we saw the pedia-allergo (dra. olivia de jesus) yesterday and im so glad i came to see her personally. the doctor was able to explain the details more clearly to me so ok na ako dun sa mga recommendations nya for treatment of allergic rhinitis & asthma. happy din naman ako kasi after a week of treatment na binigay nya, ok naman ang response ng daughter ko. yun lang, we will have to continue the zyrtec syrup (the anti-histamine) and singulair (thats the med that one i forgot the name of from my post before) for 3 more weeks, total of 1 month bale. from there dun na magdedecide if my daughter will still need maintenance meds. as for the skin test, hindi naman daw immediate yung need so no need to be concerned muna.
yung singulair pala is already the MONTELUKAST that you mommies have mentioned a while ago. we actually asked the doctor about using generic brands kasi nga singulair is quite expensive (most expensive pa nga yata?) but she said that singulair the montelukast brand that was backed-up by intensive research and study about its safety and effectivity kaya talagang mas mahal. the generic ones who's riding on the research may work as well pero she cannot attest to the safety and effectivity of those daw. of course kung generic lang daw ang afford ng parents eh better na daw yun than wala. sis marose17 & sis pear, what brand are you using pala?
also we still have thing hanging issue about my daughter having primary complex. as per recco of the orig pedia (not the pedia-allergo), she wanted to rule-out PTB dati kasi nga recurring yung cough nung daughter ko so she had my daughter and all of us sa household na magpa-xray. one of our helpers had a 'suspicious density' readng sa xray nya, and so pinaulit namin and we even had the helper do an apical lordotic (closer xray inspection?) tapos ang result naman is 'indeterminate'. because of that, the orig pedia recommended that our daughter get a PPD skin test and to our relief. negative naman ang result. despite that, the pedia still wanted to go ahead and give primary complex medication na to my daughter. siyempre hesitant naman ako kasi wala namang symptoms yung daughter ko (aside from the cough) so ayaw ko sana siya mag-meds ng basta-basta, ang tagal kayang gamutan nun then hindi naman ako convinced na necesary siya. anyway, nagpa-second opinion ako kay dra. de jesus and she said its best that we confirm the xray of our daughter pag wala na talaga yung ubo nya. baka daw kasi covered ng phlegm ang lungs nya noon so the xray wasnt able to detect anything. pag ok naman daw, no need for the primary complex meds. im ok with that na.
BUT, as for our helper, sabi ni doc, the xray results na may 'suspicious densities' plus the apico na may 'indeterminate' result is already a strong indication na meron ngang PTB or nagkaroon dati ng PTB si helper. chances are, she may have an active (the contagious kind) or the latent (not contagious) kind of PTB. we can do a sputum test to confirm if what she has is the contagious kind, but as with any test, the results may vary depending on the quality of the sample (spit) na isusubmit. anyway, regardless of the result of that sputum test, definitely kailangan pa din daw mag-undergo ng medication for PTB ni helper. even if what she has is the latent kind, her PTB can always recur and become active (even while undergoing the medication?) so in short, high-risk talaga si helper not only to our daughter, but even to us na adults. we have to let the helper go na talaga. how do i tell the helper that she has to go na in a 'nice way' is my current predicament. naku moral lesson talaga, if we're getting a new maid, ipapa-xray ko na (pati testing for hepa, kailangan din di ba) haaaay! pati ba naman maid poproblemahin ko pa?