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we need to right in one page about diabetes as we diagnose someone with this disease and we tell him about his disease and whats going on with him/her let me give you an example that the proffesor give us
example:
Emphysema COPD
Hi, today we will discuss your diagnosis and go over any questions you may have. You have been diagnosed with Emphysema, a type of Chronic Obstructive Pulmonary Disease
(COPD), which causes a loss of elastic recoil in the lungs. In your lungs, there are small sacs called alveoli that kind of look like grapes on a vine, that inflate and deflate as you breathe while exchanging the gases oxygen and carbon dioxide. Your condition is damaging the walls of the alveoli causing them to weaken and become over inflated. The diseased lung tissue is having a hard time exhaling all of the carbon dioxide out of these sacs, which is causing your shortness of breath, wheezing, and coughing with excessive mucus. This obstruction of airflow to the lungs is causing your body to work a lot harder to exhale due to the loss of elasticity. If we look at these two balloons you can see the problem with the elasticity that applies to your lungs.
This first balloon is a new balloon that has never been blown up and this second balloon has been overinflated and blown up multiple times. As you can see, the second balloon is stretched out with wrinkles and has lost most of its elasticity, while the first one is full of its elastic. The sacs in your lungs are unfortunately like the second balloon.
(I would now show the patient a new balloon that has never been inflated and compare it to a balloon that has been overinflated and stretched out to provide the patient with a visual of what has happened to the alveoli in the lungs)
Since it is taking much more effort for you to exhale, you are breathing slower than normal, referred to as hypoventilation, which is causing you to have too much carbon dioxide in the blood. This has resulted in respiratory acidosis, meaning that your blood is too acidic. To compensate for this, your kidneys are working extra hard to bring your blood pH back to the normal range so that is no longer overly acidic (between 7.35 and 7.45). (The kidneys do this by increasing reabsorption of bicarbonate and increasing synthesis of new bicarbonate, while removing hydrogen ions from the blood). Right now the pH of your blood is too low due to the increase in carbon dioxide and the increase in hydrogen ions.
There is no cure for this disease, but we will provide you with medication, inhalers, and breathing treatments to relieve some of your symptoms. Do you have any questions?
Patient: Is there anything I can do on my own to improve it?
Me: Avoid being around smoke, engage in light exercise, get regular check-ups, and practice breathing exercises.
While studying physiology this last semester I have learned so much more about the human body and have an even greater appreciation for it now more than ever. Knowing how the lungs work, the drive for breathing, the kidneys, and putting it all together is an incredible thing.
COPD is a very common disease and my grandma was recently diagnosed with it so it was important to me to understand what was happening with her body.
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