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Thehealthylung Dr. Padmavathy is a dedicated Senior Consultant Pulmonologist, Intensivist, Social health Activist

๐Ÿ…ต๐Ÿ…ด๐Ÿ…ฝ๐Ÿ…พ.Sounds like your lungs just said โ€œNoโ€ with a French accent.But hereโ€™s the real story:๐—™๐—ฒ๐—ก๐—ข = ๐—™๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐—˜๐˜…๐—ต๐—ฎ๐—น๐—ฒ๐—ฑ ๐—ก๐—ถ๐˜๐—ฟ...
26/07/2025

๐Ÿ…ต๐Ÿ…ด๐Ÿ…ฝ๐Ÿ…พ.

Sounds like your lungs just said โ€œNoโ€ with a French accent.

But hereโ€™s the real story:
๐—™๐—ฒ๐—ก๐—ข = ๐—™๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐—˜๐˜…๐—ต๐—ฎ๐—น๐—ฒ๐—ฑ ๐—ก๐—ถ๐˜๐—ฟ๐—ถ๐—ฐ ๐—ข๐˜…๐—ถ๐—ฑ๐—ฒ
A fancy term for: โ€œBreathe into this tube and letโ€™s see if your lungs are secretly inflammed .โ€

It detects eosinophilic inflammation: long before your wheeze, sneeze, or โ€œI think itโ€™s just dustโ€ excuses show up.
It tells me if we really need steroidsโ€ฆor if your inhaler is doing a bang-up job.

For asthma, itโ€™s not just useful. Itโ€™s a cheat code.
โ€ข Confused diagnosis? Use FeNO.
โ€ข Flare-ups with normal spirometry? Use FeNO.
โ€ข Patient on 5 inhalers and still โ€œnot feeling rightโ€? FeNO, kiddo!

So yeah, spirometry tells me how you breathe.
FeNO tells me what your lungs are feeling.

Big difference.

Want to breathe easier? Start listening to the inflammation. Start following ๐—ฃ๐—ฎ๐—ฑ๐—บ๐—ฎ๐—ป๐—ผ๐—น๐—ผ๐—ด๐˜†โ„ข.

๐”ป๐•–๐•ค๐•š๐•˜๐•Ÿ๐•–๐•• ๐•ฅ๐•  ๐”ป๐•š๐•ค๐•’๐•ก๐•ก๐•–๐•’๐•ฃ. ๐”ผ๐•Ÿ๐•˜๐•š๐•Ÿ๐•–๐•–๐•ฃ๐•–๐•• ๐•ฅ๐•  ๐”ธ๐••๐••๐•š๐•”๐•ฅNo smoke, no smell, no ashJust a deadly addictive risk.Did you know: ๐˜ผ ๐™ฉ๐™ž๐™ฃ๐™ฎ 0...
10/07/2025

๐”ป๐•–๐•ค๐•š๐•˜๐•Ÿ๐•–๐•• ๐•ฅ๐•  ๐”ป๐•š๐•ค๐•’๐•ก๐•ก๐•–๐•’๐•ฃ. ๐”ผ๐•Ÿ๐•˜๐•š๐•Ÿ๐•–๐•–๐•ฃ๐•–๐•• ๐•ฅ๐•  ๐”ธ๐••๐••๐•š๐•”๐•ฅ

No smoke, no smell, no ash
Just a deadly addictive risk.

Did you know:

๐˜ผ ๐™ฉ๐™ž๐™ฃ๐™ฎ 0.7 ๐™ข๐™‡ V**E ๐™ฅ๐™ค๐™™ ๐™˜๐™–๐™ฃ ๐™™๐™š๐™ก๐™ž๐™ซ๐™š๐™ง ๐™–๐™จ ๐™ข๐™ช๐™˜๐™ ๐™ฃ๐™ž๐™˜๐™ค๐™ฉ๐™ž๐™ฃ๐™š ๐™–๐™จ 20 ๐™˜๐™ž๐™œ๐™–๐™ง๐™š๐™ฉ๐™ฉ๐™š๐™จ!!.

Thatโ€™s one full pack.
Some disposables go far beyond that โ€” delivering up to 68 mg/mL ni****ne.

Letโ€™s compare:

๐Ÿšฌ ๐˜ผ ๐™ฉ๐™ง๐™–๐™™๐™ž๐™ฉ๐™ž๐™ค๐™ฃ๐™–๐™ก ๐™˜๐™ž๐™œ๐™–๐™ง๐™š๐™ฉ๐™ฉ๐™š ๐™™๐™š๐™ก๐™ž๐™ซ๐™š๐™ง๐™จ ๐™–๐™—๐™ค๐™ช๐™ฉ 1โ€“2 ๐™ข๐™œ ๐™ค๐™› ๐™ฃ๐™ž๐™˜๐™ค๐™ฉ๐™ž๐™ฃ๐™š.
๐Ÿ’จ ๐™Š๐™ฃ๐™š ๐™›๐™ช๐™ก๐™ก-๐™จ๐™ฉ๐™ง๐™š๐™ฃ๐™œ๐™ฉ๐™ ๐™ฅ๐™ค๐™™? ๐™๐™ฅ ๐™ฉ๐™ค 40โ€“60 ๐™ข๐™œ ๐™ฌ๐™ž๐™ฉ๐™๐™ž๐™ฃ ๐™ž๐™ฃ ๐™ข๐™ž๐™ฃ๐™ช๐™ฉ๐™š๐™จ.

Thatโ€™s not just intense. Itโ€™s chemically weaponized for your brain.

