The following program
presents principles designed
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to promote good health
and is not intended to take
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the place of
personalized professional care.
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The opinions and ideas expressed
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are those of the speaker.
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Viewers are
encouraged to draw their own
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conclusions about the
information presented.
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Welcome to
Health For A Lifetime.
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We're glad you joined us today.
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Our program today is
about asthma and asthma impacts
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many people
with their breathing.
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Talking with us today
about this is Dr. Victor Herry.
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He is a specialist
in internal medicine.
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Before he took
that residency he did,
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had training in
allergies and the immune system
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which is of course
directly related to asthma,
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isn't it doctor? That's correct.
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We're glad today
we're gonna talk about this
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and hopefully you
can increase our breath,
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our breathing help
people may be you know,
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avoid this or I don't know.
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We're gonna
learn a lot of things
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I'm sure from you today.
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First of all we
wanna learn what is asthma?
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What's our working
definition? What's asthma?
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Asthma is the inability
to breath well resulting
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from two
things, one inflammation
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in the lungs and
spasms in the lungs.
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So that what happens in
that case is the patient
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who does have the disease
has difficulty in breathing
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and unable to catch his breath.
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It manifests
itself in different ways.
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It might manifest as a
cough, as chest tightness.
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It might
manifest itself an audible
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wheezing or shortness of breath.
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So you've talked
also-- So the component,
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the two main
components are inflammation
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and we cannot forget
that because that's the most
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important part of its treatment.
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And the other part is
spasms where the tiny muscles
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of the bronchial
tree go into tremors
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as a result of the
environmental changes.
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So those two things and
then you started to hint
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to what the
symptoms are of course
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shortness of breath, what else?
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Cough, shortness of
breath, cough, audible wheezing,
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tightness in the
chest, any of those things
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may be manifestations of asthma.
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So going back to
your first point then
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the definition was
of course some kind
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of process inflammatory
process--It's the process
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in the lung that is--that
consists of inflammation
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and at the same time
hyper responsiveness of the lung
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and we say hyper
responsiveness because
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the tiny muscles,
the smooth muscles
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in the lung tree grow
into the spasms and prevent
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the person from
breathing freely,
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so that not
enough air is going in
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and not enough air is going out.
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So that would be
the causes of asthma.
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The real cause or
we're talking about causes
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that's different
than this, isn't it?
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Well, that's what it is.
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The cause can be, can
vary from the environment.
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For instance there are people
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who have allergies and
allergy may be a cause,
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a precipitating
factor, so that things
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in your environment bothers you.
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First of all you begin by
sneezing and then wheezing.
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See what happens in the
lung there're some cells,
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there're some mast
cells or some T cells
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which tend to break up.
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When these cells break
up they release substances
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into the body and these
substances into the body
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that they release
cause the inflammation
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and in addition to
causing inflammation
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they cause the spasm.
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So that's the simple physiology,
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so that when the
air goes in, the person,
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the air is going in
but the person can't
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breath properly and what happens
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is that the air way constricts.
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So the normal air
gets smaller and smaller
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and the person has
difficulty breathing.
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Probably one of the
most alarming things
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that can happen to someone.
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It does and there is an increase
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in asthma and the
increase happens in areas
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of high pollution because
we find that the presence
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of pollution in
the air sulphur dioxide
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and carbon dioxide.
Those act as irritants.
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People who work in dusty areas
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and may have some predisposition
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to the problem.
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We find that they end
up having those problems.
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Now there's the asthma
resulting from allergies
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especially in the
spring when the flowers come up
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and the tree pollens come up.
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Now those things are
inhaled and as they enter
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the system the
body tries to fight it.
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Very interestingly and
the body's trying to fight it,
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the body produces substances
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that are
deleterious to the body itself.
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So in other words
this is really it's healthy
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in one sense because
the body's saying wait
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this is a toxin let's
not, let's get rid of it
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but then it gets as
too much of the good thing.
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That's right and so what
happens it overwhelms the body,
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because the antihistamine mast.
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These are protective cells
that we have called mast cells
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and these mast
cells when they split up,
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they release
histamines and the histamine
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and other
substances that are released
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by these cells cause
the problem that we see.
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You've already kind of
answered these questions
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but talking about
who can develop asthma.
