Emphysema - COPD - Pulmonary Medicine

[@MedicosisPerfectionalis]

🦠Antibiotics Lectures: www.medicosisperfectionalis.com/ 📝 Download Notes: www.medicosisperfectionalis.com/

[@prachipandey4950]

Never seen such a funny, yet professional teacher. You're incredible! 😂❤

[@nadiazameni150]

couldn't agree more :D

[@bilirubinator]

after many years of using youtube as a study aid, I finally found the holy grail that is this channel

[@MedicosisPerfectionalis]

Wow 🤩 Thank you so much 😊

[@Mohtellawi]

@@MedicosisPerfectionalis Exactly!! I should have found it earlier!

[@abdoessam8634]

I'm also from egypt ,very glad a great teacher like you is from egypt

[@MedicosisPerfectionalis]

Thanks 😊😊

[@mewmannamwem6087]

What a legend this human is . god bless your heart !

[@MedicosisPerfectionalis]

Thank you so much 😊

[@CassieLovley91]

Nursing student here, your videos are amazing & really makes me understand these diseases on a deeper level. Definitely helps stick in my brain! Subbed!

[@MedicosisPerfectionalis]

Thank you so much! Welcome to the Medicosis family :)

[@coralmarinaxo]

Pre-med student here studying for MCAT, this video was amazing. Thank you! Will be tuning into this channel more often!

[@MedicosisPerfectionalis]

Wow 🤩 I am honored! Thank you so much 😊 Good luck with your MCAT! Let me know if you have any questions!

[@coralmarinaxo]

Thank you so much! Idk how I didn’t find you any sooner 😍

[@MedicosisPerfectionalis]

Thanks a million! Take care!

[@danam6639]

I am a conundrum for pulmonologist. Emphysema diagnosed after sudden short rss of breath of a life long athletic enthusiast and strict non smoker. My mother had COPD diagnosed very late in life as life long nonsmoker but couch potato. and obese diabetic as well. I tested negative for Alpha one and Dr is resubmitting test . I have very poor spirometry results at around 30% after taking multiple inhalers daily. I began at 20% and focused more on gastric reflux , and asthma a couple of years ago . My reflux improved but not perfect altho I stopped PPIs over a year ago due to noticeable side effects . This all began suddenly with menopause as well. I cannot believe what has happened to me and its highly depressing as well as unbelievable . I have gained almost 20 lbs ONLY in midsection even though I continue to exercise as much as I can . I luckily was very slim and tall so its not horrid . It all is very depressing really.

[@danam6639]

Oh, Btw , my cat scan was the tell all of my present diagnosis .... read as severe pulmonary emphysema and then it all came together one year ago. So I guess after presenting as the epitome of health all of my prior life I must accept early death and suffering like a careless lazy patient - so not fair !

[@danam6639]

Also I take Bio identical hormones and it hasn’t helped much except extreme symptoms . I guess I am screwed as they say ... Well I am pissed off at God bc he is very unfair . The God of the Old Testament is harsh, judgemental, and required blood sacrifices - so I only believe in the purity and love of Jesus ... HIS TRUE FATHER IS ABOVE HUMAN COMPREHENSION . Maybe I will have his blessing one day because I never deserved this

[@michealcollins5650]

Earlier Last year I was diagnosed with emphysema in 2019 and I have tried everything I could to heal myself, but it was all to no avail, until I saw a post on a health forum this herbalist through his email and he prepared me a herbal cure for emphysema and sent it to me via the delivery service of UPS from the company, when I received this herbal cure. They gave me step by step instructions on how to apply it, when I applied it according to the instructions I was totally cured of this deadly disease within 5 months of use, I am nowemphysema free, all thanks to Dr. Timothy You can also contact this great herbalist for help by email: [e-mail] or contact Dr. Timothy through his whatsapp number: [phone] He is also specialize in treating all kinds of diseases, VIRUS HERPES , HEPATITIS B, CANCER, BRAIN DISEASE, INFERTILITY, DIABETES EPILEPSY AND MORE ...... He will also be of help to you

[@dr.reinholdthaler8948]

In s nutshell:you brighten an Orthopedic surgeons mind,you are so awesome😍😍😍

[@MedicosisPerfectionalis]

Thanks, doctor!

[@shaidahusna]

Thank you for the great explanations! Really love it when you repeat all the important points throughout the video.

