Emphysema - COPD - Pulmonary Medicine
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- čas přidán 28. 06. 2024
- Chronic Obstructive Pulmonary Disease (COPD)- Asthma, Chronic bronchitis, emphysema, bronchiectasis.
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Nursing student here, your videos are amazing & really makes me understand these diseases on a deeper level. Definitely helps stick in my brain! Subbed!
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فيديو كثيييييير حلو أنقذني يوم الامتحان وشكراً اللك
i like how you explain everything in a very simple way ..
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First time to understand pulmonology for more than ten years😂
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Take care!
I am a conundrum for pulmonologist. Emphysema diagnosed after sudden short rss of breath of a life long athletic enthusiast and strict non smoker. My mother had COPD diagnosed very late in life as life long nonsmoker but couch potato. and obese diabetic as well. I tested negative for Alpha one and Dr is resubmitting test . I have very poor spirometry results at around 30% after taking multiple inhalers daily. I began at 20% and focused more on gastric reflux , and asthma a couple of years ago . My reflux improved but not perfect altho I stopped PPIs over a year ago due to noticeable side effects . This all began suddenly with menopause as well. I cannot believe what has happened to me and its highly depressing as well as unbelievable . I have gained almost 20 lbs ONLY in midsection even though I continue to exercise as much as I can . I luckily was very slim and tall so its not horrid . It all is very depressing really.
Oh, Btw , my cat scan was the tell all of my present diagnosis .... read as severe pulmonary emphysema and then it all came together one year ago.
So I guess after presenting as the epitome of health all of my prior life I must accept early death and suffering like a careless lazy patient - so not fair !
Also I take Bio identical hormones and it hasn’t helped much except extreme symptoms . I guess I am screwed as they say ... Well I am pissed off at God bc he is very unfair . The God of the Old Testament is harsh, judgemental, and required blood sacrifices - so I only believe in the purity and love of Jesus ... HIS TRUE FATHER IS ABOVE HUMAN COMPREHENSION . Maybe I will have his blessing one day because I never deserved this
Earlier Last year I was diagnosed with emphysema in 2019 and I have tried everything I could to heal myself, but it was all to no avail, until I saw a post on a health forum this herbalist through his email and he prepared me a herbal cure for emphysema and sent it to me via the delivery service of UPS from the company, when I received this herbal cure. They gave me step by step instructions on how to apply it, when I applied it according to the instructions I was totally cured of this deadly disease within 5 months of use, I am nowemphysema free, all thanks to Dr. Timothy You can also contact this great herbalist for help by email: timothydouglas3612@gmail.com or contact Dr. Timothy through his whatsapp number: +1(239) 977-4390 He is also specialize in treating all kinds of diseases, VIRUS HERPES , HEPATITIS B, CANCER, BRAIN DISEASE, INFERTILITY, DIABETES EPILEPSY AND MORE ...... He will also be of help to you
Amazing teaching quality....huge respect
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Respect for your knowledge and sarcastic medical education.. From Pakistan 💗
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Salam ou alaykom bro, thanks for the lectures. As a medical student it helps me soo much, because my professor is bad at giving explaining this. Jzk. greetings from the netherlands
Your teaching skills are best💚💚💚💚
Fun lecture you can remember ، thank you sir ❄❄🌸
Thanks Doc for all the videos! Cheers from India!🧡
Love ❤️ to the people of India 🇮🇳
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3aash ya basha 😁
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I m nursing student and this is very useful for me to understand the topic 😊
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عجبتني ف اول الفيديو والحكم بتاعتك ولما عرفت انك كنت ف مصر اتصدمت اكتر😂
شرح جميل جدا والله❤
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Love you bro , your videos saved my sphincter a lot of times . Shukran keter
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Consider me your virtual teacher :)
@@MedicosisPerfectionalis Yess of course, that's what I'm doing! 😊
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are there any resources that have same of you information? I got confused because I have seen websites with opposite info
I use Goljan, Medstudy, Harrison’s and Davidson’s!
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I think I'll be forever entertained (and educated ofcourse , doofus) by your mimicry of the prolonged expiration xD. Thank you for all your wonderful wonderful videos ❤
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Urgh……eeeeeeeeeeereererhhh lol
I found alpha-1 antitrypsin deficiency is an autosomal recessive condition in a textbook.
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Thank you so much! How does emphysema affect the total deadspace and the TV?
Increases dead space.
Tidal volume may be normal or decreased.
Medicosis Perfectionalis Thanks!
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Can you please help me by sharing?
Of course sir u r the best😊
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"It's protein baby!"🤣🤣🤣
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YOU KNOW happy New Years ago
But why does the immune response elicited via cigarette smoking result in the destruction of elastin intra-alveolus? Why is the immune system producing additional proteases? Does it believe that the infiltration of smoke is a pathogen that requires proteases to break down and dispel, and a by-product of this is the breakdown of elastin within the alveoli?