Worse? These v**es use ****nesalts, which hit your system ๐™ฌ๐™ž๐™ฉ๐™๐™ž๐™ฃ 10 ๐™จ๐™š๐™˜๐™ค๐™ฃ๐™™๐™จ, without burning your throat. So your teen wonโ€™t cough. Theyโ€™ll just crave.
And theyโ€™ll keep coming back.

Even occasional users show:
โš ๏ธ Memory and attention loss
โš ๏ธ Mood swings, irritability, anxiety
โš ๏ธ Higher risk of depression
โš ๏ธ Dependency within weeks โ€” even with โ€œlow strengthโ€ pods

And hereโ€™s the scariest part:
1 in 5 teens who v**e daily show signs of severe ni****ne addiction.
Most donโ€™t even realize it.

๐™‘๐™–๐™ฅ๐™ž๐™ฃ๐™œ ๐™ž๐™จ๐™ฃโ€™๐™ฉ ๐™ฉ๐™๐™š ๐™ก๐™š๐™จ๐™จ๐™š๐™ง ๐™š๐™ซ๐™ž๐™ก.
๐™„๐™ฉโ€™๐™จ ๐™Ÿ๐™ช๐™จ๐™ฉ ๐™—๐™š๐™ฉ๐™ฉ๐™š๐™ง ๐™™๐™ž๐™จ๐™œ๐™ช๐™ž๐™จ๐™š๐™™.

If you thought va**ng was the safer optionโ€ฆ read that again. Share before someone you love gets hooked. Do you have questions related to va**ng? Ask me in the comments section below.


**ngIsntSafer

๐™๐™๐™š ๐™ˆ๐™ค๐™จ๐™ฉ ๐™ƒ๐™–๐™ง๐™ข๐™ก๐™š๐™จ๐™จ ๐™†๐™ž๐™ฃ๐™™ ๐™ค๐™› ๐™Ž๐™ข๐™ค๐™ ๐™ž๐™ฃ๐™œ He wasnโ€™t my usual kind of patient.32. European. Fit. Entrepreneur.Didnโ€™t drink much. ...
08/07/2025

๐™๐™๐™š ๐™ˆ๐™ค๐™จ๐™ฉ ๐™ƒ๐™–๐™ง๐™ข๐™ก๐™š๐™จ๐™จ ๐™†๐™ž๐™ฃ๐™™ ๐™ค๐™› ๐™Ž๐™ข๐™ค๐™ ๐™ž๐™ฃ๐™œ

He wasnโ€™t my usual kind of patient.
32. European. Fit. Entrepreneur.
Didnโ€™t drink much. Didnโ€™t smoke. Lived clean. โ€œ๐˜โ€™๐˜ท๐˜ฆ ๐˜ฏ๐˜ฆ๐˜ท๐˜ฆ๐˜ณ ๐˜ด๐˜ฎ๐˜ฐ๐˜ฌ๐˜ฆ๐˜ฅ ๐˜ข ๐˜ค๐˜ช๐˜จ๐˜ข๐˜ณ๐˜ฆ๐˜ต๐˜ต๐˜ฆ ๐˜ช๐˜ฏ ๐˜ฎ๐˜บ ๐˜ญ๐˜ช๐˜ง๐˜ฆ ๐˜ฅ๐˜ฐ๐˜ค! ,โ€ he said, confused. โ€œ๐˜›๐˜ฉ๐˜ฆ ๐˜Š๐˜ข๐˜ณ๐˜ฅ๐˜ช๐˜ฐ๐˜ญ๐˜ฐ๐˜จ๐˜ช๐˜ด๐˜ต ๐˜ณ๐˜ถ๐˜ญ๐˜ฆ๐˜ฅ ๐˜ฐ๐˜ถ๐˜ต ๐˜ค๐˜ข๐˜ณ๐˜ฅ๐˜ช๐˜ข๐˜ค ๐˜ฅ๐˜ช๐˜ด๐˜ฆ๐˜ข๐˜ด๐˜ฆ. ๐˜‰๐˜ถ๐˜ต ๐˜ต๐˜ฉ๐˜ฆ ๐˜ด๐˜บ๐˜ฎ๐˜ฑ๐˜ต๐˜ฐ๐˜ฎ๐˜ด ๐˜ ๐˜ง๐˜ฆ๐˜ฆ๐˜ญ ๐˜ข๐˜ณ๐˜ฆ ๐˜ณ๐˜ฆ๐˜ข๐˜ญโ€. So I asked:
โ€œSheesha?โ€ His eyes lit up. โ€œ๐˜–๐˜ฉ, ๐˜ต๐˜ฉ๐˜ข๐˜ตโ€™๐˜ด ๐˜ซ๐˜ถ๐˜ด๐˜ต ๐˜ด๐˜ฐ๐˜ค๐˜ช๐˜ข๐˜ญ. ๐˜ ๐˜ฎ๐˜ฆ๐˜ข๐˜ฏโ€ฆ ๐˜ข ๐˜ค๐˜ฐ๐˜ถ๐˜ฑ๐˜ญ๐˜ฆ ๐˜ฐ๐˜ง ๐˜ต๐˜ช๐˜ฎ๐˜ฆ ๐˜ข ๐˜ธ๐˜ฆ๐˜ฆ๐˜ฌ! ๐˜‰๐˜ถ๐˜ต ๐˜ต๐˜ฉ๐˜ข๐˜ตโ€™๐˜ด ๐˜ฏ๐˜ฐ๐˜ต ๐˜ฆ๐˜ท๐˜ฆ๐˜ฏ ๐˜ค๐˜ญ๐˜ฐ๐˜ด๐˜ฆ ๐˜ต๐˜ฐ ๐˜ด๐˜ฎ๐˜ฐ๐˜ฌ๐˜ช๐˜ฏ๐˜จ ๐˜ณ๐˜ช๐˜จ๐˜ฉ๐˜ต?โ€ He wasnโ€™t wrong. But his lungs were telling a different story. Chronic cough. Intermittent tightness.

