#beingapulmonologist

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My New Work Place..

My New work place- TX Hospitals, Banjara Hills Road no.12, Hyderabad Available from Monday to Saturday from 1pm to 6pm

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My Article on exercise & Pulmonary Arterial Hypertension preventive measures

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My Interview on a Telugu News Daily: All about Omicron

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Today is National Doctor’s day and I am proud to be a Doctor & I take pride in treating people. I consider my life as a special mission to save lives and to do something good for the society.

Why is it celebrated?

National Doctors day is celebrated on July 1 all across India to honour the legendary physician and the second Chief Minister of West Bengal, Dr Bidhan Chandra Roy as per the info. He was born on July 1, 1882 and died on the same date in 1962, aged 80 years. Dr Roy was honored with the country’s highest civilian award, Bharat Ratna on February 4, 1961. Happy Doctors day to all the Doctors out there..

Theme of 2019:

The theme of this year is “Zero tolerance to violence against doctors and clinical establishment”. Every year the theme was announced by the Indian Medical Association. The theme will raise awareness about the violence happening with the doctors across India. The week of July 1 to Jul 8, 2019, will also be celebrated as ‘Safe Fraternity Week’.

During a free Health Camp

Did this shortfilm for the awareness of a deadly disease

Patient who underwent the procedure.. With our Professors and Post graduates..

With our Professors and their families..

After finishing the health camp

Our Interventional pulmonology team & Anesthesia team in Operation theatre

Few Inspirational Quotes:

To me the ideal doctor would be a man endowed with profound knowledge of life and of the soul, intuitively divining any suffering or disorder of whatever kind, and restoring peace by his mere presence. ~ Henri Amiel.

He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all -William Osler

Treat the patient, not the x-ray. ~ James M. Hunter.

When a lot of remedies are suggested for a disease, that means it cannot be cured.  ~ Anton Chekhov.

 When you treat a disease, first treat the mind. ~ Chen Jen.

Diagnosis is not the end, but the beginning of practice. ~ Martin H. Fischer.

Happy Doctors day: Few Inspirational Quotes Today is National Doctor’s day and I am proud to be a Doctor & I take pride in treating people.

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Happy Doctors: Face of reality through our perspective

Happy Doctors: Face of reality through our perspective

Today is National Doctor’s day and I am proud to be a Doctor & I take pride in treating people. I consider my life as a special mission to save lives and to do something good for the society. It is celebrated on July 1 all across India to honour the legendary physician and the second Chief Minister of West Bengal, Dr Bidhan Chandra Roy, as he was born on July 1, 1882 and died on the same date in…

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World Tuberculosis day 2019

Testimony of a person who won a war against MDR TB…

Today I am officially a mdr tb survivor. I am a tb warrior. I beat TB. I’m TB free. Glory be to God. Glory be to the most high. I am a living testimony. But my journey with TB doesnt end here. I will continue to fight with and for those infected and affected by this deadly bacteria. We need better and less toxic treatment!! We need shorter…

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There has been reports of Nipah Virus outbreak in Calicut Kerala with a death toll of 14. The mortality rate has been quite high – more than 50%. So, Let’s know more about this deadly virus.

1. What is Nipah Virus?

Nipah Virus (NiV) is an emerging infectious disease which first appeared in domestic pigs in Malaysia and Singapore in 1998 and 1999.

There is evidence of Nipah infection among several species of domestic animals including dogs, cats, goats, and horses. Sheep may also be affected. However, since the initial outbreak it has primarily affected humans in different parts of the world.

The disease causes respiratory and occasionally nervous signs in pigs. It has devastating zoonotic potential. The organism which causes Nipah Virus encephalitis is an RNA virus of the family Paramyxoviridae, genus Henipavirus, and is closely related to Hendra virus. Hendra virus, formerly known as equine morbillivirus pneumonia or acute equine respiratory syndrome, is an acute, viral respiratory infection of horses and humans that has been reported in Australia.

Nipah Virus infection, also known as Nipah Virus encephalitis, was first isolated and described in 1999. The name, Nipah, is derived from the village in Malaysia where the person from whom the virus was first isolated succumbed to the disease.

2. Where is the disease found?

There have been Nipah Virus infection outbreaks in pigs Malaysia and Singapore, and human disease in Malaysia, Singapore, India, and Bangladesh. Evidence of the virus without clinical disease has also been found in fruit bats in Cambodia, Thailand and Madagascar.

