| |
| |
Preface | |
| |
| |
| |
You and COPD: An Introduction | |
| |
| |
What Is COPD? | |
| |
| |
How to Use This Guide | |
| |
| |
The Downward Spiral | |
| |
| |
Minimizing the Limitations | |
| |
| |
Some COPD Facts | |
| |
| |
How Serious Is COPD? | |
| |
| |
Questionnaire | |
| |
| |
| |
The Respiratory System: What It Is, How It Works, and What Goes Wrong in COPD | |
| |
| |
Our Breathing Machinery | |
| |
| |
What Controls Your Respiratory Muscles? | |
| |
| |
Microscopic Anatomy: The Acinus and Emphysema | |
| |
| |
Physical Properties of the Respiratory System | |
| |
| |
Breathing Is Work, Especially in COPD | |
| |
| |
What Controls the Airway Opening? | |
| |
| |
Gas Exchange | |
| |
| |
| |
COPD: The Damage, the Symptoms, the Progression | |
| |
| |
The Evils of Tobacco | |
| |
| |
Emphysema | |
| |
| |
Chronic Bronchitis | |
| |
| |
COPD's Natural History | |
| |
| |
Modifying This Natural History | |
| |
| |
| |
Inherited Emphysema: Alpha[subscript 1]-Antitrypsin Deficiency | |
| |
| |
The Dynamics of Disease | |
| |
| |
Screening | |
| |
| |
Treatment | |
| |
| |
Prognosis | |
| |
| |
Resources | |
| |
| |
| |
Seeking Help | |
| |
| |
Finding the Right Doctor | |
| |
| |
Who Is Responsible for What? | |
| |
| |
| |
How Do I know I Have COPD? | |
| |
| |
History Taking | |
| |
| |
The Physical Examination | |
| |
| |
Laboratory Studies | |
| |
| |
The Formal Diagnosis | |
| |
| |
| |
COPD and... | |
| |
| |
Cardiovascular Disease | |
| |
| |
Diabetes | |
| |
| |
Surgery | |
| |
| |
| |
Stop Smoking! | |
| |
| |
The Cigarette Cycle: The Path to Addiction | |
| |
| |
Giving Up Cigarettes | |
| |
| |
Conclusion | |
| |
| |
One Ex-smoker's Story | |
| |
| |
Another Ex-smoker's Story | |
| |
| |
| |
Bronchodilators | |
| |
| |
History of Medication for Respiratory Diseases | |
| |
| |
Modern Medication | |
| |
| |
Drugs That Stimulate Beta-Receptors | |
| |
| |
Anticholinergic Drugs | |
| |
| |
Use and Care of Metered-Dose Inhalers | |
| |
| |
Theophylline | |
| |
| |
| |
The Rest of the COPD Drugs | |
| |
| |
Corticosteroids | |
| |
| |
Antibiotics and Airway Infections | |
| |
| |
Antiviral Drugs and Airway Infections | |
| |
| |
Anticough Medication | |
| |
| |
Coping with Mucus | |
| |
| |
Experimental Emphysema Treatment | |
| |
| |
Stress and Anxiety Requiring Medication | |
| |
| |
| |
Complementary Therapies for COPD: Old Treatments Have New Life | |
| |
| |
The Plant Advantage | |
| |
| |
Herbal Formulations | |
| |
| |
Coping with Mucus | |
| |
| |
Preventing Infection | |
| |
| |
Coping with Cough | |
| |
| |
Vitamins and Minerals for COPD | |
| |
| |
Miscellaneous Supplements | |
| |
| |
Anxiety | |
| |
| |
Depression | |
| |
| |
Miscellaneous | |
| |
| |
Resources | |
| |
| |
| |
Oxygen Therapy | |
| |
| |
Understanding Oxygen | |
| |
| |
Modern Use | |
| |
| |
Using Oxygen at Home | |
| |
| |
Oxygen Equipment for Home Use | |
| |
| |
| |
Physical Therapies for COPD | |
| |
| |
Goal Setting | |
| |
| |
Relaxation Techniques | |
| |
| |
Breathing Exercises | |
| |
| |
Postural Drainage | |
| |
| |
Relearning to Cough | |
| |
| |
Respiratory Muscle Strengthening | |
| |
| |
Physical Fitness | |
| |
| |
One Exerciser's Experience | |
| |
| |
Medicare Coverage | |
| |
| |
| |
Conquering the Emotional and Psychological Consequences of COPD | |
| |
| |
What Can You Do? | |
| |
| |
Neuropsychological Changes in COPD | |
| |
| |
Emotional Effects | |
| |
| |
Emotional Recovery | |
| |
| |
Group or Individual Psychotherapy | |
| |
| |
| |
Daily Living | |
| |
| |
Minimizing Airway Infections | |
| |
| |
Environment | |
| |
| |
Nutrition | |
| |
| |
Energy-Saving Strategies | |
| |
| |
How One Patient Manages | |
| |
| |
Improving Your Sleep | |
| |
| |
| |
Work and Play | |
| |
| |
Restoring Your Ability to Work for a Living | |
| |
| |
The Initial Decision | |
| |
| |
What Am I Going to Be? | |
| |
| |
Putting It into Action | |
| |
| |
Impairment vs. Disability | |
| |
| |
Recreation | |
| |
| |
| |
COPD and Sex | |
| |
| |
COPD Often Produces Sexual Problems | |
| |
| |
How Do I Start? | |
| |
| |
Sex Is More Than Intercourse | |
| |
| |
Important Things to Know | |
| |
| |
Extending Your Limits | |
| |
| |
Summary | |
| |
| |
| |
COPD and Successful Travel | |
| |
| |
Your Medical Needs Away from Home | |
| |
| |
Where to Go; When to Travel | |
| |
| |
Final Words | |
| |
| |
| |
Surgical Options | |
| |
| |
Lung Transplantation | |
| |
| |
The Ideal Candidate | |
| |
| |
Transplant Procedure | |
| |
| |
Lung Volume Reduction Surgery | |
| |
| |
In Their Own Words... | |
| |
| |
| |
The Final Phase | |
| |
| |
When Will That Point Be? | |
| |
| |
Final Stage Care Is Moving from Hospital to Home | |
| |
| |
When Death Is Finally Imminent | |
| |
| |
Euthanasia | |
| |
| |
Final Thoughts | |
| |
| |
| |
Reflections: Taking the Measure | |
| |
| |
Medical Optimism | |
| |
| |
Economic Pressures Call the Shots in Health Care | |
| |
| |
How Can We Help Ourselves? | |
| |
| |
Appendix | |
| |
| |
Additional Sources of Information | |
| |
| |
Further Readings | |
| |
| |
Drug Information | |
| |
| |
Medical Dictionary | |
| |
| |
Glossary | |
| |
| |
Index | |