Minor addenda: 1. My framework for ILD didn't include a few particularly rare diagnoses (e.g. lymphangioleiomyomatosis - a very rare, cystic lung disease that primarily affects young women, which would go in the "other" category). 2. I probably overstated the fact that all ILDs demonstrate restriction on PFTs, whereas a relatively small number can also exhibit either an obstructive or mixed pattern. 3. I didn't discuss treatment at all since every disease is different, and going through each one would not be consistent with the "in a nutshell" approach. However, in general: A. Any ILD associated with an exposure is best treated with removing the exposure. B. Any patient with ILD who smokes needs to stop, immediately. (irrespective of whether the smoking was a contributing factor in developing their disease). C. Steroids help many, but not all ILDs. IPF, in particular, should not be treated with steroids or other conventional immunosuppressive medication. D. Vaccinations, supplemental oxygen, pulmonary rehab, and consideration of lung transplantation are part of the management of all ILDs, depending on severity.
@asiajake5 жыл бұрын
Thank you!
@raquelclopes3 жыл бұрын
Thank you! It helped me a lot !
@SarkisKlinik2 жыл бұрын
Thank you. should all post covid19 patients get spirometry, to see if there is fibrosis?
@tilwedie23 Жыл бұрын
Hello Mr. Strong What are "diffusely slightly prominent interstitial markings"?
@mujahid88429 ай бұрын
sir do some short cases and long case for exams
@DocBree133 жыл бұрын
This is by far the best presentation I’ve seen on this subject - thank you!
@StrongMed3 жыл бұрын
Glad it was helpful!
@DeathValleyDazed7 ай бұрын
Came here after sibling’s ER MD gave Dx today from CT scan. This excellent video provides a foundation from which to make sense of prognosis. Much thanks and gratitude.
@fdecar53065 жыл бұрын
Nice presentation. Thank you. I am being evaluated for ILD and your video has been very informative.
@howtomedicate5 жыл бұрын
Great video! It gives a very clear overview! Thanks a lot.
@sunving4 жыл бұрын
Thank you Dr Strong . It is a good over view. I just read about this today and your overview is spectacular. Thank you for taking your time to teach doctors around the world.
@diegofavaratozfilms962 Жыл бұрын
My grandma passed away from this just recently 😢I miss her so much😭😭😭
@Bangalore_updates2 ай бұрын
same with me 😢
@FrostPlayzRobloxАй бұрын
I’m sorry for you two :[
@folashadeadio99004 жыл бұрын
Thanks, doc. No longer overwhelmed by the ILDs.
@cornelbacauanu15445 жыл бұрын
Amazingly clear presentation of a complex topic. Thank you .
@knosp795 жыл бұрын
Thank you for posting this. I am an RRT and this is very helpful.
@MS-vz7pg3 жыл бұрын
An excellent video that demonstrates ild in an easy way. Please keep uploading more videos. Thanks and lots of love.
@toreakforever5 жыл бұрын
Outstanding work! This overview is much better then my whole internal medicine rotation
@dr.md.shalahuddin21855 жыл бұрын
Thanks Dr. Eric. This is a very good starting. But I would request u to make another video on HRCT features of different ILD & how considering the clinical & other biochemical features diagnostic work up is done.
@shabeeramuhammed852 ай бұрын
Nice lecture….very concise and clear
@bs18203 жыл бұрын
Wow you actually covered the illness that caused my ILD. Polymyositis and dermatomyositits
@emmafridley9993 ай бұрын
I’m Emma and I’m 14 and I have ILD and dermatomyositis!
@ramshaabid52984 жыл бұрын
thanks alot for this precise and concise presentation. Hopefully it will help me in my presentation.
@drpulakranjandas4 жыл бұрын
Excellent presentation. We are expecting to hear more from you 😊.
@ParthPatel-so9ec5 жыл бұрын
hello sir , thank you so much for all the lectures !! i will request lectures on neurological symptomatology, approach to coma patient, or patient with massive strokes and other critical care neurology topics.
@StrongMed5 жыл бұрын
Actually some of my oldest videos are on coma, but I later unlisted them because I was dissatisfied with their quality. But if you want to check them out (this was back when KZbin didn't allow videos longer than 15 minutes): Part 1: kzbin.info/www/bejne/j4SXlYNmZrhlmbM Part 2: kzbin.info/www/bejne/f5PMoZ15iLNroNk Part 3: kzbin.info/www/bejne/pp3LpaSrnayipdU I'm hoping to redo them at some point, and also cover TIA/stroke, movement disorders, and seizures, but unfortunately, I can't give any estimate of when that might be.
