Tag: Asthma
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The More You Know, the Less You Know
The practice of medicine is just that….I advise the recommended treatment based on the information available at the time. If I look back to the time during my fellowship in the early 90’s, much of what we thought was true and now 20 years later, been disproven. As an example, the following study from a respected…
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I usually don’t trash talk, but….
You should be concerned about the effects of asthma medication on the developing fetus; fortunately, birth defects are rare and often overstated, but you always have to maintain vigilance for new developments. Why the concern about atresia? Maternal Asthma Medication Use May Cause Certain Birth Defects Approximately 4% to 12% of pregnant women…
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Ouch! my tonsils are hurting me!
All that wheezes isn’t asthma! Ever heard that before? A common finding in our clinic is “wheezing” or difficulty breathing not due to asthma, but as a result of large tonsils/adenoids. A typical history is as follows: Snoring at night He wheezes–(it’s not really wheezing, but loud noises coming from the lungs is often labeled…
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Usefulness of Omalizumab for treatment of asthma
Insurance is now a part of our lives, especially health care providers. Expensive medications such as omalizumab (Xolair™) are rarely approved for use unless patients and physicians complete an extensive application for benefits. Here is a list of medical articles that support the use of Omalizumab in the treatment of asthma: 1. Storms, W, et al. …
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Obesity is not a simple fix!
The patient with asthma has special challenges besides learning which inhaler to use at the right time. Obesity makes asthma worse and asthma is a risk factor for obesity. Which came first, the chicken or the egg? Treating obesity will require multiple concurrent strategies….there is no one size fits all! http://www.usatoday.com/news/health/wellness/story/2012-05-09/obesity-epidemic-strategies/54813912/1
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Obesity & Asthma
We are getting used to “pills” to treat obesity. It’s still diet and exercise, but this is an interesting report. Obesity & Asthma–USA Today
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To Use or Not To Use FeNO (exhaled nitric oxide)
Whether exhaled NO helps to identify a specific phenotype of asthmatic patients remains debated. Not everyone would agree with Dr. Boggs in this video–what do you think? In conclusion, FENO0.05 is independently linked to two pathophysiological characteristics of asthma (ICS-dependant inflammation and bronchomotor tone) but does not help to identify a clinically relevant phenotype of asthmatic…
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Complementary medicine to treat Asthma?
I have a story for you….but first, “traditional” medicine is trying very hard to work with other methods for treating asthma. The web page below reviews treatment of asthma using something other than “inhalers“. Now on to the story…. I am a member of the Complementary Medicine Committee of the American Academy of Allergy, Asthma,…
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Maybe this checklist would work for Asthma?
Checklist for hospital discharge
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Breathing Retraining in Asthma Management–I told you so!
Many asthma patients or patients who can’t breathe are found to have problems with their breathing technique. In medical terms, I use Vocal Cord Dysfunction, Spasmodic Dysphonia, Irritable Larnyx Syndrome just to name a few. Some health care providers, including doctors, aren’t always familiar with the concept that vocal cord problems can cause difficulty breathing,…
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