Long-term inflammatory disease of the airways of the lungs
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Asthma is a common chronic respiratory condition that nurses frequently encounter in both outpatient and inpatient settings. Effective medication management is essential for controlling symptoms, preventing exacerbations, and improving long-term respiratory health. In this episode, we'll review the major medication classes used to manage asthma and highlight key nursing considerations when caring for patients with this condition. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE!
Providing Medical Care During Civil Unrest 1. Opening Brief introduction of the episode Define civil unrest contexts: Protests Riots Mass demonstrations Politically charged gatherings Why medical care becomes complicated in these environments: EMS access delays Crowd density Law enforcement operations Environmental hazards Emphasize guiding principles: Personal safety first Situational awareness Know your limits 2. Understanding the Operational Environment What makes civil unrest medically unique Unpredictable crowd movement Law enforcement presence and tactics Noise, confusion, and sensory overload Limited ambulance access Common operational constraints Blocked streets Limited lighting Communication disruption Delayed EMS response Situational awareness basics Know entry and exit routes Stay on the edge of crowds Avoid getting boxed in 3. The Most Common Injuries Seen in Civil Unrest Blunt Trauma Common causes: Falls Being pushed or trampled Baton strikes Thrown objects These injuries can range from minor bruising to serious head injury or internal bleeding. What to look for Pain or swelling Deformity suggesting fracture Difficulty moving a limb Head injury symptoms: Confusion Vomiting Severe headache Loss of consciousness Basic treatment Move the person out of the crowd if possible Apply ice or cold pack if available Immobilize injured limbs with a sling or improvised splint For suspected head injury, keep the person still and monitor mental status If symptoms worsen (confusion, vomiting, severe pain), they need EMS evaluation Key reminder for listeners Blunt trauma in chaotic environments often gets ignored — but head injuries and internal bleeding can worsen over time. Lacerations Common causes: Broken glass Debris Improvised projectiles What to look for External bleeding Deep cuts with visible tissue Embedded debris Bleeding that soaks through clothing Basic treatment Put on gloves if available Apply direct pressure with gauze or cloth If bleeding continues, use a compression bandage For severe extremity bleeding, apply a tourniquet Cover the wound with a clean dressing Additional considerations Do not remove deeply embedded objects If the wound is large or continues bleeding, the patient needs hospital care Key reminder The vast majority of life-threatening bleeding can be controlled withpressure and time. Respiratory Irritants Common exposures: Tear gas (CS) Pepper spray (OC) Smoke from fires These agents cause severe irritation but are usually temporary. Common symptoms Burning eyes Tearing Skin irritation Coughing Shortness of breath Disorientation Basic treatment Move the person to fresh air immediately Encourage slow breathing Flush eyes with copious water or saline Remove contaminated clothing if heavily exposed Avoid rubbing eyes or skin Important notes Oils, lotions, or milk can sometimes trap irritants against the skin Most symptoms improve within 15–30 minutes once exposure stops Red flags requiring EMS Severe breathing difficulty Asthma attack Persistent confusion Heat and Dehydration Common causes: Long hours outdoors Heavy clothing or gear Stress and exertion Limited access to water Symptoms Dizziness Weakness Headache Nausea Muscle cramps Heavy sweating Basic treatment Move the person out of the sun or crowd Have them sit or lie down Provide water or electrolyte fluids Use cooling measures Shade Wet cloths Fanning Red flags for heat stroke Confusion Collapse Hot dry skin Seizures Heat stroke is a medical emergency. Psychological Stress Reactions Crowd environments can trigger intense emotional reactions. Common presentations: Panic attacks Hyperventilation Acute anxiety Disorientation What to look for Rapid breathing Shaking Crying Feeling unable to escape the crowd Basic treatment Move the person to a quieter, safer space Speak calmly and reassure them Encourage slow breathing Inhale through the nose Exhale slowly through the mouth Help them regain orientation and control Often, simply removing the person from the chaotic environment dramatically improves symptoms. “The key point here is that most injuries in these environments are not exotic trauma cases. They're the same things EMS treats every day — bleeding, falls, heat illness, and panic — but they're happening in a chaotic environment where help may take longer to arrive.” 4. Basic Medical Kit for High-Risk Gatherings Emphasize compact, discreet gear. Essentials Nitrile gloves Gauze / compression bandage Tourniquet Saline or water for eye irrigation Simple airway mask Electrolyte packets Small flashlight Optional but useful Chest seal Trauma shears Space blanket Eye protection Basic first aid medications Practical considerations Avoid large visible medical packs Keep supplies distributed in pockets Maintain mobility 5. Working Around Law Enforcement and EMS Key points: Identify yourself if providing care Follow lawful orders immediately Avoid interfering with police operations Know when to disengage Discuss that: EMS may stage until scenes are secure Civilian aid may be temporary bridging care 6. When NOT to Intervene (Important Ethical Section) Situations where civilians should not attempt treatment: Active violence nearby Crowd crush risk Presence of chemical agents without protection Situations beyond training Reinforce: “You cannot help anyone if you become a patient.” 7. Closing Reinforce three takeaways: Personal safety comes first Simple medical skills save lives Preparation matters Invite listeners to: Get first aid training Carry basic medical kits Learn situational awareness Medical Gear Outfitters Use Code CIVILIANMEDICAL for 10% off Skinny Medic - @SkinnyMedic | @skinny_medic | Medical Gear Outfitters Bobby - @rstantontx | @bobby_wales
What if Alzheimer's, multiple sclerosis, chronic fatigue, and even psychiatric symptoms are not random but driven by hidden infections? In this episode of Integrative Lyme Solutions, Dr. K sits down with research scientist and Lyme survivor Nikki Schultek to explore the infection hypothesis behind chronic disease. After battling years of misdiagnosed symptoms including asthma flares, interstitial cystitis, arrhythmias, neurological decline, and suspected MS, Nikki uncovered a complex web of infections including Borrelia, Bartonella, Babesia, Chlamydia pneumoniae, Epstein-Barr virus, and more. Now founder of the Alzheimer's Pathobiome Initiative, Nikki is leading a global consortium investigating how stealth pathogens may trigger neurodegeneration, immune dysfunction, and dementia. This conversation dives into intracellular infections, the Herxheimer reaction, amyloid as an antimicrobial response, sterile brain autopsies, precision medicine, and why federal health agencies are finally acknowledging Lyme disease as a serious public health crisis. If you or someone you love is dealing with chronic Lyme, long COVID, autoimmune illness, or cognitive decline, this episode may change how you see disease. Key Takeaways: 0:00 Introduction 3:15 Asthma, air hunger, and early misdiagnoses 8:40 From interstitial cystitis to suspected multiple sclerosis 14:30 Discovering intracellular infections and Chlamydia pneumoniae 18:45 Lyme, Bartonella, Babesia and the whack-a-mole effect 24:10 The Pathobiome concept and microbial imbalance 27:30 Alzheimer's disease and the infection hypothesis 32:00 Sterile brain autopsies and spinal fluid research 35:20 Amyloid plaque as an antimicrobial defense mechanism 41:00 APOE4, genetics, and infection susceptibility 44:30 Federal recognition of Lyme disease and future funding Resources Mentioned: Alzheimer's Pathobiome Initiative - https://alzheimerspathobiome.org ILADS - https://www.ilads.org ILADS Education Foundation - https://www.iladef.org Philadelphia College of Osteopathic Medicine - https://www.pcom.edu Medical Disclaimer: This content is for educational purposes only and is not intended to diagnose, treat, cure, or replace professional medical advice. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. _______________________________The Karlfeldt Center offers the most cutting-edge and comprehensive Lyme therapies. To schedule a Free 15-Minute Discovery Call with a Lyme Literate Naturopathic Doctor at The Karlfeldt Center, call 208-338-8902 or email info@TheKarlfeldtCenter.comCheck out Dr. K's Ebook: Breaking Free From Lyme: A Comprehensive Guide to Healing and Recovery here: https://store.thekarlfeldtcenter.com/products/breaking-free-from-lymeUse the code LYMEPODCAST for a 100% off discount!
