Vital Signs: Skin Infections After Typhoon Tino — What You Need to Know - video Dailymotion

SunStar Philippines

LIVE NOW on Vital Signs!  After Typhoon Tino, many communities have been exposed to floodwaters that can cause serious skin infections. Today, we break down the most common conditions, how to prevent them, and what to do if symptoms appear.  Joining us is Dr. Marilou Ong, board-certified Dermatologist and fellow of the Philippine Dermatological Society.

Transcript

01:29I'm Mildred Galarpe, together with my co-host today, I'm Dr. Niki Catalan.

01:37I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe.

02:07I'm Mildred Galarpe.

02:37I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe.

03:07I'm Mildred Galarpe, together with my co-host today.

03:37I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe.

04:07I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe.

04:09I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe.

04:11I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe.

04:13I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe.

04:19I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe.

04:25I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe.

04:27I'm Mildred Galarpe, together with my co-host today, I'm Mildred Galarpe.

04:31Actually, the whole leg is going to swell.

04:37I can do this in the next photo, so it's more clear.

04:43This red, I'm Mildred Galarpe.

04:45Oh, I'm Mildred Galarpe.

04:47That's not the one.

04:49Oh, that one.

04:51Back, back.

04:53That one is a typical case of cellulitis.

04:56It's going to spread the age.

04:58And if it spreads rapidly, that's a bad sign.

05:03So if there is associated fever,

05:07the patient gets chills,

05:10and then your redness, your progress,

05:14your progress, your progress.

05:16Especially in the elderly,

05:19the patients who are diabetic,

05:23the patients who are immunocompromised,

05:26like patients who are undergoing treatment for cancer,

05:30and the very young.

05:33So, that's the first thing.

05:37So, to reiterate,

05:38usually, you're in post-flood,

05:40you're going to get a lot of skin.

05:42Even an abrasion.

05:44An abrasion.

05:45Then, what is this bacteria present?

05:48So, it's likely to cause cellulitis.

05:50So, you mentioned earlier,

05:53it's hot.

05:54It's hot.

05:55It's hot.

05:56It's hot.

05:57It's hot.

05:58It's hot.

05:59It's hot.

06:00It's hot.

06:01It's hot.

06:02There's a little pain.

06:03There's a little pain.

06:04If it's severe,

06:05if your progress,

06:07that's also a bad sign.

06:09Okay.

06:10Okay.

06:11Okay.

06:12So, if you're exposed to floodwaters,

06:16if you're exposed to floodwaters,

06:18if you're exposed,

06:20you can check up to our nearest barangay health centers

06:24or nearest hospitals.

06:25If you need a doctor,

06:27if you progress further.

06:30Correct.

06:31If you can treat it with oral antibiotics,

06:36but after 72 hours,

06:39there's no improvement.

06:41Then, sometimes,

06:42you can admit the patients.

06:44Admit the patients.

06:45And,

06:46a simple athlete's foot.

06:49If the patient has an athlete's foot,

06:52another point of entry

06:56that may cause cellulitis.

06:58Yes.

06:59So, the athlete's foot is a problem.

07:01You're exposed.

07:03You're exposed.

07:04First of all,

07:06the symptoms are exposed to floodwaters.

07:08I know,

07:09sometimes,

07:10our sick,

07:11we're only getting sick

07:13because we think

07:14that's the most important thing,

07:15our patient,

07:16our sleep,

07:17our sleep.

07:18But,

07:19how do we get sick

07:20if we're infected?

07:22Which is really very,

07:24it's not really good.

07:25It's cold,

07:26it's cold.

07:27So,

07:28can you do it?

07:29So,

07:30what else?

07:31else? Erysipelas.

07:34Ang next ko no, tal.

07:37Wala siya gini na ito inibini-ibini

07:39niya. Ah, no, that's not the one.

07:41Katong duwaka legs.

07:42Duwaka legs, tal.

07:45That's cellulitis. No, this one

07:47is necrotizing.

07:49No, that's fungal.

07:50So, the one on

07:53the right is cellulitis.

07:56The one on the left

07:57is erysipelas.

07:59Okay? So, ang difference

08:01nila is

08:03mas klaro ang border.

08:06Ang border sa

08:07erysipelas and it's

08:09mas bright red siya.

08:11Ah, kanyang ingi siya, Dok, no?

08:12The one here on the left.

08:14So, this one is

08:16more superficial

08:17compared to the cellulitis.

08:21The same giapon,

08:23pangitaon ang break

08:24of the skin, it treat, and then

08:26kanyipwede ni siya tagaan giapon

08:28of oral antibiotics.

08:32So, kanyis siya,

08:33kung matambalan

08:35dahil ni siya, Dok,

08:36pigla man ang

08:37minimum time nga mo.

08:39Depende sa

08:40pasyente po.

08:41I'm sorry.

08:42For example,

08:43kung

08:44how long

08:45ang iyahang treatment?

08:46Seven days, usually.

08:48Ah, for antibiotics, no?

08:49For antibiotics.

08:50Just to be seven days.

08:51So, ang kanang iyahang

08:52spots-spots nga red,

08:54muna siya,

08:54usap po na sa iyahang

08:56dagway.

08:57Yes.

08:58Yes.

08:58So, ito nga, Dok?

09:00Erysipelas.

09:01Erysipelas.

09:02Sorry, wala.

09:03Wala siya'y

09:04bisayaan na version.

09:05Wala siya'y

09:05bisayaan na version,

09:08pero,

09:08mo ni siya'y

09:09example

09:09of kanang

09:11usasang mga

09:12infections

09:12na kanang

09:13caused by bacteria

09:15na exposed

09:17ka sa floodwaters.

09:18So, di na siya

09:19gimmickapan lang ni mo,

09:21pero,

09:21infection na

09:22naangay ni mong

09:23ati Manon.

09:24Okay.

09:25Possible sa na

09:26siya sa face.

09:27Maunay,

09:28maskuyaw.

09:29Ang face.

09:29Ang facial

09:30nga Erysipelas.

09:32Labi na ka itong

09:33nagsawm-sawm

09:34na ilang ulo

09:35sa floodwaters.

09:37Floodwaters.

09:38Maskuyaw.