๐™Ž๐™๐™š๐™š๐™จ๐™๐™– ๐™ž๐™จ ๐™ฉ๐™๐™š ๐™ฃ๐™š๐™ฌ ๐™๐™–๐™ฃ๐™™๐™จ๐™๐™–๐™ ๐™š.
The pipe passed around the table. Mint, double apple, bubble gum, grape mint.
No one calls it โ€œ .โ€ Itโ€™s just chilling!

But hereโ€™s what most donโ€™t know:

๐Ÿ”ฅ ๐™Š๐™ฃ๐™š ๐™๐™ค๐™ช๐™ง ๐™ค๐™› ๐™จ๐™๐™š๐™š๐™จ๐™๐™– = ๐™ช๐™ฅ ๐™ฉ๐™ค ๐Ÿ๐ŸŽ๐ŸŽ-๐Ÿ๐ŸŽ๐ŸŽ ๐™˜๐™ž๐™œ๐™–๐™ง๐™š๐™ฉ๐™ฉ๐™š๐™จ ๐™ฌ๐™ค๐™ง๐™ฉ๐™ ๐™ค๐™› ๐™จ๐™ข๐™ค๐™ ๐™š.

Thatโ€™s not a typo.

According to the WHO:

โ€ข A single typical session lasts 45โ€“60 minutes, with ๐Ÿ—๐ŸŽ,๐ŸŽ๐ŸŽ๐ŸŽ ๐–’๐–‘ of smoke inhaled (vs 500โ€“600 ml from a cigarette).
โ€ข In that hour, a person takes about 200 puffs.
โ€ข The charcoal used emits ๐™˜๐™–๐™ง๐™—๐™ค๐™ฃ ๐™ข๐™ค๐™ฃ๐™ค๐™ญ๐™ž๐™™๐™š, ๐™ฅ๐™ค๐™ก๐™ฎ๐™˜๐™ฎ๐™˜๐™ก๐™ž๐™˜ ๐™–๐™ง๐™ค๐™ข๐™–๐™ฉ๐™ž๐™˜ ๐™๐™ฎ๐™™๐™ง๐™ค๐™˜๐™–๐™ง๐™—๐™ค๐™ฃ๐™จ (๐™‹๐˜ผ๐™ƒ๐™จ), ๐™–๐™ฃ๐™™ ๐™๐™š๐™–๐™ซ๐™ฎ ๐™ข๐™š๐™ฉ๐™–๐™ก๐™จ โ€ฆ far beyond whatโ€™s in a cigarette.

So hereโ€™s the math:

๐™„๐™› ๐™ฎ๐™ค๐™ช ๐™จ๐™ข๐™ค๐™ ๐™š ๐™จ๐™๐™š๐™š๐™จ๐™๐™– ๐™ฉ๐™ฌ๐™ž๐™˜๐™š ๐™– ๐™ฌ๐™š๐™š๐™  ๐™›๐™ค๐™ง ๐™–๐™ฃ ๐™๐™ค๐™ช๐™ง ๐™š๐™–๐™˜๐™, ๐™ฎ๐™ค๐™ช๐™ง ๐™ก๐™ช๐™ฃ๐™œ ๐™š๐™ญ๐™ฅ๐™ค๐™จ๐™ช๐™ง๐™š ๐™ž๐™จ ๐™š๐™ฆ๐™ช๐™ž๐™ซ๐™–๐™ก๐™š๐™ฃ๐™ฉ ๐™ฉ๐™ค 4โ€“8 ๐™˜๐™ž๐™œ๐™–๐™ง๐™š๐™ฉ๐™ฉ๐™š ๐™ฅ๐™–๐™˜๐™ ๐™จ ๐™– ๐™ฌ๐™š๐™š๐™ . ๐™๐™๐™–๐™ฉโ€™๐™จ 200โ€“400 ๐™˜๐™ž๐™œ๐™–๐™ง๐™š๐™ฉ๐™ฉ๐™š๐™จ ๐™– ๐™ข๐™ค๐™ฃ๐™ฉ๐™!

Now imagine this:

- Sheesha twice a week for 7 years.
- Thatโ€™s over 25,000 cigarette-equivalents.
- Thats like 12โ€“15 pack-yearsโ€ฆ ๐™ฌ๐™ž๐™ฉ๐™๐™ค๐™ช๐™ฉ ๐™€๐™‘๐™€๐™ ๐™ฉ๐™ค๐™ช๐™˜๐™๐™ž๐™ฃ๐™œ ๐™– ๐™˜๐™ž๐™œ๐™–๐™ง๐™š๐™ฉ๐™ฉ๐™š!

You didnโ€™t know. Neither did he or his friends. They believed it wasnโ€™t real smoking.

But the lungs? They always know.
๐™Ž๐™๐™š๐™š๐™จ๐™๐™– ๐™ž๐™จ ๐™ฃ๐™ค๐™ฉ ๐™– ๐™จ๐™–๐™›๐™š๐™ง ๐™–๐™ก๐™ฉ๐™š๐™ง๐™ฃ๐™–๐™ฉ๐™ž๐™ซ๐™š.

