Dr. R. P. Ilangho

EMERGENCY

Fever of 103°F
Bleeding from mouth
Onset of new pain or worsening of previous pain.
Vomiting.
Breathing difficulty.
Altered level of consciousness.
Chest pain
Discharge from the operative wound.
Worsening of any symptoms.
Other significant concerns.

Enquiry and Appointment @ OP

For Enquiry and Appointment

CONTACT: [ 8 am to 6.30 pm ]

Tel:

Direct : 044-28296429

Board : 044-28293333 / 28290200

Website: www.apollohospitals.com

Apollo Hospitals 21, Greams lane, Off :Greams Road Chennai-600006

Online Appointment

Enter the website link below

https://www.t.ly/wKk4o

https://www.apollo247.com/

ID NO==Please use SAME PATIENT ID NO: IN ALL CONSULTATIONS - especially ONLINE -Example=UHID-AC01.0004723596
MEDICATION EXPLANATION [ especially Inhalers & Spacer Device etc.] Please call 044-28296200 to TALK TO MY ASSISTANT between 9am to 5.00 pm on all working days.

TEST REPORTS COLLECTION

Collect Your Test Reports (If Not Collected Hardcopy) From Website : https://www.apolloprism.com/

ADVISE- ROUTINE

ADVISE- ROUTINE: GARGLE MOUTH-THROAT AFTER USING INHALERS, ALWAYS-WELL!

STOP SMOKING/ [if smoker/or family member smokes too ! ]
AVOID POLLUTION-BIOMASS FUEL.
DIET -balanced to maintain Ideal WEIGHT -not overweight
EXERCISE-[WALKING]to follow - AS ADVISED
MEDITATION-SIT DOWN FOR 10-20 MINUTES DAILY IN A SILENT CALM PLACE- WATCHING YOUR BREATH.
YOGA-PRANAYAMA -to be learnt from an experienced Teacher-NOT Google!!!
SUNLIGHT -EXPOSE YOURSELF TO SUNLIGHT-5 to 10 minutes-[with minimum clothing] BETWEEN 6-10 AM OR 4.30-5.30 PM EVERYDAY !
BRING SPACER DEVICE & PEAK FLOW METER FOR REVIEW in all visits.
PEAK FLOW METER [pfm]-Use Twice Daily-or as advised & maintain PFM Diary
FOR oTHER dISEASES = like Diabetes Mellitus, Hypertension, Heart, Kidney, Thyroid, Eye Disease-Please follow advise as per your treating doctor.
Do ALL TEST AS ADVISED
DO NOT STOP YOUR MEDICINES-EVEN AFTER 4 MONTHS, AS ADVISED - WITHOUT MY ADVICE.
IF, YOU ARE NOT ABLE TO CONTACT ME -FOR ANY REASON-PLEASE, CONTINUE MEDICINES, TILL YOU ESTABLISH CONTACT -AS SOON AS POSSIBLE VIA WEB-CONSULT OR TELE-MEDICINE-BEST IN PERSON.
COLLECT YOUR TEST REPORTS (IF NOT COLLECTED HARDCOPY) FROM WEBSITE:
https://www.apolloprism.com/

FOR HOME -free- MEDICINE DELIVERY FROM APOLLO:
PLEASE CONTACT MR. HARISHANKER...09941577707
GARGLE mouth after using Inhalers-always through Transpacer V device- except Inhaler Salbair [can be taken directly]
VACCINATIONS: Please take Covid-19 vaccines [and others as advised] as advised by Government of India ,through your local doctor. And ,at Apollo ,in our vaccination clinic.
SALINE Warm GARGLE -Twice Daily-2 weeks[BP- PATIENTS SHOULD NOT-UNLESS SPECFICALL ADVISED]
LOCAL FAMILY DOCTOR -Consult -for routine review & in emergencies.
PEAK FLOW METER -[PFM]Use Twice Daily-or as advised & maintain PFM Diary
OXYGEN: OXYGEN-2LITRES- TO MAINTAIN PULSE OXIMTERY-Sp02 above 92% especially during sleep & exercise
IN COPD PATIENTS - US ONLY VIA 24% VENTURI MASK-2
LITRES/MINUTE MAINTAIN > 90%
PULSE OXIMETRY : NORMAL ABOVE 95%-IF FALLS LESS THAN 95%-meaning- 94% & BELOW--CONTACT DOCTOR IMMEDIATELY-IF FALLS LESS THAN 90% - RUSH TO EMERGENCY-ANYTIME OF DAY !
OELD: OCCUPATIONAL & ENVIRONMENTAL LUNG DISEASES

