Discover and read the best of Twitter Threads about #asthma

Most recents (24)

It's #WorldAsthmaDay.

#Asthma is a common lung 🫁 condition that causes intermittent breathing difficulties. It often starts in childhood, although it can also develop in adults, and affects people of all ages.
Common symptoms of #asthma include

✅Breathlessness
✅ Coughing
✅ Wheezing
✅ Chest tightness

During an asthma attack, these symptoms become much worse. Asthma attacks can be fatal but are largely preventable and manageable.
#Asthma cannot be cured, but good management with inhaled medications can control the disease and enable people with asthma to enjoy a normal, active life.

For more info 👉 bit.ly/2vKygG1
Read 6 tweets
I am an Asthmatic, i use inhalers, inhalers are not addictive. They cause your airways to open up. Duration of its action differs, inhalers with salmeterol or formoterol works for 12 hours. The steroid in the inhalers act to reduce inflammation inside airways and 1/
try to maintain an open airway.Some asthmatics recover fully, some don’t.Asthma can present as fatigue on exertion,shortness of breath,or just chronic cough. Asthma gets better when you exercise and lose weight, as 🫁 compliance increase and fat surrounding airways also reduce 2/
Asthma can be from mild to life threatening-leading to intubation as well. Shortness of breath is frightening and cause anxiety. When anxiety is more, it triggers asthma & is a vicious cycle.Lung function test can be normal in asthmatics 3/
Read 4 tweets
I read the story The Silver sword by Ian Serrailler. Its about 3 Polish children who separated from their parents in World War II cross war torn Europe facing war, danger & #disease. These are children like me, I thought & was so glad I had been born after the war finished. 1/20
Living through the war as RAF personnel my parents also had a horror of war, which rubbed off on me. I saw photos of the relief of Belsen & I decided that I would do everything I could to stop war #poverty & #prejudice. 2/20
I remember Dad telling us about the jigsaw at his #Methodist Sunday school with the map of the world on one side and the face of Jesus on the other. “taking care of the world is taking care of Jesus” he said 3/20
Read 22 tweets
Listen to this and let’s reflect as a respiratory community how we can emulate #cardiology and transform outcomes in #asthma, #COPD, #bronchiectasis, #ILD +other chronic #respiratory diseases over the NEXT 50 years. This accompanies a great @nejm Perspective by @EricTopol. Think:
Cross-disciplinary interchange of ideas...integration of basic science and translational research...technological innovation...EBM...large cohorts...policy change...huge collaborative trials...adequate research funding...genetic insights...drug development... life-course...
...precision medicine...multi-omics...social determinants of health...biomarkers...AI...

Respiratory #pulmonology - we need to be more bold.
Read 3 tweets
1/ A year after #COVID19, I still have greatly reduced cardiovascular endurance, even though I’ve been back to exercise for months. Jogging a short distance at a slow pace sends my heart rate over 170, which never used to happen. #LongCovid #longhaulers
2/ So my internist referred me to a cardiologist, and I had my visit with her yesterday; here’s a write-up of that visit. #COVID #COVID19 #LongCovid #cardio #cardiology #longhaulers
3/ The good news is that my resting heart rate (83) was normal, and my EKG (see below) showed nothing unusual. #COVID #covid19 #LongCovid #longhaulers
Read 22 tweets
#ChildHealthMatters
Childhood #Asthma: not unusual to see some wishing it away. It’s stigmatised and poorly managed. Knowing triggers that can be avoided is the first step. Children need personalised Rx plan

