Dr. Gemzel H.'s Posts

Do you need Pulmonary Rehabilitation? by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema When to start? The fact is that real Rehabilitation starts in the very mind of the patient. If the patient do not take the opportunity to help his/herself, the chances are low ... Read on »

Some facts about COPD you should know by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema What you should be aware ofWhat is fact and what is fantasy in the world of CODP? There are several things patients need to be aware of when having discussions about their dis ... Read on »

Swine flu outbreak and potential risks for COPD patients by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema What flu is this?Media have overcrowded with a lot of reports about a potential pandemic “Swine flu”. A strain of influenza that hadn’t seen before affecting humans is killing ... Read on »

From Smoking to COPD: what’s going on in the middle? by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Doubtful association It has been said that there is no a definite correlation between the spirometric standard FEV1 and the clinical manifestations in COPD. The FEV1 may be ex ... Read on »

Evolving Definition of COPD by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Challenges of a diseaseExperts from around the world have been challenging the burden of COPD since a couple of decades ago. However, one of the most relevant challenges has b ... Read on »

Who’s smoking this days? by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema COPD and its associations Chronic Obstructive Pulmonary Disease is associated to cigarette smoking in more than 70% of cases. However, COPD is only one of the consequences of ... Read on »

Behind the Best Treatment for COPD? by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Many ComponentsCOPD is a multifactorial disease. Thinking about its treatment requires to consider this reality. It’s not a knot in the hair that you can cut and nothing else ... Read on »

COPD: Basic Steps to help by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Just Dyspnea and It’s my faultThe COPD patient complains of breathlessness when cough and (sometimes) phlegm have been present for a longer period of time. Some experts have c ... Read on »

COPD: Changing and not the Same for all Sufferers by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Heterogeneous DiseaseCOPD has shown to be a heterogeneous disease. As with any other disease, there seems to be very unique and common features to help physicians in the diagn ... Read on »

Patients with earlier COPD: appropriate attention? by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Patients less severe?According to the Global Initiative for Obstructive Lung Disease (GOLD), there are patients con COPD with minimal changes in the standard method for diagno ... Read on »

Pucker for a better breathing: Pursed Lip Breathing by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Natural AdoptionsPatients with advanced COPD look for a more complete exhalation leading to more room for breathing. That’s the reason why they breath out slowly and their lip ... Read on »

Chronic Obstructive Pulmonary Disease and something about its definition. by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Chronic Obstructive Pulmonary Disease (COPD) includes chronic bronchitis, emphysema, or both. Its definition has evolved since a long time ago when it was recognized as a pure ... Read on »

Communication with the COPD patient by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Patient with respiratory diseases may realize that they have some respiratory problems a little late in the course of their disease. Respiration is an involuntary process. It ... Read on »

Activity in smokers patients by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema In 2007 Judith Garcia-Aymerich and coworkers (Am J Respir Crit Care Med 175:458-463) shared their results from a population-based study to estimate the longitudinal correlatio ... Read on »

Provocation in the lungs by Dr. Gemzel H. Medical Doctor

2 Comments Posted in: Blog Posts in COPD & Emphysema Recently I had some discrepancies with senior respiratory specialists regarding some dificulties differentiating some cases of moderate/severe persistent asthma versus some CO ... Read on »

Cortico-phobia? No, steroids are the asthma controllers by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema In its issue of February 1st 2007, The American Journal of Respiratory and Critical Care Medicine published results of a trial developed by The American Lung association Asthm ... Read on »

COPD that suddenly got worse by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema COPD is a chronic disease with repercusions beyond lungs. Patients may understand this concept but they may also forget the possibility of getting worse sometimes. How a patie ... Read on »

Cardiovascular effect in COPD by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema It’s always said: COPD seems to be a systemic disease although others say that it is a lung disease with systemic consecuences. Furthermore, many specialists agree in this bei ... Read on »

COPD pharmacological control by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Management of COPD has been recommended to be classified according to its main goal:Management of Stable COPDManagement of ExacerbationsMedicine Categories in Asthma vs COPDIn ... Read on »

Asthma versus COPD: any difference? by Dr. Gemzel H. Medical Doctor

Posted in: Blog Posts in COPD & Emphysema Making a literature seach in terms of differences between asthma and COPD (especially their inflammatory response) I found a review performed by Peter K. Jeffery (Thorax 1998; ... Read on »

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