Showing posts from July, 2018

Nasal breathing a panacea - The Hindu

Patient Speaks... Good Asthma control needs a healthy Doctor Patient Relationship, learn more

This is a 48 yearold School Physical Instructor presented to us with uncontrolled Bronchial Asthma. He has been visitng Apex Goverment Institute but was not able get relief because so many factors. He was so disillussioned and decided to live his life with distress as he had no clues what to do? and started thinking about the future of family. He was unhappyand lost hope.He was disturbed because of so many reasons:
 He was not explained adequately about  the chronicity of disesase and role of long term inhalation "LABA & ICS"
No 2
 Every time a new doctor was attending him and there was no scope for a healthy long term doctor patient relationship.
No 3
No proper Inhalation and Device education was provided to him.
No 4
 Importance of home monitoring with a simple Peak flow meter was not stressed upon.
Importance of trigger mananagement was not discussed.
 & last but not the least
 No emphasis on disesase perception called illneess and  lack of couselli…

A good doctor patient relationship decides the adherence to longterm inhaler therapy in chronic Asthmatics

Doctor patient relationship decides the disesase recovery and adherence to treatment in chronic care practice. This is a young lady who first vited us us as little child with uncontrolled asthma. Parents were educated about the role of parternership program between consultant and patient. The child was asked to monitor peakflow chart regularly and was put to preventive therapy. Family understood the need of inhalation corticosteroid therapy and religiously followed the program. She gradually outgrew her frequent asthma attacks and practically became off inhalers by her eighteenth birth day. Listen to this brilliant lady settling in USA . This video was taken when she herself wanted to speak her heart after feeling a sense of achievement.Doctor Patient relationship in a Chronic Asthmatic: Patient Speaks


Dr.BOSE, FELLOW(FBPI) WHAT IS THE BUTEYKO METHOD? Named after Dr Konstantin Buteyko, the Buteyko Method consists of a series of breathing exercises and guidelines specifically designed to reduce over-breathing (clinically known as ‘chronic hyperventilation’). The simple fact is that many people breathe too much, which alters the natural levels of gases in the blood, reduces oxygen delivery to tissues and organs, and causes constriction of the smooth muscles surrounding blood vessels and airways. This can lead to numerous health problems. Bringing breathing volume towards normal and making the switch from mouth to nose breathing helps to alleviate such health problems. ABOUT US “Working together to improve health through breathing re-education” Buteyko Professionals International (BPI) is an international community of individuals who work as practitioners/educators or incorporate some aspects of the Buteyko Breathing Method into their main area of professional practice or have an academ…

Pulmonary Rehabilitation in an Advanced COPD with Cough Assist Device

Pulmonary Rehabilitation in an Advanced COPD with Cough Assist Device

This is a 70 year old hypercapnic COPD patient with advanced Emphysematous  changes.
We are showing how SAANS Pulmonary Rehabilitation Program helping patient.He was subjected to our Pulmonary Rehabilitation Pogram using CBT, Muscle Endurace techniques, SAANS Power breath, PEEP Valve , Coach incentive Spirometry, Six minute walk test, Cough assist device for mucus clearing with  Optimum Bi level ventilation and oxygen supplementation . This also involves
Nutrition program and optimum bronchodialators.