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ADVANCE Perspective: Respiratory Views

Preventive Care Needed in Treating COPD Patients

Published June 16, 2010 4:49 PM by Vern Enge
Although chronic obstructive pulmonary disease (COPD) is highly preventable, it still claims more than 119,000 deaths every year in the U.S. and is on track to move from the fourth leading cause of death today to the third leading cause within 10 years

 Those stats can change, of course, if new strategies for treating and preventing COPD can be devised. Time is of the essence here, because we currently have 12 million known COPDers in this country and another estimated 12 million who have the disease and don't know it.

Especially important in the treatment mode is dealing with patients with exacerbations. Of interest to caregivers is the fact the most commonly detected trigger for exacerbations is airway infection caused by viruses or bacteria, according to Tom Wilkinson and J.A. Wedzicha in an article in the International Journal of COPD.

Recognizing the importance of treating the disease well is evidenced by the sobering statistic that the survival rate of patients hospitalized with acute exacerbation of COPD is not good, with 50 percent of the patients dying within three years, according to Medical News Today.

Patients hospitalized with COPD do better when the receive antibiotics without delay, according to researcher Michael B. Rothberg, MD, of Baystate Medical Center, Springfield, Mass.

This is not to say all patients will benefit from antibiotics, he added. "At present, we think that only about half of COPD exacerbations are caused by infection, so probably only half of patients can benefit from this therapy. The problem is that we don't know which half."

Researchers in his study looked at the outcomes of 85,000 patients in 413 hospitals in the U.S. from January 2006 to December 2007 and found 79 percent of the patients received antibiotics for at least two days.

Fewer of the patients started on antibiotic therapy in the first two days needed to be placed on a ventilator or died.

While antibiotics can be used to treat bacterial infections, viral infections require options like pneumonia or flu shots. It's not easy to separate one infection from the other without extensive lab tests.

Some clues to a patient's condition might be found easily, according to a study by Robert A. Stockley, MD, of the University of Birmingham, published in an article in Pulmonary Reviews.Com.

His research in Birmingham, England, found it is possible to tell which COPD patients have a respiratory infection requiring an antibiotic just by looking at the color of the patient's sputum.

Green or yellow indicates an infection is probably present, he explained. White or clear sputum suggests the patient does not have a bacterial infection. The two organisms most often found in the study were were Haemophilus influenzae and H. parainfluenzae.

Based on his findings, he recommended the use of antibiotics with acute COPD exacerbations for those with green or yellow sputum.

He noted the sputum colors can be used by patients themselves to self-monitor their conditions at home during follow-up therapy.

In light of exacerbation prevention, it is important to look at some of the variables involved in long-term care. Modifiable risk factors include: active smoking, low rates of involvement in rehab programs, inappropriate use of oxygen therapy, and poor inhaler technique. Improvements in any area spell positive results.

It is important to consider COPD exacerbations are expensive and may signal the individual is at risk for further exacerbations, noted Wilkinson and Wedzicha.

An ounce of prevention is still worth a pound of cure in the COPD arena. We urgently need to change the prevailing attitude that COPD is a hopeless condition with limited options, according to Alfred Loh, MD, chief executive of the World Organization of Family Doctors.

posted by Vern Enge
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16 comments

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Paul Cynthia May 13, 2019 9:58 PM

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atlanta GA

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u s a TX

(EMPHYSEMA/COPD SUCCESS TREATMENT: My story)

I'm from Nebraska USA, I was diagnosed with Emphysema in July of 2009. I may have had it for 6 months to 1 year prior to diagnosis. It started with a dry cough, shortness of breath, and fatigue. A chest x-ray confirmed it and I was placed on corticosteroids. As the disease progressed all medication stopped working, i was introduced to NewLife herbal clinic who have successful herbal treatment to Emphysema and other lungs related diseases. I spoke to few people who used the treatment here in USA and they all gave positive responses, so i immediately purchased the emphysema herbal remedy and commenced usage, i used the herbal supplement for only 7 weeks, all symptoms were reversed, herbs are truly gift from God. contact this herbal clinic via their email (newlifeherbalclinic @ gmail. com or visit www. newlifeherbalclinic. weebly. com)

