An overview of ILD (also known as diffuse parenchymal lung diseases), including definition, classification, etiologies, and diagnostic evaluation (e.g. CT and PFT findings).
Minor addenda: 1. My framework for ILD didn't include a few particularly rare diagnoses (e.g. lymphangioleiomyomatosis - a very rare, cystic lung disease that primarily affects young women, which would go in the "other" category). 2. I probably overstated the fact that all ILDs demonstrate restriction on PFTs, whereas a relatively small number can also exhibit either an obstructive or mixed pattern. 3. I didn't discuss treatment at all since every disease is different, and going through each one would not be consistent with the "in a nutshell" approach. However, in general: A. Any ILD associated with an exposure is best treated with removing the exposure. B. Any patient with ILD who smokes needs to stop, immediately. (irrespective of whether the smoking was a contributing factor in developing their disease). C. Steroids help many, but not all ILDs. IPF, in particular, should not be treated with steroids or other conventional immunosuppressive medication. D. Vaccinations, supplemental oxygen, pulmonary rehab, and consideration of lung transplantation are part of the management of all ILDs, depending on severity.
Thank you Dr Strong . It is a good over view. I just read about this today and your overview is spectacular. Thank you for taking your time to teach doctors around the world.
Came here after sibling’s ER MD gave Dx today from CT scan. This excellent video provides a foundation from which to make sense of prognosis. Much thanks and gratitude.
Thanks Dr. Eric. This is a very good starting. But I would request u to make another video on HRCT features of different ILD & how considering the clinical & other biochemical features diagnostic work up is done.
I have this post-Covid, or something similar since you said it's non-infectious. My ground glass opacities started spreading 2 months post-infection, and 10 months later now.
hi thank you very much for this lecture! would you please do a video comparing radiographic findings in ILD and bronchiectasis? as well as how bronchiectasis can cause tracheal deviation?
Dear Professor have you ever tought about a video series about the physical examination or about a proper use of stethoscope (when to use bell or diaphragm)? Thank you so much for your efforts!
hello sir , thank you so much for all the lectures !! i will request lectures on neurological symptomatology, approach to coma patient, or patient with massive strokes and other critical care neurology topics.
Actually some of my oldest videos are on coma, but I later unlisted them because I was dissatisfied with their quality. But if you want to check them out (this was back when TH-cam didn't allow videos longer than 15 minutes): Part 1: th-cam.com/video/YS4dP01S2cQ/w-d-xo.html Part 2: th-cam.com/video/IbipjCSN8jw/w-d-xo.html Part 3: th-cam.com/video/plhtquhGoos/w-d-xo.html I'm hoping to redo them at some point, and also cover TIA/stroke, movement disorders, and seizures, but unfortunately, I can't give any estimate of when that might be.
@@StrongMed Thankyou sir for your response and links for coma lectures. there is no hurry for the lectures. those were only the suggestions from my side. Thankyou.
Please guide best suited meditation for ILD without much damage to liver and kidneys Precautions to be taken to further prevent the decease Thanks for guidance
Hello Dr I’m a 25 year old male who suffered from severe Covid about a year ago, I recovered from it, but continue to have a cough and sometimes a weird feeling on my chest and throat, I know I breath good, but sometimes I feel like I just don’t quite get enough air, as if something was blocking my airway to breath normal, it doesn’t happen all the time, but occasionally it does, and I’m worried because it’s been a year and I still have the cough and that weird chest and throat feeling. Could you have an answer for what I could be suffering from, by my explanation of my symptoms. Thank you
My mother passed away last month. It was so quick. We can't even imagine that she is gone forever. She was diagnosed with ILD on Janunary 27 and on may 2nd she passed away. Between these months she was unable to walk and was also hospitalised for a months. It was so traumatic for our family. I don't know whether treatment killed her or disease.
