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Asthma/Excercise with Asthma

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QUESTION: My wife has asthma, allergies, and some degree of COPD. Her asthma is reasonably, but not completely controlled by her current prescriptions  I have encouraged her to exercise, in the hope that it may provide some improvement with her breathing issues.  She seems to think that her condition is what it is, and that exercise will either be counter productive or provide no meaningful improvement. Can you please offer an opinion and/or some guidelines on any exercise regimen that might be good for her.

ANSWER: Hi Dennis!
 Your support of your wife is outstanding! And, you are correct in your desire and thoughts towards improving her quality of life.  I'm just finishing a long, nearly 100 hour week, and want to go into depth on a number of facets, so, I cc'd myself and will sit down Tuesday and provide you with proper direction and resources. Once we set forth goals for her, and the routes to attain them, she will be forever grateful for your persistence in improving her health.
 Watch for the answer Tuesday afternoon/evening.

Sincerely,

Marc

---------- FOLLOW-UP ----------

QUESTION: Thanks so much for your thoughtful reply.  I will look forward to hearing from you by Tuesday or so.

Thanks,
Dennis

Answer
Hi Dennis!
  I'm sorry about the delay. I got called in for emergency coverage For one of my partners who went into premature labor. Twice I try to notify you, but apparently this program does not work well with iPads. It twice failed to save my message to you.
   Anyway, moving forward. The first critical thing to do is to have her evaluated on the proper use of the medications that she is taking. Up to 75% of patients taking the inhaler devices use them incorrectly, and thus, do not get the medication into their lungs. That is always my starting point for therapy evaluation.
    Second point, is evaluation of the environment in which the patient lives. First, it's important to make sure that the household is sensitizer-free (triggers) as much as possible. So issues such as smoking, pets, dust, carpeted versus solid floors, are all contributing factors that may make a difference in the normal health of the patient. Even things like cleaning chemicals, perfumes and colognes, can definitely play a part. The next consideration is your outdoor environment. Where do you live? City,suburban, out in the countryside? This makes a difference when it comes to the types of things in the air they can also worsen asthma and COPD making it more difficult to be in control.
 Respond with the note marked PRIVATE. This program is having serious issues. I'll respond with my personal email after the PRIVATE response.  

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Marc Rubin, RPh Asthma Educator

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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