[@MedicosisPerfectionalis]

Thank you 🙏

[@karmenalmasri9338]

فيديو كثيييييير حلو أنقذني يوم الامتحان وشكراً اللك i like how you explain everything in a very simple way ..

[@MedicosisPerfectionalis]

Awesome 👏 Can you please help me by sharing?

[@doctorbase2364]

@@MedicosisPerfectionalis yep thank u so much

[@hinataboke6905]

I've been watching your videos for few days now I must say I like this routine ☺️

[@healthandfitnesswithdrdany8195]

Respect for your knowledge and sarcastic medical education.. From Pakistan 💗

[@MedicosisPerfectionalis]

Thank you so much 😊

[@mamounbilal5231]

عجبتني ف اول الفيديو والحكم بتاعتك ولما عرفت انك كنت ف مصر اتصدمت اكتر😂 شرح جميل جدا والله❤

[@MedicosisPerfectionalis]

Thanks 😊

[@swally1206]

I said it before and I'll say it again, I wish you were my Dr. at uni!

[@MedicosisPerfectionalis]

Consider me your virtual teacher :)

[@swally1206]

@@MedicosisPerfectionalis Yess of course, that's what I'm doing! 😊

[@زهراء-ر3ظ8ث]

My favourite channel for medical topics 😍♥️♥️

[@MedicosisPerfectionalis]

Thank you 😊

[@ilovesunny8887]

Salam ou alaykom bro, thanks for the lectures. As a medical student it helps me soo much, because my professor is bad at giving explaining this. Jzk. greetings from the netherlands

[@nisargdhamecha8476]

Thanks Doc for all the videos! Cheers from India!🧡

[@MedicosisPerfectionalis]

Love ❤️ to the people of India 🇮🇳 My pleasure 😇

[@Wishyouendwell100]

@@MedicosisPerfectionalis Awww...

[@syedafirdouse7621]

I have finals in 1 week n uh videos are life savior💙💙

[@MedicosisPerfectionalis]

Thank you so much ☺️ Good luck 🍀

[@MedicosisPerfectionalis]

Please tell me how it went 👍

[@mayurishinde3992]

Hey I m nursing student and this is very useful for me to understand the topic 😊

[@MedicosisPerfectionalis]

Awesome 👏 Thank you so much for watching!

[@omaalmnafy]

My best doctor ever i don't know how to say thank you for you cuz it's not enough

[@MedicosisPerfectionalis]

Thank you 😊

[@MA-dd9dd]

You make me laugh WHILE studying, i can't ask for more

[@MedicosisPerfectionalis]

Thanks a million!

[@basma1162]

Oh Egypt 🇪🇬 This why ur accent is very intelligable to me ..but it is excellent at the same time Finally am proud to be egyptian ❤️😍 First time to understand pulmonology for more than ten years😂

[@MedicosisPerfectionalis]

You’re awesome 👏 That’s amazing! Good luck 😊 Can you please help me by sharing?

[@basma1162]

Of course 🌺

[@MedicosisPerfectionalis]

Thank you, dear :)

[@pinakiganguly8447]

Your teaching skills are best💚💚💚💚

[@jeremiah4911]

This is the first time I saw your video and I loved it, New subsrciber here. Keep it up, man.You're helping a lot of people.

[@MedicosisPerfectionalis]

Thank you so much 😊, dear :)

[@anushkafan9609]

What a lucky destiny of mine to devine with your kindness ❤❤❤ thank you

[@mahmoudzeid6284]

بما انك مصرى فنتكلم عربى عظمة يسطا يا ريت تستمر

[@MedicosisPerfectionalis]

😂😂

[@mahmoudzeid6284]

@@MedicosisPerfectionalis اشرح باثو بقا عشان معذبنا

[@dromaralzboon852]

Love you bro , your videos saved my sphincter a lot of times . Shukran keter

[@MedicosisPerfectionalis]

Thank you so much 😊 I appreciate you, brother!