@ParthPatel-so9ec5 жыл бұрын
@@StrongMed Thankyou sir for your response and links for coma lectures. there is no hurry for the lectures. those were only the suggestions from my side. Thankyou.
@Jess-wk5jo3 жыл бұрын
@@StrongMed I have question for you over pulmonary fibrosis. Can Idiopathic pulmonary fibrosis damaged both of lungs or only one of the lung
@StrongMed3 жыл бұрын
@@Jess-wk5jo IPF almost always affects both lungs at the same time, though one lung may be a little worse than the other.
@prashantsingh79844 жыл бұрын
When are we expected to get permanent cure of the lungs scarring which can completely reverse this?
@Snigdha24094 жыл бұрын
It's very helpful, sir.
@jessicah34503 жыл бұрын
I have this post-Covid, or something similar since you said it's non-infectious. My ground glass opacities started spreading 2 months post-infection, and 10 months later now.
@nezarmohamed58503 жыл бұрын
Watched it many times and I will do again God bless you
@richardprice47142 жыл бұрын
This was excellent. Thank you for creating and sharing.
@drtanishabaladia4 жыл бұрын
X ray findings and CT scan findings part is great in particular..Thanku for the video 😇
@mosabbir007 Жыл бұрын
Precise and smart as always
@Maelzelmusic5 жыл бұрын
God, loved this video.
@Testango5 жыл бұрын
Dear Professor have you ever tought about a video series about the physical examination or about a proper use of stethoscope (when to use bell or diaphragm)? Thank you so much for your efforts!
@StrongMed5 жыл бұрын
I do have this video on cardiac auscultation that may cover some of what you are suggesting: kzbin.info/www/bejne/bWTJipilrquorc0
@akimbo5u5 жыл бұрын
WOW! Thank you so much!
@tannisrivastava47944 жыл бұрын
My mom is suffering from Ild from last 2year and we got to know that pgi is a good place for ild treatment and we started medicine from pgi and she is good but not perfect like she always be ...
@prashantsingh79844 жыл бұрын
Hi Ma'am, does the scarring progression has stopped. Or it has reversed? Is she getting better with all her symptoms?
@ayirpkm3652 жыл бұрын
My mom is also today got diagnosed with ILD. Can it be maintained stable after long term medications?
@petsloversandgyan51922 жыл бұрын
Maa'm how is your mother now? please reply
@thrd86 Жыл бұрын
Maam what /where is pgi?
@dr.mukulluthra93834 жыл бұрын
Please guide best suited meditation for ILD without much damage to liver and kidneys Precautions to be taken to further prevent the decease Thanks for guidance
@tenderprecious3 жыл бұрын
Amazing, Thank You So Much💓
@mirshabnam18283 жыл бұрын
Nice presentation 👍
@drshoaibakhtar11 ай бұрын
Excellent. Jazak Allah khair
@AmitGupta-rd9li5 жыл бұрын
Kindly do videos on valvular heart ds n echocardiography
@jmalko9152 Жыл бұрын
Informative, thank you!
@edimesa4 жыл бұрын
This reminds me of my diseases. I have a form of IPF. I tested negative for Alpha-D1, yet my lungs are on a fast route to becoming worthless. Thank you for this video!
@saisasori10734 жыл бұрын
Good luck
@edimesa3 жыл бұрын
@@kush1000ful i have lung cancer. I used to have multiple infections a year, pneumonia, bronchitis, etc. Although that all happened and happens, it doesn't explain why my lungs just end abruptly, like they are just clean and empty at the lowest lobes. Doctors are stunned.
@wilsontan10312 жыл бұрын
hi thank you very much for this lecture! would you please do a video comparing radiographic findings in ILD and bronchiectasis? as well as how bronchiectasis can cause tracheal deviation?
@RasishSubedi5 жыл бұрын
Doc, Its been a while you haven't updated your Google doc ( strong medicine notes )
@StrongMed5 жыл бұрын
Yeah, I know. Sorry about that. Too many competing priorities. =(
@Jess-wk5jo4 жыл бұрын
@@StrongMed Can Idiopathic pulmonary fibrosis damaged both of lungs or only one of the lung
@unathiqangaqa22123 жыл бұрын
Very nice video. Thank you!