It can cause:
๐Ÿšจ Airway inflammation and chronic bronchitis
๐Ÿšจ Carbon monoxide poisoning
๐Ÿšจ Lung cancer, oral cancer, heart disease
๐Ÿšจ Infectious disease from shared mouthpieces
๐Ÿšจ And yes, ni****ne addiction

Even for those who โ€œ๐™ค๐™ฃ๐™ก๐™ฎ ๐™จ๐™ข๐™ค๐™ ๐™š ๐™ค๐™ฃ ๐™ฌ๐™š๐™š๐™ ๐™š๐™ฃ๐™™๐™จ.โ€

So! How many of you didnโ€™t think sheesha counted as smoking? Did these numbers chill?
Or maybe youโ€™ve had this habit yourselfโ€ฆDid this post hit the truth home hard? Letโ€™s trade strategies, stories, and truths.
Iโ€™ll read every comment. ๐Ÿ‘‡

๐ŸŽผ๐™’๐™๐™š๐™ฃ ๐˜ฝ๐™ค๐™ก๐™ก๐™ฎ๐™ฌ๐™ค๐™ค๐™™ ๐™ˆ๐™š๐™š๐™ฉ๐™จ ๐™ฉ๐™๐™š ๐˜ฝ๐™ง๐™ค๐™ฃ๐™˜๐™๐™ž: ๐˜ผ ๐™‚๐™„๐™‰๐˜ผ ๐™Ž๐™ฉ๐™ค๐™ง๐™ฎThis morning, I found myself in the Doctors room, sipping my regular coff...
05/07/2025

๐ŸŽผ๐™’๐™๐™š๐™ฃ ๐˜ฝ๐™ค๐™ก๐™ก๐™ฎ๐™ฌ๐™ค๐™ค๐™™ ๐™ˆ๐™š๐™š๐™ฉ๐™จ ๐™ฉ๐™๐™š ๐˜ฝ๐™ง๐™ค๐™ฃ๐™˜๐™๐™ž: ๐˜ผ ๐™‚๐™„๐™‰๐˜ผ ๐™Ž๐™ฉ๐™ค๐™ง๐™ฎ

This morning, I found myself in the Doctors room, sipping my regular coffee, when an eminent senior Doctor sauntered in, humming these lines with a grin: ๐ŸŽตโ€œ๐™‚๐™„๐™‰๐˜ผ ๐™ฎ๐™–๐™๐™–๐™–๐™ฃ, ๐™ข๐™–๐™ง๐™ฃ๐™– ๐™ฎ๐™–๐™๐™–๐™–๐™ฃโ€ฆ ๐™ž๐™จ๐™ ๐™š ๐™จ๐™ž๐™ฌ๐™–๐™– ๐™Ÿ๐™–๐™–๐™ฃ๐™– ๐™ ๐™–๐™๐™–๐™–๐™ฃ?โ€๐ŸŽถ

I laughed! โ€ฆ and paused.
Because that offhand Bollywood quip perfectly captures our world in respiratory medicine. We joke about the drama, but the truth is we live it every day.

I met Ms. Z , a spirited schoolteacher, whoโ€™d been struggling with shortness of breath and wheezing. Sheโ€™d been experimenting with Google searches and โ€œquick fixes,โ€ convinced she knew her asthma better than anyone else.

As I reviewed her drug history, I realized she hadnโ€™t had a GINA-guided assessment in several years. No tailored management plan, no personalized inhaler check, no safety net for those scary middle-of-the-night flare-ups.

We walked through the algorithm togetherโ€ฆ step by step, breath by breath, transforming published guidelines into her personal roadmap.

By week two, her daytime symptoms and nighttime awakenings dropped to zero. Her smile when she described sleeping through the night? Priceless.

At โ„ข, guidelines arenโ€™t a rigid scriptโ€ฆ theyโ€™re the GPS that lets us co-author each patientโ€™s health story. At , our mantra is simple:

๐™€๐™ข๐™ฅ๐™–๐™ฉ๐™๐™ฎ ๐™›๐™ž๐™ง๐™จ๐™ฉ. ๐™€๐™ซ๐™ž๐™™๐™š๐™ฃ๐™˜๐™š ๐™ฃ๐™š๐™ญ๐™ฉ. ๐™‹๐™š๐™ง๐™จ๐™ค๐™ฃ๐™–๐™ก๐™ž๐™ฉ๐™ฎ ๐™–๐™ก๐™ฌ๐™–๐™ฎ๐™จ.

Because every patient deserves more than a prescriptionโ€ฆ they deserve a collaborator in their journey to breathe easier.

So hereโ€™s my question to you, respiratory warriors and wellness seekers alike:
โ“Whatโ€™s one guideline or habit you turned into a personal success story and how did it change the way you breathe, live, or lead?

๐—ช๐—ต๐—ฒ๐—ป ๐˜๐—ถ๐—บ๐—ฒ ๐˜๐—ฟ๐—ฎ๐˜ƒ๐—ฒ๐—น๐˜€โ€ฆ ๐˜๐—ผ ๐˜€๐—ฎ๐˜ƒ๐—ฒ ๐—น๐—ถ๐˜ƒ๐—ฒ๐˜€. ๐——๐˜‚๐—ฏ๐—ฎ๐—ถ ๐—ฑ๐—ผ๐—ฒ๐˜€ ๐—ถ๐˜ ๐—ฎ๐—ด๐—ฎ๐—ถ๐—ป.  service: a first-of-its-kind emergency response service that lit...
03/07/2025

๐—ช๐—ต๐—ฒ๐—ป ๐˜๐—ถ๐—บ๐—ฒ ๐˜๐—ฟ๐—ฎ๐˜ƒ๐—ฒ๐—น๐˜€โ€ฆ ๐˜๐—ผ ๐˜€๐—ฎ๐˜ƒ๐—ฒ ๐—น๐—ถ๐˜ƒ๐—ฒ๐˜€. ๐——๐˜‚๐—ฏ๐—ฎ๐—ถ ๐—ฑ๐—ผ๐—ฒ๐˜€ ๐—ถ๐˜ ๐—ฎ๐—ด๐—ฎ๐—ถ๐—ป.

service: a first-of-its-kind emergency response service that literally brings the hospital to the patient. When every second counts, this system cuts through traffic, chaos, and delays โ€ฆ getting doctors to the scene faster than anywhere else in the world.

