Dr. M.S Kanwar

Dr. M.S Kanwar 🗣 More than 47 years of experience
👨🏼‍⚕️ Senior Consultant & Advisor, Pulmonary, Apollo Hospital

11/02/2026

🫁 Why TB in Lungs Heals Faster Than TB in Lymph Nodes?

One important reason lies in blood supply.

The lungs receive the entire body’s blood flow for oxygenation. This means: ✔ Excellent blood circulation
✔ Better delivery of medicines
✔ Higher drug concentration reaching infected areas

Because of this strong blood supply, TB bacteria in the lungs are often cleared effectively within a few months when proper treatment is taken.

🧬 But What Happens in Lymph Nodes?

Lymph nodes have relatively lower blood supply compared to lungs.

And remember: 💊 The medicine you take goes to the stomach → gets absorbed → enters the bloodstream → then travels to infected tissues.

👉 Where blood supply is good, drug delivery is strong.
👉 Where blood supply is limited, drug concentration may be lower.

So in lymph node TB, even though the bacteria are sensitive to the same medicines:

Drug pe*******on is slower

Bacterial clearance takes longer

Treatment duration often needs to be extended

⚠️ It’s usually not about changing medicines —
it’s about increasing the duration to ensure complete eradication of infection.

🧠 Key Takeaway:

Different organs respond differently to the same TB treatment — and understanding blood supply helps explain why.

📌 Proper duration is critical to prevent relapse.

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📍 Consultation Details – Dr. M. S. Kanwar

For Physical Consultation (India):
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10/02/2026

🩺 When a CT Scan Shows Progression — Why Timely Action Matters

In this case discussion, the CT scan shows expansion of disease changes suggestive of progression of tuberculosis (TB). Such findings on imaging are critical, as they help determine whether the disease is active, spreading, or inadequately controlled.

📌 What the CT Report Indicates in This Case:

Increase in the extent of lung involvement

Radiological signs suggesting TB spread

Risk of further lung damage if left untreated

When CT findings show worsening or expansion, it raises an important clinical question: 👉 Has the infection reactivated or progressed?

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⚠️ Why This Matters

If disease progression is confirmed:

Treatment may need to be restarted or modified

Delay can lead to permanent lung damage

Risk of complications and prolonged recovery increases

However, imaging findings must always be correlated with clinical symptoms, examination, and past treatment history before making decisions.

🎥 In This Video, the Doctor Explains:

✔ How CT scans reveal TB progression
✔ The significance of increased disease spread on imaging
✔ When restarting treatment becomes necessary
✔ Why report findings must be clinically validated
✔ How early intervention prevents long-term lung damage

🧠 Key Takeaway:
CT scans guide treatment decisions—but only when interpreted in the right clinical context.

📍 Consultation Details – Dr. M. S. Kanwar

For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634

🌍 For World wide Online Consultations:
📞 WhatsApp / Call: +91 9910319688

🌿

09/02/2026

🫁 When the Problem Isn’t in the Lungs — But in the Airway

CT scans often focus on lung fields, but airway (tracheal) involvement can sometimes be missed or to misinterpreted, especially when reports are read in isolation.

Dr. M. S. Kanwar, Senior Consultant Pulmonologist & Lung Transplant Specialist, demonstrates how subtle tracheal abnormalities can significantly affect breathing—yet remain under-reported or misunderstood on routine CT reports.

📌 What This Episode Highlights:

• Tracheal narrowing or inflammation may mimic lung disease
• Airway pathology can be overlooked on standard CT reporting
• Symptoms may persist despite “normal” lung findings
• Clinical correlation is essential for accurate diagnosis
• Correct identification changes treatment and recovery outcomes

🎥 In this video, Dr. Kanwar explains: ✔ How tracheal involvement appears on CT films
✔ Why it may be missed on routine reporting
✔ How symptoms correlate with airway pathology
✔ The impact of tracheal disease on breathing and recovery
✔ How accurate interpretation guides the right management

🧠 Key reminder: Not all breathlessness comes from the lungs—sometimes, the airway is the real problem.

👉 Stay tuned to understand how airway pathology changes diagnosis, treatment decisions, and patient outcomes.

📍 Consultation Details – Dr. M. S. Kanwar

For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634

🌍 For International Online Consultations:
📞 WhatsApp / Call: +91 9910319688

07/02/2026

🩺 Why CT Reports Must Be Read With Clinical Insight

“CT reports can sometimes be misleading, especially when they come from small or overburdened diagnostic centers. Imaging alone does not tell the full story.”

