Comments for Gemzel Hernandez MD - Pulmonologist

Comment on Do you need Pulmonary Rehabilitation? by Steve

Steve — Sun, 13 Sep 2009 14:26:56 +0000

Excellent post and excellent advise. I am living proof that exercise and fitness can improve the quality of life for people with severe lung disease.

Comment on Dr. Gemzel A. Hernandez M. by portmultimedia

portmultimedia — Wed, 15 Jul 2009 10:16:26 +0000

Inspiring man… thank you.

Comment on Some facts about COPD you should know by Dawn

Dawn — Sun, 12 Jul 2009 20:55:21 +0000

Thankyou Dr Hernandez
I possibly am not coughing efficiently due to my CFS, I understand now.
God bless
Dawn

Comment on Some facts about COPD you should know by Gemzel Hernandez

Gemzel Hernandez — Sun, 12 Jul 2009 16:12:12 +0000

With a particular type of inflammation I mean one that is not same like in asthma, otherwise it would respond better to inhaled corticosteroids as it happens in asthma (at least as seen by spirometry). The excess mucus production is due to mucus producer cells’ excess growth. That is the “Chronic Bronchitis” component of the disease. A regular airway hygiene through efficient cough and oral hydration (drinking plenty of water) is a good approach to avoid complications due to Chronic Bronchitis. Inhaled Corticosteroids, like the one you mention, are indicated for patients in advance COPD stages if they have frequent exacerbation (crisis) as well as for Persistent Asthma.

Comment on Swine flu outbreak and potential risks for COPD patients by Karen

Karen — Thu, 09 Jul 2009 13:27:10 +0000

Thank you, I wanted a simple answer to my question about COPD and swine flu and this was perfect.

I am in an area that does not have a high concentration of swine flu yet.

I will follow your guidelines and worry less.

Comment on Some facts about COPD you should know by Dawn

Dawn — Tue, 07 Jul 2009 04:27:36 +0000

”However, not all patients produce excessive mucus (which is associated to a particular type of inflammation” I have chronic mucus and rattling in the throat. My dad died from COPD and I am afraid. I know this is inflammation but I cannot control it with flixotide. The Drs are keeping me waiting month for an appointment with a consultant and I am afraid of remodelling.
Please could you tell me what kind of inflammation you are speaking of so I can ask the Dr if this could be the culprit?
This has been going on now for 5 months.

Dawn

Comment on Swine flu outbreak and potential risks for COPD patients by Steve

Steve — Wed, 20 May 2009 01:47:27 +0000

Dear Dr. Just wanted to say EXCELLENT blog!! Ive come across some of your writings on other sites, but never knew you had your own blog.

Im a 54 yo with severe persistent asthma since birth, so pretty much.. a COPDer now( ie Fixed asthma) Though I have pretty advanced disease ( baseline FEV1 <35%), I have a strong interest in COPD and physical fitness, as well as anything related to the research and treatment of breathlessness.

Thanks!

Stephen, aka http://breathinstephen.com

Comment on Swine flu outbreak and potential risks for COPD patients by Hildemar Hernandez

Hildemar Hernandez — Mon, 04 May 2009 04:19:07 +0000

Muy interesate el reportaje por Ud. hecho Dr. Genzel. Ha servido para convencerme de que la gripe porcina es real, a conocerla de una manera resumida y precisa en la forma de prevenirla….Gracias,un abrazo, besos.

Comment on Who’s smoking this days? by P. Robinson

P. Robinson — Tue, 20 Jan 2009 18:00:29 +0000

Unfortunately, even though many cities are limiting smokers haven’s, many young teens are smoking – the feeling grown up and daring attitude.
COPD is increasingly affecting many people so perhaps video ads showing a crude reality can make an additional impact.

Comment on Airflow Obstruction vs. Air Trapping in COPD by Stephen Gaudet

Stephen Gaudet — Fri, 12 Sep 2008 02:31:00 +0000

Thanks for that post! Ive been dealing with dynamic hyperinflation of my own lungs for over 40 years, and I can tell you..it’s no picnic ! I call it the “purgatory” of asthma or chronic lung disease.

It’s a catch 22 because you are encouraged to exercise regularly , but strenuous exercise can cause even more DH .

What’s interesting in my case, is that I have very delayed onset following exercise.
For example, I can do a full day of endurance exercise and not be bothered by symptoms of air trapping until 24-48 hours later.
Nobody can figure out why.

Anyways, nice blog!