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Asthma/Questions

SubjectDate AskedExpert
High altitude asthma1/21/2017Marc Rubin, RPh Asthma Educator
  Q: I am in my early sixties with adult onset asthma medicated by nebulized low-dose levabuterol (only). ...
  A: I have 2 approaches for you: 1) a small, portable oxygen unit with nasal insert. Use a fingertip ...
Inhaler1/15/2017Peter Melamed, PhD
  Q: What would be the effects of someone taking an overdose of albuterol via an inhaler and they took 3 ...
  A: May! Albuterol is an alpha blocker drug that influences in the autonomic nervous system and reduces ...
Inhaler Overdose1/15/2017Marc Rubin, RPh Asthma Educator
  Q: What would be the effects of someone taking an overdose of albuterol via an inhaler. Say someone ...
  A: Overdosage of albuterol can cause elevated blood pressure, rapid heart rate, and potential abnormal ...
asthma/estrogen12/5/2016Peter Melamed, PhD
  Q: my asthma has gotten much better with age, but it is still the worst the week before my period. the ...
  A: Leslie! You wrote, "i'd love to have a non-pill/nebulizer solution to get through these times." I ...
Red Blood Cells11/17/2016Peter Melamed, PhD
  Q: I have Asthma with a PFT of 45 percent. I was also diagnosed with permanent Lung Damage. In ...
  A: Gloria! Your question “Should I be concerned.?” about “PFT of 45 percent” and “permanent Lung ...
asthama/ breathlessness11/5/2016Marc Rubin, RPh Asthma Educator
  Q: .... My wife is 30 yrs old nd she had some brething issue thats y we do a simple chest x ray, in ...
  A: From what I'm able to gather from your description, is that your wife may have chronic bronchitis, a ...
Blood In Mucus sh6/13/2016Peter Melamed, PhD
  Q: I have bronchitis allergy from last 15 years. I am 20 right now. Till last night I was well and ...
  A: Garima Mehra! Blood in mucus in person with chronic bronchitis can occur after a persistent cough. ...
Asthma-air purifier6/6/2016Peter Melamed, PhD
  Q: Dr. Melamed, I will be brief, I am certain you are busy. My question is about equipment however, I ...
  A: Christopher A Smith! I am not a distributor of air purifiers. I am holistic doctor with the clinical ...
Asthma-air purifier6/6/2016Marc Rubin, RPh Asthma Educator
  Q: Mr. Rubin, I will be brief, I am certain you are busy. My question is about equipment however, I ...
  A: This is an easy one! You want to get a HEPA room air filter. Home Depot and others carry these. I'd ...
Dry cough for 4 months1/9/2016Marc Rubin, RPh Asthma Educator
  Q: I am hoping you can advise me as to the possible causes of a chronic cough I have had for over 4 ...
  A: First, what is your present weight? Any family history of lung problems? Did the doctors do ...
pancreatitis11/29/2015Marc Rubin, RPh Asthma Educator
  Q: I need some help. I've experienced abdominal pain and hospitalized 2 times with pancreatitis. The ...
  A: I looked into it, and yes, pancreatitis occurs rarely. There is another condition with rare reports: ...
cough after walking pneumonia10/31/2015Marc Rubin, RPh Asthma Educator
  Q: Had mild walking pneumonia in July according to Xray at Mass General. Showed it was gone in ...
  A: Without knowing if they did spirometry to determine degree of impairment, I have to go on the ...
breathing difficulty7/8/2015Marc Rubin, RPh Asthma Educator
  Q: I am 31 years and was using gabapentin 300 mg at night for sleeping trouble due to some nerve ...
  A: I apologize for the delayed response. After checking 3 professional resources regarding the ...
Challenge5/7/2015Marc Rubin, RPh Asthma Educator
  Q: Greetings, What is a methylcholine challenge used for, what does it determine, and is it ...
  A: Methacholine challenge is an evaluation test that checks for airway hyper-responsiveness ...
Article quotes needed4/3/2015Marc Rubin, RPh Asthma Educator
  Q: I need a few expert quotes about how making and using homemade cleaning products could be better for ...
  A: Sorry for the delay. Just returned from a trip There are various commercial products specific ...
Health care workers with respiratory illnesses2/4/2015Marc Rubin, RPh Asthma Educator
  Q: What studies are there that have looked at whether health care workers with chronic under laying ...
  A: Doug, Sorry for the delay. Have been out of town. Your first question addresses issues that ...
is it a bad idea to marry a woman having asthma?1/27/2015Peter Melamed, PhD
  Q: I am 27 years old Indian IT professional. My family arranged a girl for my marriage.Just before a ...
  A: Q. is ASTHMA is curable, or need a proper life style. A. Yes, asthma is curable, person needs to ...
Chronic Caugh- 6 years old boy12/27/2014Peter Melamed, PhD
  Q: My son 6 year of age having chronic cough from more than 1 year. Actually the Dr here diagnosed as ...
  A: This is not a question it is a sad story. I am sorry for your son’s allergic asthma. I have a few ...
pneumonia12/7/2014Marc Rubin, RPh Asthma Educator
  Q: My mom went to eR doctor and doc said she had bronchitis. Well my question. Is she was prescribed ...
  A: ER practices today have gotten weaker, if the presentation does not appear life-threatening. It ...
18 month daughter with asthma12/1/2014Marc Rubin, RPh Asthma Educator
  Q: I have 18 month girl with respiratory viral infection and when she is awake she is better in herself ...
  A: Good morning Paula, It sound that your child has RSV, Respiratory Syncytial Virus, the most ...
