Dra. Shaira Simundac - Online Consult

13/10/2025

13/10/2025

10/10/2025

30/09/2025

Patients admitted in medical facilities for flu-like symptoms are increasing as the rainy season continues, the Private Hospitals Association of the Philippines Inc. reported on Friday. https://tinyurl.com/mr44y7h6

25/07/2025

You only have one heart; love your heart.

25/07/2025

Good afternoon! The doctor is in.
For consultations don’t hesitate to chat me.
For questions and advices, you may ask in the comment section and I will try to answer them FOR FREE. 🥰

24/07/2025

LOOK: UP Health Service has released guidelines for doxycycline use in light of the continuing rainfall and flooding in various areas of Metro Manila.

Staff and students from UP Manila and PGH can get free doxycycline at the ER-Ambu anytime and at UP Health Service, located on the third floor of PGH-OPD, during office hours.

24/07/2025

💊 URGENT: FREE DOXYCYCLINE PRESCRIPTION 💊

Have you waded through floodwaters recently?
You may be at risk for leptospirosis, a serious and potentially life-threatening infection.

We’re offering FREE doxycycline prescriptions as a preventive measure. Please don’t wait—message us immediately if you’ve been exposed.

📝 Kindly send the following information:
• Full Name
• Age
• Birthday
• Address
• Allergies
• Date you waded through the flood
• Indicate if you had any wounds or cuts during or after exposure
• Are you currently pregnant? (Yes/No)
• For women: When was your last menstrual period (LMP)?

⚠️ IMPORTANT REMINDERS — Doxycycline is not safe for:
• Pregnant or breastfeeding individuals
• Those with kidney or liver conditions
• People with Myasthenia Gravis or Lupus
• Anyone allergic to Doxycycline or other tetracyclines
• Individuals currently taking Penicillin or Isotretinoin

🚨 Seek medical attention IMMEDIATELY if you are experiencing:
• Fever
• Red or irritated eyes
• Muscle or body pain
• Abdominal pain
• Vomiting or diarrhea
• Yellowing of the skin or eyes
• Difficulty urinating

Floods may be out of our control—but your health isn’t. Don’t take any symptoms lightly.

💙 Let’s protect ourselves and our loved ones.

God Heals, We Serve. 🩺


💙❤️💛

23/07/2025

We need to stop thinking of osteoarthritis (OA) as just a “wear-and-tear” disease. The science now tells a more nuanced story—one where metabolic dysfunction plays a central role. Not the only role. But an important one.

Yes, obesity increases joint load, particularly in weight-bearing joints such as the knees. In fact, for every 5-point increase in BMI, the risk of knee OA rises by 35%. But the connection doesn’t stop there.

Hand osteoarthritis is also significantly more common in individuals with obesity. The hands don’t bear weight—so clearly, something more than load is at play.

That “something” is a constellation of metabolic abnormalities:

-Chronic hyperglycemia
-Insulin resistance
-Dyslipidemia
-Hypertension
-Systemic inflammation

These factors fuel joint degeneration from within. Elevated glucose levels stimulate the production of proinflammatory cytokines and matrix metalloproteinases (MMPs), which damage cartilage and degrade joint tissue. Insulin resistance and visceral fat contribute to chronic, low-grade inflammation, which in turn alters joint biology.

The same metabolic dysfunction that damages blood vessels, nerves, and organs also erodes joint integrity.

So no, osteoarthritis is not just a mechanical disease. It’s a metabolic one too.

The implications?
Managing OA means addressing load and biology. That includes: – Reducing visceral adiposity – Improving insulin sensitivity – Controlling inflammation – Engaging in strength training and aerobic movement – Prioritizing sleep and stress management.

OA is not always inevitable. It’s often modifiable. However, only if we understand what is driving it.

23/07/2025

Iba ang may alam!

21/07/2025

Stay safe everyone!

Leptospirosis is a dangerous bacterial infection, commonly acquired through contact with contaminated floodwaters, can lead to serious complications such as kidney damage, brain inflammation, liver failure, and even death if left untreated.

If you’ve had open wounds and recently waded through floodwaters, seek medical attention immediately. Early consultation with your ManilaMed physician can save lives.

Let’s work together to stay healthy and protected this rainy season.

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