COPD basic concept: Understanding the pathophysiology by simile to convince physicians

3^rd International Conference on Chronic Obstructive Pulmonary Disease

July 11-12, 2016 Brisbane, Australia

Md Rashidul Hassan

National Institute of Diseases of Chest & Hospital, Bangladesh

Scientific Tracks Abstracts: J Pulm Respir Med

Abstract :

Background: Understanding of basic concept of COPD is an important issue for the practicing physicians. Seamless management of COPD needs to understand basic concept of asthma. Use of simile is the best way to understand any basic concepts. A positive role of physicians aft er proper understanding of basic concept is essential for successful management of COPD. To achieve this goal in Bangladesh, we developed a module COPD presentations and carried out several seminars entitled â�?�?COPD: Basic Concept and Managementâ�? in diff erent regions of the country. Th e outcome is encouraging and we assume the module can be used for general physicians as an eff ective instrument in switching to standard treatment of COPD from conventional treatment. Objectives: Similarity between water movement, air movement and pathophysiology of COPD helps in understanding the basic mechanism of COPD and thereby physicians can be easily motivated to switch over to standard treatment of COPD. Methods: An audio-visual module comprising of an interactive lecture were prepared and presented in front of the primary care physicians and respiratory specialists. For this a nation-wide campaign will be out entitled â�?�?COPD: Basic Concept and Managementâ�? in diff erent regions of Bangladesh including all medical colleges. At least two pulmonologists of Bangladesh presented the papers and answered the diff erent questions of the audiences. Discussion: Water movement, like conduction, convection and diff usion can be easily described and resulting in diffi culty in breathing. Aft er water movement simile, it is described clearly that irritation of smoke and recurrent infection is the main cause of sputum production and exacerbations. Aft er an episode of COPD exacerbation small airway and alveolar destruction leads to diff erent types of emphysema formations and mismatch of Ventilation Perfusion ratio and right to left shunt. Th is V/Q mismatch and shunted blood leads to progressive exertional dyspnea, Hypoxemia, Hypoventilation, Polycythemia or anemia and ultimately leads to respiratory failure. Conclusions: What we do not see through our naked eyes (pathophysiology of COPD) may be understandable by drawing simile with an event, which we can see with our eyes. Th e lesson can be remembered like stories by anybody even a layman. Th is may help to facilitate patient education programs.

Biography :

Md Rashidul Hassan is the Director cum Professor at National Institute of Diseases of the Chest & Hospital, Dhaka. He has completed his MD Respiratory Medicine from Dhaka University in the year 1995. He is currently a Professor at the Department of Respiratory Medicine, National Institute of Diseases of the Chest and Hospital [NIDCH], Dhaka, Bangladesh. He is also a Founding President of Bangladesh Lung Foundation and Founding Vice President of Evidence Based Clinical Practice Society of Bangladesh. He has published 63 papers in reputed journals and has been serving as Editorial Board Member of Journal of Asia Pacifi c Society of Respirology (APSR).

Email: mrhassan07@gmail.com