Aired (September 7, 2024): Ano nga ba ang dapat gawin sakaling mabagok ang ulo ng isang tao? Alamin sa video!
Hosted by Connie Sison and its resident doctors, ‘Pinoy MD’ is an informative magazine show that provides wellness tips and answers to some important medical questions.
Watch ‘Pinoy MD’ every Saturday, 6 AM on GMA Network. Subscribe to youtube.com/gmapublicaffairs for our full episodes.
Hosted by Connie Sison and its resident doctors, ‘Pinoy MD’ is an informative magazine show that provides wellness tips and answers to some important medical questions.
Watch ‘Pinoy MD’ every Saturday, 6 AM on GMA Network. Subscribe to youtube.com/gmapublicaffairs for our full episodes.
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00:00The 56-year-old Ruel is the man in the video. He has been a construction worker for more than two decades.
00:10He is used to this kind of work, and most of the time, he only works on small constructions in houses.
00:18That's why Ruel doesn't wear safety equipment like a hard hat.
00:26It's just close.
00:28If it's far away, it's really a safety.
00:31Helmets are really for long-distance work.
00:35If you want to go up, you really need a helmet.
00:39That day, he was changing a house.
00:45Because of the wrong step, Ruel suddenly fell while on top of the scaffolding.
00:52It was really sudden.
00:54I was about to move to the other side of the house.
00:59I was about to give up.
01:02From the second floor of the house, which is 9 feet high,
01:06Ruel's head first hit the cement.
01:15I was surprised when I fell.
01:19Ruel didn't even have five seconds to get up.
01:24I fell. I was about to get up.
01:28It's really painful.
01:32Ruel still finished his work.
01:35But when he got home, he felt weak.
01:41Because of the budget, he couldn't consult a doctor.
01:45Because I only have money for my studies.
01:51Almost two months after the accident,
01:54we brought Ruel to Dr. Gerold Justo, a neurosurgeon.
02:01We check if there's an abnormal exam.
02:04It means that there's a possible affected part of the brain.
02:09We also consider if there's a part of the brain that has blood,
02:17or if there's a part of the brain that's damaged because of the fall.
02:22Don't look away from my finger.
02:25Did you have a hard time watching?
02:27Did you have a hard time? Why did you have a hard time?
02:29Did it double? Look.
02:30Did it double? Where did it double?
02:33Don't look to the left or right.
02:36Left.
02:37Dr. Gerold noticed that Ruel was having a hard time with one of his examinations.
02:44There's a part of the brain called cranial nerves.
02:48Those are the nerves that control the movement of the eyes.
02:52Sometimes, if there's a slight injury,
02:56or if there's a pinch, or if it's damaged because of the fall,
03:00there can be abnormalities.
03:03But for him, it's called diplopia in English.
03:08It's the movement of the eyes.
03:10It's a possible symptom that one of the nerves isn't functioning.
03:15So, it can tell us that there's a problem,
03:20but it's not very specific,
03:22that there's a big problem in the patient's brain.
03:26We check if in the future,
03:28if the symptoms are still persistent,
03:32or if he will lose his vision.
03:35Because of his age,
03:36he doesn't need to undergo a CT scan.
03:41We look at the fit criteria for CT scans.
03:44The criteria, usually,
03:46the patient is more than 65 or equal to 65 years old.
03:52These are the patients who have high risk for diseases
03:59like hemorrhage in the brain,
04:01or blood in the brain.
04:03According to the doctor,
04:04the nerves in the body are the most affected
04:07when a person changes his mind.
04:10The most common are the times when their sense of smell is lost
04:15because the nerve that controls the sense of smell
04:19is in the part of the brain near the nose.
04:23The second most common is the so-called facial nerve,
04:26the nerve that controls the movement of our smile,
04:30the so-called muscles of facial expression.
04:37It is also possible that the cause of death is a concussion.
04:43If we don't take care of those,
04:45the brain may stop functioning.
04:48And if it's not addressed,
04:50the affected brain may be stuck.
04:54If that happens,
04:55the person may be fully comatose and may die.
05:01The doctor's advice,
05:02when a person changes his mind,
05:03don't immediately stand up or get up.
05:07Let the patient feel himself first.
05:09Because if the patient is awake,
05:11and he himself can move,
05:14we don't have control over the patient.
05:17But it's better to call medical personnel
05:20to evaluate the patient.
05:23If the patient fainted or had a concussion after the accident,
05:26immediately go to the nearest hospital.
05:29It means that there is a cause of high pressure in the brain.
05:34So the doctor needs to evaluate,
05:37and if necessary,
05:40the patient needs a CT scan
05:42to know if that's what's happening in the brain.
05:45Is it also true, doc,
05:46that patients are not allowed to sleep after the concussion?
05:50Yes, they can sleep.
05:52But this patient needs to be monitored
05:56if he or she is awake.
05:58If there is swelling or concussion in the affected brain,
06:02cold compress is a good first aid.
06:07It's recommended to apply cold compress
06:09to lessen the swelling in the head.
06:14But cold compress is only for the scalp,
06:18just outside the blood vessels.
06:23For people like Ruel,
06:25who works in high places,
06:27he uses a hard hat.
06:29This is for safety,
06:31because we don't know what can happen.
06:34And it can also lessen the risk
06:37if a concussion happens.
06:41Meanwhile, after Ruel's neurological exam,
06:45according to doc,
06:46the result of the exam is normal
06:48and there is no significant effect
06:50of the concussion in his head.
06:53He doesn't have any significant neurological findings.
06:57That's one situation
07:00that we don't need to worry about.
07:04Although there are still situations
07:07that we need to monitor.
07:09We need to be careful
07:11so that the body is more safe.
07:17There are times when danger is inevitable.
07:21That's why it's important to be alert at all times.
07:25Wear safety gear in dangerous jobs
07:28to ensure our safety
07:30or to reduce the possibility of concussion.
07:46Maraming salamat sa pagtutok sa Pinoy MDE.
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