Tag Archives: cardiopulmonary

The Action is Hot Lungs – Part 2 of 3

The Action is Hot Lungs –Part 2 of 3

Harrison’s Better Breathers second speaker, Kinestiologist Aaron Norton, specialist in ‘Energy and Movement’ followed Leah Werner, Dietitian Harrison Medical Center in speaking to the crowd of pulmonary patients, COPDers and caregivers in the Rose Room at Harrison Silverdale last Wednesday.















Aaron works as an exercise coach at Sub base Bangor for the Navy and Marines to be “Mission Ready” and brought to us by Mei-Lin who is Harrison’s coordinator for the series of cardiopulmonary rehabs Harrison is establishing throughout Kitsap County.

Capri, a program I attended over a decade ago is now under the Harrison Medical Center umbrella for cardiopulmonary rehabilitation.  I hope the program includes a maintenance program and has – at least – one recumbent elliptical machine – great for lung patients with hip issues.  The program should include water workouts for exceptional flexibility, strengthening and aerobic.

Aaron was born with asthma and had childhood exercise induced asthma until he gradually, over a two-year period worked himself through it and over it.  Aaron’s asthma is long gone and he teaches exercise, Mission Ready’ Energy and Movement’ to Navy and Marine men and women.

NOW I understand how my young Norwegian cousin, Malin managed to get over her exercise-induced asthma – she exercised through it!















































“SMART Principle”–         

Specific, Measurable, Attainable, Realistic, Timely

I failed to meet the SMART Principle.  My goal of beginning a self-supported recumbent trike tour for COPD – 5 June – two weeks before the 2011 American Lung Association’s Big Ride Across American began didn’t get off the ground..no left foot to the pedal rotation..

The Big Ride Cyclists left Seattle today.

I was Specific, the intense water workouts beginning 1 February showed Measurable improvement in my left hip and leg and whole body.  Attainable – Yes! (Most people do not believe I can or will make this ride) Realistic -Yes.  (The issue is that my left hip will still not do a full forward pedal stroke.   The issue is that my bone on bone left hip joint will not let my leg fully rotate – yet.   Timely – No. The fact is I cannot pedal my regular trikes.  I can get on them now, can lift my left foot on the pedal and can do a half rotation with the pedal pendulum, but cannot carry it over.  Yet.  Now I have a trike to use – the recumbent hand cycle trike –  and will work toward leaving here on it NEXT 5 June 2012 – NEXT year..a heartfelt thanks to a great recumbent trike shop in Florida for the pedal pendulum tip ..more later.

Thank you, Aaron!  It was a shock to see my personal physical goal predicament easily explained right there on the screen.






























































































Read more: http://pugetsoundblogs.com/copd-and-other-stuff/2011/06/14/pulmonary-patients-eat-and-move-right-learn-how-tomorrow-better-breathers/#ixzz1Pg59kQFt

…Part 3 of 3 tomorrow… thanks for reading…Sharon O’Hara

Sorry for the poor photos…

Part 3 of 3 tomorrow… thanks for reading… Sharon O’Hara

























It is World Spirometry Day!

The COPD treat is worldwide…no border can be blocked against Chronic Obstructive Pulmonary Disease – it’s something the medical world and patients battle against together across all borders.

Oman is having their second National Seminar on COPD and is expected to educate 300 or more medical and nursing staff thanks to the joint effort of national experts from Sultan Qaboos University Hospital, the Royal Hospital and the Armed Forces Hospital.  The article follows.

Today, Thursday, 14 October 2010, is World Spirometry Day.

Here is where I don’t like what I’m about to say so if you are a Kitsap County Medical person, please keep reading.

I KNOW the economy is bad.  I KNOW you have a full plate and the government controlled medical compensation picture is disastrous.  BUT!  When will the Kitsap County medical community get involved to educate the public and patients about the lungs?

You’ve got great support groups for cancer and heart disease and I admire Harrison Medical Center’s new cardiopulmonary unit…where do they mention the LUNG education?  They speak of veins and heart.  Well, without the unpopular and poorly funded LUNGS the blood can’t pump through the veins to reach the popular heart.

It is  too bad that Kitsap County medical folks couldn’t get together to offer free screening Spirometry testing for the public today.

The next opportunity is World COPD Day on Wednesday, 17 November 2010.  What will Harrison Medical Center and our area pulmonary physicians offer the public and patients on 17 November 2010?  I don’t know either but I would happily pay an entry fee for an educational seminar to find out.  Most of us would, in my opinion.

Ask your doctor about free screening for Spirometry testing and early detection COPD.


“Second National Seminar on COPD

Muscat, Oct 12 (ONA))- The Second National Seminar on Chronic Obstructive Pulmonary Disease (COPD) will kick off  at the Conference Hall in Sultan Qaboos University (SQU) after tomorrow (Thursday) under the auspices of Dr. Abdullah bin Mohammed Al Futaisi, Executive President of Oman Medical Specialty Board (OMSB).

The seminar, organized by the Oman Respiratory Society (ORS) in collaborating with SQU College of Medicine and Health Sciences coincides with the World Takes a Breath Day.

The seminar includes scientific lectures in the morning and two workshops in the afternoon. More than 300 medical and nursing staff from the different parts of the Sultanate are expected to take part.