[@hagarismael8532]

OMG you are Egyptian ! Really 😂 So proud of u man

[@MedicosisPerfectionalis]

Thank you so much 😊

[@seamokelebafazini2020]

So where have you been all my preclinical years struggling and suffocating under the heal of pathology 🙆🙆 ok. Ok. I love you. Period🌻

[@MedicosisPerfectionalis]

Haha 😂 I was hiding in a haystack 🤣

[@seamokelebafazini2020]

You know what they say, you can't hide forever now can you??😂😂 Thank you so much. Am sold. All in🤟

[@baneenhussain2558]

Fun lecture you can remember ، thank you sir ❄❄🌸

[@Mr_3raqi]

Man in addition to your excellent teaching, i love your quotes ! Making your videos so much more interesting 3aash ya basha 😁

[@MedicosisPerfectionalis]

Thank you so much 😊

[@9818737989]

If I do end up passing med school, I will owe it to you

[@MedicosisPerfectionalis]

Thank you so much ☺️

[@marishabelova3706]

You are amazing.. so much love

[@MedicosisPerfectionalis]

Thank you so much!

[@karamcdonald4870]

Hi, just wanted to say, thank you for your amazing , easy videos to follow. I'm in resp therapy school. Your videos are so easy to understand and pretty much right on line of what we are talking about. you have no idea how much they've helped me and most of our class. What state do you practice? sincerely, Kara

[@poornimachikane7616]

Amazing teaching quality....huge respect

[@Cat-lm5fq]

A big thumbs up for ur voice modulation baby👍

[@MedicosisPerfectionalis]

Thank you so much 😊

[@dr.slayyy]

Addicted to your voice n lectures 😭😭😍😍😍

[@MedicosisPerfectionalis]

Thank you so much 😊

[@amneetkaur5198]

You're so innovative ❤

[@MedicosisPerfectionalis]

Thanks a ton for your continuous encouragement!

[@hendragb2913]

I wondered how this channel became my fav in few days!💕 It's nationalism baby.

[@MedicosisPerfectionalis]

I am happy that the channel became your favorite.

[@taghreedabdellaah8059]

THANKYOUU for these amazing videos they're super unique and cool + the Egypt thing it seems we were lucky that u lived here!! ❤❤❤

[@MedicosisPerfectionalis]

Thank you 😊

[@tiotio3185]

I found alpha-1 antitrypsin deficiency is an autosomal recessive condition in a textbook.

[@goahead3654]

At 7:12 u said air trapping causes acidosis. and at 17:34 you wrote emphysema causes respiratory alkalosis. So finally does emphysema causes acidosis and alkalosis? Im confused now. And if there is so much air trapping, why does hypoxemia occur? On the slide at 17:24 you said hypoxemia is because it takes time to destroy the respiratory unit. what does that mean? Please clarify. Thank you. I'm depending on your videos to learn. Please help me. Thank u!!

[@amandatreso6794]

it's just windy Sask. it's all good. 😎😎😎

[@bogerej.b6414]

Nice videos. Thank you sir.

[@Teezar22]

But why does the immune response elicited via cigarette smoking result in the destruction of elastin intra-alveolus? Why is the immune system producing additional proteases? Does it believe that the infiltration of smoke is a pathogen that requires proteases to break down and dispel, and a by-product of this is the breakdown of elastin within the alveoli?

[@yogesh71ful]

You are amazing bro

[@MedicosisPerfectionalis]

Thank you! I appreciate you!

[@inku_inna]

God bless you sir.. Thank you so much for ur lecture vedios 💐

[@MedicosisPerfectionalis]

God bless you too!

[@saniarabbani2337]

You’re are incredible ♥️

[@MedicosisPerfectionalis]

You’re awesome 👏

[@M7mmad08]

But you dont have the egyptian accent! This is even more amazing than your lessons :p

[@MedicosisPerfectionalis]

Hahaha 😂

[@zezo12911]

Mohammad AbuZer is he Egyptian ?

[@MedicosisPerfectionalis]

Yes

[@ralfoxygen1374]

The newest and most effective COPD therapy from Germany: vital-air-therapy.com

[@zezo12911]

Ralf Oxygen. Oxygen replacement therapy is used in the step 4 only because it’s cost

[@mattradley4565]

This is really good n helpful

[@MedicosisPerfectionalis]

Thank you so much 😊

[@iGuzelz]

you are just so amazing thank you so much! are there any resources that have same of you information? I got confused because I have seen websites with opposite info

[@MedicosisPerfectionalis]

I use Goljan, Medstudy, Harrison’s and Davidson’s!

[@iGuzelz]

@@MedicosisPerfectionalis Thank you so much!