Yes, you read that right.
This is not just about ambulances.
This is Dubai giving time wheels.
And putting a doctor in the front seat.

I had the privilege of attending a workshop that decoded how this remarkable service works from dispatch to bedside. And I walked away in awe.

Because while most cities are still asking, โ€œ๐˜๐˜ฐ๐˜ธ ๐˜ฅ๐˜ฐ ๐˜ธ๐˜ฆ ๐˜จ๐˜ฆ๐˜ต ๐˜ต๐˜ฉ๐˜ฆ ๐˜ฑ๐˜ข๐˜ต๐˜ช๐˜ฆ๐˜ฏ๐˜ต ๐˜ต๐˜ฐ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ฉ๐˜ฐ๐˜ด๐˜ฑ๐˜ช๐˜ต๐˜ข๐˜ญ ๐˜ง๐˜ข๐˜ด๐˜ต๐˜ฆ๐˜ณ?โ€
Dubai asked, โ€œ๐˜ž๐˜ฉ๐˜บ ๐˜ฏ๐˜ฐ๐˜ต ๐˜ต๐˜ข๐˜ฌ๐˜ฆ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ฅ๐˜ฐ๐˜ค๐˜ต๐˜ฐ๐˜ณ ๐˜ต๐˜ฐ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ฑ๐˜ข๐˜ต๐˜ช๐˜ฆ๐˜ฏ๐˜ต ๐˜ง๐˜ข๐˜ด๐˜ต๐˜ฆ๐˜ณ?โ€

. . .
No drama. Just .

Proud to witness this innovation up close. Proud to practice medicine in a city that thinks ahead so patients donโ€™t fall behind.

๐—ฃ๐—ถ๐˜๐—ฐ๐—ต๐—ฒ๐—ฟ ๐—ฃ๐—ฒ๐—ฟ๐—ณ๐—ฒ๐—ฐ๐˜: ๐—ง๐—ต๐—ฒ ๐—™๐—ฒ๐—บ๐—บ๐—ฒ ๐—™๐—ฎ๐˜๐—ฎ๐—น๐—ฒ ๐—ผ๐—ณ ๐—™๐—น๐—ฎ๐˜ƒ๐—ผ๐˜‚๐—ฟThe pitcher plant doesnโ€™t chase. It lures.It uses colour, scent, and sweet p...
02/07/2025

๐—ฃ๐—ถ๐˜๐—ฐ๐—ต๐—ฒ๐—ฟ ๐—ฃ๐—ฒ๐—ฟ๐—ณ๐—ฒ๐—ฐ๐˜: ๐—ง๐—ต๐—ฒ ๐—™๐—ฒ๐—บ๐—บ๐—ฒ ๐—™๐—ฎ๐˜๐—ฎ๐—น๐—ฒ ๐—ผ๐—ณ ๐—™๐—น๐—ฎ๐˜ƒ๐—ผ๐˜‚๐—ฟ

The pitcher plant doesnโ€™t chase. It lures.
It uses colour, scent, and sweet promises to attract its preyโ€ฆ then silently traps and digests them.
No drama. Just slow destruction.

Sound familiar?

Va**ng walks in with the same flair.
Flavours like bubblegum, mint, watermelon ice packaged to please, disguised as โ€œhealthier.โ€
Teenagers fall for it. So do many adults looking to switch from smoking, thinking theyโ€™re making a smarter choice.

But the truth?
Va**ng isnโ€™t safer. Itโ€™s just better dressed.
Weโ€™re seeing more and more patients , young and old with va**ng-related lung damage.
Chronic bronchitis. Asthma flares. Inflammation. The evidence is growing.

At โ„ข, I believe in calling out the trap.
I donโ€™t glamorise. I demystify.
Your lungs donโ€™t need flavour. They need oxygen, clarity, and care.

๐—ฃ๐˜‚๐—น๐—บ๐—ผ๐—ป๐—ผ๐—น๐—ผ๐—ด๐˜† ๐˜„๐—ถ๐˜๐—ต ๐—ฃ๐—ฒ๐—ฟ๐˜€๐—ผ๐—ป๐—ฎ๐—น๐—ถ๐˜๐˜†. ๐—ฃ๐—ผ๐˜„๐—ฒ๐—ฟ๐—ฒ๐—ฑ ๐—ฏ๐˜† ๐—ฒ๐˜ƒ๐—ถ๐—ฑ๐—ฒ๐—ป๐—ฐ๐—ฒ.


**ngAwareness

๐•ณ๐–†๐–•๐–•๐–ž ๐•ฏ๐–”๐–ˆ๐–™๐–”๐–—๐–˜โ€™ ๐•ฏ๐–†๐–ž !โ€ฆ. ๐™ฉ๐™ค ๐™ฉ๐™๐™š ๐™ฉ๐™ง๐™ž๐™—๐™š ๐™ฉ๐™๐™–๐™ฉ ๐™—๐™ง๐™š๐™–๐™ฉ๐™๐™š๐™จ ๐™ก๐™ž๐™›๐™š ๐™ž๐™ฃ๐™ฉ๐™ค ๐™ข๐™š๐™™๐™ž๐™˜๐™ž๐™ฃ๐™š. From the lecture halls of GOVERNMENT MEDICAL COLLE...
01/07/2025

๐•ณ๐–†๐–•๐–•๐–ž ๐•ฏ๐–”๐–ˆ๐–™๐–”๐–—๐–˜โ€™ ๐•ฏ๐–†๐–ž !
โ€ฆ. ๐™ฉ๐™ค ๐™ฉ๐™๐™š ๐™ฉ๐™ง๐™ž๐™—๐™š ๐™ฉ๐™๐™–๐™ฉ ๐™—๐™ง๐™š๐™–๐™ฉ๐™๐™š๐™จ ๐™ก๐™ž๐™›๐™š ๐™ž๐™ฃ๐™ฉ๐™ค ๐™ข๐™š๐™™๐™ž๐™˜๐™ž๐™ฃ๐™š.