09:38What if na kay

09:39pimple or anything?

09:41Correct.

09:42Any break

09:44in the skin.

09:46And what if

09:47the face

09:48mas dangerous

09:49because of the

09:50proximity to the brain?

09:53So,

09:54that's why

09:55it's a mass

09:55emergency na siya.

09:58Kilala

09:58sa location.

10:00So,

10:00for example,

10:01di ba

10:02murosyag

10:02na siya'y

10:03part

10:03na

10:03medyo

10:03elevated

10:04doc?

10:04No.

10:05Murag

10:07bandage.

10:08So,

10:10kung na kay

10:10na na-delish

10:11siya'y

10:11nga

10:11na-infection

10:12ka sa init.

10:14Anything

10:14kung na-expose

10:16ka sa baha

10:17ay di

10:17napiksikan ka

10:18or what,

10:19ka nang

10:19unto na lang.

10:20Murag isag pa.

10:21Pero when you

10:22touch it,

10:23init siya.

10:24Medyo

10:25elevated siya ba?

10:26Murag

10:26siya'y labhag.

10:28Pero

10:28init.

10:29I think

10:31ang komo nilang

10:32doha

10:32is init.

10:34So,

10:34bacteria.

10:36In it,

10:37na ay pain

10:38gamay,

10:39and then

10:40puwa.

10:42I think

10:42ang redness

10:43ka muroguan

10:44mangi diya

10:44na there is

10:45something wrong.

10:46Correct.

10:46Again,

10:48nakita na to

10:48sa atong mga

10:49screen ka ron,

10:50ang both

10:50cellulitis

10:52and

10:52tigin ako malitok

10:53ang ikaduha.

10:54Aricepela.

10:55Aricepela.

10:55These are

10:56infections

10:57na caused

10:58by

10:58bacterial

10:59infection

11:00caused

11:00sa

11:00exposure

11:01to

11:01floodwaters.

11:02Contaminated

11:03floodwaters.

11:05So,

11:05let's not wait

11:06na muworsen pa siya.

11:07I remember

11:09si

11:10Dr.

11:10Brian Limba

11:11nagkosting siya.

11:13Nagkosting siya

11:14nga kung

11:14magpa

11:15nagpofilat.

11:16First 72 hours

11:17nagpag

11:18take

11:19negative medicine

11:20moro ni

11:21mong magasto.

11:22Pero

11:22kung

11:23naghuwat ka

11:24o pila ka

11:25adlaw

11:26o sa kagidadani mo

11:27maabot ka

11:28100,000

11:29paayaw na lang

11:30to buy

11:30ng 100,000

11:31kaysa

11:33utungon

11:33kaysa

11:34mas daghan mo

11:36complicate pa man.

11:37So, again,

11:38parihura sa

11:39Dishani.

11:40Let's not wait

11:41na mas mudako

11:42atong gasto

11:43kaya daghan na

11:44ang

11:44complicate na

11:46ang problem.

11:47And then,

11:48kung anong said ba,

11:48Mildred,

11:49the value bit of

11:50having experts

11:51like

11:51actor Ong

11:52and showing

11:52pictures like this

11:53na graphic

11:54kayo.

11:54But

11:55makita ang mga

11:56ito,

11:56Uy,

11:56morang manig

11:57ako.

11:58Check

11:59lang

12:00dahil.

12:01Init.

12:02Yes,

12:02init.

12:03Nailapag

12:04Yes,

12:04nailapag

12:05puha.

12:05Ay,

12:06mo,

12:06antun ako.

12:07Ayaw,

12:07huwat na

12:07kung

12:07nakakaroon halal.

12:09Akaw na

12:09dahil

12:09dito

12:09sa

12:10ER

12:10kaya

12:11para matagan

12:11ka

12:11antibiotics

12:12or matan

12:13out

12:13yung

12:13kanon.

12:14Dito

12:14maghuwat

12:15lagi

12:15kanon.

12:15Most

12:15of it

12:16are

12:16oral

12:16sa

12:16doctor.

12:17Depende

12:17sa severity

12:18din

12:18to

12:18nakamag

12:19IV

12:19So oral

12:20mas barato

12:21sa siya.

12:21Mas barato.

12:22Kung mag-IV ka

12:25kaya di na mo

12:26patuo

12:26ang imong

12:27kagaw sa

12:28oral.

12:29Mas mahal na.

12:30Madugay-dugay

12:31mo.

12:31Sarang

12:31madugay-dugay

12:32ma-admit.

12:34Dugay mo

12:34makita.

12:35Mas dakot-dakot

12:36sa imong

12:36gasto.

12:37Sometimes

12:38ingani

12:39tapos

12:40suddenly

12:41mag-grabe

12:42ang fever,

12:43high fever.

12:44There's

12:44severe pain

12:45on the

12:46area.

12:46Mas

12:47mo init

12:47na po siya.

12:48Mas

12:48lisod na

12:48there's

12:50a possibility

12:50necrotizing

12:52fasciitis.

12:54Sorry

12:54again.

12:55But what

12:57does it

12:58mean?

12:58If

12:58ina na.

12:59It's

13:00ina na.

13:00But it

13:02can appear

13:03like this

13:04at

13:04fur

13:04initially.

13:06And then

13:06turn

13:07purple

13:08and then

13:09black.

13:11And then

13:11pass

13:13pass

13:13na.

13:13Yes.

13:15Ma-worry

13:15na ta

13:16kung

13:16ni-red

13:16na na.

13:16Siya.

13:17Iyon

13:17na na.

13:17To

13:17pa-abu-ta

13:18o black.

13:18Kasi

13:19ma-putola

13:19itong

13:19keel.

13:20Kanang

13:20murag

13:21na itali

13:21pasok.

13:22Na

13:23adyo

13:23de

13:23we

13:23say

13:23ana.

13:24Talipasok.

13:25Kanang

13:26barang

13:26murag

13:26na talipasok.

13:28That's

13:29dangerous.

13:30Ito

13:30mag-uha

13:30tanah.

13:31So

13:32ito

13:32ibalik-balik

13:33yun

13:33nga.

13:34Kung

13:35nag-red

13:36pa

13:36lang

13:36na siya.