Fluent Fiction - Hungarian: Beneath the Bunker: A Story of Survival and Redemption Find the full episode transcript, vocabulary words, and more:fluentfiction.com/hu/episode/2026-03-06-08-38-20-hu Story Transcript:Hu: A bunkerban sötét volt.En: It was dark in the bunker.Hu: Hűvös, hideg szél fújt kívül.En: A cool, cold wind blew outside.Hu: A betonfalak között csak a lecsöpögő víz hangja hallatszott.En: Among the concrete walls, only the sound of dripping water could be heard.Hu: András, Éva és Zsófi mind hármuk egy késő téli menedéket kerestek a világ zavarai elől.En: András, Éva, and Zsófi all sought a late winter refuge from the disturbances of the world.Hu: András egy ügyes túlélési rajongó volt.En: András was a skilled survival enthusiast.Hu: Napjait itt töltötte, hogy mindig készen álljon minden eshetőségre.En: He spent his days here, always ready for any eventuality.Hu: De egy éjszakán minden megváltozott.En: But one night, everything changed.Hu: Zsófi hirtelen összeesett.En: Zsófi suddenly collapsed.Hu: Levegő után kapkodott, légzése zihált.En: She gasped for air, her breathing was labored.Hu: Éva rémült arccal nézett Andrásra.En: Éva looked at András with a terrified face.Hu: "Segíts neki, kérlek!En: "Help her, please!"Hu: " kiáltotta.En: she shouted.Hu: András tudta, hogy Zsófi asztmás.En: András knew that Zsófi had asthma.Hu: Az orvosi felszerelésük azonban korlátozott volt.En: However, their medical supplies were limited.Hu: András gyorsan cselekedett.En: András acted quickly.Hu: A régi zseblámpájával megvilágította a bunkert.En: He illuminated the bunker with his old flashlight.Hu: Zsebéből elővette a kis oxigénpalackot, amit mindig magánál tartott váratlan helyzetekre.En: He took the small oxygen tank from his pocket, which he always kept on him for unforeseen situations.Hu: A palack kicsi volt, de talán elég lehetett.En: The tank was small, but it might have been enough.Hu: Tudta, hogy a készleteiket nem pazarolhatja el, de Zsófi élete vészhelyzet volt.En: He knew he couldn't waste their supplies, but Zsófi's life was an emergency.Hu: "Zsófi, lélegezz mélyen!En: "Zsófi, breathe deeply!"Hu: " biztatta András, miközben a maszkot az arcára helyezte.En: András encouraged as he placed the mask over her face.Hu: Éva reszketve fogta Zsófi kezét.En: Éva trembled as she held Zsófi's hand.Hu: Az idő lassan telt.En: Time passed slowly.Hu: Minden másodperc fontos volt.En: Every second was important.Hu: Zsófi végre visszanyerte légzését, bár gyenge volt.En: Zsófi finally regained her breath, though she was weak.Hu: András sóhajtott.En: András sighed.Hu: Körülnézett a bunkerben.En: He looked around the bunker.Hu: Az emlékek hirtelen beugrottak, gyermekkora óta tartó félelmei most múltba vesztek.En: Memories suddenly flashed back, his fears from childhood now faded away.Hu: "Megcsináltuk" mondta halkan.En: "We did it," he said quietly.Hu: Éva hálásan nézett rá, könnyek csorogtak az arcán.En: Éva looked at him gratefully, tears streaming down her face.Hu: "Köszönöm, András.En: "Thank you, András."Hu: "Ez volt az a pillanat, amikor András rájött, hogy képes gondoskodni másokról.En: It was at that moment that András realized he was capable of caring for others.Hu: Az ősi félelemtől elengedte magát.En: He let go of his ancient fear.Hu: Ez az élmény új erőt adott neki, és a bátorságát visszanyerte.En: This experience gave him new strength, and he regained his courage.Hu: Most már tudta, nem csak túlél, hanem vezet is.En: Now he knew he would not only survive but lead.Hu: A bunker továbbra is maradt az ideiglenes otthonuk, de a csend már nem tűnt olyan ridegnek.En: The bunker remained their temporary home, but the silence no longer seemed so harsh.Hu: A barátságok szorosabbá váltak, és mindhárman készen álltak a jövő új kihívásaira.En: Friendships grew closer, and all three of them were ready for the new challenges of the future.Hu: A kemény hideg tél nem győzött le őket.En: The harsh cold winter had not defeated them.Hu: Többé már nem csak túléltek, hanem éltek is.En: No longer were they merely surviving; they were living. Vocabulary Words:bunker: bunkerdripping: lecsöpögősought: kerestekrefuge: menedéketdisturbances: zavaraienthusiast: rajongóeventuality: eshetőségrecollapsed: összeesettgasped: kapkodottlabored: ziháltterrified: rémültsupplies: felszerelésükilluminated: megvilágítottaflashlight: zseblámpájávalpocket: zsebébőlforeseen: váratlanwaste: pazarolhatjaemergency: vészhelyzettrembled: reszketvebreathed: lélegzettregained: visszanyertememories: emlékekfaded: múltbagratefully: hálásanstreaming: csorogtakcourage: bátorságáttemporary: ideiglenesharsh: ridegnekstrength: erőtchallenges: kihívásaira
This year, the American Academy of Allergy, Asthma, and Immunology (AAAAI)/World Allergy Organization (WAO) Joint Congress was held in Philadelphia, Pennsylvania, centered on the theme 'Advancing Precision Medicine from Discovery to Patient Care'. While these meetings are filled with complex research and new developments, what matters most to patients and families is what it all means for their daily life with food allergies. Joining us to break it all down in his signature warm and easy-to-understand style is FAACT's Medical Advisory Board Chair, Dr. Shahzad Mustafa, who will share the key takeaways that patients and families should know from this important meeting.Resources to keep you in the know:AAAAIYou can find FAACT's Roundtable Podcast on Apple Podcast, Pandora, Spotify, Podbay, iHeart Radio or wherever you listen to your podcasts.Follow us on Facebook, Instagram, BlueSky, Threads, LinkedIn, Pinterest, TikTok, and YouTube.Sponsored by: GenentechThanks for listening! FAACT invites you to discover more exciting food allergy resources at FoodAllergyAwareness.org!
Presenter: Marcus Shaker, MD, MSc, FAAP, FACAAI, FAAAAI Financial and space limitations are two of the most pressing issues facing allergists and immunologists in academic practice. Fortunately, negotiation principles, like BATNA and ZOPA, and disruptive innovation tactics can help address these common issues. To learn more, we recently spoke with Dr. Marcus Shaker. Not only is he a Professor of Pediatrics and Medicine at the Dartmouth Geisel School of Medicine in New Hampshire, but he also spoke about this topic at the 2026 American Academy of Allergy, Asthma, & Immunology Annual Meeting.
Presenter: Mustafa Ozcam, PhD Emerging research is redefining the role of the gut microbiome in food allergy and immune tolerance. Here to share some of the most groundbreaking findings is Dr. Mustafa Ozcam. He discusses how gut microbes metabolize allergenic proteins, shape immune development, and serve as potential biomarkers to predict oral immunotherapy success in food allergy patients. Dr. Ozcam is an Assistant Professor of Microbiology and Immunology at the University of Maryland School of Medicine, and he spoke about this topic at the 2026 American Academy of Allergy, Asthma, and Immunology Annual Meeting.
