Let’s Talk About Idiopathic Pulmonary Fibrosis

Pulmonary Fibrosis (PF) is a debilitating disease, marked by progressive scarring of the lungs, that increasingly hinders a person’s ability to breathe.
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Sometimes pulmonary fibrosis can be linked to a particular cause, such as environmental exposure, chemotherapy or radiation therapy, infection, or autoimmune diseases such as rheumatoid arthritis. However sometimes there is no known cause and is referred to as idiopathic pulmonary fibrosis or IPF.
The cause of Pulmonary Fibrosis still remains a mystery, but it is seems to involve changes in the lung’s normal healing processes. Patients may have an exaggerated or uncontrolled healing response that over time produces excessive fibrous scar tissue, or fibrosis, in the lungs. This scarring causes the lung’s tiny alveoli to thicken and harden, rendering them less able to function and provide the body with the oxygen it needs.
There are a few risk factors that may alter the lung’s healing process and cause scarring. These may include:

  • Cigarette smoking
  • Occupational exposure to dusty environments (e.g. wood or metal dust)
  • Genetic predisposition (10-15 percent of cases)
  • Viral or bacterial lung infections
  • Acid reflux disease

Pulmonary Fibrosis hinders a person’s ability to take in oxygen. It causes shortness of breath and is usually associated with a persistent dry cough. The disease progresses over time, leading to an increase in lung scarring and a worsening of symptoms. Unfortunately, Pulmonary Fibrosis is ultimately disabling and fatal.
If you have been diagnosed with Pulmonary Fibrosis, there are a number of things you can do to take part in your own treatment and help yourself stay healthy.
 

  • Get your flu vaccine every year.
  • Stop smoking.
  • Consult your doctor about enrolling in a pulmonary rehabilitation or respiratory therapy program to help increase your strength, learn breathing techniques, and expand your social support network. Many patients report improved breathing and quality of life after adding education and exercise to their treatment.
  • Eat a well-balanced diet to maintain in ideal body weight. This helps support your body and keeps up your strength.
  • Consider eating smaller, more frequent meals during the course of your day. Many patients find it easier to breathe when their stomach isn’t completely full.

When Pulmonary Fibrosis progresses to a point where your blood-oxygen levels are low, another important tool that can help sufferers is supplemental oxygen therapy. Oxygen can be prescribed by your doctor or via a local oxygen supply company. It contains a higher percentage of oxygen and helps increase the amount of oxygen that is available to be transferred from your lungs into the bloodstream, thereby producing more energy to be used by the cells of your body.
Supplemental oxygen can:

  • Decrease your shortness of breath – especially with exercise
  • Improve your ability to perform daily activities
  • Improve your overall level of fitness
  • Improve your quality of life
  • Increase life span by decreasing the extra work your heart is doing because of low oxygen saturation levels

And in case you need medical oxygen at any destination worldwide please contact us on info@oxygenworldwide.com and we will try to meet your specific requirements.


