NATCON Workshop on Interventional Pulmonology conducted at KRIMS Hospitals

A workshop on Interventional Pulmonology was recently conducted at KRIMS Hospitals on the  4th of January 2019. The workshop was a part of NATCON 2019, National Conference on TB and Chest Diseases.

This was a Hands-On Workshop on Interventional Pulmonology and covered the topics of EBUS and Cryotherapy. The attending delegates were young doctors who had come from all over India to learn the advanced Bronchoscopy procedures. The eminent faculty members were Dr Rakesh Chawla from New Delhi, Dr Ashish Tandon from Allahabad and Dr Vivek Gupta, Dr Sameer Arbat Pulmonology specialist in Nagpur and Dr Komal Galani also from Nagpur.. The workshop included lectures on various topics related to Interventional Pulmonology, followed by a Hands-On session, in which the delegates got to operate those instruments by themselves. Dr Sameer Arbat was the Co-ordinator for this Workshop and Dr Rajesh Swarnakar was the Chairman of the Workshop Committee.

The workshop was followed by NATCON Conference with a TB-Free Nagpur initiative supported by NATCON President Dr Radha Munje, Secretary Dr Ravindra Sarnaik and Dr Arora National President of TB Association from India. This was the 73rd NATCON and it brought together national and international leaders for TB elimination in India.

“KRIMS Skin & Laser Clinic conducts Sparsh–Workshop by Dr. Tulika Arbat”

KRIMS Skin & Laser Clinic a center for advanced dermatology  organised “Sparsh – Skin Care Workshop by Dr Tulika Arbat” on the  29th  of October 2018. The workshop was attended by more than 50 aestheticians from all over Nagpur. It was organised by KRIMS Hospitals in collaboration with  one of the renowned marketing firm Brandy’s.

The workshop was intended with educating the various aestheticians about skin care and its clinical aspects. Dr Tulika Arbat, who is a Consultant Dermatologist specialises in Advanced Dermatology Procedures was the chief speaker. She began by presenting a talk on Basic Skin Care which covered causes and management of various skin problems like acne, skin darkening, hair fall, excess facial hair and so on.  Followed by a talk on special skin care tips for salon treatments like threading, waxing, facial, bleaching etc. She also stressed on how important it is to undertake advanced dermatology treatment if you are suffering from any sort of skin disease so that it does not become too late for you . KRIMS Skin & Laser Clinic have the facilities of Chemical Peeling, Radio Frequency Laser, Electrocautery, Derma Roller Therapy, Diode & Nd:Yag Laser, Acne Treatment- Scar Removal, Treatment For Hair-loss And Alopecia areata, Treatment Of Keloid And Hypertrophic Scars, Botox, PRP, Fillers, Skin Biopsy and Allergy Tests which are exclusively a part of advanced dermatology and skin care. “Patients nowadays are very conscious about their skin and appearance. Proper skin care is not just a sign of vanity but also of a  good health. Increased stress, irregular schedules along with environmental pollution have lead to many skin problems, which affects a person’s self-confidence deeply. This workshop gave me an opportunity to talk about various skin problems along with dealing with them along with advanced dermatology care. The aestheticians got to know the finer details of how to address basic skin problems before they refer the patient to the doctor clearing their major confusion” said Dr. Tulika Arbat. The educative sessions were followed by an energy filled talk by motivational speaker Mr. Nityanand Tiwari.

The program was well appreciated by the aestheticians and various salon owners who attended the workshop. Each delegate received a workshop certificate. Looking at the positive response, we plan to organize another workshop in January 2019”, said Ms. Ketki Arbat, Director KRIMS Hospitals.

Dr. Sameer Arbat receives “Best Paper Award” at Mumbai

City pulmonologist, Dr. Sameer Arbat received the prestigious “Best Paper Award” at IPL 2018 at Mumbai on 3rd June 2018. Dr. Sameer presented the Original Paper on “Role of Cryobiopsy in 57 patients” and 2 rare case reports on “EBUS in Tracheo-Esophageal Mass” and “Unusual case of Nail in Lung”.  The Interventional Pulmonology League-IPL is an annual national level meeting of interventional pulmonologists, organized by Institute of Pulmonology, Medical Research and Development (IPMRD) Mumbai.