3. How is Nipah transmitted and spread?

Fruit bats, also known as‘flying foxes,’ of the genus Pteropus are natural reservoir hosts of the Nipah and Hendra viruses. The virus is present in bat urine and potentially, bat feces, saliva, and birthing fluids. Perhaps as a result of deforestation programmes, the Malaysian pig farms where the disease first originated had fruit trees which attracted the bats from the tropical forest, thus exposing domestic pigs to bat urine and feces. It is thought that these excretions and secretions initiated the infection in pigs which was then followed by a rapid spread through intensively reared pigs. Furthermore, transmission between farms may be due to fomites – or carrying the virus on clothing, equipment, boots, vehicles, etc.

The virus is present in bat urine and potentially, bat feces, saliva, and birthing fluids.

4. What is the public health risk associated with this disease?

Nipah Virus is a zoonotic disease. Transmission to humans in Malaysia and Singapore has almost always been from direct, contact with the excretions or secretions of infected pigs. Reports from outbreaks in Bangladesh suggest transmission from bats without an intermediate host by drinking raw palm sap contaminated with bat excrement, or climbing trees coated in bat excrement. In Bangladesh and India, there have been reports of possible human-to-human transmission of the disease so precautions are necessary for hospital workers caring for infected patients.

Precautions should also be taken when submitting and handling laboratory samples, as well as in slaughterhouses. Typically the human infection presents as an encephalitic syndrome marked by fever, headache, drowsiness, disorientation, mental confusion, coma, and potentially death. During the outbreak in Malaysia, up to 50% of clinically apparent human cases died. There is no specific treatment for Nipah Virus. Supportive care is the general treatment for this disease.

5. What are the clinical signs of Nipah Virus?

Nipah Virus in pigs affects the respiratory and nervous systems. It is known as porcine respiratory and neurologic syndrome, porcine respiratory and encephalitic syndrome (PRES), and barking pig syndrome (BPS). It is a highly contagious disease in pigs; however the clinical signs vary depending on the age and the individual animal’s response to the virus. In general, mortality (death due to the disease) is low except in piglets. However, morbidity (illness from the disease) is high in all age groups. Most pigs develop a febrile respiratory disease with a severe cough and difficulty breathing. While the respiratory signs predominate, encephalitis has been described, particularly in sows and boars, with nervous signs including twitching, trembling, muscle fasciculation, spasms, muscle weakness, convulsions, and death. Some animals, however, remain asymptomatic. Natural infection of dogs with NiV causes a distemper like syndrome with a high mortality (death) rate.

6. How is the disease diagnosed?

The disease is difficult to diagnose based on clinical signs alone, however confirmation can be made through prescribed laboratory tests (OIE Manual of Diagnostic Tests and Vaccines for Terrestrial Animals).

7. What is being done to prevent or control this disease?

Prevention and control measures focus on immediate eradication by mass culling of infected and in-contact pigs and on antibody surveillance of high risk farms to prevent future outbreaks. After culling, the burial sites are disinfected with chlorinated lime. It is also recommended to use sodium hypochlorite (bleach) to disinfect the contaminated areas and equipment. Other important control measures have been a ban on transporting pigs within the countries affected, a temporary ban on pig production in the regions affected, as well as improvement of biosecurity practices. Education and use of personal protective equipment (PPE) by persons exposed to potentially infected pigs is highly recommended. Also, improved hygiene at pig operations is suggested.

One of the most important biosecurity measures for affected areas is to decrease the likelihood of the bat reservoir coming into contact with pig product ion facilities. Research into development of vaccines has been ongoing in Australia and France.

Precautions to be taken:

1. Be highly suspicious about any fever with respiratory symptoms of 2 or 3 days suddenly showing signs of encephalitis

2. Ensure you wear a mask during any interaction with patients in OPD / wards. Usual surgical mask is enough, but don’t use it for too long. Change mask!!

3. Proper hand washing and hand hygiene is very important. Ensure there’s no laxity in this…

Stay tuned for more updates…

Source: WHO, Google, NDTV etc.,

Nipah Virus(NiV): Everything about this deadly virus There has been reports of Nipah Virus outbreak in Calicut Kerala with a death toll of 14.

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Today is World Asthma Day and the theme for this year is ‘Never too early, never too late. It’s always the right time to address airways disease.’ First Tuesday of May is commemorated as world asthma day in order to raise awareness about Asthma. 