13:37Init

13:38na

13:38siya.

13:39Now

13:39you're

13:39starting

13:40to have

13:40feeling

13:41of

13:41fever.

13:42Ito

13:42na

13:42lang

13:43dito

13:43dahayun

13:43sa

13:44nearest

13:44hospital

13:45or

13:46barang

13:46health

13:46centers.

13:48Matreat

13:49na

13:49siya.

13:50Ognidok

13:50ong

13:51paspas

13:52ang

13:52iyahang

13:53koan.

13:54Kanang

13:54pagrabe.

13:57So

13:57ayaw

13:57guwat.

13:58Alain

13:58sa

13:58na

13:58siya

13:59nga

13:59disease

14:00actually.

14:01But

14:02it can

14:02present

14:03initially

14:03as in

14:04anam.

14:05It's

14:05completely

14:06different.

14:08Kaya

14:08ang

14:08mga

14:08Pinoy

14:09rabadok

14:09diba

14:09kanang

14:10hilig

14:10ugdala-dala.

14:12Until

14:13magrabe.

14:13Hindi

14:14grabe

14:14na.

14:15Muhang

14:15yun

14:15na

14:15dahil

14:15ay

14:15lang

14:16kung

14:16i-admit

14:16dok.

14:19Muhang

14:19yun

14:19dahil

14:19ay

14:20lang

14:20kung

14:20i-admit

14:21dok.

14:22Hindi

14:22nga

14:22itakag

14:23sa'yo.

14:24Mas

14:24barato

14:25earlier.

14:27O

14:27not

14:28good

14:28ha?

14:28So

14:28kanya

14:29siya

14:29kung

14:30if

14:30you

14:30are

14:30having

14:31this

14:31kanang

14:31makita

14:32na

14:32to

14:32sa

14:32screen

14:32manaanin

14:33sa

14:33inyong

14:34mga

14:34tiil

14:35or

14:35even

14:35sa

14:35inyong

14:35face

14:36ang

14:36kaning

14:36usak.

