Question 1

I'm really worried about my dad. His oxygen saturation has been stuck at 88 for the last five days, even though he's on 5L oxygen at the hospital. The CT scan showed these ground glass opacities in his lungs, and he's taking pirfenidone, along with formonide and combimiat. What should we expect next? Is there anything else we can do to help improve his condition?

Accepted Answer

Yes, Continue same treatment.

Question 2

I'm trying to figure out the difference between an MDI inhaler and an MDI transhaler. I know transhalers are used with transpacers, but is there anything else that sets them apart? Like, are there differences in how they work, how effective they are, or even side effects? I'd love to get some insight on this.

Accepted Answer

Transhalers are easy,and delivery of the drug is much assured.if you have good hand, mouth co ordination, Mdi are also good.if you  do not have good co ordination, transhalers are best.

Question 3

I'm planning to move to the UAE, but I'm worried about the medical clearance because of an old chest x-ray I had in 2013. Back then, it showed some congestion in the hilum and increased bronchovascular markings that were thought to be due to an infection in my lower respiratory tract, and there were also some patchy segments of pneumonitis near the heart. Everything else on the x-ray was fine, though. Since then, I've been healthy and haven't had any breathing issues, just the occasional cold and cough. I also had really high IgE levels at that time, but I've quit smoking for almost three years now. I'm concerned about whether these markings could be considered scars on the x-ray. Is there a way to address this, or do you think it could affect my medical approval? Would love to hear your thoughts on this!

Accepted Answer

Old chest X-ray findings of increased broncho-vascular markings or pneumonitis typically resolve without leaving scars if the infection was treated properly. Since you've had no breathing issues and have quit smoking, it's unlikely these would appear as scars now. A fresh X-ray and consultation with a pulmonologist should clarify this.

I've been having a fever, sweet-tasting sputum, and some bowel issues lately. I'm currently taking medication for tuberculosis every day and haven't had any side effects, but now these symptoms have cropped up over the past week. Can you help me understand what's going on?

Nothing to worry these are the side-effects of of ATT medications. Patient is advised tab.ciplox tz orally ,twice daily for 5 days ,tab paracetamol orally for 5 days ,tab pan d orally ,before food for days .

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