From the lecture halls of GOVERNMENT MEDICAL COLLEGE, KOZHIKODE and ICUs of Apollo Hospitals, Chennai, โ€ฆ to the Dept of Pulmonology at Meitra Hospital and now to NMC Healthcare, Dubai, this journey has been nothing without the incredible who lit the way, the who showed me how to lead with both head and heart, and the who turned call duty into camaraderie.

To every in scrubs who has stayed up reviewing ABGs and HRCTs with me, caught me when I stumbled, or reminded me that itโ€™s okay to be human behind the white coatโ€ฆ. thank you.

To my teams at and to every doctor Iโ€™ve had the privilege to learn from, laugh with, and lean onโ€ฆ you are the real pulse of this profession.

taught me how fragile breath is. But you all have taught me how resilient the human spirit can be.

Hereโ€™s to the , the , the , and the forever .
We may wear masks, but our purpose is always clear.

With gratitude,
Padma

๐™๐™๐™š ๐™‹๐™ง๐™–๐™ฉ๐™›๐™–๐™ก๐™ก ๐™€๐™›๐™›๐™š๐™˜๐™ฉ: ๐™’๐™๐™ฎ ๐™ˆ๐™š๐™จ๐™จ๐™ž๐™ฃ๐™œ ๐™๐™ฅ ๐™ˆ๐™ž๐™œ๐™๐™ฉ ๐™ˆ๐™–๐™ ๐™š ๐™”๐™ค๐™ช ๐™ˆ๐™ค๐™ง๐™š ๐™‡๐™ž๐™ ๐™š๐™–๐™—๐™ก๐™šI clipped the pulse oximeter onto her finger.SpOโ‚‚: ๐Ÿด๐Ÿฒ%.S...
28/06/2025

๐™๐™๐™š ๐™‹๐™ง๐™–๐™ฉ๐™›๐™–๐™ก๐™ก ๐™€๐™›๐™›๐™š๐™˜๐™ฉ: ๐™’๐™๐™ฎ ๐™ˆ๐™š๐™จ๐™จ๐™ž๐™ฃ๐™œ ๐™๐™ฅ ๐™ˆ๐™ž๐™œ๐™๐™ฉ ๐™ˆ๐™–๐™ ๐™š ๐™”๐™ค๐™ช ๐™ˆ๐™ค๐™ง๐™š ๐™‡๐™ž๐™ ๐™š๐™–๐™—๐™ก๐™š

I clipped the pulse oximeter onto her finger.
SpOโ‚‚: ๐Ÿด๐Ÿฒ%.

She looked fine. Calm. Chatty.
I, meanwhile, was halfway through diagnosing silent hypoxia, early fibrosisโ€ฆ maybe even prepping for an HRCT.

Then โ€” without a word โ€”
she offered me her other hand.
The one without bright red nail polish.

SpOโ‚‚: ๐Ÿต๐Ÿต%.

And then came the twist.

She laughed and said,
โ€œDoctor, remember last time? You told me to remove my fake nails so you could get an accurate reading!โ€

Yep. Dรฉjร  vu.
But this time, I was the punchline.

And you know what?

๐™„ ๐™™๐™ž๐™™๐™ฃโ€™๐™ฉ ๐™ก๐™ค๐™จ๐™š ๐™ง๐™š๐™จ๐™ฅ๐™š๐™˜๐™ฉ.
๐™„ ๐™œ๐™–๐™ž๐™ฃ๐™š๐™™ ๐™ฉ๐™ง๐™ช๐™จ๐™ฉ.

Medicine is obsessed with perfection.
Spotless coats. Flawless charts. No room for error.

But hereโ€™s what Iโ€™ve come to believe deeply:

๐™’๐™๐™š๐™ฃ ๐™ฎ๐™ค๐™ชโ€™๐™ซ๐™š ๐™š๐™–๐™ง๐™ฃ๐™š๐™™ ๐™ฎ๐™ค๐™ช๐™ง ๐™ฅ๐™ก๐™–๐™˜๐™š ๐™ฉ๐™๐™ง๐™ค๐™ช๐™œ๐™ ๐™๐™–๐™ง๐™™ ๐™ฌ๐™ค๐™ง๐™  ๐™–๐™ฃ๐™™ ๐™˜๐™ค๐™ข๐™ฅ๐™š๐™ฉ๐™š๐™ฃ๐™˜๐™š,
๐™– ๐™ก๐™ž๐™ฉ๐™ฉ๐™ก๐™š ๐™˜๐™ก๐™ช๐™ข๐™จ๐™ž๐™ฃ๐™š๐™จ๐™จ ๐™™๐™ค๐™š๐™จ๐™ฃโ€™๐™ฉ ๐™ง๐™ช๐™ž๐™ฃ ๐™ฎ๐™ค๐™ช๐™ง ๐™ž๐™ข๐™–๐™œ๐™šโ€ฆ ๐™ž๐™ฉ ๐™ข๐™–๐™ ๐™š๐™จ ๐™ž๐™ฉ ๐™ง๐™š๐™ก๐™–๐™ฉ๐™–๐™—๐™ก๐™š.

