    CHHAJED                LUNG CARE & SLEEP CENTRE                                                                         DR. PRASHANT N. CHHAJED

                            SUPERSPECIALTY CLINICS                                                                           MD, DETRD, DNB, FCCP (USA)
     LUNG CARE                                                                                                               Interventional Pulmonologist

  Passionate About Medicine, Compassionate About People                                                                     Chairman : Interventional Pulmonology
                                                                                                                            European Respiratory Society (2018-2021)
                                                                                                                            Member : Governing Council,
      Lilavati Hospital
                                                                                                                            Indian Chest Society (2018-2021)
      Nanavati Hospital                                                                                                     Editorial Board : Respiration, Lung India, Journal of
      Fortis Hospital                                                                                                       Bronchology, Indian Journal Of Chest Diseases & Allied
                                                                                                                            Sciences, Journal Of Cancer Research & Therapeutics



                                                                                                                                                                  Chest Physicians:
               Name: Mrs Jyoti Jain Gender: Female Date:1/5/23 Age: 57 years.                                                                                             Dr. Ria Shah
                                                        Follow up. Last seen on 14/2/23 in Fortis OPD.                                                         Dr. Kumar Dudhane
               WT-59 Kgs
                                                                                                                                                                    Dr. Kiran Balani
                Clinical Issues:
                                                                                                                                                                 Clinical Associate:
                        1. Connective Tissue Disease- ILD - Fibrotic NSIP
                                                                                                                                                        Dr. Aakansha Narayarikar
                     2. Pulmonary Hypertension- PASP- 38 mmhg

                        3. Hypertension- Telmikind 40
               9/2/23- HRCT Chest- Extensive areas of interlobular/ intralobular interstitial thickening involving

               predominantly peribronchovascular & subpleural regions of bilateral lung parenchyma with
               subtle ground glass opacities & mild to moderate bronchiectasis. Patchy air trapping of bilateral
               lung parenchyma. Few small subcentimeter size discrete lymph nodes in right paratracheal .
               paraaortic & subcarinal regions.
                12/2/23- SGOT- 15, SGPT- 8, T.BIL- 0.24. ANA Blot 17 Antigen by IFA- PM- SCL Antibodies -
               Positive.HB-11.6, WBC- 7340, PLT- 334000, L- 30%. E- 4%.

               %- Dry cough bouts off and on. Takes Fibrodone 600 - bd . if takes thrice than has loose
                motions , uneasiness,ET 5 mins on flat ground.
                                                                                 R.S- Bil squeaks + crepts                          B.P- 140/80 mmhg
                SPO2- 94% on RA P- 84/min

                Treatment:
                                                                                               Once a day, after meals                           X 3 months
                        1. Tab Wysolone 5
                                                                                               Once at night, after meals                       x 3 months
                        2. Tab Azoran 75
                                                                                              30 min before dinner                               x 3 months
                        3. Tab Dompan
                                                                                                                                                 x 3 months
                                                                                               Once a day
                        4. Tab Calcimax Forte
                                                                                               1 tablet twice a day                              x 3 months
                        5. Tab Fibrodone 600
                                                                                               ( Best tolerated dose)
                                                                                              one tab at night                                   x 30 days
                         6. Tab. Levocet 5 mg
                        7. Oxygen Overnight & on exertion 1-2 l/min, via Nasal Prongs.
                        8. Pulmonary Rehabilitation - Physiotherapist
                 To see earlier autoimmune work up. Decide about adding low dose nintedanib after reviewing
                anti Scl reports


                 Investigations:
                         1. Full body Dexa Scan
                          2. SGOT, SGPT. Total. Bilirubin , CBC, S.Creatinine- 6 weekly




                Dr. Prashant Chhajed

                Reg. No: 71459
                Note:In case of an emergency go to the nearest hospital




           A / 405, Santacruz Sangam Soc ., Junction of S. V. Road & Sai Baba Road, Santacruz (W), Mumbai - 400054. INDIA

  022-26195905 / +91-99200 95988 | opd.lungcare@gmail.com | www.lungcare.in | www.sleepcare.in | www.ebustbna.com

All medicines can have side effects. If you get side effects then stop medicine & see nearest doctor/go to nearest hospita

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