No video

CT Imaging of Post COVID FIBROSIS

  Рет қаралды 26,063

vimal raj

vimal raj

Күн бұрын

COVID is like a massive earthquake with a further large Tsunami to follow in the form of lung fibrosis in patients who recover. In this video i discuss what is the role of CT in such cases and how we will be able to recognise this.

Пікірлер: 295
@karencarman5933
@karencarman5933 2 жыл бұрын
Thank you for such a clear webinar - clarity is now mine!
@dwilson7857
@dwilson7857 2 жыл бұрын
Thank you so much for this video. Our mother is 12 months out from severe covid and just diagnosed with post covid fibrosis. You do such a good job of explaining this. Covid is so difficult.
@habibco7888
@habibco7888 2 жыл бұрын
D wilson Your mother is totally recovered from post covid interstitial lung disease after 12 months? Actually my mother is suffering from post covid ILD, after 8 months still having spo2 drop on walking or exertion. But spo2 rate at rest is 94 %.
@subhadrakaysth5647
@subhadrakaysth5647 2 жыл бұрын
@@habibco7888 How is your mother now? My mother has also same case
@dwilson7857
@dwilson7857 Жыл бұрын
@@subhadrakaysth5647 my mother is still not well, she requires oxygen nearly all the time and still had coughing fits. She tires easily and if she walks around with out oxygen her o2 will drop into 80s.
@tilwedie23
@tilwedie23 Жыл бұрын
Hi. I had the bad Cov also.... Do you have fibrosis?
@tilwedie23
@tilwedie23 Жыл бұрын
@@habibco7888 hi. I have this
@zainsarmast6767
@zainsarmast6767 3 жыл бұрын
Was a very informative lecture sir Thank you
@drvimalraj
@drvimalraj 3 жыл бұрын
Thank you very much
@theknowlwdgebar
@theknowlwdgebar 2 жыл бұрын
@@drvimalraj hello sir.......I have one question......can post covid lung fibrosis produced on only those patients who affected by covid pneumonia.....or without pneumonia also fibrosis occurring ???
@dr.ranjankumarsingh9785
@dr.ranjankumarsingh9785 3 жыл бұрын
Very informative and helpful to answer some queries of pts. and clinicians as well.
@drvimalraj
@drvimalraj 3 жыл бұрын
Thank you very much.
@drvikramjaggi
@drvikramjaggi 3 жыл бұрын
Great amalgamation of practical and useful radiological and clinical information. Thanks. Dr. Vikram Jaggi
@drvimalraj
@drvimalraj 3 жыл бұрын
Thanks for liking
@raghu2murthy
@raghu2murthy 3 жыл бұрын
Very nice session, very well summarized. It cleared many doubts about labeling the post covid sequel . . Many thanks to Dr. Vimal . :)
@drvimalraj
@drvimalraj 3 жыл бұрын
You are most welcome
@theknowlwdgebar
@theknowlwdgebar 2 жыл бұрын
@@drvimalraj hello sir.... .........I have one question......can post covid lung fibrosis produced on only those patients who affected by covid pneumonia.....or without pneumonia also fibrosis occurring ???
@drmb2311
@drmb2311 3 жыл бұрын
Excellent talk(as usual). Thank you so much.
@drvimalraj
@drvimalraj 3 жыл бұрын
Glad you enjoyed it!
@theknowlwdgebar
@theknowlwdgebar 2 жыл бұрын
@@drvimalraj hello sir........I have one question......can post covid lung fibrosis produced on only those patients who affected by covid pneumonia.....or without pneumonia also fibrosis occurring ???
@rahulsethi3210
@rahulsethi3210 3 жыл бұрын
Very informative and valuable details
@drvimalraj
@drvimalraj 3 жыл бұрын
Thank you very much.
@taharaha3245
@taharaha3245 2 жыл бұрын
Dear Dr Raj, I had a severe Covid and still suffering from high heart beat and cough. The last CT I did after discharge showed some scarred tissues. I am wondering if I can email you to share the CT scans and more details and have your advise sir? Thanks
@avinasharadhya4170
@avinasharadhya4170 3 жыл бұрын
Dr. Vimal Raj, Incredible insight delivered with elan!
@drvimalraj
@drvimalraj 3 жыл бұрын
Thank you very much
@valerieoldham9094
@valerieoldham9094 2 жыл бұрын
Thank you! May I ask if the patients were taking meds or did they have to just wait it out.
@dakshmalhotra1
@dakshmalhotra1 3 жыл бұрын
It will be better if you can provide the age of the patients also and if any comorbidities are present or not.
@drvimalraj
@drvimalraj 2 жыл бұрын
Daksh, Very important point for sure.
