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Suggest Treatment For Severe Persistent Asthma
Question: Hi Doctor.
Need an opinion on attached papers for Chronoic Persistent Asthma .By profession the patient is pilot and he has been put permanently down from flying duties.Need to know the detailed opinion on the ailment
Need an opinion on attached papers for Chronoic Persistent Asthma .By profession the patient is pilot and he has been put permanently down from flying duties.Need to know the detailed opinion on the ailment
Brief Answer:
Patient is having severe persistent asthma.
Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the reports you have attached.
Patient is having severe persistent asthma.
His PFT is showing moderate to severe obstruction with significant reversibility.
This is suggestive of asthma.
So he is not fit for flying job.
There is nothing we can do about this decision.
As far as treatment is concerned, there is some scope of improvement.
Newer ultra long acting inhaled bronchodilators (indacaterol and glycopyronium) are said to be more effective in increasing FEV1 and reducing symptoms.
So instead of foracort, he may start these newer ones.
Another newer treatment modality is omalizumab.
It is monoclonal antibody against IgE an it is newest treatment in asthma.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.
Patient is having severe persistent asthma.
Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the reports you have attached.
Patient is having severe persistent asthma.
His PFT is showing moderate to severe obstruction with significant reversibility.
This is suggestive of asthma.
So he is not fit for flying job.
There is nothing we can do about this decision.
As far as treatment is concerned, there is some scope of improvement.
Newer ultra long acting inhaled bronchodilators (indacaterol and glycopyronium) are said to be more effective in increasing FEV1 and reducing symptoms.
So instead of foracort, he may start these newer ones.
Another newer treatment modality is omalizumab.
It is monoclonal antibody against IgE an it is newest treatment in asthma.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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