Dr. Sameer Arbat is the youngest pulmonologist in India to have the EBUS setup. He presented 3 papers at IPL 2018, pertaining to interventional pulmonology. He presented an Original Paper on a case series of 57 cryobiopsy procedures performed at KRIMS Hospitals. The paper signifies the use of Cryobiopsy as a tool for diagnosis of two dreadful diseases, Lung Cancer and Interstitial Lung Disease (ILD). Cryobiopsy is a relatively new technique, which is useful in extracting a bigger sample of lung tissue for biopsy as well as  for complete removal of tumours of the airway . He also presented two rare cases of EBUS used for the diagnosis of Tracheo-Esophageal Mass and an Unusual case of nail in lung, which was successfully treated at KRIMS Hospitals, Nagpur. Endobronchial Ultrasound or EBUS is an advanced bronchoscopic technology, which combines the utility of an endoscope and the ultrasound. The sensitivity and specificity of EBUS has been found to be above 96%, thus making it an irreplaceable tool for diagnosis of Lung Cancer and tuberculosis. This setup can prove to be a boon in the lung cancer treatment in India.

The Interventional Pulmonology League-IPL 2018 was attended by  interventional pulmonologist from all over India. Eminent faculty members included, Dr Felix J Herth from Germany also Dr Zarir Udwadia, Dr Pattabiraman, Dr Bhavin Zankaria who are considered to be the best pulmonologists in India. Dr Sameer Arbat received the awards at the hands of Dr Prashant Chhajed, Director of IPMRD and one of the pioneers of interventional pulmonology in India. The Department of Pulmonology, KRIMS Hospitals is the first and only centre in Central India to have Cryobiopsy and EBUS setup and has regular publications and presentations at National and International platforms every year. More than 800 interventional procedures have been performed at KRIMS Hospitals over the past three years including cryobiopsy, EBUS and thoracoscopy procedures.

Dr Sameer Arbat performs Central India’s first EBUS Procedure

Nagpur city is witnessing a lot of medical advancements. Recently young Interventional Pulmonologist from Nagpur, Dr. Sameer Arbat performed the first EBUS procedure in Central India at KRIMS Hospitals. The first procedure was performed on 17th January 2018 followed by the second procedure on 18th January. This brings Nagpur among the very few cities in the country to have an EBUS setup.

EBUS or “Endobronchial UltraSound” is a relatively new procedure used in the diagnosis of lung cancer, lung infections, and other diseases that cause enlarged lymph nodes or masses in the chest. The EBUS scope is a bronchoscope with an ultrasound attached to it. This ultrasound probe enables visualizing smaller structures like vessels and lymph nodes inside the chest. This allows physicians to view difficult-to-reach areas and to access more, and smaller, lymph nodes for biopsy or perform a technique known as transbronchial needle aspiration (TBNA) to obtain tissue samples without conventional surgery. The samples can be used for diagnosing and staging lung cancer, detecting infections, and identifying inflammatory diseases that affect the lungs, such as sarcoidosis. This leads to early diagnosis avoiding surgeries like mediastinoscopy, which involves giving an incision in the neck and inserting a tube.  There are two types of EBUS machines, Radial and Linear. While the radial EBUS has advantage of finding far placed lesions inside the lung, it is the linear EBUS, which gives a better access to enlarged nodes inside the mediastinum – the area between the lungs which contains the heart. Very few experts who are trained in EBUS can perform this complicated procedure. The EBUS technology is considered the best invention in chest medicine after the stethoscope, which was invented in 1816.

“Intervention has a major role to play in the future for timely diagnosis and treatment. EBUS has already been established as an important tool for lung cancer staging. We performed our first case of Linear EBUS and Radial EBUS on consecutive days. It took me almost 2 years of training in Italy and higher centers in Delhi, Mumbai to achieve dexterity in handling the EBUS. This procedure helps the patient to get an early diagnosis and the patient can go home on the very same day, thus saving time and money,” said Dr. Sameer Arbat. KRIMS Hospitals now has a fully functional lung cancer diagnostic unit with all modalities of interventional pulmonology .  \“We are the first in Central India to have both Linear and Radial EBUS along with Cryotherapy Unit. Studies have shown that EBUS is cost-effective as it reduces the need for more morbid and costly invasive procedure like mediastinoscopy or thoracotomy. The introduction of this facility will benefit the patients from Nagpur as well as Central India for early diagnosis of lung cancer, sarcoid, tuberculosis of mediastinal glands which is a boon for the lungs\” said Dr. Ashok Arbat, senior pulmonologist, KRIMS Hospitals who is considered as one of the best pulmonologist in India.

