                                                                                                                 DR. PRASHANT N. CHHAJED
          CHHAJED             LUNG CARE & SLEEP CENTRE
                                                                                                                 MD, DETRD, DNB, FCCP (USA)
                              SUPERSPECIALTY CLINICS                                                             Interventional Pulmonologist
          LUNG CARE                                                                                              Chairman : Interventional Pulmonology
                                                                                                                 European Respiratory Society (2018-2021)
        Passionate About Medicine, Compassionate About People                                                    Member : Governing Council,
        · Lilavati Hospital                                                                                      Indian Chest Society (2018-2021)
                                                                                                                 Editorial Board : Respiration, Lung India, Journal of
         Nanavati Hospital                                                                                        Bronchology, Indian Journal Of Chest Diseases & Allied
        · Fortis Hospital                                                                                        Sciences, Journal Of Cancer Research & Therapeutics


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

                        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.
                                                P- 84/min                  R.S- Bil squeaks + crepts                       B.P- 140/80 mmhg
                  SPO2- 94% on RA

                  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
                                                                                         Once a day                                     x 3 months
                      4. Tab Calcimax Forte
                                                                                        1 tablet twice a day                            x 3 months
                     5. Tab Fibrodone 600
                                                                                        ( Best tolerated dose)

                     6. Tab. Levocet 5 mg                                               one tab at night                                × 30 days

                      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 /

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'CHHAJED LUNG CARE & SLEEP CENTRE', 'clinic_pharmacy_address': 'A / 405, Santacruz Sangam Soc ., Junction of S. V. Road & Sai Baba Road, Santacruz (W), Mumbai - 400054. INDIA', 'clinic_pharmacy_city': 'Mumbai', 'clinic_pharmacy_pincode': '400054'}, 'doctor_details': {'doctor_name': 'DR. PRASHANT N. CHHAJED', 'doctor_qualifications': 'MD, DETRD, DNB, FCCP (USA)', 'doctor_registration_number': '71459'}, 'patient_details': {'patient_name': 'Mrs Jyoti Jain'}, 'prescription_details': {'date_of_doctor_consultation': '1/5/23'}, 'procedure': {'chief_complaints_diagnosis': 'Connective Tissue Disease- ILD - Fibrotic NSIP, Pulmonary Hypertension- PASP- 38 mmhg, Hypertension'}, 'medicine_details': [{'medicine_name': 'Tab Wysolone 5', 'medicine_dosage': 'Once a day, after meals', 'medicine_frequency': 'Once daily', 'course_duration': '3 months'}, {'medicine_name': 'Tab Azoran 75', 'medicine_dosage': 'Once at night, after meals', 'medicine_frequency': 'Once daily', 'course_duration': '3 months'}, {'medicine_name': 'Tab Dompan', 'medicine_dosage': '30 minutes before dinner', 'medicine_frequency': 'Once daily', 'course_duration': '3 months'}, {'medicine_name': 'Tab Calcimax Forte', 'medicine_dosage': 'Once a day', 'medicine_frequency': 'Once daily', 'course_duration': '3 months'}, {'medicine_name': 'Tab Fibrodone 600', 'medicine_dosage': '1 tablet twice a day', 'medicine_frequency': 'Twice daily', 'course_duration': '3 months'}, {'medicine_name': 'Tab Levocet 5 mg', 'medicine_dosage': 'One tablet at night', 'medicine_frequency': 'Once daily', 'course_duration': '30 days'}], 'lab_test_details': {'lab_test_names': 'Full body Dexa Scan, SGOT, SGPT, Total. Bilirubin , CBC, S.Creatinine', 'procedure_request': '6 weekly'}}