Dr. Kunwar routinely treats the following:
Preventive Care
Anything preventive care
Screening tests (e.g., mammograms, colonoscopies, lipid panels, glucose tests)
Immunizations (e.g., flu, pneumonia, tetanus, hepatitis, shingles)
Lifestyle counseling (e.g., diet, exercise, smoking cessation, alcohol consumption, stress management)
Chronic Disease Management
Diabetes Management - Building Accountability
Monitoring blood glucose levels
Prescribing medications (e.g., insulin, oral hypoglycemics)
Providing dietary and lifestyle advice
Screening for and managing complications (e.g., neuropathy, retinopathy, nephropathy)
Hypertension Management - Highly Prevalent
Regular blood pressure monitoring
Prescribing antihypertensive medications
Lifestyle modifications (e.g., dietary changes, exercise, reducing salt intake)
Monitoring for complications (e.g., heart disease, stroke, kidney disease
Cholesterol - The Full Story
Monitoring lipid levels (LDL, HDL, triglycerides)
Prescribing statins or other lipid-lowering medications
Dietary counseling to reduce cholesterol
Risk assessment and prevention of cardiovascular diseases
Asthma and COPD Management - If You Can't Breathe, Nothing Else Matters.
Prescribing inhalers and other medications
Training on proper inhaler use
Managing exacerbations and providing action plan
Heart Disease - The Number One Killer
Monitoring and treating coronary artery disease, heart failure, arrhythmias
Regular check-ups and ECGs
Prescribing medications (e.g., beta-blockers, ACE inhibitors)
Lifestyle counseling and cardiac rehabilitation referral
Arthritis and Pain - Chronic Pain is the Worst Pain
Diagnosing and managing osteoarthritis, rheumatoid arthritis, and other forms
Prescribing medications (e.g., NSAIDs, DMARDs)
Referrals to physical therapy
Pain management strategies and lifestyle modification
Chronic Kidney Disease - The Unsung Heros
Monitoring kidney function (e.g., eGFR, creatinine levels)
Prescribing medications to manage complications (e.g., hypertension, anemia)
Dietary advice to reduce protein, phosphorus, and potassium intake
Preparing patients for potential dialysis or transplant referrals
Thyroid
Diagnosing and treating hypothyroidism, hyperthyroidism, and thyroid nodules
Regular monitoring of thyroid function tests (TSH, T3, T4)
Adjusting thyroid hormone replacement or antithyroid medications
Managing symptoms and screening for complications
Obesity and Metabolic Syndrome - It is a Disease
Assessing and diagnosing metabolic syndrome
Developing weight loss and exercise programs
Prescribing medications for weight management if necessary
Monitoring for associated conditions (e.g., type 2 diabetes, hypertension)
Gastrointestinal
Managing chronic conditions like GERD, irritable bowel syndrome (IBS), Crohn’s disease, and ulcerative colitis
Prescribing medications (e.g., PPIs, antispasmodics, biologics)
Dietary advice and lifestyle modifications
Regular monitoring and screening for complications
Liver
Diagnosing and managing conditions like hepatitis, cirrhosis, and fatty liver disease
Monitoring liver function tests (LFTs)
Prescribing medications and lifestyle advice to manage and slow disease progression
Screening for liver cancer in high-risk patients
Infection
Managing conditions like HIV/AIDS, chronic hepatitis B and C
Prescribing antiviral medications and monitoring viral load
Counseling on lifestyle and preventive measures
Neurological Disorders
Managing chronic conditions like Parkinson’s disease, epilepsy, multiple sclerosis, and migraines
Prescribing medications and monitoring treatment response
Providing support for lifestyle modifications and physical therapy
Autoimmune Disorders
Diagnosing and managing lupus, Sjogren's syndrome, and other autoimmune diseases
Prescribing immunosuppressive medications
Regular monitoring for disease activity and complications
Skin
Managing conditions like psoriasis, eczema, and chronic dermatitis
Prescribing topical and systemic treatments
Providing advice on skin care and lifestyle modifications
Regular monitoring and managing flare
Anemia and Blood Disorders - You Have No Idea
Diagnosing and managing anemia, sickle cell disease, and other hematological conditions
Prescribing medications and supplements
Regular blood tests and monitoring
Bone
Diagnosing and managing osteoporosis and other bone density disorders
Prescribing medications (e.g., bisphosphonates, calcium, vitamin D)
Advising on lifestyle changes to improve bone health
Regular bone density testing
Neuropathic Pain
Diagnosing and managing neuropathic pain from conditions like diabetic neuropathy or post-herpetic neuralgia
Prescribing medications (e.g., anticonvulsants, antidepressants)
Providing lifestyle advice and support
Geriatric Care
Comprehensive geriatric assessments
Fall risk assessments
Dementia screening
Coordination of Care
Giving guidance to patients individually as they navigate through the healthcare system.
Patient Education
Disease-specific education
Medication education
Healthy lifestyle advice
Health Maintenance
Routine follow-up visits
Health risk assessments