Dr. Ladly Abraham, MD
Pulmonologist | Pulmonary Disease
5800 W 10th St Suite 610 Freeway Me Little Rock AR, 72204About
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.
Education and Training
Kasturba Med Coll- Mysore Univ- Mangalore- Karnataka- India 1990
Provider Details
Dr. Ladly Abraham, MD's Expert Contributions
Asthma and thc vape pens?
Any sort of irritation to your airway can make your asthma worse and in the long run irreversible. So my advice is to stop before you start! READ MORE
Can I fix pneumonia at home?
Maybe READ MORE
Trapped Air - lots of pain
You are young and shouldn’t have hyperinflation to this extent. Are you a smoker? You may have alpha 1 anti-trypsin deficiency and need replacement. You will need a Pulmonary Function Test and perhaps a HRCT ( high resolution CT Scan) READ MORE
May have inhaled a tooth
Get a chest x-ray to see if there is a foreign body in your airways. If present, you will need a fiberoptic bronchoscopy to retrieve the crown. Leaving it there can cause irritation, granuloma formation and post obstructive pneumonia. READ MORE
How long does pneumonia last?
It varies. Viral pneumonia (majority of pneumonias) do not treatment with antibiotics and resolve on their own in 7-10days. This is provided you are not immunocompromised. Bacterial pneumonia need antibiotics and usually resolve in 7-10days with treatment. READ MORE
hyperinflated lungs
Would like to see your PFT. would have them check an alpha 1 anti-trypsin genotype to rule out the deficiency causing emphysema. This can be treated with replacement therapy. READ MORE
Coughing for 7 months
Since it has been going on for 7 months, I would wait for the CT scan result and decide on whether you would benefit from a Bronchoscopy. Differential diagnosis includes ABPA (allergic bronchopulmonary aspergillosis), hypersensitivity pneumonitis. Pertussis and RSV. READ MORE
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
Oxygen
Strep throat does not make your oxygen drop. There must be other reasons. Have further work up. Cxr, CT Scan, CoVID test etc READ MORE
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 CT in 3 months, 6 months, and then a year. A 2 yr stability rules out malignancy. READ MORE
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 may need further immunological work up. READ MORE
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. READ MORE
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 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. READ MORE
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, 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. READ MORE
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 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. READ MORE
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 that may be responsible for your chest tightness and shortness of breath READ MORE
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 few days once there is no more irritation from the smoke. Glad to hear that you stopped smoking. READ MORE
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. Pneumonia is an infection mainly of the lung tissues and can infect the small/medium sized airways if not properly treated. READ MORE
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 (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. READ MORE
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 time is longer and the pain discomfort more. In this day and age, most places/surgeons can do this via a VATS READ MORE
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