Very few patients are too unwell for pulmonary rehabilitation — but the programme must be appropriately adapted to their capacity. At Pulmovista Clinics, Dr. Dixit Kumar Thakur has specific protocols for severely breathless patients, including very short initial exercise bouts (5–10 minutes), neuromuscular electrical stimulation for patients who cannot perform active exercise, and seated programmes for those unable to stand for extended periods. The starting point is wherever the patient actually is — not where we wish they were.
