IF ITS NOT CONTROLLED (with adequate and correct therapy), IT IS NOT ASTHMA.- dr Kondekar
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****WORLD ASTHMA WEEK MAY first week. CLICK HERE ***
THUMB RULE OF ASTHMA DIAGNOSIS: "ASTHMA IS DIAGNOSIS BY EXCLUSION, THAT MEANS- IF IT IS NOT OTHER THAN ASTHMA (OTA); SURELY IT IS ASTHMA."
RULE OF "S": If the disease disturbs you Speech Sleep Sports and Study; surely it does affect quality of life and growth failure, and so needs Serious treatment plans.. often with Steroids in Asthma or Stronger Dose and Durations of Specific therapy. Dr S Kondekar
ANSWER ALL AND EMAIL THE QUESTIONAIRE with name age sex weight and date ,TO firstname.lastname@example.org , TO KNOW IF IT CAN BE ASTHMA OR NOT.
new trial case record sheet link https://goo.gl/llcEdH
text 91-9869405747 for appointment
Recurrent Respiratory Clinic Proforma Case Record Sheet
page 3 is breathing diary - Dr Kondekar>>>>>>>>>>>>>>>>>>
what is breathing diary?
its an easiest and best kind of asthma diaries ever. (amongst above 100 diaries available on internet)
So easy to chart.
takes only 5 seconds a day.
helps you understand whether its an exacerbation of asthma or rhinitis and infection.
Also helps you understand and classify severity of asthma.
And best part of it, it makes the treatment of asthma very clear and transparent, so that a parent can easily understand after few months of practice when do the medicines need to be started, stopped , stepped up or stepped down.
And not the least, it helps in charting compliance and peak flow meter reading,.
if properly understood, no more than 5-10 seconds spent a day. google for breathing diary / asthma diary India. go for latest version: one page download that goes for a month.
find its details elsewhere on this site links.
"When you feel you tried all "this & that", but still nowhere; I suggest you to virtually retrospect and look out for the "clue" that is missed... surely you will find one. its human to "miss and mistake"; don't hold a doctor responsible for it. Leaving hopes leaves you nowhere." - Dr Kondekar. Whatsapp mobile no 91-9869405747 PRE-PAID CHAT
Chronic Cough Cold Wheeze,, Is it Asthma? Bronchitis?
Lung disease? Allergy or Infection?adults n kids..
This website helps you understand how modern therapy helps you understand and manage these issues only on basis of symptom profile..may be like homeopaths do.
Asthma is a reversible disease, easily controllable.
Uncontrolled long time symptoms affect growth and quality of life including diet study activity and diseases.
there are many diseases mismanaged as asthma, a keen eye helps sort out those issues like CLd, foreign body, TB, sinus, reflux , Cystic fibrosis and cardiac diseases. JUST DIAL LISTING
Tips for Dr/ Specialist pediatrician managing asthma kids:
INSIGHT FOR PEDIATRICIANS AND PRACTITIONERS MANAGING ASTHMA
In my experience, I feel that the name ASTHMA has always been taken with taboo by many people and doctors, so much so that people have developed myths that..'its incurable..' or 'its a lifelong disease needing life long treatment' 'medicines cause addiction' or once an inhaler always an inhalers'.. These myths are false; but due to this, many children and adults are taken to various different doctor and non doctor specialists; that keeps the patient incompletely cured and hence uncontrolled.
its time to control asthma. the very first way is to
@know that what the child or person is suffering from is an asthma for sure@
This is very important. If its not asthma; how will it get controlled?
The rule of asthma diagnosis needs to be clearly understood that 'ASTHMA IS DIAGNOSIS BY EXCLUSION' and when we donot follow this; we donot get to other diagnoses and get mismanaged.
