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Introduction:

Pulmonology is a medical specialty dedicated to the diagnosis and treatment of respiratory system disorders. As the lungs play a crucial role in our overall health, understanding the significance of this field can empower you to take better care of your respiratory health.

What Does a Pulmonologist Do?

Pulmonologists are experts in conditions such as asthma, chronic obstructive pulmonary disease (COPD), pneumonia, and lung cancer. They perform various diagnostic tests, including:

  • Pulmonary Function Tests (PFTs): To assess lung capacity and function.
  • Bronchoscopy: A procedure that allows visualization of the airways.
  • Imaging Tests: X-rays and CT scans to detect abnormalities.

Common Respiratory Conditions

  1. Asthma: A chronic condition characterized by inflammation of the airways, leading to wheezing, shortness of breath, and coughing. Management often involves inhalers and lifestyle modifications.
  2. COPD: Often caused by long-term smoking, COPD is a progressive disease that makes breathing difficult. Treatment focuses on reducing symptoms and improving quality of life.
  3. Sleep Apnea: A condition where breathing repeatedly stops and starts during sleep, leading to daytime fatigue and increased cardiovascular risks. Treatment options include CPAP therapy and lifestyle changes.
  4. Lung Cancer: Early detection is critical for effective treatment. Regular screenings and prompt attention to respiratory symptoms can lead to better outcomes.

Preventive Care and Healthy Habits

  • Avoid Smoking: The most significant risk factor for many respiratory diseases.
  • Regular Exercise: Improves lung capacity and overall health.
  • Stay Hydrated: Helps keep mucus membranes moist, aiding respiratory function.
  • Vaccinations: Stay updated on vaccines like the flu and pneumonia shots to prevent infections.

When to See a Pulmonologist

If you experience persistent coughing, wheezing, shortness of breath, or chest pain, it’s essential to seek help. Early diagnosis can significantly impact treatment effectiveness.

Conclusion

Lung health is vital for overall well-being, and understanding pulmonology can help you navigate respiratory issues more effectively. Don’t hesitate to consult a pulmonologist if you have concerns about your respiratory health. Remember, proactive care is the key to prevention and better outcomes!

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Endobronchial Leiomyoma: A Rare Form of Bronchial Tumor

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Authors: SA Arbat, A Arbat
Publication Date :2019/9/28
SourceEuropean Respiratory Journal
Pages : A2357-A2357
Volume: 54
Issuesuppl 63
Publisher: European Respiratory Society
Description :
Introduction: Chronic obstructive pulmonary disease(COPD) is an increasing cause of morbidity and mortality worldwide and has been strongly related to tobacco smoking.
Aims and Objective: Most studies on COPD have concentrated on smokers. Our data demonstrated that the risk of COPD in non smokers is higher than previously believed.
Methods: This is a retrospective observational study.180 non-smoker COPD patients were selected from the year 2016-2018. History with questionnaires was taken and subsequent spirometry results were evaluated. They were categorized into Mild, Moderate, Severe and Very Severe COPD according to GOLD Guidelines followed by questionnaires.
Results: Out of 180 non-smoker COPD patients, 54% were females. The percentage of mild, moderate, severe and very severe patients according to GOLD Guidelines was 26%, 53%, 58% and 43% respectively. The distribution of …

 
 
 

Non-smoker COPD: pilot study from central India

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Authors: Sameer Arbat, Ashok Arbat, Swapnil Bakamwar, Parimal Deshpande, Sneha Tirpude, Bharat Agrawal
Publication Date :2019/9/28
SourceEuropean
Respiratory Journal
Pages : A2357-A2357
Volume: 54
Issuesuppl 63
Publisher: European Respiratory Society
Description: Introduction: Chronic obstructive pulmonary disease(COPD) is an increasing cause of morbidity and mortality worldwide and has been strongly related to tobacco smoking.
Aims and Objective: Most studies on COPD have concentrated on smokers. Our data demonstrated that the risk of COPD in non smokers is higher than previously believed.
Methods: This is a retrospective observational study.180 non-smoker COPD patients were selected from the year 2016-2018. History with questionnaires was taken and subsequent spirometry results were evaluated. They were categorized into Mild, Moderate, Severe and Very Severe COPD according to GOLD Guidelines followed by questionnaires.
Results: Out of 180 non-smoker COPD patients, 54% were females. The percentage of mild, moderate, severe and very severe patients according to GOLD Guidelines was 26%, 53%, 58% and 43% respectively. The distribution of …

 
 
 

Unusual case of nail in lung

Authors: Ashok P Arbat, Sameer A Arbat, Meenakshi S Ghadge, Jayshree J Upadhye

Publication Date : 2017/11

Journal: International Journal of Advances in Medicine

Volume: 4

Issue: 6

Pages : 1709

Description :

Tracheobronchial foreign body aspiration is a health problem that can be seen in all age groups, and it requires urgent diagnosis and intervention. We report an unusual case of nail in lung. 45 years old male was referred to us with history of aspiration of nail 2 Days back and cough. X-ray Chest PA view showed radio-opaque foreign body in right lung-lower zone. Patient had undergone bronchoscopy 2 days ago with report stating,“Normal study; No foreign body Seen” Counselling of the patient and relatives was done. Informed consent was taken. Under general anaesthesia with intubation, fluoroscopy guided video bronchoscopy was performed with external diameter 5.6 mm and working channel 2mm. Foreign body was localized and removed It’s an innovative technique with multi-disciplinary approach. Counselling of the patient and relatives is important.