14:37Arms

14:37arms

14:38mga

14:38nabahaan

14:39mo sa

14:39inyong

14:39balay

14:40katulog

14:41sige

14:41kagpamunit

14:42yan

14:43nagaras

14:43na

14:43di

14:43ka

14:44another

14:45finding

14:46kanang

14:46usay

14:47lisayan

14:47sila

14:48sa

14:48ilok

14:48kung

14:50sa

14:50cellulitis

14:51there is

14:51a bugan

14:52na

14:53lisay

14:54di ba

14:54do

14:54ka

14:54nang

14:55tuo-too

14:56sa

14:57atong

14:57mga

14:57katigwangan

14:58kung

14:58na ganit

14:59kailisay

14:59nakakaisakit

15:00di ba

15:01na

15:01you're

15:01more

15:02manifestations

15:03yeah

15:03nga

15:03you're

15:04feeling

15:05something

15:05wrong

15:06so

15:06man

15:07bito

15:07kung

15:07nakailisay

15:08that

15:08means

15:08nakaisaman

15:09so

15:14telltale

15:14signs

15:14pa

15:15na

15:15pa

15:16check

15:19up

15:19na

15:19dita

15:20maghuwat

15:21kanang

15:22daghan

15:23daghan

15:23sa

15:23adbaya

15:23mo

15:24na

15:24exposed

15:24sa

15:25contaminated

15:26flood

15:26water

15:26daghan

15:28at

15:28timan

15:28so

15:28kung

15:29nanaraba

15:29tayo

15:29ipamati

15:30maglinya

15:30tag-taas

15:31sa

15:31doktor

15:31sa

15:31putong

15:32dain

15:32ta

15:32kanahan

15:33nabat

15:33tayo

15:34una

15:34per

15:34means

15:35kidaghan

15:37man

15:37ang

15:37na

15:37exposed

15:37so

15:38magbanan

15:38kuha ba

15:39ni siya

15:39doktor

15:40makatakod

15:42ba

15:42ni siya

15:42ah

15:42no

15:43delete

15:43siya

15:43person

15:44to

15:44person

15:44to

15:45person

15:46so

15:46padira

15:46ikaw

15:47and then

15:47add

15:48sa day

15:48na to

15:49doktor

15:49to

15:49mga

15:49immunocompromised

15:51mas

15:52makuyawan

15:53tao

15:53immunocompromised

15:55diabetic

15:56the elderly

15:57sila

15:59so

15:59kung

15:59sila

16:00ang

16:00naigo

16:00in

16:00contaminated

16:01flood

16:02water

16:02cool

16:03ba

16:03kayo

16:04napaspasad

16:04ang

16:05progression

16:05siyang

16:05disease

16:06kay

16:07ideally

16:07mong

16:08gudba

16:08mildred

16:08kung

16:09nabahaan

16:10ka

16:10no

16:10magwash

16:11medyo

16:11gana

16:11wash

16:12with soap

16:13and water

16:13may tubig

16:14so

16:14mag-assume

16:15dyan

16:15dagan

16:16kayo

16:16sa

16:16de-exposed

16:17and

16:21then

16:22key

16:23ito

16:23ang

16:23vulnerable

16:24population

16:25kaya

16:25sila

16:25sa

16:25ibang

16:26tayanan

16:26kaya

16:26basig

16:27sa

16:27kabisy

16:27wata

16:28kita

16:28na

16:28dinaguan

16:29sa

16:30sige

16:30pans

16:30nagpua

16:31na

16:31eget

16:32so

16:33muna

16:33siya

16:34na

16:34muna

16:35ipakita

16:35dyan

16:36na

16:36to

16:36para

16:37makailan

16:38sila

16:38na

16:39na

16:40infection

16:41pero

16:41katong

16:41sa

16:42in

16:42the

16:43case

16:43of

16:43the

16:43province

16:44doknek

16:44bang

16:45nagsugod

16:46na

16:46ba

16:46mga

16:47mga

16:49mga

16:49ambitions

16:50o

16:51so

16:51actually

16:52din

16:52niniarize

16:53sige

16:54na

16:54mag-add

16:55to

16:55sa

16:55mga

16:55barangay

16:56barangay

16:57na

16:57barangay

16:58level

16:59mangita

17:00naman

17:00unsan

17:00man

17:00na

17:01ako

17:01yung

17:01kagid

17:01dito

17:03na

17:04ninihighlight

17:05na

17:05agoy

17:05mo

17:05another

17:06thing

17:07na

17:07bantayanan

17:08sa

17:08namo

17:08nagsugod

17:10na

17:10sa

17:10may

17:10palit

17:10tambal

17:11kina

17:11may

17:12uban

17:12na

17:12topical

17:13dok

17:14pero

17:14ang

17:15antibiotic

17:15sa

17:16hospital

17:16din

17:16na

17:16mga

17:17hatag

17:17man

17:18kani

17:18dilik

17:19may

17:19makapatakag

17:19wani

17:20siya

17:20prophylaxis

17:21man

17:22di

17:22isa

17:22ninyo

17:22kapatakag

17:23ingo

17:23hatag

17:23lang

17:24kanintambala

17:24kaya

17:25the

17:25experts

17:25really

17:26have

17:26to

17:26see

17:26kung

17:27unsan

17:28siya

17:28nakayan

17:28so

17:28tanaw

17:29ka

17:29ning

17:29a

17:29o

17:30b

17:30mura

17:30ang

17:31kit

17:31ang

17:31kit

17:31kayo

17:32but

17:33they're

17:33different

17:34ang

17:34treatment

17:35so

17:37salamat

17:38ang

17:38province

17:39nes

17:39dokniking

17:40kugihan

17:41kay

17:41manan

17:41haw

17:41kong

17:42say

17:42na

17:42hit

17:42tabo

17:42it

17:42is

17:43provincia

17:43kaya

17:44uwa

17:45pa

17:45dokniking

17:46nagsuroy

17:46suruy

17:47ha

17:47good

17:47luck

17:47ato

17:48na

17:48pa

17:48doong

17:48sa

17:48dun

17:49bisinti

17:49soto

17:49tanan

17:50pagkuan

17:52mamilyar

17:53magshare

17:54lang

17:54ko

17:54we

17:54were

17:55in

17:55balamban

17:55man

17:56last

17:56weekend

17:56daghahan

17:57pa

17:57jid

17:58kaya

17:58continued

17:58exposure

17:59kaya

18:00hindi

18:00pa

18:00man

18:01wap

18:01paman

18:01human or limpio yung balay.

18:03Hugaw po man, daghan pa kay lapok.

18:06So, continued exposure.

18:07And then, was it the

18:08early detection, early

18:10diagnosis, early treatment.

18:13Well, I need to be for lapok pa.

18:15So, that's still exposure.

18:16Oh my God.

18:19So, katong mga nanay, mga pre-existing

18:21na ipamati, the more you

18:23are careful to exposure

18:24ka ng contaminated na pool waters,

18:27if not, even ang lapok niya.

18:28Ang lapok niya, wag din mo mali ka yan.

18:30But most of it, na, ha, pigi ko si Claudine

18:33ang isa ninyo ka, staff ba,

18:35was asking me about one health

18:36because marun mo gan siyang ecosystem.

18:39Karun, we're so focused on

18:41the treatment, curative part,

18:42ka, uman, naaas ang itong nangrun, but

18:44we really have to look at the environment,

18:47ang coansad, ang atong drainage,

18:49ang paglimpio.

18:50Preventive. Yes, that's something we will have to look

18:53into later when we think

18:54settle down ba. But karun, ang

18:56emergent lang jude ka, imuhang

18:58leptospirosis, mga skin infections.

19:00Kaya mo, may

19:01mabati da yun after the exposure.

19:05Or focus is there to save lives.

19:07Pirmero ka nang, to make sure

19:09dilita mo, waalik, kanigod.

19:11Pwede ba ipapong ka mamatay

19:12from skin infections?

19:14From sepsis.

19:15Di ba doon, kung mag-sepsis na mo?

19:17Ma-poison ang imudugo.

19:19Kung nag-you kayo treatment,

19:21anang sepsis?

19:21Naan.

19:22Naan pa na yung treatment.

19:23But it can affect your kidneys,

19:25your organs.

19:26Oh, yeah.

19:27So, when your organs give up,

19:29what na?

19:30Oh, lisud na.

19:31Lisud na.

19:32So, then, ang maaayunta kay,

19:34kanang, if makita da yun,

19:36intervention na to.

19:37Matagag-intervention na yun.

19:41Tinood.

19:42Naapailain.

19:43Impitay.

19:44Ah, impitay.

19:44Naapailain.

19:45So, patunglain ni mo,

19:46tal.

19:47Katong sa ilong.

19:48Katong bata, no?

19:49Bata.

19:50O naay sa body.

19:51Sige.

19:51Bata ng Ogyapon.

19:53Na, kana.

19:54Ay, mura siya uguan, dok.

19:55Mura siya uguan.

19:56Mauna itawag na taya.

19:58Taya, taya.

20:01Impitay.

20:02Sa bata.

20:04Usually, naay mga sores,

20:06ba siya uguan.

20:08So, magsigigpahid.

20:11So, naay mga...

20:12Ah, masigigkarab.

20:14So, that's also a bacterial infection.

20:17So, daaghan ba?

20:18Mga bata sa naapak.

20:18Mura siya uguan,

20:20mura siya uguan, dok.

20:22Bantayan na.

20:23Kaya, anahan, uguan.

20:24Kaya, katong na na-expose,

20:26ang siya uguan.

20:26Atis, uguan niya.

20:29Buo siya.

20:30So, kanisad, for the parents,

20:31makakita as sila ni yunani.

20:33And then, those private groups

20:35who also wanted to do med missions,

20:36we wanted to raise a cani.

20:38Emergent po din.

20:39Anahan si din.

20:40So, kayong lokaan ni siya tambalan.

20:42Pahidro man ni siya.

20:43Topical ni siya, dok.

20:44Topical, antibiotic, ragyod.

20:46Okay.

20:47So, kitsa tong atong mga...

20:49Bless din, ha?

20:50Kung naamoy mga tambal paraan, eh.

20:52Pudawat yus dok, Niki.

20:54Or kung kao mismo manggawas,

20:55pagbit-mitsad mga topical.

