User talk:Drthulasidoss

'HOW TO CURE ASTHMA'

ALL MEDICAL PROFESSIONALS KNOW THE OETIOLOGICAL FACTORS (SIGNS AND SYMPTOMS) OF ASTHMA AND THERE IS A GENERAL OPINION THAT ASTHMA CAN BE CONTROLLED BUT NOT CURABLE IS BECAUSE OF MULTIPLE OETIOLOGICAL FACTORS. IT IS DIFFICULT TO PINPOINT THE TRIGGERING FACTORS WHICH CAUSES WHEEZING EPISODES. GENERAL CONCEPT IS SNEEZING FOLLOWED BY WHEEZING HENCE “IF YOU CURE SNEEZING YOU CAN CURE WHEEZING”

HOW TO CURE SNEEZING?

1.	IT IS DUE TO VIRAL AND BACTERIAL INFECTIONS. 2.	ASTHMA IS A CHRONIC ALLERGIC INFLAMMATORY DISEASE OF THE AIRWAYS. STEROIDAL INHALATION THERAPY IS THE FIRST LINE OF         MANAGEMENT OF ASTHMA. 3.	 NASAL POLYP IS THE ROOT CAUSE OF SINUSITIS RESULTS IN MOMENTARY LOSS OF MEMORY, STUBBORNNESS, SHORT TEMPERAMENT AND DIFFICULTY IN SLEEPING AFTER GOING TO BED. THEY WILL BE AWAKE FOR TWO TO THREE HOURS WITH CLOSED EYES THINKING SOME THING OR OTHER GENERALLY. 4.	THE ADVANTAGES OF PRANAYAMA ARE: •	IT INCREASES THE BLOOD SUPPLY TO THE BRAIN. •	IT ENHANCES THE SECRETION OF MOOD ELEVATING HORMONES SEROTONINE AND DOPAMINE AND REDUCES THE SECRETION OF STRESS PRODUCING HORMONES CORTISOLE AND EPHENEPHRIN. •	IT REDUCES STRESS WHICH CAN ALSO BE A TRIGGERING FACTOR IN ASTHMA. 5.	FOR ASTHMATIC EPISODES INSPIRED AIR GOES THROUGH THE ORIFICES SITUATED IN THE FLOOR OF THE NOSE AND REACHES THE MAXILLARY SINUSES CLEANSES IT AND THUS PREVENTS MAXILLARY SINUSITIS TO A LARGE EXTENT

HOW TO PRACTICE PRANAYAMA? INHALE THROUGH THE RIGHT NOSTRIL CLOSING THE LEFT ONE WITH ONE FINGER AND EXHALE THROUGH LEFT NOSTRIL CLOSING THE RIGHT NOSTRIL WITH ONE FINGER. DO IT LIKEWISE ON THE LEFT SIDE ALSO AND REPEAT IT TEN TIMES TWO TIMES A DAY REGULARLY WITH CLOSED MOUTH.

THERE ARE THREE TYPES OF BREATHING EXERCISES TO DILATE THE BRONCHIAL TREE AND INCREASE THE VITAL CAPACITY.

1.	DEEP INSPIRATION THROUGH THE NOSE BY KEEPING THE MOUTH CLOSED AND AT THE SAME TIME RAISING BOTH HANDS ABOVE THE SHOULDERS AND RELEASING IT THROUGH THE MOUTH WITH CLOSED TEETH. 2.	DEEP INSPIRATION THROUGH THE NOSE WITH KEEPING BOTH HANDS WITH FINGERS WIDE OPEN OVER THE CHEST AND EXPIRATION THROUGH THE MOUTH WITH CLOSED TEETH WITH A GENTLE SQUEEZE OF THE CHEST 3.	 LIE DOWN FLAT ON A HARD SURFACE AND CONTRACT AND RELAX ABDOMINAL MUSCLES REPEATEDLY TWENTY FIVE TIMES AND RELAX FOR 15 TO 20 MINUTES. IN YOGA IT IS CALLED SHAVASHANTHI ASANA. THE PATIENT MUST PRACTICE ABOVE BREATHING EXERCISES 15 TO 20 TIMES TWO TIMES A DAY WITHOUT FAIL.

