“๐‡๐‘๐Ž๐”๐†๐‡ ๐€๐–๐€๐‘๐„๐๐„๐’๐’

The Nipah virus is a high-risk pathogen that causes zoonotic disease. Because it has a high case fatality rateโ€”ranging from 40% to 75%โ€”understanding how it spreads is our best defense.

๐Ÿ” ๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ญ๐ก๐ž ๐๐ข๐ฉ๐š๐ก ๐•๐ข๐ซ๐ฎ๐ฌ?
โ€ข ๐—ง๐—ต๐—ฒ ๐—›๐—ผ๐˜€๐˜: Fruit bats from the Pteropodidae family are the natural hosts.
โ€ข ๐—ง๐—ต๐—ฒ ๐—ง๐—ถ๐—บ๐—ฒ๐—น๐—ถ๐—ป๐—ฒ: Symptoms usually appear within 4 to 14 days after exposure, though a 45-day incubation has been reported.
โ€ข ๐—ง๐—ต๐—ฒ ๐—ฆ๐˜†๐—บ๐—ฝ๐˜๐—ผ๐—บ๐˜€: Infections can range from asymptomatic to acute respiratory infection or fatal encephalitis (brain inflammation).

โš ๏ธ ๐‡๐จ๐ฐ ๐ƒ๐จ๐ž๐ฌ ๐ข๐ญ ๐’๐ฉ๐ซ๐ž๐š๐?
โ€ข ๐…๐ซ๐จ๐ฆ ๐€๐ง๐ข๐ฆ๐š๐ฅ๐ฌ: Direct contact with infected pigs or through handling raw horse meat.
โ€ข ๐…๐ซ๐จ๐ฆ ๐…๐จ๐จ๐: Consuming palm sap contaminated with infected bat urine.
โ€ข ๐๐ž๐ญ๐ฐ๐ž๐ž๐ง ๐๐ž๐จ๐ฉ๐ฅ๐ž: Direct contact with body fluids or respiratory droplets from an infected person.

๐Ÿฅ ๐๐ซ๐ž๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง & ๐Œ๐ž๐๐ข๐œ๐š๐ฅ ๐‚๐š๐ซ๐ž
โ€ข ๐๐จ ๐‚๐ฎ๐ซ๐ซ๐ž๐ง๐ญ ๐•๐š๐œ๐œ๐ข๐ง๐ž: There are currently no drugs or vaccines available; management is based on supportive therapies.
โ€ข ๐‚๐ซ๐ข๐ญ๐ข๐œ๐š๐ฅ ๐๐ซ๐จ๐ญ๐ž๐œ๐ญ๐ข๐จ๐ง: For medical staff, standard surgical masks are not enough; respirators (N95), goggles, gloves, and coveralls are required.
โ€ข ๐‘๐ž๐ฉ๐จ๐ซ๐ญ๐ข๐ง๐ : Facilities not capable of handling suspected cases must refer them to the nearest regional referral hospital.

27/01/2026

5 ways to improve your sleep quality

๐Ÿƒ ๐Ÿƒ ๐Ÿƒโ€โ™‚๏ธ ๐Ÿƒโ€โ™€๏ธ
26/01/2026

๐Ÿƒ ๐Ÿƒ ๐Ÿƒโ€โ™‚๏ธ ๐Ÿƒโ€โ™€๏ธ

Itโ€™s not just about how much you - itโ€™s about how you move. New study reveals the best activities for longevity.

A landmark 30+ year study published in followed over 110,000 adults and uncovered a powerful insight: while total lowers mortality risk, the variety of activities you do may be just as important for a longer life. Researchers found that consistently engaging in a mix of different was associated with a 19% lower risk of all-cause mortality, independent of total workout time.

This means adding diversity to your movement routine beyond just a daily walk offers unique, compounding benefits.

Hereโ€™s how specific activities measured up in reducing mortality risk:

๐Ÿšถ Walking: Associated with a 17% lower risk at the highest levels (โ‰ฅ7.5 MET-hrs/week).
๐Ÿƒ Jogging & Running: Jogging linked to an 11% lower risk; running to a 13% lower risk, with strong benefits for cardiovascular health.
๐Ÿšด Bicycling: Showed a modest 4% lower risk at moderate levels (~2.5 MET-hrs/week).
๐ŸŠ Swimming: No significant association with all-cause mortality was found in this study, highlighting the need for intensity-specific research.
๐ŸŽพ Racquet Sports (Tennis/Squash): Among the best, with a 15% lower risk, likely due to high cardiovascular and social engagement.
๐Ÿง— Stair Climbing: An accessible hero, linked to a 10% lower riskโ€”benefits plateaued after about 5 flights daily.
๐Ÿšฃ Rowing/Calisthenics: Associated with a 14% lower risk.
๐Ÿ’ช Weight/Resistance Training: Linked to a 13% lower risk, underscoring the vital role of muscle strength.

