I live in Norway. I suffer from COPD (never smoked) and Heart Failure. ( 75 yrs old) All I can understand now, is that doctors in norway just neglected me. I cant remember ever being tested in details as described in this video.
This has helped me so much with understanding the illness my Mum suffers from and the logic behind the workup the general practitioner follows in his course of treatment. Thank you for sharing this. It is greatly appreciated.
Im glad I found your video. My pulmonologist is not updated on new information or treatments. I was diagnosed around 40. Im on oxygen. My doctor says I should be dead by now. Im 48. Yeah, he said that! I find anxiety makes breathing worse. I had broken heart syndrome when my mother died. Then they sent me home on oxygen, saying I have COPD. I dont believe I had it but now I cannot go without oxygen. I hate living with this. My doctor only sees me every 6 months. He doesn't do anything. I tell him of new treatments. Like I told him about Trelegy. I worked woth chemicals in a factory. I looking for better treatments.
I am on Trilogy it works well and fast. I take it 2 times a day it opens me up quickly if I didn't I would not be able to walk thru Walmart. Just my opinion you need a new Dr, your so young.
@@dc.pentrumesteri4893 my lung give up on me when pandemic started. He sent to another one. I had one phone call with. Have not met new one. Only my family doctor been trying to help me. I'm 50 now. I'm still living. My anxiety is the worst part of COPD. I don't cough or spit up anything. I believe I was put on oxygen too soon. Now I'm stuck with it.
@@dc.pentrumesteri4893 my oxygen level is 96 and up sitting. When I get up to do stuff it drops in to 80's. But I recover quickly, when I sit. On bad day it drops in 70's when I'm up doing stuff.
Thank you, very clear and precise information. A bit too fast for me because of my age, will listen to you again and again, you are the only one that I can find that covers everything.
Thanks ,you give me a great understanding of many different conditions ,I've had a trial of 18 months with every test you are explaining I asked for an antibiotic for over a year ,if I was given one I believe it wouldn't of taken over a year to get better ,reason I was not given an antibiotic was I had high blood pressure and all focus was on the medications to lower BP when I mentioned I feel like I have a bacterial infection ,I have dealt with lung infections ,mainly bronkitis ,I know my body from past lung infections ,an antibiotic should of been given to me as it was in past when I couldn't kick an infection out of my system (I needed antibiotics , I know my own body ,) it was a long drawn out period that I truly believe could of been resolved sooner as to later ,my condition was atrial fibrillation and heart failure ,I had the vaccine pnumococial pmumonia after multiple times being in the hospital before the vaccine was given ,I had felt better after two years of meds for blood pressure that made me feel 100percent worst ,until I got rid of lung infection , listen to the patient as well as helping him with treatment given . Your well explained video is all that I have been thru for almost 2years we deserve better as patients , vaccine .,pnumococial pmumonia ,I believe is what fixed me as well as the medicine lasiks ,that is needed for my situation your explaining all this to me now 🤗 great video ,you are helping many to understand , great job. If it was you that was my doctor I would of got treated more promptly . Mentioning an antibiotic I got ,it's not good you can get liver damage ,or it's for acne ,really I got over kronkitis with them ,ended up in the hospital without them,get a pnumococial pmumonia vaccine it is the antibiotic from what I see now.
My best friend was hospitalized with severe asthma. She had been diagnosed and treated for COPD for the last year. A local pulmonologist came in and told her that she experienced all the symptoms on VOCAL CORD DYSFUNCTION - which many doctors misdiagnose as asthma. This guy sounded nuts. He told me she does not have asthma or COPD. She’s been a severe asthmatic since childhood and has been hospitalized too many times to count. She has had to be intubated 7 times in the last 15 years. This pulmonologist said that she should never be intubated again! They’ve only done this because she would have died from lack of oxygen to her brain. Her O2 sats had been below 80%. Dr. Fazakas is so right on and provides a fountain of great information. I wish he was here in Southern California!
I was never tested for COPD, ephysema or bronchitis. The doctors that I have seen over the last 3 yrs keep talking about heart surgery where the aortic valve will be replaced. Hopefully I will get tested and given the right meds to see if that helps with the shortness of breath, and coughing. The main time I have a problem with the wheezing is at night when I want to go to sleep.
