Tag: Wheeze

  • 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 “Hey, that’s not fair,” you say to yourself as you dig your nose into that outdated…

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

  • Health: Asthma Misdiagnosis Is Common

    Don’t think you have asthma….try the following: 1. Reflux can mimic symptoms of asthma with cough & wheeze 2. You might need a Aridol challenge test to be sure. 3. Don’t forget about sinus infection which can mimic coughing. 4. Make sure you’ve performed lung function! (PFTs) 5. Vocal Cord Dysfunction can sneak in as…

  • 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…

  • Steroids in Young Children–too Much of a Good Thing?

     Intermittent budesonide therapy for children with recurrent wheezing  Here’s the issue:  my doctor prescribes budesonide (or Pulmicort™) for my child’s asthma and tells me to use it EVERYDAY.  Is this really necessary?  Conventional wisdom says to use inhaled steroids or anti-inflammatory medications for asthma everyday or they don’t work well.  That attitude may now be…

  • The More Ya Know, the Less Ya Know!

    I have just returned from the Annual Meeting of the American College of Allergy, Asthma, and Immunology held in Boston from Nov 3-8.  Sure the meeting was good, but the food was even better.  Consider the oldest “active” restaurant in America, Union Oyster House–the stew was delightful and if you’re bored with allergies, peruse the…

  • If it’s not Asthma, what is it?

    As physicians, we have the unpleasant task of learning the differential diagnosis for the diseases we treat.  Patients don’t understand it, I have unpleasant memories of using it during rounds as an intern, but this exercise can be helpful for patient care and will keep us out of trouble!  Not everything that wheezes is asthma–what…