MY TREATMENT FOR ASTHMA IS AS FOLLOWS: 1.	INJ. PLACENTREX ONE AMPULE INTRAMUSCULAR DAILY FOR TEN DAYS FOLLOWED BY ONE AMPULE INTRAMUSCULAR ALTERNATE DAYS FOR 20 DAYS WHICH ACTS ON BOTH CELLS MEDIATED AND PLASMA MEDIATED FACTORS OF INFLAMMATION. 2.	TAB SEPTILIN 1 TABLET TWO TIMES A DAY FOR BELOW 60 kg OF BODY WEIGHT (AFTER FOOD) AND ONE TABLET THREE TIMES A DAY FOR ABOVE 60 kg OF BODY WEIGHT (AFTER FOOD) FOR ANY NUMBER OF YEARS. 3.	TAB LIV 52 DS ONE TAB TWO TIMES A DAY FOR 60 KG BODY WEIGHT AND ONE TAB THREE TIMES A DAY ABOVE 60 KG BODY WEIGHT FOR ANY NUMBER OF YEARS.BOTH TAB SEPTILIN AND TAB LIV 52 ARE ANTI INFLAMMATORY AND ANTI VIRAL AND IMMUNO MODULATORS. 4.	TAB LEVAMISOLE 150MG DAILY A POTENT IMMUNO MODULATOR FOR ANY NUMBER OF YEARS. 5.	FORACORT 200 TO 400 Mg ROTACAPS INHALATION TWO TO THREE TIMES A DAY TILL THE WHEEZING SUBSIDES COMPLETELY. 6.	MULTI-VITAMINS TAB. 7.	MEDITATION: PRANAYAMA AND BREATHING EXERCISE REGULARLY TWO TIMES A DAY WITHOUT FAIL FOR ANY NUMBER OF YEARS. THE PROBLEM I AM FACING IS ONCE THE PATIENT GETS TOTAL RELIEF FROM WHEEZING EPISODES THEY DO NOT COME FOR REVIEW AND ALSO DOES NOT PRACTICE PRANAYAMA AND BREATHING EXERCISES. AS PER MY OBSERVATION ROUGHLY IT TAKES ABOUT THREE YEARS TO GET TOTAL RELIEF FROM WHEEZING EPISODES.

ANYONE CAN PRACTICE PRANAYAMA AND BREATHING EXERCISE AND MEDITATION. MAJORITY OF MY PATIENTS SAY THEY ARE FREE FROM WHEEZING EPISODES. SO I APPEAL TO MY PROFESSIONAL COLLEAGUES TO GIVE A TRIAL FOR THE ABOVE LINE OF MANAGEMENT. AVOIDING SPICY FOOD IS ADVISABLE FOR ASTHMA PATIENTS GENERALLY AND COLD EATS IN PARTICULAR WHICH TRIGGERS WHEEZING EPISODES FOR TWO TO THREE YEARS. THE TRACHEA DIVIDES TWENTY THREE TIMES TO BECOME ALVEOLAR DUCT FIRST SIXTEEN DIVISIONS ARE ONLY CONDUCTING AIR WAYS AND OXYGENATION OF BLOOD TAKES PLACE IN THE LAST SEVEN DIVISIONS ONLY SO WE MUST PRACTICE BREATHING EXERCISES AS DEEP AS POSSIBLE TO INCREASE THE VOLUME OF INSPIRED AIR TO REACH THE LAST SEVEN DIVISIONS  OF THE TRACHEA. FORACORT ROTACAPS CONTAINS BUDENOSIDE AND FORMETEROL IN POWDER FORM SO IT GIVES RELIEF FOR EIGHT TO TWELVE HOURS FROM WHEEZING EPISODES.

ARTICLE BY; DR. E. V. Drthulasidoss (talk) 08:19, 31 March 2016 (UTC)THULASIDOSS A2 GROUND FLOOR PRIM ROSE APARTMENTS NO 15 ELLAIAMMAN KOIL STREET ADYAR CHENNAI 600020 SOUTH INDIA CT: (+91) 44-2491 4810

ZERO DEATH TREATMENT FOR PULMONARY AND EXTRA PULMONARY TUBERCULOSIS
ZERO DEATH TREATMENT FOR PULMONARY AND EXTRA PULMONARY TUBERCULOSIS

Once confirmed with sputum for AFB POSITIVE STATUS for pulmonary tuberculosis and histopathology examination positive for extra pulmonary tuberculosis with biopsy specimens such as TB PLEURAL effusion TB ADINITIS, TB ABDOMEN and SKELETAL TUBERCULOSIS. Then only we have to start ANTI TB treatment.

