Asthma problems 40 year old woman - #10858

I am a pediatrician who kinda grew into medicine the long way—I completed my MBBS from Pt. JNM Medical College back in 2017, followed by internship in 2018 which felt like a whirlwind of wards, night shifts n’ figuring things out on the go. Right after that, I joined the Department of General Medicine at AIIMS Raipur... which was intense, but also gave me a lot of grounding in adult med before I fully leaned into my love for pediatrics. I went on to do my MD in Pediatrics (again from Pt JNM, kind of feels like second home by now) and wrapped that up in 2023. The training was solid. Lot of hands-on experience, from neonatal ICU to emergency pediatrics—seeing those tiny patients recover, that still hits different. Since then, I've worked as consultant across various govt and private setups. Some days it's OPD chaos, other times it's quiet follow-ups on growth & development or nutrition. I try to keep the approach simple—listen properly, explain clearly, treat gently. No overcomplication unless absolutely necessary. My work's taken me from big tertiary setups to smaller clinics, and that range kinda shaped how I practice. Like, I can handle a critical care scenerio, but I also really care about everyday parent doubts or vaccine queries—they matter equally, trust me. Right now, I balance between institutional consulting and my own clinical work. I try to stay updated with newer protocols and guidelines (but ya sometimes the tech stuff just refuses to load when you need it most lol). Anyway, point is—I’m always trying to mix solid academic grounding with practical, human pediatric care. That’s what I aim for.

I am Dr. Hiteshwar Singh Kalsi, MBBS and MD in Dermatology, practicing in Noida. It’s been around 6 years now in total, with the last 4 years more focused into direct clinical experience—working hands-on with real people, real cases, and yeah, real challenges too. My day mostly revolves around treating skin, hair, and nail-related conditions, but honestly, no two cases feel the same. There’s always some new pattern, or some unexpected twist and that’s what kinda keeps me always alert, always learning. My work is not just about writing prescriptions or suggesting skin creams (though that’s part of it too). I like going deeper, getting to the root of chronic issues—whether it’s persistent acne, sudden hairfall, weird rashes that won’t settle, or even fungal nail infections that ppl usually ignore until it gets too messy. I spend a good amount of time listening to patients (maybe more than what is expected sometimes), coz that’s usually where most clues are hiding anyway. Cosmetic dermatology? Yeah, I handle that too. I perform procedures like chemical peels, intralesional therapies, and basic anti-aging regimens but I always try keeping the results natural-looking. I’m not really into over-promising stuff... like “this will go in 3 days” or “you’ll look 10 years younger.” That feels weird to me. I just believe in honest consults, clarity about treatment expectations, and sticking to what science says works. At the clinic, I’ve seen cases ranging from simple sunburns to tricky autoimmune stuff like lichen planus or alopecia areata. Even cases that came in with totally wrong diagnosis and needed re-evaluation. Some of these turn out more complicated than they look at first, and that’s where clinical experience honestly helps, coz textbooks don’t cover everything. I work hard to stay updated—read research, join webinars, whatever I can squeeze in between opd shifts. But end of the day, it's about trust. If my patient walks out feeling heard and gets better slowly but steadily, I’m good with that.

I am an ENT specialist with MS in Otorhinolaryngology, and yeah that basically means I deal with all sorts of ear, nose, throat stuff—sometimes minor, sometimes really tricky. My journey in this field started way back during med school, but it really took shape when I started digging deeper into the surgical side of ENT. I got drawn to the way tiny structures in the head-neck region can cause big problems... and fixing those? Kinda became my thing. I usually manage everything from chronic sinus issues, nasal polyps, deviated nasal septum, ear infections, hearing loss cases to things like vocal cord nodules and thyroid swellings. There’s a lot people don’t realise about ENT, like how vertigo can be tied to the inner ear or how simple allergies can wreck someone’s sleep—makes you look at the body as this connected mess of systems that need tuning more than fixing. Surgery’s part of what I do, not all of it. I do a fair bit of outpatient diagnosis too... endoscopic exams, audiometry interpretation, allergy management—sometimes it’s not about rushing to the OR but figuring out what the patient actually needs. And yeah sometimes that takes time, and explaining things over again bcoz ENT symptoms can get confusing for people. One thing I’m big on is clarity. I try and make sure patients leave the consult with less fear, more understanding—even if they’re not sure yet about treatment. I mean you don’t wanna leave someone feeling worse just cause they didn’t get the jargon right? That bugs me. Right now I’m also keeping up with the newer tech in ENT—minimal invasive techniques, better imaging, laser interventions... It’s a fast field if you're looking. I don’t claim to know it all, but I do make sure I keep learning, whether it’s by reading up late or bugging seniors when something doesn’t sit right. Anyway if you’re dealing with ENT stuff—frequent cold, blocked nose, ear ringing, tonsils, snoring, whatever—you don’t have to “wait and watch” forever. Sometimes you just need the right person to hear you out, literally.