@kishorkumarb3192
@kishorkumarb3192 3 жыл бұрын
Thanks sir. Very informative class
@drvimalraj
@drvimalraj 3 жыл бұрын
Thank you.
@sureshreddygajjala
@sureshreddygajjala 3 жыл бұрын
Thanks for your valuable information sir
@drvimalraj
@drvimalraj 3 жыл бұрын
You are welcome
@Aym00n
@Aym00n 3 жыл бұрын
Actually, It's all about the way of the treatment. The faster the Steroids to be given (Methylprednisolone for sever cases) the better the outcomes you will expect i.e. a lesser chances for fibrosis, specially if you add N-Acetylcysteine NAC both Oral and inhalation. Also not to stop anticoagulant after cure for 3 months at least.
@drvnv
@drvnv 3 жыл бұрын
Superb !! I think still sometime and follow up n more data required to come to a conclusion ! But , this disease is really weird as you have shown some worst cases recovered and mild cases goes for scarring . We are seeing here similarly !
@drvimalraj
@drvimalraj 3 жыл бұрын
Totally agree
@nadiahelmsman2690
@nadiahelmsman2690 2 жыл бұрын
Dr.Raj thank you . Could you please upload more videos on Covid 19 CT update.
@stanleysteamer3212
@stanleysteamer3212 2 жыл бұрын
What do you think about the British study with mri and xenon gas on long covid patients... any thoughts? Thanks
@tilwedie23
@tilwedie23 2 жыл бұрын
Dr. Ray Is post covid Hypoxemia associated with idiopathic pulmonary fibrosis?
@sugarcan1110
@sugarcan1110 Жыл бұрын
Findings: There is a focus of chronic subpleural fibrosis adjacent to the right mid-lower thoracic vertebra secondary to osteophytosis. There is no further pulmonary opacity or other abnormality bilaterally. The trachea and central bronchi are widely patent. There are no pleural effusions. There is no mediastinal or hilar lymph node enlargement. Limited assessment of the upper abdominal viscera is unremarkable. There is no focal osseous lesion. There is moderate to severe thoracic spondylosis with osteophytosis. Comment: There is mild chronic linear fibrosis adjacent to the right mid-lower thoracic osteophytosis.
@RAME
@RAME 7 ай бұрын
Hello.. thanks for sharing this. Do you have any update on this information after 2 years now?
@drvimalraj
@drvimalraj 7 ай бұрын
Thank you for your kind comments. Unfortunately the has not been much literature or Publication around this as of now. Based on our experience a very small portion of patients do end up developing long term lung changes.
@renukarenu8694
@renukarenu8694 2 жыл бұрын
Hello sir, after 4 months of covid recovery my FIL is having breathlessness after exertion and chest pain. His follow up hrct shows "peripherally distributed Multifocal, multilobar ground glass opacities, patchy consolidations noted in bilateral lung parenchyma (extent involvement is 20% of lung parenchyma) s/o-viral pneumonitis-cov-19 Typical (co-rads 5)" Does this also mean fibrosis?
@sunishsukumaran5291
@sunishsukumaran5291 2 жыл бұрын
Because of post covid scars in xray, can't go gcc medical. But I don't have any health issues, but after taking 9 month from covid again the scars in xray. Very disappointed due to this can't go work in gcc countries
@SarkisKlinik
@SarkisKlinik 2 жыл бұрын
Hi, nice video. Should post-covid fibrosis need to get spirometry test? Which medication is effective for fibrosis treatment and is it given by GP?
@30quaker
@30quaker 2 жыл бұрын
I wonder if I nay have fibrosis. I never had any other classic symptom except shortness of breath so not sure if I had the virus but now my lungs feel tight. It's been 6 months. Does fibrosis feel like tight lungs? My oxygen never gets lower than 95 though it's usually 97-100
@saptarshibhattacharya
@saptarshibhattacharya 2 жыл бұрын
Firstly, I would like to express my special thanks for explaining this highly interactive and important topic in a wonderful easy to understand way. Secondly, I would like to inform you that I am still suferring from Oxygen Desaturation after walking 10 steps to 75% from 93% at rest cough and chest pain. The last CT Scan showed hyperinflated lungs ggo's with probable reticulation. May I share the CT Scan with you so that you can understand better?
@hutendrasingh9195
@hutendrasingh9195 2 жыл бұрын
How is your health now.
@saptarshibhattacharya
@saptarshibhattacharya 2 жыл бұрын
@@hutendrasingh9195 No improvement since then, Still SpO2 is dropping to 75% on exertion. Resting SpO2 around 95% Almost all of the doctors failed to diagnose my causeof so much desaturation on exertion. Really struggling with my health issues at the age of just 16 years. Any advice on what to do?
