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BRONCHOSCOPY

WHAT IS BRONCHOSCOPY?

This is a procedure in which a flexible endoscope (camera) called a bronchoscope is passed through the mouth or nose into the trachea, this allows inspection of the trachea (windpipe) and bronchi (airways).

WHY IS BRONCHOSCOPY DONE?

This test is performed to investigate the airways and It gives a clear view of the lining of the bronchi allowing the bronchoscopist to make a diagnosis. The tube also has a small channel to collect tissue samples from your lung that can be used to diagnose a disease.

Specialized technique performed during the procedure are bronchial washings, Bronchial lavage, Endobronchial biopsy, Brush Biopsy and Needle Aspiration (using a special needle to obtain samples with suction) to get a definite diagnosis.

ADVANTAGES OF BRONCHOSCOPY

The benefits of the procedure is that it allows inspection of the airways at the same time you can take samples for diagnosis of infection or other lung conditions.

INDICATIONS

  • Hemoptysis (blood in cough)
  • Chronic unexplained cough
  • Stridor
  • Mediastinal or hilar lymphadenopathy
  • lung cancer, pulmonary infiltrates (infection)
  • Pneumonia(infection)
  • Atelectasis(collapse)
  • Suspected tracheomalacia
  • Tracheoesophageal fistula
  • Post covid lung evaluation
  • Post lung transplant surveillance.
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POLYSOMNOGRAPHY

WHAT IS A POLYSOMNOGRAPHY?

Polysomnography (PSG) is a study or test done while you’re fully asleep. A doctor will observe you as you sleep, record data about your sleep patterns, and may identify any sleep disorders.

During a PSG, the doctor will measure the following to help chart your sleep cycles:
  • Brain waves
  • Skeletal muscle activity
  • Blood oxygen levels
  • Heart rate
  • Breathing rate
  • Eye movement

A sleep study registers your body’s shifts between the stages of sleep, which are rapid eye movement (REM) sleep, and non-rapid eye movement (non-REM) sleep. Non-REM sleep is divided into “light sleep” and “deep sleep” phases.

During REM sleep, your brain activity is high, but only your eyes and breathing muscles are active. This is the stage in which you dream. Non-REM sleep involves slower brain activity.

A person without a sleep disorder will switch between non-REM and REM sleep, experiencing multiple sleep cycles per night.

Observing your sleep cycles, along with your body’s reactions to the changes in these cycles, can help identify disruptions in your sleep patterns.

WHY DO I NEED A POLYSOMNOGRAPHY?

A doctor can use a polysomnography to diagnose sleep disorders. It often evaluates for symptoms of sleep apnea, a disorder in which breathing constantly stops and restarts during sleep.

The symptoms of sleep apnea include:
  • Sleepiness during the day despite having rested
  • Ongoing and loud snoring
  • Periods of holding your breath during sleep, which are followed by gasps for air
  • Frequent episodes of waking up during the night
  • Restless sleep
Polysomnography can also help your doctor diagnose the following sleep disorders:
  • Narcolepsy, which involves extreme drowsiness and “sleep attacks” during the day
  • Sleep-related seizure disorders
  • Periodic limb movement disorder or restless legs syndrome, which involves uncontrolled flexing and extension of the legs while asleep
  • REM sleep behavior disorder, which involves acting out dreams while asleep
  • Chronic insomnia, which involves having difficulty falling asleep or remaining asleep
The National Heart, Lung, and Blood Institute (NHLBI)Trusted Source warns that if sleep disorders go untreated, they can raise your risk of:
  • Heart Disease
  • High Blood Pressure
  • Stroke
  • Depression
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THORACOSCOPY

WHAT IS A THORACOSCOPY?

A thoracoscopy is a procedure in which an endoscope is passed into the chest cavity to visualize the plerural space . This helps in obtaining the sample of tissue (biopsy) from the lining of the chest cavity or lung and at the same time excess fluid(pus) in the chest cavity can be drained .

INDICATIONS

  • Non resolving pleural effusion
  • Empyema (pus)
  • Hydropneumothorax (air+ fluid)
  • Haemothorax (blood)
  • Pneumothorax (air)
  • Malignant pleural effusion (cancer)
  • Plerural biopsy
  • Lung biopsy
  • To detect TB or cancer
  • Staging of lung cancer
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DIABETES

WHAT IS A DIABETES?

Diabetes is a disease that occurs when your blood glucose, also called blood sugar, is too high. Blood glucose is your main source of energy and comes from the food you eat. Insulin, a hormone made by the pancreas, helps glucose from food get into your cells to be used for energy, Sometimes your body doesn't make enough-or any-insulin or doesn't use insulin well. Glucose then stays in your blood and doesn't reach your cells.

Overtime, having too much glucose in your blood can cause health problems. Although diabetes has no cure, you can take steps to manage your diabetes and stay healthy.

  • Type 1 diabetes
  • Type 2 diabetes
  • Gestational diabetes

WHAT CAUSES DIABETES?

  • Infection
  • Obesity
  • Abnormal func. of liver
  • Disturbed sleep
  • Abnormal func. of pancreas
  • Genetics
  • Stress
  • Food & lifestyle

WHAT TO DO IN 6 MONTH DIABETES REVERSAL PROGRAM?

Blood tests at inititial phase for evaluation of your insulin resistance. Your body mass analysis initial phase and then monthly to see the progress.

  • F/PP every month
  • HBA1C at initial phase, 3rd month and 6th month
  • 6 Diabetes consultation (once/month)
  • 6 nutritionist consultation (once/month), weekly dies plan (online).
  • 3 days/week yoga with our expert (online)
  • 3 days/week customized tasks to do
  • 5 activies with experts. (once/month)
  • Medical educators to solve your queries and make your progress
  • Report every week to consult and discuss.