I very recenty got diagnost with copd, bronchial and emphysema. My doctor said it is mild in the beginning. I quit smoking a little over 1 month ago. Should I still see a specialist even though it's "mild" ? My doctor said that I don't need to see a specialist. I think I should be seen by a specialist. After numerous tests and diagnostic imaging including mri and ultra sound I was told that they don't see anything wrong with my heart.
Go see a specialist I quite smoking 21 years ago I was diagnosed about 12 years ago and my COPD got a lot worse I really struggle now my advice to you stay active join a gym but keep active I retired about 5 years ago and I didn't stay active but if I knew I would get this bad I would have joined and stayed active!!
Thank you. My dad just passed away from copd. He should have been on oxygen. He started back smoking. I quit smoking 2 years ago. This helps me understand copd! Dad didn’t tell us he had it. I found his inhaler and talked to his medical provider. 💔
What about corticosteroids and exacerbation? Should we use them only once excluded an infection or are they in any case useful? If a patient with COPD has a glucocorticoid in his long term therapy should we suspend it in case of exacerbation with bacterial/viral superinfection?
Very good questions. I figured that I was not clear enough with corticosteroids in my 3 videos about exacerbation, stable patient and follow up. I will do recreate the exacerbation videos a little bit, so that it becomes clear of what to do with corticosteroids. Corticosteroids are good for about 5 days, usually 40mg daily.
I have been diagnosed with a bad asthma and have dealt with that for about 20 years and its only got worst to now an interstitial lung disease, whatever that means. I never got any of these tests you mention. they barely lift a stethoscope to my chest . most I've had were breathing tests. I get one a year. luckily my doctor gives me an emergency prescription of antibiotics and prednisone i take together when I get an infection. The lack of testing is government cutbacks on medical care in Canada since they tax the shit out of us for that medical but then call it free as they mismanage our tax money that goes to this care.
Dr is advertizing also for vaccines. Not good and not necessary as well. Walking, exercice, meditation, human ethics of giving and forgiving and love, meditation work wonders for all illnesses.
What you do as an adult is your choice, but if a child dies because the parent did not let the child be vaccinated is for me completely unacceptable!!!! Trust me,.there are diseases that you can not treat with walking and meditation. Try to tell a 2 year old child to meditate and walk when she is dying from Measles. More than 200.000 children dies from Measles yearly because parents don't vaccinate their children because now it's trendy to be against vaccinations. When the children dies then parents look shocked and can't believe what happened, but then it's too late.
@drandrasfazakas Not 1 kid I went to school with died of the measles, and we all got it. There are good vaccines, but they give these kids far too many in a very short time frame. And the MRNA vaccines are out of the question.
I haven't listened very long but I can tell you this much all my lung infections were caused by GERD. Would it cause sinus infection which tripped on the back of my throat which causes secondary lung infections once it cleared up my gerd I never had another freaking issue other than lung cancer couple times which brings me to your always somebody has a mass on their lung in an x-ray should treat them for pneumonia I think before you do that you should do a low-density CAT scan before you feed them full antibiotics send them home and then find out they have a stroke because it was growing through their heart. Nowadays I don't understand whatever is going on . A lot of times do it seems very egotistical in the Peter Principle
Well all interesting you all these Exercise, but hey I'm totally disgusted with you all. You all to mention the 4 stages of COPD. Right. Because each stage has own requirements of Exercise. Now stage 4 very low Exercise Meds for anxiety.
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I live in Norway. I suffer from COPD (never smoked) and Heart Failure. ( 75 yrs old)
All I can understand now, is that doctors in norway just neglected me. I cant remember ever being tested in details as described in this video.
This the most comprehensive, clear, 😀 teaching on COPD
This has helped me so much with understanding the illness my Mum suffers from and the logic behind the workup the general practitioner follows in his course of treatment. Thank you for sharing this. It is greatly appreciated.
Thank you doctor for your thorough presentation - your time spent on this is greatly appreciated.
I am very grateful to know more about myself I have copd thank you
Im glad I found your video. My pulmonologist is not updated on new information or treatments. I was diagnosed around 40. Im on oxygen. My doctor says I should be dead by now. Im 48. Yeah, he said that! I find anxiety makes breathing worse. I had broken heart syndrome when my mother died. Then they sent me home on oxygen, saying I have COPD. I dont believe I had it but now I cannot go without oxygen. I hate living with this. My doctor only sees me every 6 months. He doesn't do anything. I tell him of new treatments. Like I told him about Trelegy. I worked woth chemicals in a factory. I looking for better treatments.
how are you, what treatments are you taking, how are you with saturation, rest and effort?