Send a textMorning Prayer (God Giver Of Life; Asthma/ COPD / Cystic Fibrosis; Government Leaders; Praise The LORD)Thank you for listening, our heart's prayer is for you and I to walk daily with Jesus, our joy and peace aimingforjesus.com YouTube Channel https://www.youtube.com/@aimingforjesus5346 Instagram https://www.instagram.com/aiming_for_jesus/ Threads https://www.threads.com/@aiming_for_jesus X https://x.com/AimingForJesus Tik Tok https://www.tiktok.com/@aiming.for.jesus
Our digital world's convenience masks a heavy environmental cost. This lecture explores the destructive rare earth mineral mining powering our devices, the vast energy consumption of data centres fuelling climate change, and the toxic e-waste contaminating our environment and harming human health. From resource extraction to digital consumption, we'll uncover the environmental trade-offs of our tech-dependent lives and discuss pathways towards a sustainable digital future that minimizes degradation, protects health, and mitigates climate change.This lecture was recorded by Ian Mudway on the 17th of February 2026 at Bernard's Inn Hall, LondonDr Ian Mudway is Visiting Professor of Environmental Health. He is a senior lecturer in the School of Public Health at Imperial, a member of the MRC Centre for Environment and Health; MRC & Asthma UK Centre in Allergic Mechanisms of Asthma and the NIHR-PHE Health Protection Research Units in Environmental Exposures and Health and Chemical and Radiation Threats and Hazards.He has over 25 years of experience researching the impacts of air pollution on human health and in the development of assays to quantify the toxicity of the chemical cocktails that pollute the air we breathe. Over this period Dr Mudway has published over 100 research papers, reports and book chapters on these topics, as well as providing advice to the local, national and international governments and NGOs. Dr Mudway is passionate about the communication of science to lay audiences and has worked extensively with artists and educationalist to promote the public understanding of the risks associated with environmental pollutants. Currently his work is focused on understanding early life impacts of pollutants on the development of the lung and cognitive function in children living within urban populations, as well as furthering our fundamental understanding of the mechanisms that drive these adverse effects and modify an individual's susceptibility to air pollutionThe transcript of the lecture is available from the Gresham College website: https://www.gresham.ac.uk/watch-now/price-pixelsGresham College has offered free public lectures for over 400 years, thanks to the generosity of our supporters. There are currently over 2,500 lectures free to access. We believe that everyone should have the opportunity to learn from some of the greatest minds. To support Gresham College's mission, please consider making a donation: https://www.gresham.ac.uk/get-involved/support-us/make-donation/donate-today Website: https://gresham.ac.ukX: https://x.com/GreshamCollegeFacebook: https://facebook.com/greshamcollegeInstagram: https://instagram.com/greshamcollegeBluesky: https://bsky.app/profile/greshamcollege.bsky.social TikTok: https://www.tiktok.com/@greshamcollegeSupport Us: https://www.gresham.ac.uk/get-involved/support-us/make-donation/donate-todaySupport the show
In this episode of the Homeopathy247 podcast, host Mary is joined by expert homeopath Robin Gladstone to discuss a topic that touches many families: asthma. They dive into how homeopathy works alongside conventional medicine to provide deep, long-term relief for children and adults. Understanding Asthma and Its Triggers Robin explains that many cases, especially in children, involve allergic asthma. While winter is often blamed, many children find their symptoms "tick up" in the springtime due to hay fever, pollen, and increased outdoor sports. Common triggers include: Exercise: Physical activity frequently brings on coughing or wheezing. Allergens: Sensitivity to cats, milk, or sweets can exacerbate conditions. Environment: Dampness, moldy leaves in the fall, or high pollen counts in spring. Prescribing for the Person, Not Just the Flare A key theme of this episode is that homeopathy for asthma doesn't just treat the "flare" or the emergency; it works at a deeper, constitutional level to change how the body reacts over time. Alice shares a powerful success story of a 4-year-old boy who frequently visited the hospital for severe wheezing. By using Tuberculinum and LM potencies (gentle daily liquid doses), he was eventually able to have sleepovers at houses with cats without any reaction. Modern Homeopathic Prescribing: LM Potencies & Compounding Robin explains specific methods used in her practice: LM Potencies: Gentle remedies used for chronic conditions, designed to be taken daily to nudge the "vital force" without causing large aggravations. Compounding: Turning pellet remedies into a liquid solution, which is legally required in parts of Canada. Succussing: Shaking the bottle before each dose to slightly "bump up" the potency, keeping the healing response active. Mainstream Medicine and Homeopathy Together It is important to remember that homeopathy is complementary. Alice encourages parents to always use life-saving medications like nebulizers or Advil when needed in emergencies. Homeopathy works alongside these to make the lungs stronger so that, eventually, those emergency medications are needed less and less. Links in this episode: Robin Gladstone's website: https://www.homeopathicfamilywellness.com/ Subscribe to our YouTube channel and be updated with our latest episodes. You can also subscribe to our podcast channels available on your favourite podcast listening app below: Apple Podcast: https://podcasts.apple.com/us/podcast/homeopathy247-podcast/id1628767810 Spotify: https://open.spotify.com/show/39rjXAReQ33hGceW1E50dk Follow us on our social media accounts: Facebook: https://www.facebook.com/homeopathy247 Instagram: https://www.instagram.com/homeopathy247 You can also visit our website at https://homeopathy247.com/
Atmen … für die meisten von uns ist es das natürlichste der Welt, etwas, über das wir gar nicht groß nachdenken. Bei Millionen Menschen in Deutschland, die unter Asthma leiden, ist das anders. Was passiert bei Asthma in den Atemwegen? Warum nimmt die Erkrankung zu? Und wie gelingt heute ein Leben ohne Beschwerden? Das erklärt in dieser Folge Prof. Johann Christian Virchow, Direktor der Klinik für Pneumologie, Allergologie und Interdisziplinäre Internistische Intensivmedizin an der Universitätsmedizin Rostock. Außerdem geht es in dieser Folge um die Frage, warum die Zeit manchmal gefühlt schneller vergeht und manchmal langsamer. Hier findet Ihr die Studie zum Thema Zeit: https://www.researchgate.net/publication/7266174_Age_Effects_in_Perception_of_Time Produktion: Serdar Deniz Redaktion: Antonia Beckermann Noch mehr "Aha!"- Folgen gibt es bei WELTplus und Apple Podcasts. Alle zwei Wochen am Montag eine neue Folge. Hier bei WELT hören: https://www.welt.de/podcasts/aha-zehn-minuten-alltags-wissen/plus246844328/Noch-mehr-Alltagswissen-Aha-Bonus-Folgen-fuer-Abonnenten-Podcast.html. "Aha! Zehn Minuten Alltags-Wissen" ist der Wissenschafts-Podcast von WELT. Wir freuen uns über Feedback an wissen@welt.de. Impressum: https://www.welt.de/services/article7893735/Impressum.html Datenschutz: https://www.welt.de/services/article157550705/Datenschutzerklaerung-WELT-DIGITAL.html
Presenter: Scott Sicherer, MD Based on a randomized study, children with higher baseline thresholds of peanut reactivity achieved markedly higher rates of sustained unresponsiveness after oral immunotherapy compared with untreated peers. Learn more about this study and its clinical implications with Dr. Scott H. Sicherer. Not only is he a Professor of Pediatrics and the Director of the Jaffe Food Allergy Institute at the Icahn School of Medicine at Mount Sinai, but he also spoke about this topic at the 2026 American Academy of Allergy, Asthma, and Immunology Annual Meeting.
Presenter: Sally E. Wenzel, MD, ATSF Given that severe asthma management is entering a new era of biologically driven precision, Dr. Sally Wenzel joins us to discuss the complexity within Type 2 inflammation and the limitations of relying on a single biomarker assessment. She also differentiates childhood-onset allergic asthma from adult-onset disease, underscoring how age of onset—along with underlying biology—can inform therapeutic strategy. Dr. Wenzel serves as the Director of the Asthma Institute at UPMC, and she spoke about this topic at the 2026 American Academy of Allergy, Asthma, and Immunology Annual Meeting.
Furf and Monty are back with another Pulm PEEPs Pearls episode. The topic of today’s discussion is an often discussed, but often misunderstood, test; the methacholine challenge. They’ll review when to utilize this test, how it should be performed, and the appropriate interpretation. Contributors This episode was prepared with research by Pulm PEEPs Associate Editor George Doumat. Dustin Latimer, another Pulm PEEPs Associate Editor, assisted with audio and video editing. Key Learning Points What the Test Measures Methacholine challenge is a direct bronchial provocation test of airway hyperresponsiveness (AHR), a core physiologic feature of asthma. Anyone will bronchoconstrict at high enough concentrations — the test looks for an abnormal threshold. The key endpoint is the PC20: the methacholine concentration causing a 20% fall in FEV1. Abnormal in adults: PC20 ≤ 8–16 mg/mL Test Performance Meta-analyses: pooled sensitivity ~60%, specificity ~90%. Real-world cohorts: sensitivity 55–62%, specificity 56–100% (varies by population, protocol, and threshold used). Not a standalone yes/no test — best used as part of a broader diagnostic pathway. Where It Fits in the Asthma Workup The test belongs in a stepwise approach: Step 1: Spirometry + bronchodilator response Step 2: Add FeNO and/or peak flow variability (if available) Step 3: If the picture is still unclear → methacholine challenge It is most useful for symptomatic patients with normal spirometry and no bronchodilator reversibility. Given its cost, mild risk, and discomfort, it should not be a first-line test — most asthma diagnoses do not require it. Technique and Medication Prep Technique ERS guidelines favor tidal breathing over deep inspiratory maneuvers. Deep breaths can be bronchoprotective and blunt the response, reducing sensitivity — especially in mild or well-controlled asthma. Medication Washout (to Avoid False Negatives) Medication ClassWashout PeriodShort-acting beta-agonists (SABA)≥ 6 hoursLong-acting beta-agonists (LABA)~24 hoursUltra-long-acting beta-agonists~48 hoursShort-acting anticholinergics (e.g., ipratropium)~12 hoursLong-acting muscarinic antagonists (LAMA, e.g., tiotropium)7 days Inhaled corticosteroids, leukotriene blockers, and antihistamines do not significantly affect the test acutely — continue these. Withdrawing ICS also carries its own risk for asthma patients. Practical tip: Spell out exactly what to hold and when — for both the patient and the PFT lab — at the time the test is ordered. Interpreting Results Negative Test (PC20 > 16 mg/mL) Very high negative predictive value in symptomatic adults. Makes current asthma quite unlikely (assuming proper test conduct). This is the test’s greatest strength: it is an excellent rule-out test. Positive Test (PC20 ≤ 8–16 mg/mL) More nuanced — airway hyperresponsiveness is not unique to asthma. Can be positive in: chronic cough, allergic rhinitis, COPD, and