AVOID POLLUTION-NANOPARTICLES & ACID -IN RESEARCH AREAS-:MODIFY WORK ENVIRONMENT-REQUEST APPROPRIATE ANTI-POLLUTION MEASURES as mandated by International Labour Organisations EXHAUST- VENTILATION-STREAMLINE RESPIRATORY PROTECTIVE EQUIPMENT.

FOLLOW- UP

Consult after 1 month -If a review date is not given.
COLLECT YOUR TEST REPORTS (IF NOT COLLECTED HARDCOPY) FROM
WEBSITE: https://www.apolloprism.com/
COME FOR NEXT ONLINE-CONSULT FIX WEB ONLINE CONSULTATION
[ YOU CAN DO THIS-ONLINE - FROM HOME ON A COMPUTER or a CELL PHONE ] @ 24x7 app: t.ly/wKk4o
https://www.apollo247.com/
FOR ALL PATIENTS =CONSULT=EVERY MONTH REGULARLY
For ALL PATIENTS VISTING IN PERSON - CHENNAI & OUT-STATION-PLEASE FIX PRIOR APPOINTMENT with Secretary-Tel:044-28296429[direct]/or board 28293333; preferably-3 DAYS IN ADVANCE .
UPLOAD YOUR LAST PRESCRIPTION -FOR ALL CONSULTATION IF online

ONLINE CONSULTATION

Advise

AFTER 1 MONTH- [ If not mentioned]

eg:2 pm,if available, do not opt for 3 pm.

UPLOAD YOUR LAST PRESCRIPTION -FOR ALL -ONLINE-CONSULTATION-under health vault” section

UPLOAD YOUR LAST PRESCRIPTION + TEST REPORTS IN THE “HEALTH VAULT” SECTION OF YOUR APOLLO 24X7 APP-FOR ALL ONLINE -CONSULTATION

COME FOR NEXT ONLINE-CONSULT FIX WEB ONLINE CONSULTATION
[ YOU CAN DO THIS-ONLINE - FROM HOME ON A COMPUTER or a CELL PHONE[ANDROID] @ APOLLO 24x7 app: t.ly/wKk4o https://t.ly/wKk4o https://www.apollo247.com/

TELE-MEDICAL-CONSULTATION is being done TO HELP THOSE PATINETS who are not able to see a Doctor in person-for any reason; and cannot be equal to a direct doctor consultation. The inherent risks of not able to examine you in person is highlighted here-RISKS-are being borne by you-is specifically stated.

Try to meet us ASAP.

Any Queries :for direct help in 24x 7 App Online--Contact-MR.RAJESH- 07207916858

OTHER ADVISE

FOR HOME -free- MEDICINE DELIVERY FROM APOLLO:
PLEASE CONTACT MR. HARISHANKER...09941577707
GARGLE mouth after using Inhalers-always through Transpacer V device- except Inhaler Salbair [can be taken directly]
VACCINATIONS: Please take Covid-19 vaccines [and others as advised] as advised by Government of India ,through your local doctor. And ,at Apollo ,in our vaccination clinic.
SALINE Warm GARGLE -Twice Daily-2 weeks[BP- PATIENTS SHOULD NOT-UNLESS SPECFICALL ADVISED]
LOCAL FAMILY DOCTOR -Consult -for routine review & in emergencies.
PEAK FLOW METER-[PFM]Use Twice Daily-or as advised & maintain PFM Diary
OXYGEN: OXYGEN-2LITRES- TO MAINTAIN PULSE OXIMTERY-Sp02 above 92% especially during sleep & exercise
IN COPD PATIENTS - US ONLY VIA 24% VENTURI MASK-2

