Are you in control of your Asthma?
Dr. Stephen Apaliski has seven simple ways to beat it
- Duration 7:13
- Date May 24, 2012
Dr. Stephen Apaliski has seven simple ways to beat it
Also in this playlist...
This transcript is automatically generated
-- to beat asthma and that's what we're gonna talk about with doctor apple ST this morning thank you for being here thanks for having her in your son is right on -- -- -- it up.
Beating asked but let's talk about it first.
Just -- a clinical sense what exactly.
-- asked you know it's asthma is a chronic illness of the longest in the lungs are twit TN has.
They respond to different triggers like.
Poland's air pollution irritants.
In when they respond they get tight the muscles around the Airways of the breathing tubes.
Get tight and make them narrow and mucus is produced lot of mucus -- people that has more than normal.
And in the lungs become inflamed they become red -- -- swallow.
So all those things together lead people to have these symptoms of coughing wheezing chest tightness.
-- nighttime symptoms that's asthma and it gets better and worse over time it's a chronic ailments.
Now when you say -- can get better over time what makes it better.
You know it's that they do -- with treatment gets better but actually do without some treatment some mild symptoms we'll just come and go.
It's kind of like the natural ebb and flow with the body.
And where you have some increased says certain times the day events -- untreated.
What happens right it tends to get worse in other words -- as severe attack -- left untreated begins to a kind of fall in on itself and people have increasing symptoms.
They have a hard time getting oxygen into -- bloodstream and then eventually getting rid of -- -- that's what's really.
Can cause and -- the worst case death.
Why are so many people I mean 34 million that's a huge number but that isn't really the story.
The story is the growing number of people just since 2001.
We're not exactly sure and that's the tough part you know there's some theories about the increase -- asthma but clearly it is increasing the prevalence is higher.
Be here in America overall is cleaner than it was 2030 years ago yeah.
I -- -- your New York City where we have eight million people on an island.
You know you would think or at least in the metro but most of -- are you know here -- together.
But the -- he's pretty good here.
-- -- it's pretty good it's better than it was so that's not part of it people talk about hygiene hypothesis that.
Perhaps were a little too sterile today -- Hey that's my own theory yes he thinks the handset because there is -- -- and sizes is -- we -- -- lazy you know they don't wash their hands.
And when you wash your hands you -- kill germs you get the movie you move those molecules around.
And your immune system has something to fight when you -- -- with alcohol you just wipe the slate clean.
Yes CC parents all the time -- these little bottles you know clear in their kids right -- they can't touch anything without being -- It you know I wanna get on to the seven things that continued to didn't that we can do is -- doctor it's really us as patients so what are we can't.
-- that get the first thing is understand the chronic nature of -- I've already talked about that when there triggers -- what that the idea that -- a chronic illness the second is actually trigger so if you understand what triggers your asthma.
Then you're better able to to deal with the -- -- better able to avoid those triggers and prevent the problems from recurring.
All right so you've got -- the problem.
-- prevent how do we prevent we we put us up on the screen for everybody.
I think our great city if you if you look at prevention by avoidance let's say you know the -- have cat allergies and -- trigger asthma.
This is not an ideal pet freak -- so that the idea is to avoid having that -- were reported being places where -- is going to be.
So you cannot have your ass but you triggered -- have to go into the whole treatment machine.
-- Thursday pulmonary function tests -- big big term -- -- but it's it's a test of lung function it's a way.
That doctors can measures should children -- the stock.
It we can do it down to age and sometimes five or so okay a little harder below that but yes absolutely.
I think that's standard of care -- why do we need to know about.
Well it gives you an objective number aside from just what a person feels it tells you.
-- this this has -- is right on track you're doing -- your lungs are good or there's a problem developing.
All right talk to me about drugs right -- -- about drugs.
It's you know medications -- are a big part of treating asthma today what works and what doesn't on the -- the basic in here -- there -- when uses a bronco -- later -- -- -- it opens up the breathing tubes.
But if that doesn't control -- another was if you still have problems couple times a week or your waking up and let that get to -- a controller medicine.
In those are things like inhaled steroids.
Medications like singular.
And if they don't control than you step up a little bit further -- the idea is you increase the number medications as you need to.
And reduce them once he has this controlling gets better RA plan.
-- got have a plan.
-- I'm playing you know what to do when problems develop to problems always -- so the plan ahead of time tells you look.
When my symptoms develop like this -- would -- take -- action.
I get a little bit better I'll do this if it gets worse I'll do -- It's well on and really the best person say to give you that plan is not -- and this is good to know for children because I think as adults we just go to the doctor until we feel better but with kids they don't communicate -- you don't know.
We can't go to the doctor then you have to wait to their hair is green before they take -- -- they're not telling of -- getting any better yet.
So -- you say an -- just not a pediatrician.
I think you know I think good pediatric Doctor Who knows asthma is is good -- -- they listen to patients but the asthma and allergy specialists has spent time.
Dealing with this -- I deal with thousands of patients literally a year who have asthma.
So we we take the time to listen which is extremely important to do patients with chronic illness if you don't listen to their store where you can't take care of and -- patient physician a positive mindset right so the patient position again is this is a collaborative relationship when you're having.
Problems with a chronic illness jasmine is so that you had the expertise let's say as a mother about asthma about what we had -- does to your children.
The physician has the expertise in the medical care together that is very powerful relationship.
It's not what you know -- -- -- -- I mean you have you have like a really sweet disposition -- I've been the specialists -- on behalf of my children hurt in a different reason yes because when you have kids think.
They get -- it's and you go and sometimes a specialists are a little snooty.
I'm just call it what it is and I feel a little and I do for a living -- I look like have a problem expressing myself but I feel like it like the white -- syndrome what Michael got the doctors talking.
He's a little -- I'm scared.
I feel your pain because I feel -- -- why -- you know I'm on a -- look we have to start listening to people.
From from bottom up you know when the whole idea there were also busy that we can't listen to -- -- Maloney.
He acted actually in an average of doctor -- listen you for fifteen seconds.
Any position before the interrupt -- How we gonna get -- story fit kids -- -- That's something you do that let me see your book is called beating -- seven noble principles it's Stephen apple last apple is -- he's the doctor in the know.
Dead -- and I appreciate you you being here today.
And I love what you say because no matter we're thrilled that we do need to get more than fifteen seconds uninterrupted from our Doctor Who deserve that yes doctor to see you thank you very much.