Main takeaway- we shouldnโ€™t just pick one activity. A mix of aerobic, resistance, and recreational sports appears to provide complementary effects that maximize lifespan extension. The most protected individuals were those who were both active and varied in their routines.

https://bmjmedicine.bmj.com/content/5/1/e001513

Tony Leachon

๐Ÿ˜Š
14/01/2026

๐Ÿ˜Š

๐—•๐—š๐—›๐— ๐—– ๐— ๐—ฎ๐—ฟ๐—ธ๐˜€ ๐—™๐—ถ๐—ฟ๐˜€๐˜ ๐—ฌ๐—ฒ๐—ฎ๐—ฟ ๐—ฎ๐˜€ ๐—ฅ๐—ฒ๐—ด๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐—–๐—ฒ๐—ป๐˜๐—ฒ๐—ฟ ๐—ณ๐—ผ๐—ฟ ๐—–๐—ฎ๐—ฟ๐—ฑ๐—ถ๐—ผ๐˜ƒ๐—ฎ๐˜€๐—ฐ๐˜‚๐—น๐—ฎ๐—ฟ ๐—–๐—ฎ๐—ฟ๐—ฒ ๐˜„๐—ถ๐˜๐—ต ๐Ÿฎ๐Ÿฐ ๐—ฆ๐˜‚๐—ฐ๐—ฐ๐—ฒ๐˜€๐˜€๐—ณ๐˜‚๐—น ๐—ข๐—ฝ๐—ฒ๐—ป-๐—›๐—ฒ๐—ฎ๐—ฟ๐˜ ๐—ฆ๐˜‚๐—ฟ๐—ด๐—ฒ๐—ฟ๐—ถ๐—ฒ๐˜€ ๐—ถ๐—ป ๐Ÿฎ๐Ÿฌ๐Ÿฎ๐Ÿฑ

Baguio General Hospital and Medical Center (BGHMC) marked a major breakthrough in specialty care in 2025 as 24 patients underwent successful open-heart surgeries, demonstrating the hospitalโ€™s strengthened capacity to deliver advanced cardiovascular care services closer to the region.

Of the 24 patients, 15 were adult cases, most of whom required Coronary Artery Bypass Graft (CABG) procedures, while nine (9) were pediatric patients who underwent corrective surgery for congenital heart defects, specifically patch closures for ventricular septal defect (VSD) and atrial septal defect (ASD).

The patients came from across Northern Luzon, including 11 from Benguet, five (5) from Mountain Province, four (4) from Baguio City, and one (1) patient each from Kalinga, Nueva Vizcaya, Pangasinan, and La Union, reinforcing BGHMCโ€™s growing role as a regional referral center for cardiovascular care.

This achievement followed the 3rd Cardiac Mission held in December 2024 in partnership with the Philippine Heart Center (PHC). Beyond life-saving procedures, the mission served as a platform for capacity-building initiative. After the mission, the BGHMC Cardiac Specialty Center was declared 100% functional, having met all the criteria set by the Department of Health (DOH) for a fully operational heart center.

Even prior to the pandemic, BGHMC had already been sending doctors, nurses, and allied health professionals for specialty training in preparation for the establishment of its cardiac center. With trained personnel, established systems, and complete facilities now in place, BGHMC has been capable of independently performing open-heart surgeries starting February 2025.

This development has significantly reduced the need for referrals, with fewer patients now being referred to Manila. Patients from Northern Luzon can now access timely cardiac care closer to home, sparing them not only the burden of long-distance travel and added financial expenses, but also the long waiting times often associated with highly congested national referral centers such as PHC.

Aside from open-heart surgery, BGHMC has long been providing advanced heart care through its Cardiac Catheterization Laboratory, which has been operational since 2020. This facility enables minimally invasive diagnostic and therapeutic cardiac interventions and has already served thousands of patients, further strengthening the hospitalโ€™s comprehensive cardiovascular services.

The expanding capabilities of the hospital are in line with its designation by the DOH as a regional multispecialty center. This designation emphasizes the hospitalโ€™s critical role in decentralizing highly specialized specialty care and improving access to life-saving interventions for patients not only in Baguio but also in the Cordillera and its neighboring provinces.

Good day! The doctor is in! Available for Online Consultation. Online Consultation: seriousmd.com/doc/charie-mae-dawegSe...
05/01/2026

Good day! The doctor is in! Available for Online Consultation.

Online Consultation: seriousmd.com/doc/charie-mae-daweg

Services Offered:
Check Up
โ€ข Medical Certificate
โ€ข Prescription Refills
โ€ข Laboratory Request and Interpretation
โ€ข Pre operative Clearance

โœ”๏ธLicensed doctor
โœ”๏ธPRC verified

Doctor is IN.