@@dc.pentrumesteri4893 Do you have COPD, I'm suffering from chronic bronchitis and I'm very stressed😌
I am on Trilogy it works well and fast. I take it 2 times a day it opens me up quickly if I didn't I would not be able to walk thru Walmart. Just my opinion you need a new Dr, your so young.
@@dc.pentrumesteri4893 my lung give up on me when pandemic started. He sent to another one. I had one phone call with. Have not met new one. Only my family doctor been trying to help me. I'm 50 now. I'm still living. My anxiety is the worst part of COPD. I don't cough or spit up anything. I believe I was put on oxygen too soon. Now I'm stuck with it.
@@dc.pentrumesteri4893 my oxygen level is 96 and up sitting. When I get up to do stuff it drops in to 80's. But I recover quickly, when I sit. On bad day it drops in 70's when I'm up doing stuff.
Tq doc. Most comprehensive. Very easy for a layman to understand too. Gbu
amazing video with clear concept, very useful
Thank you so much for this detailed presentation!
I have covid with a history of copd exacerbations! This was very helpful! Thank you!
Great Doctor 👍 👌 👍
Thanks for the video 🥰 best information,I have heard so far! I have COPD,
Thank you, very clear and precise information. A bit too fast for me because of my age, will listen to you again and again, you are the only one that I can find that covers everything.
Thank you very much! what a GREAT presentation!
Thank you Dr. Andras for your very helpful video. Very comprehensive guide in COPD asthma management
Super helpful 🙏🏼
very good video ,well explained and will help students nurses that work in a respiratory ward
THANK YOU. I really needed it explained in details, just like this. Much Much appreciated🙏xx
Thank you sir. Its very helpful.
Very good explanations.
Thanks docter for giving idea about copd lab checks
Thanks ,you give me a great understanding of many different conditions ,I've had a trial of 18 months with every test you are explaining I asked for an antibiotic for over a year ,if I was given one I believe it wouldn't of taken over a year to get better ,reason I was not given an antibiotic was I had high blood pressure and all focus was on the medications to lower BP when I mentioned I feel like I have a bacterial infection ,I have dealt with lung infections ,mainly bronkitis ,I know my body from past lung infections ,an antibiotic should of been given to me as it was in past when I couldn't kick an infection out of my system (I needed antibiotics , I know my own body ,) it was a long drawn out period that I truly believe could of been resolved sooner as to later ,my condition was atrial fibrillation and heart failure ,I had the vaccine pnumococial pmumonia after multiple times being in the hospital before the vaccine was given ,I had felt better after two years of meds for blood pressure that made me feel 100percent worst ,until I got rid of lung infection , listen to the patient as well as helping him with treatment given . Your well explained video is all that I have been thru for almost 2years we deserve better as patients , vaccine .,pnumococial pmumonia ,I believe is what fixed me as well as the medicine lasiks ,that is needed for my situation your explaining all this to me now 🤗 great video ,you are helping many to understand , great job. If it was you that was my doctor I would of got treated more promptly . Mentioning an antibiotic I got ,it's not good you can get liver damage ,or it's for acne ,really I got over kronkitis with them ,ended up in the hospital without them,get a pnumococial pmumonia vaccine it is the antibiotic from what I see now.
You are good Doctor.👻
Very well done sir. You’re a wealth of information, thankyou
My best friend was hospitalized with severe asthma. She had been diagnosed and treated for COPD for the last year. A local pulmonologist came in and told her that she experienced all the symptoms on VOCAL CORD DYSFUNCTION - which many doctors misdiagnose as asthma. This guy sounded nuts. He told me she does not have asthma or COPD. She’s been a severe asthmatic since childhood and has been hospitalized too many times to count. She has had to be intubated 7 times in the last 15 years. This pulmonologist said that she should never be intubated again! They’ve only done this because she would have died from lack of oxygen to her brain. Her O2 sats had been below 80%. Dr. Fazakas is so right on and provides a fountain of great information. I wish he was here in Southern California!
Excellent
I have come back to this video many times.
I have included this video for students to reference on my education channel. This is important for nursing students to understand.
What about ECG/EKG test while waiting for the lab result? To rule out heart related issue?
Can some of these symptoms be caused by a severe anxiety attack ever?