@saptarshibhattacharya
@saptarshibhattacharya 2 жыл бұрын
@Jesus is KING Thanks a lot dear! I am regularly doing all sorts of breathing exercises for the last 8 months but only partial improvement. The most weird thing is that my HRCT scan came back normal and the doctors said the whole thing is psychogenic. I don't really know whether they are crazy or not. I really don't have any idea that how can anxiety lower down the spo2 level to 75%.. Hope i will be better in the next few months
@shubhamsingh-sp4mx
@shubhamsingh-sp4mx 2 жыл бұрын
@@saptarshibhattacharya bro do anulom vilom prayanam
@sanchitmalhotra3110
@sanchitmalhotra3110 7 ай бұрын
​@@saptarshibhattacharyaHello Brother how are u now?
@anchalmalhotra2469
@anchalmalhotra2469 7 ай бұрын
Is there any way i can consult online with you sir?Please
@Awkwardfruitfly
@Awkwardfruitfly 3 жыл бұрын
Great video doc. Do you know anything about post covid wheeze?
@drvimalraj
@drvimalraj 3 жыл бұрын
Thank you. Post COVID wheeze- I am not well versed with.
@saptarshibhattacharya
@saptarshibhattacharya 2 жыл бұрын
Post COVID Wheeze may indicate small airway disease linked to CORONA. Advice to do HRCT Scan and check evidence of Air Trapping with hyperinflation.
@hutendrasingh9195
@hutendrasingh9195 2 жыл бұрын
Thank you so much for this vedio with nice explanation. My CT Score was 25/25 and now after 9months my saturation not stable , it goes down up 80 in normal walking. So please suggest me better treatment.
@pixiepav8325
@pixiepav8325 Жыл бұрын
I have a question. After 4 months my ct scan report is - mild fibronodular changes in right lung. How do I determine that I have progressive fibrosis or I can stop this with treatment?
@Marrymoocow
@Marrymoocow 2 жыл бұрын
Thank you for the video. My mom was diagnosed with fibrosis after two weeks of ventilation from COVID. That was two years ago, the fibrosis has not progressed or regressed. Do you think that it will continue to progress? What can we do to help her?
@tilwedie23
@tilwedie23 2 жыл бұрын
Covid fibrosis does not progress like pulmonary fibrosis. But what you see is what you get.
@subhadrakaysth5647
@subhadrakaysth5647 2 жыл бұрын
Is the fibrosis still not progressed bro?
@sanchitmalhotra3110
@sanchitmalhotra3110 7 ай бұрын
​@@subhadrakaysth5647?
@sugarcan1110
@sugarcan1110 Жыл бұрын
would love to send my CT and report for mild chronic subpleural fibrosis non smoker
@paulcarruthers2431
@paulcarruthers2431 Жыл бұрын
I was wondering if I had COVID and not of know. My scarring could be a result of that but I'm having further tests just don't know. But your video was interesting.
@qadiryusof5631
@qadiryusof5631 Жыл бұрын
Dear dr Raj. Today My wife receive the x ray result. The result telling that her left basal shadowing and features in keeping with fibrosis. She positived covid about a month ago. Is her having fibrosis after covid ? Can she be cured ?
@minhajpirzada6593
@minhajpirzada6593 2 жыл бұрын
Sir my mother's corad is 6 and tss is 15 wht do u say
@lampungnani
@lampungnani 3 жыл бұрын
Thanks for sharing Sir this ! What do you label them as of now ?
@drvimalraj
@drvimalraj 3 жыл бұрын
I dont label them until it is 6 months. I use the term early fibrosis needs to be considered.
@lampungnani
@lampungnani 3 жыл бұрын
@@drvimalraj thank you sir
@carolynenjoroge3117
@carolynenjoroge3117 3 жыл бұрын
my father hed covid 19, and after 43days he recovered but later he was diogionsed with purnomanary fibrosis and we are told that his lung is damaged 75% is it possible for him to recover?
@drvimalraj
@drvimalraj 3 жыл бұрын
It depends on many factors to be honest. Please wait for a follow up scan and see what has been the status of disease. This will help us in giving you a long term prognosis.
@kamatchipourna19
@kamatchipourna19 3 жыл бұрын
Dr.. a query in practice is anti fibrotic drugs being prescribed after discharge in suspected fibrotic group? Do you see better resolution In patients who are on drugs than who are not on any medication? Please share your experience..
@drvimalraj
@drvimalraj 3 жыл бұрын
There is no universally accepted treatment policy or guidelines for this. Yes there are units which are prescribing anti fibrotics at the time of discharge for people with severe disease. We are seeing some promising result in these patients.