20:58Topical, ha?

20:59Oh, good.

21:00So, unsa paan...

21:01Naapay next, aneh, katong sabadi.

21:03Katong sabadi.

21:04Empitido, hihapon.

21:05Ay, di, cellulitis.

21:07Ah, di, na.

21:08Oh, cani disi...

21:10Oh, cani is...

21:12Katong maitom.

21:13Balik ka katong iblah.

21:15Maunang sample sa necrotizing fasciitis.

21:19Katong very dangerous.

21:21Niwerson na, no?

21:22The very fast and very dangerous.

21:25Nguni ang flesh-eating, dok, no?

21:27Mane flesh-eating bacteria.

21:29Isang nga, nalang daan niya nga flesh-eating.

21:31Mad-look natandok.

21:32Samot na iyang dagway, no?

21:34Nag-iyaang-ang...

21:35Black siya.

21:36Ang discoloration sa skin ba, no?

21:39Kanang extreme siya kaayo.

21:41Malata, yun na.

21:42Ang uban, i-amputate.

21:44Pas-pas-skin niya siya, dok.

21:45Pas-pas good kaayo niya.

21:46Murat, ka nang sa...

21:47Ka nang diabetic vita, di ba?

21:49Muin-ana man siya.

21:50Kana, pag-good.

21:51It can help.

21:52It can...

21:54Wait, hindi ito mag-what mo in, ana, mga igalang.

21:56Malisang na ta kung red.

21:58Nag-red pa lang siya, no?

21:59Malisang na ta.

22:00Nakilisay, nahihilanat.

22:01Oh, muna na.

22:02Muna na, muna na.

22:02Muna na, muna na gina siya.

22:04Check na ginatanan.

22:05So, dagan gina yun sa ER.

22:07Naitay mga provincial hospital sa probinsya.

22:10Pwede tamo dagan na yun dito.

22:12Kayaan na ang mga bacteria.

22:13Naara sila'y tambal, ana.

22:15So, sa pailain, ani, dok?

22:17Ang next is fungal.

22:20Funggal.

22:20Sige.

22:21Katong tiil, man siya.

22:22Mali siya.

22:23Okay.

22:24Okay.

22:25Kanang mga in-between sa toes.

22:27Oo.

22:28I'm sure daghan yun yun yung cases, Ron,

22:31because mahumol ba yun ang ilatiil sa basa?

22:34Yan.

22:34Walay tubig, ilimpiyo.

22:35So, kanay tura, muragbag na lata ba?

22:38Ang in-between niya na a-pailain picture, ani,

22:42na naay mga blisters.

22:44Lain patal.

22:46Scales and blisters.

22:47Na-pailain.

22:49Na-pailain.

22:50Oo.

22:51Naapa.

22:51Next.

22:52Okay, that's it.

22:54Okay, that's it.

22:56Okay, that's it.

22:58Do you research the picture of the doctor's picture?

23:02So you can see the visual of...

23:06...the blue...

23:08...the blue...

23:10...the blue...

23:12...the blue...

23:14...the blue...

23:16...the redness.

23:18I can see the picture of the Mildred.

23:20First of all, you call them...

23:22...break in skin integrity.

23:24It's pure.

23:26Do you have to look at it?

23:28So, for example,

23:30...atlet's foot.

23:32Yes, diabetic.

23:34First, it's a blood.

23:36It's a blister.

23:38Then later on,

23:40...it's a blister.

23:42I remember,

23:44my daddy is diabetic.

23:46What is the blood?

23:48It's a blood.

23:50It's a blood.

23:52It's a blood.

23:54It's a blister.

23:56It's a blister.

23:58It's a blood.

24:00It's a blood.

24:02It's a blood.

24:04So, imagine, Mildred,

24:06...in a setting of...

24:08...the blue...

24:10...to be able to penetrate.

24:12It's dry.

24:14It's dry.

24:15It's dry.

24:16It's dry it always.

24:17Every day you work it's dry.

24:19It looks like the sun.

24:20It's a blood.

24:22Is it dry?

24:23It's a blood.

24:25It's a blood.

24:27It's the humidity in the sun.

24:28Can cause this?

24:29Can cause this?

24:30One of your suggestions.

24:31They know they have blood.

24:32What should they do?

24:33After they wash their boots, it's supposed to be exposed to the sun.

24:40The boots.

24:41The sun.

24:42The sun.

24:43The sun.

24:44The sun.

24:45The sun.

24:46The sun.

24:47The sun.

24:48The sun.

24:49The sun.

24:50The sun.

24:51The sun.

24:52The sun.

24:53The sun.

24:54As I said, this can also be a source for cellulitis.

24:59The sun.

25:00The sun.

25:01The sun.

25:02Correct.

25:03But I remember right after his life, in Mananga, there were some calls aside from the

25:12Trapal, the boots, the one who was able to get it.

25:16Some worries were not even the flood water but the sun.

25:23The sun.

25:24The sun.

25:25The sun.

25:26The sun.

25:27gł Dire magnesium because of the mud.

25:31So we can see just the mud, when they're toute up in galat, so there's no way they become

25:35artists and some of the methods.

25:38Yes, it's not visible.

25:40Even when, when it's Wilder adopting a injection.

25:42Of an injection군.

25:43It's Corticone.

25:44At it was an emergency purchase of color and then it just changed the mud.

25:46They got a wet wet wet wet wet wet wet wet wet wet wet wet wet wet wet wet wet.

25:49They exposed it, right?

25:50Yes, man.

25:51So they just go to the mud puddisant.

25:52You know that it's trying to see the mud.

25:53Simple medication.

25:54certainly white oil on the top if they set up.

25:55They don't have boots, they have boots in the department store.

26:00But the doctor said that they have to use it.

26:03If you don't use it, you can use it.

26:06Because if you don't use it, you can use it.

26:11Plus the moisture itself.

26:13It's warm in the air.

26:15The sweat itself.

26:17The sweat.

26:19It's perfect for the sweat.

26:23It's the breeding ground.

26:25The yeast inside.

26:27Those are the factors.

26:29In our practices that they use today, everyday,

26:32they go back to work with boots.

26:35We don't have to use it.

