Clinica Andan Psychiatry

12/11/2021

Ctto

05/09/2021

“What does a mask do? Blocks respiratory droplets coming from your mouth and throat. Two simple demos: First, I sneezed, sang, talked & coughed toward an agar culture plate with or without a mask. Bacteria colonies show where droplets landed. A mask blocks virtually all of them.” -Dr. Richard Davis, Clinical Microbiology Lab Director, from sister organization, Providence Sacred Heart Medical Center in Spokane, Washington.

18/08/2021

😬

15/01/2021

09/01/2021

We now accept Virtual Consultation (video call consultation).

For details and appointments, you may contact these numbers: 038-4120352 or 09988601007

20/11/2020

23/07/2020

First, linawin muna natin ang terms

𝗖𝗢𝗩𝗜𝗗-𝟭𝟵 - coronavirus disease 2019. Eto ang sakit.
𝗦𝗔𝗥𝗦-𝗖𝗼𝗩-𝟮 – severe acute respiratory syndrome coronavirus 2. Ito ang virus na may gawa ng COVID-19. Ang lumang tawag dito ay 𝟮𝟬𝟭𝟵-𝗻𝗖𝗢𝗩.

𝘗𝘢𝘳𝘢𝘯𝘨 𝘨𝘢𝘯𝘪𝘵𝘰 𝘭𝘢𝘯𝘨 𝘺𝘢𝘯. 𝘈𝘯𝘨 𝘈𝘐𝘋𝘚 𝘢𝘯𝘨 𝘴𝘢𝘬𝘪𝘵. 𝘈𝘯𝘨 𝘷𝘪𝘳𝘶𝘴 𝘯𝘢 𝘥𝘢𝘩𝘪𝘭𝘢𝘯 𝘯𝘪𝘵𝘰 𝘢𝘺 𝘢𝘯𝘨 𝘏𝘐𝘝.

May dalawang tests na ginagamit para malaman kung may COVID-19 ang isang tao.
1. Rapid diagnostic test (𝗥𝗗𝗧)
2. 𝗣𝗖𝗥 (polymerase chain reaction) or swab test

𝗔𝗡𝗢 𝗔𝗡𝗚 𝗥𝗔𝗣𝗜𝗗 𝗗𝗜𝗔𝗚𝗡𝗢𝗦𝗧𝗜𝗖 𝗧𝗘𝗦𝗧?

Kapag may pumasok na foreign body o antigens sa katawan, gumagawa ang katawan ng panalaban dito na tinatawag na 𝗮𝗻𝘁𝗶𝗯𝗼𝗱𝗶𝗲𝘀 or 𝗶𝗺𝗺𝘂𝗻𝗼𝗴𝗹𝗼𝗯𝘂𝗹𝗶𝗻𝘀 (Ig). May iba’t ibang antibodies para sa iba-ibang antigens. Sa RAPID TEST, sinusuri ang dugo kung may antibodies nang panlaban sa SARS-CoV-2. Hindi nito direktang nakikita kung may virus.

Dalawang antibodies ang tinitingnan sa RDT, 𝗜𝗺𝗺𝘂𝗻𝗼𝗴𝗹𝗼𝗯𝘂𝗹𝗶𝗻 𝗠 (𝗶𝗴𝗠) [green line sa graph] at 𝗜𝗺𝗺𝘂𝗻𝗼𝗴𝗹𝗼𝗯𝘂𝗹𝗶𝗻 𝗚 (𝗜𝗴𝗚) [red]. Ang IgM ang nauunang lumabas pero nawawala rin agad. Ang IgG naman ay huling dumating pero pangmatagalan.