jessica fraser March 7, 2017 11:25 PM

I smoked for 20 years, October 2014 i was diagnosed of Emphysema  I may have had it for 6 months to 1 year prior to diagnosis. It started with a dry cough, shortness of breath, and fatigue. A chest x-ray confirmed it and I was placed on corticosteroids. my doctor told me there is no permanent cure for the disease, i was given bronchodilators to help me relax my bronchiolar muscles, I managed on with the disease till a friend told me about a herbal clinic from johannesburg who sell herbal medicines to cure all kind of lung related diseases including emphysema, I spoke to few people who used the treatment here in USA and they all gave positive responses I contacted this herbal clinic via there email and made purchase of the emphysema herbal medicine, i received the herbal medicine through DHL within 5 days, when i received the herbal medicine i applied it as prescribed and was totally cured of emphysema within 7 weeks of usage, the symptoms reduced till i even forgot i had emphysema, i went back to my doctor for diagnosis with spirometry and he confirmed i was free from the disease, contact this herbal clinic via there email healthherbalclinic@gmail.com or website on www.healthherbalclinic.weebly.com

Louise March 5, 2017 8:05 PM

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luara January 20, 2017 6:50 PM
usa

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I did promised i will post my experience as many forums as possible if i am cured

alexes hayden January 2, 2017 10:53 AM

MUST READ: HOW I GOT CURED FROM CHRONIC OBSTRUCTIVE PULMONARY DISEASE)

I want to testify of how i got cured from Chronic Obstructive Pulmonary Disease through herbal treatment, I got diagnosed of COPD in 2015 I have tried all possible means to get cure to this terrible disease but all to no avail, i was totally devastated knowing i have this disease until i saw a post in a health forum about a herbal doctor from Africa who has herbal medicine to cure all kind of diseases including Chronic Obstructive Pulmonary Disease at first i doubted if it was real but decided to give it a try, when i contact this herbal doctor via his email, he sent me a herbal medicine via DHL courier service, when i received this herbal medicine he gave me step by step instructions on how to apply it, when i applied it as instructed, i was cured of this deadly disease within 10 days of usage, I am now free from Chronic Obstructive Pulmonary Disease. All thanks to Doctor Okosun, Contact this great herbal doctor via his email Doctorokosunspiritualtemple@gmail.com or call/whatsapp him +2348107584479 Goodluck

elliot, how i got cured November 18, 2016 4:47 PM
USA FL

2015 my mother was diagnosed of COPD/Emphysema ,i spent a lot of money on her medication till a point i even lost hope,because my mother was gradually dying and lost her memory too, i was so desperate to get my mother back to normal ,so one day my uncle who lives in United Kingdom told me about Dr Lusanda,who helped him get rid of Emphysema with herbal medicine ,i was so shocked when he told me that,but know is true because my uncle cant lie me ,so i contacted Dr Lusanda via his email;drlusandaherbal@drlusandaherbal.com, he replied and ask me to send my home address and my mother's detail and then i purchased the herbal medicine,sent me the herbal medicine through courier service, when i received this herbal medicine used it for 4 weeks, and after 4 weeks of usage my mother was totally cured of COPD/Emphysema,now my mother is living free and happy again ..all thanks to doctor Lusanda ...

Matricia Simons November 16, 2016 1:57 AM
USA GA

thanks to Doctor Chukwu for helping me cure my chronic obstructive pulmonary disease (COPD). Brethren,i have suffered COPD for a long period of time,i noticed that i have COPD after that i have tried so many remedy, but known seems to work,i went to many hospital all the doctors that i met were saying the same thing that i must go to surgery, and i was scared because one of my best friends died after surgery, But i had contact with a herbal doctor who i saw so many people testifying on how they were all cured of their various disease and viruses by this doctor. So i explained my entire problem to him, and he promised to cure me.and the only money he asked me was money for material which i sent to him. So i gave him all benefit of doubt, and behold he prepared the herbal mixture,and send it to me in my country. Today i am proud to say that i am chronic obstructive pulmonary disease (COPD) free,i thank God that cured me through the herbal doctor i pray that God will bless him So in case you are out there suffering from chronic obstructive pulmonary disease (COPD) and other disease and or virus, i want to tell you to quickly contact Doctor Chukwu for your cure. His email is (drchukwu22@gmail.com) you can also call or text him on (+2348154800222)