I was never tested for COPD, ephysema or bronchitis. The doctors that I have seen over the last 3 yrs keep talking about heart surgery where the aortic valve will be replaced. Hopefully I will get tested and given the right meds to see if that helps with the shortness of breath, and coughing. The main time I have a problem with the wheezing is at night when I want to go to sleep.
Tnxu sir 🙏
Great
Cough over a year now I need help
i have breathing problem since 8 month
my doctor can't find any thing.
my ct scan are normal ..
i feel like slowly i can't breathe time by time
I very recenty got diagnost with copd, bronchial and emphysema. My doctor said it is mild in the beginning. I quit smoking a little over 1 month ago. Should I still see a specialist even though it's "mild" ?
My doctor said that I don't need to see a specialist. I think I should be seen by a specialist.
After numerous tests and diagnostic imaging including mri and ultra sound I was told that they don't see anything wrong with my heart.
Go see a specialist I quite smoking 21 years ago I was diagnosed about 12 years ago and my COPD got a lot worse I really struggle now my advice to you stay active join a gym but keep active I retired about 5 years ago and I didn't stay active but if I knew I would get this bad I would have joined and stayed active!!
What are non-obvious causes of COPD? Does past diet cause it? Does diet high in trans-fats or cooking oils cause it?
Thank you. My dad just passed away from copd. He should have been on oxygen. He started back smoking. I quit smoking 2 years ago. This helps me understand copd! Dad didn’t tell us he had it. I found his inhaler and talked to his medical provider. 💔
What about corticosteroids and exacerbation? Should we use them only once excluded an infection or are they in any case useful? If a patient with COPD has a glucocorticoid in his long term therapy should we suspend it in case of exacerbation with bacterial/viral superinfection?
Very good questions. I figured that I was not clear enough with corticosteroids in my 3 videos about exacerbation, stable patient and follow up. I will do recreate the exacerbation videos a little bit, so that it becomes clear of what to do with corticosteroids.
Corticosteroids are good for about 5 days, usually 40mg daily.
@@drandrasfazakas thank you very much for your answer and your videos in general
I have been diagnosed with a bad asthma and have dealt with that for about 20 years and its only got worst to now an interstitial lung disease, whatever that means. I never got any of these tests you mention. they barely lift a stethoscope to my chest . most I've had were breathing tests. I get one a year. luckily my doctor gives me an emergency prescription of antibiotics and prednisone i take together when I get an infection. The lack of testing is government cutbacks on medical care in Canada since they tax the shit out of us for that medical but then call it free as they mismanage our tax money that goes to this care.
Dr is advertizing also for vaccines. Not good and not necessary as well. Walking, exercice, meditation, human ethics of giving and forgiving and love, meditation work wonders for all illnesses.
What you do as an adult is your choice, but if a child dies because the parent did not let the child be vaccinated is for me completely unacceptable!!!!
Trust me,.there are diseases that you can not treat with walking and meditation. Try to tell a 2 year old child to meditate and walk when she is dying from Measles. More than 200.000 children dies from Measles yearly because parents don't vaccinate their children because now it's trendy to be against vaccinations. When the children dies then parents look shocked and can't believe what happened, but then it's too late.
Sorry you sound extremely ignorant!
@@drandrasfazakas Thank you for your wonderful explanations & courteous reply to the ignorant!
@@drandrasfazakas Thank you for your wonderful explanations & courteous reply to the ignorant!
@drandrasfazakas Not 1 kid I went to school with died of the measles, and we all got it. There are good vaccines, but they give these kids far too many in a very short time frame. And the MRNA vaccines are out of the question.
22.
I haven't listened very long but I can tell you this much all my lung infections were caused by GERD. Would it cause sinus infection which tripped on the back of my throat which causes secondary lung infections once it cleared up my gerd I never had another freaking issue other than lung cancer couple times which brings me to your always somebody has a mass on their lung in an x-ray should treat them for pneumonia I think before you do that you should do a low-density CAT scan before you feed them full antibiotics send them home and then find out they have a stroke because it was growing through their heart. Nowadays I don't understand whatever is going on . A lot of times do it seems very egotistical in the Peter Principle
he was talking about corona before it took off
So sorry wrong video it was intended
For them so embarrassing
Well all interesting you all these
Exercise, but hey I'm totally disgusted with you all.
You all to mention the 4 stages of COPD. Right. Because each stage has own requirements of Exercise.
Now stage 4 very low Exercise
Meds for anxiety.