EXPERT
Dr. Ladly Abraham, MD
Pulmonologist
Dr. Ladly Abraham practices Pulmonology in Little Rock, AR. A pulmonologist is a physician who possesses specialized knowledge and skill in the diagnosis and treatment of pulmonary conditions and diseases. Dr. Abraham manages patients who need life support and mechanical ventilation, and is specially trained in diseases and conditions of the chest, particularly pneumonia, asthma, tuberculosis, emphysema, and complicated chest infections.
34 years
Experience
Dr. Ladly Abraham, MD
- Little Rock, AR
- Kasturba Med Coll- Mysore Univ- Mangalore- Karnataka- India
- Accepting new patients
No results found
What these results mean
Depending on your medical condition, this could mainly indicate Atypical pneumonia like MAI or Peudomonas pneumonia. Would have you see a pulmonologist and decide on bronchoscopy READ MORE
Depending on your medical condition, this could mainly indicate Atypical pneumonia like MAI or Peudomonas pneumonia. Would have you see a pulmonologist and decide on bronchoscopy
Oxygen
Strep throat does not make your oxygen drop. There must be other reasons. Have further work up. Cxr, CT Scan, CoVID test etc
Lungs
Depends on your risk for cancer. Are u a smoker? Did u have exposure to chemicals, toxins, asbestos etc? 6mm is still too small to biopsy but this will need a repeat follow up READ MORE
Depends on your risk for cancer. Are u a smoker? Did u have exposure to chemicals, toxins, asbestos etc?
6mm is still too small to biopsy but this will need a repeat follow up CT in 3 months, 6 months, and then a year. A 2 yr stability rules out malignancy.
6mm is still too small to biopsy but this will need a repeat follow up CT in 3 months, 6 months, and then a year. A 2 yr stability rules out malignancy.
What medications are effective for child pneumonia?
This is hard to tell. For a young person, if it is bacterial pneumonia, a Penicillin or doxycycline would be reasonable. Often, the infection is viral or if it is recurring, she READ MORE
This is hard to tell. For a young person, if it is bacterial pneumonia, a Penicillin or doxycycline would be reasonable. Often, the infection is viral or if it is recurring, she may need further immunological work up.
PET/CT scan
You need to see a Pulmonologist. You will need follow up CT Scans and perhaps a biopsy based on your risk for lung cancer.
work
Yes you can continue to work. Your asthma/COPD can be controlled on appropriate inhalers. Usually a LABA/ICS combination inhaler with either Albuterol inhaler or the newer rescue READ MORE
Yes you can continue to work. Your asthma/COPD can be controlled on appropriate inhalers. Usually a LABA/ICS combination inhaler with either Albuterol inhaler or the newer rescue inhaler Airsupra Aeroshere. Please ask your PCP or Allergist or Pulmonologist about this.
You should have an Allergy test done, if not already done and avoid triggers both at your work and at home.
You should have an Allergy test done, if not already done and avoid triggers both at your work and at home.
Low Blood Oxygen Levels in the 70's
From your history, I suspect you have obstructive sleep apnea syndrome. If you have difficulty, falling asleep, frequent nighttime arousals, early morning headaches, dry mouth, READ MORE
From your history, I suspect you have obstructive sleep apnea syndrome. If you have difficulty, falling asleep, frequent nighttime arousals, early morning headaches, dry mouth, and feeling infested on waking wake up, combined with daytime sleepiness, you have a high risk for OSAS.
I would recommend you see a sleep specialist in your area and undergo a sleep study or polysomnogram. This will confirm the diagnosis of not just OSAS, but also nocturnal desaturations.
I would recommend you see a sleep specialist in your area and undergo a sleep study or polysomnogram. This will confirm the diagnosis of not just OSAS, but also nocturnal desaturations.
copd and thc edibles
Please make sure that you confirm the diagnosis of COPD. You’re rather young and if you have not smoked or been in a profession with heavy exposure to smoke, I would have them READ MORE
Please make sure that you confirm the diagnosis of COPD. You’re rather young and if you have not smoked or been in a profession with heavy exposure to smoke, I would have them check an alpha-1 antitrypsin level and genotype.
You can confirm the diagnosis of COPD with your symptoms, and a spirometry. A mucosal swab is all you need to rule out alpha-1 deficiency. A high resolution CT scan will also be helpful if suspects emphysema secondary to enzyme deficiencies.
You can confirm the diagnosis of COPD with your symptoms, and a spirometry. A mucosal swab is all you need to rule out alpha-1 deficiency. A high resolution CT scan will also be helpful if suspects emphysema secondary to enzyme deficiencies.
