Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Chronic Cough: What it is and how to try to reduce its impact on your life
1. Support Meeting for
Aspergillosis Patients
LED BY GRAHAM ATHERTON
SUPPORTED BY
MARIE KIRWAN, GEORGINA POWELL & DEBBIE KENNEDY
NAC CENTRE MANAGER CHRIS HARRIS
COUGH: JACLYN SMITH
NATIONAL ASPERGILLOSIS CENTRE
UHSM
MANCHESTER
Fungal Research Trust
2. Programme
1pm Introduction
1:05 Jaclyn Smith
2:00 Tea & Coffee
2.10 LIFE art competition entries
2.30 Announcement of changes to this meeting
3:00 Close
3. Tackling Cough
Dr Jacky Smith
MRC Clinician Scientist/Reader
University of Manchester and University
Hospital South Manchester
4. Talk Plan
• What is a cough?
• Why do people cough?
• How big a problem is cough?
• A bit about my research….
• Conclusions
• Questions
5. Why am I interested in cough?
• Cough is really common
• Cough affects peoples quality of life
• Cough is difficult to treat
6. What is a Cough?
• A reflex in healthy people
• A symptom of disease
– Lung
– Nose and Sinuses
– Gullet
7. What is a Cough?
Breathe Start to
Close Open
breathe
in Voicebox voicebox
out
9. Why do people cough?
The Cough Reflex
rve
ne
Va
gu
s
COUGH
IRRITANT
Larynx/Airway Expiratory Muscles
10. Nerves important in Cough Human
Human
C FIBRES Aδ FIBRES
Chemically Mechanical & acid
Sensitive Sensitive
Guinea Pig Guinea Pig
Unpublished data Dr Pete West Summary from publications by Canning & Undem
16. Estimated UK Incident of Acute Cough
Hospitalisations
GP Consults
Self Medication
Acute Cough
Viral Infection
ANNUAL COSTS TO UK ECONOMY OVER £979 MILLION/YEAR
17. Chronic Cough Case History
• 56 year old woman
• Dry cough for 4 years
• Had lots of treatments ‘nothing works’
• Driving husband/partner mad
• Sleep separately
• Urinary Incontinence
36. How to treat a Chronic Cough?
i. Treat any underlying conditions
ii. Low dose Morphine
iii. Speech and Language Therapy
iv. Gabapentin/Pregabalin*
v. Baclofen*
*handle with care
37. Conclusions
• Chronic Cough is a common problem
• Very significant impact for patients
• Increasing recognition of ‘unexplained cough’
cough
• Treatment options limited
39. Student competitions
Aim: Building awareness amongst younger people & parents
Art & music
Original compositions
£1200 prize (school & individual share)
Theme is ‘funky fungi’
UPDATE: 3-400 entries – will be judged over the summer
www. projectlifecompetition.org
40. Annual Survey of Patients
105 patients asked
10% had been to a Support Meeting
9% viewed online
26% viewed recordings
47% do not use Aspergillus Website
Approximately 50% do not use the internet
WE NEED TO SUPPORT THOSE PEOPLE NOT
USING INTERNET BETTER
41. Annual Survey of Patients
Why don’t you attend the Aspergillosis Support Meeting?
42. Time and Place
Most attend clinic on Friday
Closer to Clinic the better
Meeting now to be held in Friday afternoons at 1.30pm
Hope to move the meeting to a room in the North
West Lung Centre
Provide tea & coffee (possibly even sandwiches) from
1pm – there is a small socialising area
43. Format & content
Numbers attending smaller
Some comments that content is less relevant to all
and a return to talks on aspergillosis would be
welcome
Suggestions:
More involvement from centre staff
More, shorter sessions in specific areas every month
45. Other suggestions
Doctor present for 20 min at every meeting
We have a session held by a patient – once per
month (volunteers?)
Your choice of subject
Patient leader(s)
Comment sheet to be available at each meeting for
anonymous constructive criticism
46. Thank You
“The best chance we have of beating this illness is to
work together”
Living with it, Working with it, Treating it
Fungal Research Trust
Editor's Notes
$16.9 Billions
Cough consists of 2-3 phases Explosive phase is characteristic sound we recognise as a cough. Produced by sudden opening of the vocal cords, and was always thought to be noise like Voiced phase comes from a partial closure of the vocal cords is not always present, is periodic Intermediate phase affected by sputum in the airways
Digital format High quality recording, wav format, uncompressed 16,000Hz 16bit 6GB hard drive Overnight recording 2.2GB file Limitation battery life, limited to overnight recording Quality of recording is important Appreciate differences in acoustic properties Allows more sophisticated signal processing techniques