even some healthy asymptomatic individuals. A positive result raises probability but must be interpreted alongside the clinical story, variable respiratory symptoms, peak flow variability, FeNO, and ICS response. Safety and Risks Overall, the test is quite safe; significant adverse effects are rare. Temporary breathing discomfort is expected (bronchoconstriction is being induced). Severe bronchospasm is possible: A trained clinician should be available; SABA inhaler/nebulizer must be immediately on hand; a physician should be reachable in the facility. Contraindications / cautions: Avoid if FEV1 < 70% predicted or < 1–1.5 L (baseline obstruction greatly increases risk). Avoid within 3 months of an acute cardiac event (rare risk of cardiac events with unstable cardiac disease). Five Pearls — Quick Recap What it tests: Methacholine challenge is a direct test of AHR with high specificity but variable sensitivity — it belongs inside a diagnostic pathway, not as a standalone asthma test. When to use it: Most useful for symptomatic patients with normal spirometry and no bronchodilator response, after FeNO and peak flow variability have been considered. Technique and meds matter: Use tidal breathing protocol; respect washout intervals — especially the 7-day LAMA washout and 24–48 hour LABA window — to avoid false negatives. Safety: Generally safe, but can induce significant bronchoconstriction. Have a SABA available and avoid the test in patients with FEV1 < 70% predicted. Interpretation: A negative test (PC20 > 16 mg/mL) strongly argues against current asthma. A positive test raises probability but is not specific — interpret alongside the full clinical picture. References and Further Reading Coates AL, Wanger J, Cockcroft DW, Culver BH; Bronchoprovocation Testing Task Force: Kai-Håkon Carlsen; Diamant Z, Gauvreau G, Hall GL, Hallstrand TS, Horvath I, de Jongh FHC, Joos G, Kaminsky DA, Laube BL, Leuppi JD, Sterk PJ. ERS technical standard on bronchial challenge testing: general considerations and performance of methacholine challenge tests. Eur Respir J. 2017 May 1;49(5):1601526. doi: 10.1183/13993003.01526-2016. PMID: 28461290. Lee, J., & Song, J. U. (2021). Diagnostic comparison of methacholine and mannitol bronchial challenge tests for identifying bronchial hyperresponsiveness in asthma: a systematic review and meta-analysis. Journal of Asthma, 58(7), 883–891. https://doi.org/10.1080/02770903.2020.1739704 Davis BE, Blais CM, Cockcroft DW. Methacholine challenge testing: comparative pharmacology. J Asthma Allergy. 2018 May 14;11:89-99. doi: 10.2147/JAA.S160607. PMID: 29785128; PMCID: PMC5957064.
Biologics have changed how patients with asthma are able to handle their symptoms and prevent them from getting worse. Host Amy Attaway, MD, Cleveland Clinic, talks with Monica Kraft, MD, Icahn School of Medicine at Mount Sinai, and De De Gardner, DrPh, Allergy and Asthma Network and member of PAR about depemokimab, the newest biologic for those with severe asthma. Learn how this novel treatment is used once every six months to improve patient outcomes, as well as the research behind this biologic and the future of asthma treatment. Read Dr. Kraft's paper on depemokimab: https://journal.chestnet.org/article/S0012-3692(25)00855-4/pdf Editor's note: During this episode, Dr. Kraft mistakenly said that depemokimab was approved for treating nasal polyps. Please note that depemokimab is not approved for treating this condition.
Dr Jill Valerius and Lee Henrikson continue a two-part discussion about Asthma.
Dr Jill Valerius and Lee Henrikson begin a two-part discussion about Asthma.
Nach dem Krieg werden millionenfach Kinder zum „Aufpäppeln" verschickt. Auch Rüdiger Beck, der an schwerem Asthma leidet. Fernab von zuhause erlebt er wie viele andere Gewalt und Medikamentenmissbrauch. Von Ilona Toller www.deutschlandfunk.de, Mikrokosmos
As part of the February issue, the European Respiratory Journal presents the latest in its series of podcasts. Deputy Chief Editor Don Sin interviews David Halpin (University of Exeter Medical School, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK) about his Viewpoint editorial on a shared vision from the Global Initiative for Chronic Obstructive Lung Disease and the Global Initiative for Asthma of how to address the global challenges of COPD and asthma, published in this issue of the ERJ (https://doi.org/10.1183/13993003.02244-2025). Cite this podcast as: ERJ Podcast February 2026: Addressing the global challenges of COPD and asthma. Eur Respir J 2026; 67: 26E6702 [https://doi.org/10.1183/13993003.E6702-2026].
Episode 43 - Wendy Elverson - Managing Food Protein–Induced Allergic Proctocolitis (FPIAP)In this episode of Nutrition Pearls: the Podcast, co-hosts Megan Murphy and Bailey Koch speak with Wendy Elverson, RD, CSP, LDN about the latest research and best practice for managing infants with Food Protein-Induced Allergic Proctocolitis (FPIAP). Wendy is a registered dietitian who has specialized in clinical pediatric nutrition for more than 25 years. Currently, she is a Senior Clinical Nutrition Specialist at Boston Children's, with expertise in pediatric food allergies and feeding disorders. Wendy is a provider in several multidisciplinary, allergy-focused clinics, including the Atopic Dermatitis Center, the FPIES Clinic, and the EGID Clinic. Wendy has been an active member of CPNP since 2015 and has had many roles, currently serving on the NASPGHAN Public Education Committee. Wendy was the previous Chair of INDANA (International Network for Diet and Nutrition in Allergy) and is the current chair of the Nutrition Work Group of the Allied Health Assembly of the American Academy of Allergy, Asthma, and Immunology (AAAAI). She is a proud co-author of several publications, including a free resource for caregivers of children with milk and egg allergies, tolerant to baked milk and egg, Muffins and More: A Baked Milk and Baked Egg Recipe and Guidebook. Wendy was also the recipient of the 2025 CPNP Dietitian of Excellence Award. References: Mahoney, L. B., et al. (2025). Food protein-induced allergic proctocolitis: What do we know and where are we going? Current Treatment Options in Pediatrics, 11(1). https://doi.org/10.1007/s40746-025-00346-4Meyer, R., et al. (2025). An update on the diagnosis and management of non-IgE-mediated food allergies in children. Pediatric Allergy and Immunology, 36(3). https://doi.org/10.1111/pai.70060 Franco, C., Fente, C., Sánchez, C., Lamas, A., Cepeda, A., Leis, R., & Regal, P. (2022). Cow's Milk Antigens Content in Human Milk: A Scoping Review. In Foods (Vol. 11, Issue 12). https://doi.org/10.3390/foods11121783Gamirova, A., et al. (2022). Food proteins in human breast milk and probability of IgE-mediated allergic reaction during breastfeeding: A systematic review. Journal of Allergy and Clinical Immunology: In Practice, 10(5). https://doi.org/10.1016/j.jaip.2022.01.028Meyer, R., et al. (2023). WAO DRACMA guideline update VII: Milk elimination and reintroduction in cow's milk allergy diagnosis. World Allergy Organization Journal, 16(7). https://doi.org/10.1016/j.waojou.2023.100785Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org
We've all seen it: the patient whose chart is “flagged” with a penicillin allergy, but when you dig into the history, the story doesn’t quite add up. Maybe it was a stomach ache in the 90s, or maybe they're just carrying a “inherited” allergy from a parent. In this episode of EM Pulse, we sit down with ED Clinical Pharmacist Haley Burhans to discuss why these labels are more than just a nuisance—they're a clinical liability—and how a simple tool can empower you to fix them on the fly. The Hidden Danger of the “Safe” Choice Choosing a non-beta-lactam antibiotic because of a questionable allergy label feels like the path of least resistance, but the data tells a different story. We explore how “playing it safe” can actually lead to: Worse Outcomes: Why second line antibiotics often mean higher treatment failure rates. The “Superbug” Factor: The surprising link between penicillin allergy labels and the rise of MRSA and VRE in our communities. The C. diff Connection: Why alternative choices might be setting your patient up for a much more difficult recovery. The Solution: The PEN-FAST Score How do you move from “I think this might not be a true allergy” to “I am confident this antibiotic is safe”? Haley introduces the PEN-FAST score, a validated scoring tool designed to risk-stratify patients based on a few key historical questions. The Mnemonic: We break down the PEN-FAST acronym so you know exactly which three questions to ask to risk-stratify your patient in seconds. IgE vs. The Rest: Learn to distinguish between the “true” dangerous hypersensitivity and the delayed reactions that shouldn’t stop you from using the best drug for the job. The “Amoxicillin Rash”: We dive into this common pediatric “gotcha.”, why many kids end up with a lifelong allergy label after a routine ear infection, and why it often has nothing to do with the drug itself. The Bottom Line: Patients with low PEN-FAST scores are considered low risk, making an oral challenge under observation in the ED a reasonable option. Higher scores may require shared decision-making or referral. Why the ED is the Perfect Place for a “Challenge” Delabeling isn’t just for the allergist’s office. We argue that the Emergency Department is actually the ideal setting to challenge these allergies. The “Oral Challenge”: Learn the practical steps for performing a trial dose in the department. Safety First: Why your environment and expertise make you uniquely qualified to handle the “what-ifs” better than anyone else. Key Takeaways Question the Label: The vast majority of reported penicillin allergies are inaccurate due to patients outgrowing the allergy or misinterpreting common side effects as allergic reactions. History is Everything: Dig deeper than just “rash.” Ask about the timing relative to the dose, specific appearance (hives vs. flat rash), and what treatment was required (epinephrine vs. antihistamines). Use PEN-FAST: Utilize this tool to objectify the risk. Document Tolerance: Even if you don’t fully delete the allergy label, if you successfully treat the patient with another beta-lactam (like ceftriaxone), document that tolerance clearly to aid future clinicians. Cephalosporins are likely safe: Later-generation cephalosporins generally have very low cross-reactivity and are usually safe options even in truly allergic patients How do you handle documented penicillin allergies? Do you use the PEN-FAST tool? Share your experience with us on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Haley Burhans, PharmD, Emergency Medicine Clinical Pharmacist at UC Davis Resources: PEN-FAST Score on MDCalc Penicillin Allergy Evaluation Should Be Performed Proactively in Patients with a Penicillin Allergy Label – A Position Statement of the American Academy of Allergy, Asthma & Immunology Staicu ML, Vyles D, Shenoy ES, Stone CA, Banks T, Alvarez KS, Blumenthal KG. Penicillin Allergy Delabeling: A Multidisciplinary Opportunity. J Allergy Clin Immunol Pract. 2020 Oct;8(9):2858-2868.e16. doi: 10.1016/j.jaip.2020.04.059. PMID: 33039010; PMCID: PMC8019188. Yang C, Graham JK, Vyles D, Leonard J, Agbim C, Mistry RD. Parental perspective on penicillin allergy delabeling in a pediatric emergency department. Ann Allergy Asthma Immunol. 2023 Jul;131(1):82-88. doi: 10.1016/j.anai.2023.03.023. Epub 2023 Mar 27. PMID: 36990206. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
Dr. Anne Fleck - Gesundheit und Ernährung mit BRIGITTE LEBEN!
