Dr Mir Elias - MD, DM Pulmonologist

12/12/2025

Advice for patients using oxygen at home:

1. Keep the oxygen concentrator in a warm, ventilated room to prevent freezing or moisture blockage in the tubing.

2. Maintain backup power or a spare cylinder for winter outages to avoid sudden interruption of oxygen supply.

3. Adjust oxygen flow only as advised by your doctor, usually targeting SpO₂ 88–92%.

4. Monitor your saturation; if SpO₂ stays high (>94%) on oxygen, reduce to the prescribed level after consulting your clinician.

5. Avoid increasing flow on your own to prevent over-oxygenation.

6. Keep oxygen equipment away from bukharis, heaters, and open flames, as oxygen-enriched air increases fire risk.

7. Regularly check tubing for kinks, ice condensation, or disconnection.

08/12/2025

A ghastly image that we see a few times every week.

A tumor inside the airway.

Most of these can just be prevented by not smoking.

***cofreekashmir

06/12/2025

5 dangers of cold exposure for chest / heart patients:

1. Cold air causes sudden airway narrowing, triggering breathlessness, wheeze, or cough.

2. Low temperatures increase blood vessel constriction, raising BP and heart strain.

3. Cold exposure thickens the blood and increases clotting tendency, raising the risk of heart attacks.

4. Inhalation of cold, dry air reduces lung clearance and can exacerbate COPD, asthma, and infections.

5. The combined stress on lungs and heart during early cold hours makes morning walks risky for vulnerable patients.

Preventive steps :

1. Prefer late-morning walks once the temperature rises.

2. Wear layered thermal clothing, cover the nose and mouth with a warm mask or muffler to warm the air before inhaling.

3. Use doctor-prescribed inhalers or medications before stepping out if you have asthma or COPD.

4. Avoid sudden exertion; start with slow warm-ups indoors to reduce heart and lung strain.

5. Keep hydrated, avoid exposure to fog or pollution peaks, which worsen cold-related risks.

02/12/2025

Advice for the people of Kashmir on vaccinations relevant to Chest diseases;

1. Get your annual influenza vaccine, preferably before winter peaks (highly recommended).

2. Ensure full COVID-19 vaccination and the latest booster, especially for adults with chronic resporatory diseases (optional).

3. Adults above 60 and patients with chronic lung diseases should take the pneumococcal vaccines (PCV-20 or PCV-13 + PPSV-23 as per schedule) to prevent pneumonia (highly recommended).

4. Patients with chronic respiratory issues should check their vaccination status during routine pulmonology visits.

5. Caregivers and family members of high-risk chest patients should also be vaccinated to reduce household transmission (highly recommended).

29/11/2025

Winter precautions for chest patients:

1. Stop smoking as soon as possible.
2. Don't stop or decrease inhaler dose if already taking.
3. Avoid walks or outings during early morning/ late evening cold hours.
4. Avoid overcrowded areas. Also avoid overcrowding at home.
5. Protect yourself from indoor and outdoor pollution.
6. Vaccination (Pneumococcal and influenza).
7. Keep yourself adequately hydrated.
8. Use masks regularly and properly especially in crowded spaces.

Send a message to learn more

20/11/2025

It took us hours (pulmo/ENT/anaesthesia team) to retrieve a peanut successfully (although in pieces) from multiple segements of the right lung in an 18-month-old baby.

Parents ... please beware!!

11/11/2025

Removed this today from right main bronchus of a 16-year-old female.

Girls.....beware..!!!

10/09/2025

Please block dates.
Registrations to be opened soon.

06/07/2025

https://youtu.be/w4LFIAuqIU8?si=7jiyds_80p__cVhi

Doctor Online : Causes Symptoms and Treatment of Most Common Chest Diseases Twitter - https://twitter.com/DDKashirChannelFacebook - https://www.facebook.com/...

06/05/2025

Theme of
World Asthma Day
(6 May 2025) :
'Make inhaled treatments accessible for all'

19/04/2025

During season (april-may), patients with should avoid stoping/decreasing dose of inhaled medications
to avoid problems.

09/03/2025

Ramadan is a month of abstinence and discipline. It is an excellent opportunity to come out of to***co abuse.
Don't waste it.