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Suggest Treatment For Sleepiness With COPD
Dear Sir,
My father is aptient of COPD. The brif history is mentioned below :
PATIENT NAME : AMIYA KUMAR MUKHERJEE
AGE : 74 YEARS
SEX : MALE
HABBITS : SMOKING
PRESENT STATUS : LEFT SMOKING 1 YEAR BACK
PATIENT HISTORY :
2009 :
HE WAS HAVING SEVERE PAIN ABOVE HIS LEFT EYES. HE WAS SHOWN TO SPECIALIST ON NEURO MEDICINE NAMELY PROF. SHYMAL DAS. TILL DATE HE IS UNDER HIS TREATMENT FOR THIS.
ALL PRESCRIPTIONS / TEST PERFORMED SINCE BEGINNING AS SUGGESTED BY PROF SHYMAL DAS IS ENCLOSED UNDER ANNEX –A ( ZIP FILE – PROF SHYMAL DAS.ZIP )
2010 :
HE WAS ALSO DEVELOPED ACUTE BREATHING TROUBLE. HE WAS SHOWN TO A CHEST SPECIALIST NAMELY DR PARTHASARATHI BHATTACHARYA. TILL DATE HE IS UNDER HIS TREATMENT FOR THIS.
ALL PRESCRIPTIONS / TEST PERFORMED SINCE BEGINNING AS SUGGESTED BY DR PARTHASARATHI BHATTACHARYA IS ENCLOSED UNDER ANNEX –B ( ZIP FILE – DR PARTHASARTHI-BHATTACHARYA.ZIP )
2011 :
SUDEENLY DURING LAST WEEK OF JUNE HE WAS DIAGONSED WITH HIGH PRESSURE ( 200 / 140 ) WITH BRONCHIAL DISORDER. LOCAL DOCTOR WAS SHOWN. SUBSEQUENT TO INTAKE OF HIS MEDICINE PRESSURE FELL VERY SHARPLY (96 / 60) AND HE WAS VERY WEEK.
IMMEDIATELY ON 29.06.2011 HE WAS ADMITTED TO FORTIS HOSPITAL UNDER DR YASESH PALLIWAL.
ALL PRESCRIPTIONS / TEST PERFORMED SINCE BEGINNING DURING HIS STAY IN FORTIS HOSPITAL IS ENCLOSED UNDER ANNEX –C ( ZIP FILE – FORTIS.ZIP ).
HE STAYED THERE FOR 8 DAYS AND AS HIS CONDITION WAS STABLE HE WAS RELEASED ON 06.07.2011.
PRESENT CONDITION :
CONDITION : STABLE
PRESSURE : 130 / 60 ( 09.07.2011 )
SUGAR : 128 ( TAKEN AT 9.45 P.M BEFORE DINNER ON 08.07.2011)
OBSERVATION : HE IS IN CONSCIOUS STATE OF MIND. ABLE TO
WALK, TALK, INDENTIFY THINGS. ONLY HE IS ALWAYS
FLEEING VERY SLEEPY AND SLEEPING ALL THE DAY.
My father is aptient of COPD. The brif history is mentioned below :
PATIENT NAME : AMIYA KUMAR MUKHERJEE
AGE : 74 YEARS
SEX : MALE
HABBITS : SMOKING
PRESENT STATUS : LEFT SMOKING 1 YEAR BACK
PATIENT HISTORY :
2009 :
HE WAS HAVING SEVERE PAIN ABOVE HIS LEFT EYES. HE WAS SHOWN TO SPECIALIST ON NEURO MEDICINE NAMELY PROF. SHYMAL DAS. TILL DATE HE IS UNDER HIS TREATMENT FOR THIS.
ALL PRESCRIPTIONS / TEST PERFORMED SINCE BEGINNING AS SUGGESTED BY PROF SHYMAL DAS IS ENCLOSED UNDER ANNEX –A ( ZIP FILE – PROF SHYMAL DAS.ZIP )
2010 :
HE WAS ALSO DEVELOPED ACUTE BREATHING TROUBLE. HE WAS SHOWN TO A CHEST SPECIALIST NAMELY DR PARTHASARATHI BHATTACHARYA. TILL DATE HE IS UNDER HIS TREATMENT FOR THIS.
ALL PRESCRIPTIONS / TEST PERFORMED SINCE BEGINNING AS SUGGESTED BY DR PARTHASARATHI BHATTACHARYA IS ENCLOSED UNDER ANNEX –B ( ZIP FILE – DR PARTHASARTHI-BHATTACHARYA.ZIP )
2011 :
SUDEENLY DURING LAST WEEK OF JUNE HE WAS DIAGONSED WITH HIGH PRESSURE ( 200 / 140 ) WITH BRONCHIAL DISORDER. LOCAL DOCTOR WAS SHOWN. SUBSEQUENT TO INTAKE OF HIS MEDICINE PRESSURE FELL VERY SHARPLY (96 / 60) AND HE WAS VERY WEEK.
IMMEDIATELY ON 29.06.2011 HE WAS ADMITTED TO FORTIS HOSPITAL UNDER DR YASESH PALLIWAL.
ALL PRESCRIPTIONS / TEST PERFORMED SINCE BEGINNING DURING HIS STAY IN FORTIS HOSPITAL IS ENCLOSED UNDER ANNEX –C ( ZIP FILE – FORTIS.ZIP ).
HE STAYED THERE FOR 8 DAYS AND AS HIS CONDITION WAS STABLE HE WAS RELEASED ON 06.07.2011.
PRESENT CONDITION :
CONDITION : STABLE
PRESSURE : 130 / 60 ( 09.07.2011 )
SUGAR : 128 ( TAKEN AT 9.45 P.M BEFORE DINNER ON 08.07.2011)
OBSERVATION : HE IS IN CONSCIOUS STATE OF MIND. ABLE TO
WALK, TALK, INDENTIFY THINGS. ONLY HE IS ALWAYS
FLEEING VERY SLEEPY AND SLEEPING ALL THE DAY.
Wed, 14 Oct 2015
your files are not attached here..
as your father is a smoker and diagnosed to have copd, the reasons for increased sleepiness will be
1. carbon dioxide retention - as he is stable now get a ABG(arterial blood gas) analysis done in any hosp.. if co2 is high (more than 45) his copd treatment is not optimum.
2. overlap syndrome - copd with obstructive sleep apnea. it is common to have sleep apnea in pts with copd. if he has excessive day time sleepiness, choking, snoring, fatigue, tiredness or comorbidities ( diabetes, htn, stroke) he shud undergo sleep study which will diagnose the case.
as your father is a smoker and diagnosed to have copd, the reasons for increased sleepiness will be
1. carbon dioxide retention - as he is stable now get a ABG(arterial blood gas) analysis done in any hosp.. if co2 is high (more than 45) his copd treatment is not optimum.
2. overlap syndrome - copd with obstructive sleep apnea. it is common to have sleep apnea in pts with copd. if he has excessive day time sleepiness, choking, snoring, fatigue, tiredness or comorbidities ( diabetes, htn, stroke) he shud undergo sleep study which will diagnose the case.
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