Was nutzt dem Menschen? Heute gucken wir uns eine traditionell chinesische Medizin an: Die Akupunktur und Akupressur. Sie können sehr entspannend sein und wirken regulierend auf den Körper. Wie finde ich eine gute Akupunktur-Praxis? Wo hilft Akupunktur und wo nicht? Stichworte: Frozen Shoulder, Rückenschmerzen, Migräne, Flug- und Prüfungsangst, chronische Gelenkschmerzen, Verdauungsprobleme, Allergien, Asthma, etc. Schwangere sollten dagegen aufpassen, weil bestimmte Punkte die Geburt einleiten könnten. Dies ist die zweite Folge unserer kleinen Reihe „Kleine Hebel – große Wirkung“ zu Naturheilverfahren. Die weiteren Themen werden sein: Licht/Lichttherapie – das Kneipp-Verfahren – und die Wetterfühligkeit. links: Deutsche Ärztegesellschaft für Akupunktur (stellt Zertifikate für Ärzte mit einer entsprechenden Weiterbildung aus): https://www.daegfa.de/ Societas Medicinae Sinensis (bieten Akupunkturausbildungen für Heilpraktiker und Ärzte an): https://www.tcm.edu/ +++ Alle Rabattcodes und Infos zu unseren Werbepartnern findet ihr hier: https://linktr.ee/gesundheitundernaehrung +++ Dieser Podcast wird vermarktet von Julep Media: sales@julep.de
Send a text to Melissa and she'll answer it on the next episode. Breathing trouble changes the whole mood of a home—especially when a child wakes at midnight tight-chested and scared. We wanted a plan that feels calm, clear, and practical, so we walk through how to read asthma patterns and match them to targeted homeopathic remedies without sidelining common-sense medical care. You'll hear how triggers like colds, nighttime anxiety, damp mornings, mold, or exercise point to different choices, plus what improvement really looks like in the moment.We dig into a focused remedy toolkit: Spongia for dry, barking coughs; Antimonium tart for rattly chests that can't move mucus; Arsenicum for midnight fear and suffocation feelings; Ipecac for wheeze with nausea; Nat sulph for damp-weather and morning tightness; Blatta orientalis for dust and mold links; Bryonia for painful, stillness-seeking breathing; and Phosphorus for sensitive, easily overwhelmed lungs. We also share practical dosing guidance—start low and slow, reassess if nothing shifts, and use the rescue inhaler when needed. If a remedy consistently helps a known trigger, we discuss when prophylaxis makes sense and when to wait.Because asthma isn't just lungs—it's nerves, sleep, and emotion—we add supportive tools that steady the whole system. Magnesium to relax bronchial muscles, avoiding cold dairy during colds, steam to move congestion, time outdoors for vitamin D and regulation, and playful breathwork like bubbles, pinwheels, and lion's breath to ease panic and lengthen exhalations. We close with clear red flags for urgent care and a simple way to build your own “flare card” so the right remedy is at your fingertips. Subscribe, share this with a friend who's up at night with a wheezer, and leave a review with the trigger you want help mapping—we'll build future guides around your questions. You may also gain Access to my Fullscript dispensary and save 30% by going to: https://us.fullscript.com/welcome/mcrenshawFIND ME!
The JournalFeed podcast for the week of Feb 9-13, 2026.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday's Spoon Feed:When eye exam is limited by trauma, we rely on orbital CT. While specificity is 94%, sensitivity is only 75% for open globe injuries (OGI), making surgical consultation necessary when suspicion remains.Friday's Spoon Feed:This retrospective, propensity-matched study of adult and pediatric patients with severe asthma confirms what we already know clinically: non-invasive positive pressure ventilation (NIPPV) decreases mortality and need for intubation.
“I do not believe we should be testing to test. We have to know, is this test going to change management and is it going to make a difference,” says pediatric allergist-immunologist Dr. Zachary Rubin. His knack for providing that sort of straightforward guidance explains why Dr. Rubin has become a trusted voice on allergies, asthma, and vaccines for his millions of followers on social media platforms. It's also why we couldn't ask for a better guide for our discussion on the rise in allergies, asthma, and immune-related conditions in children, and how families can navigate the quickly evolving science and rampant misinformation in the space. On this episode of Raise the Line, we also preview Dr. Rubin's new book, All About Allergies, in which he breaks down dozens of conditions and diseases, offering clear explanations and practical treatment options for families. Join host Lindsey Smith for this super informative conversation in which Dr. Rubin shares his thoughts on a wide range of topics including: What's behind the rise in allergic and immune-related conditions.Tips for managing misinformation, myths and misunderstandings. How digital platforms can be leveraged to strengthen public health.How to build back public trust in medicine.Mentioned in this episode:All About Allergies bookBench to Bedside PodcastInstagramTikTokYouTube Channel If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Are modern habits around cleanliness, parenting, and social contact shaping your gut health more than you realise? In this episode, Professor Tim Spector explains how gut microbes are shared between people - through relationships, daily contact, and the environments we live in, and why this matters for long-term health. You'll learn how human contact may be influencing your gut in ways most of us never consider. Tim explains why supporting gut microbiome is less about control and more about balance, and you'll learn simple ways to support a healthier gut through food, social connection and lifestyle habits. If your gut reflects the people you live with and the places you spend time, what small change could you make this week - in your home, your habits, or your social life - that might support your gut for the long term?
We continue our tradition of interviewing the incoming president of the American College of Allergy, Asthma & Immunology to learn what is top of mind for the field and what it means for patients and families. Dr. Cherie Zachary joins us to share her personal journey into allergy and immunology as both a lifelong patient and clinician. She explains what the ACAAI does and why increasing representation in medicine is critical for improving allergy outcomes. The conversation also tackles the allergist shortage, how physicians are trained, and what is being done to expand fellowship opportunities and improve access to care. What we cover in our episode about Dr. Zachary & ACAAI What the ACAAI actually does for allergy care: How the College supports clinicians and provides patients with trusted, evidence-based education. How lived experience shapes leadership: How Dr. Zachary's own allergic diseases influenced her path into allergy and immunology. Why representation matters for allergy outcomes: How culturally responsive care and physician diversity improve trust and health outcomes. Why there are not enough allergists: How training bottlenecks contribute to long wait times and limited access to care. Historically Black Colleges and Universities (HBCUs): Her focus on expanding exposure to allergy through HBCUs and the ACAAI SPARK program. More resources about what we discussed American College of Allergy, Asthma, and Immunology Listen: Ep. 77: Food Allergy and Its Impact on the Black Community Listen: Ep. 108: Interview with Dr. James Tracy Listen: Ep. 66: Interview with Dr. Gailen D. Marshall, Jr. -- Made in partnership with The Allergy & Asthma Network. We thank the American College of Allergy, Asthma, and Immunology for their support of Allergy & Asthma Network and this podcast.
