Category Archives: Asthma

I lie and so do you

I was in my doctor’s office today (yes, I go to the doctor as well) and she asked me if I was taking my #medications.  Of course, I said “yes, the ones that are in my chart”, not really having that photogenic list in my head.  As we talked, I realized my confession of what my doctor wanted to hear got the priority over what I was really doing. Busted for lying, but not intentional.

I wish it wasn’t so difficult to take care of our bodies.  I always overestimate how much I #exercise and how little I eat.  Scales don’t lie, so I just don’t weigh myself.  Isn’t it a good thing I only see my dentist every 6 months? I only have to lie about flossing twice a year!

We all do this everyday--just kidding!
We all do this everyday–just kidding!

#Asthma, however, is no laughing matter. Your asthma control and cost of keeping you out of the hospital depends on how often you take the medications prescribed to CONTROL your asthma not just treat it. The solution is simple, yet very difficult to actually perform correctly.  Here’s the issue with asthma–which inhaler do I use when it’s prescribed by my asthma doctor?  I’ll bet you confuse the use of controller medications with reliever medications and now that more new inhalers are on the market it’s even more difficult to do the right thing.

Continue reading I lie and so do you

Drug Reps Will Give You Asthma

I know you’ve been there before….waiting in the doctor’s office for your appointment and some smartly dressed man or woman barely has to say hello to the receptionist and walks right by your seat, straight to the doctor’s office. “Hey, that’s not fair,” you say to yourself as you dig your nose into that outdated magazine trying to mask the irritation.  “My time is just as valuable as theirs is, put me to the front of the line!”  As a patient, my frustration with the #health care system only percolates at the injustice.  Isn’t the cost of #medication so high in America because of all the drug companies?  If there were no drug reps, wouldn’t my doctor have a better and certainly more unbiased selection of medications?  Granted, the goal of any #pharmaceutical company (employer of drug reps) is to make profit, but they can’t do that unless a product (medication) works well and is taken as directed.  In the end, drug companies want you to be adherent to medications prescribed so they’ll work, you get better, all of which is good for the bottom line.  Almost sounds too good to be true when everybody wins, but hang on and I’ll show you how this is possible. Continue reading Drug Reps Will Give You Asthma

First new dry powder inhaler for quick relief!

At first glance, I thought to myself, do we really need another quick acting inhaler?  As I thought about inhaler technique and how we use our Ventolin MDI’s, most of use suck on the end of the inhaler which is the wrong technique to use.  (all of the medication deposits on the back of the throat)  Why not use the appropriate inhaler that’s meant to actuate with your breath anyway?  ie, sucking on the inhaler is what you’re supposed to do!

Give the dry powder a try!
Give the dry powder a try!

Here’s the link to the article if interested–http://www.pharmatimes.com/Article/15-04-01/FDA_OK_for_Teva_s_acute_asthma_inhaler.aspx

Is Milk Allergy Desensitization Ready for Prime Time?

This article is in press and will be published in Annals from the College of Allergy, Asthma, and Immunology next month.  I thought the study is very interesting given the “push” for oral desensitization.  I just returned from the AAAAI annual meeting and it appears that patients with food allergy can become “desensitized” or cured, however, that comes with a cost of potential anaphylaxis during treatment.  Think of it like the use of allergy shots which are very effective, but you can develop anaphylaxis after an allergy shot that will need additional treatment such as epinephrine.  The question I have is, “should this therapy with foods be used at home where parents and patients don’t know much about giving epi?” 

milk

Here’s the summary–>Asthma patients are at risk for more severe reactions and less likely to reach full desensitization during milk oral immunotherapy, according to a study in Annals of Allergy, Asthma and Immunology. Researchers in Israel studied 194 subjects 6 years and older with IgE-mediated cow’s milk allergy, with and without asthma, undergoing milk oral immunotherapy. Regardless of severity, subjects with asthma had more reactions and injectable epinephrine use during induction, and more home treatments with immunotherapy. Moderate to severe asthma also was associated with a lower likelihood of reaching full desensitization

I inhale animals

We all know the cost and hassle of taking care of asthma, especially for children.  And yes, we’ve tried many different methods to get kids to use their inhalers at all, much less to get them to use their inhalers correctly.

