| Understanding Asthma (Asthma #1) - 191 sec
More than 20 million Americans have some form of the disease known as asthma. Get the basics on this common condition.
Auteur : illumistream
Tags: breathe physical science medicine asthma mark spitz coughing symptom bronchi allergy attack homer iliad doctor lung health
 | | Hear wheezing-Asthma can be sudden & deadly-learn! - 128 sec
If properly treated, patients with acute bronchial asthma should rarely need to be hospitalized. This is usually a nocturnal condition and patients often appear well during the day. For this reason, the doctor may simply think that the patient "just has a cold" and prescribe a non-curative over-the-counter (OTC) cold "remedy". Promethazine DM (Phenergan DM) is contraindicated in asthmatics, though it is often prescribed. If a doctor prescribes Promethazine (Phenergan®) DM for a cough or bronchial asthma, he may be endangering his patient's life. Wyeth® pharmaceuticals sent a letter on February 15, 2005 to all American medical providers which stated, "Phenergan (Promethazine) should not be used in pediatric patients because of the potential for fatal respiratory failure. Respiratory depression and apnea, sometimes associated with death, are strongly associated with Promethazine products."
The two most important drugs in Asthma are short acting bronchodilators (Albuterol) and cortisone (Prednisolone @ 1 mg/Kg/Day and should be less than 40 mg/day). Humans naturally make Cortisone and without it we cannot exist. A two or three day course of Prednisone or Prednisolone on hand may keep most patients out of the hospital or the emergency room when the doctor is not available. All asthmatics should have a small supply of this Medicine readily available-in case of a crisis or if the doctor is not available. No patient should try to get cortisone products on his own and without the proper medical supervision.
Nasal congestion may be of therapeutic benefit since it increases the nasal's surface and promotes an immune response to the allergen (natural immunotherapy). The allergen may be swallowed instead of being inhaled into the lungs.
The vomiting associated with asthma may be life saving. It helps to clear the bronchial passages. Too often, however, I have seen doctors prescribe an anti-emetic (against vomiting) by mistake.
Asthma runs its natural course over 3 to 5 years, and I have not seen it cause permanent lung damage as claimed by some "experts." I have followed specific patients for over 20 years. Immunotherapy is of marginal benefit, and I have seen children that were having psychologically trauma as a result of "allergy shots." An allergist may tell you differently since "allergy shots" are lucrative.
A common error by emergency room providers is the failure to diagnose asthma. They often treat it as "just a cold" and prescribe a non-therapeuric over-the-counter (OTC) drug like Triaminic®, Pediacare® or Dimetapp®. On Monday, 2/l5/07, a pregnant woman (@ 5 months) with acute asthma was treated with inhaled cortisone, but later had to be rescued. Acute bronchial asthma can develop as early as a few weeks after birth. Bronchiolitis is an infection that occurs in children under age 2, is associated with wheezing, and is caused by a virus (Influenza, Adenovirus, Parainfluenza or RSV). Ask your doctor about this information.
Another common emergency room error is to treat only the bronchospasm component associated with asthma with just Albuterol. Over two decades ago, it was determined that if asthmatics that present to an emergency room were to receive just one dose of a systemic corticosteroid (Prednisone), it would reduce the hospitalization rate by 85 percent. The clinician has to be very skilled in diagnosing the subtleties associated with asthma. The medical history usually provides the diagnosis of asthma. Parents must learn to accept the diagnosis of asthma. Otherwise, their child may be improperly treated in the future.
Which one is better for wheezing (bronchospasm) Albuterol versus levalbuterol (Xonepex®)? According to The Medical Letter, a highly respected publication that accepts no pharmaceutical money, they are comparable except that Xonepex® is at least five times more expensive. "Specialists" readily prescribe Xonepex®, why?" One lung doctor vehemently defends Xonepex® as being superior to Albuterol. This doctor, I found out, has four ex-wives to pay off. He takes lot money from the maker of Xonepex®. How do we find the truth? You can simply write to the FDA and ask them, as I do. The maker of Xopenex®, Sepracor Inc., was formally criticized by Joan Hankin, JD, an FDA attorney, for making misleading statements about its efficacy, side effects, and Ms. Hankin ordered the company to stop "The distribution and use of any materials containing these and similar violative claims cease immediately, including but not limited to, the removal of this press release from the PRNewswire website.
You as a consumer must make sure you doctor is not closely allied with a drug maker nor does he accept 'free continued medical education' (CME) from the drug industry. I pay for my medical journals and CME. My only duty is to the patient and the public that paid for my medical education through UCLA. I am thankful.
Luis Lomeli MD/Beta
Auteur : LuisLomeliMD
Tags: Asthma Bronchitis Wheezing Audio Sounds Cortisone Saves Lives Xonepex not better than Albuterol Ask FDA Luis Lomeli MD
| | Childhood Asthma (Asthma #4) - 203 sec
Nine million American children suffer from the chronic respiratory condition known as childhood-onset asthma. If yours is among them, you'll want to know all about helping your little one.