In this episode of the AARC Perspectives podcast, live from Congress 2025, AARC interviews Chris Martinez, CEO of Asthma and Allergy Impact and Rescue (AAIR). They discuss AAIR's mission to support asthma and allergy patients by providing resources in schools and homes, and connecting them to care. Chris shares the organization's history, growth, and the impact of its programs, including the school-based rescue medication initiative, which has expanded to nearly 7,000 schools. Chris also shares success stories and future goals, inviting listeners to get involved with AAIR's initiatives.Learn more about AAIRSend us your thoughts on this podcast
The Natural Nurse, Ellen Kamhi, talks with Dr. Dean Mitchell, a board-certified allergist, immunologist, and integrative medicine specialist with over 25 years of experience. He is the founder of Mitchell Medical Group in New York City and a national leader in sublingual immunotherapy, a safer and more natural treatment for allergies. Dr. Mitchell is the author of Dr. Dean Mitchell's Allergy and Asthma Solution, which offers an innovative, holistic approach to managing immune and allergic conditions. A graduate of NYU School of Medicine, he is also the host of the Smart Medicine podcast, where he explores cutting-edge strategies for treating chronic illness and restoring vibrant health. www.mitchellmedicalgroup.com
Contributor: Alec Coston, MD Educational Pearls: BiPAP is often effective in severe asthma, but many patients struggle with mask tolerance due to intense air hunger–driven anxiety, often compounded by hypoxia. Benzodiazepines are commonly used for anxiety, but they can depress respiratory drive, making clinical improvement difficult to interpret (a lower RR may reflect sedation rather than true physiologic improvement). Low-dose fentanyl is a useful alternative when patients cannot tolerate BiPAP despite coaching. Opioids blunt the perception of dyspnea and are well established for treating air hunger. When carefully titrated, fentanyl provides anxiolysis without significant respiratory suppression. It is rapidly titratable (e.g., 25 mcg IV every 5 minutes). Evidence primarily comes from palliative and oncology literature, but growing clinical experience supports its use in severe asthma to improve BiPAP tolerance. Failure of fentanyl should prompt escalation to ketamine, often signaling impending need for intubation. References Pang GS, Qu LM, Tan YY, Yee AC. Intravenous Fentanyl for Dyspnea at the End of Life: Lessons for Future Research in Dyspnea. Am J Hosp Palliat Care. 2016 Apr;33(3):222-7. doi: 10.1177/1049909114559769. Epub 2014 Nov 25. PMID: 25425740. Summarized and edited by Meg Joyce, MS2 Donate: https://emergencymedicalminute.org/donate/ Join our mailing list: http://eepurl.com/c9ouHf
Broadcast from KSQD, Santa Cruz on 1-29-2026: An emailer asks about hemorrhoids affecting 2 relatives,a 60-year-old man and his 20-year-old daughter, with the daughter also experiencing constipation worsened by fiber supplements. Dr. Dawn explains hemorrhoids are essentially varicose veins of the anus, with 102 genetic regions identified affecting blood vessel and smooth muscle strength. She emphasizes that fiber supplements without adequate water create "cement in the pipe"—recommending 16-24 ounces of water with supplements and 2 liters of clear water daily. Miralax also requires sufficient hydration to work. Key strategies include exercise to stimulate gut motility, staying off the toilet if unable to produce results, using a standing desk to reduce prolonged sitting pressure, and triggering the gastrocolic reflex by eating. Dr. Dawn discusses research on the "volatilome"—volatile organic compounds in breath that reflect gut microbiome composition. Researchers using sterile mice colonized with specific bacteria could identify bacterial fingerprints through breath analysis. The technique identified disease-associated compounds for tuberculosis and malaria, and correlated specific gut bacteria with asthma severity in children. The research suggests breath testing could eventually replace stool samples for microbiome assessment and disease screening. She explains detoxification biochemistry, distinguishing between water-soluble toxins easily filtered by kidneys and fat-soluble toxins requiring liver transformation. Phase one converts fat-soluble molecules into reactive intermediates—dangerous if they linger—while phase two attaches water-soluble molecules like glutathione to neutralize them for excretion. Supporting phase two requires green tea, cruciferous vegetables, garlic, and curcumin. She cautions against extended fasting for detox, especially over age 50, as it depletes the body's detoxification resources and muscle mass. A caller asks about alkaline versus acidic water. Dr. Dawn explains you cannot alkalinize blood since kidneys maintain pH, but alkaline urine is beneficial. Rather than expensive alkaline waters, adding a pinch of baking soda achieves the same effect. Eating a 3:1 ratio of fruits, vegetables, and grains to animal products naturally alkalinizes urine. She notes lemons paradoxically alkalinize because kidneys overcompensate for the acid load. A caller asks about managing heart disease after receiving a third stent. Dr. Dawn recommends the Mediterranean diet over DASH for cardiac patients, as Mediterranean emphasizes fish, whole grains, and fiber that binds cholesterol for excretion, while DASH focuses on calcium for hypertension. She encourages exploring exercise options through meetup.com groups and the hospital's lifestyle center, emphasizing that consistent effort can reduce biological age by 3-5 years regardless of chronological age.
Allergy & Asthma Network has spent more than four decades helping people living with asthma, allergies, and related immune conditions navigate care, access trustworthy education, and make their voices heard. In this episode, we talk with Lynda Mitchell, CEO of Allergy & Asthma Network. Lynda shares how becoming a food allergy and asthma mom in the early 1990s shaped her career and led her into patient advocacy work. We get into how Allergy & Asthma Network supports patients and families through four mission pillars: education, outreach, advocacy, and research. What we cover in our episode about Allergy & Asthma Network Trusted Messengers and culturally responsive education, and why information is more effective when it comes from people who reflect and understand the community Free virtual asthma coaching, and how one-on-one self-management education helps people improve daily asthma control and reduce emergency care Patient voice research, what it is, how it differs from clinical trials, and why diversity in clinical trial participation matters Advocacy efforts like Capitol Hill Day and PALI, and how patient stories influence laws and policies that affect asthma and allergy care Ways to get involved, including resources for patients, caregivers, and healthcare providers who want to support or participate in Allergy & Asthma Network's work More resources about Allergy & Asthma Network Allergy & Asthma Network Sign-up for the Allergy & Asthma Network's Newsletter Get involved with clinical trials and research More about the PALI information session (February 18, 2026) Advocacy information Virtual asthma coaching program (free asthma self-management education) *********** Made in partnership with The Allergy & Asthma Network.
Shared decision-making isn't just a buzzword—it's the key to better adherence, fewer exacerbations, and improved quality of life for your patients. Credit available for this activity expires: [01/30/27] Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/empowering-choices-moderate-severe-asthma-partnering-2026a10001d4?ecd=bdc_podcast_libsyn_mscpedu
Asthma affects nearly one in twelve children — and when it's not recognized early or treated well, it can quietly alter how a child's lungs develop over time. Recurrent cough, wheezing, or shortness of breath are signs of chronic airway inflammation, not just passing illnesses. On this episode, host Dr. Jillian Woodruff speaks with Dr. Jered Weinstock - board certified pulmonologist at Providence Medical Group Pediatric Subspecialty Clinic - to explore what causes childhood asthma, why some children improve as they grow, and how timely, appropriate care can protect developing lungs and prevent long-term complications.