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Of course someone
in the polluted area,
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someone in an area
where there's lots of pollens
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and these different
things you've mentioned
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but are there other
people that are prone.
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Predisposition.
Yeah, what is that?
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Now if there--if
there's a family history
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and it goes back
to the family chief,
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there is a family
history of asthma.
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Then one must consider if
you have a son for instance
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if you're an
asthmatic or your grandmother
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was an asthmatic and your
son starts coughing every night.
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It's not just simple, a
simple cough you must explore
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whether or not
that child has asthma.
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And one of the things
that happens is that asthma
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tends to occur
primarily into the,
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may be in the early
morning hours when you notice
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that your child is
just coughing every night.
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So parents will bring
their children and say, John,
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coughs every morning
around 2 or 3 o'clock,
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coughing all the time and that's
an indication, that's asthma.
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Now why early in the
morning? Yeah, why is that?
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Now the reason is that based
upon the body circadian rhythm.
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The cortisol level of the
body drops early in the morning.
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And the cortisol
is a treatment for--
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And the cortisol is
a treatment for asthma
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because the body
produces it's own cortisol.
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Okay. And helps you
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to overcome
those kinds of things,
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but when the level drops
people who have predisposition
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to the disease and have
irritants may be dust mites
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in the house where there's dust.
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So the, the internal
pollution by internal I mean
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in the house pollution
molds, dust, dust mites
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those are things on the inside
that people who have asthma
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need to be very careful
about and on--I'm sorry.
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Excuse me. What about a
person that has like eczema
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or other types of
allergy type things.
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Are they more
predisposed to asthma?
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Yes, there're
certain percentage of people
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who have eczema and
eczema is a skin allergy.
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So certain percentage of people
who do have eczema have asthma.
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That's because they're
susceptible to allergies.
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And it's I guess
a higher percentage.
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A higher percentage
than the normal population.
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So the people that are at
risk or who can develop asthma
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are those with
the family history,
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those in the right in
or right or shall we say
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wrong environment and
those that are anything else.
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Yeah, now I want
to make this one point
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as I'm answering your question.
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Now asthma
manifests itself as wheezing.
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Okay. But all
wheezing is not asthma.
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Okay. And the reason I'm saying
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that is because the
story is told of little boy
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who was wheezing and his parents
thought that he has asthma,
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only to find out
when he went to the doctor
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even though they
gave him medication.
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He continued to
wheeze because a small object
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went into his lung and
that caused the wheezing.
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So all wheezing is
not necessarily asthma.
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That's why they
got a chest x-ray.
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That's why they
got a chest x-ray
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and they did a
chest x-ray on that kid
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and as a result
found that object in there.
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So we talked about the
causes and who can develop it.
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What are some risk
factors or is that already
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been covered in
what we talked about.
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Well, the risk factors
we talk about that people
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who are predisposed,
people who have allergies.
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If you have allergies,
it means that you should
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have your
allergies treated because
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there's a continuum
between allergy and asthma.
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So we've found that
kids who have allergies
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may move on to develop asthma
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if the allergies
are not taken care of.
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So if you see
kid that has eczema
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or other allergies
of any kind. Right.
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They don't get better,
they sometimes can get worse
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and one of the things is asthma.
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That's right, that kid should
be taken to his physician,
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his or her physician, so
that steps could be taken
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to reduce the possibility,
because the irritants
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on the outside that
causes the allergic response.
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Remember that asthma
also is an allergic response
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and as the body response
to that offending allergen
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and I use a word
offending because it causes
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a negative response in the body.
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So with the
pollens of the air pollens,
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the grass
pollen, the tree pollen,
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the dust in the house,
the molds, leaking roofs,
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any of those kinds
of things that you have
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in your household that
should be gotten rid off,
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because they can
predispose a person
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to having, to develop an asthma.
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So why would a
leaky house do that?
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The mold, molds
spores grow, yeah.
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I see. And by
inhaling those spores
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it irritates causes
the inflammatory process
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and then the response to that
would be wheezing or asthma.
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I mean it's fascinating
to hear that as nurse
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and also a
minister, because you know,
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in Old Testament
they have a whole chapter
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about sick houses and they
get so sick sometimes they say,
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ye they have this
much and it knock it over
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and he was allergist,
God is an allergist too.
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So what are the
affects of asthma on your body?