      Advantages of EBUS

  • It provides real-time imaging of the surface of the airways, blood vessels, lungs, and lymph nodes

  • The improved images allow the physician to easily view difficult-to-reach areas and to access more, and smaller, lymph nodes for biopsy with the aspiration needle than through conventional mediastinoscopy

  • The accuracy and speed of the EBUS procedure lends itself to rapid onsite pathologic evaluation. Pathologists in the operating room can process and examine biopsy samples as they are obtained and can request additional samples to be taken immediately if needed

  • EBUS is performed under moderate sedation or general anesthesia

  • Patients recover quickly and can usually go home the same day

“Dr Arbat invited to Paris to present his work on Interventional Pulmonology”

Interventional Pulmonologist from Nagpur, Dr. Sameer Arbat has been invited to European Respiratory Society(ERS) Congress to be held at Paris in September 2018. Dr. Arbat has been invited to present his work on Cryobiopsy for the diagnosis of Interstitial Lung Disease and Lung Cancer.
Dr. Arbat will be presenting his study on more than 30 cases who underwent cryobiopsy at KRIMS Hospitals, Nagpur which stands proudly as one of the best pulmonology hospital in India. The study has proven a success rate of more than 93% in diagnosing lung cancer and 86% in diagnosing Interstitial Lung Disease. Also, it proves this modality to be a safe procedure with minor bleeding in a few cases and no pneumothorax. Considering that this is a pioneer study, Dr. Sameer Arbat has been awarded the prestigious Indian Chest Society(ICS) Grant for Young Researcher to represent India at an international conference.

Cryobiopsy is an advanced tool in Interventional Pulmonology, used to diagnose various diseases such as Interstitial Lung Disease and Lung Cancer. The cryoprobe is used with a flexible bronchoscope and is capable of freezing the tissue upto -89 ͒ C. This ensures that the biopsy tissue is taken out in bigger size with completely preserved architecture. This helps the pathologist to give an accurate diagnosis of the disease. Also, cryobiopsy is very useful in removing tumours en block from airways. Dr. Arbat received his training from Italy and has performed around 100 cryo-procedures till now. Dr. Arbat is the first Pulmonologist in Central India to have a complete EBUS and Cryobiopsy set up making him one of the best lung specialist doctor.

The European Respiratory Society is the biggest body of Respiratory clinicians and research scientists all over the world. The ERS Congress is an annual event and is attended by more than 20,000 participants from 130 countries. This year it is being held at Paris from 15th to 19th September.

“Timely Intervention rises a new ray of life for an one year old on Diwali’’

The festivals of lights which brings the fervour of joy and happiness in our lives turned out to be the most dreadful day for a young couple in Nagpur. On the afternoon of 20th October 2017  what the couple found out was quite unanticipated for them.

 A black foreign body  was completely obstructing the right main bronchus of the baby-

The thirteen month  old baby girl was playing with her elder  three year old sibling when her mother sighted her gasping for breath.  Suspecting that she must had swallowed a fruit’s seed they immediately rushed her to Gastroenterologist  to avoid the risk of her life. After realizing that the seed might be obstructing the airways of the patient, The Dr directly referred her to KRIMS Hospitals for intervention. Understanding the overall situation Dr Sameer Arbat on the dot decided to undertake rigid bronchoscopy. But here’s the kicker:

Rigid Bronchoscopy is a highly risky procedure as it was never attempted on such a young patient. But the surprising  part was that the chest X-ray was found to be completely normal throwing the doctors in a daze confusing them about the existence of the  foreign body inside the patient’s airway. But the labored breathing of the patient along with the stridor told a different story that something was obstructing  the airway.