asthma right lung pain11/16/2014Marc Rubin, RPh Asthma Educator
  Q: I have asthma. Recently my right lung and under armout has a constant pain. No wheezing, no cough ...
  A: I need some background and history to help rule out ailments which may present with similar ...
Shaky hand while taking inhailer10/31/2014Marc Rubin, RPh Asthma Educator
  Q: Good morning, My brother is just 19 years old and he is suffering from asthma. We have visited many ...
  A: There are a couple of options for him. I'm assuming the present quick-relief inhaler he is using is ...
Symbicort9/3/2014Marc Rubin, RPh Asthma Educator
  Q: My husband, who is 64 years old, has asthma and also what has been diagnosed as non allergic ...
  A: Yes, it is possible that the Symbicort may be causing this issue. Whenever a steroid inhaler or ...
Asthma and Excercise8/9/2014Peter Melamed, PhD
  Q: My wife has asthma, allergies, and some degree of COPD. Her asthma is reasonably, but not completely ...
  A: I can feel, you are good husband and you want to help your wife. Your question is not simple. Your ...
Excercise with Asthma8/9/2014Marc Rubin, RPh Asthma Educator
  Q: My wife has asthma, allergies, and some degree of COPD. Her asthma is reasonably, but not completely ...
  A: Your support of your wife is outstanding! And, you are correct in your desire and thoughts towards ...
High Eosinophil Level8/5/2014Peter Melamed, PhD
  Q: I am 67 years .I suffer from frequent colds.I did routine blood count test .While all parameters ...
  A: "Eosinophil is HIGH 14%, ESR 31.3 mm/hr" are symptoms of the long occurred allergic inflammation. ...
High Eosinophil Level8/5/2014Marc Rubin, RPh Asthma Educator
  Q: I am 67 years .I suffer from frequent colds.I did routine blood count test .While all parameters ...
  A: The blood test revealing elevated eosinophils is an evaluative test, just like getting your blood ...
Asthma Starting7/30/2014Peter Melamed, PhD
  Q: I quit smoking approx 15 yrs ago at age of 30. I smoked about 1/2 pack /day (more on weekends)for ...
  A: Smoking is a not favorite thing for lung and you are right it can cause the damage. We cannot change ...
Medicine for breathing Problem7/28/2014Marc Rubin, RPh Asthma Educator
  Q: I am simple person from small country Nepal. I am having a breathing problem since 10 days. i feels ...
  A: I deeply apologize for such a delayed response. I just returned from vacation, and just was ...
asthma meds6/29/2014Marc Rubin, RPh Asthma Educator
  Q: are all asthma meds the same? Is there one medication that is better than another? My daughter as ...
  A: I'm very sorry for the delay. I've been having technical issues with AllExperts and using my iPad. A ...
Asthma problem6/28/2014Marc Rubin, RPh Asthma Educator
  Q: I am suffering from Asthma for the last nine years. Whenever there is a change in season then the ...
  A: This is not unusual. Seasonal changes also bring changes in pollen levels of various plants as well ...
ques about copd5/18/2014Marc Rubin, RPh Asthma Educator
  Q: Would u be able tonhelpnme. My mom is 67 and was diagnosed for cops. My ques is there are So ...
  A: Is your mother being seen by a lung specialist (pulmonologist)? Does she smoke? Is she on any ...
Cat Allergy5/15/2014Marc Rubin, RPh Asthma Educator
  Q: Sir, I am a 64 year old female with an allergy to cats. Diagnosed when I was a child to many animal ...
  A: Sorry to tell you this, but getting the cat was not a good move. Cat dander is much more difficult ...
Singulair4/29/2014Marc Rubin, RPh Asthma Educator
  Q: Marc: I have a question. I began allergy shots tow months ago, and doc also started me on ...
  A: Singulair is not only used in Asthma, but sometimes is of benefit people with allergies also. It has ...
peak flow improving greatly with inhaler--asthma?3/15/2014Marc Rubin, RPh Asthma Educator
  Q: We visited an allergist/immunologist recently because of my 8 year old daughter's dermographism. He ...
  A: I'd like to apologize for the delay in this response. All experts apparently had a technical ...
symptoms came back-BRONCHITIS2/20/2014Marc Rubin, RPh Asthma Educator
  Q: i sent you a question couple days ago and never received the ALL EXPERTS TICKET RESPONSE EMAIL and ...
  A: First I want to apologize for the protracted delay. I've had a number of issues with my internet ...
asthma2/15/2014Marc Rubin, RPh Asthma Educator
  Q: Other than making it difficult to breathe does asthma cause any long term problems to your lungs? My ...
  A: Ahh, what 3 times a week? Medication? Peak flow testing? If a medication, which? Also, on the ...
If you wanted to know1/31/2014Marc Rubin, RPh Asthma Educator
  Q: hey its me again i went to doc yesterday as my cough and tight chest was really really bad ...
  A: Glad to see that you went to the physician. In today's practice, the justification for injection, ...
POSSIBLE ASTHMA - COUGH 3 WEEKS1/30/2014Marc Rubin, RPh Asthma Educator
  Q: I HAVE HISTORY OF: nasal issues like allergies, sinusitis, polyps yeeeears ago. ive had steroid ...
  A: Without any recent documented medical history, offhand it sounds like a viral bronchitis. Low or no ...
Asthama / Dust Allergy.1/19/2014Marc Rubin, RPh Asthma Educator
  Q: Good day to you. The reason of writing you is that today I had been taken to hospital in the morning ...
  A: I apologize for the long delay. It is been an extremely busy week here at home. It looks as if the ...

