{"id":7446,"date":"2019-10-13T08:00:26","date_gmt":"2019-10-13T13:00:26","guid":{"rendered":"https:\/\/www.osfhealthcare.org\/blog\/?p=7446"},"modified":"2020-06-05T08:40:23","modified_gmt":"2020-06-05T13:40:23","slug":"new-lease-on-life-for-copd-patient","status":"publish","type":"post","link":"https:\/\/osf-blog.live.imagescape.com\/blog\/new-lease-on-life-for-copd-patient\/","title":{"rendered":"A new lease on life for COPD patient"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7530 alignright\" src=\"https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2019\/09\/bronchoscopic-lung-volume-sd3-300x200.jpg\" alt=\"Harry Alexander\" width=\"300\" height=\"200\" srcset=\"https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2019\/09\/bronchoscopic-lung-volume-sd3-300x200.jpg 300w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2019\/09\/bronchoscopic-lung-volume-sd3-500x333.jpg 500w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2019\/09\/bronchoscopic-lung-volume-sd3-400x267.jpg 400w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2019\/09\/bronchoscopic-lung-volume-sd3.jpg 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Harry Alexander quit smoking in 1996, but his breathing didn\u2019t improve. That can happen when you start smoking in your teens and maintain a two-packs-a-day habit for more than 30 years.<\/p>\n<p>The damage all that smoke did to Harry\u2019s lungs was severe. He didn\u2019t get lung cancer, but in 2015, he was diagnosed with <a href=\"https:\/\/www.osfhealthcare.org\/pulmonology\/services\/copd\/\">chronic obstructive pulmonary disease (COPD)<\/a>.<\/p>\n<p>By the spring of 2019, Harry couldn\u2019t push a lawn mower across his yard even once. He couldn\u2019t take a walk around the neighborhood with his 2-year-old grandson. Even eating wore him out, as he had to stop to catch his breath after chewing a single forkful of food.<\/p>\n<p>That\u2019s when <a href=\"https:\/\/www.osfhealthcare.org\/providers\/patrick-whitten-1463328\">Patrick Whitten, MD<\/a>, an <a href=\"https:\/\/www.osfhealthcare.org\/saint-francis\/services\/pulmonology\/interventional-pulmonary-lab\/\">interventional pulmonologist<\/a> at <a href=\"https:\/\/www.osfhealthcare.org\/saint-francis\/\">OSF HealthCare Saint Francis Medical Center<\/a> in Peoria, Illinois, offered Harry a treatment option called bronchoscopic lung volume reduction (BLVR). Three days after the inpatient procedure, Dr. Whitten sent Harry home with no restrictions.<\/p>\n<p>\u201cYou\u2019re fine. Do anything you want,\u201d Dr. Whitten told him.<\/p>\n<p>\u201cSo I went home and cut the grass,\u201d Harry said.<\/p>\n<h2>OSF Saint Francis provides unique procedure<\/h2>\n<p>Illinois is the only state in the upper Midwest with health care facilities offering <a href=\"https:\/\/www.osfhealthcare.org\/pulmonology\/services\/copd\/blvr\/\">bronchoscopic lung volume reduction<\/a>. OSF Saint Francis is the only hospital in Illinois outside of Chicago performing the procedure.<\/p>\n<p>It\u2019s a life-changer for people with <a href=\"http:\/\/healthlibrary.osfhealthcare.org\/Search\/40,COPDQuiz\">COPD<\/a>, which is the No. 3 cause of deaths in U.S. adults.<\/p>\n<p>When you have COPD, your airways and the air sacs in your lungs become inflamed, clogged with mucus or collapse. Once damaged, the air sacs (called alveoli) cannot be repaired and stop functioning. Instead of oxygen being pumped into your blood and being exchanged for carbon dioxide, the oxygen becomes trapped in the diseased section of your lung. The resulting hyperinflation reduces your capacity to breathe.<\/p>\n<p>\u201cThese people are gasping for air,\u201d Dr. Whitten said.<\/p>\n<p>Medications, delivered through <a href=\"http:\/\/healthlibrary.osfhealthcare.org\/Search\/85,P01313\">inhalers<\/a>, and oxygen treatments can help. But as the condition worsens, more dramatic steps may be required.<\/p>\n<p>For decades, lung volume reduction involved major surgery. A thoracic surgeon would cut open the patient\u2019s chest and remove damaged sections of lung. The surgery requires a lengthy hospital stay, carries the risk of infection and leaves patients in considerable discomfort while they recover.<\/p>\n<p>For more than 20 years, Dr. Whitten and one of his partners, William Tillis, MD, have been involved in national research to figure out how to simulate the surgery by using a tube called a bronchoscope. The tube goes through the mouth into the airways, and tiny, one-way valves are placed in the damaged lung. The valves push out mucus and gases and stop fresh oxygen from reentering and getting trapped.<\/p>\n<p>The procedure takes about 40 minutes. The patient must stay in the hospital for three days, to monitor them in case the lung collapses. A collapsed lung will lengthen the hospital stay, but it won\u2019t affect the prognosis for a full recovery and the improved breathing capacity, Dr. Whitten said.