@zus-47182 жыл бұрын
Hello Dr I’m a 25 year old male who suffered from severe Covid about a year ago, I recovered from it, but continue to have a cough and sometimes a weird feeling on my chest and throat, I know I breath good, but sometimes I feel like I just don’t quite get enough air, as if something was blocking my airway to breath normal, it doesn’t happen all the time, but occasionally it does, and I’m worried because it’s been a year and I still have the cough and that weird chest and throat feeling. Could you have an answer for what I could be suffering from, by my explanation of my symptoms. Thank you
@StrongMed2 жыл бұрын
I'm sorry, but I cannot offer specific, individualized medical advice.
@brainman7093 жыл бұрын
Very useful - thank you.
@247rishabh15 жыл бұрын
Excellent video sir. Pls make videos on different ILDs
@Nora69705 жыл бұрын
Traducir al español
@IMAHMS4 жыл бұрын
Well done very helpful thank you
@troyhayder69863 жыл бұрын
My doctor said I might have it... That was about two years ago... So I might be dead within three years... Its getting very difficult to breathe... I dont care... I just want to tell a woman I know that I love her to her face before I die, but she hates me....
@chestyang4 жыл бұрын
So nice,thanks!
@sojournerhouse4 жыл бұрын
Thank you very much.
@fishman7931 Жыл бұрын
Thanks for this
@giorgiocabrini84652 жыл бұрын
Thank you!
@Jeene269 Жыл бұрын
Thank you ❤️
@dom46383 жыл бұрын
great job!!
@SKARTHIKSELVAN5 жыл бұрын
Thanks for your video.
@danyadanoo28614 жыл бұрын
thank you very much
@Gnokhi3 жыл бұрын
Thanks a lot doc...👍👍
@nenetoyotomiable3 жыл бұрын
That was helpful thank you sir
@shiuantzer5 жыл бұрын
Fabulous!
@manjitkand53914 жыл бұрын
Excellent
@ujwaladhole5823 жыл бұрын
My mother is passs away cause honey comb
@Dr.Lucas.AbreuAlmeida Жыл бұрын
Just... wow!
@alihamdy33153 жыл бұрын
Is there a Pdf of the vedio ?
@Delhi1115 жыл бұрын
What about ILD in pediatric group? Some congenital forms?
@manjulabhagi7303 Жыл бұрын
Thank you doctor for explaining ILD, do you think that besides My rheumatoid arthritis my large Hiatal Hernia could be the cause for my Pulmonary Fibrosis ? Pl. explain
@StrongMed Жыл бұрын
I can't give specific, individualized medical advice here, but I can say that hiatal hernias do not cause pulmonary fibrosis (though if large, they can contribute to a sensation of shortness of breath).
@maggiehuff96613 ай бұрын
Sjogrens should be added in Connective Tissue Disease
@Jade_902 Жыл бұрын
This is such scary stuff!
@bluemountain8955 Жыл бұрын
Please tell treatment also
@StrongMed Жыл бұрын
Treatment for each form of ILD is different. Unfortunately, it wouldn't be possible to include in a single, succinct video.
@bluemountain8955 Жыл бұрын
@StrongMed please tell treatment for idiopathic ILD
@whats_wrongg Жыл бұрын
is there any cure ?
@polaris71229 ай бұрын
No.
@SarkisKlinik2 жыл бұрын
is the fibrosis of ild the same fibrosis of covid 19 ?
@StrongMed2 жыл бұрын
They share similar features. I have limited direct experience with post-COVID lung fibrosis, but I suspect the lungs of some patients who have developed fibrosis secondary to COVID are indistinguishable from that caused by other lung diseases.
@jagadeeshrao39854 жыл бұрын
Super sir
@cskiles3182 жыл бұрын
Will this kill you or part of getting older. My husband was told all this abs gave him 2 breathing meds
@StrongMed2 жыл бұрын
Interstitial lung disease (ILD) is not "a part of getting older". However, how serious it is depends on the type of ILD. Your husband should discuss his prognosis (i.e. how severe the disease may get in the future) with his pulmonologist.
@cskiles3182 жыл бұрын
@@StrongMed thanks for reply. He goes to va. But we are trying to Atleast get copy of the scans
@touseefbeig915 Жыл бұрын
Nice
@ayirpkm3652 жыл бұрын
If a person diagnosed with ILD and undergoing treatment for that, can they get covid vaccine? Is there anything we need to look into?
