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Case Study

हम तहे दिल से डॉ. एस. के. पाठक जी के शुक्रगुजार है, अब हम हर काम खुद से कर सकते है और अब अस्थमा अटैक का डर हमे बिलकुल नहीं है |

At Breathe Easy we recognize the value of every person and are guided by our commitment to excellence and leadership. We demonstrate this by providing exemplary physical, emotional and spiritual care for each of our patients and their families. Building a work environment where each person is valued respected and has an opportunity for personal and professional growth. Advancing excellence in health services education, fostering a culture of discovery in all of our activities and supporting exemplary health sciences research, the commitment of our staff, physicians, volunteers & community partners and friends to our mission permits us to maintain a quality of presence and tradition of caring, which are the hallmarks of Breathe Easy.

Case - 1 Asthma Control for Better Sleep

Night-time asthma symptoms cause daytime problems Tanu just started high school this year, and she worried about her asthma symptoms keeping her up at night. "I usually did okay during the day," she said, "but sometimes my coughing would keep me up half the night."

Night-time asthma began to affect Tanu'sperformance at school. "History was the worst," she said. "It would be so hard to keep awake. My mornings would turn into a blur. I couldn't remember what we learned in class when I was trying to do my homework.

Night-time asthma symptoms may mean lack of control Dr S K Pathak recognized that her night-time asthma symptoms meant that her asthma wasn't well controlled. "I thought I was fine," Tanusaid. "That's what I said when my doctor asked me about my asthma. But then we talked more about my symptoms, and my doctor said that I could probably feel a lot better."

Inhalation therapy for asthma control Dr S K Pathak then prescribed inhalation therapy. As per Tanu "I take my Foracort inhaler twice a day, around when I brush my teeth. That makes it easy to remember. It took a few weeks for me to notice a difference, but since then, my asthma hasn't bothered me as much. I get more sleep, and that just makes me feel better. Thank You Dr Pathak for giving me tension free sleeps."

Patient name: Tanu Sharma

Address: Jonsonganj, Allahabad

Case - 2 A Soccer Dad Takes on Asthma

Akhilesh is the busy father of two kids. He's also the coach for his son's soccer team. "Soccer is big in my family," he said. "My kids Niraj and Saurabh play in a youth league, and I coach Saurabh's team."

"It wasn't that unusual for me to use my quick-relief inhaler during a game, especially if it was a really close game or I was running around a lot. It was during a game last season that I had a pretty bad asthma attack."

Akhilesh recalled what happened, "Saurabh had just scored a goal against the other team. He was playing great, and everyone was excited. I was running down the field and shouting and cheering. And then it got hard to breathe."

A trip to the emergency department Akhilesh needed to be taken to the emergency department. "The day went from being really great to being really bad," Akhilesh said. "It was especially tough on the kids. I remember them being very upset."

After stabilizing Akhilesh, the attending physician at the emergency department gave Akhilesha prescription for nebulization. "Niraj and Saurabh made sure I got it filled that same day."

After that Akhilesh went to Breathe Easy Centre where he meet with Dr S K Pathak (Chest specialist) got the treatment of inhalation therapy. Akhilesh regular use to meet Dr Pathak for his regular treatment. Akhilesh-"Dr S K Pathak told me that taking my asthma control medicine would mean less chance of having to go back to the emergency department. Since then I've made sure I take my controller medicine exactly the way he told me. It's helped a lot- Thank You Dr Pathak"

Patient name: Akhilesh Srivastava

Address: Ranchi

Case - 3

Hemlata Thapa-the mother of a five-year-old girl tells: "My daughter has peanut allergy. She is so sensitive that just a very small amount of peanut is life threatening. She started getting asthma and nettle rash just before her 3 years birthday. Often, when I picked her up in kindergarten, part of her face and her ears, lips and around the eyes was swollen. The lung function was low and she got large amounts of asthma medicine. When she was tested for ordinary allergies the test was negative. Normally she would be fine at home but get symptoms in kindergarten.

At a birthday party she got a peanut for the first time. She did not chew it, but spat it out immediately, because she did not like the feeling in the mount. A few moments later her tongue, lips and eyes swelled, the nose began to run and she began to cough and had difficulty breathing. She was ill to an extent we had not seen before. We ended up in the local emergence room. Then I came to know about Breathe Easy Centre & meet Dr S K Pathak, since then my girl is living her normal life, Thanks to Dr Pathak"

Patient name: Smt. Hemlata Thapa

Address: Bhairwa, Nepal Border

Case - 4

Abhishek knows what it's like to not be able to breathe
Two separate times, once in 1995 and five years later in 2000, Abhishek, 40yrs, suffered from what is called a "spontaneous pneumothorax." This is when Abhishek's lung developed a blister and popped, causing his lung to collapse. "The first time it happened, I had some friends over for dinner and we were eating south Indian food, Abhishekrecalls. I sat on the couch and felt like I was having really bad heartburn, but when I went to stand up; it dropped me to my knees. I knew then it was more than just heartburn. I was in excruciating pain." Abhishek, who was 25 at the time, says he was scared when the doctor told him his lung had collapsed.