28/12/2025
GLP-1 receptor agonists move into wider use for diabetes and weight management
27/12/2025

GLP-1 receptor agonists move into wider use for diabetes and weight management

As GLP-1 receptor agonists move into wider use for diabetes and weight management, many primary care clinicians are discovering that prescribing the medication is only half the challenge. The other half lies in the conversation.

When it comes to discussing GLP-1s at the primary care level, weight management experts said that subtle shifts in tone, framing, and follow-up can make a measurable difference in adherence and trust. http://ms.spr.ly/6180to7l0

24/12/2025

Fluidoterapia en la pancreatitis aguda: ni agresiva ni tรญmida, individualizada /2025 ๐Ÿ’ง๐Ÿง 

La fluidoterapia es uno de los pilares del manejo de la pancreatitis aguda, pero tambiรฉn una de las intervenciones mรกs controvertidas en los รบltimos aรฑos.

Este artรญculo resume muy bien el cambio de paradigma actual:

๐Ÿ‘‰ mรกs fluidos no significa mejor evoluciรณn.

๐Ÿง  ยฟPor quรฉ los fluidos son tan importantes?

En la pancreatitis aguda existe:
โ€ข pรฉrdida masiva a tercer espacio
โ€ข aumento de la permeabilidad capilar
โ€ข hipovolemia relativa
โ€ข hipoperfusiรณn pancreรกtica y sistรฉmica

๐Ÿ“Œ La reanimaciรณn temprana puede:
โ€ข reducir necrosis pancreรกtica
โ€ข disminuir falla orgรกnica
โ€ข mejorar el pronรณstico

๐Ÿ“Œ Pero el exceso de fluidos empeora los desenlaces.

โฑ๏ธ El momento importa (mucho)

Las primeras 48โ€“72 horas son crรญticas.
โ€ข En pacientes hipovolรฉmicos, la reanimaciรณn inicial es necesaria.
โ€ข En pacientes normovolรฉmicos, la hidrataciรณn debe ser prudente.

๐Ÿ‘‰ El artรญculo insiste: evaluar primero, no infundir por rutina.

๐Ÿš‘ Reanimaciรณn inicial (si hay hipovolemia)

Indicada cuando hay:
โ€ข hipotensiรณn
โ€ข taquicardia
โ€ข oliguria
โ€ข hemoconcentraciรณn (Hto alto, BUN elevado)
โ€ข signos clรญnicos de hipoperfusiรณn

๐Ÿ”น Bolo inicial orientativo: 5โ€“20 mL/kg en 30โ€“60 min
๐Ÿ”น Revaluaciรณn estricta tras cada bolo

๐Ÿ“Œ Si la hipovolemia persiste โ†’ considerar UCI y vasopresores, no solo mรกs lรญquidos.

๐Ÿ’ง ยฟAgresiva o moderada?

El mensaje central de la evidencia reciente es claro:

โŒ Hidrataciรณn agresiva (โ‰ฅ3 mL/kg/h):
โ€ข โ†‘ sobrecarga hรญdrica
โ€ข โ†‘ insuficiencia respiratoria
โ€ข โ†‘ lesiรณn renal aguda
โ€ข โ†‘ mortalidad en pancreatitis grave

โœ… Hidrataciรณn moderada / no agresiva:
โ€ข โ‰ˆ1.5 mL/kg/h
โ€ข mejores perfiles de seguridad
โ€ข desenlaces al menos equivalentes, y a menudo mejores

๐Ÿ‘‰ Hoy, la hidrataciรณn agresiva NO es el estรกndar, especialmente en pancreatitis moderadaโ€“grave.

๐Ÿงช Objetivos prรกcticos de la fluidoterapia

La terapia debe guiarse por objetivos clรญnicos y de laboratorio:
โ€ข PAM โ‰ฅ 65 mmHg
โ€ข Diuresis โ‰ฅ 0.5 mL/kg/h
โ€ข Disminuciรณn o estabilidad del BUN
โ€ข Hematocrito estable (evitar hemoconcentraciรณn y hemodiluciรณn)
โ€ข Lactato en descenso
โ€ข Relleno capilar adecuado

๐Ÿ“Œ No hay un โ€œvolumen mรกgicoโ€: el objetivo es la perfusiรณn, no el litro.

๐Ÿงด ยฟQuรฉ fluido elegir?

La revisiรณn es consistente:

๐ŸŸข Ringer lactato (RL): fluido de elecciรณn

Asociado a:
โ€ข menor SIRS
โ€ข menos complicaciones locales
โ€ข menor ingreso a UCI
โ€ข menor estancia hospitalaria

๐Ÿ“Œ El lactato del RL no empeora la acidosis lรกctica, es lactato sรณdico, no รกcido lรกctico.