Itโ€™s called the ๐™‹๐™ง๐™–๐™ฉ๐™›๐™–๐™ก๐™ก ๐™€๐™›๐™›๐™š๐™˜๐™ฉ โ€”
the idea that ๐˜ฉ๐˜ช๐˜จ๐˜ฉ๐˜ญ๐˜บ ๐˜ค๐˜ฐ๐˜ฎ๐˜ฑ๐˜ฆ๐˜ต๐˜ฆ๐˜ฏ๐˜ต ๐˜ฑ๐˜ฆ๐˜ฐ๐˜ฑ๐˜ญ๐˜ฆ ๐˜ฃ๐˜ฆ๐˜ค๐˜ฐ๐˜ฎ๐˜ฆ ๐˜ฎ๐˜ฐ๐˜ณ๐˜ฆ ๐˜ญ๐˜ช๐˜ฌ๐˜ฆ๐˜ข๐˜ฃ๐˜ญ๐˜ฆ ๐˜ธ๐˜ฉ๐˜ฆ๐˜ฏ ๐˜ต๐˜ฉ๐˜ฆ๐˜บ ๐˜ด๐˜ฉ๐˜ฐ๐˜ธ ๐˜ข ๐˜ฉ๐˜ข๐˜ณ๐˜ฎ๐˜ญ๐˜ฆ๐˜ด๐˜ด ๐˜ง๐˜ญ๐˜ข๐˜ธ.

In a world where medical authority is often mistaken for infallibility,
a little humility doesnโ€™t weaken you.
๐™„๐™ฉ ๐™๐™ช๐™ข๐™–๐™ฃ๐™ž๐™ฏ๐™š๐™จ ๐™ฎ๐™ค๐™ช.

So hereโ€™s to the doctors who say, โ€œOops.โ€
To the leaders who say, โ€œI forgotโ€ฆ but Iโ€™ve fixed it.โ€
To the humans who own their flawsโ€ฆ
and earn respect not despite them, but because of them.

๐˜พ๐™ค๐™ข๐™ฅ๐™š๐™ฉ๐™š๐™ฃ๐™˜๐™š ๐™—๐™ช๐™ž๐™ก๐™™๐™จ ๐™ง๐™š๐™จ๐™ฅ๐™š๐™˜๐™ฉ.
๐˜ฝ๐™ช๐™ฉ ๐™๐™ช๐™ข๐™ž๐™ก๐™ž๐™ฉ๐™ฎ? ๐™๐™๐™–๐™ฉ ๐™—๐™ช๐™ž๐™ก๐™™๐™จ ๐™ฅ๐™จ๐™ฎ๐™˜๐™๐™ค๐™ก๐™ค๐™œ๐™ž๐™˜๐™–๐™ก ๐™จ๐™–๐™›๐™š๐™ฉ๐™ฎ.

And Iโ€™d pick that every time.

The Pratfall Effect isnโ€™t just a psychological theory.
Itโ€™s what happens when authority meets authenticity.

Have you ever had this happen to you? Share your experiences in the comment section below.

โ„ข

๐˜๐จ๐ฎ๐ซ ๐๐ซ๐ž๐š๐ญ๐ก ๐‡๐š๐ฌ ๐’๐ญ๐š๐ ๐ž ๐…๐ซ๐ข๐ ๐ก๐ญYou walk into a high-stakes meeting.Or open an email youโ€™ve been dreading.Suddenlyโ€ฆ tight ch...
27/06/2025

๐˜๐จ๐ฎ๐ซ ๐๐ซ๐ž๐š๐ญ๐ก ๐‡๐š๐ฌ ๐’๐ญ๐š๐ ๐ž ๐…๐ซ๐ข๐ ๐ก๐ญ

You walk into a high-stakes meeting.
Or open an email youโ€™ve been dreading.
Suddenlyโ€ฆ tight chest!
Shallow breathing.
A sense that you just canโ€™t get enough air.

Youโ€™re not wheezing. Your oxygen is normal.
But it feels like your lungs are failing you.

At โ„ข, we call this ๐ฉ๐ž๐ซ๐Ÿ๐จ๐ซ๐ฆ๐š๐ญ๐ข๐ฏ๐ž ๐›๐ซ๐ž๐š๐ญ๐ก๐ฅ๐ž๐ฌ๐ฌ๐ง๐ž๐ฌ๐ฌ.

In medical terms, itโ€™s known as:

โ€ข ๐™๐™ช๐™ฃ๐™˜๐™ฉ๐™ž๐™ค๐™ฃ๐™–๐™ก ๐™—๐™ง๐™š๐™–๐™ฉ๐™๐™ก๐™š๐™จ๐™จ๐™ฃ๐™š๐™จ๐™จ
โ€ข ๐™ƒ๐™ฎ๐™ฅ๐™š๐™ง๐™ซ๐™š๐™ฃ๐™ฉ๐™ž๐™ก๐™–๐™ฉ๐™ž๐™ค๐™ฃ ๐™จ๐™ฎ๐™ฃ๐™™๐™ง๐™ค๐™ข๐™š
โ€ข ๐™‹๐™จ๐™ฎ๐™˜๐™๐™ค๐™œ๐™š๐™ฃ๐™ž๐™˜ ๐™™๐™ฎ๐™จ๐™ฅ๐™ฃ๐™š๐™–

Itโ€™s not imaginary. Itโ€™s a real, measurable physiologic response to emotional, mental, or neurochemical stress.

