This video has been updated and condensed: kzread.info/dash/bejne/iaKNl9NqYJScdbg.html

If I hear of someone being shit faced I will now always think of Restrictive Lung Disease. Fantastic way to remember the causes. Thank you

2022 and this “SHIT” is still Gold

Thursday, October 6, 2022. Pulmonology: Interstitial Lung Disease (ILD) are Restrictive Lung Disease involving the Parenchyma of the Lung Pathologically Speaking, otherwise Diseases Inherent to the Lung. The Pathophysiology is marked decrease in Volume of the Lung (in contrast to Flow Rate of Obstructive Lung Disease): 1) Sarcoidosis is usually characterized (Stereotype) by a Young Africanoid Female with Non-Caseating Granulomas and in CXR there is classically Bilateral Hilar Lymphadenopathy; Tx is Glucocorticoid Prednisone; 2) Histiocytosis X (Langerhans Cell Histiocytosis) is a Pediatric Multisystemic Infiltrative/Inflammatory Disease of Rare Incidence which responds to Chemotherapy and is Diagnosed via Biopsy; 3) Idiopathic Fibrosing Interstitial Pneumonia (Formerly known as IPF) is the Most Common Cause of ILD and is a Diagnosis of Exclusion (DOE). IFIP is is a Chronic Progressive Infiltrative Disease with various Subtypes and has no proven Effective Therapy (Symptomatic Treatment). Prognosis is Poor, and the Diagnosis is a Lung Biopsy (An most Invasive Procedure); 4) Tuberculosis is usually characterized by an immigrant or a Healthcare worker and/or recent travel to endemic regions. SSx: 1) Cough, 2) Fever, 3) Night Sweats, and 4) Weight Loss; Dx: 1) Tuberculin Skin Test (TST) and 2) CXR showing Cavitating Lesions 3) Sputum Sample (Culture for Mycobacterium Tuberculosis). Tx: 1) Four Regimen Chemotherapy of Antimycobacterials; and Tumor (Neoplastic Disease) is a Long-Term/Lifelong Smoker (80-90%). The Diagnosis involves 1) CXR (Showing Lesions) and 2) Lung Biopsy as a Confirmatory Diagnosis (Useful in the Staging/Grading of Pathology); 5) Fungal Infections would be of Acute Onset (Aspergillosis, Blastomycosis, Histoplasmosis, and Coccidioidosis); 6) Asbestosis is common as an Occupational Exposure to Asbestos, a Flame Retardant, where Diagnosis will show Pleural Thickening and Pulmonary Fibrosis or if Neoplastic most commonly there will be Mass of Non-Small Cell Lung Cancer (NSCLC; Mesothelioma is Possible) and Proteinosis, 7) Collagen Vascular Disease (CVD) is Associated with Infiltrative/Inflammatory Disease of Autoimmunity where 1) Systemic Lupus Erythrematosus (SLE), 2) Rheumatoid Arthritis (RA), 3) Sjoegren's Disease, 4) Dermatomyositis/Polymyositis, and 5) Churg-Strauss Syndrome are Common. Also, 6) Asthma, a Common Obstructive Lung Disease is also Associated with CVDs giving Double Morbidity of Obstructive and Restrictive Pathology to the Subject; 8) Environmental/Occupational Exposure has many possible Inorganic/Organic Aetiologies: 1) Smoke Inhalation, 2) Gastric Aspiration, 3) Pneumoconiosis is Inorganic Exposure of (1) Coal Miner's Pneumoconiosis, 2) Silicosis, 3) Absestosis) and entails a prolonged and progressive pathogenesis, and 4) Hypersensitivity Pneumonitis (Acute or Chronic) is of Organic Exposures as in 1) Farmer's Lung and 2) Bird Fancier's Lung and entails a Robust Immunologic Response; and 9) Drugs (SHIT FACED Mnemonic) are the following: 1) Bleomycin, a chemotherapeutic Agent, causes Pulmonary Fibrosis; 2) Busulfan is a Chemotherapeutic Agent; 3) Antiarrhythmic Agent Amiodarone; 4) Less Commonly is Nitrofurantoin Antimicrobrial/Antibiotic; 5) Methotrexate for Autoimmune Disease Indication(Antineoplastic/Antimetabolite/Folic Acid Analogs/DMARD/Antimetabolites Drug Class); and 6) Radiation Therapy can also Cause IFIP (Pulmonary Fibrosis); History in Regard to ILD: 1) Medications, 2) Occupation, 3) Smoking History, and 4) the like; SSx: 1) Exertional Dyspnea, 2) Cough, 3) Shortness of Breath, and 4) Other Symptoms are Possible Depending on Aetiology; Px: 1) Inspiratory Lung Crackles (Lung Bases), 2) Chronic Hypoxia Signs (Clubbing of the Fingers/Digits); Dx: 1) PFTs (Spirometry) showing a Reduced Volume (TLC); 2) DLco is Reduced showing Pathology of Fibrosis and Edema in the Interstitium (Normal in a Non-Pulmonary Cause); 3) A-a Gradient is Elevated; Radiology/Imaging (Normal in any Non-Pulmonary ILD): Radiology/Imaging Investigations: 1) CXR shows Ground Glass Opacities (Infiltration) in a Patchy, Diffused Orientation. This Imaging can be Normal in about 10% of Cases; 2) In High Resolution CT, there is Honeycombing in Advance-Stage Disease; 3) Surgery/Pathology (Histopathological Microscopic Investigation): 1) Lung Biopsy is a necessary Procedure for the Diagnosis of Idiopathic Fibrosing Interstitial Pneumonia (IFIP) and also is the most Accurate Diagnostic Procedure/Step; 2) Transbronchial Biopsy via Flexible Bronchoscopy; and 3) Bronchoalveolar Lavage (BAL). Goodness, ILD is certainly a Dreadful Pathology and entails enormous Economic Drain of Resources Both Human and Non-Human. MD Paul Bolin, wir mussen nicht lassen Aktiengesellschaft Geld machen von Menschlichen Krankheiten aber lassen sie Gold machen von der Gesundheit. Heil!