๐Ÿ”ด Soluciรณn salina (NaCl 0.9%)
โ€ข mayor riesgo de acidosis hiperclorรฉmica
โ€ข posible empeoramiento inflamatorio

๐Ÿ‘‰ No es el fluido ideal en la mayorรญa de los casos.

โš ๏ธ Individualizar siempre

La revisiรณn insiste en ajustar fluidos segรบn el paciente:

๐Ÿ”น Restringir fluidos en:
โ€ข insuficiencia cardรญaca
โ€ข enfermedad renal crรณnica
โ€ข cirrosis
โ€ข edad avanzada

๐Ÿ”น Casos especiales:
โ€ข pancreatitis por hipercalcemia โ†’ evitar RL
โ€ข cetoacidosis diabรฉtica โ†’ preferir NaCl

๐Ÿ›‘ ยฟCuรกndo detener o reducir fluidos?
โ€ข signos de sobrecarga
โ€ข balance positivo sostenido
โ€ข estabilidad hemodinรกmica
โ€ข tolerancia a vรญa oral

๐Ÿ‘‰ La sobrecarga hรญdrica tambiรฉn mata.

๐Ÿง  Mensaje central

En la pancreatitis aguda, la fluidoterapia debe ser temprana, guiada por objetivos y cuidadosamente individualizada.
โ€ข Reanimar al que lo necesita
โ€ข Evitar la hidrataciรณn agresiva indiscriminada
โ€ข Preferir Ringer lactato
โ€ข Reevaluar constantemente

๐Ÿ“– Lectura muy recomendable para abandonar automatismos y tratar a cada paciente segรบn su fisiologรญa real.

โ‡๏ธ Artรญculo completo
๐Ÿ“ฒ Telegram ๐Ÿ‘‰ https://t.me/luiselintensivista
๐Ÿ’ฌ WhatsApp ๐Ÿ‘‰ https://chat.whatsapp.com/JBJsJKSzAdD5v9oXqmjwvr

๐Ÿ’Ž ยฟTe gusta nuestro contenido? Invรญtanos un cafรฉ โ˜• y accede a contenido premium ๐Ÿ‘‰
https://buymeacoffee.com/luiselintensivista

24/12/2025

๐ˆ๐Ÿ ๐ฒ๐จ๐ฎโ€™๐ซ๐ž ๐ฐ๐š๐ข๐ญ๐ข๐ง๐  ๐ข๐ง ๐ญ๐ก๐ž ๐„๐ฆ๐ž๐ซ๐ ๐ž๐ง๐œ๐ฒ ๐‘๐จ๐จ๐ฆ, ๐ข๐ญ ๐๐จ๐ž๐ฌ๐งโ€™๐ญ ๐ฆ๐ž๐š๐ง ๐ง๐จ ๐จ๐ง๐ž ๐œ๐š๐ซ๐ž๐ฌ.

We know youโ€™re sick. We know youโ€™re uncomfortable. We know you want answers and relief as soon as possible. Wanting to be seen quickly is human and valid.

But the Emergency Room does not work like a fast lane. It works by ๐ญ๐ซ๐ข๐š๐ ๐ž which means ๐ฉ๐š๐ญ๐ข๐ž๐ง๐ญ๐ฌ ๐š๐ซ๐ž ๐ฌ๐ž๐ž๐ง ๐›๐š๐ฌ๐ž๐ ๐จ๐ง ๐ฐ๐ก๐จ ๐ข๐ฌ ๐š๐ญ ๐ญ๐ก๐ž ๐ก๐ข๐ ๐ก๐ž๐ฌ๐ญ ๐ซ๐ข๐ฌ๐ค ๐จ๐Ÿ ๐๐ฒ๐ข๐ง๐  ๐จ๐ซ ๐ ๐ž๐ญ๐ญ๐ข๐ง๐  ๐ฐ๐จ๐ซ๐ฌ๐ž ๐ซ๐ข๐ ๐ก๐ญ ๐ง๐จ๐ฐ, not who arrived first.

Someone who looks โ€œfineโ€ but has chest pain, difficulty breathing, severe trauma, or altered consciousness may be rushed in immediately. Someone who is stable may wait longer, even if they came earlier.

Waiting is frustrating but medically, it often means you are stable enough to wait. That time is being used to save someone whose life depends on minutes, not hours.

The Emergency Room is not an OPD shortcut.
It is where the most critical patients are protected first.

19/10/2025

It can decrease risk of stroke at 40%

๐Ÿ˜ท๐Ÿ˜ท๐Ÿ˜ท
15/10/2025

๐Ÿ˜ท๐Ÿ˜ท๐Ÿ˜ท

Address

Baguio City
2600

Website

https://thefilipinodoctor.com/doctor/charie-mae-daweg

Alerts

Be the first to know and let us send you an email when Doc Charie Mae Y. Daweg - Internal Medicine posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Share