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Now, I'm glad you
asked that question
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because for children it
affects their concentration.
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So that's one of
the, the other thing
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is certainly it can
result in death because
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the death rate of
asthma is increasing
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because people
take it so lightly.
00:11:10.68\00:11:13.25
Okay, so those who have
allergies need to make sure
00:11:13.26\00:11:17.71
that the
allergies are taken care
00:11:17.72\00:11:19.98
of to prevent the
continuum into asthma.
00:11:19.99\00:11:23.01
So allergies can lead to asthma,
asthma can lead to death.
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Asthma can lead
to behavior problems
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because the child who
has asthma all the time
00:11:32.86\00:11:35.85
he can't
concentrate and a result of that
00:11:35.86\00:11:40.76
he manifest bad
behavior because of his
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inability to concentrate
and he's pushed aside.
00:11:43.49\00:11:48.31
So he starts to
have act out as a result.
00:11:48.32\00:11:50.22
Act out as a result.
00:11:50.23\00:11:51.29
So how does it really
work that he can't concentrate,
00:11:51.30\00:11:54.48
because he is
wheezing, he's doing this,
00:11:54.49\00:11:56.02
he's doing that, or he's because
00:11:56.03\00:11:57.46
the oxygen level is
low in his brain or what?
00:11:57.47\00:11:59.37
You've raised a good point
because the presence of asthma,
00:12:00.62\00:12:06.38
active asthma in the
system reduces the oxygen level.
00:12:06.39\00:12:10.56
It certainly does
because that's the whole thing
00:12:10.57\00:12:12.78
when you're wheezing
you're not getting enough air,
00:12:12.79\00:12:14.66
you're not getting enough oxygen
00:12:14.67\00:12:16.55
and because you're
not getting enough oxygen
00:12:16.56\00:12:18.58
it's been choked off your brain
00:12:18.59\00:12:20.42
therefore it's
not at its maximum.
00:12:20.43\00:12:22.39
So you can result in death.
00:12:22.40\00:12:25.39
Right, so the concentration
goes down and there's an
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increase in irritability
because of that and so it's not,
00:12:28.50\00:12:32.03
you don't spank the
child, you say wait a minute
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there must be something more.
00:12:33.99\00:12:35.41
That's right, that's right.
00:12:35.42\00:12:37.28
Okay, now you
keep bringing up death
00:12:37.29\00:12:39.52
going from
concentration to death.
00:12:39.53\00:12:41.41
I mean I know there's
an intermediate stage,
00:12:41.42\00:12:43.26
but the reason you do that
is because there can just be
00:12:43.27\00:12:45.62
sudden death
from some, you know,
00:12:45.63\00:12:48.00
an asthma
attack, I'm sure you've--
00:12:48.01\00:12:49.44
That's right. The
reason I bring death
00:12:49.45\00:12:51.50
because that's the ultimate
and because the death rate
00:12:51.51\00:12:54.40
of asthma in the
United States is increasing.
00:12:54.41\00:12:57.78
Even though we have medications
00:12:57.79\00:13:01.00
that can treat
the disease, okay.
00:13:01.01\00:13:03.94
So it means then that we
are not paying enough attention
00:13:03.95\00:13:07.53
and so we need to pay more
attention to the asthmatic,
00:13:07.54\00:13:11.44
to the children who may
be a child who has asthma
00:13:11.45\00:13:14.39
may be extremely quiet one day
00:13:14.40\00:13:15.95
and you wonder why
the child is quiet.
00:13:15.96\00:13:17.56
The child may not be
able to breath properly,
00:13:17.57\00:13:19.56
but he's just been quiet because
of the inability to breath.
00:13:19.57\00:13:22.76
I see. Okay.
00:13:22.77\00:13:23.93
And so we must pay attention.
00:13:23.94\00:13:25.77
Are there
population or ethnic groups
00:13:25.78\00:13:28.52
that are most acceptable
to asthma than others?
00:13:28.53\00:13:30.54
What we do find this in
that the central cities,
00:13:30.55\00:13:36.04
asthma is increasing
in the central cities,
00:13:36.05\00:13:38.02
and those populations who
live in the central cities
00:13:38.03\00:13:41.58
in Los Angeles,
in Washington D.C.
00:13:41.59\00:13:43.83
Baltimore, Maryland.
