Friday, February 14, 2020

53 years-old-man suffering from choking sensation in sleep since Sep 2019, seeking experts help

Bridelia stipularis (Pic wikimedia.org/wiki/File:Bridelia_stipularis) 



Patient's ID: Bridelia731stipularis

This is a de-identified open-online-patient-record with initial information from Doctor's notes, diagnostic test results, as well as patients' voice. Posted here after collecting informed "Patient Consent" (DOWNLOADABLE HERE) by Health Worker DEBASISH ACHARJEE from PIN Code area 731204 for discussion.

This is  53 years old gentleman who faced sudden chocking sensation in sleep on __ September  2019 and __ January 2020 at mid night. Again on __ February 2020 comparatively moderate choking with right hand lack of sensation.  No chest pain, No sweating, No syncope, No cough, No fever, No HTN, No T2DM, BP 120/80 mm.Hg and pulse 86 bit/min, Weight 78Kg, SpO2- 98%. Evaluated in ER Dept. nearest local hospital - No immediate issues found. Cardiac evaluations also normal.

Diagnosed: Obstructive Sleep Apnea-Hypopnea Syndrome OSAHS - SEVERE


Using Auto CPAP (Auto Continuous Positive Airway Pressure)

Medications:
1) Fluticasone Furoate 27.5MCG Nasal Spray ( Once daily at 8AM)
2) Inhaler Duova (Tiotropium 9 mcg + Formoterol 6 mcg) 

3) Clonafit 0.25 mg Tablet (Clonazepam 0.25 mg)

Medical History:
2005: kidney stone lithotripsy
2005 Inpatient treatment for Jaundice
2015  Slip disk L4- L5 (0.47 as per  MRI and Doctor advised surgical treatment, not yet done.
2019 (Aug) Paratyphoid.
Since last 6 months 5-6 times sudden syncope (no fainting).

Allergy: Not known

Family Medical History: Mother HTN and died due to stroke at her age 53 years. and Father slip disk.

Doctor's prescriptions: [CLICK HERE]
Diagnostics Test Reports [CLICK HERE]


Still c/o disturbed sleep - panicked, seeking medical experts advise to recover and lead normal life.

Thank you

Debasish Acharjee




 

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