"I can't breathe properly" could be anxiety or it could be a PE. Know the difference before they arrive.
Pulmonology calls range from "I've had a cough for 2 months" to "sudden breathlessness, can't complete a sentence." One is a Thursday appointment. The other is an ER redirect now. Your receptionist isn't trained to make that distinction in 30 seconds. The AI is. It asks SpO2, onset timing, and , and routes accordingly.
Asthma, COPD, ILD, sleep apnea: each is a different universe of management.
PFT scheduling with prep
Spirometry needs: no bronchodilator 6 hours prior, no smoking that morning, no heavy meal. These instructions go out automatically 24h before. Patient arrives prepared. Test is valid first time.
Acute vs. chronic sorted on the call
"Wheezing since 3 days, using inhaler 6 times daily": urgent slot today. "Chronic cough 2 months, no fever": next available. The AI asks the right questions to decide without burdening you.
Inhaler technique tracking
COPD patient switched from MDI to DPI last visit because technique was poor. This visit: reassess technique. The system reminds you. because if technique is still wrong, the medication is useless.
Sleep study coordination
Suspect OSA: order sleep study → results review → CPAP trial → 1-month compliance check → 3-month follow-up. Five steps. All booked as a pathway. Not five separate calls to schedule.
FEV1 trends over time
COPD patient: FEV1 was 65% predicted last year, 58% this year. Decline of 7% in 12 months. faster than expected. Visible at a glance. Treatment escalation conversation happens now, not next year.
Exacerbation pattern recognition
This COPD patient has been admitted 3 times in 6 months. all in winter. Proactive management: flu vaccine prompt, rescue inhaler check, and action plan review before October.
Respiratory patients who miss follow-ups end up in the ICU. Prevent that.
Patient arrives for PFT. Had coffee this morning and used their Salbutamol inhaler an hour ago. Test invalid. Rescheduled. Slot wasted.
Instructions sent 24h prior: "No inhaler after midnight. No coffee or smoking tomorrow morning. Light breakfast only." Compliance: 94%. Invalid tests drop from 20% to 3%.
COPD patient on CPAP for OSA. Was it helping? Compliance data is on the machine at their house. You have no idea until they bring it in.
Monthly compliance check scheduled. Patient reports: "Using CPAP 5 hours/night average. Snoring resolved. Daytime sleepiness better." Documented. If <4 hours → intervention call.
Asthma patient using rescue inhaler 4 times daily. Should've stepped up maintenance months ago. You find out only at the next visit.
Between-visit symptom check: "How many times did you use your rescue inhaler this week?" If >3 per day → alert. Step-up discussion happens within days, not months.
COPD patient admitted twice this winter for exacerbation. Each admission costs ₹50,000+ and takes 5-7 days. Third one would be devastating.
Seasonal risk flagged in October. Flu vaccine confirmed. Rescue pack prescribed. Action plan reviewed. Admission frequency: 3/year → 1/year. ₹1 lakh in hospital costs avoided.
One prevented COPD admission saves more than a year of this costs.
Free practice management. Voice AI from ₹1,999/month.
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