Tracing the foreign body along with the struggle for its removal.

After 15 minutes Dr Sameer and Dr Bharat were able to locate a black foreign body which was completely obstructing the right bronchus while they were performing Rigid Bronchoscopy with a pediatric scope. Now the difficult part was yet to be conducted which was the removal of the seed as  the air supply to the right lung was completely compromised leading to decreased oxygen in the patient’s blood. This hypoxia was increasing with every passing minute, making the procedure more difficult and increasing the worries of the team.

Successful removal of the foreign body by the team

A pediatric ventilating-rigid bronchoscope was used to locate the foreign body and remove it with metal forceps.  The worst part was removing the seed required multiple attempts as it was slippery and too large to be held by the narrow forceps. The seed was lodged almost 15 cm deep inside the airway and it was around 1.5 cm long and 8mm wide. The size was large enough to completely obstruct the right main bronchus.  After 60 minutes of a very difficult procedure the two doctors were able to remove the foreign body, which eventually turned out to be a seed of a custard apple. Paediatrician Dr Pankaj Agrawal who was monitoring the baby’s vitals and Anesthetist Dr Sagar Agrawal who made sure that the baby was properly sedated accompanied the team in the critical procedure.

Later on when Dr Sameer was asked about the case and it’s overall experience he said Since it was a critical emergency me and Dr Bharat decided to approach inside the airway of the baby. But as the anatomy of a 13 month baby is too small and narrow as compared to an adult locating the seed was an intricate task. Recurrent fall in oxygen was an another challenge because of which we had to change our strategy at every step.

The availability of advanced instruments and support from  the KRIMS Operation Theatre team made it possible to conduct the operation with success. Prompt alertness by parents also played an important role, as even a delay of few hours in getting the baby to the hospital would have lead to fatality” commented Dr Sameer who is an Interventional Pulmonologist at KRIMS Hospitals Nagpur.

‘Never Too Early, Never Too Late-It’s always the right time to address airways disease’

You must be wondering why the title of the blog sounds so different than the title of other blogs?

Well, The title  is nothing but this year’s World Asthma Day’s theme by WHO.

If you ask a person who does not have much idea about Asthma, he would say that it is a disease which leads to breathing problems.  

But what Asthma actually is we all are unaware of.

The main motto behind writing this piece is to educate people about Asthma.

There are an estimated 300 million asthmatic patients worldwide with 1/10th of those living in India. But you might be wondering if this is the case then what is our  healthcare system doing against prevalence of this disease and also for rising awareness against it?

Many of the  multispecialty  hospitals conduct awareness camps  along with guiding the patients and consulting them to fight odds against the disease.  Just like KRIMS Hospitals, Nagpur organised an Asthma Education Program on the 1st  of May 2018. Dr. Sameer Arbat, Consultant Pulmonologist educated the audience on the topic of ‘How to Control Asthma’.

Not only did Dr. Sameer in his talk mentioned about the triggering factors of Asthma but also mentioned points regarding how to avoid them. He demonstrated the inhaler techniques and stressed about the importance of correct inhaler technique.

\”Treatment of Asthma is of long duration and most patients discontinue their medication leading to the worsening of the disease. It is important to educate people about the disease for it’s  better treatment and for it’s management\“, commented Dr. Sameer Arbat.

As we all know, the Department of Pulmonology at KRIMS Hospitals is a pioneer department for respiratory care and caters to around more than thousand Asthma patients every year and also gives education for asthma.But the best part about them is that  Dr. Sameer Arbat conducts an ‘Asthma Education Program’ every Tuesday, free of cost for patients and their relatives. Till now more than two thousand patients have been benefited from this regular activity which definitely explains their active participation against prevention and awareness of this disease.

How Dengue fever is different from regular fever

Regular fever is described as a condition in which our body’s temperature is higher than regular body temperature. Fever may occur to anyone at any age. Dengue fever on the other hand is a fever that is caused due to mosquito borne infection and can lead to a severe flu like illness. Dengue fever is caused by the virus that is spread by Aedes mosquitoes. Regular fever may be simple but dengue fever is the most dangerous form of fever.