@ashishanshuman3074
@ashishanshuman3074 3 жыл бұрын
Sir my question is directly related to What Dr R. Guleria stated , which is : Is it safe to get a CT scan done for moderate cases? Or is it avoidable ? Is it really true that one CT equals 300 X-ray? I didn’t get CT done because of that statement, but I am considering getting it done now given that I feel exhausted after 500 meters of running 3 months after recovery . I am a 29 year old active male weighing 70 kg and height 5’8
@drvimalraj
@drvimalraj 3 жыл бұрын
What Dr Guleria said is true and in many scan units the dose will be equal to 300 Xrays. Most of the units that have a high end scanner can reduce this dose significantly. Also the risk of radiation is hight only if you have repeated scans in a short period of time. So a single CT scan is unlikely to cause significant harm. You should consult a pulmonologist who can assess your lung function with some basic tests. We can then decide on timing of your CT scan.
@rohanetrx09
@rohanetrx09 3 жыл бұрын
My mothers o2 level is between 80 to 90 without oxygen support. With 1 to 2 litres of oxygen her spo2 level remains 95 to 96. She was maintaining o2 level 90 to 92 without oxygen support.But one day she did heavy lung exercise and that evening her o2 level dropped to 68.Also her pulse rate varied from 48 to 135. So we hospitalised her.Now she is on 2 litres of o2. She was covid positive on 14th of April and on Bipap for 10 days. Can she recover now
@drvimalraj
@drvimalraj 3 жыл бұрын
Dear Rohan, Thank you for asking me this. Unfortunately the answer to this question is beyond my expertise as i am specialist in imaging (CT/MRI). Would request you to consult a pulmonologist who will be able to assist you better in this regard.
@goutamrajak5310
@goutamrajak5310 3 жыл бұрын
During COVID CT score 10/25, and after one month CT score 4/25, but sometime shortness of breath and chest pain , pain of back side of chest happen, now 70 days of covid
@drvimalraj
@drvimalraj 3 жыл бұрын
all the best for your recovery
@aayush4989
@aayush4989 2 жыл бұрын
How r u now? Ur age?
@deepakkumaar9665
@deepakkumaar9665 Жыл бұрын
After 1 n half year of covid. During chest xray for Visa of Oman the diagnostice centre declined by medical stating that:fibrosis on right upper zone .2 times medical refusal.any solution for this .
@drvimalraj
@drvimalraj Жыл бұрын
I think it would be best for you to undergo a CT scan to assess this further to begin with and then a pulmonologist can give you an opinion on how to take things forward
@healthfitnessbysuman6602
@healthfitnessbysuman6602 2 жыл бұрын
Sir my 67 mother has posted covid fibrosis on her right lung and no symptoms other than dry cough.. no medication was given by the doctor.. now after 1 and a half year in a routine ct scan we discovered a lung mass of 3 cm in the apical segment of Rul and few lung nodules too.. the doctor did a biopsy and pet scan.. the pet scan is saying the lung mass is Metabolic active.. Did my mom got this lung mass because of her post covid fibrosis? Is there a connection? Please tell me 🙏 I beg you
@sanchitmalhotra3110
@sanchitmalhotra3110 7 ай бұрын
How are ur mom now?
@DavinderKaur-uh9vf
@DavinderKaur-uh9vf 3 жыл бұрын
very informative vdo,thanks sir patient is on oxygen bef last 3 months ground glass shows in ct its score is 22 out of 25 what is his future we are worried
@nandinisingh1522
@nandinisingh1522 3 жыл бұрын
Hey how's your patient... Is he recovered yet?
@drvimalraj
@drvimalraj 3 жыл бұрын
You have to repeat the scan in 6 months and see how much of it is resolved. More than 60% of patients get really well during this time. We can only discuss about prognosis after this scan.
@pushpaaryal9487
@pushpaaryal9487 Жыл бұрын
Urgent please read my comment doctor..i am coughing blood from 2weeks and My ct scan suggest there is minimum linear fybrotic density in the apical region of both lungs. Can you please help doctor what does that means?
@drvimalraj
@drvimalraj Жыл бұрын
Blood cough is unlikely to be related to COVID lung. I would recommend you to review a pulmonologist and/or ENT doctor at the earliest.
@StayCurious247
@StayCurious247 3 жыл бұрын
Hi Dr. Is it possible that lung xray seems absolutely normal but ct can show fibrosis?
@drvimalraj
@drvimalraj 3 жыл бұрын
Yes this is possible. Resolution of CT scans are much superior to Chest X rays.