In this case study, Dr. M. S. Kanwar, Senior Pulmonologist, explains how CT chest findings must always be correlated with the patient’s clinical history and physical examination—something only a treating pulmonologist can truly do.

📌 Key Learning from this TB Case Study:

CT reports are interpretations, not final diagnoses

Similar CT findings can represent active TB, healed TB, or post-TB changes

Clinical symptoms, past history, examination findings, and response to treatment matter

A pulmonologist has the advantage of seeing the patient, not just the scan

Correct interpretation prevents over-treatment, under-treatment, and unnecessary fear

In this video, Dr. Kanwar carefully: ✔ Reviews the CT films himself
✔ Explains the findings to the patient in simple language
✔ Clarifies the root cause of symptoms
✔ Compares before and after improvement
✔ Ensures treatment decisions are evidence-based, not report-based

🎥 This is a reminder that patients are not reports, and scans should never be read in isolation.

For Physical Consultation (India):
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06/02/2026

📚 | Learning Beyond the Report

Understanding a CT report is not just about reading words —
it’s about correlating images with clinical symptoms, recognizing subtle lung changes, and identifying early disease patterns that can completely change patient outcomes.

CT reports can be wrong and at times misleading especially from small diagnostic centers. So we as Pulmonologists are and should be better trained at interpreting CT films because we have added advantage of Clinical history and Physical findings of the patient, an advantage which a radiologist disconnected with the patient doesn't have "

🔍 What this discussion highlights:

How CT chest reports reveal hidden lung pathology

Reading beyond “normal” and “abnormal” labels

Identifying early interstitial, airway, and parenchymal changes

Clinical thinking behind diagnostic decisions

Building strong fundamentals in pulmonology

Such hands-on academic discussions are crucial in shaping skilled, confident, and responsible clinicians who don’t just rely on reports—but truly understand them.

🎥 Watch how real-world knowledge is passed on, one case at a time.

For Physical Consultation (India):
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📞 WhatsApp/Call: +91 9910319688

03/02/2026

Cold Weather & Pneumonia: Why Extra Caution Is Non-Negotiable ❄️🫁

Cold weather combined with continuous rainfall, cold winds, or getting soaked may look harmless — but it can silently weaken your body’s defense system.

Exposure to cold air and cold water can temporarily lower immunity, increasing the risk of:

Common cold and flu

Viral infections (including H1N1 in severe cases)

Pneumonia, especially when shivering, body aches, or persistent cold lasts more than 1–2 days

Cold environments also allow viruses and bacteria to spread more easily, making infections more contagious during this season.

⚠️ Higher-risk groups must be extra careful:

COPD patients

Asthma patients (risk of flare-ups/exacerbations)

ILD patients (risk of super-added infections)

Elderly individuals and those with weak immunity

Even in mild symptoms, early evaluation (like a chest X-ray) is crucial if pneumonia is suspected — because early treatment saves lungs and lives.

👉 Protect yourself:

Avoid getting wet in cold rain

Shield yourself from cold winds

Keep the body warm

Seek medical advice early if symptoms persist

🌧️ Cold seasons demand extra precautions — even for healthy individuals.

Consultation Details – Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation

📞 Physical Consultation (India):
9899988653 | 9716415790 | 9971000634

🌍 International Online Consultations:
📞 WhatsApp/Call: +91 9910319688

29/01/2026

🫁 Aspiration: How Does Food Enter the Lungs & Why Is It Dangerous?

A common question patients ask is:
How can food or stomach contents reach the lungs, and what problems can it cause?

👨‍⚕️ What is Aspiration?

Aspiration occurs when food, liquid, or gastric contents regurgitate from the stomach and enter the lungs through the airway instead of going into the food pipe.

Normally, our body has strong protective reflexes: • Vocal cords close instantly
• A violent cough pushes foreign material out
This is the body’s natural defense mechanism.

⚠️ When does aspiration happen easily?

Aspiration becomes common when these protective reflexes are weak or absent, such as:

• After general anesthesia or surgery
• In patients under sedatives, alcohol, or drug influence
• After stroke, paralysis, or neurological weakness
• In unconscious or semi-conscious patients

In such situations, food or stomach contents can silently slip into the lungs.

🦠 What are the consequences?
Aspiration can lead to: • Aspiration pneumonia
• Severe lung infection
• Breathing difficulty
• Fever, cough, chest congestion
• In serious cases, respiratory failure

🩺 Management & Prevention
Treatment focuses on: • Managing infection (antibiotics if needed)
• Supporting breathing
• Clearing airways

But more importantly, prevention is critical, especially in high-risk patients: • Proper feeding position
• Swallow assessment
• Avoiding heavy meals before anesthesia
• Careful monitoring in sedated or stroke patients

📌 Key Message:
Aspiration is preventable, but if ignored, it can become life-threatening.
Early recognition saves lives.