But those terms donโ€™t quite capture what patients feel:
A chest that wonโ€™t expand.
A sigh that never comes.
A breath that refuses to land.

The experience is realโ€”even when the CT, X-ray, and spirometry say โ€œnormal.โ€

Iโ€™ve seen this in high-performing professionals, exhausted caregivers, and parents stretched too thin.
People who look fine but breathe like theyโ€™ve just sprinted up a flight of stairs, when all theyโ€™ve done is sit still under pressure.

Hereโ€™s why:
Your breath is your brainโ€™s loudest messenger.
And sometimes, the message isnโ€™t about your lungs.
Itโ€™s about your life.

And hereโ€™s the real problem:
Many of these patients go undiagnosed for years.
Because medicine is trained to look for diseaseโ€”๐™ฃ๐™ค๐™ฉ ๐™™๐™ž๐™จ๐™ฉ๐™ง๐™š๐™จ๐™จ.

At โ„ข, I listen differently.
Because not every breathless patient needs a bronchodilator.
Some need recognition. Some need nervous system support.
And all of them deserve to be taken seriously.

๐Ÿ†ƒ๐Ÿ…ท๐Ÿ…ด ๐Ÿ…ฑ๐Ÿ†„๐Ÿ…ฑ๐Ÿ…ฑ๐Ÿ…ป๐Ÿ…ด ๐Ÿ†ƒ๐Ÿ…ด๐Ÿ…ฐ ๐Ÿ…ป๐Ÿ…ธ๐Ÿ…ด Bubble tea is a betrayal.You go in thinking itโ€™s a sweet treat.But two sips in and youโ€™re fighting fo...
27/06/2025

๐Ÿ†ƒ๐Ÿ…ท๐Ÿ…ด ๐Ÿ…ฑ๐Ÿ†„๐Ÿ…ฑ๐Ÿ…ฑ๐Ÿ…ป๐Ÿ…ด ๐Ÿ†ƒ๐Ÿ…ด๐Ÿ…ฐ ๐Ÿ…ป๐Ÿ…ธ๐Ÿ…ด

Bubble tea is a betrayal.

You go in thinking itโ€™s a sweet treat.
But two sips in and youโ€™re fighting for your life.
Those pearls block the straw like theyโ€™re unionized.

You blow. You suck. You gag.
The drink looks fine.
But nothingโ€™s coming through.

Thatโ€™s exactly what ๐—ฆ๐—บ๐—ฎ๐—น๐—น ๐—ฎ๐—ถ๐—ฟ๐˜„๐—ฎ๐˜† ๐—ฑ๐—ถ๐˜€๐—ฒ๐—ฎ๐˜€๐—ฒ feels like.

Youโ€™re not wheezing.
Youโ€™re not coughing.
Youโ€™re justโ€ฆ stuck. . Misunderstood.

is a gentle lung test that picks up what spirometry often misses: Subtle resistance in your small airways, measured using the ๐—ฅ5-๐—ฅ20 value.

If that number is high, it means air is having a tough time slipping through the โ€œbubble-tea strawsโ€ of your lung treeโ€”even if the bigger pipes look clear.

So no, youโ€™re not imagining things. Your lungs are just sipping struggle.

If youโ€™re always breathless but your reports say youโ€™re fine.. ask your Doc for a referral to โ„ข.

Where lungs finally get to speak the truth.

23/06/2025

๐–๐ก๐ฒ ๐˜๐จ๐ฎ๐ซ ๐’๐ง๐จ๐ซ๐ข๐ง๐  ๐ˆ๐ฌ ๐Œ๐ฒ ๐๐ฎ๐ฌ๐ข๐ง๐ž๐ฌ๐ฌ

And no, itโ€™s not because Iโ€™m nosy.

You came in to talk about your lungs.
Then I started asking about your sleep.
Your stress.
Whether your partnerโ€™s considered earplugsโ€ฆ or even their own room.

Hereโ€™s why:

๐˜‰๐˜ณ๐˜ฆ๐˜ข๐˜ต๐˜ฉ ๐˜ข๐˜ฏ๐˜ฅ ๐˜ด๐˜ญ๐˜ฆ๐˜ฆ๐˜ฑ? ๐˜›๐˜ฉ๐˜ฆ๐˜บโ€™๐˜ณ๐˜ฆ ๐˜ณ๐˜ฐ๐˜ฐ๐˜ฎ๐˜ฎ๐˜ข๐˜ต๐˜ฆ๐˜ด.
When one struggles, the other usually does too.
Snoring might seem harmless.
But it can be a red flag for ๐Ž๐›๐ฌ๐ญ๐ซ๐ฎ๐œ๐ญ๐ข๐ฏ๐ž ๐’๐ฅ๐ž๐ž๐ฉ ๐€๐ฉ๐ง๐ž๐š: a condition that raises your risk of heart disease, stroke, memory lossโ€ฆ even car accidents.
The worst part?
Most people donโ€™t even know they have it.
So when I ask about your bedtime habits,Iโ€™m not being extra.

Iโ€™m trying to spot something sneaky, before it drains your energy, dulls your focus, and impacts your health.

If youโ€™re waking up tired, snapping by noon, or feeling foggy despite a full nightโ€™s sleep,this isnโ€™t just about your lungs anymore.
Itโ€™s about your whole life.

Thatโ€™s โ„ข:Pulmonology with personalityโ€ฆ and a side of sleep wisdom.

โœ… Tired all the time?
โœ… Snore like a bulldozer?
โœ… Wake up with headaches, dry mouth, or a case of the grumps?

Letโ€™s get your lungs and sleep working together.
A consult could change your nightsโ€ฆ and your days.

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