00:13:43.84\00:13:45.26
We find there's an
higher incidence of asthma
00:13:45.27\00:13:47.97
and the factors are
many, number one pollution.
00:13:47.98\00:13:52.02
Right, in the city area.
In the city area, you know,
00:13:52.03\00:13:54.41
the cars, the carbon monoxide,
00:13:54.42\00:13:56.20
the carbon dioxide,
all of those things.
00:13:56.21\00:13:58.81
Secondly the housing
nature of those in the cities,
00:13:58.82\00:14:02.93
how it acts, because of the
poor housing you have irritants,
00:14:04.77\00:14:10.11
I've mentioned molds earlier on,
00:14:10.12\00:14:12.25
cockroaches that
can cause asthma.
00:14:12.26\00:14:15.31
Is that right? That's right.
00:14:15.32\00:14:16.44
So if your house is
infested with cockroaches,
00:14:16.45\00:14:19.18
then you need to get rid of it
because that can cause asthma.
00:14:19.19\00:14:22.90
So we found that
mites which was in the dust,
00:14:22.91\00:14:25.58
dust mites, cockroaches,
those are thing that you find
00:14:25.59\00:14:31.12
in particularly
in the city places
00:14:31.13\00:14:34.12
or places that
are not well kept.
00:14:34.13\00:14:36.56
We're talking
with Dr. Victor Herry.
00:14:36.57\00:14:38.15
We're talking about asthma
00:14:38.16\00:14:39.65
and we're learning some
very interesting things.
00:14:39.66\00:14:41.87
We're starting to get a hint
that though it's a bad problem,
00:14:41.88\00:14:44.61
there're some things
you can do to, you know,
00:14:44.62\00:14:47.92
slow it down, perhaps stop it.
00:14:47.93\00:14:49.57
We're gonna talk about how you
can prevent it perhaps treat it,
00:14:49.58\00:14:53.58
control it, turn it
around when we come back.
00:14:53.59\00:14:55.74
Are you confused about the
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00:14:57.27\00:15:00.85
contradictory
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00:15:00.86\00:15:03.25
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00:15:03.26\00:15:05.47
and special interest groups
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00:15:05.48\00:15:09.25
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00:15:09.26\00:15:12.22
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00:15:12.23\00:15:15.26
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00:15:15.27\00:15:18.02
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00:15:18.03\00:15:21.10
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00:15:21.11\00:15:24.85
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00:15:53.16\00:15:55.29
Welcome back. We've been
talking with Dr. Victor Herry.
00:15:56.67\00:15:59.60
Dr. Herry is a
specialist in internal medicine.
00:15:59.61\00:16:02.74
Before he did that
residency however he did study
00:16:02.75\00:16:05.83
in allergies and
the immune system
00:16:05.84\00:16:08.34
which is
directly related to asthma
00:16:08.35\00:16:10.26
as we saw in the
first half of our program.
00:16:10.27\00:16:12.43
We saw that this is a
huge problem in America
00:16:12.44\00:16:15.54
and you said
it's only increasing.
00:16:15.55\00:16:17.36
Yes. People don't
take it seriously enough.
00:16:17.37\00:16:19.47
They don't recognize
the connection between
00:16:19.48\00:16:21.70
the allergic system or allergies
and how it can lead onto asthma
00:16:21.71\00:16:26.06
and you really have a
burden for this and rightly so.
00:16:26.07\00:16:28.78
You live in inner
city, you talk with people
00:16:28.79\00:16:31.26
that are in poor houses
and all these different things
00:16:31.27\00:16:33.91
we talked about
in the first half.
00:16:33.92\00:16:35.91
We wanna talk
about detecting asthma
00:16:35.92\00:16:39.15
and then perhaps
treating it, turning it around
00:16:39.16\00:16:41.90
and what types
of thing we can do.
00:16:41.91\00:16:43.38
You've hinted some of these
things to us focusing on it.
00:16:43.39\00:16:46.42
Now how do you detect it?
00:16:46.43\00:16:48.98
Now talking to the parent if
you notice that your child has
00:16:48.99\00:16:55.98
some difficulty in
breathing or if you notice that
00:16:55.99\00:17:00.38
your child has shortness of
breath or if you perhaps notice
00:17:00.39\00:17:04.39
that your child may
have excessive runny nose,
00:17:04.40\00:17:07.22
take the child to the
doctor, that's the first thing.