roseline November 3, 2016 4:41 AM

I smoked for thirty years, then over a dozen years ago, I thought I had come down with a very bad case of pneumonia. After my wife nagged me for a week, I finally saw the doctor. I was diagnosed with severe COPD. They were amazed that I had waited so long, years in fact, before going to a doctor over it. They gave me three years tops before it killed me. That was thirteen years ago and I am still living. I don't do much, because I no longer have the ability. I can no longer walk, am always hooked up to an oxygen air line, and my body is starting to shut down. There are times that I can't remember my wife's name, even though we have been married for nearly forty years. Truth be told, there are times that I truly wish I had died years ago when I could still walk, talk, play with my grandkids, but GOD decided that it might be better for me to live a bit longer. My wife asks me, when I am having a bad day, if I want to go to the hospital. I always decline, reminding her that I do not want to die in the hospital, but to die at home with the people that I love most. Hospitals can no longer do anything good for me. Even Duke Hospital admits that they do not know why I am still living. GOD purpose will eventually be known until i found testimonies of Great Dr. Lusanda in an online research and on Facebook, Like anybody would be, I was very skeptical about contacting him, but i later did email him and he started the remedies for my health. Thank God, i am cured from COPD by the herbal medication I received from him. I never thought that COPD can be cured, from the bottom of my heart I’m truly grateful,i pray you have long life so you can help many more people on earth with your herbal medical support. Contact Lusanda today, Email: Drlusandaherbal(at)gmail(dot)com or website on www(dot)drlusandaherbal(dot)weebly(dot)com

Kamren Hamrick September 20, 2016 11:10 AM
USA IL

I am from NewCastle Australia,, I was diagnosed of Emphysema in 2013 and I have tried all possible means to get cured, i even visited pulmonologist but all to no avail, until i saw a post in a health forum about a herbal doctor from  Africa who prepare herbal medicine to cure all kind of diseases including Emphysema, at first i doubted if it was real but decided to give it a try, when i contacted this herbal doctor via his email he sent me the Emphysema herbal medicine through courier service, when i received this herbal medicine, he gave me step by instructions on how to apply it, when i applied it as instructed i was totally cured of this deadly disease within 12-14 days of usage, if you are suffering of this diseases you can as well Contact this great herbal doctor via his email drlusandaherbal@gmail.com

Carol Arthur August 31, 2016 11:07 PM
USA GA

I was diagonose of Emphysema in 2010 and Chronic Obstructive Pulmonary Disease (COPD) 3 years ago, our family doctor told me there  was no cure but it can only be controled. Ever since then i have been running heather scepter looking for a solution to my problem because i was going to lose my Job if i dont get better, until i ran into this online testimony of Dr Lusanda who have been curing people of COPD with his herbal remedy  i immediately contacted him via their email, to God be thy glory i bought this COPD herbal remedy and was cured within 3 weeks of usage, at last this is a break through for all COPD/emphysema patients contact this herbal clinic via their email drlusandaherbal@gmail.com or website on www.drlusandaherbal.weebly.com

Matricia Simons August 1, 2016 8:03 PM
Texas TX

(MUST READ: HOW I GOT CURED FROM EMPHYSEMA THROUGH HERBAL MEDICINE)

I smoked for 17 years, October 2014 i was diagnosed of Emphysema, my doctor told me there is no permament cure for the disease, i was given bronchodilators to help me relax my bronchiolar muscles, I managed on with the disease till a friend told me about a herbal doctor from South Africa who sell herbal medicines to cure all kind of diseases including emphysema, I contacted this herbal doctor via his email and made purchase of the emphysema herbal medicine, i received the herbal medicine through DHL within 5 days, when i received the herbal medicine i applied it as prescribed and was totally cured of emphysema within 18-20 days of usage, the symptoms reduced till i even forgot i had emphysema, i went back to my doctor for diagnosis with spirometry and he confirmed i was free from the disease, contact this herbal doctor via his email ejiroherbalcure@gmail.com or call +27617403481

clifford miguel February 22, 2016 7:46 PM

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