9 Asthma Triggers and What to do About Them healthychildren.org/English/health…
Let us take up:
1.Can you prevent #Asthma?
2. Can you cure Asthma?
3. Will my child get 'addicted' to inhalers?
4. You have prescribed steroids!!
5. Can I try alternative medicine/no medicine?
1.Can you prevent #Asthma?
Primary (Preventing it all together)
Not much, but these help:
Breastfeeding - protective, regulates immune and allergic responses
Avoiding obesity/Overweight + wt loss/healthy wt in children with respiratory symptoms
Avoid exposure to/smoking
Read 13 tweets
By July of 2020, 16.8 million people in the US had #COVID19 -- and didn’t know it. Read our pre-print @medrxivpreprint 🧵👇 (1/13)

medrxiv.org/content/10.110…
We called out for volunteers that never had COVID-19 dx & got >400K. Our statisticians devised a code that was able to update daily to select donors that represented the US based off of age, sex, race, ethnicity, location, & send list to @NIAIDNews, @PittTweet, & @UABNews (2/13)
Mailed out @Neoteryx dried blood samplers to >11K folks & got >9K returned. Ran 6 ELISAs on each (full Spike & RBD IgG, IgM & IgA) & evaluated seropositivity by thresholds against pre-pandemic controls (check out @NatureComms paper on our assay) (3/13) nature.com/articles/s4146…
Read 13 tweets
1/6) It is important to remember that without modern medicine, many in the ancient world endured chronic conditions that today we could treat. Seneca suffered from asthma and described how it informed his Stoic views on mortality:

"I have been dealt one illness in particular..
2/6) .."The Greeks call it 'asthma' but it is adequately described as 'laboured breathing'. Attacks usually last an hour or so - can you imagine drawing your final breath for that long? I have been visited by all types of physical pain but none are more distressing than this"..
3/6) .."With other ailments you might get sick but with this one you are losing your very soul's breath. For this reason doctors call asthma a 'rehearsal for death'. Even when an attack ends I can't rejoice: you don't win this legal case, you just postpone the day of the trial"..
Read 7 tweets
Non-evidence-based thread!:

There was more discussion on Twitter about weaning #salbutamol in children after an acute #asthma attack in hospital - In my humble opinion we should just stop salbutamol instead of the random weaning process, and here's my meandering rationale
Here's what's happening in acute asthma - in this lung model made by @kchickman's daughter the problem would be largely in the bronchioles... inflammation, bronchoconstriction, and mucus. The primary problem being a cheeky bit of profound self-perpetuating inflammation (note IL6)
So why 'wean' anything? Basically to stop some sort of rebound phenomenon. By weaning, we saturate salbutamol receptors and (if anything) increase the risk of rebound when we think the child is better! Also the risk of tachyphylaxis: the more you give the less effective it is
Read 14 tweets
@SimonChapman6criticizes #vape advocate for mentioning success, not failure. What's the failure rate of #ColdTurkey, Simon? Not heard you mention that..
#AusTHRInquiry2020 #PH2
@SimonChapman6 criticizes #vape advocate for mentioning success, not failure. What's the failure rate of #ColdTurkey, Simon? Not heard you mention that..
#AusTHRInquiry2020 #PH2
Read 203 tweets
What Skerrit is saying in regard to not bringing #tobacco under the prescription model is complete rubbish. The @TGAgovau site explicitly mentions novel #nicotine products - #SLT & #HTP.
Huh.. @hollieahughes just said they're due to report by /18th/ December. I'd thought it was the 1st of December.
#AusTHRInquiry2020
Emily Banks 'sum total of world experience' .. yeah, with some heavy #CherryPicking.
The Oz #ANTZ /all/ seem to be loving 'the #GatewayEffect' which is a 'real thing'.. 🙄
#AusTHRInquiry2020
Read 137 tweets
Absolutely. Buzzing.

Zoom call with @SFoodbanks, @IanByrneMP, and @Kartik__Raj #righttofood (wow)

These guys are REAL heroes and they dont even know it - their hard work and passion keeps families afloat, and dignity intact, and here's a thread about the importance of this:
2 Adversity hits the poorest hardest - and that includes natural disasters, accidents like Titanic, and austerity: cuts per head are highest for places with the sickest people, especially in the North. Infants of families who are in poverty are more likely to die.
3 We know from @CPAGUK and others that rates of child poverty are unacceptably high - around 1 in 3 kids pre covid, and who knows what now... and that poverty impacts the things we take for granted - birthday presents, school uniform, and even food
Read 13 tweets
It’s my honor to moderate the Thomas L. Petty, MD Master FCCP Memorial Lecture to be given by Mary Hart, RRT. This award is given to a @accpchest FCCP known for their exceptional mentoring and clinical instruction skills. Excited for this lecture! #CHEST2020
Mary Hart RRT FCCP #CHEST2020
Hart: Will focus on some real world patient-centered studies that can impact patient outcomes. #CHEST2020
Read 10 tweets
#OpEd on the #CoronaVirus in the #UK: @michael75lewis