00:17:07.23\00:17:10.05
Now the doctor then
makes the diagnosis by doing
00:17:10.06\00:17:13.02
a special test call
pulmonary function test
00:17:13.03\00:17:16.85
that is with the doctor
ask to have that child breath
00:17:16.86\00:17:20.97
into a machine and then
based upon the breathing test,
00:17:20.98\00:17:26.15
the doctor can determine
certainly that this child
00:17:26.16\00:17:29.32
or this person or
this adult has asthma.
00:17:29.33\00:17:33.46
Now we talked
earlier on of the components.
00:17:33.47\00:17:36.87
Now in the two components
that I mentioned earlier,
00:17:36.88\00:17:39.41
one is the inflammatory
component and the other one
00:17:39.42\00:17:42.71
is the irritable component,
00:17:42.72\00:17:44.24
there are the hyper
irritability component
00:17:44.25\00:17:46.50
which with the muscle
fibers just going to spasms.
00:17:46.51\00:17:50.52
It is an important to note
that in treatment in today,
00:17:50.53\00:17:54.51
we have found out that
the most important component,
00:17:54.52\00:17:58.07
both components are important.
00:17:58.08\00:17:59.60
But the most important one
is the inflammatory component
00:17:59.61\00:18:03.67
and so in the
treatment of asthma one uses
00:18:03.68\00:18:07.17
corticosteroids as the
main stay of the treatment
00:18:07.18\00:18:09.93
of asthma today,
because it takes care
00:18:09.94\00:18:12.46
of the inflammatory
component of the disease.
00:18:12.47\00:18:15.26
Is there any down side
to taking corticosteroids?
00:18:15.27\00:18:19.72
Generally speaking no.
There is a down side if you take
00:18:19.73\00:18:23.91
high dosage for
long periods of time,
00:18:23.92\00:18:26.54
but at the low dosage
and which those steroids
00:18:26.55\00:18:31.56
are inhaled they're
virtually no down side.
00:18:31.57\00:18:34.65
Studies have been done
on the growth of children
00:18:34.66\00:18:37.20
and we find that in taking
00:18:37.21\00:18:39.30
the appropriate
amount they grow normally.
00:18:39.31\00:18:42.14
Suddenly if you have to use
high dosage over long periods
00:18:42.15\00:18:44.61
of time that can
affect the growth
00:18:44.62\00:18:46.71
in children or in adults
who have very bad asthma.
00:18:46.72\00:18:51.15
They can develop as
part of the secondary cause
00:18:51.16\00:18:54.23
of using high corticosteroids.
00:18:54.24\00:18:56.82
You can develop cataracts.
00:18:56.83\00:18:58.79
You can develop
diabetes as a result of
00:18:58.80\00:19:01.52
taking high dosage
of corticosteroids.
00:19:01.53\00:19:04.08
You can develop hypertension
because corticosteroids
00:19:04.09\00:19:06.50
tend to increase blood volume.
00:19:06.51\00:19:09.79
But we're talking
about the extreme here.
00:19:09.80\00:19:12.07
Right. That's
very, very high dosage
00:19:12.08\00:19:14.28
but on the
normal circumstances no.
00:19:14.29\00:19:17.00
Okay, so the detection
we've talked about that.
00:19:17.01\00:19:19.67
Now, you know, some
people are very interested
00:19:19.68\00:19:21.61
in plant sterols
when they have their kids
00:19:21.62\00:19:24.08
that are have access
to more different things.
00:19:24.09\00:19:25.98
There's a lot of
these substance you can buy
00:19:25.99\00:19:27.77
in this health food
stores and what not.
00:19:27.78\00:19:31.64
My feeling is that you
need to go to a trained,
00:19:31.65\00:19:34.71
professional and
then get it checked out.
00:19:34.72\00:19:37.04
How do you feel about
this? That's very important.
00:19:37.05\00:19:40.35
Go to the trained
professional have it evaluated
00:19:40.36\00:19:44.61
and diagnosed and treat it,
00:19:44.62\00:19:47.31
because it is too serious a
disease to play around with.
00:19:47.32\00:19:50.51
So the treatment
then you've alluded
00:19:50.52\00:19:52.79
to can be the
you know, steroids.