I am a qualified oral n maxillofacial surgeon and honestly, the kind of cases I deal with everyday keeps me on my toes. My training covers the full spectrum — from basic minor procedures to complex surgeries of the maxillofacial region. That means stuff like impacted 3rd molar extractions, facial bone trauma cases (some are really tricky), cysts, tumors, and even fracture management around the jaw n cheek areas. I kinda enjoy the surgical planning part too, not just the cutting part. I’m also trained in aesthetic procedures... yeah not the skin kind tho, just to be clear. I don’t handle skin diseases or dermatology stuff — that's not my space. But I do perform aesthetic corrections around the face, especially in cases where function n appearance both matter. Hair transplantation is also part of my practice — and tbh that’s one of those areas where patience and precision both are like 100% must. Every follicle counts there. Sometimes ppl think oral surgeons just pull out teeth, but that’s like a small part of what we do really. The face is a complicated zone, any small shift can affect chewing, breathing or even how someone smiles. So my focus is always on preserving natural function while also restoring the look, if needed. If there’s one thing I’ve learnt working in this field, it’s that no two cases are ever same. Whether it's a small cyst in the jaw or full-on facial trauma after an accident, each patient needs a different strategy. And ya, I take that really seriously... coz it’s not just surgery, it’s someone’s face at the end of the day. Anyway, my work isn’t flashy or insta-trendy, but it’s grounded. I’m not into big talk or overpromising results — just believe in doing honest work with full effort. That’s how I was trained, and that’s how I work.

I am Dr. Sabreen Tufail and ya I work as a Unani physician, general practice mostly... 4+ years now, kind of learnt a lot from real people, real issues, not just books. My core focus is women’s health, like PCOS, hormonal imbalances, and things that mess with routine life but no one talks about enough. I also help with weight-related problems — not just weight loss for the sake of it, but helping someone feel normal in their body again, if that makes sense?? I did my PG diploma in Cosmetology (PGDCC) and another one in Obesity Management (PGDOM), both gave me deeper insight into skin hair and metabolic health which... actually links back a lot to what women go through during their cycles, stress phases or postpartum. My approach is not quick fixes. I try to understand lifestyle patterns, diet mistakes, emotional links too (they do exist btw) and then suggest remedies that fit naturally with their daily life. Mostly herbal and Unani-based, with dietary planning. Like no crash things or “one size fits all” kinda plan... doesn’t work really. I also deal with skin and hair concerns — dullness, acne, hair fall, pigmentation and that. Some people just need to hear someone say “it's normal, we can manage it step by step”, and I try to be that person for them. My work with cosmetic guidance is honestly more about building confidence than about just appearance. And yeah, I don’t offer miracle fixes, just thoughtful, evidence-based help that respects the person’s body and what it’s been thru. Sometimes it’s small changes that makes all the diff.