7 surprising headache triggers

It’s easy to blame headaches on the usual suspects, such as workload and skipping your morning coffee. But did you know that there are other lesser known set-offs, which, if not identified, could cause frequent headaches? According to Dr Frederick Freitag, former director of headache medicine at Baylor University Medical Centre, us, if you know the root cause of your headache, you can often prevent it from occurring in the first place. As compiled from the Health magazine, livescience.com and lifescript.com, here’s how to gun down hidden headache triggers.
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Heat
A theory behind heat causing headache is that the body’s attempt to cool itself by sending more blood to the skin deprives the brain of oxygen. In the February 2012 issue of Head Wise, a publication of the National Headache Foundation, Dr Vincent T Martin mentioned that summer brings with it a unique set of triggers, such as sunlight, dehydration, increased physical activity, allergies and humidity.
Remedy: You can’t change the weather, but you can take steps to keep cool.  Stay in an air-conditioned environment on hot days and keep yourself well-hydrated when outdoors or exercising. If the AC isn’t an option, avoid getting out when the sun is too bright.
Pain medication
Overusing pain medicines can exacerbate headaches. When taken too regularly, prescription narcotics or medicines containing caffeine and antihistamines can interfere with the brain’s pain-regulation system. Over-the-counter pain relievers, too, can cause rebound headaches. They lower your pain threshold and make your headache feel worse, said Dr Brian Grosberg, co-director of the headache centre at the Montefiore Headache Centre in the Bronx, New York.
Remedy: Limit pain medications to two days a week and never take them more than the label allows. If your head still pounds, then stick to chamomile tea and opt for a nap.
Not eating
On busy days, you may think stress is causing your head to ache, but maybe, you just forgot to eat. “Your brain runs on two things: glucose, which comes from the food you eat, and oxygen,” Dr Freitag explained. “When it doesn’t get enough of either, the brain tells you that its needs aren ’t getting met by firing up pain-sensitive neurons.”
Remedy: Make sure you fuel up every four to six hours. To keep blood sugar steady, avoid junky sugary snacks. Instead, choose something with slow-burning protein and complex carbohydrates.
Cheddar cheese
Certain foods may bring on headaches. Fermented or aged products, including cider vinegar, soy sauce, and cheeses such as blue, Swiss and cheddar, contain tyramine, an amino acid that can trigger headaches by constricting and expanding blood vessels. Over-processed meats, such as hot dogs and salami, pack a double blow since they often contain both tyramine and preservatives called nitrates, which can increase blood flow to the brain.
Remedy: Keep track of what you eat and when your headaches strike. If you find that certain foods are triggers, try not consuming them and see if it helps. If you’re craving a sandwich, choose fresh meats instead of processed.
Magnesium deficiency
If you’re not getting enough of this vital element, you may suffer from headaches. Dr Mauskop’s research has found that up to 50% of people who suffer from acute migraine attacks have low levels of magnesium in their blood.
Remedy: Add more magnesium-rich foods to your diet, including green vegetables such as spinach, whole grains, fish, seeds and nuts. If you don’t get enough magnesium in your diet, you may need to take a supplement of anywhere from 200 to 600 mg per day.
Computer usage
Studies show that headaches from Computer Vision Syndrome (CVS) are common, according to the American Optometric Association. And despite the name, this condition causes problems for more than just the eyes. The continuous flexing of the eye-focusing muscles creates fatigue, eyestrain and headaches.
Remedy: Follow good ergonomics to prevent computer eyestrain and the headaches that erupt as a result. Set your monitor, so the top of the screen is slightly below eye level. Also, sit up straight and make sure your chair supports your neck and back, Dr Freitag said.
Teeth clenching
If you often suffer from morning headaches, then head to the dentist. A lesser-known but common reason for headaches is clenching or grinding your teeth at night. Known as bruxism, this condition can most commonly get triggered by stress. Certain medications or poor tooth alignment could also be a cause. Most people grind their teeth in their sleep at some time in their lives, but many never find out.
Remedy: Ask your dentist to check for signs of tooth-grinding, including cracked or worn-down teeth. You may be fitted with a custom night guard, which keeps your teeth from touching and helps realign your bite while you sleep. If you want to skip the dental visit, try relaxing before bed with a warm bath, meditate or practice deep-breathing exercises.
(ref from The Express Tribune, November 24th, 2014.)
OxygenWorldwide can help by taking care of cluster headache (horton's disease) patients check out www.oxygenworldwide.com

a close up of a cigarette on a table

Do not smoke - very dangerous

Investigators say a patient who was smoking while using oxygen caused a fire that injured both the patient and a staff member at Sanford Medical Center in downtown Fargo last week.
Fire chief Steve Dirksen says the combination of pure oxygen and open flame is extremely volatile.  He says it was quick response by hospital employees that prevented a much more serious situation.
The exact nature of the injuries has not been disclosed because of the patient confidentiality law.
Hospital employees who responded to a smoke alarm early Thursday in the room rescued the patient, had the fire out when firefighters arrived and evacuated patients in nearby rooms. Damage to the room was minor.
The above recent news articles shows how dangerous it is. Oxygen is flammable and patients need to be aware of the dangers faced when using this medical home treatment.

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Home Oxygen Supply explained

