Lessons Learned From COPD Patients

Living with a condition like chronic obstructive pulmonary disease (COPD) is challenging and far from enjoyable. Many are diagnosed only after years of leading a normal life, making acceptance and learning essential. Part of this learning curve involves making mistakes.

Here are common errors I often see among COPD patients and the valuable lessons they teach us.

Navigating COPD and avoiding mistakes for better health

Using expired medication

During a recent visit to the ER, I encountered a COPD patient struggling with severe shortness of breath. As I administered an albuterol breathing treatment, she admitted to me, her words strained, "I have those treatments at home. I've been using them regularly, but this morning I realized they were expired."

After the treatment, I asked, "Do you feel better now?" Her voice was clearer, her vitality returning as her breathing eased. "Yes," she replied, "I feel much better. Your treatment worked far better than my expired medication."

It's important to check the expiration dates of your medications annually, even if you haven't needed them recently. By keeping them up to date, you ensure their potency when you do take them.

Delaying medical assistance

Another frequent scenario I encounter in the ER involves patients who admit they waited too long before seeking help. "I've been struggling with shortness of breath for a week now. It got really bad today, so I decided to come in."

In these moments, doctors, nurses, and I work tirelessly to help the patient feel better. Yet, this experience offers a valuable lesson.

As soon as you notice something isn't right – whether it's new symptoms or a worsening condition – seek help promptly. The sooner you seek medical attention, the more likely your doctor can adjust your treatment plan to improve your condition. This proactive approach can often prevent the need for an ER visit altogether.

Even if you do end up in the ER, early intervention makes it easier for us to treat you effectively. In fact, coming in before your symptoms escalate can sometimes result in being treated and discharged without needing hospital admission.

Using rescue medicine more often than prescribed

When a patient arrives at the ER short of breath, I often ask, "Do you have a rescue inhaler? How often have you been using it?" Most reply, "Yes, I've been using it."
Then I ask, "Have you been using it more than prescribed?" Many freeze, feeling caught. Eventually, some admit, "Yes, I've been using it a lot this past week."

I understand this situation well. As a respiratory therapist who had severe asthma as a child, I've been there. I know the desperation of reaching for that inhaler when you can't catch your breath. You can't fool me. I recognize the signs.

If you find yourself needing your rescue medicine more frequently than prescribed, your asthma may not be well-controlled. It's crucial to seek medical consultation promptly.
Your doctor can adjust your treatment plan to improve your condition before it escalates to an emergency. Acting sooner rather than later can often prevent a trip to the ER altogether.

As with anything in life, we strive to do our best with the knowledge we have. As we learn more, we can improve our actions and outcomes.

This philosophy applies particularly to managing COPD, where proactive care and attention to detail can significantly enhance the quality of life.