@rohanetrx09
@rohanetrx09 3 жыл бұрын
@@StayCurious247 What is written in ur hrct report
@theknowlwdgebar
@theknowlwdgebar 2 жыл бұрын
@@rohanetrx09 can post covid lung fibrosis only develop on those patients who had pneumonia ?
@justsul64
@justsul64 Жыл бұрын
​@@rohanetrx09 focal fibrotic changes means? Is it pulmonary fibrosis
@dulaldey7467
@dulaldey7467 3 жыл бұрын
Is there any symptom of blood comes through mouth. I have only the symptom. Very small amount of blood is coming with spit when getting pressure on chest. Is there any treatment?
@drvimalraj
@drvimalraj 3 жыл бұрын
yes, this is well known. You need to get reviewed by the pulmonologist and ENT specialist. They will advice accordingly.
@dulaldey7467
@dulaldey7467 2 жыл бұрын
@@drvimalraj Thak you so much
@gnanendraprasad5043
@gnanendraprasad5043 3 жыл бұрын
Hi Sir, my mom had Covid 28/may/2021 with CT score 20/25 later in hospital itself it went to 25/25 CT score 2 months of hospitalization and reached home 2 weeks before with home oxygenation with 1 litres.spo2 98. Spo2 88-92 room air it fluctuate I am scared is it related to fibrosis. Please advise
@drvimalraj
@drvimalraj 3 жыл бұрын
Only time will tell to be honest. We have to wait and repeat the scans in 6-9 months and then decide.
@saravanang8606
@saravanang8606 3 жыл бұрын
Nice information.One doubt doctor 1. Initial CT 13/25..Then 30 days COVID treatment completed.Even Remidisvir and all dosages provided..D dimer and C reactive become normal.we took CT scan next day of discharge( 30 days in hospital)and results as 25/25..It's panic sign or kind of shadow of this treatment. Now Sp02 at 94/95..Age 55..Ur views plz
@riyazmohammed5444
@riyazmohammed5444 3 жыл бұрын
Any update on the case?. My mom is going through the same.
@saravanang8606
@saravanang8606 3 жыл бұрын
@@riyazmohammed5444 As of now we are seeking appointment to consult pulmonologist..What's is ur status?.
@riyazmohammed5444
@riyazmohammed5444 3 жыл бұрын
@@saravanang8606 doing the same. How is the patient condition?
@saravanang8606
@saravanang8606 3 жыл бұрын
@@riyazmohammed5444 Doing good..O2 at 95.No breathing issues..
@scorpiocreations8767
@scorpiocreations8767 3 жыл бұрын
@@saravanang8606 hi how's patient condition...my mother faced same problem...pls suggest me...after discharge CT score is 24/25 but oxygen is 97 to 98... condition also good..All blood tests normal
@infinitypandey2538
@infinitypandey2538 3 жыл бұрын
Can we do lung exercises if we have post covid fibrosis?
@drvimalraj
@drvimalraj 3 жыл бұрын
Yes depending on your saturation and advice of your treating physician.
@infinitypandey2538
@infinitypandey2538 3 жыл бұрын
@@drvimalraj 99%
@aminamp9081
@aminamp9081 3 жыл бұрын
is it safe to use spirometer if there is fibrosis?
@drvimalraj
@drvimalraj 2 жыл бұрын
yes
@subhadrakaysth5647
@subhadrakaysth5647 2 жыл бұрын
How is the patient now mam?
@msrirambe
@msrirambe 3 жыл бұрын
Excellent Analysis sir. I recovered & my CT score was 4/25. After 6 weeks from recovery, my spo2 is 93%. Doesit mean fibrosis & should I go for CT again?
@kamatchipourna19
@kamatchipourna19 3 жыл бұрын
Does your saturation drop when you walk or so activities
@msrirambe
@msrirambe 3 жыл бұрын
@@kamatchipourna19 No. Instead spo2 increases when I check after walking. I feel chest is heavy like catching cold. I live in Bangalore & weather is very cold.
@ashishanshuman3074
@ashishanshuman3074 3 жыл бұрын
Check it while sitting upright and place your fingers on your lap and the reading after 1 minute would be the correct one. I think during the recovery phase lung is going through the process of healing hence it leads to drop in Spo2 level. Worry not, it might also be fluctuating between 93-97 . You can never be sure. It happens with me too, but most importantly don’t stress or be anxious. Half your battle is in the mind.
@drvimalraj
@drvimalraj 3 жыл бұрын
I dont think you should jump to have a CT scan. The recovery may be slow so you need to have patience. You should consult a pulmonologist who can assess your lung function with some basic tests. We can then decide on the timing of your CT scan.