26:38We have to make sure that it's a breeding place for problems.

26:42Fungal problems, right?

26:44So...

26:45The sweat.

26:47The sweat.

26:49The reversion of the doctor,

26:51the water.

26:53It's the same principle.

26:55It's the same.

26:56It's the same.

26:57Just moisture, heat, and friction.

26:59Those are the three.

27:00If you have a drink and your rubber shoes,

27:02you'll be squeaky.

27:03It's the feeling.

27:04Much more that it's not going to be wet.

27:06It's going to be wet.

27:07It's going to be wet.

27:08It's going to be wet.

27:09It's going to go wet.

27:10It's the same.

27:11It's like, you got to get wet.

27:12It's going to sweat on your feet and sweat on your feet.

27:14Not many feet, but it's the same.

27:15It's going to be wet.

27:16It's going to eat so much less.

27:17It's going to be wet,

27:18it's going to be wet.

27:19It's going to be wet.

27:20Yeah, but I think it's better to prevent it from being able to prevent it from being able to prevent it.

27:27And so on, how do we move on to rehabilitation and recovery?

27:32If it's not that way, it's not that way.

27:35It's not that way.

27:37It's not that way.

27:39It's not that way.

27:40It's not that way.

27:41It's not that way.

27:42If it's not that way, it's red, hot, fever.

27:46It's not that way.

27:48It's not that way.

27:50It's not that way.

27:52It's more so that way.

27:54It's not that way.

27:56It's not that way.

27:58With the environment, contaminated floodwaters.

28:02It's not that way.

28:04It's more efficient than the health care.

28:06It's better than the prevention.

28:10It's not that way.

28:12It's not that way.

28:13It's just early detection.

28:14Early treatment.

28:15It's easier to see if it should Google it.

28:18It's better than when you Google it.

28:19It's better!

28:20It's better than Dr. Google!

28:22Because Dr. Google, he says,

28:23he doesn't have a full time look at the creamer for him to come to the pharmacy.

28:29I'm not sure if it's strictly known when it comes to antibiotics.

28:34It's pretty strict already.

28:36Instead of the pharmacist, they don't have a full time look at the pharmacy.

28:39I would call it to the pharmacy,

28:41I would call it to the patient,

28:43certain antibiotics without the prescription.

28:47We're scared of resistance.

28:51When you need it,

28:53you won't be able to touch it.

28:55The antibiotic is more expensive,

28:57it's more expensive,

28:59it's more expensive,

29:01it's a kidney.

29:03It's an amoxicillin.

29:05It's a bad thing,

29:07you're not expensive,

29:09it's a bad thing,

29:11you're not expensive.

29:13You're more expensive.

29:15If you're still expensive,

29:17you're not expensive.

29:19You're not expensive,

29:21you're not expensive.

29:23You're not expensive,

29:25you're not expensive.

29:27The third day,

29:29you don't have to eat,

29:31seven days,

29:33it's less expensive.

29:35You can only take 7 days away so you don't have to worry about it.

29:39You don't have to worry about it.

29:41You don't have to worry about it.

29:43First of all, it's cheaper to take care of it.

29:48You don't have to worry about it.

29:50Back to zero.

29:52At the more expensive medicine.

29:55You don't have to worry about it.

29:58You can self-medicate.

30:00You have to buy the food.

30:02The doctors take how many years to be able to export it.

30:06At the same time...

30:09You hit a really good point, Mildred.

30:12Oh, I don't have to worry about 1 minute, 2 minutes.

30:14That's why it takes...

30:16But it takes untrained eyes.

30:18Years.

30:19That's why, okay, this is erysipelas, this is cellulitis.

30:22So it's different when I treat my maladies.

30:25Okay, okay.

30:26I'm going to zoom, huh?

30:28There's a reason why we have doctors, we have nurses.

30:34Because they have to take care of it.

30:37Because Dr. Google is also able to take care of it.

30:40It's searchable.

30:41It's already searchable.

30:42It's already searchable.

30:43It's already searchable to give you an idea.

30:45But you don't have to take care of it as a doctor.

30:47How does the prolonged exposure to dirty water and mud compromise the screen barrier?

30:57And what role do contaminants like sewage and chemicals play in increasing infection risk?

31:03Because there are areas that are not contaminated water.

31:09Yeah.

31:10Human waste.

31:11Human waste.

31:12Human waste.

31:14Human waste.

31:15There are more serious bacteria.

31:20Like pseudomonas.

31:22Coliform.

31:24It's more serious.

31:26And cause worse infections.

31:31So anything out of the ordinary, you can check up.

31:36Correct.

31:37Okay.

31:38Okay.

31:39Canipon?

31:40Saad ang sagol ang ang kanang mga coastal areas.

31:45Yeah.

31:46Sagol ang seawater and fresh water.

31:49Fresh water.

31:50Katonggikan sa...

31:51It's not also kay lahi.

31:52Isan ang bakteriya na pun.

31:54Ang nag-anabatag coastal areas.

31:56Oh, exactly.

31:57Ang mauna.

31:58Cebu City lang ang pasilang area.

32:00Ang gitas Guadalupe River.

32:01Mauna.

32:02Nag-anabat paginat sila din ha.

32:04And even in...

32:05Cebu is one big coastal...

32:07coastal island.

32:08So ang exposure, no?

32:10Karkar talis-talisay.

32:12Okay.

32:13I can.

32:14Hmm.

32:15And so, moob ito na...

32:16Ang skin, dok, is the largest skin.

32:18Ang organ in the body.

32:19So, moody ni Imu...

32:20First defense.

32:21Hmm.

32:22So, kung masamad na na...

32:23O...

32:24Kuya po, masudlan.

32:25So...

32:26Muna siya.

32:27Correct.

32:28Ayaw gini ignore.

32:29Palihug lang gini in town.

32:30Hindi itang mag-doktor-doktor.

32:31Panawagan.

32:32Panawagan gini.

32:33Ayaw gini mo pag-doktor-doktor kay.

32:35Mula gina.

32:36Instead nga,

32:37nag-daginot ka,

32:38mas, mas...

32:39Daku yung mong gasto kay.

32:41I-mumang gi-inday-inday.

32:43I-mumang gi-cultivate ang i-mong...