 
 

A CONFOUNDING CASE: PNEUMOCOCCAL PNEUMONIA UNMASKING SYSTEMIC LUPUS ERYTHEMATOSUS

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Authors: Ashok Arbat, Sneha Tirpude, Mitesh K Dave, Sukhant Bagdia, Sameer Arbat
Description
We report a case of systemic lupus erythematosus in a 27-year-old female complicated with pneumonia and severe respiratory failure, requiring treatment in an intensive care unit and non-invasive ventilation. Symptoms developed in an otherwise healthy female with no comorbidities except recurrent oral ulcers. Despite evidence of pulmonary infection, response was noted only after early introduction of intensive immunosuppressive treatment. Differential diagnosis and treatment of this condition represent a real challenge but close co-operation between the intensive care unit, pulmonology, and rheumatology departments reduce the risk of a fatal outcome.

 
 
 

AN INTERESTING CASE OF SECONDARY POLYCYTHEMIA

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Authors: Dave Mitesh, Ashok Arbat, Vinit Niranjane, Bhavesh Vaghani, Sameer Arbat
Publication Date : 2014/11/1
Journal : RESPIROLOGY
Volume: 19
Pages : 207-207
Publisher: WILEY-BLACKWELL

 
 
 

ASYMPTOMATIC COMPLETE LUNG COLLAPSE: A RARE CASE REPORT

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Authors: Ashok Arbat, Mitesh Dave, Vineet Niranjane, Bhavesh Vaghani, Sameer Arbat
Publication Date : 2015/12/1
Journal : RESPIROLOGY
Volume: 20
Pages : 95-95
Publisher: WILEY-BLACKWELL

 
 
 

Esophageal Aperistalsis-Induced Diffuse Aspiration Bronchiolitis

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Authors: Ashok Arbat, Sneha Tirpude, Mitesh Dave, Manoj Vyawahare, Sukhant Bagdia, Sameer Arbat
Publication Date :2016/10/1
Journal : Chest
Volume: 150
Issue: 4
Pages : 268A
Publisher: Elsevier
Description :
DISCUSSION: The patient had several episodes of repeated aspirations, leading to chronic inflammation of the bronchioles. Diffuse aspiration bronchiolitis (DAB) has been proposed to define a clinical entity that is characterized by a chronic inflammation of bronchioles caused by recurrent aspiration of foreign bodies. 1 DAB was originally recognized in the elderly, but can occur in younger patients with achalasia or GERD with similar manifestations. In this condition, the sphincter does not close completely, after food enters the stomach. In absence of concomitant peristalsis, the acid goes back up from the stomach into the esophagus and trachea. In primary/idiopathic esophageal aperistalsis there is failed esophageal contractility and a hypotensive lower esophageal sphincter without a known systemic cause as with our patient. The word secondary is applied to esophageal disorders in systemic disorders such as …

 
 
 

Unusual case of nail in lung

Go to publication

Authors: Ashok P Arbat, Sameer A Arbat, Meenakshi S Ghadge, Jayshree J Upadhye
Publication Date : 2017/11
Journal: International Journal of Advances in Medicine
Volume: 4
Issue: 6
Pages : 1709
Description :
Tracheobronchial foreign body aspiration is a health problem that can be seen in all age groups, and it requires urgent diagnosis and intervention. We report an unusual case of nail in lung. 45 years old male was referred to us with history of aspiration of nail 2 Days back and cough. X-ray Chest PA view showed radio-opaque foreign body in right lung-lower zone. Patient had undergone bronchoscopy 2 days ago with report stating,“Normal study; No foreign body Seen” Counselling of the patient and relatives was done. Informed consent was taken. Under general anaesthesia with intubation, fluoroscopy guided video bronchoscopy was performed with external diameter 5.6 mm and working channel 2mm. Foreign body was localized and removed It’s an innovative technique with multi-disciplinary approach. Counselling of the patient and relatives is important.

 
 
 

Spontaneous Subcutaneous Emphysema: A Rare Complication of Bronchial Asthma

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Authors: Ankur Verma, Sameer Arbat, Wasil Rasool Sheikh, Meghna Haldar, Sanjay Jaiswal
Publication Date :2018/5/13
Journal : Journal of Case Reports
Volume: 8
Issue: 1
Pages : 61-63
Description :
Background:
Mediastinal emphysema refers to presence of air within the mediastinum while subcutaneous emphysema refers to the presence of air in the subcutaneous tissue involving face, neck or trunk. Spontaneous subcutaneous emphysema and pneumo-mediastinum are rare cases. We are presenting a case of pneumo-mediastinum and subcutaneous emphysema complicating an acute exacerbation of asthma in a young female to sensitize treating physicians of this unexpected complication.

Case Report
A 20 year old female presented with acute onset shortness of breath and neck pain. She was diagnosed as exacerbation of bronchial asthma with spontaneous pneumo-mediastinum and subcutaneous emphysema. Patient underwent X-ray chest and High Resolution Computed Tomography of chest, and responded to oxygen, nebulisations and antibiotics.

Conclusion :

It is imperative for emergency physicians to have a high index of suspicion to diagnose this rare complication in patients presenting as acute exacerbation of bronchial asthma as starting patients on non invasive ventilation (NIV) or mechanical intubation may lead to disastrous outcomes.