Auteur : illumistream
Tags: health asthma childhood child inhaler peak flow meter doctor allergy symptom wheezing coughing medicine lung
| | Cough-Variant Asthma (Asthma #6) - 212 sec
Did you know that some asthma-sufferers have no trouble breathing? A different variety of the disease, cough-variant asthma, is just as serious as the more common version.
Auteur : illumistream
Tags: asthma asthmatic coughing cough-variant attack cva peak flow meter diagnosis treatment doctor lung breathe medicine health
| | Asthma - 63 sec
Dr. Williams discusses asthma.
Auteur : shirleyqliquor
Tags:doctor williams shirley liquor
| | Toy dolls - I've got asthma - 164 sec
Toy dolls - I've got asthma
Auteur : early79
Tags:Toy dolls asthma
| | Healthbeat - Asthma & Children - 107 sec
Dr. Ramo talks about guidelines parents should have for children with asthma.
Auteur : koattv
Tags: KOAT Albuquerque Dr. Barry Ramo Healthbeat asthma
| | Treating Asthma (Asthma #2) - 197 sec
Asthma doesn't need to be a prescription to sit on the sidelines of life! A plethora of treatments can help sufferers boast normal, active existences.
Auteur : illumistream
Tags: physical science athletics doctor medicine fitness sports asthma treatment inahaler rescue medication pulmonologist health
| | Dave's feline asthma attack #1 - 51 sec
I filmed this after giving Dave her (yes *her*) medication -- it takes a few minutes to take affect. Dave has feline asthma and she coughs uniquely when she has an asthma attack. Pet sitters and friends have asked how to tell if Dave is having an attack, so I made this video after giving her her medication. About twice each year we have to take her to the emergency veterinary clinic for an injection to snap her out of an especially bad attack.
Dave had asthma attacks for several years before it was diagnosed -- we thought she had hairballs when in fact she was gasping for breath. Hopefully other cat owners will watch this and realize that their cats need medical attention.
Auteur : bunktrudy
Tags: cat cats pet pets feline asthma
| | Dr. William Berger & Mike Tringale Talk About Asthma - 603 sec
Mike Tringale, M.S.M.: Mike is the director of External Affairs at
AAFA, a consumer and patient advocacy organization serving more than 60
million people with asthma and allergies. Mike has written and edited
articles for consumer health magazines such as Health Monitor, Coping
Magazine and Asthma Magazine, as well as for medical periodicals such as
Annals of Allergy, Asthma and Immunology and Academy News.
Dr. William Berger: Dr. Berger is one of the nation's foremost experts
on allergies and asthma. He practices both adult and pediatric allergy
and asthma in Mission Viejo, Calif., and is clinical professor in the
College of Medicine, Division of Allergy and Immunology at the
University of California, Irvine. He is the author of many academic
papers and general press articles in the field of allergy and asthma.
Auteur : GoodNewsBroadcast
Tags: health good news broadcast william berger mike tringle asthma
| | Preventing an Asthma Attack (Asthma #3) - 209 sec
Although asthma has no cure, a flare-up of the disease can often be prevented. If you're asthmatic, learn what you can do to stop an attack before it starts.
Auteur : illumistream
Tags: asthma attack peak flow meter exercise allergy prevention asthmatic fit lung breath breathing inhaler doctor medicine health
| | Bronchial Asthma-The Sudden Catastrophic Death! - 273 sec
Bronchial Asthma-The Sudden Catastrophic Death! Are you ready in case of an acute emergency?
I had just graduated from UCLA's Medical School, June 1983, when I decided to take a trip to Sinaloa's Sierra Madre. Once in the wilderness, Guadalupe De Los Reyes, my uncle developed a precipitous asthma attack (status asthmaticus). Fortunately, we were just a few steps away from a small government run clinic. The doctor was as "green" as I was, and he said to me, "I don't know how to treat asthma; I heard you're also a doctor; you're going to have to treat him." By then, my uncle was turning blue and was gasping for air. It was a medical emergency. Fortunately I remember two life saving drugs, Corticosteroids and Epinephrine 1:l000.
I first treated him with Epinephrine 1:1000 .3 ml SC followed by intravenous Methylprednisolone @ 2 mg/kg (125 mg total loading dose). I repeated the Epinephrine dose at .3 ml SC every 20 minutesX3 total. An hour later, he was relatively well. A few hours later, we continued our hike through the forest.
He was the first asthmatic I saved.
What must an asthmatic always have readily available to him (or her)?
1. An oral corticosteroid, like Prednisone tablets or suspension (5 mg/5ml) that may be dosed at 1 mg to 2 mg/kg (maximum daily dose 30 to 60 mg ÷ tid or qid); a three-day's supply. Pregnant women with asthma might be better off taking Prednisone (as opposed to DEXAMETHASONE) because the placenta may deactivate it. Dexamethasone is not inactivated by the placenta's 11ß-hydroxysteroid dehydrogenase (N ENGL J MED 2033 349;8) and may "suppress the secretion of sex steroids by the fetal adrenal gland." An inhaled corticosteroid is not a "rescue drug" nor is Singulair®. For patients with hypertension seizure disorders, heart failure, I treat their asthma almost exclusively with DEXAMETHASONE since it is non-salt retaining.