@msrirambe
@msrirambe 3 жыл бұрын
@@drvimalraj thank you sir. I consulted a pulmonologist & verified. I am better now
@abdulrazak1116
@abdulrazak1116 3 жыл бұрын
Sir, Do we have to report corads and CT severity for post Covid followup cases??
@drvimalraj
@drvimalraj 3 жыл бұрын
Very good question. In a patient who has recovered from COVID or is already known to be COVID the CO-RADS score should be avoided. This will only create confusion as lung CT changes can sometime take much longer to recover compared to clinical recovery of patient. So, please do not mention CO-RADS in these patients.
@abdulrazak1116
@abdulrazak1116 3 жыл бұрын
@@drvimalraj thank you sir
@goskulasachin6705
@goskulasachin6705 2 жыл бұрын
Sir 6months back I got 2months continues fever and SOB but covid test was negative . pft 70% and ct showed small fibroticbands in sublpeura is this get cured over time or gets wors
@goskulasachin6705
@goskulasachin6705 2 жыл бұрын
And bronchial thickening also shown in ct
@subhadrakaysth5647
@subhadrakaysth5647 2 жыл бұрын
How are you now bro?
@nandinisingh1522
@nandinisingh1522 3 жыл бұрын
Doctor my mother is 25/25 corads score.... During covid she went through different complications like tachy Arrythimia, ccf, increased APTT, UTI,... She had 2 month hospital stay approx 1 month on ventilator support... From last 1 month of hospital stay she started co2 retention on ABG report... Which still not resolved... For which we started keeping her on bipap machine st level... We set up icu at home... It's about 3month total since 1st symptom.... Still her co2 retention not reduced (last abg report =68) we Intermitantly place her on nasal prong plus bipap.... On nasal prong @1-2lit/min her spo2 is b/w=90 above..can you please suggest the prognosis and further treatment line of patient... Please sir pplease.....do reply
@girishkulkarni8093
@girishkulkarni8093 3 жыл бұрын
My Father has same score, we gave him Homeopathy+medicine We found very great changes plzz consult homeopathic doctor
@nandinisingh1522
@nandinisingh1522 3 жыл бұрын
@@girishkulkarni8093 thank you so so much for your reply... I am really need help... Is ur father also had co2 retention...?. What allopathy medicine plus homeopathy medicine he is on... Girish ji 🙏please do reply?
@girishkulkarni8093
@girishkulkarni8093 3 жыл бұрын
@@nandinisingh1522 allopathy-Nintadanib or perfenidone + Homeopathy doctor(it has no name, as doctor prescribe it)
@nandinisingh1522
@nandinisingh1522 3 жыл бұрын
@@girishkulkarni8093 thank you so much.... My mother she is already on nintadanib... Now I will also try to consult homeopathy doctor... Thanks alot...
@girishkulkarni8093
@girishkulkarni8093 3 жыл бұрын
@@nandinisingh1522 Dont worry , will be fine soon🙂
@nayanmipun6784
@nayanmipun6784 3 жыл бұрын
My lungs fibrosis CT score is 15, after covid. What is the prognosis?
@drvimalraj
@drvimalraj 3 жыл бұрын
CT score of 15 is not same as fibrosis scores. These are two different things. You may perhaps fully recover, we can only be confident about it after following you up in 3 and 6 months and seeing how your lungs are performing at that time.
@nayanmipun6784
@nayanmipun6784 3 жыл бұрын
Oxygen good now, 99
@amosjuliantampubolon2413
@amosjuliantampubolon2413 2 жыл бұрын
@@nayanmipun6784 how to know ct score?
@nayanmipun6784
@nayanmipun6784 2 жыл бұрын
@@amosjuliantampubolon2413 doctor and radiologist provide ct score
@kamatchipourna19
@kamatchipourna19 3 жыл бұрын
Dr.. my husband was hospitalized for 5 weeks and CT score was 24/25.. now after a month the CT score is 22/25.. observation is diffuse interlobular septal thickening bilateral with associated fibrotic changes.. can you kindly review both reports if I may share the images.. our doctor suggests to wait for another month to see progress.. he is not prescribed any medication.. room air saturation is 92-94 but hypoxia on exertion.. can't even walk few steps..
@AbhishekSingh-is1oe
@AbhishekSingh-is1oe 3 жыл бұрын
Hi kamatchi my mother is also diagnosed with post covid fibrosis please tell me what are treatment you are taking
@kamatchipourna19
@kamatchipourna19 3 жыл бұрын
@@AbhishekSingh-is1oe only breathing exercise and diet.. doctor not prescribed any medication.. how about you?