OMG you are Egyptian !
Really 😂
So proud of u man
Thank you so much 😊
بما انك مصرى فنتكلم عربى
عظمة يسطا يا ريت تستمر
😂😂
@@MedicosisPerfectionalis اشرح باثو بقا عشان معذبنا
greetings from EGYPT
Hello 👋
You are smar buddy...i making cute simple smart notes thank you
Thank you so much 😊
Hi! Thank you for your videos. Could you explain why someone with emphysema wouldn't have respiratory acidosis? I thought that since they are hanging on to PCO2 that they will be in acidosis. Thank you!
Early on: they are hyperventilating,
But later: hypoventilation leading to respiratory acidosis.
Hope it helps!
Yes that does help! Thank you. ☺️
@@MedicosisPerfectionaliscan u expalin respiratory acidosis and hyperventilation
Why do ephysema patients can breath out Co2 and why cant bronchitis patient cannot in initial phase ? When both are obstructive disease
Tnx
My pleasure 😇
A1AT is autosomal recessive🤔
But you dont have the egyptian accent! This is even more amazing than your lessons :p
Hahaha 😂
Mohammad AbuZer is he Egyptian ?
Yes
The newest and most effective COPD therapy from Germany: vital-air-therapy.com
Ralf Oxygen. Oxygen replacement therapy is used in the step 4 only because it’s cost
"it's a protein baby"
Indeed
I don't have a good day and the environment in the psych ward as we are in the second video lol I'm driving home now
Isn't it autosomal recessive?
It's autosomal recessive
Thank you so much 💞 so this will cause a heart attack ?
Is there a treatment ? Is it inevitably worsen overtime ?
Smoking cessation,
Some inhalers,
Roflumilast.
Can u help me please ? If the alveoli filled with air so gas exchange will occurs correctly and no hypoxia but later on the alveoli will be destroyed and further on no gas exchange am i right? Destroyed by what?
U mean the alveoli will collapse ?
A bit much info.. but useful for clinic and thank you for explaining.
Thank you!
@ 18.15 slight problem with DLCO
U said it wrongly
What was the mistake?
Oh my darling your video is wonderful... please please slow your tempo :)
Ok 👍
Can getting blood due to outside sources (for example a bleeding tooth and its blood gets in while sleeping) induce emphysema?
No.
If you have evidence of otherwise, please let me know!
Good luck to you!
as for saying ' if you are a hammer, everything to you looks like a nail"🤣🤣🤣
:)
Done
Does the trapped air get resorped?
Yes, and more air comes in to get trapped.
At 7:12 u said air trapping causes acidosis. and at 17:34 you wrote emphysema causes respiratory alkalosis.
So finally does emphysema causes acidosis and alkalosis?
Im confused now.
And if there is so much air trapping, why does hypoxemia occur?
On the slide at 17:24 you said hypoxemia is because it takes time to destroy the respiratory unit. what does that mean?
Please clarify. Thank you. I'm depending on your videos to learn. Please help me. Thank u!!
Can i know the name of the speaker? you are simply awesome.
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My name is a secret 🤫
Gave thumbs up for the rubber band idea !!!!! 😌😂😂😂😂
Haha 😂
Thank you so much 😊
Can the half-finished lungs recover back
What do you mean?
Can someone explain to me? : emphysema pt are grandpa's socks --> alveoli cannot recoil --> retains air, air stacks on air ---> cannot blow off air --> sounds like they cannot blow off co2 to me --> sounds like co2 accumulates to me ---> sounds like resp. acidosis to me. --------why do they have low PaCO2 after all?????
found this from GOOGLE. Need an explanation. Still confusing.. "In the mild and moderate stages, the PaO2 and the PaCO2 measurements may remain normal or, while the PaO2 stays normal, the PaCO2 can be decreased (respiratory alkalosis). In the moderately severe and severe forms of emphysema, the patient is likely to be hypoxemic and hypercarbic (respiratory acidosis)."
Due to severe action of respiratory muscles
egypt
A1AD is Aut.Recessive !
Co-dominant
...will i ever breathe normally again after abstinance (from cigarette)
and treatment?...
I don’t know your specific case, but I think your overall health should improve tremendously.
@@MedicosisPerfectionalis
...thanks for responding...i do feel a whole lot better already...(altho is only day 5)...
👍
A1AT deficiency:-If its an autosomal dominant disease how MZ has zero risk factor
where are you from egypt 😂. amazing anyway
It’s a secret 🤫
@@MedicosisPerfectionalis Yes you are amazing, man, mashAllah.Let me bet, you come from the Asian part of Egypt. This is where the most intelligent Egyptian people come from, this is just my hypothesis :)
What’s the “Asian part of Egypt”? I've never heard of it 😲
@@MedicosisPerfectionalis It is the Sinai Peninsula, man. 60,000 km² or 6% of Egypt´s area and it is geographically a part of Asia.
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