Dengue is a viral infection that is transmitted by the bite of female mosquitoes. Dengue fever is like an illness that affects everyone, right from infants to adults.

 When asked about the signs and symptoms of Dengue to the Doctors from KRIMS Hospitals (which has one of the best Orthopaedic Doctors in nagpur), they said that the most common Dengue symptoms include fever, headache, muscle and joint pains etc. Many a times it happens that these symptoms are confused with common flu, but if one is experiencing these symptoms for many days then they must consult their Doctors at the earliest. Doctors diagnose the person who has the Dengue infection with blood test. When you are infected with the Dengue virus, you are advised by the Doctors to drink plenty of fluids.

 Dengue is a disease that doesn’t spread from person to person. In order to prevent Dengue, we must keep our surroundings clean as Dengue is caused by mosquitoes and mosquitoes are born in bad surroundings. Generally Dengue mosquitoes are born in clean stagnant water. So you must make sure that you regularly dispose the stagnant water as they are at the risk of carrying the dengue mosquitoes. Also you could keep mosquitoes away from your house by keeping mosquito repellent plants like lavender, catnip, feverfew etc. These plants act as natural repellent for mosquitoes and keeps them away from your house. Also you must properly drain the potted plants by scrubbing them properly to get rid of the eggs present in them.

What is AIDS exactly?

AIDS stands for Acquired Immune Deficiency Syndrome is the advanced form of HIV. All thanks to the advancement in medical sciences, not many people who have HIV develop AIDS as well. AIDS is developed in a person’s body when the HIV weakens the person’s immune system. By this person with HIV is no longer able to protect himself/herself against the disease.

A person who is HIV positive, may show symptoms of various infections and diseases called as opportunistic infections. So when an HIV positive person shows the symptoms these infections, he is considered to have AIDS.

Although, it’s not like only people who are HIV positive might get opportunistic infections. Many people who have diseases like Cancer can also get opportunistic infections. When asked about this to Doctor of KRIMS Hospitals (KRIMS Hospitals has some of the best Pulmonologists in Nagpur), they said that even though people with Cancer can get Opportunistic infections, but that infection is more frequent and serious in people with HIV and could also lead to the diagnosis of HIV of the patients.

One must monitor his/hers general health so one is able to keep an eye on any risks that could be caused because of Opportunistic infections.

In the recent times Science has become so advanced that Opportunistic infections could be delayed in a person by the use of prophylaxis and anti-HIV treatment. However till today there is no cure or treatment for HIV although, treatments can slow the course of condition and could make the people infected with the disease live longer. The treatments that have evolved are very much effective and they can also better the patient’s health in general and also his/hers quality of Life to a great extent.

Why educating people about AIDS is important

Over 36.7 million people are living with HIV/AIDS in the world. In India, it is estimated that nearly 2.1 million people have the virus. The virus was identified in 1984 and more than 35 million people have died because of HIV or AIDS which makes AIDS/HIV one of the most pandemics. Because of the scientific advancements made by mankind there are many things that we understand about the virus today that we did not know twenty year ago.

It is our moral duty as human beings that we should stop discriminating the people who have this disease.


Many people still believe that by shaking hands with a person contracted with AIDS they might also contract that disease, but this is not true. AIDS does not spread by hand shakes or hanging out with people with AIDS or using their towel. It is 21st century and just like how we left many unpopular beliefs of 20th century in that century itself, we must also leave this myth in that century itself. Instead of discriminating from people with AIDS we must socialize with them and make them involved in our lives as well.


World AIDS Day is celebrated on the 1st of December every year to show support and solidarity towards the people living with AIDS worldwide. Doctors from KRIMS Hospitals (which has some of the best pulmonologists in Nagpur) said that over the past decade, the virus that causes AIDS, have almost halved in India and the decline could be greater to end AIDS by 2030. Nearly 10,000 kids are infected with AIDS in India. India has also seen a 20% annual decline over the past few years which is a very promising sign. Less than half of the people who are living with HIV in India are on treatment.