@AbhishekSingh-is1oe
@AbhishekSingh-is1oe 3 жыл бұрын
@@kamatchipourna19 they are giving perfinex 400mg and vitamin tablets
@kamatchipourna19
@kamatchipourna19 3 жыл бұрын
@@AbhishekSingh-is1oe is there any side effect for this medication?
@AbhishekSingh-is1oe
@AbhishekSingh-is1oe 3 жыл бұрын
@@kamatchipourna19 they are anti fibrotic medicines they are used to slow down fibrosis. They are hard on kidney and liver
@sakifrahman2665
@sakifrahman2665 3 жыл бұрын
Sir can a patient recover from this lung fibrosis with early treatment?her ct score is 12-16
@drvimalraj
@drvimalraj 3 жыл бұрын
Yes very well possible.
@subhadrakaysth5647
@subhadrakaysth5647 2 жыл бұрын
Bhai patient kaise hey abhi?
@sakifrahman2665
@sakifrahman2665 2 жыл бұрын
@@subhadrakaysth5647 Alhamdulillah fully recovered...
@subhadrakaysth5647
@subhadrakaysth5647 2 жыл бұрын
@@sakifrahman2665 X ray pura clear hogaya hei ya thoda Fibrosis abhi bhi hey?
@sakifrahman2665
@sakifrahman2665 2 жыл бұрын
5-6 month pehle kiya tha doctor ne kaha tha bohot kam hai hum useh count nahi karte hai...waqt ke sath woh bhi thik ho jayega
@samimaakter4358
@samimaakter4358 2 жыл бұрын
Thank you sir, I have a question to you sir, 6 months back I suffered from Covid-19 at present I feel tired when walking, chest pain, Nail clubbing and shortness of breath, I met with a pulmonologist who suggested me spirometry DLCO test, My result was FVC 65%, FEV1 68%, FEV1/FVC 107%, DLCO 46%, But, after this test a HRCT was done but HRCT findings are Normal, now I am very much confused, That pulmonologist gave me Nintedanib though HRCT normal but another two pulmonologist gave me normal medicine, Please sir response me
@subhadrakaysth5647
@subhadrakaysth5647 2 жыл бұрын
How are you now bro?
@pankajborah9368
@pankajborah9368 2 жыл бұрын
Hi Sir. ..your videos are very informative...would request you to kindly address my query..as it is effecting my normal daily routine..i am 36.. I was tested positive on 7th Jan.... With symptoms of covid and mild fever. I got admitted in hospital and was released on 12th after being tested RAT -ve... My saturation is more than 98..but still I am feeling short of breath.. My ct is showing mild fibrosis.. done on 26th...kindly advice
@sanchitmalhotra3110
@sanchitmalhotra3110 7 ай бұрын
How are u now?
@sunilupmanyu858
@sunilupmanyu858 3 жыл бұрын
my brother also admitted to hospital for one month and after discharge from hospital we do ct scan and ct score is 23/25 and his saturation is also 96 but i am afraid is he develop any kind of problem after so many medicine his dry cough never goes
@drvimalraj
@drvimalraj 3 жыл бұрын
Only time will tell to be honest. We have to wait and repeat the scans in 6-9 months and then decide.
@arockiaabith
@arockiaabith 3 жыл бұрын
Hello Doctor, Thanks you for the detailed explanation. I have a question, My father was admitted with CTSI of 23/25 and now successfully recovered and discharged from the hospital. Clinically now his Oxygen saturation is maintained at 96 and he is asymptomatic. But from chest CT taken after 5 weeks of discharge, doctors are suspecting the initial development of Fibrosis and recommending anti fibrotic drugs. Is it really diagnosable in 5 weeks after the discharge ? Should we start anti fibrotics? Please give your inputs on this.
@sunilupmanyu858
@sunilupmanyu858 3 жыл бұрын
How he now my brother also admitted to hospital for one month and after discharge from hospital we do ct scan and ct score is 23/25 and his saturation is also 96 but i am afraid is he develop any kind of problem after so many medicine his dry cough never goes
@sunilupmanyu858
@sunilupmanyu858 3 жыл бұрын
my brother also admitted to hospital for one month and after discharge from hospital we do ct scan and ct score is 23/25 and his saturation is also 96 but i am afraid is he develop any kind of problem after so many medicine his dry cough never goes
@drvimalraj
@drvimalraj 3 жыл бұрын
Yes, there are some features which can develop that fast. Some of these actually do revert back to normal. Starting on antifibrotics- especially if he is able to tolerate it is not a problem. We can follow him up in 6-12 months time and then stop these medications if the fibrosis resolves.
@aminamp9081
@aminamp9081 3 жыл бұрын
@@drvimalraj is lung fibrosis reversable? my mother is taking nintedanib 150 mg daily.. her ct shows 14/25 .. now we are planning to shift our medication to homeopathic.. is it safe to stop all the alopathy medicine all of a sudden?