[@uniquesome1]

I think I'll be forever entertained (and educated ofcourse , doofus) by your mimicry of the prolonged expiration xD. Thank you for all your wonderful wonderful videos ❤

[@MedicosisPerfectionalis]

My pleasure 😇 Thank you so much for watching!

[@karmie1052]

Urgh……eeeeeeeeeeereererhhh lol

[@purvashadhargave3649]

Gave thumbs up for the rubber band idea !!!!! 😌😂😂😂😂

[@MedicosisPerfectionalis]

Haha 😂 Thank you so much 😊

[@hebaelhabiby5909]

greetings from EGYPT

[@MedicosisPerfectionalis]

Hello 👋

[@abhishekbaiwal5271]

Very perfect 👌 professor

[@MedicosisPerfectionalis]

Thank you so much 😊

[@tpsingh5773]

Fabulous man! "It's protein baby!"🤣🤣🤣

[@MedicosisPerfectionalis]

Haha 😂 Thanks 😊

[@cindybain6054]

Thank you so much 💞 so this will cause a heart attack ?

[@gaurabjungkc6545]

Why do ephysema patients can breath out Co2 and why cant bronchitis patient cannot in initial phase ? When both are obstructive disease

[@zinhlemahlangu1473]

as for saying ' if you are a hammer, everything to you looks like a nail"🤣🤣🤣

[@MedicosisPerfectionalis]

:)

[@ramyelemam7160]

Mad respect to you doc! your lectures are simply the best out there :D

[@MedicosisPerfectionalis]

Thanks, bro

[@sinem6914]

think people !!! awesome

[@mochabear1097]

you're funny and a great teacher

[@MedicosisPerfectionalis]

You’re a kind-hearted and grateful person 😊😊..Thanks!

[@rowaidasamer658]

Really awesome

[@sarahmathew2548]

A bit much info.. but useful for clinic and thank you for explaining.

[@MedicosisPerfectionalis]

Thank you!

[@amandatreso6794]

YOU KNOW happy New Years ago

[@Jellybean-y2i]

A1AT is autosomal recessive🤔

[@ronnazhou6938]

Can someone explain to me? : emphysema pt are grandpa's socks --> alveoli cannot recoil --> retains air, air stacks on air ---> cannot blow off air --> sounds like they cannot blow off co2 to me --> sounds like co2 accumulates to me ---> sounds like resp. acidosis to me. --------why do they have low PaCO2 after all?????

[@ronnazhou6938]

found this from GOOGLE. Need an explanation. Still confusing.. "In the mild and moderate stages, the PaO2 and the PaCO2 measurements may remain normal or, while the PaO2 stays normal, the PaCO2 can be decreased (respiratory alkalosis). In the moderately severe and severe forms of emphysema, the patient is likely to be hypoxemic and hypercarbic (respiratory acidosis)."

[@Mostafasalafist]

Due to severe action of respiratory muscles

[@Desilicious]

Thank you so much! How does emphysema affect the total deadspace and the TV?

[@MedicosisPerfectionalis]

Increases dead space. Tidal volume may be normal or decreased.

[@Desilicious]

Medicosis Perfectionalis Thanks!

[@MedicosisPerfectionalis]

My pleasure 😇

[@hbach5985]

Isn't it autosomal recessive?

[@tpsingh5773]

@ 18.15 slight problem with DLCO U said it wrongly

[@MedicosisPerfectionalis]

What was the mistake?

[@ronnazhou6938]

"it's a protein baby"

[@MedicosisPerfectionalis]

Indeed

[@mohammadwasiuddin8177]

It's autosomal recessive

[@yayansofyan7432]

Berapa lama harapan hidup penderita emfisema bertahan hidup setelah diagnosa awal

[@dr.samiralytv6744]

Is there a treatment ? Is it inevitably worsen overtime ?

[@MedicosisPerfectionalis]

Smoking cessation, Some inhalers, Roflumilast.

[@DivyaDivya-zi5sh]

Your just amazing sir tq for all the videos these r really helpful 😊

[@MedicosisPerfectionalis]

My pleasure 😇 Can you please help me by sharing?

[@DivyaDivya-zi5sh]

Of course sir u r the best😊

[@MedicosisPerfectionalis]

Thanks 🙏

[@marqarittakakuva471]

You are smar buddy...i making cute simple smart notes thank you

[@MedicosisPerfectionalis]

Thank you so much 😊

[@MrFahad-rm3qg]

Which app r u using for videos like this one....