Apat ang pwedeng resulta
1. IgM+ & IgG-
2. IgM- & IgG+
3. IgM+ & IgG+
4. IgM- & IgG-

𝗜𝗴𝗠 𝗣𝗢𝗦𝗜𝗧𝗜𝗩𝗘, 𝗜𝗴𝗚 𝗡𝗘𝗚𝗔𝗧𝗜𝗩𝗘

Kapag positive ka sa IgM, ibig sabihin ay 𝗶𝗻𝗳𝗲𝗰𝘁𝗲𝗱 𝗮𝘁 𝗶𝗻𝗳𝗲𝗰𝘁𝗶𝗼𝘂𝘀 ka. May SARS-CoV-2 ka at pwede kang makahawa.

Ano ang dapat gawin?
1. Confirmatory test (PCR)
2. Isolate for 2 weeks
3. I-trace ang mga close contacts mo in the last 2 weeks dahil pwedeng nahawaan mo sila. Dapat ay ma-test din sila.
4. I-report sa LGU mo ang resulta ng test mo

Delikado ba ito?
Hindi naman. Konti lang sa mga nagpapa-postive sa IgM ang magkaka-symptoms. Sa mga may symptoms, konti lang ang kailangang magpa-ospital. At dun naman sa mga na-ospital, karamihan ay nakaka-recover.

𝗜𝗴𝗚 𝗣𝗢𝗦𝗜𝗧𝗜𝗩𝗘, 𝗜𝗴𝗠 𝗡𝗘𝗚𝗔𝗧𝗜𝗩𝗘

Kapag positive ka sa IgG, ibig sabihin ay nagka-infection ka na, natapos na, may antibodies ka na laban sa SARS-CoV-2, at higit sa lahat, hindi ka na nakakahawa. May immunity ka na pero dahil bago pa lang sa atin ang COVID-19, hindi pa natin alam kung hanggang kelan ang itatagal ng immunity mo.

Ano ang dapat gawin?
1. Magpasalamat ka na nalampasan mo na ang infection at buhay ka.
2. No need for confirmatory test dapat kasi base sa mga pinakahuling datos ng WHO, hindi ka na makakahawa kahit may ma-detect pang konting virus. Pagaling ka na totally. Pero dito sa “Pinas, kailangan pa rin.
3. I-trace ang mga close contacts in the last 3 weeks dahil pwedeng nahawaan mo sila. Dapat ay ma-test din sila.

𝗜𝗴𝗠 𝗣𝗢𝗦𝗜𝗧𝗜𝗩𝗘, 𝗜𝗴𝗚 𝗣𝗢𝗦𝗜𝗧𝗜𝗩𝗘

Eto yung may (igM) pero andyan na rin si (IgG). Pag positive ka sa IgM at IgG, ibig sabihin ay nagsisimula ka nang gumawa ng long-term antibodies pero hindi pa tapos ang infection at nakakahawa ka pa rin. Pag ganito ang resulta mo, ang rekomendasyon ay kagaya rin ng sa IgM+/IgG- sa taas.

𝗜𝗴𝗠 𝗡𝗘𝗚𝗔𝗧𝗜𝗩𝗘, 𝗜𝗴𝗚 𝗡𝗘𝗚𝗔𝗧𝗜𝗩𝗘

Dalawa ang pwedeng sitwasyon pag negative ka sa IgM at IgG. Una, wala kang virus. Pero hindi ibig sabihin ay hindi ka na magkakaroon. Padalawa, meron pero napakaaga pa at wala pang nagagawng antibodies ang katawan mo na made-detect ng RDT. In both cases, pareho lang ang gagawin. Yun pa ring mga pag-iingat kagaya ng pagsusuot ng face mask, paghuhugas ng kamay, physical distancing, etc. Pwede mong ulitin ang test after 7-14 days.

𝗔𝗡𝗢 𝗡𝗔𝗠𝗔𝗡 𝗔𝗡𝗚 𝗣𝗖𝗥?

Sa PCR, hinahanap natin ang genetic material (RNA, blue line sa graph) ng SARS-CoV-2. Kung sa RDT, antibodies lang ang hinahanap, sa PCR yung virus mismo. Ito yung swab test. Kumukuha tayo ng sample sa nasopharyngeal area (sa may lalamunan sa likod ng ilong). Positive or negative lang ang result dito.

