COPD Education

COPD Education
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  • Good morning Mr. Jones. What brings you in today?
  • I need to get my CDL physical form completed. It also seems like my asthma is getting worse. 
  • Tell me more about your symptoms.
  • The last 3 months, I have had to use my inhaler more often.
  • Uh-huh...
  • I have also been coughing up a lot of phlegm.
  • I have also been coughing up a lot more phlegm.
  • Is it worse in the morning when you wake up?
  • I have also been coughing up a lot more phlegm.
  • Yes, it is.
  • I see...
  • I have also been coughing up a lot more phlegm.
  • Let me listen to your heart and lungs.
  • I have also been coughing up a lot more phlegm.
  • Take some deep breaths.
  • I have also been coughing up a lot more phlegm.
  • Your heart sounds good, but I heard some wheezing in your lungs.
  • I have also been coughing up a lot more phlegm.
  • I would like for you to go for some other tests.
  • What kinds of other tests?
  • I have also been coughing up a lot more phlegm.
  • A chest x-ray and spirometry are tests that will help to determine how your lungs are working.
  • I have also been coughing up a lot more phlegm.
  • I will schedule an appointment for you at Breathe Easy Pulmonology.
  • I have also been coughing up a lot more phlegm.
  • I sure hope they can help me to feel better.
  • I have also been coughing up a lot more phlegm.
  • Would you be able to go over to the pulmonologist this afternoon?
  • Yes, I can.
  • I have also been coughing up a lot more phlegm.
  • Great.
  • I have also been coughing up a lot more phlegm.
  • Come back here after your tests, and I will go over the results with you.
  • I have also been coughing up a lot more phlegm.
  • Okay.
  • LATER THAT AFTERNOON...
  • Hello Mr. Jones. I am Dr. Breathe Right. I am going to explain the tests you will be taking today.
  • A chest x-ray will help us to determine how your lungs look. It will also give us a baseline for comparison later on.
  • We will perform a test called an ABG to assess the levels of pH, carbon dioxide,oxygen, and bicarbonate in your blood 
  • Spirometry will assess how your lungs function by recording the amount of air that moves into and out of your lungs. 
  • After we perform the tests, you will return to your doctor to go over the results.
  • Okay. That sounds good.
  • Back at the doctor's office...
  • Hello Mr. Jones. Thank you for coming back. I am going to go over your test results and make some recommendations.
  • The chest x-ray appeared normal.
  • That's good, right?
  • Yes, it is. The blood test shows a slight increase of carbon dioxide in your blood and the pH is slightly decreased.
  • Also, the lung function test showed a mild decrease of your lung function. Based on these findings, your diagnosis is Chronic Obstructive Pulmonary Disease (COPD)
  • What does that mean?
  • I have a video that will explain (COPD), afterwards I will answer any questions you have
  • Okay.
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