[@sadeenhamdi6182]

Oh come on, how can you be so funny and smart 😂💖🔥 I honestly can't describe how much your videos have helped me 💖💖

[@MedicosisPerfectionalis]

My pleasure 😇 Thank you so much 😊

[@bellabhat9089]

True

[@zenzenithhh991]

Can getting blood due to outside sources (for example a bleeding tooth and its blood gets in while sleeping) induce emphysema?

[@MedicosisPerfectionalis]

No. If you have evidence of otherwise, please let me know! Good luck to you!

[@CarolynElizabethJones]

Hi! Thank you for your videos. Could you explain why someone with emphysema wouldn't have respiratory acidosis? I thought that since they are hanging on to PCO2 that they will be in acidosis. Thank you!

[@MedicosisPerfectionalis]

Early on: they are hyperventilating, But later: hypoventilation leading to respiratory acidosis. Hope it helps!

[@CarolynElizabethJones]

Yes that does help! Thank you. ☺️

[@bellabhat9089]

​@@MedicosisPerfectionaliscan u expalin respiratory acidosis and hyperventilation

[@rajub.k1789]

Best lecture

[@fatimamahdy1058]

Can u help me please ? If the alveoli filled with air so gas exchange will occurs correctly and no hypoxia but later on the alveoli will be destroyed and further on no gas exchange am i right? Destroyed by what?

[@fatimamahdy1058]

U mean the alveoli will collapse ?

[@SunilKumar-li5qx]

Can the half-finished lungs recover back

[@MedicosisPerfectionalis]

What do you mean?

[@sunitbhattacharyya6274]

Does the trapped air get resorped?

[@MedicosisPerfectionalis]

Yes, and more air comes in to get trapped.

[@amandatreso6794]

I don't have a good day and the environment in the psych ward as we are in the second video lol I'm driving home now

[@mathelasmr6528]

Thnks bro you made thinks easy

[@MedicosisPerfectionalis]

My pleasure 😇

[@ozziecockings780]

...will i ever breathe normally again after abstinance (from cigarette) and treatment?...

[@MedicosisPerfectionalis]

I don’t know your specific case, but I think your overall health should improve tremendously.

[@ozziecockings780]

@@MedicosisPerfectionalis ...thanks for responding...i do feel a whole lot better already...(altho is only day 5)...

[@muhammadfawad1761]

A1AT deficiency:-If its an autosomal dominant disease how MZ has zero risk factor

[@miriami7]

Oh my darling your video is wonderful... please please slow your tempo :)

[@MedicosisPerfectionalis]

Ok 👍

[@tippimaravala]

❤ thanks bro

[@SnowInHere]

Thank you!

[@rayan01]

Why you was living in Egypt, are you from there ?

[@MedicosisPerfectionalis]

Born and raised in Egypt!

[@rayan01]

@@MedicosisPerfectionalis Now I now where you got your great sense of humor 😂🤍

[@roshansapkota7488]

Can i know the name of the speaker? you are simply awesome.

[@MedicosisPerfectionalis]

Thank you so much 😊 My name is a secret 🤫

[@kailashmanipokhrel1709]

18:12 to 18:18 Its chronic bronchitis😁,not emphysema

[@amandatreso6794]

WE ARE ALL HERE NOW

[@anchtain6971]

Biig love from algeria

[@abdel_rahmanmohamed1138]

بلديااتي ❤️🇪🇬

[@MedicosisPerfectionalis]

:)

[@auzafatima928]

17:00

[@heshamtemraz603]

where are you from egypt 😂. amazing anyway

[@MedicosisPerfectionalis]

It’s a secret 🤫

[@MohammadYounos]

@@MedicosisPerfectionalis Yes you are amazing, man, mashAllah.Let me bet, you come from the Asian part of Egypt. This is where the most intelligent Egyptian people come from, this is just my hypothesis :)

[@MedicosisPerfectionalis]

What’s the “Asian part of Egypt”? I've never heard of it 😲

[@MohammadYounos]

@@MedicosisPerfectionalis It is the Sinai Peninsula, man. 60,000 km² or 6% of Egypt´s area and it is geographically a part of Asia.