Pag positive, same recommendation pag IgM+ except the confirmatory test.

𝗜𝗠𝗣𝗢𝗥𝗧𝗔𝗡𝗧 𝗥𝗘𝗠𝗜𝗡𝗗𝗘𝗥
Ang resulta ng test nyo ay base lang sa status nyo nung tinest kayo. Hindi ibig sabihin na negative ka sa test eh negative ka na forever. Pwede ka pa rin mahawa at mag-postive kapag hindi ka nag-ingat. Ganun din sa nag-positive sa IgG (immune), hindi pa natin alam kung hanggang saan ang itatagal ng immunity nyo. Kailangan pa rin mag-ingat.

Sa ngayon ay hindi pa rin bumababa ang daily confirmed cases natin. Wear your mask when interacting with people or when in the same space with them, sanitize hands regularly, maintain physical distancing. Protect yourself to protect others.

As always, stay safe

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20/06/2020

Anxiety disorders are no fun for anyone. Most people don't understand what it's like to be someone who suffers from one. They come without warning and without reason. As I am writing this, I am awake at an ungodly hour due to this stupid battle my mind is having with itself.

Let me help those of you who do not understand what this illness is like: At random moments, I will get this building worry and fear that something isn't right. Everything could be just perfectly fine, but my mind will trick itself into believing that something is wrong. It will convince itself that my life is falling apart. I will worry about one thing one minute and talk 90 to nothing then start to worry about another thing. My mind constantly switches back and forth and will convince itself that things are worse than what they really are. All the while I'm trying so hard to calm myself down, but it is impossible. It will send me into a depression. A depression that causes me to hate myself for being so crazy and irrational at times. This depression is the worst part. It causes me to want to space myself from the world and everyone around me. It causes me to feel alone with my illness, and it will cause me to be too terrified to talk those that are closest to me about what it is that I need from them. I feel needy, and I'm repulsed. But I can't help it.

The hardest thing is for me to find peace with myself during the depression stage. Most times, it switches back to worry and will keep me up all night. Staying up all night causes me to feel irritable the next day, which in turn causes those around me to steer clear. Which in turn causes me to go right back into depression and battle myself for being mentally ill.

You see, there's something those of you who don't suffer from anxiety need to understand: WE CAN'T CONTROL IT. No, it doesn't make us crazy. We don't need you to tell us that we are acting crazy. We are already well aware of this, and telling us that will only make our condition worse. It will come at the most inconvenient times. When it happens, just please be patient and understanding with us. The attack will eventually pass, and when it does, we'll be back to normal. The worst thing you could do is bring up anything we were previously worrying about. Doing so will only trigger another attack. Understand that it's you and us vs. the illness. We hate it, you hate it, we're on the same team here. The best thing you can do during an attack is just listen, and know that there are times we need you to hold us, and times we need you to leave us alone. Know that sometimes you'll be the trigger for the attack. Don't take it personal. And please, for the sake of humanity, don't tell us that we're overreacting, that we need to calm down, or that worrying isn't going to make anything any better. If we could stop worrying, don't you think we would have already?

Dating someone with an anxiety disorder isn't easy, at all. It requires giving that person a lot of attention that you normally wouldn't have to do. That doesn't mean the sufferer constantly needs you to be stuck up his or her butt 24-7, but it does mean that when he or she is under attack you need to be there.

If someone you love is having an anxiety attack, ask them what they need. Most of the time they know what they need from you to help make it better, but they're too scared to tell you. Let them know that you genuinely want to help in any way that you can, and be okay with it if they tell you nothing and to just listen. Get to know their illness better. Everyone's anxiety disorder is different. Try to understand what it's like to have absolutely no control over your mind, and be there for that person. They need you most when they feel as though they have turned on themselves.

Bridgette Borden

19/05/2020

Here's what managers and company leaders can do to help mitigate the mental health risks facing their team members and de-stigmatize the issue so those who need help will seek it.

11/05/2020