COPD Support Discussion Boards Active Users: 186 / Visits Today: 8723
Highest Active Users: 759
COPD Support Discussion Boards
Home | Profile | Register | Active Topics | Members | Search | FAQ
Username:
Password:
Save Password
Forgot your Password?

 All Forums
 Moderated Forums
 COPD Support Newsletters
 COPD Support News Aug 27, 2010
 New Topic  Reply to Topic
 Printer Friendly
Author Previous Topic Topic Next Topic  

Carolyn-Mi
Administrator

608 Posts

Posted - Aug 27 2010 :  09:46:21 AM  Show Profile  Reply with Quote
Volume 10, Issue 39
August 27, 2010


PLEASE SEE THE END OF THE NEWSLETTER FOR AN IMPORTANT MESSAGE FROM JOAN COSTELLO!


MUCUS CLEARANCE DEVICES
One of our members, Vicki, from Nebraska, mentioned that her Respiratory Therapist gave her a Quake because she was not pleased with her Acapella. She concluded, "I really like it," and it's "super easy to use."


What on earth was Vicki talking about, you wonder? Well, it takes a bit of explaining: Some of us have problems expelling thick mucus. Although many of us do not have this problem, there is a chance we may develop this problem later in our COPD journey or during an illness. There are medications (both over-the-counter and prescription) as well as coughing techniques that can help us expel stubborn mucus. In some cases, our doctors or respiratory therapists might recommend we use a hand-held mechanism that vibrates and loosens the mucus to make it easier to cough out. These small devices vibrate when we breathe into them and are known by various names, such as "percussive airway devices," or "vibratory positive expiratory pressure (PEP) devices." They use vibrations and air pressure to reduce the thickness of mucus. Although the devices are used more commonly for individuals with Cystic Fibrosis and bronchiectasis, they are also used to help those of us with COPD who have difficulty getting rid of mucus.


There are a number of brands of PEP devices on the market. They all require a prescription. The most commonly recognized brands are Acapella, Flutter, Lung Flute, and Quake, although there are others. Your doctor or respiratory therapist might recommend a particular brand for a specific reason. In some cases, they actually keep a small supply on hand and dispense them directly to patients. It pays, however to be familiar with the major brands. If you want to see pictures of these devices, they can be found at the following site for people with cystic fibrosis:
http://tinyurl.com/29ykbcf


If you are prescribed a device, Peche, a member from Louisiana has extremely important advice: be sure to have your doctor teach you how to use it properly, and do not just blow into them!


Acapella
Peche loves her Acapella so much that she has a number of them. She keeps them in different rooms so one is always handy! There are a large number of websites that offer the Acapella. Prices range from about $55.00 to $100. To learn more about the Acapella, visit the manufacturer's web site at:
http://tinyurl.com/33tfgh


Flutter or Flutter Valve
The "Flutter" is a brand name as well as a term that is sometimes used loosely to describe all the PEP devices. A totally different piece of medical equipment is also called the Heimlich flutter valve. It is not a PEP. To add to the already existing confusion, some sites sell what they call "Acapella Flutter Valve" to attract buyers. Flutter Valves are widely available, and you can read about this device on the manufacturer’s web site:
http://www.axcan.com/us_flutter.php?lang=1


If you are interested in a 10 year old study that compares the Flutter Valve and Acapella, you will find it at:
http://www.rcjournal.com/abstracts/2000/?id=A00000350


Lung Flute
This is the newest of the devices mentioned. It only received FDA approval in January, 2010 and hit the market in February. The Flute creates vibrations to loosen the mucus by passing air over a reed. The device is available for $45.00, and includes a 6 month's supply of reeds. An additional 6 month's supply of reeds is $16.50. You can order them directly (prescription needed) from the manufacturer at:
http://tinyurl.com/29epc7y


Quake
The Quake has been around for about 5 years. In a study published in 2007 in Chest, the journal of the American College of Chest Physicians, researchers compared the Acapella, Flutter and Quake. The Lung Flute was not included because it wasn't available then. They found that the, "Quake generated sufficiently stronger pressure pulses than the Acapella and Flutter." It must be pointed out that although the study was conducted by researchers associated with the Quake's manufacturer Thayer, it appeared in a trusted, peer reviewed journal. The study is available at:
http://meeting.chestpubs.org/cgi/content/abstract/132/4/608a


