 |
|
|
|
|
March 16th, 2011
10:30 AM ET
What should I expect after COPD diagnosis?Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the American Cancer Society. Question asked by Pamela of Nashville, Tennessee: I just learned that I have chronic obstructive pulmonary disease (COPD) and emphysema. Can you tell me about it and what the prognosis is? I also have coronary artery disease and have had stents placed. Expert answer: Dear Pamela, Chronic obstructive pulmonary disease, or COPD, is a disease that truly negatively affects quality of life. Patients with COPD are prone to asthma-like wheezing, breathlessness, chest tightness and coughing that can occur in episodes caused by chromic inflammation. They're also prone to viral and bacterial infections. It is the fourth most common cause of death in the United States, killing an estimated 120,000 people each year. While COPD is most noted for episodes of shortness of breath and wheezing, the disease is typically slowly progressive and persistent. Medical treatment can be successful in relieving symptoms and reducing the severity of exacerbations. Treatment is with inhaled bronchodilators, steroids to reduce inflammation and other oral medications. Breathing problems? Check them with this test Early diagnosis and good treatment are important as they can reduce the number and severity of exacerbations and prolong survival. Some people can live with this condition for several decades. More than 80% of patients with COPD have a history of cigarette smoking. A few patients have it because of chemical inhalation exposure. Most are overweight or obese. Weight loss can also occur in severe COPD and is a sign of severe disease with a poor prognosis. At one time, we distinguished different types of COPD, emphysema and chronic bronchitis. All patients with COPD have an element of each, although one component will usually predominate in the individual patient. Chronic bronchitis is defined by a chronic cough that produces sputum. Emphysema is defined by enlargement and destruction of the airspaces in the lung. When the physician examines a patient with very severe COPD one finds decreased breath sounds, wheezes, crackles at the lungs, and distant heart sounds. The patient's diaphragm in limited in movement, meaning the patient cannot take in deep breaths. In extremely severe disease, the chest size is increased. Patients lean forward to use all the muscles of the chest and neck to bring air in. COPD can progress to cause heart failure, as the right side of the heart cannot pump blood into the damaged lungs. Could your job be hurting your lungs? Physicians use pulmonary function tests to assess the severity of COPD. These are tests to measure how fast it take a patient to fully exhale air, how much air he can exhale in one second, how much air he can inhale. X-ray and especially CT scans can also be used to assess damage to the lungs. The arterial blood gases are a series of blood tests to determine how much oxygen and carbon dioxide is in the blood. As the disease worsens oxygenation goes down and carbon dioxide levels rise. Blood gas abnormalities acutely worsen during COPD exacerbations and often worsen during exercise and sleep. Because most patients have a significant smoking history, most patients have many of the other illnesses associated with smoking, especially cardiovascular disease. These patients also have high risk for smoking related malignancies. Unfortunately, poor lung function often interferes with or prevents treatment of the other diseases.
soundoff (2,933 Responses)« Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 Next »Leave a Reply to Agencia de carga internacional
« Previous entryWhat you should know about radiation
|
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
Hi there! I could have sworn I've been to this website before but after checking through some of the post I realized it's new to me. Anyhow, I'm definitely glad I found it and I'll be bookmarking and checking back frequently!|
https://www.pinterest.com/dreieroffersen/
I know this web site provides quality based articles or reviews and additional material, is there any other website which offers these things in quality?|
http://www.authorstream.com/mcgee24mcqueen/
Hello colleagues, how is everything, and what you would like to say about this article, in my view its really awesome in favor of me.|
http://www.jessicaferrari.it/index.php?option=com_k2&view=itemlist&task=user&id=2039455
I do not know if it's just me or if perhaps everybody else encountering issues with your site. It looks like some of the text within your content are running off the screen. Can somebody else please comment and let me know if this is happening to them as well? This might be a problem with my web browser because I've had this happen before. Thank you|
http://saskatoon.cs.rit.edu:10001/dencker11sherrill
Thank you for some other informative web site. Where else could I get that type of information written in such a perfect approach? I've a undertaking that I'm simply now running on, and I've been on the glance out for such information.|
https://myconnectcorner.com/members/lancaster44ball/activity/140285/
First of all I would like to say superb blog! I had a quick question in which I'd like to ask if you don't mind. I was interested to know how you center yourself and clear your mind prior to writing. I have had a hard time clearing my thoughts in getting my thoughts out. I truly do take pleasure in writing however it just seems like the first 10 to 15 minutes tend to be lost just trying to figure out how to begin. Any ideas or hints? Appreciate it!|
http://saskatoon.cs.rit.edu:10001/wittmann4
WOW just what I was looking for. Came here by searching for meta_keyword|