AT least it's fun for kids!
AT least it’s fun for kids!

http://www.indiegogo.com/projects/funhaler-mdi-asthma-inhaler-case-for-children-prototype

Dealing with Problems by Self-Medicating

lynnawiensmd:

Couldn’t say it better for allergy & asthma meds!

Originally posted on 123MyMD:

Dealing with Problems by Self-Medicating

How many of us try to self-medicate ourselves. We might do it with alcohol; we might do it with drugs; we may do it with over-the-counter medications; we may do it with caffeine. All sorts of things are used to self-medicate. What you have to look at is what problem are you dealing with, and how are you trying to handle it? Self-medication is not a bad thing if you’re taking a cough medicine for a cold. But if you’re trying to grapple with something that’s beyond your skill, you need to get help. That’s why it’s important to see a doctor and get that advice.

For more information, please go to http://www.123MyMD.com.

View original

Running with asthma

lynnawiensmd:

Keep up the good work! No excuse for not exercising.

Originally posted on lissyruns:

I’ve had asthma for as long as I can remember. I can also remember as a child being told that it was likely that I’d just ‘grow out of it’. But I got older and older, and now here I am at 26, still an asthmatic.

Like most people, I have certain triggers that make asthma worse. The biggest trigger I have is cold weather. Asthma is a major problem for me in winter – the cold air coupled with spending more time indoors with central heating on full blast plays havoc with my ability to breathe comfortably. 

It makes training so much harder – the running in general is harder, with inhaler breaks mid run. Harder runs in turn lead to dreading runs, which in turn leads to missed runs. It’s a vicious cycle.

I remember once being at a BBQ, and getting out and using my inhaler. Bemused…

View original 522 more words

Is it legal to buy drugs online or import them from another country?

lynnawiensmd:

Many asthma patients will inquire about this for cheaper inhalers. Good article.

Originally posted on PharmacistAnswers:

Is It Legal To Buy Drugs Online Or From Outside Of The United States?

     ​Consumers always want to find the best price to purchase their goods and medications are no different. The drugs that treat our many illnesses and disease states can help us lead healthier and better lives, but they can also come at an enormous cost. We now live in a digital age, where many of our purchases that once took place in brick and mortar stores, now take place online. There has always been a sort of stigma regarding online pharmacies. Are their prices too good to be true? Are they safe? Will you get the same medication online as the medication that is at your CVS down the street? The big questions though are those concerned with the legality of it all. There are two legal questions that people always want answered. The first is if it is even legal to buy drugs online. The second is, if it is legal to buy drugs online, can…

View original 842 more words

Asthma Triggers!

lynnawiensmd:

Ah yes! Triggers are what make asthma so unpredictable.

Originally posted on More Than A Mom:

If you have asthma, certain things can cause you to have an asthma attack. These triggers include things like cigarette smoke, pollen or air pollution, cold air, mold, animals, and dust. To help control your asthma, stay clear of these triggers.

Also, learn how to spot the early signs of an asthma attack. When you know the signs, you can stay in control. Early signs can be different for each person, but here are common ones:
A long lasting cough
Chest tightness or discomfort
Becoming out of breath more easily than usual
Coughing
Frequent clearing of the throat
Wheezing
Stuffy nose

A written asthma action plan spells out how to use your drugs. If you don’t have a written asthma action plan, ask your doctor for one.

Remember: If you don’t have a written asthma action plan, ask your doctor for one.

If you have a certain topic or question…

View original 37 more words

Bronchial thermoplasty: Long-term safety and effectiveness in patients with severe persistent asthma

The research is now there for use of bronchial thermoplasty.  What is this procedure?

We have this procedure available here in Tulsa at St Francis hospital.  Do patients like it?

For the study in this month’s JACI that summarizes the beneficial effects of bronchial thermoplasty, click on the link below:

Bronchial thermoplasty: Long-term safety and effectiveness in patients with severe persistent asthma.