So when you are not happy with treatment of your asthma; its wiser to insist to your doctor to consider nonasthma diagnoses causing similar symptoms seriously. read more in OTA section at www.breathingdiary.com
Once we are certain, it is asthma; the control of asthma can easily be handed over in hands of parents provided:
1. patient/parent have understood the symptoms, disease profile, symptom prediction by peak flow metry and charting and need for charting the symptom diary. Simplest yet best symptom diary for asthma at www.breathingdiary.com
2.patient / parent can easily be trained into classification of symptoms and rescue medicine concept by simple training. All patients donot need inhalers or steroids all the time. Remember rule of S at www.breathingdiary.com, that dictates the need for steroids.
3. Also, parents should understand the need for 'duration', 'step up-down therapy' and tapering therapy and also the need for allergen detection and avoidance when possible will help the patient be symptom free almost all the time.
4.An early eye on detecting associated morbidities and allergies; milk free diet and simultaneous treatment of any morbidity if any will prevent further symptom exacerbations.
If the education is effectively imparted to the parents/patient and family, schools and community; the reactive airway disease will remain controlled and cured in most cases; instead of remaining a scare with its name as ASTHMA.
site maintained by www.kondekar.com
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World Asthma Day.
जीना गाइद्लाईन्स को हमने हिंदी में रूपांतरित करके आपको अस्थमा / दमा की सिरिअस लेवल घर बैठे आसान किया है
डब्लूडब्लू डब्लू . ब्रिथिंग डायरी .कोम वेबसाइट पे इसके बारेमे विस्तार से समजाया है .
अस्थमा की सिरीअसता को हम ५ लेवल में वर्गीकृत करते है , ये इस प्रकार है
लेवल १: कभी कभी
लेवल २: बार बार
लेवल ३: लगातार
लेवल ४: हमेशा प्रति रात , लेवल ५: अति तीव्र
लेवल १: कभी कभी
: दिन की तकलीफ हफ्तेमे एक या दो बार
रात की तकलीफ माहमे एक या दो बार
लेवल २: बार बार
दिन की तकलीफ हफ्तेमे दो से ज्यादा मतलब बार बार
रात की तकलीफ माहमे दो से ज्यादा मतलब बार बार
लेवल ३: प्रति दिन लगातार
दिन की तकलीफ हफ्तेमे (लगातार दो दिन) प्रतिदिन तकलीफ
रात की तकलीफ माहमे (लगातार दो हफ्ते) प्रतिहफ्ता तकलीफ
लेवल ४: हमेशा प्रतिदिन प्रति रात ,
लेवल ५: अति तीव्र
BREATHING EXERCISES TO KEEP AIRWAY HEALTHYGINA ASTHMA 2016 GUIDELINES mention about the Introduction of Breathing Exercises and not techniques to maintain good respiratory health in children and adults with repeated respiratory issues including asthma.
These exercises are:
1. Rapid breathing with tongue out in standing posture
2 Rapid breathing with mouth shut both nostrils and with one nostril at a time
3.Rapid number counting in one breath
4.Rapid number counting over one minute
5. Voice modulation exercises like soft singing
whooping cough / daangya khokla video below :
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childhood asthma CME program on account of world asthma day
click here for program details at GINA asthma website.
see video for understanding need for modification of GINA guidelinea for INDIA
10CONCEPTS UNDER RESEARCH BY DR KONDEKAR:
1.OVERDIAGNOSIS OF ASTHMA AND OTA CRITERIA
2.HINDI CLASSIFICATION OF SEVERITY
3.REFRACTORY ASTHMA: LOOKOUT FOR OTHER DIAGNOSES
4. KONDEKAR'S TESTS TO SUSPECT AIRWAY SPASM
5.KONDEKAR'S BREATHING EXERCISES; A FIVE MINUTE A DAY TO STAY HEALTHY
6. HOME BASED DIAGNOSIS, MONITORING AND PREVENTION PLAN:THE FIVE SECOND DAILY RECALL DIARY CONCEPT
7.ACUTE PROLONGED COUGH
8. QUALITY DIAGNOSIS FROM COUGH SOUNDS
9. PEFR PREDICTION BY SBC AND BCM
10.NEED FOR INDIVIDUALIZED JUDICIOUS GUIDELINES FOR MANAGEMENT IN INDIAN ASTHMATICS
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