Dr. Kennard Q. Felix - Ear, Nose, Throat Online Specialist

Dr. Kennard Q. Felix - Ear, Nose, Throat Online Specialist Ear, Nose, Throat Specialist for Online Consultation
My physical clinic is located in MANILA, ALABAN

Physical clinic for face to face consult is in Manila Alabang and Cavite area. My Online clinic is available daily and is accredited with Etiqa and Medicard HMO’s

Association of loud snoring with sleep apnea and hearing loss!Increased Risk: One major study of nearly 14,000 participa...
03/04/2026

Association of loud snoring with sleep apnea and hearing loss!

Increased Risk: One major study of nearly 14,000 participants found that sleep apnea was associated with a 31% increased risk of high-frequency hearing loss and a 90% increased risk of low-frequency hearing loss.
Frequency Specificity: Many researchers report that hearing loss associated with OSA is most common at high frequencies (sounds like birds chirping or whistles).
Severity Correlation: Some evidence suggests a "dose-response" relationship, meaning that more severe cases of sleep apnea (higher number of breathing pauses per hour) are associated with a higher likelihood of hearing loss

Possible Mechanisms
While a direct cause-and-effect relationship is still being investigated, several theories explain how sleep apnea might damage hearing:
Oxygen Deprivation (Hypoxia): Frequent pauses in breathing lead to low blood oxygen levels. The inner ear's hair cells are highly sensitive to oxygen and can be permanently damaged by repeated deprivation.
Vascular Issues: Sleep apnea can cause inflammation and changes in blood flow, potentially restricting the supply of oxygen-rich blood to the delicate structures of the ear.
Acoustic Trauma from Snoring: Extremely loud, chronic snoring (which often accompanies sleep apnea) can act like prolonged exposure to high-decibel noise, similar to working in a loud factory, which damages hearing over time.

Associated Auditory Symptoms
In addition to traditional hearing loss, sleep apnea is also linked to:
Tinnitus: Individuals with sleep apnea are significantly more likely to experience persistent ringing or buzzing in the ears.
Sudden Hearing Loss: Some studies have noted a higher incidence of OSA in patients who experience Sudden Sensorineural Hearing Loss.

Because of these links, some medical experts recommend that patients diagnosed with sleep apnea undergo regular hearing screenings to catch potential issues early.

May contact sonie  in medical center imus to purchase the ear drop at +63 917 247 1062 or with Anne in manila doctors ho...
02/04/2026

May contact sonie in medical center imus to purchase the ear drop at +63 917 247 1062 or with Anne in manila doctors hospital at +63 906 431 3203 make sure you present a copy of your prescription to mke sure it was actually prescribed for you !

Untreated hearing loss doesn’t just affect your ears; it may also impact your brain.Studies link it to a higher risk of ...
01/04/2026

Untreated hearing loss doesn’t just affect your ears; it may also impact your brain.

Studies link it to a higher risk of Dementia.

The good news? Early care can help protect both your hearing and your mind.

Don’t wait. Get your hearing checked today at Hear Life Philippines.
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How ENT Specialists Help Detect Infectious Diseases EarlyDelaying ENT consultation can lead to serious complications—esp...
31/03/2026

How ENT Specialists Help Detect Infectious Diseases Early

Delaying ENT consultation can lead to serious complications—especially with infections affecting the ears, nose, and throat.

Early medical advice helps prevent spread, complications, and hospitalization.

Early detection starts here.

This is the official public service page of the Philippine Society of Otolaryngology–Head and Neck Surgery (PSO-HNS).


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Tips to clear your nose
31/03/2026

Tips to clear your nose

Ultimate Arrhythmia Cheat Sheet Ctto
30/03/2026

Ultimate Arrhythmia Cheat Sheet
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Proper posture when doing WFH job
30/03/2026

Proper posture when doing WFH job

Must remember pulmo meds
30/03/2026

Must remember pulmo meds

Depression is more than sadness.Know the signs. Seek support. Offer understanding.Walang health kung walang mental healt...
30/03/2026

Depression is more than sadness.
Know the signs. Seek support. Offer understanding.