@StrongMed2 жыл бұрын
I can't give specific, individualized medical advice on here, and for all personal medical questions I always recommend speaking with your own physicians. Having said that, receiving the COVID vaccine is even more important in patients with ILD, as they are at an increased risk of severe disease should they contract COVID. The only consideration is that *some* of the more intense immuosuppressive medications that might be used for some forms of ILD might decrease the body's immune response to the vaccine, reducing its effectiveness. So patients on such medications should speak to their physicians about the optimal timing of receiving the vaccine - but treatment for ILD does not make the vaccine less safe.
@ayirpkm3652 жыл бұрын
@@StrongMed Thanks for your response. Yes we gonna discuss the same to our doc too.
@anvayajadhav97664 жыл бұрын
Hey! This was an amazing video! What are the treatments available for ILDs?
@Sujitonyoutube4 жыл бұрын
No treatment, and no cure in 2 to 4 years death is completely sure My father died due to this.
@sahilkhanna14864 жыл бұрын
@@Sujitonyoutube my mother is hospitalized. Currently on 4 ltr o2. Unable to stand. What are the chances?
@prateekkate75364 жыл бұрын
@@sahilkhanna1486 sorry to hear this brother ! Have hope in god and take care of your mom . I recently lost my father due to this diseases .
@prateekkate75364 жыл бұрын
@@sahilkhanna1486 i dont have any other curable suggestions but contact me if you can 9762935301 this is my whatsapp
@sahilkhanna14864 жыл бұрын
My mother passed away last month. It was so quick. We can't even imagine that she is gone forever. She was diagnosed with ILD on Janunary 27 and on may 2nd she passed away. Between these months she was unable to walk and was also hospitalised for a months. It was so traumatic for our family. I don't know whether treatment killed her or disease.
@btggaming9173 жыл бұрын
My nani has a ild patient can you give me solution of this problem to live long
@StrongMed3 жыл бұрын
I'm very sorry, I cannot give specific, personalized medical advice here. The prognosis in ILD varies widely depending on the underlying etiology, the patient's age, and other comorbid conditions. I recommend that your nani speak with their physician.
@btggaming9173 жыл бұрын
😭😭😭
@btggaming9173 жыл бұрын
He coughing 2 years can you 😔 you tell me which time ⌚ 😭😭😭and which stage
@joycebett4154 ай бұрын
Medication
@richardrodriguez15962 жыл бұрын
Good morning, My mother (62) was diagnosed with ILD related to Rheumatoid Arthritis in October of 2019. The condition has been getting more intense and every hospital stay longer. Last January she caught Covid and was in the hospital for 18 days and subsequently was transferred to a rehab facility. She hasn't shown much improvement since. Do you have any idea if they do lung transplants for this condition and if so, have you heard of any successful living donor cases? Thank you for your time.
@StrongMed2 жыл бұрын
I'm sorry to hear about what your mother has been going through. Yes, living donor lung transplantation can be performed for ILD secondary to RA, but living donor lung transplantation is itself very uncommon. Typically there are 2 related donors, who each donate one lobe of one of their lungs to the recipient at the same time. Japan has the most experience with the procedure, but it is done in other countries too, including a few centers in the US. A good, open-access summary of the procedure and outcomes: jtd.amegroups.com/article/download/49692/pdf I recommend your mother speak with her pulmonologist to see if this might be an option for her.
@richardrodriguez15962 жыл бұрын
@@StrongMed I will consult with my mother and sibling to see what our options are. I really appreciate you taking your time to answer. Thank you so much. Best wishes!
@petsloversandgyan51922 жыл бұрын
Sir how is your mother now? Please reply 🙏
@richardrodriguez15962 жыл бұрын
@@petsloversandgyan5192 I'm sorry to say that she passed away in February of this year (2022). Her last days were very traumatic for us as a family. Thanks for asking.
@petsloversandgyan51922 жыл бұрын
@@richardrodriguez1596 I am very sorry for your loss. May her soul rest in peace. What was her oxygen level when she was admitted in the hospital?
@alihamdy33153 жыл бұрын
Is there pdf for this vedio
@StrongMed3 жыл бұрын
There is now! You can find it on the top level folder here: drive.google.com/drive/folders/0B9SDUwepGWeUTmtscnJSSjR5OE0?usp=sharing