Why is it celebrated as World Asthma  day?

World Asthma Day makes the people to provide each and every knowledge about the Asthma and to get them every preventive measures for their own health. It makes the people to come together to spread the knowledge about the prevention, causes and control of the Disease. 

It is Organised by Global Initiative for Asthma (GINA), this year marks the 20th annual World Asthma Day in collaboration with the World Health Organisation (WHO). The WHO states that a total of 235 million people are suffering from asthma. As a part of World Asthma Day, We Pulmonology residents from SVS medical college, Mahbubnagar gave an awareness talk in a Multinational Company about asthma and the risk factors related to it. I am going to discuss more about asthma in this post…

What is asthma?

Asthma is a chronic lung disease which causes difficulty in breathing, wheezing, Chest tightness, Coughing and affects sufferers to varying degrees, asthma is caused by swelling and inflammation of the bronchial tubes, sometimes in reaction to allergens, exercise, stress or changes in temperature.

Is it curable?

As a health condition, asthma cannot be cured but can be controlled by bringing in a few lifestyle changes. It is not usually curable but can be controlled to certain extents, depending on how it affects the sufferer. If it is controlled then sufferers can live relatively normal lives, although some triggers may have to be avoided.

What are the causes of asthma?

Exposure to Indoor allergens  like Dust mites, pollution and pet dander etc.,

Outdoor allergens (such as pollen etc.,)

Tobacco smoke

Chemical irritants in the workplace

Air pollution.

How is controlled?

Asthma is controlled by prevention medications for symptoms and relief medication for flare-ups of asthma symptoms. Education and understanding are keys to effective control of asthma, which can be fatal if not managed properly.

World Asthma Day educates and raises awareness of the condition in the hope of relieving suffering and reducing deaths.

Key facts about Asthma:

According to the World Health Organisation (WHO) report, India has estimated 15-20 million asthmatics.

Some 235 million people currently suffer from asthma. It is a common disease among children.

Most asthma-related deaths occur in low- and lower-middle income countries.

According to the latest WHO estimates, released in December 2016, there were     383 000 deaths due to asthma in 2015.

My Special thanks to Dr. Meghana Subash & Dr. Amman Goel for making this talk a successful one..

That’s me while speaking…

  Few Tips to prevent Asthma Attacks:

Regular exercise:  Exercise helps by strengthening your breathing muscles, boosting your immune system and helping to keep a healthy body weight. The key to exercising safely is to make sure your asthma is under control before you start. .

Avoid Triggers: If you are allergic to certain foods, you should avoid them. Allergies can trigger Asthma.

Eat plenty of Fruits & Vegetables & foods that are rich in Vitamin-C & E, Beta carotene, Flavinoids, Magnesium, selenium & Omega 3 fatty acids which are found in Fish like salmon, Tuna and sardines and some plant sources, like Flaxseed.

Avoid Trans-fats & Omega 6 fatty acids. There’s some evidence that eating Omega6 fats and Transfats which are found in some Margarines and processed foods, may worsen asthma.

Most important tip is that make sure that you take your asthma medication as prescribed by your doctor. Many people think they can skip their asthma preventing (controller) medications when they don’t feel any symptoms – that’s not true. Asthma is a chronic (long-term) disease. If you have asthma, you have it all the time, even when you don’t feel symptoms. You have to manage your asthma every day, not just on days when you feel symptoms.

Learn how to use your inhaler properly

Quit smoking and avoid second-hand smoke.

World Asthma day 2018: Spreading Awareness.. Today is World Asthma Day and the theme for this year is 'Never too early, never too late.

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World COPD Day 2018: Never too early, never too late

Chronic Obstructive Pulmonary Disease (COPD) is currently the 3rd leading cause of death globally & 250 MILLION people around the world are suffering from COPD.

COPD is not curable, but treatment can relief symptoms, improve quality of life & reduce risk of death. Finding cases early on is very important to prevent disease progression, and this approach may reduce the burden of disease and…

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Happy doctors day: A poem by a Psychiatrist

Happy doctors day: A poem by a Psychiatrist

National Doctors day is celebrated on July 1 all across India to honour the legendary physician and the second Chief Minister of West Bengal, Dr Bidhan Chandra Roy as per the info. He was born on July 1, 1882 and died on the same date in 1962, aged 80 years. Dr Roy was honoured with the country’s highest civilian award, Bharat Ratna on February 4, 1961. Happy Doctors day to all the Doctors out…