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Dr. Gail Brottman

👤 Person
178 total appearances

Appearances Over Time

Podcast Appearances

And I think that gets into the air pollution. I mean, I think that that when you're talking about people who have sensitivities, right, where, you know, they're maybe, they only need to use their inhaler when they run. Like I'm starting to train for a marathon and I started to get short of breath and I couldn't figure out what was happening.

And I think that gets into the air pollution. I mean, I think that that when you're talking about people who have sensitivities, right, where, you know, they're maybe, they only need to use their inhaler when they run. Like I'm starting to train for a marathon and I started to get short of breath and I couldn't figure out what was happening.

And then, oh yeah, I used to have asthma when I was younger. Right. Excuse me. So I think that I think that plays a role. The other piece of this, and I really, I can't speak a lot about this because again, I'm not an adult provider, but there also is something that is called the asthma COPD overlap syndrome, where adults who continue to have asthma

And then, oh yeah, I used to have asthma when I was younger. Right. Excuse me. So I think that I think that plays a role. The other piece of this, and I really, I can't speak a lot about this because again, I'm not an adult provider, but there also is something that is called the asthma COPD overlap syndrome, where adults who continue to have asthma

who maybe smoke or are exposed to some toxins in their workplace can actually go from having asthma to COPD at a younger age than would be expected for somebody to develop COPD. So there's a lot of research being done on this asthma COPD overlap syndrome. There's a lot of work being done on trying to figure out Why do these early wheezers stop wheezing?

who maybe smoke or are exposed to some toxins in their workplace can actually go from having asthma to COPD at a younger age than would be expected for somebody to develop COPD. So there's a lot of research being done on this asthma COPD overlap syndrome. There's a lot of work being done on trying to figure out Why do these early wheezers stop wheezing?

Why do they wheeze in the first place and then why do they stop wheezing? So there's a lot of science happening, which is very exciting to give us a better idea of how to treat people with these conditions.

Why do they wheeze in the first place and then why do they stop wheezing? So there's a lot of science happening, which is very exciting to give us a better idea of how to treat people with these conditions.

So asthma is, at least today, right this minute, asthma is not curable. But as we talked about, it is treatable. And that's with what I mentioned, the word controller medication, which is a medicine that actually decreases the swelling or inflammation in your airway. So Our controller medications, which usually come in the form of inhalers.

So asthma is, at least today, right this minute, asthma is not curable. But as we talked about, it is treatable. And that's with what I mentioned, the word controller medication, which is a medicine that actually decreases the swelling or inflammation in your airway. So Our controller medications, which usually come in the form of inhalers.

There are now some biologics, which are injections or IV medications that are used for people with more severe infections. But for your general population, what we're talking about is daily inhalers that someone would take to decrease the swelling or inflammation in the airways over time.

There are now some biologics, which are injections or IV medications that are used for people with more severe infections. But for your general population, what we're talking about is daily inhalers that someone would take to decrease the swelling or inflammation in the airways over time.

So that's a great question. And so it actually depends on the severity of your asthma and how often you're having symptoms. So it's very hard, especially in young children. So we cannot do lung function testing in young children. Actually, we can do it, but it's really tricky.

So that's a great question. And so it actually depends on the severity of your asthma and how often you're having symptoms. So it's very hard, especially in young children. So we cannot do lung function testing in young children. Actually, we can do it, but it's really tricky.

So I don't know if people are familiar with doing a breathing test where you blow into this machine and you keep blowing, blowing, blowing, blowing, and that actually measures how wide open your air tubes are, right? So if your air tubes are narrowed, by this swelling or inflammation, you would not be able to push as much air through.

So I don't know if people are familiar with doing a breathing test where you blow into this machine and you keep blowing, blowing, blowing, blowing, and that actually measures how wide open your air tubes are, right? So if your air tubes are narrowed, by this swelling or inflammation, you would not be able to push as much air through.

And so the numbers on these pulmonary function tests goes down, right? So if your air tubes are like, swollen and you can only blow 50%, then that's a problem. And that means that there's a lot of swelling in those air tubes.

And so the numbers on these pulmonary function tests goes down, right? So if your air tubes are like, swollen and you can only blow 50%, then that's a problem. And that means that there's a lot of swelling in those air tubes.

And if your lung function is only 50% of predicted, then you need to take a daily preventive medicine every day, even if you're not actively having what I would call an asthma attacks. I want to get back to one thing that you said earlier, which I think is really important, that people who have chronic asthma that have ongoing airway narrowing. can get really used to how they're breathing, right?

And if your lung function is only 50% of predicted, then you need to take a daily preventive medicine every day, even if you're not actively having what I would call an asthma attacks. I want to get back to one thing that you said earlier, which I think is really important, that people who have chronic asthma that have ongoing airway narrowing. can get really used to how they're breathing, right?