👨‍⚕️ Expert Insight by Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program

📍 For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634

🌍 For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688

🔖
Aspiration Pneumonia, Lung Infection, Swallowing Disorder, Critical Care Pulmonology, Patient Safety, Respiratory Health, Dr MS Kanwar

28/01/2026

🫁 Small Airways Disease – What Does It Really Mean?

Many patients hear the term Small Airways Disease but don’t fully understand what it is.

🔍 Small Airways Disease refers to damage or narrowing of the tiny air tubes deep inside our lungs.
As air travels from the windpipe → bronchi → lobar → segmental → sub-segmental branches, these airways become progressively smaller and finally open into the alveoli (air sacs).
These last tiny branches are called small airways.

⚠️ What goes wrong?
Due to chronic inflammation (long-standing asthma, bronchitis, or COPD), these small airways can: • Become thickened
• Undergo fibrotic (permanent) changes
• Narrow permanently (airway remodeling)

In early stages, medicines can improve symptoms.
But once permanent remodeling occurs, the damage cannot be fully reversed — only controlled.

🩺 Common conditions where Small Airways Disease is seen:
✔ Asthma (airway remodeling)
✔ Chronic Bronchitis
✔ COPD

💊 How is it treated?
Treatment focuses on: • Bronchodilators (to open airways)
• Anti-inflammatory medicines
• Low-dose inhaled steroids
• Long-term control to prevent further damage

🎯 Key message:
Early diagnosis and regular treatment can slow progression and protect lung function.

👨‍⚕️ Expert Insight by Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program
Indraprastha Apollo Hospital, New Delhi

📍 For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634

🌍 For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688

📌 Save | Share | Stay Informed
Because protecting small airways today means better breathing tomorrow.

Small Airways Disease, Asthma Remodeling, COPD Awareness, Chronic Bronchitis, Lung Health, Pulmonology, Dr MS Kanwar, Respiratory Care

🫁 Why Lung Transplant Should Be the LAST OptionA lung transplant can be life-saving — but it is never the first step.In ...
27/01/2026

🫁 Why Lung Transplant Should Be the LAST Option

A lung transplant can be life-saving — but it is never the first step.

In this carousel, Dr. M. S. Kanwar explains why lung transplantation is considered only after all other treatments have been exhausted.

🔹 Modern pulmonology focuses on early diagnosis, optimal medical therapy, pulmonary rehabilitation, and lifestyle correction to preserve lung function for as long as possible.
🔹 Many lung diseases can be managed effectively for years without transplant when treated at the right time.
🔹 A lung transplant is recommended only in carefully selected patients with end-stage lung disease, severe breathlessness, and poor quality of life despite best medical care.

💡 Key message:
The goal is not just survival —
👉 The goal is the best possible quality of life.

👨‍⚕️ About Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program
Indraprastha Apollo Hospital, New Delhi
40+ years of clinical excellence in advanced lung care

📍 For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634

🌍 For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688

📌 Save | Share | Educate
Because the right information at the right time can change lives.

EndStageLungDisease PatientEducation ApolloHospitals BreatheBetter

23/01/2026

😮‍💨 Breathlessness Even When All Tests Are Normal? Here’s a Hidden Reason

Sometimes patients experience breathlessness even when lungs, heart, weight, hemoglobin, and anxiety levels are completely normal. So what’s causing the problem?

According to Dr. M. S. Kanwar, one often overlooked cause is a sedentary lifestyle.

When a person does very little physical activity, the deeper and peripheral parts of the lungs (alveolar areas) do not get a chance to expand fully. Over time, these areas may partially collapse, reducing overall lung expansion and lowering vital capacity.

This doesn’t always show up clearly on routine tests, but it can still lead to:

Early fatigue

Breathlessness on exertion

Reduced lung efficiency

💡 The solution is simple yet powerful: Regular breathing exercises, aerobic activity, and general physical movement help keep the lungs fully inflated and functioning optimally.

✔️ Keep moving
✔️ Practice deep breathing
✔️ Avoid prolonged sedentary habits

Your lungs need regular expansion to stay healthy — just like any other muscle.

Dr. M. S. Kanwar
Senior Consultant – Pulmonology & Lung Transplantation

📍 For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634

🌍 For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688

Breathlessness, Normal Lungs, Sedentary Lifestyle, Lung Capacity, Vital Capacity, Breathing Exercises, Pulmonology Awareness, Dr MS Kanwar

21/01/2026

😮‍💨 Breathlessness Due to Anemia: When Low Hemoglobin Affects Your Breathing

Not all breathlessness starts in the lungs.

