Pulmonology
Pulmonary Medicine-Chest Clinic
Pulmonary Medicine at Star Hospital is looking after by Dr. Jitendra Kotadiya. He is board certified and have extensive experience in diagnosis and management of Pulmonary related problems like Asthma, COPD, Lung cancer, Interstitial Lung Disease, Bronchiectasis ,Pulmonary Hypertension, Sleep disorders,Mediastinal and Pleural problems. Unexplained chest symptoms like dyspnoea, cough, undiagnosed Parenchymal and Pleural lesion are common problems in his day to day practice. We have effective work-up strategy for such problems to provide accurate and timely diagnosis and evaluation of diseases, which is utmost important for management of disease.
Our aims are to avoid unnecessary investigations and unnecessary procedures and simultaneously not delay in diagnosis and starting treatment. For achieving such we have diagnostic facilities like Pulmonary Function Lab, sleep lab, diagnostic Bronchoscopy (BAL, TBB,TBNA) and Thoracoscopy suite and also support from we equipped Radiology, Patho-micro and Biochemistry lab which run by highly skilled professionals.
- Asthma
- Chronic cough
- Shortness of breath
- COPD (emphysema, chronic bronchitis)
- Pulmonary fibrosis, Interstitial lung diseases
- Pleural effusion
- Pneumothorax
- Obstructive sleep apnoea
- Sarcoidosis
- Occupational lung disease
- Pneumonia
- Tubeculosis, MDR-TB
- Lung cancer
- Solitary pulmonary nodule
- Pulmonary mass
- Pulmonary hypertension
- Haemoptysis
- Pulmonary embolism
- Pulmonary vasculitis
- Respiratory failure
Diagnostic And Therapeutic Procedures that We Commonly Perform
- PFT - Spirometry
- Thoracoscopy - Pleural biopsy , Adhesinolysis, Pleurodesis
- Transthoracic needle aspiration/ biopsy( USG/ CT guided)
- Thoracocentesis (pleural fluid aspiration)
- Intercostal drain(ICD) insertion, Pleurodesis
- Bronchoscopy Diagnostic
- BAL, Endobronchial biopsy, Transbronchial biopsy(TBB), Transbronchial needle aspiration(TBNA)
- Therapeutic
- Foreign body removal, Endobronchial electrocautery, Balloon Dilatation, Haemoptysis control, Tracheobronchial Stent insersion
- Sleep study - polysomnography
- Cardiopulmonary Exercise testing- 6MWT
PULMONARY REHABILITATION PROGRAMME
Pulmonary rehabilitation is specifically design program which is individualised to patient. Benefit of this programme is to the all pt who suffering from any chronic respiratory diseases which constraining his activity. Severe COPD is the classic example.
This programme is to improve pt's physical as well psycho-social performance. Supervised Exercise training is the key component; however programme also includes smoking cessation, disease education, nutrition correction and psychological counselling. Supervised Exercise training targeted to achieve highest possible exercise tolerance to that patient and this goal is achieved by graded aerobic exercise with or without oxygen. Exercise training also includes strength training of upper and lower limb, Breathing Exercise and Relaxation Exercise. Pt also taught about how to cope with symptoms and fear during different routine physical activity. Disease education includes understaning of pt's pulmonary disease, importance of regular treatment, what to do when symptoms worsen etc.
SMOKING CESSATION CLINIC
Cigarette smoking remains the leading cause of preventable premature morbidity and mortality all over the world. A lifelong smoker has about a one in three chance of dying prematurely from a complication of smoking. In country like India, tobacco smokers are increasing in number. There are more than 40 health related problems due to smoking, amongst them Cardiovascular disease, Cerebrovascular stroke, Cancer (lung, larynx ...), COPD are common cause of poor health and death. Smoking not only affect the smoker's health but also responsible for health problems to his spouse, particularly pregnant woman, and children.
Smoking cessation is helpful at any age. Though many of the smokers want to quit, but most of them fail because of low willingness, threat of symptoms due to stopping it, presence of psycho-social problems and lack of information. There significant increase in quit rate if help taken from medical personnel. We have specific programme for smoking cessation which we modify for individual patient. Proper counseling is utmost important for long term success in smoking cessation and for few patients counseling alone may be sufficient (particularly in presence of severe disease). However, most of the patients require pharmacological support to quit smoking. Pharmacological support to quit smoking is well accepted and standard tool. Most of the smokers are able to maintain quitting with the help of this programme and leaving healthier life.