@subhadrakaysth5647
@subhadrakaysth5647 2 жыл бұрын
@@aminamp9081 Hos is your mother now mam?
@sherlyjean-noel8678
@sherlyjean-noel8678 2 жыл бұрын
At this point i'm still very shocked with the negative result I got after suffering from pulmonary fibrosis for so long. Thanks once again Dr Ogudugu on KZfaq for your medication
@jenaebin3377
@jenaebin3377 Жыл бұрын
Clear lungs na po ba kayo? Ano po Ang mga iniinom mo?
@dc.pentrumesteri4893
@dc.pentrumesteri4893 Жыл бұрын
Ordinary
@jenaebin3377
@jenaebin3377 Жыл бұрын
@@dc.pentrumesteri4893 ano pong medicine ininom mo? Pls help us
@polaris7122
@polaris7122 9 ай бұрын
PERVERT!
@ayishamk8629
@ayishamk8629 3 жыл бұрын
Hi Sir, Now am taking treatment for post covid fibrosis. But i feels pain in lungs. Can u explaine the reason for pain?.
@drvimalraj
@drvimalraj 3 жыл бұрын
This is unlikely related to covid. You should see a physician who can exclude other causes for the same.
@aminamp9081
@aminamp9081 3 жыл бұрын
what treatment do you take ? will you plz name the medicine s
@ayishamk8629
@ayishamk8629 3 жыл бұрын
@@aminamp9081i am taking doctor recommended medicines such as Mainly fibridone, steroid medicines and cough syrup. Consulting pulmonologist for post covid treatment.
@aminamp9081
@aminamp9081 3 жыл бұрын
@@ayishamk8629 ok thank you
@subhadrakaysth5647
@subhadrakaysth5647 2 жыл бұрын
How are you now mam?
@drhasibshaikh2556
@drhasibshaikh2556 3 жыл бұрын
In usually label fibrosis if there is Traction bronchiectasis Honeycombing Architectural distortion Sir what is your opinion when we only see reticulations without honeycombing should we call them fibrosis or post covid sequelae in resorptive phase? And your opinion on BJR publications categorizing fibrosis as PCVCT 0 to PCVCT 3 ?
@drvimalraj
@drvimalraj 3 жыл бұрын
The answers to your question, depend on the time that the imaging has been performed. Honestly speaking we have very little evidence at the current point and we will learn as we go along.
@soewinnaing1905
@soewinnaing1905 3 жыл бұрын
Dear Sir, May I please get your email? I really want to discuss about the patient who is my father and in need of help urgently. Thank you so much sir.
@drvimalraj
@drvimalraj 3 жыл бұрын
Thanks for contacting me. I have responded to your email.
@fazalmahmood645
@fazalmahmood645 Жыл бұрын
Dr Raj, Great Job. Can i email you to share my CT scans and more details thanks,
CT imaging and diagnosis of Bronchiectasis
22:06
vimal raj
Рет қаралды 16 М.
managed to catch #tiktok
00:16
Анастасия Тарасова
Рет қаралды 19 МЛН
Smart Sigma Kid #funny #sigma #comedy
00:40
CRAZY GREAPA
Рет қаралды 37 МЛН
Pulmonary fibrosis in COVID patients
57:30
Medtalks
Рет қаралды 16 М.
Lung Cancer Scans CT, PET and MRIs All you Need to Know
59:17
American Lung Association
Рет қаралды 29 М.
Neurologic Symptoms in People With Long COVID
16:49
Medscape
Рет қаралды 54 М.
What is Pulmonary Fibrosis and Why is it a Problem? | Joyce Lee, MD
16:28
Pulmonary Fibrosis Foundation
Рет қаралды 90 М.
Heart Attacks in Women: Common Warning Signs That Are Often Dismissed
56:35
Friendly Pharmacy 5
Рет қаралды 617 М.
Pulmonary Fibrosis After COVID-19: Treatments and Transplant
58:47
CT Patterns of Lung Disease, Dr. Jannette Collins - Medality (MRI Online) Radiology Noon Conference
1:08:00
CT Imaging of Bronchiectasis
22:06
vimal raj
Рет қаралды 1,3 М.
Progressive Pulmonary Fibrosis: What Patients Need to Know webinar
58:28
Pulmonary Fibrosis Foundation
Рет қаралды 27 М.
Long Covid - Jim's story
8:17
Hounslow and Richmond Community Healthcare NHS Trust
Рет қаралды 87 М.
managed to catch #tiktok
00:16
Анастасия Тарасова
Рет қаралды 19 МЛН