Thank you doctor for explaining ILD, do you think that besides My rheumatoid arthritis my large Hiatal Hernia could be the cause for my Pulmonary Fibrosis ? Pl. explain
I can't give specific, individualized medical advice here, but I can say that hiatal hernias do not cause pulmonary fibrosis (though if large, they can contribute to a sensation of shortness of breath).
My doctor said I might have it... That was about two years ago... So I might be dead within three years... Its getting very difficult to breathe... I dont care... I just want to tell a woman I know that I love her to her face before I die, but she hates me....
My mom is suffering from Ild from last 2year and we got to know that pgi is a good place for ild treatment and we started medicine from pgi and she is good but not perfect like she always be ...
Interstitial lung disease (ILD) is not "a part of getting older". However, how serious it is depends on the type of ILD. Your husband should discuss his prognosis (i.e. how severe the disease may get in the future) with his pulmonologist.
They share similar features. I have limited direct experience with post-COVID lung fibrosis, but I suspect the lungs of some patients who have developed fibrosis secondary to COVID are indistinguishable from that caused by other lung diseases.
Good morning, My mother (62) was diagnosed with ILD related to Rheumatoid Arthritis in October of 2019. The condition has been getting more intense and every hospital stay longer. Last January she caught Covid and was in the hospital for 18 days and subsequently was transferred to a rehab facility. She hasn't shown much improvement since. Do you have any idea if they do lung transplants for this condition and if so, have you heard of any successful living donor cases? Thank you for your time.
I'm sorry to hear about what your mother has been going through. Yes, living donor lung transplantation can be performed for ILD secondary to RA, but living donor lung transplantation is itself very uncommon. Typically there are 2 related donors, who each donate one lobe of one of their lungs to the recipient at the same time. Japan has the most experience with the procedure, but it is done in other countries too, including a few centers in the US. A good, open-access summary of the procedure and outcomes: jtd.amegroups.com/article/download/49692/pdf I recommend your mother speak with her pulmonologist to see if this might be an option for her.
@@StrongMed I will consult with my mother and sibling to see what our options are. I really appreciate you taking your time to answer. Thank you so much. Best wishes!
@@petsloversandgyan5192 I'm sorry to say that she passed away in February of this year (2022). Her last days were very traumatic for us as a family. Thanks for asking.
I can't give specific, individualized medical advice on here, and for all personal medical questions I always recommend speaking with your own physicians. Having said that, receiving the COVID vaccine is even more important in patients with ILD, as they are at an increased risk of severe disease should they contract COVID. The only consideration is that *some* of the more intense immuosuppressive medications that might be used for some forms of ILD might decrease the body's immune response to the vaccine, reducing its effectiveness. So patients on such medications should speak to their physicians about the optimal timing of receiving the vaccine - but treatment for ILD does not make the vaccine less safe.
This reminds me of my diseases. I have a form of IPF. I tested negative for Alpha-D1, yet my lungs are on a fast route to becoming worthless. Thank you for this video!
@@kush1000ful i have lung cancer. I used to have multiple infections a year, pneumonia, bronchitis, etc. Although that all happened and happens, it doesn't explain why my lungs just end abruptly, like they are just clean and empty at the lowest lobes. Doctors are stunned.
I'm very sorry, I cannot give specific, personalized medical advice here. The prognosis in ILD varies widely depending on the underlying etiology, the patient's age, and other comorbid conditions. I recommend that your nani speak with their physician.
Minor addenda:
1. My framework for ILD didn't include a few particularly rare diagnoses (e.g. lymphangioleiomyomatosis - a very rare, cystic lung disease that primarily affects young women, which would go in the "other" category).
2. I probably overstated the fact that all ILDs demonstrate restriction on PFTs, whereas a relatively small number can also exhibit either an obstructive or mixed pattern.
3. I didn't discuss treatment at all since every disease is different, and going through each one would not be consistent with the "in a nutshell" approach. However, in general:
A. Any ILD associated with an exposure is best treated with removing the exposure.
B. Any patient with ILD who smokes needs to stop, immediately. (irrespective of whether the smoking was a contributing factor in developing their disease).