LITRES/MINUTE MAINTAIN > 90%
PULSE OXIMETRY-NORMAL ABOVE 95%-IF FALLS LESS THAN 95%-meaning- 94% & BELOW--CONTACT DOCTOR IMMEDIATELY-IF FALLS LESS THAN 90% - RUSH TO EMERGENCY-ANYTIME OF DAY !
LITRES/MINUTE MAINTAIN > 90%
OELD-OCCUPATIONAL & ENVIRONMENTAL LUNG DISEASES
AVOID POLLUTION-NANOPARTICLES & ACID -IN RESEARCH AREAS-:MODIFY WORK ENVIRONMENT-REQUEST APPROPRIATE ANTI-POLLUTION MEASURES as mandated by International Labour Organisations EXHAUST- VENTILATION-STREAMLINE RESPIRATORY PROTECTIVE EQUIPMENT

TUBERCULOSIS

TB****ANTI TB TREATMENT ADVICE-ATT**ROUTINE**
CHECK MONTHLY: CBC, XRAY CHEST PA, Liver Function Tests . BLOOD UREA,S.CREATININE. CHECK every 3 months BLOOD SUGAR-F & PP ,HbA1c
FOLLOW WITH LOCAL FAMILY DOCTOR REGULARLY-monthly.
Eye doctor check - NOW-every 3 months
FOLLOW DIABETOLOGIST[if needed]/PHYSICIAN ADVICE./regularly. FOLLOW UP WITH LOCAL PHYSICIAN-Watch for symptoms of Jaundice, Fever ,Loss of Appetite .Loss of Weight .Itching,-And report immediately to us...
STOP ATT & CONTACT US IF ==ALT/AST >3x ULN with symptoms of NAUSEA,VOMITING,ANOREXIA,JAUNDICE,DARK COLORED URINE-- OR ALT/AST >5 x ULN WITHOUT SYMPTOMS
SEE BELOW PARA TOO
***ANTI TB TREATMENT -LFT=ATT**ABNORMAL LIVER FUNCTION TESTS - Check weekly for ONE Month-Once in two weeks for one month & monthly once -monitoring with local physician.
If ALT/AST >3-5 ULN,[Upper limit of Normal]to consider modifying ATT WITH MY ADVISE.
STOP ATT & CONTACT US IF ==:ALT/AST >3xULN with symptoms of NAUSEA,VOMITING,ANOREXIA,JAUNDICE,DARK COLORED URINE, FEVER,LOSS OF WEIGHT/APPETITE-ITCHING
STOP ATT & CONTACT US IF OR ALT/AST >5 x ULN WITHOUT SYMPTOMS.
To review wiith local physician immediately & me by telemedicine
CHECK MONTHLY: CBC, XRAY CHEST liA, BLOOD UREA,S.CREATININE. CHECK every 3 months BLOOD SUGAR-F & PP ,HbA1c .
FOLLOW WITH LOCAL FAMILY DOCTOR REGULARLY-monthly.
Eye doctor check - NOW-every 3 months
FOLLOW DIABETOLOGIST[if needed]/PHYSICIAN ADVICE./regularly.

COVID-19 ADVICE

Check Oxygen Saturation every 4 hours.
Oxygen saturation below 95% ,go to hospital immediately.
Oxygen saturation below 90% -rush to emergency- hospital immediately
Home Isolation for 7 days.(provided no symptoms for the last 7 days in isolation).
Download Arogyasetu app in your mobile.
Home Isolation requires home facility assessment & permission by Corporation officials of your city/town etc-as per existent government guidelines.
If any alteration in level of consciousness, tightness of chest ,bluish discoloration of hands or feet ,worsening cough phlegm fever etc. ESPECIALLY oxygen saturation below 95% ,go to hospital immediately.
Attenders to wear N 95 mask-along with patient.