The #Covid19 pandemic is widely out of control around the world, where countries had a degree of success in stemming it’s rapid spread, they were led by women or took a truly ‘whatever it takes’ approach to solving the issue. Image
But even those countries are now struggling to contain the virus.

In the UK, @BorisJohnson implemented the full national #lockdown in March - I myself have been #shielding since the 20th of March and although shielding was paused on the 1st of August - I have continued to
(mostly) shield since - I have only been out for urgent medical treatment and a few basic supplies - because of having brittle #asthma I cannot return to work or spend time out in the community until it is safe to do so.

The lockdown was lifted too quickly, @RishiSunak stated in
Read 16 tweets
Every time McConnell's lips move, he lies. McConnell himself has voted SIXTY SEVEN TIMES to overturn the #ACA. His state is among those petitioning to end the #ACA as an unjust law. The law protects #PreExistingConditions. It comes before #SCOTUS mid-November. Barrett will vote.
Trump filed to have #ACA struck down on June 25, with specific attention to the #PreExistingConditions clause of the law. If Trump thought #AmyConeyBarrett would vote against him, he would never have nominated her. This is how a 6-3 #SCOTUS begins: ending healthcare for millions.
You can read the PDF of the case at supremecourt.gov.
Read 5 tweets
1/ Not saying anything revolutionary here but thought I'd gather my thoughts in a big ol' #thread on #smoking, esp why I think pubs/bars/restaurants should voluntarily create generously-sized outdoor #nonsmoking areas ASAP (esp aimed at #Norwich venues bc of self-interest!)
2/ New gov guidance suggests venues will have to provide outdoor non-smoking areas soon anyway, though it's not clear from exactly when (anyone know?). gov.uk/government/new…
3/ But pubs should do it soon, before they are forced to, from a sense of moral duty & to protect punters from 2nd hand smoke (SHS).
Read 25 tweets
#CO2 #Rückatmung unter der #Maske - ein Mythos ?
Nein, wahrlich nicht. Hier ein relativ aktuelles Video aus Österreich, es gab schon seit Monaten diverse Videos im Internet dazu, die den Anstieg der CO2 Konzentration auf das 30-50fache innerhalb weniger
Minuten belegen. Die Luft enthält im Freien rund 0,04% CO2 und im Körper wird durch #Sauerstoff und deren Umwandlung in Energie in den Zellen CO2 erzeugt und über die Ausatmung entsorgt (enthält das 100-fache mit rund 4,0%). Bereits in Innenräumen hat man erhöhtes CO2 und der
der Grenzwert auch im Arbeitsschutz liegt bei 0,5% für Dauerexposition oder 1,0% in einer 15 Minuten Periode. Das gilt für Arbeitsplätze, an denen eine höhere CO2 Exposition möglich und wahrscheinlich ist, zeigt aber, wie gefährlich CO2 eingeschätzt wird.
bgn-branchenwissen.de/daten/asi/a8_0…
Read 6 tweets
14 days = 14 ways to learn more about pollen and reduce the impact of #hayfever & #asthma

Leading up to our peak #hayfever season in #CBR which starts in the first week of October I will post one action you can take to mitigate the impact of allergenic pollen on your daily life Image
1/14

Follow: the great organisations and university-led research programs that provide up-to-date information to help us to better understand the seasons and peak times of pollen around Australia @AirRaterUTAS @CanberraPollen @PollenForecast ImageImageImageImage
2/14

Participate in citizen science:

Download the apps from @AirRaterUTAS @CanberraPollen & compare your allergy symptoms with daily pollen counts.