"I knew it was pretty severe," Abhisheksays. That was the beginning of the end. He says he didn't stop smoking until 10 years after his lung first collapsed, when he was diagnosed with COPD and emphysema. By then he had been a two-pack-a-day smoker for 20 years. "I was young and dumb and I thought, 'Well, I can keep smoking.'"

Five years later, Abhishek'slung collapsed [for a second time]. "Once it happens, there's a 30 percent chance of it happening again, and when it happens a second time, there's a 50 percent chance it can happen [a third time]," says Abhishek. Abhishek'schance of having another lung collapse continues to rise.

Abhisheksays there were no signs or symptoms for his illness. However, routine checkups with Dr S K Pathak (Director & Pulmonologist, Breathe Easy Centre) could ensure that nothing is growing on a patient's lungs. Although Abhishekhas had part of his lung removed, he does not use oxygen, and says he is on the borderline of mild to moderate COPD.
"In due time, I'm sure my COPD symptoms may progress, but they caught my mine early enough, and we started doing prevention," he says. Every little bit helps, Abhisheksays. And in an effort to stay active, he'll do things like parking far away from the entrance of a store, to force himself to walk the extra bit.

Life after a COPD diagnosis: Making every day count "I have two nephews and I go outside and play with them as much as possible, so I'm not just sitting around, moping, thinking, 'The end is coming, why bother?'" he says. "I stay active and try to do as much as I can. I don't have an exercise program, so I just go for my two-mile walks each day. I'm not preparing for a marathon, but I am keeping my lungs and heart healthy." He says that there are some things he can't do as much anymore. When camping with bonfires, for example, he will wear a mask to avoid smoke inhalation. "People may look at me funny, but I don't care, "he says. "I'm enjoying myself. I'm just trying to prevent further deterioration . . . I'm in prevention mode right now. I know my COPD is progressing, but if I can slow it down or hinder it a little bit I'll do that. Since his diagnosis, Abhishek says he doesn't take life for granted anymore. "Before, it was 'Today is today, tomorrow's another day' and I'd just do whatever I wanted." Abhishek says. "Now after meeting with Dr Pathak, I am regularly taking my medicines & doing whatever Dr Pathak has suggested for prevention, Thanks to Dr S K Pathak."

Patient name: Abhishek Keshari

Address: Bhairwa, Nepal Border

Case - 5

एक समय था जब दमा मेरा दम ले लेता था, मेरी पूरी ताकत लग जाती थी अपने को सँभालने में, मै अपना खुद का काम नही कर पाता था, मुझे सबसे ज्यादा दिक्कत आती थी जब कभी मौसम बदलता था, या जब भी मै धुल में जाता था, चुकी मेरा काम ऐसा था जिसमे मुझे दिन भर धुल गर्दा में ही खड़े रहना है (ट्रेफिक पुलिस) इसलिए मुझे दिक्कते और भी ज्यादा होती थी, परन्तु जब से मै डा. एस. के पाठक जी को दिखा रहा हु, तथा उनकी दवा कर रहा हूँ तब से मेरा आत्मविश्वास और भी बढ़ गया है अपना काम करने में, मै अब बड़े आराम से ट्रेफिक कंट्रोल करता हूँ, धन्यवाद डा. एस.के पाठक जी
राम गोपाल शर्मा (ट्रेफिक पोलिस)

Case - 6

मै अपने रोज मर्रा जिंदगी से परेशान हो गयी थी अपने सास फूलने की वजह से, मेरे परिवार वाले हमेशा परेशान रहते थे, मै हर जगह से थक चुकी की, कपडे धोना व खाना बनाने में मेरी हालत बत से बत्तर होती जा रही थी, मै अपने घर के पास वाले डाक्टर (जनरल प्रेक्टिस्नर) को भी दिखा रही थी, परन्तु उनकी टेबलेट से मुझे कोई फ़ायदा नही हो रहा था, मेरी शरीर फूलता ही जा रहा था, तब किसी ने मुझे ब्रेथ इजी क्लिनिक के बारे में बताया...और फिर डा. एस. के पाठक ने मुझे इन्हेलर के रूप में वरदान दिया....तब से मै अपनी ग्रहस्ती का हर काम आराम से बिना सास फुले ही कर लेती हूँ.
श्री मती गुलाब देवी (गृहणी)

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