How Smoking might slowly kill you

Research has shown that about 90% of cases of Lung Cancer which are known to mankind are linked with cigarette smoking. Smoking not only dangerously affects your health but it also affects the functioning of your lungs. It creates changes in the respiratory system of human body which are occasionally reversible but most often they are not reversible. Cigarette contains many chemicals which are bad for human’s health. When a cigarette is lit, it extricates more than 6000 chemicals, out of which more than 70 chemicals are known as carcinogens.


In Carcinogens also, the most devious ones are Nicotine, Cyanide, Benzene, Methanol, Tar, Ammonia etc. When asked about the matter to the Doctors from KRIMS Hospitals(which has some of the best Pulmonologists in Nagpur), they said that the main reason behind a person’s heart and blood circulation getting damaged is smoking. Smoking also increases the risk of other heart disease, damages your blood vessels and also damages your arteries that supplies blood to a person’s brain. Not only does smoking double the risk of heart attack in a person, but also it increases your risk of blood clots. But your risk of getting a heart attack is reduced by half if you don’t smoke for one complete year.


Many problems that make a person unattractive like bad breath and stained teeth also happen because of smoking. Not just this, but smoking can also cause gum disease and could also damage a person’s sense of taste. Apart from Lung Cancer, smoking also increases your risk of Lips Cancer, Tongue Cancer, Throat Cancer, etc. If you stop consumption of tobacco, you can reduce your risk of getting head and neck cancer even after many years. So in order to lead a healthy life, one must abstain from smoking, as those cancer sticks are just taking you one step closer to death, with every cigarette you smoke.


Healthy Lungs means healthy life

Lungs are the most essential part of our respiratory system, which provides germ free fresh air to our body. Our body has its own defense mechanism which fights against microorganisms and provides fresh oxygen to our blood whereas expels out carbon dioxide from our body to the atmosphere. But humans many a times fail to realize its importance and get addicted to such habits which can harm our lungs and threaten its ability to work. Therefore we should take good care of our lungs very well and maintain our healthy lifestyle There are many lung related diseases  like asthma, COPD, lung cancer and chest related diseases. If you are suffering from any of these diseases we would suggest to visit a good and best pulmonologist or asthma specialist in your city.

Here we are giving some tips and precautions you should take on regular basis to keep your lungs healthy-


We many a times read in the newspapers or during movie trailers that smoking is injurious to health but most of us neglect the fact that it’s the biggest threat to our lungs because cigarette smoking is the major cause of lung cancer and chronic obstructive pulmonary disease(COPD). The smoke narrows the air passage and makes breathing more difficult leading to chronic bronchitis that is causing swelling in the lungs. Also it is a lesser known fact that people around the person who smokes (sidestream smoker) are also affected and they also have a chance of getting infected by lung cancer by 20 to 30%. So it's never too late to quit smoking and adapt to a healthier lifestyle. If you want to quit smoking, which is a very difficult task, you can take help of specialist from best hospital in your town. If your living in central India you can visit KRIMS hospitals, which is best hospitals in Nagpur.  


Maintain germ free conditions

We can easily maintain germ free condition only by simple habits such as putting your hand over your mouth while coughing or sneezing and maintaining distance from patients who are infected with flu. Take a rest of 2 to 3 days till you are fully recovered or it will increase the risk of getting other patients infected. Especially asthma patients, small children, old people and also the patients suffering from COPD are vulnerable of getting such infections easily. Even if it is a small infection asthma patients should contact pulmonologists to avoid any risk.

fill your diet with more veggies and fruits

Having a good amount of green vegetables and fresh fruits keeps your heart healthy and your gut good. Also they may help to prevent chronic lung diseases.

Take your body for a walk

Studies have revealed that if we perform any rigorous activity be it like swimming, running, cycling or brisk walking it increases your heart count which improves your overall health as you work out your lungs workout too and they boost up the oxygen level to your body and removes carbon dioxide. The heart in turn circulates more oxygen to it.

Avoid contact from airborne pollutants

Airborne pollutants are very harmful for our lungs as they trigger an inflammatory response in our body and destroys lung tissue due to inhaling toxins. So while going out in areas where we are prone to get infected by air pollutants use masks.

Breathe deeply

Try to breathe deeply because 99% of people take shallow breaths due to which only a small portion of lungs is used. Deep breathing clears our lungs and helps create a full oxygen exchange.