Home oxygen treatment involves breathing high concentrations of oxygen from a cylinder or machine in your home. If you've been prescribed oxygen therapy, it's because your blood oxygen level is low. Low oxygen levels can potentially damage your heart or brain. The main purpose of home oxygen treatment is to raise your blood oxygen to a level that prevents such harm. It also helps relieve breathlessness and other symptoms of low blood oxygen, such as ankle swelling and blue lips.
However, using oxygen just for relieving symptoms of breathlessness is not helpful and can cause long term harm by making you less fit. This can also cause a delay in finding out why you are breathless.
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Small portable concentrators
If you have a medical condition that leads to a low oxygen level in your blood (hypoxia), you may feel breathless and tired, particularly after walking or coughing. You may also have a build-up of fluid around your ankles (oedema) and blue lips.
Breathing air with a higher concentration of oxygen can help increase the amount of oxygen in your blood. This makes it easier to do activities that might otherwise be more difficult. It also helps reduce the symptoms mentioned above.
Oxygen therapy can help people with a range of health conditions that affect breathing or blood circulation, including:
  • chronic obstructive pulmonary disease (COPD) - a long-term disease of the lungs, severe long-term asthma
  • cystic fibrosis - an inherited disease that causes the lungs to become clogged with thick, sticky mucus
  • pulmonary hypertension - high pressure inside the arteries to the lungs, which causes damage to the right-hand side of the heart
  • obstructive sleep apnoea - a condition that causes interrupted breathing during sleep diseases of the nerves and muscles or ribcage
  • heart failure - when the heart struggles to pump enough blood around the body.
Different types of home oxygen:
Oxygen can be obtained from:
  • compressed oxygen cylinders
  • liquid oxygen in cylinders
  • an oxygen concentrator machine, which extracts oxygen from the air
  • Oxygen cylinders
You breathe the oxygen through a mask or through soft tubes in your nose, called nasal cannulae. You can talk, eat and drink while using cannulae. Cylinders containing oxygen compressed into liquid form can contain more oxygen than standard cylinders. This type of oxygen supply will last for longer, and the tank may also be lighter.
Oxygen concentrator machine
An oxygen concentrator machine is convenient if you would benefit from having oxygen for a large number of hours a day, including while you're asleep. It ensures you have a source of oxygen that never runs out.
Portable cylinders can provide oxygen at a rate of 2 litres or 4 litres a minute, or have an adjustable scale up to 4 litres a minute. The flow required is determined by your lung specialist or the oxygen service healthcare professional. When full, these cylinders weigh just over five pounds (2.3kg) and hold just under two hours of oxygen (at 2 litres a minute).
When going on holiday make sure that you have enough supply to last you plus speak with oxygen providers who can help source medical oxygen for you and even supply back up help for safe peace of mind.

A safe and happy flight with portable oxygen

Just because you need to travel with medical oxygen, this need not restrict the opportunities to travel overseas it just takes a little bit more planning. Flying with a Disability offers you the following advice to ensure a safe, happy flight. 
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Travellers who require oxygen for medical use are, unfortunately, subject to a charge per bottle. This rate varies between airline, and can be quite expensive. You will need to contact the airline at least 48hrs prior to flying to advise the flow rate, and to get full medical clearance, though this tends to be minor technicality. 
Charges for portable medical oxygen can vary greatly, usually between £30 and £100 ($50 - $150). It is interesting to note that many airlines charge not per canister, but per leg of your trip. So in a flight which involves two legs, you're going to be charge twice as much a direct flight, despite the fact that you may be covering the same distance in the same length of time. 
Economically, therefore, it can work out a lot cheaper if you can organise a direct flight, though this may not always be possible.
If you need help with planning your trip use specialised medical oxygen companies who can help answer all your queries and make your journey stress-free and a safe landing.
There is also some planning whilst safely on the ground with back up services available for portable oxygen concentrators whilst travelling overseas so you can ensure to have a great holiday with medical oxygen.


This should be a worldwide standard...

A top doctor says the roll out of oxygen alert medical bracelets to patients with known Type 2 respiratory failure will help save lives.Respiratory_PhotoLR
 
Dr Rose Sharkey, Respiratory Consultant, at the Western Health and Social Care Trust, said the easily recognisable purple oxygen alert bracelets will ensure rapid identification of a patient and ensure that ambulance staff transferring a patient to hospital, and doctors are immediately made aware of a patients oxygen therapy needs.
She said: “We have been working closely with our colleagues in the Ambulance Service to ensure Paramedics firstly check if a patient is wearing one of our purple bracelets.
“If so, then can then check the patient’s oxygen alert card which will tell them the correct amount of oxygen therapy to give a patient during an exacerbation of COPD, as they are transferred to hospital. The delivery of excess oxygen to this group of patients can be detrimental.
“The medical bracelets and oxygen alert cards will be distributed to patients attending respiratory clinics and through our Community Respiratory Services.”
Dr Nigel Ruddell, Assistant Medical Director, Northern Ireland Ambulance Service said: “Good emergency care benefits greatly from teamwork, and anything which allows us to work collaboratively with our hospital colleagues to ensure a patient receives optimal care is to be welcomed. We have already seen the benefits of this alert system working elsewhere and are keen to roll it out on a regional basis to make sure that patients across Northern Ireland with complicated conditions can receive tailored treatment from the ambulance service that will mesh seamlessly with their ongoing care.”