C. Steroids help many, but not all ILDs. IPF, in particular, should not be treated with steroids or other conventional immunosuppressive medication.
D. Vaccinations, supplemental oxygen, pulmonary rehab, and consideration of lung transplantation are part of the management of all ILDs, depending on severity.
Thank you!
Thank you! It helped me a lot !
Thank you. should all post covid19 patients get spirometry, to see if there is fibrosis?
Hello Mr. Strong
What are "diffusely slightly prominent interstitial markings"?
sir do some short cases and long case for exams
This is by far the best presentation I’ve seen on this subject - thank you!
Glad it was helpful!
Thank you Dr Strong . It is a good over view. I just read about this today and your overview is spectacular. Thank you for taking your time to teach doctors around the world.
Great video! It gives a very clear overview! Thanks a lot.
Amazingly clear presentation of a complex topic. Thank you .
Came here after sibling’s ER MD gave Dx today from CT scan. This excellent video provides a foundation from which to make sense of prognosis. Much thanks and gratitude.
Thank you for posting this. I am an RRT and this is very helpful.
An excellent video that demonstrates ild in an easy way. Please keep uploading more videos.
Thanks and lots of love.
Nice presentation. Thank you. I am being evaluated for ILD and your video has been very informative.
Thanks, doc. No longer overwhelmed by the ILDs.
This was excellent. Thank you for creating and sharing.
Thanks Dr. Eric.
This is a very good starting.
But I would request u to make another video on HRCT features of different ILD & how considering the clinical & other biochemical features diagnostic work up is done.
Excellent presentation. We are expecting to hear more from you 😊.
thanks alot for this precise and concise presentation.
Hopefully it will help me in my presentation.
Precise and smart as always
Watched it many times and I will do again
God bless you
Outstanding work! This overview is much better then my whole internal medicine rotation
It's very helpful, sir.
Excellent. Jazak Allah khair
WOW! Thank you so much!
X ray findings and CT scan findings part is great in particular..Thanku for the video 😇
Very nice video. Thank you!
Amazing, Thank You So Much💓
Informative, thank you!
Nice lecture….very concise and clear
Well done very helpful thank you
So nice,thanks!
Very useful - thank you.
Thanks for your video.
Thank you very much.
great job!!
Fabulous!
Wow you actually covered the illness that caused my ILD. Polymyositis and dermatomyositits
I’m Emma and I’m 14 and I have ILD and dermatomyositis!
Nice presentation 👍
God, loved this video.
I have this post-Covid, or something similar since you said it's non-infectious. My ground glass opacities started spreading 2 months post-infection, and 10 months later now.
Thanks a lot doc...👍👍
Thank you!
thank you very much
hi thank you very much for this lecture! would you please do a video comparing radiographic findings in ILD and bronchiectasis? as well as how bronchiectasis can cause tracheal deviation?
That was helpful thank you sir
Thanks for this
Dear Professor have you ever tought about a video series about the physical examination or about a proper use of stethoscope (when to use bell or diaphragm)? Thank you so much for your efforts!
I do have this video on cardiac auscultation that may cover some of what you are suggesting: th-cam.com/video/73fYeoyFuwk/w-d-xo.html
Thank you ❤️
Excellent video sir. Pls make videos on different ILDs
Traducir al español
Excellent
My mother is passs away cause honey comb
My grandma passed away from this just recently 😢I miss her so much😭😭😭
same with me 😢
I’m sorry for you two :[
hello sir , thank you so much for all the lectures !! i will request lectures on neurological symptomatology, approach to coma patient, or patient with massive strokes and other critical care neurology topics.