I am still learning from you everyday Dr. Paul Bolin!

@drkay5667

2 жыл бұрын

Same here just love him

Thanks for the great lectures!!!

Thank you Dr Bolin!

great lecture !

Thank you Paul, for the excellent lectures

@alexvidu4517

3 жыл бұрын

hey ,if anyone else needs to find out about can lung disease be treated? try Mackorny Light Breathing Blueprint ( search on google )? It is a smashing exclusive product for learning how to quit smoking within days minus the normal expense. Ive heard some unbelievable things about it and my mate got amazing success with it.

Good, high yielding lecture!

Will we see lung disease from vaping in the future. So many teens are vaping thinking it's harmless.

You da real mvp

I'm newly diagnosed. I wish someone would give a simple lecture telling what we can expect to go through and discuss what our chances are.

@caryulmer5578

4 жыл бұрын

Since your post was 7 months ago you might not see this, but if you do maybe this will help. I have an interstitial lung disease, have had it since 2007. Had lung biopsy to Dx it. Was very sick, (short of breath, very low O2 sat levels) & told I wouldn't live long. Used O2 at flow rate of 5-6 continuously. Decided to treat it myself by protecting my immune system since is no treatment or cure of this lung disease. Used a whey isolate daily, (called Immunocal) ate well with good nutrition, got sufficient sleep, tried to keep stress down. Used oxymeter often to measure O2 sats, used O2 if sats were below 90. (I pass out from lack of O2 below 53, can function well if it's at 88.) Used a Vetolin Puffer as needed. Practiced walking without using oxygen for short periods daily, increasing periods as I could. Continued this, after about 10 months was able to function daily with significant less O2 use, eventually able to discontinue O2 use & ventolin puffer. Was never able to carry heavy objects very far, or do as much running as I used to but with some modification I was able to keep up with my usual active life, no one could tell I was sick. Am succeptible to lung infections/pneumonia so have to watch carefully for them & take antibiotics (either Azythromycin or Doxycycline) right away, use O2 & Ventolin puffer as needed. In 2012 I got breast cancer, had radiation treatment only for it. In 2018 I was told cancer had spread to lungs, bones & lymphnodes, is in stage 4 so at best can get a bit more time with Chemo. Not able to tollerate Chemo so went untreated until May 2020, when I retried Chemo & was able to handle it. While on Chemo it seems my original lung disease is exacerbated. Bc symptoms overlap it's difficult for doctors to tell which illness is causing them, I find this is the most difficult part since it's important to keep on top of anything that comes up. Have resumed using O2 at night only, & Ventolin puffer when needed. Oncologist expected I would die before now, but I'm still here, 13 years after my respirologist expected me to die from the lung disease & a year after my oncologist expected me to die from cancer. My life has needed further modifications to keep up with everything but am able to do it. Most of the time people still don't know I'm sick. So the best thing you can do for yourself is improve & protect your immune system. Maybe some of the things I used may help you. Good luck.

@lannalane4247

4 жыл бұрын

@@caryulmer5578 Thank you! That's very encouraging!

@caryulmer5578

4 жыл бұрын

@@lannalane4247 You're very welcome. Keep a strong mindset that you're going to do well & just focus on keeping on with your life, dont let the illness keep you distracted. I tend to think of mine as an anoyance instead of something threatening my life. Best of luck😊

Antifibrotic therapy (pirfenidone and nintedanib) can slow decline of lung function in IPF patients. Thanks!

Thanks alot Paul Bolin. If we pass all steps of USMLE , can we free immigrate to U.S?? I am Afghan(Hazara).

My dog was actually just diagnosed with this

Whats rhe survival rate after lung transplant??? anybodie??

What if your chest ct is negative but pft shows restrictive lung disease. Non smoker. 30 yo female

@ananzraik6064

5 жыл бұрын

check non-pulmonary causes of restrictive lung disease

Thanks Paul I’m Rheumatoid related interstitial lung disease, also have asthma and emphysema in my lungs. Of all the things I could suck at it had to be breathing?! Lol

@chronicstitcher7933

6 жыл бұрын

woot woot!! Love you girl! Us RA'ers gotta stick together :)

@MammaCass

6 жыл бұрын

chronicstitcher McYarn love ya hun xxx

@Judy-qv8qj

6 жыл бұрын

MammaCass Creates I also have RA lung disease , iam on oxygen *24/ 7 can’t walk to far I get out of breath they just put me on a new med that won’t cure me because they tell me it’s not cure able it just to make me breath better I hope have to go on this pill slowly untill iam on 6 pills a day now iam on 4 it seems to be getting a little better but when I cough it really hurts my cheats & back then I feel worst .. I know this will kill me just don’t know when iam 72 by the way , both my lungs are scared , so how are you dealing with yours I would love to hear from you ... Judy

@nitinbhola756

5 жыл бұрын

we have 100% ayurvedic treatment for this disease. whatsapp +91989119339

@nitinbhola756

5 жыл бұрын

+919891193393

😍 what is sources of lectures.

@davidrose555

6 жыл бұрын

please give to Dr. Pauls Patreon. thank you