Chest Pain
I would recommend having a telemedicine visit with your primary care physician. You will likely require a psychiatric or psychological evaluation to rule up anxiety and panic attacks READ MORE
I would recommend having a telemedicine visit with your primary care physician. You will likely require a psychiatric or psychological evaluation to rule up anxiety and panic attacks that may be responsible for your chest tightness and shortness of breath
Brown specs in mucus
Since you are just 19yo, I would say this is chronic bronchitis. This will occur as long as your airways are irritated….in this case from your smoking. It will subside over a READ MORE
Since you are just 19yo, I would say this is chronic bronchitis. This will occur as long as your airways are irritated….in this case from your smoking. It will subside over a few days once there is no more irritation from the smoke.
Glad to hear that you stopped smoking.
Glad to hear that you stopped smoking.
Can bronchitis turn into pneumonia?
Not necessarily. Bronchitis is an inflammation of your airways, which is different from an infection. However, if this persists, the inflamed airway can occasionally get infected. READ MORE
Not necessarily. Bronchitis is an inflammation of your airways, which is different from an infection. However, if this persists, the inflamed airway can occasionally get infected.
Pneumonia is an infection mainly of the lung tissues and can infect the small/medium sized airways if not properly treated.
Pneumonia is an infection mainly of the lung tissues and can infect the small/medium sized airways if not properly treated.
I’ve been having some breathing issues
At this age, the most likely cause is asthma. This is more likely if there is a family history of asthma or if you’ve noticed allergies. I would have a physician check a Spirometry READ MORE
At this age, the most likely cause is asthma. This is more likely if there is a family history of asthma or if you’ve noticed allergies.
I would have a physician check a Spirometry (lung function test) and if this is normal, schedule a Methacholine Challenge test.
Having difficulty breathing can cause anxiety, which worsens breathing and this becomes a vicious cycle. So please go have this checked.
There are other diagnosis that can be entertained, but let’s rule out common ones first.
I would have a physician check a Spirometry (lung function test) and if this is normal, schedule a Methacholine Challenge test.
Having difficulty breathing can cause anxiety, which worsens breathing and this becomes a vicious cycle. So please go have this checked.
There are other diagnosis that can be entertained, but let’s rule out common ones first.
How painful is a lung resection?
If this is done by Video Assisted thoracoscopic surgery, the recovery is faster, and pain/discomfort a lot less. However, if this is done via a full thoracotomy, (VATS) the recovery READ MORE
If this is done by Video Assisted thoracoscopic surgery, the recovery is faster, and pain/discomfort a lot less. However, if this is done via a full thoracotomy, (VATS) the recovery time is longer and the pain discomfort more. In this day and age, most places/surgeons can do this via a VATS
What sedation is done for a lung biopsy?
This will depend on whether the biopsy is done via bronchoscopy, image guided bx, or an open lung biopsy. For the first two, you will have moderate sedation with Versed/Fentanyl/ READ MORE
This will depend on whether the biopsy is done via bronchoscopy, image guided bx, or an open lung biopsy.
For the first two, you will have moderate sedation with Versed/Fentanyl/ or Propofol. The open biopsy will be under general anesthesia
For the first two, you will have moderate sedation with Versed/Fentanyl/ or Propofol. The open biopsy will be under general anesthesia
Can general anesthesia cause lung damage?
General anesthesia requires intubation (pitting a tube down your throat into your lungs), which can occasionally be traumatic and cause post operative inflammation resulting in READ MORE
General anesthesia requires intubation (pitting a tube down your throat into your lungs), which can occasionally be traumatic and cause post operative inflammation resulting in soar throat, sometimes discomfort when swallowing, hoarseness of voice (laryngitis). This seldom occurs, but can. Lung damage occurs occasionally if you aspirate. This usually happens after surgery, when they take the endotracheal tube (ETT).
Do you get sedation for a bronchoscopy?
It is called moderate sedation. Which means you will be sedated/sleepy, but awake. So you will be able to go home an hour or so after the procedure as long as there are no complications READ MORE
It is called moderate sedation. Which means you will be sedated/sleepy, but awake. So you will be able to go home an hour or so after the procedure as long as there are no complications
Should I go to the ER or try the rx antibiotics?
Based on her history of kidney transplant and secondary immunosupression, and the appearance of her CXR, I would recommend an ER visit. The CXR appearance is more consistent with READ MORE
Based on her history of kidney transplant and secondary immunosupression, and the appearance of her CXR, I would recommend an ER visit. The CXR appearance is more consistent with atypical pneumonia and less likely to be due to fluid overload. She will need an echocardiogram to assess her heart function and a CT Scan followed by maybe a Bronchoscopy. It would be helpful to have an older CXR to compare.