COPD: The chronic misery of breathing

Almost always caused by tobacco smoking, chronic obstructive pulmonary disease kills so many people per year. Treatments can’t reverse the symptoms but can halt deterioration.
travelling with medical oxygen
Some patients say they live with a constant feeling that they are breathing underwater, as if they were always drowning; others describe their breathlessness (even at rest), frequent coughing and never being able to exhale all the stale air in their lungs. 
It is chronic obstructive pulmonary disease (COPD), which used to be known as emphysema and chronic bronchitis, but these are only the symptoms and description of changes in the lungs. Emphysema was identified as early as the late 17th century.
In the majority of cases, you yourself have to smoke to get COPD; much less often, victims are non-smokers exposed passively to another’s smoke. 
Tobacco is almost the sole cause of COPD in the developed world; a much less common cause is intense and prolonged occupational exposure to workplace dusts, chemicals and fumes; in the Third World, the chronic disease can also result from indoor air pollution in the form of poorly ventilated cooking fires, often fueled by coal or biomass fuels such as wood and animal dung (making women the more common victims). 
Of those who smoke, about a fifth will get COPD, but among those who have puffed away for decades, about half will develop it, and the disease will kill many of them. In many developed countries such as the US and the UK, between 80 percent to 95% of COPD patients are either current smokers or previously smoked. There is no cure, but kicking the dirty habit can slow the progression and maybe even improve the situation a bit but can’t cure it; there are medications that can also ease the symptoms, thus early detection is important.
Respiratory rehabilitation and surgery to remove non-functioning lung tissue can also help. Lung transplants can eliminate the problem, but only a few donor organs are available.
Most of the sufferers are over the age of 55, and a majority are male, but due to their smoking habits, women are quickly catching up. By 2020, it is expected that COPD will be the third most common cause of death in the world and the fifth in engendering disability. This trend is ironic, as the prevalence of heart disease, which is also related to smoking, is decreasing. It takes years of exposure to tobacco to produced COPD.
The airways and air sacs are elastic, so when you inhale, each air sac fills up with air like a little balloon.
When you exhale, these sacs deflate and the air exits. But in COPD, less air flows out because the airways and air sacs lose their elastic quality; the walls between many of the air sacs are destroyed; the airway walls become thick and inflamed; and the airways are clogged with mucus.
ALL COPD patients have both chronic bronchitis and emphysema; some have more of one than the other. The first involves a persistent cough, significant amounts of mucus, fatigue, shortness of breath, chest discomfort.
Many patients require oxygen therapy at least 16 hours – and sometimes 24 hours – a day. Most patients have oxygen concentrators (machines that extract oxygen from air) at home. 
This does not cure but can help COPD sufferers every day when it comes to breathing to help make it less of a misery.


white and black apple watch

Fraunhofer develops smartwatch-based assistance and home-health monitoring systems

As our life spans increase, more services and care will be needed for the elderly, especially those who live independently. Technology clearly has an increasing role to play in improving home care and health monitoring. The latest developments from German research group Fraunhofer are interesting to cite.

Wearable home care assistance system

In collaboration with the German Ministry for Education and Research, the Fraunhofer Institute for Photonic Microsystems has created a wearable technology that resembles a smart watch.

  • It can be customised to meet the specific needs of an elderly person and is accessed by authorised personnel and carers through an online portal.
  • According to Fraunhofer, the concept system offers support services including reminding users to take their prescription or helping them plan their travels to and from the doctor.
  • Emergency services can be easily called because it has phone and Wi-Fi access, as well as the ability to directly contact support professionals.
  • The large interface (though not quite the largest smartwatch design we've seen) contains a few basic symbols for simple operation and is programmed in advance according to the person’s needs.

Home health monitoring platform

  • The Fraunhofer Institute for Applied Information Technology has created a health monitoring system that employs blood sample equipment and tiny, non-invasive sensors to deliver immediate health analysis that can be sent to a physician over the internet.
  • Fraunhofer claims that the system, which is centred around a unit housing the software and analytical tools, may monitor parameters such as blood pressure, glucose, lactate, or cholesterol level using wireless sensors. One possible way to use this system is to implant a Bluetooth module in the patient's ear.
  • Additionally, the device is capable of analysing blood samples obtained through a finger prick, identifying markers using a fluorescence sensor, and transmitting this data to a physician for review via a mobile app.