00:19:52.80\00:19:54.73
I've mentioned
one of the treatments
00:19:54.74\00:19:56.34
and that is the use
of inhale corticosteroids
00:19:56.35\00:19:59.49
and the other is the use
of some beta genetic agents
00:19:59.50\00:20:05.29
which are use in inhalers
00:20:05.30\00:20:08.48
and that is more
further rapid response.
00:20:08.49\00:20:13.04
So if a person is wheezing
you need a rapid response
00:20:13.05\00:20:15.97
and in times pass you give
an injection of adrenaline.
00:20:15.98\00:20:19.62
Now we have other substances
00:20:19.63\00:20:21.66
that you can
use and inhale them.
00:20:21.67\00:20:24.11
You can use a
metered dose inhaler
00:20:24.12\00:20:26.72
or you can use through a
nebulizer that's a little cup
00:20:26.73\00:20:31.42
in which you put the medication
00:20:31.43\00:20:33.06
and the person
inhales that back and forth.
00:20:33.07\00:20:35.62
So those are things
that we can do to treat
00:20:35.63\00:20:37.78
the disease in the active state.
00:20:37.79\00:20:40.53
And in that active
stage, lets say you're up on
00:20:40.54\00:20:42.80
the mountain and you don't have
00:20:42.81\00:20:44.41
your medicine with
you, what you do then?
00:20:44.42\00:20:46.22
Oh, you better have
your metered dose inhaler,
00:20:46.23\00:20:48.33
but I understand that in
some cases people are told that
00:20:48.34\00:20:54.84
if one has an
acute wheezing process,
00:20:54.85\00:20:58.62
they can use the
Heimlich maneuver to enable
00:20:58.63\00:21:00.82
that person to breath better,
00:21:00.83\00:21:02.80
but I have not started
that to a large extend.
00:21:02.81\00:21:06.01
But I understand
that's, that's one of the things
00:21:06.02\00:21:07.86
that could be done,
but get down the mountain
00:21:07.87\00:21:10.68
as fast as you can,
get yourself to a doctor.
00:21:10.69\00:21:14.18
And if your child has asthma
and he or she is going on a camp
00:21:14.19\00:21:19.11
or an outing be sure
that you have the medication.
00:21:19.12\00:21:22.24
You know, sometimes you
know, you've got the inhaler,
00:21:22.25\00:21:24.69
is there any oral
medication people take that,
00:21:24.70\00:21:28.14
you know, to deal with this.
00:21:28.15\00:21:29.36
There are oral medications
that can be used for it,
00:21:29.37\00:21:32.80
but we're moving, we
tend to be moving away
00:21:32.81\00:21:36.73
from oral
medications more to the inhale,
00:21:36.74\00:21:39.02
because what
happens with the inhalers,
00:21:39.03\00:21:41.56
you provide the medication
directly at the point of need.
00:21:41.57\00:21:45.35
I see. By taking a lot of
00:21:45.36\00:21:47.03
oral medications what
happens and we still use
00:21:47.04\00:21:50.07
oral medications, but
those are oral medications
00:21:50.08\00:21:53.74
that you systemically and we
are moving away from that now.
00:21:53.75\00:21:57.25
Is that right? So they don't,
00:21:57.26\00:21:58.60
they don't check their
blood levels and all that stuff-
00:21:58.61\00:22:00.74
No those things,
those things are-
00:22:00.75\00:22:02.56
We're moving away
from them. Yes, we are.
00:22:02.57\00:22:04.78
Now what about
then, I mean we've done
00:22:04.79\00:22:06.92
a lot of
education in this program,
00:22:06.93\00:22:08.75
but what
additional things do you tell
00:22:08.76\00:22:10.69
your patients when they come?
00:22:10.70\00:22:12.71
Now one of the things
that we need to keep in mind
00:22:12.72\00:22:16.07
is that the
environment must be clean
00:22:16.08\00:22:18.96
and so a dusty
environment to an asthmatic
00:22:18.97\00:22:22.63
is a gun to a person's head.
00:22:22.64\00:22:25.41
So which means
that the environment
00:22:25.42\00:22:27.21
must be free of
dust, free of inhalants,
00:22:27.22\00:22:31.03
right free of
molds, we talked about
00:22:31.04\00:22:32.64
molds spores and how
they act as irritants.