<\/p>\n<h2>Game-changer for pulmonologists<\/h2>\n<p>To be considered for bronchoscopic lung volume reduction, a patient first must:<\/p>\n<ul>\n<li>Not be over 75 years old<\/li>\n<li>Be <a href=\"https:\/\/www.osfhealthcare.org\/saint-francis\/services\/wellness-services\/smoking-cessation-program\/\">non-smoking<\/a> for at least four months<\/li>\n<li>Demonstrate a specified amount of abnormality on a pulmonary function test<\/li>\n<li>Meet prescribed criteria on a CT scan, showing the area of disease is isolated<\/li>\n<li>Enroll and participate in a <a href=\"https:\/\/www.osfhealthcare.org\/services\/rehabilitation\/services\/pulmonary\/\">pulmonary rehabilitation program<\/a><\/li>\n<\/ul>\n<p>\u201cWhen they get to the pulmonary rehab, it\u2019s brutal because they\u2019re sucking air,\u201d Dr. Whitten said. \u201cSo when they do that and get through it, you know they\u2019re motivated.\u201d<\/p>\n<p>Being able to offer and perform bronchoscopic lung volume reduction is a game-changer for pulmonologists, too.<\/p>\n<p>\u201cIt\u2019s exciting, because when you look at COPD, it\u2019s the main disease we treat; that and <a href=\"https:\/\/www.osfhealthcare.org\/pulmonology\/services\/lung-cancer\/\">lung cancer<\/a>,\u201d Dr. Whitten said. \u201cWe don\u2019t see many very happy people. This procedure actually gives us something we can offer that significantly benefits patients.\u201d<\/p>\n<h2>\u2018Going crazy\u2019<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7526 alignright\" src=\"https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2019\/09\/bronchoscopic-lung-volume-sd1-300x200.jpg\" alt=\"Harry and Terry Alexander outside their lake house\" width=\"300\" height=\"200\" srcset=\"https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2019\/09\/bronchoscopic-lung-volume-sd1-300x200.jpg 300w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2019\/09\/bronchoscopic-lung-volume-sd1-500x333.jpg 500w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2019\/09\/bronchoscopic-lung-volume-sd1-400x267.jpg 400w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2019\/09\/bronchoscopic-lung-volume-sd1.jpg 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Dr. Whitten said patients can expect a 20% improvement in their ability to breathe.<\/p>\n<p>\u201cIt doesn\u2019t sound like much, but it\u2019s huge,\u201d he said.<\/p>\n<p>Harry said the improvement feels more like 50%. Now 75 years old, he hasn\u2019t breathed so easily in more than 40 years.<\/p>\n<p>\u201cAfter a while, I just took COPD for granted,\u201d Harry said. \u201cNow, I pretty much take breathing for granted.\u201d<\/p>\n<p>A few months ago, his 2-year-old grandson Andrew would beg Harry to pull him around the neighborhood in a toy wagon. Harry would put him off with promises to do it tomorrow, which would never come.<\/p>\n<p>Today, when Andrew asks for a ride, Harry responds with an enthusiastic, \u201cLet\u2019s go!\u201d<\/p>\n<p>Dr. Whitten said Harry\u2019s wife, Terry, got so concerned about his activity on the first day home from the hospital that she called the doctor.<\/p>\n<p>The Alexanders live on a lake in a rural subdivision near Peoria. The walk down to the lake and back up to the house is a steep trek. But Harry immediately clambered down to the dock and back, walked around the house, and then he mowed that yard.<\/p>\n<p>\u201cHe was going crazy,\u201d Terry said. \u201cIt was the coolest thing.\u201d<\/p>\n<p>Well, maybe. Or it\u2019s possible she hasn\u2019t seen anything yet.<\/p>\n<p>\u201cI\u2019m thinking about the Senior Olympics,\u201d Harry said with a big smile. \u201cMy breathing used to give out before my legs. Now my legs give out before my breathing.\u201d<\/p>\n<p>If you have COPD, talk with your primary care provider to set up an appointment with an <a href=\"https:\/\/www.osfhealthcare.org\/locations?query=Lung\">OSF Saint Francis pulmonologist<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Harry Alexander quit smoking in 1996, but his breathing didn\u2019t improve. That can happen when you start smoking in your teens and maintain a two-packs-a-day habit for more than 30 years. The damage all that smoke did to Harry\u2019s lungs was severe. He didn\u2019t get lung cancer, but in 2015, he was diagnosed with chronic [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":7531,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[733],"tags":[939,372,730],"coauthors":[912],"class_list":["post-7446","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lung-respiratory-health","tag-copd","tag-osf-saint-francis","tag-smoking"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A new lease on life for COPD patient | OSF HealthCare<\/title>\n<meta name=\"description\" content=\"OSF HealthCare Saint Francis Medical Center provides bronchoscopic lung volume reduction to improve patient\u2019s breathing capacity by 20%.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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