Minor addenda: 1. My framework for ILD didn't include a few particularly rare diagnoses (e.g. lymphangioleiomyomatosis - a very rare, cystic lung disease that primarily affects young women, which would go in the "other" category). 2. I probably overstated the fact that all ILDs demonstrate restriction on PFTs, whereas a relatively small number can also exhibit either an obstructive or mixed pattern. 3. I didn't discuss treatment at all since every disease is different, and going through each one would not be consistent with the "in a nutshell" approach. However, in general: A. Any ILD associated with an exposure is best treated with removing the exposure. B. Any patient with ILD who smokes needs to stop, immediately. (irrespective of whether the smoking was a contributing factor in developing their disease). C. Steroids help many, but not all ILDs. IPF, in particular, should not be treated with steroids or other conventional immunosuppressive medication. D. Vaccinations, supplemental oxygen, pulmonary rehab, and consideration of lung transplantation are part of the management of all ILDs, depending on severity.
Lost my dad yesterday. I just came here to say that this is a very serious condition. My dad was auto immune and was having drugs for both ILD and Auto immune diseases. Too much drugs and too much treatment, he still passed. Key is to identify this early. Elders, if you have any breathing difficulty, get treatment right away, dont wait for it to get infected. Once you have pneumonia, it will take away a part of your breathing capacity. so please, get early treatment.
My doctor said I might have it... That was about two years ago... So I might be dead within three years... Its getting very difficult to breathe... I dont care... I just want to tell a woman I know that I love her to her face before I die, but she hates me....
Thank you Dr Strong . It is a good over view. I just read about this today and your overview is spectacular. Thank you for taking your time to teach doctors around the world.
Hello Dr I’m a 25 year old male who suffered from severe Covid about a year ago, I recovered from it, but continue to have a cough and sometimes a weird feeling on my chest and throat, I know I breath good, but sometimes I feel like I just don’t quite get enough air, as if something was blocking my airway to breath normal, it doesn’t happen all the time, but occasionally it does, and I’m worried because it’s been a year and I still have the cough and that weird chest and throat feeling. Could you have an answer for what I could be suffering from, by my explanation of my symptoms. Thank you
Please guide best suited meditation for ILD without much damage to liver and kidneys Precautions to be taken to further prevent the decease Thanks for guidance
Thanks Dr. Eric. This is a very good starting. But I would request u to make another video on HRCT features of different ILD & how considering the clinical & other biochemical features diagnostic work up is done.
I have this post-Covid, or something similar since you said it's non-infectious. My ground glass opacities started spreading 2 months post-infection, and 10 months later now.
hello sir , thank you so much for all the lectures !! i will request lectures on neurological symptomatology, approach to coma patient, or patient with massive strokes and other critical care neurology topics.
Actually some of my oldest videos are on coma, but I later unlisted them because I was dissatisfied with their quality. But if you want to check them out (this was back when RU-vid didn't allow videos longer than 15 minutes): Part 1: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-YS4dP01S2cQ.html Part 2: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-IbipjCSN8jw.html Part 3: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-plhtquhGoos.html I'm hoping to redo them at some point, and also cover TIA/stroke, movement disorders, and seizures, but unfortunately, I can't give any estimate of when that might be.
@@StrongMed Thankyou sir for your response and links for coma lectures. there is no hurry for the lectures. those were only the suggestions from my side. Thankyou.
Came here after sibling’s ER MD gave Dx today from CT scan. This excellent video provides a foundation from which to make sense of prognosis. Much thanks and gratitude.
Dear Professor have you ever tought about a video series about the physical examination or about a proper use of stethoscope (when to use bell or diaphragm)? Thank you so much for your efforts!
I do have this video on cardiac auscultation that may cover some of what you are suggesting: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-73fYeoyFuwk.html
My mom is suffering from Ild from last 2year and we got to know that pgi is a good place for ild treatment and we started medicine from pgi and she is good but not perfect like she always be ...
Thank you doctor for explaining ILD, do you think that besides My rheumatoid arthritis my large Hiatal Hernia could be the cause for my Pulmonary Fibrosis ? Pl. explain
I can't give specific, individualized medical advice here, but I can say that hiatal hernias do not cause pulmonary fibrosis (though if large, they can contribute to a sensation of shortness of breath).
hi thank you very much for this lecture! would you please do a video comparing radiographic findings in ILD and bronchiectasis? as well as how bronchiectasis can cause tracheal deviation?
Good morning, My mother (62) was diagnosed with ILD related to Rheumatoid Arthritis in October of 2019. The condition has been getting more intense and every hospital stay longer. Last January she caught Covid and was in the hospital for 18 days and subsequently was transferred to a rehab facility. She hasn't shown much improvement since. Do you have any idea if they do lung transplants for this condition and if so, have you heard of any successful living donor cases? Thank you for your time.
I'm sorry to hear about what your mother has been going through. Yes, living donor lung transplantation can be performed for ILD secondary to RA, but living donor lung transplantation is itself very uncommon. Typically there are 2 related donors, who each donate one lobe of one of their lungs to the recipient at the same time. Japan has the most experience with the procedure, but it is done in other countries too, including a few centers in the US. A good, open-access summary of the procedure and outcomes: jtd.amegroups.com/article/download/49692/pdf I recommend your mother speak with her pulmonologist to see if this might be an option for her.
@@StrongMed I will consult with my mother and sibling to see what our options are. I really appreciate you taking your time to answer. Thank you so much. Best wishes!
@@petsloversandgyan5192 I'm sorry to say that she passed away in February of this year (2022). Her last days were very traumatic for us as a family. Thanks for asking.
Interstitial lung disease (ILD) is not "a part of getting older". However, how serious it is depends on the type of ILD. Your husband should discuss his prognosis (i.e. how severe the disease may get in the future) with his pulmonologist.
They share similar features. I have limited direct experience with post-COVID lung fibrosis, but I suspect the lungs of some patients who have developed fibrosis secondary to COVID are indistinguishable from that caused by other lung diseases.
I can't give specific, individualized medical advice on here, and for all personal medical questions I always recommend speaking with your own physicians. Having said that, receiving the COVID vaccine is even more important in patients with ILD, as they are at an increased risk of severe disease should they contract COVID. The only consideration is that *some* of the more intense immuosuppressive medications that might be used for some forms of ILD might decrease the body's immune response to the vaccine, reducing its effectiveness. So patients on such medications should speak to their physicians about the optimal timing of receiving the vaccine - but treatment for ILD does not make the vaccine less safe.
I'm very sorry, I cannot give specific, personalized medical advice here. The prognosis in ILD varies widely depending on the underlying etiology, the patient's age, and other comorbid conditions. I recommend that your nani speak with their physician.
My mother passed away last month. It was so quick. We can't even imagine that she is gone forever. She was diagnosed with ILD on Janunary 27 and on may 2nd she passed away. Between these months she was unable to walk and was also hospitalised for a months. It was so traumatic for our family. I don't know whether treatment killed her or disease.
This reminds me of my diseases. I have a form of IPF. I tested negative for Alpha-D1, yet my lungs are on a fast route to becoming worthless. Thank you for this video!
@@kush1000ful i have lung cancer. I used to have multiple infections a year, pneumonia, bronchitis, etc. Although that all happened and happens, it doesn't explain why my lungs just end abruptly, like they are just clean and empty at the lowest lobes. Doctors are stunned.