By following these six tips we can definitely have a healthy lifestyle. The patients suffering from asthma or COPD should regularly have a health check up done from a Asthma specialist even though if they don’t have any issue just to keep an status update of our health. Long time smokers find it difficult to quit smoking but if they desire to leave it, therapies and medications are also available for it. Many of us are confused of finding the most finest treatment maybe for us or our loved ones.  If you want the best treatment and and if you are suffering from any of such problems then you have a one time solution to this that is KRIMS hospital Nagpur where they have the finest and specialized staff of doctors just waiting to help you out. It one of the best multispeciality hospital in Nagpur having asthma specialists to the best pulmonologists in Nagpur from central India awaiting to treat you well which is situated in the heart of the city . Because if it is for the sake of your health it deserves to have the best.


What is Alzheimer? What are its symptoms and where to seek treatment?

Alzheimer`s disease, named after the doctor who first described it ( Alois Alzheimer) is a physical disease that affects  the brain. During the course of disease, proteins build up in the brain to form structures called “plaques” and “tangles”. This leads to the loss of connections between nerve cells and eventually to the death of nerve cells and loss of brain tissues. People with Alzheimer `s also have a shortage of some important chemicals in their brain. Then these chemical messengers help to transmit the signals around the brain. When there is a shortage of them, the signals are not transmitted as effectively. Neurological diseases are among the most frightening diseases that humans face.


Alzheimer`s is a progressive disease that means gradually over time, more parts of the brain are damaged. As this happens, more symptoms develop. They also become severe. Therefore it is important to seek medical attention as early as possible if early signs are seen. Some of the symptoms of Alzheimer are as follows-

  1. Disrupted memory loss.

  2. Challenges in planning and solving problems.

  3. Difficulty completing familiar tasks at home, work place.

  4. Confusion with time or place.

  5. Trouble understanding visual images.

  6. Problem with new words in speaking or writing.

  7. Misplacing things and losing the ability to retrace steps.

  8. Decreased or poor judgment.

  9. Withdrawal from work or social activity

  10. Changes in mood and personality.

But it can be caused due to various reasons which are mostly unknown to the common people. Some of the common causes are-

  • Head trauma- Head injuries can lead to increased risk of Alzheimer `s disease. Because when the cells of the brain are busy dealing with the inflammation in the brain from the buildup of the protein that causes the disease. Therefore to protect yourself from injury, wear protective headgear to avoid head injury and even if any occurs consult a doctor immediately.

  • Down`s syndrome-People with down syndrome are at an increased risk of developing Alzheimer`s disease. It is a condition in which there is developmental and health issue, due to an extra chromosome no 21. Due to this extra chromosome it can lead to dementia and the development of Alzheimer`s disease as the patient`s age increases. But the patients start showing symptoms of Alzheimer`s at an much early age than the average patient.

  • Mild cognitive impairment- Alzheimer`s is most caused to the patients who experience mild cognitive impairment in earlier time. It is diagnosed earlier and later on it develops into Alzheimer. Patients with MCI have difficulty in remembering conversation and are not able to make complex decisions by themselves.

  • Cardiovascular diseases- Patients who have cardiovascular disease and if the heart is not able to supply oxygen to the brain properly they can lead to degeneration of brain cells increasing the risk of Alzheimer`s.


It is advisable to consult a good neurologist for the treatment of the patient taking note of the risk the disease is causing. KRIMS Hospitals is one of the best multispecialty hospital in Nagpur with the best neurology department and well specialized neurosurgeons awaiting for treating their patients. They have all the modern technological equipments with the new endoscopy neurosurgery as the latest. They provide the best patient care with satisfactory results. So don’t think over and let your special ones have the best treatment in the best hospital in Nagpur.


When to visit a pulmonologist?