Commonly used ANTI TB DRUGS are: 1. RIFAMPICIN 2. INH 3. PYRAZINAMIDE 4. INJ STREPTOMYCIN 5. INJ KANAMYCIN PAS THIACETAZONE CYCLOSERIN ETHIONAMIDE AND PROTHIONAMIDE AZITHROMYCIN AND CAPRIOMYCIN.

Now a day’s THIACETAZONE AND PAS are not added in the regime.

STREPTOMYCIN is ten times more potent than KANAMYCIN because the mean inhibitory concentration to suppress the growth of TB BACILLI IN STANDARD CULTURE MEDIA [LOWENSTEIN JENSEN MEDIUM] for SM is 30Mg and it is 300 Mg for KANAMYCIN [PROF MAJOR ROSS] it acts on only ALKALINE PH extra cellular.

If resistance develops to STREPTOMYCIN there is no cross resistance to KANAMYCIN.

KANAMYCIN is more Nephrotoxic than STREPTOMYCIN

Rifampicin and INH acts on both intracellular and extracellular organisms. On both acid and alkaline PH. Pyrazinamide acts only in acid PH acts on intracellular organisms and streptomycin acts only on alkaline ph acts on only extracellular organisms. New drugs like azithromycin, capreomycin, ofloxacin are included in anti tb treatment.

Any infection leads to inflammation and ends in developing disease. Same thing happens in pulmonary tuberculosis also. Infection of pulmones leads to pulmonary inflammation accompanied with pulmonary congetion and pulmonary oedema and result in pulmonary tuberculosis. The congetion and oedema leads to pulmonary hypertension that causes cough. Haemoptysis and corpulmonale are the major cause for mortality in pulmonary TB.

Small dose of Diuretics depending upon Blood Pressure status of the patient will prevent the above complications. There are two factors that cause inflammation 1. CELL MEDIATED FACTOR 2. PLASMA MEDIATED FACTOR.

INJ PLACENTREX is the only drug which acts on both the factors that causes inflammation. By tackling inflammation the virulence of the disease is considerably reduced to the barest minimum which can be treated effectively.

TAB. FRUSAMIDE 10 TO 40 Mg orally is advised to treat pulmonary oedema and congetion which prevents Haemoptysis and Corpulmonale.

For EXTRA PULMONARY TUBERCULOSIS I am adding TAB PREDNISOLONE 1MG PER KG of body weight for 3 months with tapering doses.

I AM TREATING PULMONARY TUBERCULOSIS WITH FOLLOWING REGIMEN: 1. RIFAMPICIN + 2. INH + 3. ETHAMBUTOL + 4. PYRAZYNAMIDE daily for two months followed by RIFAMYCIN INH ETHAMBUTOL for ten months. The doses of the drugs are according to the body weight of the patient. 5. INJ.PLACENTREX 1 AMPULE IM daily for 10 Days followed by 1 AMPULE IM alternate days for 20 Days. 6. TAB.LASILACTONE 10 to 40 Mg orally every day. 7. TAB.LIV 52 DS 1TAB twice a day to prevent drug induced HEPATITIS. 8. MULTIVITAMINS. 9. TAB LEVAMISOLE 150 Mg to boost immunity. 1 od * 10 days and 1 tab alternate days.

After 2 Months of treatment I discontinue TAB PYRAZINAMIDE and continue rest of the regime. With the above line of management i have treated about One Thousand pulmonary and extra pulmonary tuberculosis patients without any mortality from 1999 to till date.

For EXTRA PULMONARY TUBERCULOSIS I Add TAB PREDNISONE 1MG PER KG of body weight for three months with Tapering doses. When I was a MEDICAL OFFICER at TB Sanatorium, Tambaram, Chennai, INDIA (the biggest TB HOSPITAL in Asia) I conducted a study and proved TAB LIV 52 (an ayurvedic drug) prevents drug induced HEPATISIS.

By, DR. E.V. Drthulasidoss (talk) 08:24, 31 March 2016 (UTC)THULASIDOSS, M.B.B.S., F.C.C.P. Consultant chest physician Retd. Civil Surgeon Tamil Nadu Medical Services Regd. No. 23897 Adyar Chennai INDIA Ct No: (+91) 44 24914810