32:45i-mong problema.

32:46I-mong samad nga.

32:47Imbis garas na igurang ni Pua,

32:49i-mong gi-ignore.

32:50Nag-huwat gini ta nga.

32:51Ang entire side ni Pua.

32:52Awa na.

32:53So...

32:54Nana.

32:55Nana.

32:56So, that means...

32:57Nana.

32:58Nana.

32:59So that means,

33:00Nana is also a bud sign.

33:02Ah, nase lipo yung na-think daw.

33:03Kanang si-pagulg-gong?

33:04Kanang ganahin ka sila mangulg-gog ba?

33:06Sa ilang...

33:07Ah, kanang groan, oh...

33:08Man plus, ma...

33:09Ma-sood lang.

33:10Ma-oh na.

33:11That's another one.

33:12May flood waters.

33:13Kain manggid mga mga tao

33:14nga ilagid ipatang-tang, diba?

33:17I-mong tang-tang mga guud ni mo.

33:19Dilip man siya.

33:20Samad mga gugd siya.

33:21Yeah, who does it?

33:22ordinary person

33:24sterilized

33:26sterilized another infection

33:28from that?

33:30viral, warts

33:32from the

33:34to the

33:36use of

33:38sterilized

33:40it's common

33:42the problem

33:44the problem

33:46for example, the night before Tino

33:48you get exposed

33:50oh my god

33:52there are days in town

33:54in town

33:56of course doctor

33:58I don't want to go back to Krista

34:00usually

34:02if she's a kid

34:04she's a kid

34:06she's a doctor

34:08for 7 days

34:10this medication

34:12and the good things

34:14for derma

34:16if she's diagnosed

34:18early

34:19she's a good

34:20topical

34:21or antibiotics

34:22it's easy to treat

34:23if she doesn't

34:25have a sepsis

34:26she's a kid

34:28she's a kid

34:29she's a kid

34:30but

34:31the key

34:32we wanted to emphasize

34:33over and over again

34:34was the vulnerable

34:35population

34:36your mother, father,

34:37your mother

34:38your mother

34:39your mother

34:40your house

34:41your home

34:42check your day

34:43because

34:44mouth

34:45an

34:46sok

34:47dedi

34:48is

34:49when

34:50it's

34:51a

34:51elderly

34:52they didn't

34:53ever

34:54the Juan

34:54for her

34:55is

34:57the

34:57body

34:58like

34:59later

35:00on

35:00as

35:02the

35:04Wow

35:05witch

35:06mother

35:07it's

35:07evil

35:08the

35:09animals

35:12Rosen

35:12its

35:12It's one of the things that we wanted you all to look into.

35:19It's just a little sad.

35:21Tino's crazy, no?

35:22He doesn't have a lot of blood.

35:25But he has a few days.

35:2824 days.

35:30He has a lot of blood in Cebu,

35:31but it's still the effects of Tino's.

35:35So, first of all,

35:36it's really good.

35:37It's really good.

35:38It's really good.

35:44What preventive measures including clothing,

35:48footwear, hygiene practices

35:50are essential to people who must wait

35:53or work in flood-affected areas

35:55to minimize skin disease risk?

35:57Boots is one of those.

36:01What clothing do?

36:03Clothing?

36:04Well, it's not a lot.

36:05It's not a lot.

36:07They are also using jackets

36:08and then they are still in return.

36:10So, they are not treated as well.

36:11But aftercare,

36:13it's like,

36:14the washing,

36:15the bathing,

36:16the washing,

36:17the washing,

36:18the washing,

36:19the washing.

36:20Yes.

36:21They are also having a clean with you.

36:23Clean water.

36:24It's good.

36:25To be good. So alcohol. Yeah, kay hinumdum ka nga katong daghan kayo ng request sa bumbiro nga.

36:32Ah, yes. That imagery of tubig. So ang ilaha is, ang bumbiro, kaning tubig, amuneng ihatag para sa gamit-sabay.

36:40Unya na ang para flushing. Later na siya ba, so daghan kitang supplies tubig.

36:47So I think most of the challenge ka ron, no? Ang supply food sa water.

36:52True.

36:53Huwag tayo tubig hala palit nalang ta. Mga ita ni IPI ah.

36:57Calling out IPI. Kung maka-donate mo ang alkohol, mas maayo.

37:01Oo. But valuable kaya isa ni ang role sa mga derma-doc and mga PDS student certified doctors.

37:09Kaya they're trained in looking into pathologies but in the skin.

37:13So kani sila, they can really diagnose and see the whole treatment.

37:17Mag-trained na kayo na ilang madam.

37:19Makailangan ito ay kuha na.

37:21I-learning ma-feel kaya mao na sila.

37:23Si Dokong pila na sa years of experience.

37:26Institutionally certified.

37:28Wow. So di.

37:30So di.

37:31So di.

37:32I-learning maailan si Dokong.

37:33Ah di Dok.

37:34Garas na ni Dok.

37:35Ah di.

37:36Dile.

37:37Makakita na dayo na siya.

37:39So, do you have the capital scheduled medical missions for this?

37:47So, last week, Ma'am Mildred, recently, Balamban.

37:50This weekend, Natay Caravan in Sambuan.

37:53And also, Saturday will be a surgical mission.

37:56Kanisa, South Madrid.

37:58Dugay na na na plano.

38:00So, surgical mission for gallbladder hernias surgery.

38:03But, sige pa, may ugta.

38:04So, naay mga private institutions na, like, I'm the Philippines.

38:08They were out pag Tuesday.

38:10So, ni-support lang po d'Minila.

38:11So, naapay multiple groups na mga itong ila ha.

38:14Mga itong ila ha.

38:15Mga itong magtambal.

38:16Nagsugod-sugod na mag-add any mga topical kinang gawas na doon ang mga kagid-kagid.

38:21Mga ito.

38:22Mga ito.

38:23Mga ito.

38:24Mga ito.

38:25Mga ito.

38:26Mga ito.

38:27Mga ito.

38:28Mga ito.

38:29Mga ito.

38:30Mga ito.

38:31Mga ito.

38:32Mga ito.

38:33Mga ito.

38:34Mga ito.

38:35Mga ito.