2. ALBUTEROL (Maxair®; Proventil®; Ventolin®) is a selective ß-2-Adrenergic agonist with properties similar to those of TERBUTALINE (Brethine®). Terbutaline is commonly used to stop premature labor (tocolytic agent) and is readily available and can be used if ALBUTEROL is not available. The ß-2-agonist LEVALBUTEROL (XOPENEX HFA®) is available as brand only, is expensive, and, according to the Medical Letter, is not better than the inexpensive and short acting Albuterol. Students should know that the bronchial smooth muscle receptors are largely ß-2. ß-1 and Alpha-1-adrenergic receptors are found in heart and vascular smooth muscle.
3. Epinephrine is a nonselective ß-1, ß-2 and alpha-1 receptor agonist. For this reason, the more specific agonists, like Albuterol are preferred. Epinephrine's use, in saving an asthmatic, merits some mention. In status asthmaticus, the bronchial constriction can be so severe that the proper delivery of Albuterol to the targeted ß-2 receptors may be suboptimal. This week, September 19, 2007, I had to rescue an asthmatic seriously ill for the second time in a year. If I had performed an arterial blood gas, it would have probably revealed CO2 retention-an ominous finding.
In conclusion, 4,000 to 5,000 asthmatics die yearly in the United States. These are preventable deaths. No patient of mine has died under my care. Certain drugs are of little utility in the treatment of asthma, like Cromolyn sodium (Intal®). Cromolyn sodium, paradoxically, can cause bronchospasm (bronchoconstriction). I have not prescribed Theophylline to patients with asthma for over 15 years. Advair® (GlaxoSmithKline), for some reason, has been associated with laryngeal spasms and death. Immunotherapy is of little use, in my experience, but it is lucrative. Cats (via a hair protein) can cause severe asthma in susceptible patients. Before renting or buying a home, susceptible patients must investigate if the previous tenant had cats. Even after a cat owner moves, the cat allergen may be around the house for months.
Do antibiotics play a role? They often do. In my intense study of the subject, most middle ear infections are due to allergic rhinitis (hay fever). Bacterial pneumonia is a common complications associated with asthma (or sinusitis with aspiration).
I rarely recommend that asthmatics be monitored as tightly as are diabetics. There are many patients with mild asthma that never see a doctor. I ask my patients to first use the Albuterol inhaler, when symptomatic, and to wait 5 to 10 minutes before they use their corticosteroid inhaler.
My asthma patients have a three-day supply of Prednisone or Dexamethasone as well as Albuterol in case I am away, and they experience an asthma crisis. I encourage all asthmatics to discuss this topic with their doctors before an emergency develops.
Luis Lomeli MD/Beta
Auteur : LuisLomeliMD
Tags: Asthma Bronchitis Pregnancy Cortisone Albuterol Medical Emergency Antibiotic Diarrhea HPV Verruca Birth Luis Lomeli MD
| | Asthma Video Provided by Dustmitex.com - 477 sec
Excellent Video on Asthma.
Auteur : dougtube777
Tags:asthma
| | Histopathology Lung, lymph node --Asthma - 374 sec
Histopathology Lung, lymph node --Asthma
Auteur : WashingtonDeceit
Tags:Histopathology Lung lymph node Asthma
| | Asthma children - 48 sec
New product to help people with Asthma and allergies breathe and live more comfortably at home, work and school.
Auteur : doohickeycreative
Tags: asthma allergies cough breathe sick home health medicine HVAC air conditioner business visual arts physical engineering
| | Exercise and Asthma (Asthma #5) - 195 sec
No couch potatoes here! Even asthmatics can—and should—get moving. Here are some tips to make that easy, safe, and fun.
Auteur : illumistream
Tags: asthma exercise induced bronchi attack jackie joyner-kersee dennis rodman lung breathing inhaler advair medicine health
| | Vitamin A Sunglasses & Asthma - 380 sec
The first in a series of vitamin and supplement blurbs. This was created by individuals who actually care about the health and well-being of people, for the 21st Century.
This is about Vitamin A and its benefits.
You should always speak to your licensed practitioner before you start any vitamin/supplement regime.
Thanks to Lifestyle Markets & Natural Factors for allowing us to use their facilities and products.
Visit us at http://www.kensvitaminutes.com for more information.
Auteur : kensvitaminutes
Tags:kenneth ken peters vitamin kensvitaminutes A supplements health
| | Cats, Kids and Asthma - 96 sec
Are cats good at preventing asthma? That's the finding of scientists studying childhood allergies in houses with and without cats.
Auteur : sciencentral
Tags: asthma cats kids allergies childhood health
| | asthma wheezing (sound) - 117 sec
me wheezing having an asthma attack, lost my inhaler..went to ER afterwards...
Auteur : geekwahr
Tags: asthma wheezing ER
| | Raw food Diet and it help cures Asthma Interview - 165 sec
Rawfoodmedia.com Documentary on a women that has kids that have been eating raw food and it has cured their asthma (interview in Nov. 2006 New York City)
Auteur : ccciabarra
Tags:cured asthma raw food diet Documentary
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