http://bioimagingcore.be/q2a/index.php?qa=user&qa_1=husummays1
I'm curious to find out what blog system you happen to be using? I'm experiencing some small security problems with my latest blog and I would like to find something more safeguarded. Do you have any recommendations?|
http://www.sicipiscine.it/index.php?option=com_k2&view=itemlist&task=user&id=1199640
Wonderful beat ! I would like to apprentice whilst you amend your web site, how could i subscribe for a blog site? The account helped me a appropriate deal. I have been tiny bit acquainted of this your broadcast provided shiny transparent idea|
http://qa.pandora-2.com/index.php?qa=user&qa_1=dencker93henderson
I must thank you for the efforts you've put in writing this blog. I really hope to view the same high-grade blog posts by you in the future as well. In fact, your creative writing abilities has encouraged me to get my very own website now ;)|
http://armor-team.com/members/hurios9/activity/2566571/
I am actually grateful to the owner of this site who has shared this impressive paragraph at here.|
https://mccollumhelms86.wordpress.com/2021/04/05/easy-forex-money-or-fail-why-most-fail-noticable-money-with-forex-trading/
Very good article. I definitely appreciate this site. Thanks!|
http://www.docspal.com/viewer?id=rgefpixg-18177266
Greetings! Very useful advice within this post! It is the little changes which will make the largest changes. Thanks for sharing!|
https://intensedebate.com/people/lindsayhvii
Fantastic goods from you, man. I have take into accout your stuff prior to and you are simply too magnificent. I really like what you've received right here, certainly like what you are saying and the best way through which you say it. You are making it entertaining and you continue to take care of to stay it sensible. I can not wait to learn much more from you. This is really a great site.|
https://www.pinterest.com/wolffalexandersen/
Thank you for the good writeup. It in fact was a amusement account it. Look advanced to far added agreeable from you! By the way, how can we communicate?|
http://q2a.sydt.com.tw/index.php?qa=user&qa_1=daugaarddaugaard5
Hi, this weekend is fastidious designed for me, because this time i am reading this great informative piece of writing here at my residence.|
https://www.allrecipes.com/cook/29374049/
Hey there I am so happy I found your weblog, I really found you by mistake, while I was searching on Askjeeve for something else, Anyhow I am here now and would just like to say thank you for a fantastic post and a all round interesting blog (I also love the theme/design), I don't have time to look over it all at the moment but I have book-marked it and also added your RSS feeds, so when I have time I will be back to read a great deal more, Please do keep up the great job.|
https://www.victoriaeducation.co.uk/members/anthonybitsch6/activity/448641/
Truly when someone doesn't know then its up to other users that they will help, so here it happens.|
https://www.datafilehost.com/d/87098544
I am really enjoying the theme/design of your web site. Do you ever run into any web browser compatibility issues? A few of my blog readers have complained about my blog not operating correctly in Explorer but looks great in Safari. Do you have any solutions to help fix this problem?|
https://www.retrogamersclub.com/members/meredithmeredith12/activity/330557/
Hello, its nice post about media print, we all be aware of media is a enormous source of data.|
https://www.allrecipes.com/cook/29380837/
This is the perfect blog for everyone who wishes to find out about this topic. You realize a whole lot its almost tough to argue with you (not that I actually would want to…HaHa). You certainly put a new spin on a topic which has been written about for a long time. Great stuff, just wonderful!|
http://www.casaberabbtrani.it/index.php?option=com_k2&view=itemlist&task=user&id=1542365
Having read this I believed it was really informative. I appreciate you taking the time and energy to put this content together. I once again find myself personally spending way too much time both reading and posting comments. But so what, it was still worth it!|
https://articlescad.com/where-will-your-business-be-in-30-time-1115259.html
best essay writing services community service essay outline louisiana purchase essay thesis bank service quality thesis
Great post! We will be linking to this great post on our site. Keep up the great writing.|
https://bom.to/ZniupvoTrx57s
Saved as a favorite, I like your web site!|
http://pureaffair.com/members/sanderskrogsgaard14/activity/299066/
My brother recommended I might like this website. He was totally right. This post actually made my day. You cann't imagine simply how much time I had spent for this information! Thanks!|
http://www.astro.wisc.edu/?URL=theactiongames.co/valkyria-chronicles-crack/
Attractive section of content. I just stumbled upon your web site and in accession capital to assert that I acquire actually enjoyed account your blog posts. Anyway I will be subscribing to your augment or even I success you get admission to persistently quickly.|
https://www.retrogamersclub.com/members/clarke79slot/activity/330529/
I am extremely impressed with your writing talents as smartly as with the layout to your blog. Is this a paid theme or did you modify it yourself? Anyway stay up the nice high quality writing, it's rare to see a great weblog like this one today..|
http://www.canavit.co/website/index.php?option=com_k2&view=itemlist&task=user&id=354154
dbq essay on louisiana purchase a2 law essay help pay for someone to write my essay research paper on service recovery
Hi, I do think this is a great site. I stumbledupon it 😉 I am going
to return once again since i have bookmarked it.