Walang health kung walang mental health. 💙
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    (Clinical Overview)A neurological examination is a systematic assessment used to evaluate the function of the centra...
30/03/2026

(Clinical Overview)

A neurological examination is a systematic assessment used to evaluate the function of the central and peripheral nervous systems. It helps identify abnormalities in brain, spinal cord, and nerve function.

According to Clinical Skills: An Introduction for Nursing and Healthcare, neurological observations commonly focus on level of consciousness, pupil response, and limb movement .



🧠 1. General Observation & Level of Consciousness

Key components:
• Appearance & behavior (alert, confused, drowsy)
• Orientation (time, place, person)
• Speech (clear, slurred, incoherent)

Tools:
• AVPU Scale
• A – Alert
• V – responds to Voice
• P – responds to Pain
• U – Unresponsive
• Glasgow Coma Scale (GCS) 
• Eye opening (E)
• Verbal response (V)
• Motor response (M)
• Total score: 3–15



👁️ 2. Pupil Assessment

Assess:
• Size (equal or unequal – anisocoria)
• Shape
• Reaction to light (direct & consensual)

Normal findings:
• Equal pupils
• Brisk reaction to light

Abnormal findings:
• Fixed or dilated pupils → possible brain injury
• Unequal pupils → neurological pathology



💪 3. Motor Function (Limb Movement)

Assess:
• Movement: spontaneous or on command
• Strength (graded 0–5)
• Symmetry (left vs right)

Tests:
• Ask patient to:
• Lift arms/legs
• Push/pull against resistance
• Pronator drift test

Findings:
• Weakness or paralysis → neurological deficit
• Unequal strength → possible localized lesion



🔨 4. Reflexes

Common reflexes:
• Deep tendon reflexes (DTRs):
• Knee (patellar)
• Ankle (Achilles)
• Superficial reflexes
• Plantar reflex (Babinski sign)

Interpretation:
• Hyperreflexia → upper motor neuron lesion
• Hyporeflexia → lower motor neuron lesion



👃 5. Cranial Nerve Examination

12 Cranial Nerves:
1. Olfactory – smell
2. Optic – vision
3,4,6 – eye movements
5 – facial sensation
7 – facial expression
8 – hearing & balance
9,10 – swallowing
11 – shoulder movement
12 – tongue movement



🧍 6. Sensory Function

Test:
• Light touch
• Pain (pinprick)
• Temperature
• Vibration
• Proprioception (position sense)

Findings:
• Loss of sensation → nerve or spinal cord damage



🚶 7. Coordination & Gait

Coordination tests:
• Finger-to-nose
• Heel-to-shin

Gait assessment:
• Normal walking
• Tandem walk (heel-to-toe)
• Romberg test

Abnormal:
• Ataxia → cerebellar dysfunction



🔑 Summary

A complete neurological examination includes:
1. Level of consciousness (GCS/AVPU)
2. Pupillary response
3. Motor function
4. Reflexes
5. Cranial nerves
6. Sensory system
7. Coordination & gait

👉 These assessments are essential for detecting neurological deterioration, especially in conditions like head injury, stroke, or infection .



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oral antidiabetic drugs pharmacology  • ⭐ Metformin = first-line • ⭐ Sulfonylureas → hypoglycemia • ⭐ TZDs → heart failu...
29/03/2026

oral antidiabetic drugs pharmacology
• ⭐ Metformin = first-line
• ⭐ Sulfonylureas → hypoglycemia
• ⭐ TZDs → heart failure risk
• ⭐ SGLT2 → UTI + weight loss
• ⭐ α-glucosidase inhibitors → GI side effects
• ⭐ DPP-4 inhibitors → safe, no hypoglycemia
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Here are some ways to take care of your mental health:💜 Talk to someone you trust💛 Do some physical activity, like going...
28/03/2026

Here are some ways to take care of your mental health:

💜 Talk to someone you trust
💛 Do some physical activity, like going for a walk
🧡 Do things you enjoy
💚 Give yourself time to rest
💙 Know that having a bad day does not make you a bad person!
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