In dieser Folge sprechen Nora und Alisa Zachenhuber – Kinderkrankenschwester auf der Intensivstation, ehemalige Mitarbeiterin der Kinderkardiologie, Schwimmtrainerin und zweifache Mama in spe. über das Thema Atmung bei Kindern. Es geht um Asthma, Atemnot, typische Warnzeichen, die Eltern kennen sollten, und darüber, wie wichtig es ist, in stressigen Situationen ruhig zu bleiben – auch wenn das leichter gesagt ist, als getan. Alisa erklärt verständlich, worauf man bei Babys und Kleinkindern achten kann, wie Inhalieren wirklich sinnvoll eingesetzt wird und warum gerade die Ausatmung oft unterschätzt wird. Außerdem geht es um praktische Alltagstipps: Wie erkenne ich, ob mein Kind gerade wirklich schlecht Luft bekommt? Wann sollte ich lieber zum Arzt fahren? Welche Rolle spielen Luftfeuchtigkeit, Bewegung, Lagerung und frische Luft? Eine Folge für alle Eltern, die sich mehr Sicherheit wünschen, wenn es ums Durchatmen, Vertrauen ins Bauchgefühl und ruhige Entscheidungen geht. "Ehrlich gesagt" - ein Podcast von Echte Mamas: ➡️ https://www.instagram.com/echtemamas.ehrlichgesagt ➡️ https://www.instagram.com/echtemamas Alisa Zachenhuber (Gast): ➡️ https://www.instagram.com/alisa_zachenhuber Nora Becker (Host): ➡️ https://www.instagram.com/norabeckervocals/ Ihr habt Fragen zu unseren Werbepartner, Gewinnspiele oder Codes? Hier entlang: ➡️ https://www.echtemamas.de/podcast-shownotes/
Asthma is one of the most common long-term conditions in children. It is a leading cause of missed school and emergency room visits. Doctors use tools (validated questionnaires) to assess how well a child's asthma is controlled and whether their medicine is helping. Some tools only ask about symptoms, which can miss children who are still at risk for asthma attacks. The lead author, Dr. Kevin Murphy, joins us to talk about “Pediatric Asthma Impairment and Risk Questionnaire: A Control Assessment for Children Aged 5 to 11 Years,” published July 2025 in Journal of Allergy and Clinical Immunology: In Practice. The Peds-AIRQ was designed to improve how doctors identify uncontrolled asthma in children by asking about both current symptoms and past asthma attacks. This approach helps avoid missing children who may seem okay day to day but are at higher risk for future flare-ups. What we cover in this episode Why asthma control in children can be hard to measure What “controlled asthma” really means Why past asthma attacks matter, even when symptoms seem mild What the Peds-AIRQ is and how it works How this tool may support better conversations between families and doctors DOWNLOAD THE INFOGRAPHIC More asthma in kids resources Take the Peds-AIRQ questionnaire What is asthma? Asthma in Babies and Children Childhood Asthma: A Complex Condition That Doesn't Have to Be So Complicated - video *********** The Itch Review, hosted by Dr. Gupta, Kortney, and Dr. Blaiss, explores allergy and immunology studies, breaking down complex research in conversations accessible to clinicians, patients, and caregivers. Each episode provides key insights from journal articles and includes a one-page infographic in the show notes for easy reference. *********** Made in partnership with The Allergy & Asthma Network. Thanks to AstraZeneca for sponsoring today's episode. This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.
Let‘s Clear the Air! All Things Allergy, Asthma & Immunology!
Host Marcella Feathers talks with Nurse Practitioner and asthma expert Sharon Lever about the importance of the flu vaccine this season, especially for people with asthma and existing comorbidities. Learn about the recent and predicted spikes in flu rates, the newest strain (Flu A), and why asthmatics are at an increased risk of severe symptoms and hospitalization. Sharon also explains why some people think getting the vaccine causes the flu, why medical professionals are legitimately concerned about current vaccination rates, and why it's not too late to get vaccinated!
Sex Differences in Asthma: What Genomics Can Teach Us
What if you could detect early warning signs of serious health conditions in just minutes, from the comfort of your own home? Download Your Health Compass Assessment Tool: https://yourhealthcompass.org In this groundbreaking episode, longevity expert Lisa Tamati unveils the revolutionary Health Compass App - a privacy-focused wellness tool that empowers you to take control of your health destiny through evidence-based questionnaires and self-assessment. Forget expensive tests and lengthy doctor visits. This simple yet powerful app uses validated public health data to flag early indicators for conditions that matter most, putting the power of health awareness directly in your hands. In this episode, we explore: How the Health Compass App works: simple yes/no questionnaires based on symptoms and risk factors Early detection insights for Parkinson's, Diabetes, Alzheimer's, Cancer (Prostate & Breast), Multiple Sclerosis, Lupus, Asthma, Anxiety, and Depression Why privacy matters: non-personalised summaries that respect your data sovereignty The difference between empowering insights and medical diagnostics How this tool fits into your biohacking and peak performance toolkit Self-sovereign health: taking charge without compromising your privacy When and why to consult healthcare professionals based on your results The future of personalised health assessment technology Whether you're deep into biohacking, focused on peak performance, or simply want to stay ahead of potential health issues, this app becomes your companion for proactive, self-directed wellness. Lisa breaks down exactly how to use this tool effectively and why early awareness - not diagnosis - can be your most powerful health asset. Ready to take control of your health compass?
As the climate has changed, Austin's allergy seasons have morphed into more of a year-round suffer fest, do-si-do-ing smoothly from cedar or juniper, to grass, then ragweed, and oak. And right now, we're in the thick of cedar season, which is absolutely loving this weather. Host Nikki DaVaughn, a victim of allergies herself, is joined today by Dr. Neha Reshamwala, doctor and founder of Frontier Allergy, Asthma & Immunology, to talk about why cedar is thriving this year, if it's actually getting worse from year to year, and how to treat cedar fever. Want some more Austin news? Then make sure to sign up for our Hey Austin newsletter. And don't forget– you can support this show and get great perks by becoming a City Cast Austin Neighbor at membership.citycast.fm Follow us @citycastaustin You can also text us or leave a voicemail. Interested in advertising with City Cast? Find more info HERE Learn more about the sponsors of this January 21st episode: Jeremiah Program Austin
We're diving deep into the world of iconic album cover art with our special guest, Frm. Elektra Records Art Director Bob Heimall. A name behind some of the most memorable visuals in music history. From his humble beginnings at Elektra Records in the late 1960s to becoming the youngest art director in the business, Bob Heimall's creativity has graced records by legends like Carly Simon, Jim Croce, The Doors, Bread, Iggy Pop, and even Yoko Ono.You'll hear Bob Heimall share personal stories, like joining Jim Morrison, Jimi Hendrix, and Janis Joplin for an unforgettable moment in a New York penthouse, rubbing elbows with rock royalty, working with Carly Simon while she breastfed her son, and being the sole audience for Jim Croce's final album performance just two weeks before tragedy struck. He'll reveal behind-the-scenes anecdotes about album art decisions—some even leading to legendary band debates—describe the step-by-step design process before Photoshop, and recount the emotional impact these collaborations left on him.Plus, Bob Heimall discusses the cutthroat world of record labels, his transition from Elektra to Arista under Clive Davis, and reflects on the vital role music—and its packaging—plays in shaping our memories. Whether you're a vinyl enthusiast, design lover, or music history buff, this episode is packed with untold stories, industry insights, and the passion that goes into creating the artwork we all grew up with.(0:00) "Starting at Elektra Records"(4:14) "Music Legends at the Hilton"(9:14) "Redefining Album Cover Art"(11:45) "Early Album Cover Design Process"(15:41) Carly's Jingles and Brother(18:19) "Unplanned Success, Captured Moment"(22:04) "Music, Photos, and Choices"24:39 "Following the Music"(28:45) "Rejected Naked Silhouette Cover"(30:17) "Innovative Multi-Fold Album Design"(33:30) "Reflecting on Jim Croce's Death"(38:13) "Asthma, Draft Exception, Jersey Shore"(41:40) "QuadSound and Career Transition"(43:59) "High-Stakes Creative Meetings"(46:15) "Jack's Artistic Integrity Struggle"(48:45) "Pool Nights in the Office"(53:56) "The Band's Big Pink Album Cover Story"(56:19) "The Doors Strange Days Album Cover Controversy"(59:19) "Cover Stories Book"You can download or stream every episode of AIRCHECK from Apple Podcasts, and Spotify. You can also listen on YouTube. Ask your Smart Speaker to “Play Aircheck Podcast”.If you're a radio vet with a story to tell we want to hear from you.Email us at Aircheckme@gmail.comFollow us on Facebook: facebook.com/aircheckmeTell us what you think and your favorite episode!
New real-world data suggest that GLP-1 receptor agonists used for adolescent obesity are associated with roughly half the rate of asthma exacerbations, fewer emergency visits, and reduced steroid and rescue inhaler use, indicating a possible dual benefit beyond weight loss. In HIV care, Phase 3 ARTISTRY-2 topline results show a once-daily bictegravir/lenacapavir tablet was non-inferior to Biktarvy at 48 weeks, with no new safety signals, potentially expanding durable treatment options. Finally, experimental data demonstrate that even a single 10-minute bout of vigorous exercise can rapidly trigger molecular changes that suppress pathways linked to colon cancer development.
