Please note that the management of these diseases, in particular asthma, have substantially changed since this video was posted in 2016. The charts shown @19:10 are no longer accurate.
This video should be an absolute must watch for anyone newly diagnosed. It clears up a lot of confusion and would have saved me years of being uninformed about my disease. BTW, it could be updated with the newer medications that are available. It's great as is, though.
Hyperinflation makes the apical impulse of the left ventricle difficult to palplate. However verticalized the heart might be, the apex of the left ventricle cannot reach the median line so as to become palpable in the subxiphoid region. What is felt in the subxiphoid region in patients with COPD is the dilated and hypertrophied right ventricle. Consequently the pulsations felt in the subxiphoid region in COPD patients are the consequence of a dilated a hypertrophied RV, not of a verticalized LV.
The management of these diseases - particularly chronic asthma - has substantially changed since this video was made. Specifically, the charts shown @19:10 are no longer accurate. Please refer to updated professional society guidelines or charts such as the one shown here for asthma: www.asthma-breathe.com/wp-content/uploads/2021/08/GINA-2021-Stepwise-Treatment-Approach-Adult-Adolesent-1200x675.png
Symptoms are what the disease presents as, what's happening to the person. The exacerbations are the possible worsening of the symptoms in time, and how and why things get from bad to worse in their manifestation and intensity
Can lower mef like 4 represent copd? Fevs are normal. I also have hyperinflation, discret fibrotic changes after covid and asthma alergic before covid. Ex smoker. My doc says it may be emfizema also but it s not showing on my x rays or ct scan. After covid i have constrictions on right lung i use fostair. I am crashed...and dyspnea and now i am adicted to inhalers otherwise can t breath.
I told my Dr I had a bit of shortness of breath when exercising and coughing and Dr put me on asthma controller. I didn’t believe his diagnosis as I never had asthma before and no family history, I decided to do extensive tests, cardiology and Pulmonology. Cardiology tests were normal under a stress test and I have no high blood pressure. Spirometry tests were within normal ranges as well with normal DLCO ranges. Should I get a second opinion from another Dr to get off my Medications? I don’t feel the medication helps it actually gave me a nagging cough along with mucus. Now, I am overweight but not obese. My shortness of breath started after covid infection. My chest x-ray came back with no abnormal indications of any kind.
I'm sorry, but I can't offer specific, individualized medical advice here. However, if you feel unconvinced by a diagnosis you've been given by a physician, and if they have prescribed a medication which you feel is not helping, getting a second opinion from another physician IRL is never a bad idea.
I like your series about shock. Is it possible for you to make another video about 'low energy state' ? Because I rarely saw in depth video about this particular problem Thank you & have a great year
hey ,if anyone else needs to find out about symptoms of asthma try Knewreck Asthma Eradicator Guide (should be on google have a look ) ? Ive heard some amazing things about it and my mate got excellent results with it.
+Wahiba ramtani I've been working on recruiting a heme/onc specialist to help with some topics. Hopefully, it will work out, and will be sure that anemia is included early on!
I cannot provide specific, individualized medical advice here. However, I can say this: Peak flows should never be interpreted in isolation, as they depend upon age, gender, and height; and they should also be interpreted with knowledge of the patient's medical history and baseline peak flow.
No. There is neither evidence nor plausible mechanism by which colloidal silver would be helpful in COPD. Given its known toxicities, I strongly advise patients to refrain from using it.
Thanks! You might find these helpful: Hypoxia and Hypoxemia: Mechanisms and Etiologies (th-cam.com/video/Xxs1ivh9T64/w-d-xo.html) An Approach to Acute Dyspnea (th-cam.com/video/xNJ8ALMjZ7A/w-d-xo.html&list=PLYojB5NEEakWaO3NbbgjPkSXarbJOUOnd)
No. Asthma and COPD have overlapping symptoms and treatment, but they have different risk factors/epidemiology, and different pathophysiology. They can co-exist, but are distinct diseases.
Please note that the management of these diseases, in particular asthma, have substantially changed since this video was posted in 2016. The charts shown @19:10 are no longer accurate.
This video should be an absolute must watch for anyone newly diagnosed. It clears up a lot of confusion and would have saved me years of being uninformed about my disease. BTW, it could be updated with the newer medications that are available. It's great as is, though.
Thank you, you organize my confusing this topic from last 2 years in a short period, well done😊
Simple the best explaining video I have ever laid my eyes on. Thank you, and keep up with the good work!
Absolutely fantastic video! Very clear, love the tables. One of my favorite TH-cam channels for MED school!
Thanks, Dr Eric, you have explained every step very well, and have made the dry subject very interesting, Thank you
Thanks, Dr Eric! Very informative and concise
The best explanation l have ever seen about this topic. Thanks thanks very much
Well explained
Thanks from Iraq 🇮🇶
Now I've got confident to do correct diagnosis about it coz it was really confusing . Thank you .
