Rene Louie Gutierrez MD MMHOA

10/01/2026

09/01/2026

Anosmia 😁 Loss of Smell

08/01/2026

Dr. Jesus Delgado Memorial Hospital

[PinoyMD and Salamat Dok MDs @ JDMH]

with Dra Au Abad-Ramos (Head, Medical Assistance Office) Dr Rolando Balburias (President/General Manager, Jesus Delgado Memorial Hospital), Gabby Gabriel (Head, Marketing Department)

07/01/2026

https://youtu.be/JJK1_SJYu5U?si=gn8kdzj95APpoogZ

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

31/12/2025

Junge Forschende ausgezeichnet: 8 von 15 SAMW-Grants gehen nach Basel🌟

Acht Forschende des Universitätsspitals Basel erhalten dieses Jahr die «Young Talents in Clinical Research»-Grants der SAMW und der Bangerter-Rhyner-Stiftung.

Von insgesamt 15 vergebenen Förderungen gehen damit mehr als die Hälfte an das Universitätsspital Basel. Wir gratulieren unseren jungen Forschenden zu diesem beeindruckenden Erfolg! 🎉

Auf dem Foto:
h. l.: Abeelan Rasadurai, Dr. Jonathan Hollmann, Dr. Séverin Roger Wendelspiess
v. l.: Dr. Shaumiya Sellathurai, Dr. Clara Consoli, Shilpa Thaliyath., Dr. Michaela Schumacher

Es fehlt: Rebecca Tschudin

14/12/2025

Your nose may sense Alzheimer’s years before memory fades

Losing your sense of smell might seem harmless. But science is revealing it can be an early warning sign of something much deeper.

Researchers have found that changes in smell often appear years before memory loss in Alzheimer’s disease. This happens because the brain regions responsible for smell are among the first affected by the disease. Long before confusion or forgetfulness begins, subtle damage is already taking place in these neural pathways.

Your sense of smell is closely tied to areas that process memory and emotion. When these circuits start to weaken, the ability to recognize familiar scents like coffee, soap, or food may quietly fade. Many people dismiss this as aging or allergies, never realizing it could reflect early brain changes.

Studies show that people with reduced smell sensitivity have a higher risk of developing Alzheimer’s later in life. This does not mean smell loss guarantees the disease. But it may act as an early signal that the brain is under stress long before symptoms become obvious.

This discovery matters because early detection changes everything. The sooner changes are noticed, the more opportunity there is for lifestyle adjustments, monitoring, and future treatments to slow progression.

For you, this is a reminder to pay attention to small shifts in your body. Health warnings are not always loud. Sometimes they arrive quietly, through senses you use every day without thinking.

Your brain and your senses are deeply connected. Listening to them early may help protect what matters most later.

09/12/2025

DWAR 1494

04/12/2025

Mr Roboto in Modern Surgical Field

03/12/2025

PAGHIHILIK (SNORING)

Ano ito?
Ang paghihilik ay ingay na nalilikha dahil sa pag-vibrate ng mga malalambot na bahagi ng lalamunan kapag bumabara o masikip ang daanan ng hangin habang natutulog.

RISK FACTORS

1. Edad
• Humihina ang muscle tone sa lalamunan habang tumatanda.

2. Obesity / Katabaan
• Taba sa leeg at paligid ng throat → mas makitid na airway.

3. Male S*x
• Mas karaniwan sa lalaki dahil mas maliit ang airway diameter kumpara sa babae.

4. Pagod / Kulang sa tulog
• Mas relaxed ang muscles → mas madaling mag-collapse ang airway.

5. Pag-inom ng alak at sedatives
• Nagpa-paralyze ng airway muscles → mas malakas ang hilik.

6. Paninigarilyo
• Nagdudulot ng pamamaga ng upper airway.

7. Allergic rhinitis / Nasal congestion
• Baradong ilong → mouth breathing → hilik.

8. Anatomical issues
• Deviated septum
• Malaking tonsils
• Malaking uvula
• Retrognathia / small jaw

9. Sleeping position
• Supine position (nakahiga ng diretso) → mas madaling bumagsak ang dila.

SIGNS & SYMPTOMS (Mga Palatandaan at Sintomas)

Pangunahing Sintomas
• Malakas at madalas na paghihilik
• Pagputol-putol na paghinga habang tulog (sinabi ng bed partner)
• Gasping o choking episodes sa gabi

Nighttime Symptoms
• Hindi mapayapang tulog
• Frequent urination at night (nocturia)
• Night sweats
• Insomnia

Daytime Symptoms
• Pag-aantok sa araw (daytime somnolence)
• Pagod kahit mahaba ang tulog
• Irritability / mood swings
• Difficulty concentrating
• Morning headache
• Dry mouth upon waking

DIAGNOSIS

1. Clinical evaluation (ENT or Sleep Specialist)
• History: hilik, pagputol ng hinga, daytime
sleepiness
• Physical exam: tonsils, uvula, tongue, nasal
patency, BMI

2. Sleep Study (Polysomnography – Gold Standard)
• Tinutukoy kung may Obstructive Sleep Apnea
• Sinusukat: airflow, oxygen, brain waves, muscle
tone, movement, heart rate

3. Home Sleep Apnea Testing (HSAT)
• Para sa moderate–high suspicion ng OSA.

4. Imaging / ENT Tests
• Flexible nasopharyngoscopy
• X-ray cephalometry (in some cases)
• Drug-induced sleep endoscopy (DISE)

TREATMENT

A. Lifestyle Modifications
• Iwas alak at sedatives bago matulog
• Regular sleep schedule
• Weight loss (kahit 10% weight loss
• Smoking cessation
• Side-sleeping position

B. Medical Treatment
• Management of allergic rhinitis
• Saline irrigation
• Treatment of nasal congestion

C. Devices
• CPAP (Continuous Positive Airway Pressure)
• Oral Mandibular Advancement Devices
• Nasal dilators

D. Surgical Options (ENT)

Depende sa anatomic blockage:
• Uvulopalatopharyngoplasty (UPPP)
• Septoplasty & turbinate reduction
• Tonsillectomy (kung enlarged tonsils)
• Palatal surgery (radiofrequency ablation)
• Tongue base reduction
• Hypoglossal nerve stimulator (advanced cases)

KAILAN DAPAT MAGPAKONSULTA?
• Malakas at habitual na hilik
• Sinasabi ng partner na tumitigil ang paghinga
• May daytime sleepiness / near-miss accidents
• Hypertension, diabetes, obesity
• Bata na may malakas na hilik + mouth breathing