Receive individualised reports that show how pollen impact your symptoms - leading to improved early intervention solutions. ImageImageImageImage
Read 16 tweets
Daily truth bombs: lesson 1
#VaccinesHarm
The horrific result of vaccinosis was the manifestation of blood poisoning through what was known at the time as 'Eczema vaccinatum.' This iatrogenic illness claimed many lives during the smallpox vaccine era.1/ Image
This miasm became grafted onto our genome and up to this day continues to manifest itself in the most stubborn forms of eczema. Dormant cases or where predisposition is strong can easily be triggered by routine vaccination.2/
Eczema and its' deeper manifestation - asthma, are among the most common illnesses, often referred to as inherently common.
From a homeopathic perspective eczema has a tubercular diathesis and is a precursor to the cancer miasm, which plagues humanity like no other illness. 3/
Read 5 tweets
Impressive work by @ahti_Ams.
A dashboard which predicts (or visualises) hospital admissions and ICU admissions as the #SARSCoV2 infection rate goes up.
Granular view of all #Dutch municipalities.
#covid19nl
covid19zorgdrukrisico.ahti.nl/app/ Image
This dashboard enables you to see the course of #covid19 based on the risk factors in that particular region or municipality.
Risk factors- #age, livability index, multiple generations cohabiting, #asthma, #COPD and #diabetes type 2.
The basis for this dashboard is this research paper from @BMCMedicine from #UK.
@C19RedTeam
Interesting risk prediction visualization @mzelst @edwinveldhuizen?
bmcmedicine.biomedcentral.com/articles/10.11…
Read 3 tweets
My chest is not its best, so I'm back on the IVs for 2 weeks. This is what 14 days of intravenous antibiotics looks like in its constituent parts. It's been 5 & 1/2 months since I was last on IVs - a good stretch for me. I put it partly down to that sweet sweet lockdown air... ImageImage
...Remember that? Wasn't it amazing?
I'm particularly worried about our #airquality in the next couple of weeks with the return of the school run. Our government has messed up an amazing opportunity to really change public transport habits for the better, & I'm livid...
...So yeah, I'm not sure if I've ever mentioned this before, but #AirPollution kills. Please only drive if you absolutely have to. And don't ever idle your engine unnecessarily - that's a real 🍆 move. Huge thanks as always to the @NNUH staff, & everyone fighting for #cleanair
Read 4 tweets
I'm very concerned about the rising rates of #COVID19 in AZ, TX, etc. So here is my rant about masks. 1/n
I'm a lung doctor and I feel like I know a lot about oxygen. For example, see here: link.springer.com/article/10.100…
Read 12 tweets
Let’s talk about the proverbial elephant in the room RE #CompassionateRelease of persons incarcerated in #prisons in the midst of #COVID19. A [long] thread with thanks to @briewsf @DrNovisky @GeriPowerMD 1/21
While a partnership between @FAMMFoundation @NACDL @WashLaw4CR is tackling petitions in the @OfficialFBOP Why don’t we see governors and other leadership extending release to many of the #vulnerable housed in state #prisons? 2/21
By #vulnerable, I mean those persons who meet #CDC guidelines for greatest risk of serious illness due to #COVID19 -- persons over 65 (#olderadults), those with #chronichealth problems including severe #asthma #liverdisease or are #immunocompromised (#hepatitis) 3/21
Read 21 tweets
Another heartbreaking #coronavirus story: a beloved Brooklyn middle-school teacher, @ZoeMungin, just died of #COVID19 complications, after twice being refused a #COVIDー19 test. She was just 30 years old.

abcn.ws/3f4crGQ
Rana Zoe Mungin taught social studies in East New York, Brooklyn, a predominantly black and Latino neighborhood that has been ravaged by #coronavirus.

She died in the same hospital where her older sister died of an #asthma attack 15 years ago.

#COVID19
Zoe was a first-generation college student who graduated from @Wellesley and also earned an MFA in Creative Writing from @UMassAmherst.

#coronavirus #COVID19
Read 4 tweets

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