Hyperinflation makes the apical impulse of the left ventricle difficult to palplate. However verticalized the heart might be, the apex of the left ventricle cannot reach the median line so as to become palpable in the subxiphoid region. What is felt in the subxiphoid region in patients with COPD is the dilated and hypertrophied right ventricle. Consequently the pulsations felt in the subxiphoid region in COPD patients are the consequence of a dilated a hypertrophied RV, not of a verticalized LV.
Dorin Dragoş could you link me an article to prove this?
Awesomely informative and perfectly explained! Thank you so much! 😊😊 15/9/2019
Great video !! And with my upcoming exam a great way to start the study-session !!
Excellent for review ❤
The management of these diseases - particularly chronic asthma - has substantially changed since this video was made. Specifically, the charts shown @19:10 are no longer accurate. Please refer to updated professional society guidelines or charts such as the one shown here for asthma: www.asthma-breathe.com/wp-content/uploads/2021/08/GINA-2021-Stepwise-Treatment-Approach-Adult-Adolesent-1200x675.png
Thank you very much Dr Strong.
Hi doc, could you please explain the difference between symptoms and exacerbation?
Symptoms are what the disease presents as, what's happening to the person. The exacerbations are the possible worsening of the symptoms in time, and how and why things get from bad to worse in their manifestation and intensity
Super; thank you so much
Can lower mef like 4 represent copd? Fevs are normal. I also have hyperinflation, discret fibrotic changes after covid and asthma alergic before covid. Ex smoker. My doc says it may be emfizema also but it s not showing on my x rays or ct scan. After covid i have constrictions on right lung i use fostair. I am crashed...and dyspnea and now i am adicted to inhalers otherwise can t breath.
I told my Dr I had a bit of shortness of breath when exercising and coughing and Dr put me on asthma controller. I didn’t believe his diagnosis as I never had asthma before and no family history, I decided to do extensive tests, cardiology and Pulmonology. Cardiology tests were normal under a stress test and I have no high blood pressure. Spirometry tests were within normal ranges as well with normal DLCO ranges. Should I get a second opinion from another Dr to get off my Medications? I don’t feel the medication helps it actually gave me a nagging cough along with mucus.
Now, I am overweight but not obese. My shortness of breath started after covid infection. My chest x-ray came back with no abnormal indications of any kind.
I'm sorry, but I can't offer specific, individualized medical advice here. However, if you feel unconvinced by a diagnosis you've been given by a physician, and if they have prescribed a medication which you feel is not helping, getting a second opinion from another physician IRL is never a bad idea.
Thank You so Much!!!!!!!!!!!
I like your series about shock. Is it possible for you to make another video about 'low energy state' ? Because I rarely saw in depth video about this particular problem
Thank you & have a great year
+TheVitade Possibly. Can you be more specific by what you mean by "low energy state"?
great presentation
Thank you!
excellent!
hey ,if anyone else needs to find out about symptoms of asthma try Knewreck Asthma Eradicator Guide (should be on google have a look ) ? Ive heard some amazing things about it and my mate got excellent results with it.
Amazing
that's a great job, thank youwould you please give us a lecture about anemia?
+Wahiba ramtani I've been working on recruiting a heme/onc specialist to help with some topics. Hopefully, it will work out, and will be sure that anemia is included early on!
Sadly, still working on it...
I'm blowing 180-200 on the breathe-o-meter and having further breathing tests on Friday is 180-200 bad?
I cannot provide specific, individualized medical advice here. However, I can say this: Peak flows should never be interpreted in isolation, as they depend upon age, gender, and height; and they should also be interpreted with knowledge of the patient's medical history and baseline peak flow.
🚼
Thx
Can colloidal silver be helpful to treat copd ?
No. There is neither evidence nor plausible mechanism by which colloidal silver would be helpful in COPD. Given its known toxicities, I strongly advise patients to refrain from using it.
Fucking better than my university professor 👩🏫
You guys are awesome, but please change that piano music at the start of each video...
🌺🌹
Please could you make a video on Respiratory Failures??!
Your videos are amazing
Thanks so much
Alot of my friends have subscribed
Cheers!!!!!
Thanks! You might find these helpful:
Hypoxia and Hypoxemia: Mechanisms and Etiologies (th-cam.com/video/Xxs1ivh9T64/w-d-xo.html)
An Approach to Acute Dyspnea (th-cam.com/video/xNJ8ALMjZ7A/w-d-xo.html&list=PLYojB5NEEakWaO3NbbgjPkSXarbJOUOnd)
Thanks so very much!!!!!
Isn't asthma part of copd? 🤔
No. Asthma and COPD have overlapping symptoms and treatment, but they have different risk factors/epidemiology, and different pathophysiology. They can co-exist, but are distinct diseases.
Never use Corticosteroids for long time !!
D
thank you Dr strong is it possible to teach the topic pulmonary embolism