Sleep plays a critical role in managing allergies, asthma, and eczema, yet it is often overlooked in conversations about allergic disease. Sleep affects mood, focus, immune function, and inflammation, all of which influence how allergic conditions show up day to day. Poor sleep can worsen asthma symptoms, increase allergy flares, and make eczema harder to control. At the same time, allergies and asthma can disrupt sleep, creating a cycle that is difficult to break. Dr. Carol Yuan-Duclair, a sleep specialist, joins us to explore how sleep impacts allergic conditions and overall health. She breaks down what good sleep actually looks like, how to know if you are getting enough rest, and how sleep quality can directly affect allergies, asthma, and eczema. This conversation focuses on practical guidance for patients and families, including environmental changes, medication considerations, and when it may be time to seek help from a sleep specialist. What we cover in this episode about sleep and allergic disease Why sleep is essential for health and immune function: How sleep affects inflammation, mood, and overall health, and why poor sleep can worsen allergic disease. What good quality sleep actually looks like: The difference between sleep quality and sleep quantity, and how to tell if your sleep is truly restorative. The two-way relationship between sleep and allergies: How allergies can disrupt sleep, and how poor sleep can worsen allergy symptoms, creating a difficult cycle. Practical ways to improve sleep when you have allergies: Sleep hygiene basics, exercise timing, and creating a healthier bedroom environment. When medications or symptoms mean it is time to see a specialist: How allergy medications can affect sleep, how eczema fits into the picture, and when ongoing sleep issues may signal the need for a sleep specialist.
In this episode, host Dr. Amber Luong speaks with Drs. Alan Workman and Jim Palmer. They discuss the recently published Original Article: “The Completeness of Surgery Index Predicts Success in CRSwNP With Asthma by SNOT-22 and Asthma Control Test”. The full manuscript is available in the International Forum of Allergy and Rhinology. Listen and subscribe […]
The Big Show is back - well, kind of. Join Keyzie & Pugs for chat about banana milk, workplace bullying and car repairs. We'll be back on the 16th of January, 2026 LIVE at Brew Co in the Mount! Follow The Big Show on Instagram Subscribe to the podcast now on iHeartRadio, YouTube, or wherever you get your podcasts!Featuring Jason Hoyte, Mike Minogue, and Keyzie, "The Big Show" drive you home weekdays from 4pm on Radio Hauraki.Providing a hilarious escape from reality for those ‘backbone’ New Zealanders with plenty of laughs and out-the-gate yarns.Download the full podcast here:iHeartRadioAppleSpotify See omnystudio.com/listener for privacy information.
Welcome to our very first Natural Super Kids Podcast episode of 2026! We hope you've had a beautiful festive season with your family, wherever you are in the world. ❄️☀️This week on the podcast, we're kicking off a new series with a topic so many parents are quietly struggling with: why eczema and allergies are becoming more common in kids (affecting almost 30% of children) and what actually helps beyond creams and avoidance.If your child has eczema, food sensitivities, hay fever, asthma, or “reacts to everything,” this episode will help you zoom out and understand what's really going on inside their immune system without blame, guilt, or overwhelm.Have a listen as we break down the bigger picture behind rising allergy rates, explain why this isn't something you caused, and introduce a more hopeful, long-term way to support your child's health from the inside out.In this episode, we explore:Why eczema and allergies are so common in kids today, and why this rise can't be explained by genetics alone.How modern lifestyles affect the immune system, including what the hygiene hypothesis really means (and what it doesn't).The role of the gut and microbiome in eczema and allergic disease, and why immune regulation matters more than suppression.What parents can realistically influence at home, even when wider environmental factors feel out of your control.
The 90 essentials is a whole body health approach that allows the body to restore itself as the body prioritizes. This includes many things we are told cannot be easily corrected, like asthma. Understanding one issue like asthma helps us understand the bigger picture that Dr. Wallach presents in terms of healthy bodies and whole body health as an approach to everything our body faces. #BardsFM_HealthAndWellness #Asthma #WholeBodyHealth Bards Nation Health Store: www.bardsnationhealth.com EnviroKlenz Air Purification, promo code BARDS to save 10%: www.enviroklenz.com EMPShield protect your vehicles and home. Promo code BARDS: Click here MYPillow promo code: BARDS >> Go to https://www.mypillow.com/bards and use the promo code BARDS or... Call 1-800-975-2939. White Oak Pastures Grassfed Meats, Get $20 off any order $150 or more. Promo Code BARDS: www.whiteoakpastures.com/BARDS BardsFM CAP, Celebrating 50 Million Downloads: https://ambitiousfaith.net Morning Intro Music Provided by Brian Kahanek: www.briankahanek.com Windblown Media 20% Discount with promo code BARDS: windblownmedia.com Founders Bible 20% discount code: BARDS >>> TheFoundersBible.com Mission Darkness Faraday Bags and RF Shielding. Promo code BARDS: Click here EMF Solutions to keep your home safe: https://www.emfsol.com/?aff=bards Treadlite Broadforks...best garden tool EVER. Promo code BARDS: TreadliteBroadforks.com No Knot Today Natural Skin Products: NoKnotToday.com Health, Nutrition and Detox Consulting: HealthIsLocal.com Destination Real Food Book on Amazon: click here Images In Bloom Soaps and Things: ImagesInBloom.com Angeline Design: AngelineDesign.com DONATE: Click here Mailing Address: Xpedition Cafe, LLC Attn. Scott Kesterson 591 E Central Ave, #740 Sutherlin, OR 97479
Navigating Life's Clue-by-Fours - Mindset and Reality CreationIn this episode of Spirit Sherpa, hosted by transformational coach Kelle Sparta and Joshua Radewan, Kelle shares a compelling story about her recent trip to Medellín, Colombia. During the trip, she faced a series of unfortunate events, including a bad back, an asthma attack, a potential heart attack scare, and an ankle injury. Despite these challenges, Kelle explains how her mindset allowed her to perceive the trip positively.Key Topics Include:The importance of mindsetSynchronicitiesSelf-advocacyNavigate adversityVictimhoodPersonal growthPerspective shiftsChange your realityTurning painful experiences into valuable lessons and gifts00:00 Welcome to Spirit Sherpa00:17 Kelle's Anniversary Trip00:33 Mindset and Reality01:37 The Back Pain Saga01:50 Synchronicities and Medical Encounters05:12 Asthma and Altitude Challenges09:35 The Hot Tub Incident10:32 Handling Adversity with Positivity13:50 The Airbnb Troubles14:56 Reflecting on Personal Growth18:30 Dealing with Disappointment and Anger19:04 Requesting a Refund20:03 Finding the Silver Lining21:33 Travel Challenges and Realizations25:16 Unpacking Childhood Trauma29:22 Overcoming Victim Mentality34:41 Final Thoughts and LessonsKeywords:mindset determines realitymindset shiftspiritual awakening storylaw of attraction mindsetsynchronicity storieshealing journeyshamanic wisdomtrauma healinginner child healingvictim mindsetempowerment mindsetspiritual podcasttransformational coachingpersonal growth podcastspiritual growthpain as a giftmanifestation mindsetresilience mindsetmindset coachingspiritual lessonsemotional healingconscious livingawareness and healingenergy healingsoul lessonsovercoming adversitymindset masteryself advocacy healingintuition and synchronicityIf you would like to learn more please book a Discovery Call here: https://kellesparta.com/discovery-call/Licensing and Credits:“Spirit Sherpa” is the sole property of Kelle Sparta Enterprises and is distributed under a Creative Commons: BY-NC-ND 4.0 license. For more information about this licensing, please go to www.creativecommons.org. Any requests for deviations to this licensing should be sent to kelle@kellesparta.com. To sign up for, or get more information on the programs, offerings, and services referenced in this episode, please go to www.kellesparta.com
He didn't believe in tunnels of light. He barely believed he'd make it through another shift. Asthma had always been a problem, but that afternoon in the meat processing plant, it became a death sentence. One leaking AC unit, one breath of coolant, and his world went black. The next thing he knew, he wasn't on the factory floor anymore. He was standing in a green, impossibly vivid field beside a wide, glassy river that split in two. To the right: churning storm clouds and lightning tearing into the ground. To the left: warm sun, rolling hills, and a peace he could feel in his bones. And then the picnic tables appeared… and so did the people. Family. Friends. Strangers. The dead. The living. Faces he knew and faces he would know years later. At the center of it all: his grandfather, calm as ever, laying out three choices—right, left… or back. How do you decide whether to move on to whatever waits beyond the banks, or race back into a life that had already stopped? Love real ghost stories? Don't just listen—join us on YouTube and be part of the largest community of real paranormal encounters anywhere. Subscribe now and never miss a chilling new story:
On today's Free Swim we are joined by Chief, Danny and Dana Beers. We recap our thanksgiving breaks and get into a turkey bowl debate, we later get into how Dana Beers used to have asthma and Dana's series of trying new foods (that most people have all tried).You can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/thedogwalk