Archive for the ‘Emphysema’ Category

From the Physicians Desk … Doc’s Weekly Blog! Learn more about your health by watching videos – click here!

Weekly mail … weekly Medical Journal to go through! Lets see…this week an interesting  article titled the, “Three Great Truths of Medicine” caught my attention…Hhhmm. The article was featured in 25th March 2013 issue of Oncology Times and authored by Dr. J Simone. Today, I will briefly review the first of these 3 truths


There is no reliable, public mechanism for choosing a skillful Doctor.

Young doctor checking an MR exposure

  • What constitutes a Good vs a Great Doctor? How does a patient choose a Doctor?
  • In the article, it was stated that virtually any M.D. can obtain and maintain a license to practice medicine. Not to belittle the process of getting through Medical School, but if you were able  to jump through the necessary hoops to “get in” then “getting through” is usually not too problematic…some refer to it as being “smart enough” but that can also be semantics. Nevertheless, one quickly realizes that the school from which the “Medical Degree” was obtained, becomes inconsequential by the great equalizer of the many medical board exams one must take. Board Certification is a GOOD thing!
  • Additionally,  Medicine is changing constantly AND rapidly.  So, how do you know if your Doctor is keeping up with the latest for his/her Medical Specialty? Not only are Doctors required to see many patients everyday, but at the point of exhaustion are required to keep up with the pace of Medicine, and Maintain a family life…How do they do it all?

How do you keep up with your Career/Job changes?

Well, as Dr. Simone pointed out, in most States, doctors are required to obtain a number of Continuing Medical Education (CME) credits. This acts as a means of trying/forcing Doctors to update medical education. However, since these are Seminar/Meeting based, the outcome or benefit for the physician cannot be easily quantified.

How do you choose your doctor?

  • Advice from a friend or family member?
  • Referral from your Primary Care or reading an article in the Press?
  • Convenient location or blind choice or limited by Insurance acceptance?
  • Or (a pet peeve of most physicians) – the ever so wary “fee based” evaluation of a doctors “star based” scoring by an unknown number of patient satisfaction surveys?
  • Were you always satisfied with above after meeting with the doctor? Or did you require a little something extra – more compassion, more time with your Doctor, etc.,


Should I be faced with a large surgery, I would consider the expertise/board certification of the surgeons (yes), the number of procedures performed (maybe), and success rate (maybe). HOWEVER, I know all too well, that Doctors, like “regular” people are not perfect.  IF the surgeon has a 100% success rate, I just may be the one that causes the change to 99%. So, instead of putting my trust solely in the surgeon, I put my trust in Jesus. My Jehovah Raphe, the one true great Physician … I know the outcome rest solely in his hands.

Now you choose …

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From the Physicians Desk … Doc’s Weekly Blog! Learn more about your health by watching videos – click here!



  • Right now, more than 3.6 million middle and high school students still smoke
  • High School students who are current (past month) smokers: 18.1% or 3.4 million children
  • Kids (under 18) who try smoking for the first time each day: 3,500
  • Kids (under 18) who become new, regular, daily smokers each day: nearly 1,000
  • Kids (3-19) exposed to secondhand smoke: 50.2% or 32 million
  • Packs of cigarettes consumed by kids each year: 800 million (~$2 billion/year in sales revenue)
  • Kids under 18 alive today, who will ultimately die each year from smoking (unless smoking rates decline): 6,000,000+
  • People in the USA who currently suffer from smoking-caused illness: 8.6 million

Total annual public and private health care expenditure caused by smoking:      $96 billion   

Smoking Diseases are many – Serious Infectious Illness, Asthma, Ear Infections, Cancer…among other chronic diseases.

Help Children NOT to start smoking…and help others who have started, to quit smoking.

Pic smokers-lungs-comparison1

The “Factual numbers” goes on and on … We reviewed 3 topics thus far this year relating to our children –

  • Childhood dating violence
  • Childhood obesity, and
  • Children smokers

Kid cryingWhere is the future and the hope of and for our children? The children who will lead this country when I am older…when you are older. I refuse despair. Instead, I choose to do something about it. What about you?

Wipe your tears Dear … there is hope!

Encourage a child today to quit smoking and continue to pray for our nation!

Visit here for more information: http://www.tobaccofreekids.org

Learn more facts: Click here

Tobacco use and Harms among kids:  click here 

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From the Physician’s Desk … http://www.LegacyEducators.com

November is COPD Awareness Month. COPD is the 3rd leading cause of death in America  BUT it is preventable and treatable! If you are wondering – What is COPD? – you are at the right place – Lets talk COPD!   COPD = Chronic Obstructive Pulmonary Disease.  Let’s break this down a little more. The “phase” or “length of time” for a disease process is usually described as;

  • Acute – a sudden, severe onset; Asthma or heart attack. When used in describing pain, onset lasting less than 1 month.
  • Sub-Acute – The symptoms or illness is not yet chronic, but has  passed the Acute phase or the presenting symptom is not as severe as an Acute phase. This phase usually last 1-3 months
  • Chronic – indefinite duration or virtually no change. This process last for longer than 3-6 months.

The obstructive process, commonly co-exists as Chronic Bronchitis or Emphysema, and is a process that narrows the airway. This causes a limitation of air-exchange in the lungs and can lead to shortness of breath. The concept is the same as Asthma, but Asthma is “reversible” and “acute” while COPD gets progressively worse over time and is chronic. Pulmonary = Lung.

COPD is caused by a noxious particle or gas (noxious-something that is physically harmful or injurious to health or well being); tobacco smoking is  a common noxious element which triggers an abnormal inflammatory response in the lung. Occupational exposures and air pollution are other contributing factors to the development of COPD.

  • Chronic Bronchitis – The airway tube that carries air (oxygen) to the Lungs gets inflamed  and makes a lot of mucus. This narrow or block the airways, making it hard to breath
  • Emphysema – The tiny air sacs in the Lungs are like a balloon in a healthy person. They get bigger when you breathe in and smaller when you breath out, to move air through the lungs. In emphysema, the sacs are damaged and unable to stretch, leading to less air in and out of the lungs; this leads to feeling of short of breath

Your doctor can diagnosis COPD using a Lung Function Tests – A test that measures the capacity of your lungs to exchange Carbon dioxide for Oxygen. There are many important management strategies, some of which includes smoking cessation, rehabilitation, and drug therapy given via inhalers. As the disease progress, some patients will require long-term oxygen use.

To learn more about COPD you may visit: http://www.lung.org/about-us/our-impact/top-stories/november-is-copd-awareness-1.html

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