Money and freedom is the best way to change, may you be rich and continue to guide others.
buy avanafil canada avana india
combigan uk combigan eye drops
I visit daily some websites and blogs to read articles, but this weblog offers feature based posts.|
https://educmy.com/members/godwinroberson6/activity/99240/
hello!,I like your writing so so much! percentage we be in contact more approximately your post on AOL? I need an expert on this area to resolve my problem. May be that is you! Taking a look forward to see you. |
https://lynnemctaggart.com/forum/members/skaaningsanders70/activity/619115/
Hello there! This is my first visit to your blog! We are a team of volunteers and starting a new project in a community in the same niche. Your blog provided us useful information to work on. You have done a extraordinary job!|
https://checkpointforarts.com/members/agerskovkoenig40/activity/296952/
It's the best time to make some plans for the future and it is time to be happy. I have read this post and if I could I desire to suggest you few interesting things or advice. Perhaps you can write next articles referring to this article. I desire to read even more things about it!|
https://articlescad.com/easy-using-tobacco-theres-help-here-1111050.html
I am truly thankful to the owner of this site who has shared this enormous article at at this time.|
https://www.nyticketdeals.com/members/funchmeredith71/activity/128431/
Whats up this is kind of of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I'm starting a blog soon but have no coding experience so I wanted to get guidance from someone with experience. Any help would be enormously appreciated!|
http://www.authorstream.com/krogsgaardskovsgaard40/
Quality content is the secret to interest the users to pay a visit the web page, that's what this website is providing.|
http://sc.devb.gov.hk/TuniS/crackgameszip.co/observation-hoodlum-crack/
fantastic submit, very informative. I wonder why the other experts of this sector do not realize this. You must continue your writing. I'm confident, you've a great readers' base already!|
http://www.agribazaar.co/index.php?page=item&action=item_add
Wow, incredible blog layout! How long have you been blogging for? you make blogging look easy. The overall look of your site is great, as well as the content!|
https://www.ted.com/profile
{
http://pandora.nla.gov.au/external.html?link=https://crackgameszip.co/brigador-up-armored-edition-crack/
Good day! I could have sworn I've visited this blog before but after going through a few of the articles I realized it's new to me. Regardless, I'm definitely delighted I discovered it and I'll be book-marking it and checking back regularly!|
http://www.sicipiscine.it/index.php?option=com_k2&view=itemlist&task=user&id=1199643
You really make it seem so easy with your presentation but I find this matter to be really something that I think I would never understand. It seems too complicated and extremely broad for me. I am looking forward for your next post, I will try to get the hang of it!|
http://abroadsanjal.com/index.php?qa=user&qa_1=tang16finley
brimonidine generic brimonidine tartrate
combigan uk buy generic brimonidine
Thanks on your marvelous posting! I truly enjoyed reading it, you're a great author.I will make sure to bookmark your blog and will often come back very soon. I want to encourage you to continue your great writing, have a nice afternoon!|
http://www.teknallsnc.com/index.php?option=com_k2&view=itemlist&task=user&id=2035533
After I originally commented I seem to have clicked on the -Notify me when new comments are added- checkbox and from now on each time a comment is added I recieve four emails with the same comment. Perhaps there is a way you are able to remove me from that service? Thanks!|
http://bezvoprosa.ru/index.php?qa=user&qa_1=rao44mccall
hello there and thank you for your information – I have certainly picked up anything new from right here. I did however expertise some technical issues using this site, since I experienced to reload the website many times previous to I could get it to load correctly. I had been wondering if your web host is OK? Not that I'm complaining, but sluggish loading instances times will sometimes affect your placement in google and can damage your high quality score if ads and marketing with Adwords. Anyway I'm adding this RSS to my e-mail and can look out for much more of your respective fascinating content. Make sure you update this again soon.|
http://jvs.edu.vn/index.php?option=com_k2&view=itemlist&task=user&id=899344
I will immediately grasp your rss as I can't to find your email subscription link or newsletter service. Do you've any? Kindly allow me understand so that I may subscribe. Thanks.|
https://mydesignedlife.net/members/thestrup41thestrup/activity/74749/