00:22:32.65\00:22:35.09
Cats? And pets in some cases,
00:22:35.10\00:22:38.56
it's very hard
to get rid of pets,
00:22:38.57\00:22:41.44
but one of the
things that we do today
00:22:41.45\00:22:43.28
is that we skin test that
person for allergy to the pets
00:22:43.29\00:22:47.97
be the dog or cat and
then provide immunotherapy.
00:22:47.98\00:22:51.89
If that child or that adult
00:22:51.90\00:22:53.63
doesn't want to
part with that pet.
00:22:53.64\00:22:55.85
So we try to give him
immunotherapy to that person
00:22:57.56\00:23:00.54
hopefully that they can overcome
00:23:00.55\00:23:04.15
the offending nature
of the allergy to the pet.
00:23:04.16\00:23:07.35
So you know,
allergy testing I mean
00:23:07.36\00:23:09.35
they have hundreds or thousands
of things you can test for.
00:23:09.36\00:23:12.00
Do you run those kind
of things in your office?
00:23:12.01\00:23:14.14
Yes, but what
happens is depending on.
00:23:14.15\00:23:17.26
If you're dealing with
internal in house allergies
00:23:17.27\00:23:21.71
as oppose to out,
allergies on the outside.
00:23:21.72\00:23:24.97
I see. So you
can test for pollens
00:23:24.98\00:23:26.50
in different regions of
the country or of the world
00:23:26.51\00:23:29.52
you test for different things.
00:23:29.53\00:23:31.22
So the trees that
grow up in Northern Canada
00:23:31.23\00:23:33.62
are not the same
trees that grow in Florida
00:23:33.63\00:23:36.06
or the trees that grow
here in Southern Illinois
00:23:36.07\00:23:38.20
and now the same thing
that may grow in California.
00:23:38.21\00:23:40.96
So you test for
things in your environment.
00:23:40.97\00:23:43.43
What's the best place to live in
America if you're an asthmatic?
00:23:43.44\00:23:47.70
Wherever you can live.
00:23:47.71\00:23:49.23
So you just have
to test this out.
00:23:49.24\00:23:50.33
Some people move to
Arizona for instance
00:23:51.47\00:23:53.97
because they have
asthma when they are in
00:23:53.98\00:23:55.92
the Northeast
or some place else.
00:23:55.93\00:23:57.69
But sooner or later
because they have that
00:23:57.70\00:24:00.09
predisposition to allergies,
sooner or later they develop
00:24:00.10\00:24:03.22
the allergies in the
area that they moved to.
00:24:03.23\00:24:05.58
So in another words, you
can run but you can't hide.
00:24:05.59\00:24:10.68
You know, you
practice lifestyle medicine,
00:24:12.51\00:24:16.54
I mean you're board
certified internal medicine,
00:24:16.55\00:24:18.86
you practiced with
a group of physicians
00:24:18.87\00:24:20.66
there in the D.C. area.
00:24:20.67\00:24:22.97
But you always
try to address things
00:24:22.98\00:24:25.42
through lifestyle
type things, changes.
00:24:25.43\00:24:28.55
And a lot of these
things had to do with that,
00:24:28.56\00:24:31.04
I mean looking at your
environment, your housing,
00:24:31.05\00:24:33.51
looking at the different
things you come in contact with,
00:24:33.52\00:24:36.04
treating allergies
you've talked about.
00:24:36.05\00:24:38.91
Any other lifestyle type
things that you would say
00:24:38.92\00:24:42.73
in a general sense than
more specifically with asthma?
00:24:42.74\00:24:45.43
It's important to,
not to change activities.
00:24:45.44\00:24:49.71
In other words, a person who
is asthmatic should exercise.
00:24:49.72\00:24:52.90
Okay. There should be no reason
00:24:52.91\00:24:54.45
why the person
should not exercise.
00:24:54.46\00:24:56.25
And also there's
exercise induced asthma
00:24:56.26\00:24:59.25
and people who
are prone to that.
00:24:59.26\00:25:00.85
But these people can take the
medication before the exercise,
00:25:00.86\00:25:04.79
so that during the exercise they
do not get the asthma attack.
00:25:04.80\00:25:07.82
So don't stop
exercising, but make sure
00:25:07.83\00:25:10.31
you're equipped
for the exercise.