The Quake is not available over the Internet, but it very widely available. You can find your nearest supplier by calling 800-250-3330. You can also get it through major oxygen providers. If all else fails, you can order it from the Wilmot Pharmacy in Tucson, Arizona (520-721-3088). The suggested retail price is $54.50, but the price may vary depending on the dealer. For more information about the Quake, visit the manufacturer's web site:
http://www.thayermedical.com/consumers_quake.htm


~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<
SOURCES: News items summarized in The COPD-NEWS are taken from secondary sources believed to be reliable. However, the COPD Family of Services does not verify their accuracy.
~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<


ALSO IN THIS ISSUE
- SENSIBLE DIET IMPROVES LUNG FUNCTION
- FINDING THE MOST INFLUENTIAL COPD DOCTORS
- UNDERSTANDING BLOOD TEST RESULTS
- MODEST INCREASES IN MEDICARE PART D DRUG PLANS ANTICIPATED
- OSTEOPOROSIS IN MEN USING CORTICOSTEROIDS
- WHAT WE LEARNED FROM THE H1N1 PANDEMIC
- HEALTH LAW REQUIRES CONTINUED COVERAGE FOR PATIENTS IN CLINCIAL TRIALS STARTING IN 2014.
- MISCELLANEOUS
80% OF SPOUSES LIE ABOUT SPENDING
ADVICE ABOUT BUYING EYEGLASSES
ARE YOU FROM THE NORTH OR THE SOUTH?
FUN AND GAMES GALORE



~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<
COMMERCIAL FREE: We do not accept any paid advertising. Any corporations, products, medicines (prescription or over the counter) mentioned in this newsletter are for informational purposes only and not to be construed as an endorsement or condemnation of same.
~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<


SENSIBLE DIET IMPROVES LUNG FUNCTION
A study in the UK found that people who eat more, fresh fruit, fresh vegetables, whole grains and oily fish have better lung functioning than those who eat fried and processed food. It was found that even smokers who eat a better diet have better lung functioning than smoker who don't. The researchers speculate that the anti-oxidants in the healthier diet might be responsible for the improved lung functioning. For more information, visit:
http://www.physorg.com/news201887932.html


MOST INFLUENTIAL COPD DOCTORS
An article in USA Today reports that a medical information firm, Qforma, lists physicians throughout the United States they consider to be leaders in their fields. COPD is one of the 12 categories covered. The doctors listed are considered leaders, in part, because they are held in high regard by other doctors. Qforma's analysis consists of evaluating information such as publication history, academic affiliations, partnerships, etc. You can read more about this list and look up doctors by location (see upper left side) at:
http://tinyurl.com/q5pffq


UNDERSTANDING BLOOD TEST RESULTS
How often do we get blood test results and don't quite know what to make of them? Sometimes we get a phone call from our doctor or his or her assistant and are given numbers that don't make a lot of sense to us. At other times, we are told that we are "a little high" or "a little low" in something we can’t even spell. This website explains blood tests and gives you the normal ranges for tests. This is the kind of site you will want to file away for future reference:
http://www.bloodbook.com/ranges.html#IDEAL


MODEST INCREASES IN MEDICARE PART D DRUG PLANS ANTICIPATED
The Associated Press article below reports that there will be only modest increases in Medicare's Part D drug plans in 2011. It is anticipated that there will be a 3% increase in cost, or about $1 per plan. However, the positive news is that during the donut hole, there will be a 50% off on brand named drugs, and 7% off on generic drugs. For the full article, visit:
http://tinyurl.com/382ysp3


~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<
MEDICAL DECISIONS. Your physician should be consulted on all medical decisions. New procedures or drugs should not be started or stopped without such consultation. While we believe that our accumulated experience has value, and a unique perspective, you must accept it for what it is...the work of COPD patients. We vigorously encourage individuals with COPD to take an active part in the management of their disease. They do this through education and by sharing information and thoughts with their primary physician and pulmonologist. However, medical decisions are based on complex medical principles and should be left to the medical practitioner who has been trained to diagnose and advise.
~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<>~<


OSTEOPOROSIS IN MEN USING CORTICOSTEROIDS
Although osteoporosis is generally more common in women, men with COPD who are treated with corticosteroids like prednisone or methylprednisolone are at greater risk of developing osteoporosis, or the precursor osteopenia. There is some evidence that it is not diagnosed or treated as often or as quickly in men as it is in women. This is an important article for men with COPD who might be receiving steroid therapy.
http://tinyurl.com/299ngoj