According to Professor Harald Mathis of the Fraunhofer Institute for Applied Information Technology (FIT), "miniaturised sensors in the home unit, which can detect traces of the markers down to the nano level, analyse the blood sample."

Sources:
Fraunhofer Institute for Photonic Microsystems
Fraunhofer Institute for Applied Information Technology


ara project

Your phone could save your life - one day...

As if our phones didn’t have enough information about us already, Paul Eremenko of Google’s Project Ara announced at a conference recently that it won’t be too long before your phone will be capable of saving your life.
One of the attachments was a snap-on pulse oximeter which allows the phone to measure oxygen saturation levels in the blood. This is actually pretty big because it basically puts a medical device right in your pocket. It could be used by physicians on the go, EMTs, and so on, especially if they need to get a quick read and don’t have the necessary equipment on them.
ara project
The purpose of the Ara project is to use a touch sensor on the phone to obtain detailed health statistics from the user. Eremenko specifically mentioned blood oxygen content. While a phone equipped with a pulse oximeter is certainly impressive, it appears that it is only the beginning of what Google has planned for the future combining health and technology.
The vision of the Ara project is for users and doctors to be able to communicate up to date medical information that is stored on the patient’s smartphone. The data could range anywhere from vital signs, to a patient’s diet and exercise routine.
With the variety of mobile apps these days, it is about time that all of the data obtained from diet and fitness applications can now be consolidated into a useful form. The particular Google project to accomplish this is still a little ways out though. The company says consumers should be looking for an official announcement regarding the product coming early on in 2015.
For now, we’ll just need to keep going to the doctor the old fashioned way.

 


Disease can be treated using pressurized air

 Hyperbaric Oxygen Therapy - once used only to treat divers with the bends by using high pressure oxygen to force nitrogen gas out of the blood. Today it is recognized by physicians and insurance companies to treat a whole host of conditions.
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The list keeps growing. Today it includes Gas Embolism, Carbon Monoxide, Crush Injury, Decompression Sickness, selected wound problems, Severe anemia, Narcotizing infections (flesh eating bacteria), Radiation tissue damage, Compromising skin grafts, Thermal burns, Diabetic sores.
 
The idea of treating disease with pressurized air dates back to the 1600's. The early efforts were without scientific basis and were equally unsuccessful. It was not until the 1950's that pure oxygen was used in a pressure chamber for cardiac surgery. It was found to be highly effective for treating carbon monoxide poisoning and gas gangrene.
 
The Hyperbaric oxygen (HBO) treatment can be given in two ways - the monoplace or the multiplace chamber. In the monoplace chamber the  patient lays on a stretcher which slides into the chamber which is then sealed. Pure oxygen is used to pressurize the chamber. In the multiplace chamber, several patients are treated in a large chamber and breathe oxygen from a face mask or a hood. Both types of chambers enjoy equal results.
 
In London, doctors were groping for some treatment to help a 53-year-old man who had been suffering since the age of 8, when he had
undergone radical mastoidectomy. Following this surgery, he had a chronic ear discharge which proved resistant to all therapy, including the
surgery.
 
Primarily because there seemed to be nothing to lose, doctors put the patient in a Hyperbaric chamber with 100 percent oxygen at twice
normal pressure for 90 minutes on each of four consecutive days. His ear discharge promptly ceased for the first time in 45 years.
 
In New York, a premature baby fought feebly for his life with an infected meningomyelocele - an abnormal protrusion of the spinal cord.
Nothing was able to stop the infection until a doctor used a small portable chamber which could apply pure oxygen under pressure directly to
the infected area. Two days later, the infection was cleared up and the infant was ale to undergo corrective plastic surgery.
But Hyperbaric (the word means high pressure) oxygenation is not without its dangers. In amounts not very much greater than those
used therapeutically, excess oxygen becomes toxic to certain enzyme systems and can damage eyes, lungs and even the central nervous
system.
 
But what is What is Hyperbaric Oxygen?
 
HBOT is a prescription only medical treatment in which the patient breathes pure oxygen at a pressure above normal atmospheric pressure.
HBOT is used for a wide variety of treatments and is usually prescribed as part of an overall medical care plan. HBOT is simple in concept,
but requires expert knowledge to be safely administered and fully effective. The oxygen content of the patient's bloodstream is increased to
many times its normal level and this helps to control infections and promote healing in many kinds of illness.