Posted tagged ‘Asthma’

Engaging Adolescents

December 9, 2009

I was asked to give a lecture to the Royal College of GPs on Tuesday – they asked for a talk on management of asthma in adolescents.  Something I am hardly an expert in, but as is always the case, preparing these talks became a great learning experience for me!  There isn’t currently an adolescent asthma clinic in NW, but we are looking at starting a transition clinic.  We currently do a transition clinic for the CF kids – I really enjoy those clinics, getting to know the kids, few management decisions to make, just getting their trust, and getting to know them.One way I use it to give out my XBox Live username – I’m just a big kid really, and I still unwind over a game or two of an evening – so the kids can befriend me over XBL.  I’ve played  couple of games of Halo with a couple of them, and I’ve had messages from them about their symptoms!

Engaging adolescent patients is the same as engaging anyone – you just need to find the right interface.

Famous person in Asthma Shock Diagnosis

November 26, 2009

Suddenly it’s now cool to have asthma, or it is acceptable to have asthma, or is it a hidden shame that’s now out in the open.  Why did he keep it a secret?

http://www.guardian.co.uk/football/2009/nov/24/david-beckham-asthma

More importantly, why is he taking a steroid inhaler as a reliever?

Journal Watch 7/9/09 – GP or not GP?

September 7, 2009

Mrs DundeeChest gets all the GP journals and papers.  Today’s is “GP”.

Does body shape affect asthma risk? Apple-shaped women with waists bigger than 88 cm (35 inches in old money) are at higher risk of developing asthma, even if their weight is normal.  Waist circumference is a more accurate measure of obesity than BMI, the article suggests.  Asthma UK and the British Lung Foundation suggest that the data are reliable, and ‘reinforces the need for women to lead a healthy lifestyle and be more aware of the health risks of a large waist size’.

Pear shaped, apple shaped… It seems that being overweight in any body shape is bad for you in some way.  Hardly news to DundeeChest – one day we must audit the BMI of patients referred to the clinic with “Unexplained breathlessness”.

Do I look like an idiot?

August 31, 2009

Not sure if everyone’s seen this yet? As Omar might say “Indeed…”

Inhalers Can Increase Your Breath Alcohol?

August 25, 2009

Hot off the web-press: Some asthma inhalers driven by hydrofluoroalkanes, contain small amounts of ethanol, this can elevate breath alcohol levels, according to Australian scientists…

http://www.medscape.com/viewarticle/589029

Inhaler and Nebuliser Advice

August 12, 2009

Following on from the acute medical department educational meeting today. here is the link to the trust pages on inhaler device choice, and nebulisers.

http://www.tayside.scot.nhs.uk/nhstayside/publish/calls/cfm/Search_List.cfm?listtype=Current&location=10900&store=1&user=-1

THIS LINK ONLY WORKS ON AN NHS INTRANET MACHINE.

Come back in a wee bit to download the individual leaflets.

2009 Asthma Guideline Update

July 24, 2009

The British Thoracic Society recently updated their May 2008 Asthma Guideline. The changes centre around:

* Introduction of SMART therapy as an option in selected Step 2 patients
* Reinforcement of the importance of standard therapy in pregnancy
* A review of inhaler devices showing no change to previous recommendations
* Changes to the treatment of acute asthma

To download the revised guideline, visit the BTS website, or click here

The Tayside asthma guidance will be altered accordingly in due course.