The event is the product of joint efforts of national experts from Sultan Qaboos University Hospital, the Royal Hospital and Armed Forces Hospital.

It is worth mentioning that the first seminar was held in 2005. The current seminar aims at advising participants of the latest developments related to COPD from the clinical and treatment aspects.



More later…. Sharon O’Hara

Will the Kitsap County Health District Get Involved?

A office Spirometer costs about $800. At least one Kitsap County resident has pledged to donate the machine to the KCHD – Will the Kitsap County Health District – Finally – Play Early Detection Spirometry?

WHEN will the Kitsap County Health District (KCHD) get concerned with early detection Spirometry testing for COPD (Chronic Obstructive Pulmonary Disease) the 4th leading cause of death in the country?

120,000 people die each year from COPD …many of them could have been stopped in its tracks by early detection.

Thanks to Steve Nelson we know Kitsap County has about 9,200 diagnosed COPDers. This slow developing disease takes about twenty years to develop symptoms enough to tell the doctor. The educated guess is that another 9,200 or more are undetected. A Spirometry test could save lives and millions in public funds to medically treat COPDers and other diseases that may develop after COPD opens the door.

The KCHD’s stated online Program Goal in part:

“Community Health Promotion carries out the Health District’s mission by developing and implementing culturally competent outreach and educational programs and policies to positively influence health behavior and health choices among Kitsap County residents.

* Community mobilization;
* Coalition development and collaboration with external
* Health education intervention planning, implementation, and evaluation;
* Utilization of social marketing strategies;
* Utilizing a strength-based (asset framework).

Community Health Promotion areas of focus include:

* Tobacco Prevention and Control;
* Injury Prevention;
* Kitsap Gets Active;
* Outreach to Hispanic Families;
* Adolescent Health Education;
* Breast and Cervical Health;…”


Where is early detection Spirometry testing for COPD?

The KCHD is involved with Breast and Cervical Health when COPD kills more people per year than Breast and Lung Cancer combined.
COPD is ignored.

‘Tobacco Prevention and Control’ is listed. 80% of COPDers were smokers.

KCHD ignores COPD early detection.

Medscape says:

“… Several well-recognized criteria have been established for the use of medical tests that have been proposed for the early detection of disease, [30-34] and spirometry for the detection of COPD in adult cigarette smokers fulfills all of these criteria:

1. The disease, if not detected early, would go on to cause substantial morbidity or mortality;

2. Treatment is available that is more effective when used at the early stage before the development of symptoms than when used after the symptoms develop; and

3. A feasible testing and follow-up strategy is available that
a. minimizes the false-positive and false-negative rates,
b. is relatively simple and affordable,
c. uses a safe test, and
d. includes an action plan that minimizes potential adverse effects.

The above criteria are usually applied to screening tests, defined as medical tests done for individuals who have no symptoms or signs that suggest the possibility of disease.

Office spirometry is considered to be a part of a clinical evaluation and does not fall under the definition of a screening test when performed for patients with respiratory symptoms who are seen during a clinical encounter (whether or not they have a history of cigarette smoking). Also, if the patient has been diagnosed as having tobacco addiction (a disease with a code in the International Classification of Diseases, ninth revision), office spirometry may be indicated to assess the severity of that disease and is not then considered to be a screening test. Although the NLHEP does not recommend office spirometry for screening unselected populations or for testing patients who have no cardiopulmonary risk factors, the next section of this document provides evidence that office spirometry fulfills all of the criteria listed above when it is used to detect COPD in adult smokers.

The Disease, If Not Detected Early, Would Go On to Cause Substantial Morbidity or Mortality

Office Spirometry Is Relatively Simple and Affordable

Spirometry is a relatively simple, noninvasive test. Office spirometry takes only a few minutes of the patient’s and technician’s time and includes a few athletic-type breathing maneuvers of 6 s duration. The economic costs of a spirometry test include the cost of the instrument and the cost of personnel time (both training and testing). Diagnostic spirometers currently cost about $2,000, and about $10 of time per test is spent in testing (including training time) and disposable supplies. Office spirometers will cost , $800 and require even less testing time than diagnostic spirometers. Adding a post-bronchodilator spirometry test for asthma adds about 15 min to the test time (but is not needed for COPD evaluations).

COPD is the most important lung disease encountered and the fourth leading cause of death in the United States, and it affects at least 16 million people.[7,35] Of the top causes of mortality in the United States, only the death rate for COPD continues to rise, increasing by 22% in the past decade. The 10-year mortality rate for COPD after diagnosis is > 50%.[36] In addition, the number of patients with COPD has doubled in the last 25 years, with the prevalence of COPD now rising faster in women than in men.[37] Although the frequency of hospitalization for many illnesses is decreasing, the number of hospital discharges for COPD rose in the last decade. COPD causes 50 million days per year of bed disability and 14 million days per year of restricted activity.[38,39] COPD causes about 100,000 deaths per year, 550,000 hospitalizations per year, 16 million office visits per year, and $13 billion per year in medical costs, including home care.[35]

Treatment Is Available That Is More Effective When Used at the Early Stage of COPD, Before the Development of Symptoms, Than When Used After Symptoms Develop

COPD is a slowly progressive, chronic disease …”


Part 1 More later…. Sharon O’Hara