WHAT WE LEARNED FROM THE H1N1 PANDEMIC
What we learned from last year's H1N1 pandemic was that the United States was unprepared for the pandemic or, for that matter, a bioterrorism attack. The L.A. Times reports that federal authorities have announced a $1.9 billion makeover of the system that identifies and manufactures drugs to protect us in the event of another pandemic or a biological attack.
http://tinyurl.com/2447jgz


HEALTH LAW REQUIRES CONTINUED COVERAGE FOR PATIENTS IN CLINCIAL TRIALS STARTING IN 2014.
Those of us who participate in clinical trials of new treatments are currently at risk of losing our private health insurance coverage. A new law protecting patients in clinical trials will start in 2014. Here’s an explanation from Kaiser Health News of the current situation as it relates to one family's heartbreaking story:
http://tinyurl.com/23rk963


*********************************
JOIN US? Subscription to this Newsletter is free and we hope that it serves your needs. For more Newsletter information, go to: http://copd-support.com/signup-news.html


The Newsletter, like all the other endeavors of the Family of COPD Support Programs, is provided to you by COPD-Support, Inc. a non-profit member organization with IRS designation 501(c)(3). If you would like to be
involved and help us provide these programs to the individuals who benefit from them, please consider joining us as a member. Further information is available at: http://copd-support.com/membership.html
*********************************


MISCELLANEOUS


SHAME, SHAME, SHAME: 80% OF SPOUSES LIE ABOUT SPENDING
No doubt, all readers of this newsletter are in the remaining 20%, so be sure to keep a very close eye on your spouse! (See TIPS FOR DIVORCE in next week's newsletter).
http://tinyurl.com/2cefrn9


ADVICE ABOUT BUYING EYEGLASSES
We hope you have no problem reading the following useful article if you are in the market for a new pair of peepers.
http://www.stretcher.com/stories/08/08aug18a.cfm


ARE YOU FROM THE NORTH OR THE SOUTH?
Who cares if this is accurate or not, it is fun anyway! Take this test to see if your choice of words and pronunciation give away your locale – or roots. Note that there is an advanced test hidden at the bottom.
http://www.alphadictionary.com/articles/yankeetest.html


FUN AND GAMES GALORE
Is it cheating to direct you back to the website above and have you look on the left hand side for a variety of games, crosswords and fun language games?
http://www.alphadictionary.com/fun/fun.html


A MESSAGE FROM JOAN COSTELLO


I HATE THE PART
of anything where we have to say goodbye to someone. As many of you old-timers know, I've been editing this Newsletter forever. I got involved with it after my husband succumbed to COPD and subsequently told Ed's story at: http://papapoo.com/copd-ed.html


I've made many PC friends over the years because of this Newsletter and learned many things. I've been truly touched by stories of courage and heartbreak in living with COPD. However, I am getting tired and stale. It's time to say goodbye, step back and let fresh talent take over.


Most of you know Richard D. Martin who is a long-term member of COPD Support and co-editor of the Newsletter for the past month. Richard has agreed to take on the job permanently and we are delighted. I wish Richard the very best. I know that he will enjoy hearing from you folks as much as I have.


I'm not going anywhere. I'll be around for back-up in case of illness or emergencies.

Take good care of yourselves.


Joan
Jadece@rcn.com
For comments and questions, or to contact Richard D. Martin, please send your email to: newsletter@COPD-Support.com


Until next Friday,


Richard D. Martin, Editor


Web version of the News: http://copd-support.com/news.html
Archives at: http://home.ease.lsoft.com/archives/copd-news.html


**********************************************************************
To contact List Management write Management@copd-support.com
Your COPD Support Newsletter is provided only to subscribers.
To see other programs provided in the Family of COPD Support
Programs, examine our web site at http://copd-support.com
To tell your friends how to subscribe to this Newsletter, send them to
http://copd-support.com/signup-news.html


To modify or cancel your subscription to the Newsletter go to:
http://home.ease.lsoft.com/scripts/wa.exe?SUBED1=copd-news&A=1


Please keep in mind that all posts are from COPD patients / caregivers
and not medically trained professionals - consult your medical team
for your personal medical needs.
**********************************************************************

COPD Support
http://www.copd-support.com
  Previous Topic Topic Next Topic  
 New Topic  Reply to Topic
 Printer Friendly
Jump To:
COPD Support Discussion Boards © Copyright COPD-Support, Inc. Go To Top Of Page
Snitz Forums 2000