FCAAIA Notes: As I’ve written before, “The nose bone’s connected to the lung bone.” Asthma is part of “allergic airway disease” and control of the lower airway (lungs) always requires that we consider the upper air way (nose) as well. So, we treat nasal allergies even if the symptoms are relatively mild and not bothersome.
Here it also becomes clear that patients with asthma who also have sleep apnea (do you snore loudly, a lot, and sometimes startle awake gasping for a breath?) should address the apnea Continue reading “OBSTRUCTIVE SLEEP APNEA ACCELERATES FEV1 DECLINE IN ASTHMATIC PATIENTS”
FCAAIA Notes: We have known for many years that some patients with asthma (a “reversible” air way disease) develop air flow obstruction that is, at least in part, irreversible. Initially, the thought was that chronic low-grade air way inflammation was a risk and maybe even the cause. Those data did not hold up, however. While chronic inflammation is a risk for asthma exacerbations and chronic low-grade symptoms, it does not cause this “air way remodeling”.
The recognition of this problem has led to a lot of research on what is now called the “Asthma-COPD Overlap Syndrome” Continue reading “PERSISTENT CHILDHOOD ASTHMA LINKED TO EARLY COPD”
FCAAIA Notes: I don’t really have to write any commentary here. The fact is that air pollution (outdoor and indoor) adversely affects every aspect of respiratory health and has no redeeming qualities.
So what’s my advice? Think globally and act locally. Continue reading “THE EFFECTS OF ROAD TRAFFIC POLLUTION ON CHILDREN LIFETIME EXPOSURE TO AMBIENT POLLUTION AND LUNG FUNCTION IN CHILDREN”