00:25:10.32\00:25:11.86
That's correct. And what else?
00:25:11.87\00:25:13.56
So exercise, take
care of you environment,
00:25:13.57\00:25:16.76
remove any offending agents
in your house and eat properly.
00:25:16.77\00:25:21.15
It's important
to eat properly too,
00:25:21.16\00:25:22.85
because there's
somethings that do predispose.
00:25:22.86\00:25:25.44
I think earlier on we might
have spoken about the ability
00:25:25.45\00:25:30.66
of white blood
cells to phagocytes
00:25:30.67\00:25:34.75
or to carry out
its function. Okay.
00:25:34.76\00:25:37.85
And you know, if
you eat certain diets
00:25:37.86\00:25:40.82
that prevent white cells
from carrying out its function,
00:25:40.83\00:25:43.96
that predisposes
you to other things.
00:25:43.97\00:25:46.97
Now why am I
mentioning that with the asthma,
00:25:46.98\00:25:49.11
because in the case of asthma
you need white blood cells too
00:25:49.12\00:25:54.26
and those white
blood cells do release
00:25:54.27\00:25:57.86
certain substances
that may cause problems.
00:25:57.87\00:26:00.68
Okay. So diet is
important even in this.
00:26:00.69\00:26:03.43
All right, what about fluids?
00:26:03.44\00:26:05.86
You must drink a lot of fluids.
00:26:05.87\00:26:07.63
It's always important
to drink a lot of water.
00:26:07.64\00:26:11.25
Water because water
keeps your body hydrated.
00:26:11.26\00:26:14.11
The person who is asthmatic,
00:26:14.12\00:26:16.28
the person who is
wheezing loses a lot of water.
00:26:16.29\00:26:20.48
Remember just from
regular respiration we lose
00:26:20.49\00:26:23.22
approximately 600 cc of water
which is about two eight ounces
00:26:23.23\00:26:27.08
glass of water, two
and half eight ounces
00:26:27.09\00:26:29.21
of glass of water just
from ordinary respiration.
00:26:29.22\00:26:32.16
Imagine if
you're breathing faster
00:26:32.17\00:26:34.53
as if you're running so
you need to be in hydrated.
00:26:34.54\00:26:38.53
What about anxiety as it relates
to asthma anything about that?
00:26:38.54\00:26:42.08
Stress, now that's one
of the things that can.
00:26:42.09\00:26:46.52
As a matter of fact I
was reading recently about
00:26:46.53\00:26:50.07
the effect of stress on
children who are asthmatics
00:26:50.08\00:26:54.99
or on anybody for that matter,
so that can create anxiety.
00:26:55.00\00:26:59.83
So as much as possible
relieve the stress sores.
00:26:59.84\00:27:03.97
Get rid of those
so that your life
00:27:03.98\00:27:08.04
can be healthier and
you can breath better.
00:27:08.05\00:27:12.38
Dr. Herry, we're delighted that
you could spend time with us
00:27:12.39\00:27:15.47
at 3ABN and do
this program on asthma
00:27:15.48\00:27:18.43
as well as the
others you've done with us.
00:27:18.44\00:27:20.44
And this has been
very meaningful work.
00:27:20.45\00:27:23.06
We wanna give our special
thanks also to your wife,
00:27:23.07\00:27:26.15
the other physicians
there that allowed you
00:27:26.16\00:27:27.47
to have the time off.
00:27:27.48\00:27:28.76
We're glad you could join
us. Thank you for calling me.
00:27:28.77\00:27:30.83
And we're grateful
that you could join us
00:27:30.84\00:27:32.52
as well today for
this important program.
00:27:32.53\00:27:34.58
We've learnt a
lot today about breath
00:27:34.59\00:27:37.72
and as it relates to
asthma you know underneath
00:27:37.73\00:27:42.69
all this are thankful to God who
gives us the ability to breath
00:27:42.70\00:27:46.28
to begin with and has set us up
to learn about Him through that.
00:27:46.29\00:27:50.33
We're really
dependent for every breath
00:27:50.34\00:27:52.83
on our Maker and our King.
00:27:52.84\00:27:54.73
And we hope today as a
result of this program,
00:27:54.74\00:27:56.95
you have many more breaths
and can serve the Master.
00:27:56.96\00:27:59.64