Actually some of my oldest videos are on coma, but I later unlisted them because I was dissatisfied with their quality. But if you want to check them out (this was back when TH-cam didn't allow videos longer than 15 minutes):
Part 1: th-cam.com/video/YS4dP01S2cQ/w-d-xo.html
Part 2: th-cam.com/video/IbipjCSN8jw/w-d-xo.html
Part 3: th-cam.com/video/plhtquhGoos/w-d-xo.html
I'm hoping to redo them at some point, and also cover TIA/stroke, movement disorders, and seizures, but unfortunately, I can't give any estimate of when that might be.
@@StrongMed Thankyou sir for your response and links for coma lectures. there is no hurry for the lectures. those were only the suggestions from my side. Thankyou.
@@StrongMed I have question for you over pulmonary fibrosis. Can Idiopathic pulmonary fibrosis damaged both of lungs or only one of the lung
@@Jess-wk5jo IPF almost always affects both lungs at the same time, though one lung may be a little worse than the other.
Kindly do videos on valvular heart ds n echocardiography
Just... wow!
Super sir
When are we expected to get permanent cure of the lungs scarring which can completely reverse this?
Please guide best suited meditation for ILD without much damage to liver and kidneys
Precautions
to be taken to further prevent the decease
Thanks for guidance
Doc, Its been a while you haven't updated your Google doc ( strong medicine notes )
Yeah, I know. Sorry about that. Too many competing priorities. =(
@@StrongMed Can Idiopathic pulmonary fibrosis damaged both of lungs or only one of the lung
This is such scary stuff!
Is there a Pdf of the vedio ?
Nice
Hello Dr I’m a 25 year old male who suffered from severe Covid about a year ago, I recovered from it, but continue to have a cough and sometimes a weird feeling on my chest and throat, I know I breath good, but sometimes I feel like I just don’t quite get enough air, as if something was blocking my airway to breath normal, it doesn’t happen all the time, but occasionally it does, and I’m worried because it’s been a year and I still have the cough and that weird chest and throat feeling. Could you have an answer for what I could be suffering from, by my explanation of my symptoms. Thank you
I'm sorry, but I cannot offer specific, individualized medical advice.
Thanks for sharing.
Hey! This was an amazing video! What are the treatments available for ILDs?
No treatment, and no cure in 2 to 4 years death is completely sure My father died due to this.
@@Sujitonyoutube my mother is hospitalized. Currently on 4 ltr o2. Unable to stand. What are the chances?
@@sahilkhanna1486 sorry to hear this brother ! Have hope in god and take care of your mom . I recently lost my father due to this diseases .
@@sahilkhanna1486 i dont have any other curable suggestions but contact me if you can 9762935301 this is my whatsapp
My mother passed away last month. It was so quick. We can't even imagine that she is gone forever. She was diagnosed with ILD on Janunary 27 and on may 2nd she passed away. Between these months she was unable to walk and was also hospitalised for a months. It was so traumatic for our family. I don't know whether treatment killed her or disease.
Thank you doctor for explaining ILD, do you think that besides My rheumatoid arthritis my large Hiatal Hernia could be the cause for my Pulmonary Fibrosis ? Pl. explain
I can't give specific, individualized medical advice here, but I can say that hiatal hernias do not cause pulmonary fibrosis (though if large, they can contribute to a sensation of shortness of breath).
My doctor said I might have it... That was about two years ago... So I might be dead within three years... Its getting very difficult to breathe... I dont care... I just want to tell a woman I know that I love her to her face before I die, but she hates me....
My mom is suffering from Ild from last 2year and we got to know that pgi is a good place for ild treatment and we started medicine from pgi and she is good but not perfect like she always be ...
Hi Ma'am, does the scarring progression has stopped. Or it has reversed? Is she getting better with all her symptoms?
My mom is also today got diagnosed with ILD. Can it be maintained stable after long term medications?
Maa'm how is your mother now? please reply
Maam what /where is pgi?
Will this kill you or part of getting older. My husband was told all this abs gave him 2 breathing meds
Interstitial lung disease (ILD) is not "a part of getting older". However, how serious it is depends on the type of ILD. Your husband should discuss his prognosis (i.e. how severe the disease may get in the future) with his pulmonologist.