I am an ophthalmologist who's been in clinical practice for around 7 years now.. not counting those weirdly long on-calls during residency which kinda felt like two careers already :) Anyway, what keeps me in this field day after day is that moment when a patient says “I can see better now”—doesn’t get old. I deal with all sorts of eye-related issues, from common stuff like refractive errors and cataracts to more complex cases that need detailed exam and careful planning, esp when it involves surgery or long-term treatment. My training gave me a solid foundation in anterior segment, diagnostics, and surgical techniques, though honestly you never stop learning in ophthalmology.. each case adds another angle or teaches something new you didn't realise you missed. I’m also real focused on vision preservation in chronic conditions—like glaucoma or diabetic eye disease, which require a lot of followup and trust building with patients over time. The best part of this work for me? Probably patient counselling—sitting with them, showing them what’s going on in their scan or fundus images, breaking it down in plain terms, and helping them understand what’s next. I feel like that alone sometimes makes ppl take their eye health more seriously which means better outcomes too. And also, less fear. I’ve worked in both solo clinics and hospital teams, each has taught me different things—one sharpens your clinical autonomy, other keeps you sharp with peer discussions and updates. Either way, I try to keep things patient-centered always... clear communication, realistic expectations, no overpromising—just honest care and consistency. That’s what I’d want if I were on the other side of the chair.

I am working as a general physician right now at a private hospital in Boduppal, where most of my days are just... packed. I deal with all sorts of cases, sometimes it’s something basic like the flu or a throat infection, other times it’s way more complicated—like someone walks in with arrhythmia or a sudden asthma flare and you’ve got minutes to stabilize things. Honestly, the variety keeps me on my toes, but also grounded in the basics of internal medicine which I actually enjoy more than I thought I would. My focus areas include a broad set of conditions—infectious and viral illnesses like dengue, bronchitis, tonsillitis, and yeah the usual seasonal stuff. Respiratory disorders like asthma and COPD show up pretty regularly too. Then you have the cardiac issues—hypertension’s basically an everyday topic, but ischemic heart disease and palpitations or arrhythmic episodes? They make you think harder. Endocrine conditions are another big chunk of what I manage—especially diabetes, obesity, thyroid dysfunction, all that. I really try to go deep here, not just treat symptoms but look at the whole picture, like how lifestyle or stress fits in. The same goes for digestive complaints—whether it’s IBS, gastritis, or pancreatitis—patients usually come with a mix of stress, poor diet, and late diagnosis. You gotta dig through all of that. And don’t even get me started on musculoskeletal stuff. Chronic back pain, joint swelling, random knee aches? Almost everyone deals with them, and they’re super underestimated in terms of how badly they can affect daily life. I also keep an eye on neurological patterns—headaches, migraines, even fatigue and insomnia that don’t always get enough attention. These things stack up and affect how ppl feel day to day, right? Anyway, I try to keep my approach simple but thoughtful—first get the right diagnosis, explain it in a way that doesn’t confuse the patient, and then make a plan they can actually follow through on. For me, it’s about consistency, trust, and making sure the patient walks out feeling like they’re in charge of their own health again.

I am Dr. Brijesh and yeah—been practicing for over 15 years now in internal medicine. Did my MD, and honestly, during this time I’ve kind of rotated through everything you can think of—OPD, ICU, ER, wards. Each of these places taught me different things, not just clinically but in terms of handling real people in real pain. I don’t rush my consults... maybe that’s why people feel a bit more heard when they walk out, not just “treated”. My clinical focus now is more tuned into chronic and age-related stuff—like diabetes care, geriatric medicine and also palliative subjects (which ppl often ignore but honestly they matter a lot). Diabetes is tricky cause no two cases are really the same, and it’s not always about medicines. There’s lifestyle stuff, follow-up, talking people through what’s working and what’s clearly not. I like to go deep with that. I also care about end-of-life comfort... sometimes managing pain and letting someone go with dignity needs more courage than people realise. I don’t avoid those tough convos when needed. Anyway, nothing too flashy here. Just try to give honest, patient-centered care. I listen, ask a lot of qstns (maybe too many sometimes lol), and I actually do take time understanding where someone’s coming from, not just where the disease is at. Patients aren’t just a symptom checklist for me. They’ve got fears, stories, their own pace. I work at theirs, not mine.