“Every breath, every minute is a gift from our lungs” this verse very well explains how important our lungs is for our body and they were healthy determines our overall health. Lung diseases are some of the most common medical conditions in the world. Some of the common reasons for lung diseases are smoking, infections and genetics which are considered responsible. Lungs form a complex apparatus of our body which is continuously expanding and relaxing supplying oxygen and expelling carbon dioxide. Therefore lung diseases can form a major problem in your whole body system. A nagging cough or a slight wheeze should not be avoided as it is very important to pay attention to even mild symptoms. Because it can be the first sign of lung diseases such as COPD, Asthma, Lung cancer etc. The early warning signs of lung diseases can help you receive treatment before the disease becomes serious or even life-threatening. So it is important to visit a pulmonologist

Working with a pulmonologist can help you identify factors causing your symptoms of infection or disease. They can check your symptoms, conduct diagnostic testing, and determine whether your immune system is the source of your asthma. Chronic obstructive pulmonary disease (COPD) is a chronic disease that makes it difficult for you to breathe. No cure for COPD is available, and it tends to worsen, or progress, over time. It’s important to diagnose the disease early. If you get treatment early, you may be able to slow the worsening of symptoms. Pulmonologists can also give you advice on how to stay active with COPD and suggest ways to reduce symptoms you’re already experiencing. If you want to quit smoking then they can help you with the medications along with helping you overcome the withdrawing effects.

So if you think you are suffering from any of the early symptoms of any lung diseases then you should definitely visit a pulmonologist as soon as possible. Nagpur being a fast developing city there are many well-experienced pulmonologists. But speaking about the best ones, Dr. Ashok Arbat stands out as the best pulmonologist in Nagpur. With about 36 years of experience, he stands out as the most experienced and trustworthy pulmonologist in Central India. He was the first pulmonologist in Nagpur to start fibre optic bronchoscopy and stated its importance as a diagnostic and therapeutic tool. Along with this he always gives guest lectures and arranges a seminar for the awareness of asthma, COPD and much more. He is the founder of Krims multispecialty hospital Nagpur which is one of the best hospitals in Nagpur. So if you want to book an appointment with him, you can make an online appointment on the official website of Krims Hospitals that is

5 Reasons to see a pulmonologist if you have asthma (Best pulmonologists in Nagpur, Best Hospitals in Nagpur)

Asthma is a disease about which we have heard many a times and many a times it is the other person around us who suffers from it. The common thing we know about asthma is that the person suffering from it has breathing problems. But talking about it scientifically it is a lung condition that can make your airways narrow, swell and produce extra mucus, which causes breathing difficulties.


Some individuals may eventually grow out of asthma, while for others it is a lifelong condition. Asthma can be a significant problem that interferes with daily life and may lead to an asthma attack, which can be life-threatening.There is currently no cure for asthma, but it’s associated symptoms can be controlled with medication. Asthma often changes over time, so it is important to work with your healthcare provider to work out the best treatment for you, and to adjust as needed. If you are unable to achieve good asthma control under the care of your primary care doctor, a pulmonologist may be needed. Support from both the pulmonologist and from people living day to day with asthma can help you gain insight into this condition and help to manage it successfully. Pulmonologists may also be needed if you are newly diagnosed and are uncertain what the diagnosis means, both in the short and long term. You should consider seeing a pulmonologist if  you face with any of the following five situations. Let’s see 5 reasons for why it’s important to see a pulmonologist if you have asthma.

  • You were hospitalized and the trigger was not identified.

  • Your asthma remains poorly controlled after three to six months.

  • You have needed oral steroids more than once per year.

  • You have moderate-persistent or severe-persistent asthma despite treatment.

  • You are a candidate for or want to explore asthma immunotherapy.

Any ignorance towards your medical condition can lead to any type of fatality so it is always better to give first preference to your health. Now after knowing the reasons for why you need to visit a pulmonologist if you have asthma, it’s important to consult a well experienced pulmonologist who can understand your condition best. Searching for the best pulmonologists in Nagpur may become difficult for us as Nagpur being a big city the options are numerous. But compared to the other pulmonologists across Nagpur, Dr Ashok Arbat stands out as the best pulmonologist in Nagpur due to his vast experience of 35 years and he stands out as the pioneer of Multispecialty hospital in Nagpur. He has a valuable exposure to the various variants of pulmonology through this years. Also he is the Founder and Managing Director of KRIMS Hospitals which is one of the most renowned and best Multispecialty Hospitals in Nagpur with the well experienced staff and all modern facilities.