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Marc Rubin, RPh Asthma Educator

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Expertise

I have worked directly with patients as well as caregivers for over 30 years. Have made presentations throughout Illinois educating school nurses as well as the teaching and coaching staff of public schools about asthma, and how they should respond to these students needs. Presented a public education program on asthma through the US Department of Public Health. Specialize in helping guide asthmatic patients to take control of their disease in order to live a near-normal, fully active life.

Experience

Practicing pharmacist for 40 years, specializing in asthma and COPD for 12 years. Developed nationwide education to nurses, teachers and athletic coaches regarding asthma and exercise induced bronchospasm. In addition, and closer to home. my daughter has asthma, and my son has exercise induced bronchospasm. In addition, I serve on the boards and committees of a number of asthma organizations: Sports, Exercise and Fitness Committee of AAAAI, Population Health Committee and Sports Medicine Committee of ACAAI, Sports Medicine Committee of the World Allergy Association. Board of Directors of the Chicago Asthma Consortium, Board of Directors of the Christopher D. Redding Youth Asthma Foundation, as well as the advisory board of a medical education company, Emmi Solutions. Directly involved in the creation of public education programs for asthma, COPD and diabetes.

Organizations
American Academy of Allergy, Asthma and Immunology / Sports Medicine Committee, American College of Allergy, Asthma and Immunology / Population Health Committee and Sports Medicine, American College of Chest Physicians, American Thoracic Society. World Allergy Association, Chicago Asthma Consortium / Professional Development Committee, Christopher D. Redding Youth Asthma Foundation, and Respiratory Health Association of Metropolitan Chicago: Development Committee for AE-C prep class, and presenter.

Publications
AAAAI PowerPoint on the new guidelines for EIB (Exercise Induced Bronchospasm), AAAAI Powerpoint on Asthma in School Setting for Teachers and Coaches, Annals of Allergy, Asthma and Immunology: Transition guide for teens with food allergies or asthma going out of the home to live independantly.

Education/Credentials
BScPharm, RPh, (NAECB Certified asthma educator in 2002), NIPCO Certified Respiratory Care Pharmacist

Past/Present Clients
Emmi Solutions, Chicago Next Level Health, Chicago

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