@@StrongMed thanks for reply. He goes to va. But we are trying to Atleast get copy of the scans
is the fibrosis of ild the same fibrosis of covid 19 ?
They share similar features. I have limited direct experience with post-COVID lung fibrosis, but I suspect the lungs of some patients who have developed fibrosis secondary to COVID are indistinguishable from that caused by other lung diseases.
What about ILD in pediatric group?
Some congenital forms?
Good morning,
My mother (62) was diagnosed with ILD related to Rheumatoid Arthritis in October of 2019. The condition has been getting more intense and every hospital stay longer. Last January she caught Covid and was in the hospital for 18 days and subsequently was transferred to a rehab facility. She hasn't shown much improvement since. Do you have any idea if they do lung transplants for this condition and if so, have you heard of any successful living donor cases? Thank you for your time.
I'm sorry to hear about what your mother has been going through. Yes, living donor lung transplantation can be performed for ILD secondary to RA, but living donor lung transplantation is itself very uncommon. Typically there are 2 related donors, who each donate one lobe of one of their lungs to the recipient at the same time. Japan has the most experience with the procedure, but it is done in other countries too, including a few centers in the US. A good, open-access summary of the procedure and outcomes: jtd.amegroups.com/article/download/49692/pdf
I recommend your mother speak with her pulmonologist to see if this might be an option for her.
@@StrongMed I will consult with my mother and sibling to see what our options are. I really appreciate you taking your time to answer. Thank you so much. Best wishes!
Sir how is your mother now? Please reply 🙏
@@petsloversandgyan5192 I'm sorry to say that she passed away in February of this year (2022). Her last days were very traumatic for us as a family. Thanks for asking.
@@richardrodriguez1596 I am very sorry for your loss. May her soul rest in peace. What was her oxygen level when she was admitted in the hospital?
If a person diagnosed with ILD and undergoing treatment for that, can they get covid vaccine? Is there anything we need to look into?
I can't give specific, individualized medical advice on here, and for all personal medical questions I always recommend speaking with your own physicians.
Having said that, receiving the COVID vaccine is even more important in patients with ILD, as they are at an increased risk of severe disease should they contract COVID. The only consideration is that *some* of the more intense immuosuppressive medications that might be used for some forms of ILD might decrease the body's immune response to the vaccine, reducing its effectiveness. So patients on such medications should speak to their physicians about the optimal timing of receiving the vaccine - but treatment for ILD does not make the vaccine less safe.
@@StrongMed Thanks for your response. Yes we gonna discuss the same to our doc too.
This reminds me of my diseases.
I have a form of IPF. I tested negative for Alpha-D1, yet my lungs are on a fast route to becoming worthless.
Thank you for this video!
Good luck
@@kush1000ful i have lung cancer. I used to have multiple infections a year, pneumonia, bronchitis, etc.
Although that all happened and happens, it doesn't explain why my lungs just end abruptly, like they are just clean and empty at the lowest lobes. Doctors are stunned.
Sjogrens should be added in Connective Tissue Disease
is there any cure ?
No.
Please tell treatment also
Treatment for each form of ILD is different. Unfortunately, it wouldn't be possible to include in a single, succinct video.
@StrongMed please tell treatment for idiopathic ILD
Is there pdf for this vedio
There is now! You can find it on the top level folder here: drive.google.com/drive/folders/0B9SDUwepGWeUTmtscnJSSjR5OE0?usp=sharing
@@StrongMed thank you for posting
Lovely
My nani has a ild patient can you give me solution of this problem to live long
I'm very sorry, I cannot give specific, personalized medical advice here. The prognosis in ILD varies widely depending on the underlying etiology, the patient's age, and other comorbid conditions. I recommend that your nani speak with their physician.
😭😭😭
He coughing 2 years can you 😔 you tell me which time ⌚ 😭😭😭and which stage
Medication
:)