ChatGPT said: I am working as RMO right now in two hospitals—Asian Medical Hospital and ESIC Bihta—and honestly juggling both has given me some solid ground exp that classroom stuff can’t quite match. At Asian, I mostly deal with emergency cases, ward duties, and pre-round patient prep, which means long hours but also quick learning... like real quick. You gotta be on your toes every second, things change before you even finish writing the notes. At ESIC Bihta, it’s a bit different. Lot more focus on government protocols, structured timelines, documentation—plus you get to handle cases involving insured workers n their fams, which bring in a whole different set of clinical and social contexts. I feel I’ve started to understand how socioeconomic factors can change treatment expectations n outcomes... and sometimes even compliance. Most of the time I’m involved with patient monitoring, vital tracking, medication administration, IV line setups, assisting in minor procedures or sometimes stabilizing critical cases until senior consulatant arrives. Nothing too flashy, but each shift is like a puzzle—sometimes you get the easy pieces, sometimes you’re handed chaos wrapped in vitals dropping fast. I do care a lot about keeping patients informed too. I mean they’re scared, confused, tired—most don't really get what’s happening and it helps if someone actually explains stuff in a way they can follow. That’s something I try to do daily, even if in rush. I’m still learning tons, and I know I’ve a long way to go. But each week adds up—each patient, each call at 3AM, each line that won’t cannulate—all that slowly makes you better at handling things. Not perfect by any means, but def more grounded and ready than when I started.

I am a Child Specialist with around 8 years of workin’ in the field of Pediatrics—though honestly, some days it feels like 20 with all the kids I’ve seen. My focus is on offering complete medical care for infants, toddlers, school-going kids and even those tricky teenage years when things get unpredictable and, well, loud. Whether it's treating those scary fevers or helping a worried parent make sense of a growth delay, I try to keep things clear, calm and centered around the child. I work a lot with congenital conditions and developmental issues too. Some cases are complicated and slow to respond, but seeing even small improvements—like when a kid who wouldn’t eat starts smiling at their meals—makes all the late nights feel kinda worth it. I’ve managed all sorts of acute and chronic conditions in kids—chest infections, allergies, nutrition troubles, even things like behavioral changes that come with big transitions or school stress. Sometimes its about a medicine, sometimes it's just about listening properly to both the kid and the parent. Over time, I’ve come to believe pediatric care isn’t just about giving medicine and calling it a day... It's about explaining things in a way that helps families feel in control and less overwhelmed. I also spend a lot of time helping parents understand nutrition, immunization timelines, and how to track milestones without panicking every second week!! Sometimes I feel like half my job is decoding Google searches for worried moms. I try to mix empathy with science—I mean, yes I keep up with medical protocols, but I also know how to hold a crying baby and calm down a 3-year-old throwing a tantrum in the waiting room. It’s a mix of skills, really. At the end of the day, I just want to keep making sure kids get better, parents feel seen, and care feels human—not rushed or robotic.

ChatGPT said: I am someone who’s walked into all kinds of intense moments in a woman’s life—pregnancy that isn’t going smooth, periods that stop talking to the calendar, that weird phase around menopause where everything shifts without warning. I worked at Fortis Superspeciality Hospital, and yeah... that really shaped my outlook. You learn quick when you're in the middle of high-risk pregnancy cases—you don’t get time to just plan, you respond, right there. Fast thinking, calm hands, and knowing what’s urgent vs what’s just loud. I deal a lot with PCOS too, which honestly feels like this silent thing for many women until it disrupts their daily rhythm—cycles, skin, weight, even mood. My role there isn’t just to diagnose, it’s to untangle it layer by layer. Whether it’s lifestyle, hormones, stress, or all tangled up, we work through it with the patient at the center. Infertility is another area I’ve been deeply into. And trust me, this part—it's not just clinical. Couples walk in carrying hopes n questions that aren’t always spoken out loud. I try to balance science with listening. Whether we’re talking ovulation tracking or just explaining how age or diet affects things, I keep it open, no jargon overload. Same with menopause—some ppl think it’s just hot flashes, but I know it can affect bones, sleep, mood, gut, intimacy, all of it. I help women navigate that phase with more clarity, and less fear or confusion. Honestly, each of these things aren’t separate in real life. One thing impacts the other. And that’s kinda how I work too—not just ticking boxes but looking at patterns across time. The goal isn’t just treatment, it’s guiding someone to feel informed and in charge of their own body. That's what I’m here for.