38:36Mga ito.

38:37Mga itong tino ang bayabas.

38:38Mga ito.

38:39Mga ito.

38:40Mga ito.

38:41Mga ito.

38:42Mga ito.

38:43Mga ito lang.

38:44Mga ito.

38:45would be salt solution oh yes very simple you can boil

38:53one glass of water you add one half teaspoon of salt

39:10you can so i think all of us

39:15it's very simple economical

39:19it's impossible to go with asin so I'm going to add one glass of water

39:24then one half teaspoon of salt

39:27then you can use it

39:32or you can soak the area using

39:39if you have cotton

39:40or gauze or if you don't have it

39:44you can use it to soak for 30 minutes

39:51because that's an antiseptic

39:53yes

39:56you can do it at home

39:59it really works

40:01you can use it to soak for 30 minutes

40:02all households

40:04it's a lot of people

40:06you can use it to soak for 30 minutes

40:08so i think

40:08it's easy to eat

40:10it's easy to eat

40:11it's easy to eat

40:12if you don't eat it

40:13you can use it to eat

40:14so one

40:15and again

40:15And then, the formula is one glass of water, one half teaspoon of salt.

40:23So, it's going to be a bit of salt.

40:24Correct.

40:25Okay.

40:26So, I think, it's hard to get it done with Dr. Ong.

40:29Sharon, we're going to have to drink this.

40:31And, it's hard to emphasize that the symptoms of the infection,

40:39it's hard to get it done with Dr. Ong.

40:43So, it's hard to get it done with Dr. Ong.

40:45Diba ka na, good.

40:46Aside na mas barato, mas, di pa mo mas mucomplicate.

40:50Mumulala.

40:52Anything nga itong daladalahon, mubugat na siya.

40:56So, di itong muhuwat, kaya mubugat, good na.

40:59Let's not wait for it to complicate.

41:01So, let's visit good to the nearest ERs or itong mga provincial district hospitals.

41:08So, with that, magdaghan na kita ato.

41:11Again, prevention, di namang ginimadag prevention, dok.

41:15Early detection.

41:16Muli kampanyang dok ni Kiron.

41:18Early detection.

41:18Madaang prevention.

41:20Kaya, naan na mangit ng flood.

41:22Ma-expose mangit ka niya.

41:23Kaya, moagi mangit ka.

41:25Either you go to work or mangita ka at pagkaon, moagi mangit ka.

41:28So, early detection, good mga higala niya.

41:31Katong mga simple nga gihatag ni dok o nga, kung mag-boots ta, ito i-make sure nga dry, mabuwan na ito sa init.

41:37Kaya, nibalik-balik naman ang init ka roon.

41:40Kanang mahanginan, ma-expose na ito siya.

41:42Kaya, muna, breeding ground po siya for another problem.

41:45And then, katong very, very practical nga, ano ni dok, katong kung naanak ay infection din ha.

41:54Like, mga nanay, mga nanay, mga nanay na, o kanang, naay very practical nga, antiseptic.

42:02One glass of water, one half teaspoon of salt, pabukalon.

42:07Ayaw sa rin taong, ugilap, no.

42:09Ito na pasok, sa ta.

42:10Ma-burns punta na, o mildred.

42:12Dili-in taong na na ito, i-ana itong TLD na.

42:15Dili siya na i-mumul.

42:16Pabugnaon.

42:17Pabugnaon sa rin taong na ito.

42:19Kaya, base niya, di lang kayo antipayote.

42:22Burn-wint na sa ta.

42:23Mahal na bang burn-wint na sa ta.

42:26Dili siya mauli.

42:27Naraba sa rin, may nang init ka, mamatay yung kagaw.

42:30I can't get it.

42:32So let it settle down.

42:36It's a big deal.

42:38They put it in open wounds.

42:42You don't have to lose your mouth.

42:46You don't have to lose your mouth.

42:48You don't have to lose your mouth.

42:50It's a big deal.

42:52It's a big deal.

42:54To check the vulnerable population.

42:56Diabetic.

43:00Inspikain ng mga tiler.

43:02Ito nang pag-inspecon din.

43:04Basin bitaw.

43:06Naalay na garas.

43:08Nasa kayang luyo din sa likod.

43:10Ito ang inspection nun.

43:12Ang mga lawas at mga lulog-lulog nga.

43:14Hinay na baka.

43:16Ito mga kabataan nga.

43:18Sus, nagandagan ang tubig din ha.

43:22Sus, in town.

43:24It's like, it's an infection.

43:28It's an infection.

43:30It's an infection.

43:32So, it's like,

43:34it's like a thing that's still there.

43:36It's like,

43:38you know,

43:40it's like,

43:42you know,

43:44you know,

43:46it's like,

43:48it's like a poem,

43:50it's like a cantanet.

43:52You know,

43:54you know,

43:56sign up for your example

43:58and help you find it so useful.

44:00It's like,

44:02you know,

44:04Kenneth,

44:06you're able to take a look at that

44:08and watch some things

44:10that you've found on your spot

44:12and keep watching.

44:14That's what we've found

44:16in our memories.

44:18When you're a mother

44:20So, kung nakabantay na ka ngayana, ayaw sa pangitan ni Google, add to good sa ER or add to good sa health center.

44:26Kaya sila man ang kanang mas nasuhito o kung sa good ang klase sa MAD or sa imong gi, kanang dalang na problema dito.

44:35So, with that, Doc, pasalamat ni sa imong time.

44:37It's my pleasure.

44:39Sa imong pagpasabot in town na mo.

44:41Gamay na tabang.

44:42Busy na ka ni si Vitor.

44:43So, thank you, Dr. Kaino.

44:45You're welcome.

44:45Kaino na consultation, libre ni, sobra pagin.

44:48So, with that, we'd like to thank you, Dr. Marie Luong, for sharing your expertise.

45:00Thank you, Doc Nick, for being my host today.

45:04And thank you to all the viewers for tuning in.

45:07Stay safe, stay informed, and join us again next week for another episode of Vital Signs.

45:13I'm Gildred Galarpe.

45:43I'm Gildred Galarpe.

Vital Signs: Skin Infections After Typhoon Tino — What You Need to Know

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