Many patients feel shortness of breath, extreme fatigue, dizziness, or palpitations — and assume it is a lung problem. But in several cases, the real cause is anemia.

🔍 How does anemia cause breathlessness?

Hemoglobin carries oxygen from the lungs to the rest of the body. When hemoglobin levels are low:

Oxygen delivery to tissues reduces

The heart and lungs work harder to compensate

Patients feel breathless even on mild exertion

Walking, climbing stairs, or daily activities become exhausting

⚠️ Common symptoms of anemia-related breathlessness

Shortness of breath on exertion

Easy fatigue and weakness

Palpitations

Pale skin

Dizziness or headache

🩺 Important to remember:
Breathlessness does not always mean asthma, COPD, or lung disease. A simple blood test can reveal anemia, and timely treatment can completely reverse symptoms.

📌 Early diagnosis saves unnecessary tests and anxiety.
If breathlessness is progressive, persistent, or associated with fatigue, a proper evaluation is essential.

👨‍⚕️ Expert Insight by Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
40+ years of experience in managing complex respiratory conditions

📍 For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634

🌍 For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688

✨ Don’t ignore breathlessness — sometimes the solution is simpler than you think.

Breathlessness, Anemia, Low Hemoglobin, Shortness of Breath, Fatigue, Pulmonology, Lung Health, Oxygen Delivery, Respiratory Symptoms, Health Awareness

19/01/2026

😮‍💨 Breathlessness Due to Obesity: When Extra Weight Affects Your Breathing

Breathlessness is not always caused by lung disease. One very common and often overlooked reason is obesity.

When excess body weight increases, it puts additional pressure on the chest wall and diaphragm.

This restricts proper lung expansion, reduces lung volumes, and increases the work of breathing.

Fat deposition around the abdomen and chest makes every breath more effortful, especially during walking, climbing stairs, or mild physical activity.

Obesity is also closely linked with conditions like: • Obstructive Sleep Apnea
• Obesity Hypoventilation Syndrome
• Reduced exercise tolerance
• Early fatigue and air hunger

In many patients, investigations of the lungs come back normal, yet breathlessness persists.

The real cause lies in the mechanics of breathing, reduced chest compliance, and increased oxygen demand due to excess body mass.

The good news?

With weight reduction, breathing exercises, lifestyle modification, and medical guidance, breathlessness related to obesity can improve significantly.

🎥 In this episode, Dr. M. S. Kanwar explains how obesity impacts breathing and why correct diagnosis is essential before labeling it as a lung disease.

👨‍⚕️ Dr. M. S. Kanwar

Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program
40+ years of clinical excellence

📍 For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634

🌍 For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688

Breathlessness, Obesity and Lungs, Shortness of Breath, Pulmonology, Sleep Apnea, Lung Health, Dr MS Kanwar, Respiratory Awareness

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✴ Dr. M.S.Kanwar has 45 years of experience in handling Critical Care, Acute and Chronic Respiratory diseases like Asthma, COPD Allergies, Lung Infections, Interstitial Lung Fibrosis, Sarcoidosis, and Lung Cancer.

✴ He is a Pioneer in Sleep Medicine in India and started this field for the first time in a big way in 1995 when he set up Asia's Largest and State of the Art Sleep Lab at Indraprastha Apollo Hospital, New Delhi. His team had done the largest Sleep studies in the country and he gets referrals for Sleep consultation from abroad also. His research papers on Sleep Apnea have been presented in the world conferences on Sleep Medicine.

✴ He is currently leading the Lung Transplant Program at Indraprastha Apollo Hospital, New Delhi. He is involved in training the Lung Transplant staff as well as in spreading the awareness on this cutting edge technology among physicians and the general public because this is a new life-saving modality in severely crippled Lung Failure cases.

✴ He had completed his M.B.B.S, M.D from Govt. Medical College, Amritsar and D.N.B ( Respiratory Medicine ) from National Academy of Medical Sciences, New Delhi. He did a Fellowship exam ( Cardiology ) by the University of Vienna ( Austria )after completing training in Rudolfstiftung Hospital, Vienna. He received Pulmonary and Critical care training from famed Mayo Clinic, Rochester( USA ). He also received Sleep Medicine training from Mayo Clinic Rochester. He received training an Echocardiography training at the University of Alabama, Birmingham( USA ). He received training in Lung Transplantation at UNH ( University Network Hospital), Toronto Canada.