Interstitial Lung Disease Info
Interstitial Lung Disease Info
  • Видео 69
  • Просмотров 202 086
Oxygen therapy in Sarcoidosis
Sarcoidosis can lead to severe lung scarring (pulmonary fibrosis). It can also sometimes be associated with pulmonary hypertension. These can significantly impact lung function and cause a drop in oxygen levels, particularly during exertion.
Oxygen saturation levels (SpO2) can be monitored using an oximeter, and values below 90% warrant a check of blood oxygen levels. This can be done through blood gas analysis from the earlobe or an arterial blood sample. If oxygen levels are indeed low, supplemental oxygen therapy may be prescribed to improve oxygen levels, reduce the risk of complications, and potentially enhance exercise tolerance.
However, it's worth noting that oxygen therapy may no...
Просмотров: 368

Видео

Understanding drug induced ILD / pulmonary fibrosis
Просмотров 9642 месяца назад
An overview of drug induced interstitial lung disease / pulmonary fibrosis. This video explains how the connection between a certain medication and pulmonary fibrosis is made. Several drugs can induce lung reactions and fibrosis, but unless we have a clear timeline it can be very hard to confidently say it was a specific drug that caused the fibrosis. Remember there may be other causes for pulm...
Interstitial Lung Abnormalities (ILA) = early pulmonary fibrosis?
Просмотров 9943 месяца назад
Overview of interstitial lung abnormalities (ILAs). ILAs represent incidental findings on a chest CT scan, which affect more than 5% of any lung zone (upper, middle or lower) in a person where interstitial lung disease / pulmonary fibrosis was not suspected. Interstitial lung abnormalities can be found in 2-9% of patients who have a CT scan (depending on the population studied). There is no cle...
Fibrotic NSIP meaning and treatment
Просмотров 9183 месяца назад
In this episode - fibrotic non-specific interstitial pneumonia (or NSIP) - what does this diagnosis mean and how is is treated? NSIP is a pattern that we can see on a chest CT scan or on a lung biopsy (on the pathology report). What does this mean for you as a patient or someone who cares for someone who has NSIP? NSIP may be associated with inflammatory conditions affecting the body (i.e. conn...
Hypersensitivity pneumonitis - fibrosis causes breathlessness? (+ other nuances)
Просмотров 8603 месяца назад
A general overview of hypersensitivity pneumonitis (HP) based on the example from a comment received. We discuss the types of HP: acute, subacute and chronic, pulmonary fibrosis in hypersensitivity pneumonitis. It is also important to identify the triggers (antigen) for HP and this can be difficult. Sometimes exposure questionnaires may help, and we have blood tests to look for sensitization to...
Cardiovascular disease and interstitial lung diseases (ILD)
Просмотров 1,1 тыс.3 месяца назад
It is really important to have more awareness of the risks of developing cardiovascular diseases in patients who have interstitial lung disease / pulmonary fibrosis. Many patients with ILD can develop something called pulmonary hypertension, which is an increased pressure between the right side of the heart and the lungs. This can cause blood oxygen levels to drop significantly and lead to seve...
Breathing worsening quickly in Pulmonary Fibrosis / Interstitial Lung Disease
Просмотров 2,3 тыс.4 месяца назад
Why would breathing suddenly start to worsen for people who have pulmonary fibrosis? This can be the sign of worsening fibrosis (scarring of the lungs), but often there are some other factors involved (other medical problems). Normally, pulmonary fibrosis can be progressive, and in these cases we expect a slow worsening of breathlessness over time (months to years). In some cases, the progressi...
What do genetic tests mean in Pulmonary Fibrosis / ILD? (genomic testing interpretation)
Просмотров 1,1 тыс.5 месяцев назад
What do genetic test results mean in cases of pulmonary fibrosis / interstitial lung diseases (ILD)? How are genetic testing results interpreted? Super complex topic in this episode: - When do we request genetic (genomic) testing for patients with ILD / pulmonary fibrosis? - Where is genetic testing conducted? - What tests are normally done for pulmonary fibrosis? (telomere length, telomere-rel...
How to monitor Pulmonary Fibrosis over time?
Просмотров 3,1 тыс.5 месяцев назад
What to expect as follow-up for cases of interstitial lung disease (ILD) and pulmonary fibrosis? How will your doctor check whether the lung scarring is getting worse? What are the tests they may request? What questions will they ask? How often will you need to be seen? Do all cases of pulmonary fibrosis require long-term follow-up consultations? These are some of the questions that I answer in...
What is Langerhans cell histiocytosis (LCH)?
Просмотров 8595 месяцев назад
An overview of Langerhans cell histiocytosis, or LCH. LCH is a rare lung disease caused by the accumulation of a type of cells in the lungs, around the small airways. These cells are called Langerhans cells. This condition leads to the appearance of so called "lung cysts", which are small cavities within both lungs. Typically, in LCH, there are multiple small cavities in both lungs, but which a...
Ventolin inhaler useful in Pulmonary Fibrosis?
Просмотров 1,7 тыс.5 месяцев назад
Is it useful to use a Ventolin (salbutamol, or "blue") inhaler if you have pulmonary fibrosis? Salbutamol inhalers are useful for patients who also have evidence of an airways' disease component. Some patients who have pulmonary fibrosis may also have other chest conditions associated (such as asthma or COPD). In these cases, inhalers may actually help with breathlessness. Also, patients who ha...
Testing for Pulmonary Fibrosis in Healthy relatives?
Просмотров 5416 месяцев назад
This is a nuanced comment on whether someone who has family history of interstitial lung disease (ILD) but no respiratory symptoms should seek to have genetic (genomic) tests done or a chest CT scan to screen for the presence of early ILD changes. These interstitial lung abnormalities (ILAs) can actually be found in a very large number of people, but not always represent the early stages of pul...
Can Lung Function improve in Pulmonary Fibrosis?
Просмотров 1,8 тыс.6 месяцев назад
Can you have an improvement in lung function if you suffer from pulmonary fibrosis in the context of an interstitial lung disease (ILD)? Some forms of ILDs with pulmonary fibrosis can have a reversible component, which may respond to some treatments. Alternatively, the improvement in lung capacities may be due to not having very good numbers previously (due to technique performing spirometry, o...
Pulmonary Fibrosis and Birds!
Просмотров 1,1 тыс.6 месяцев назад
The link between birds and pulmonary fibrosis. Sensitization to proteins originating from birds (avian sensitization) can be responsible for hypersensitivity pneumonitis (HP). HP can lead to pulmonary fibrosis if the lung inflammation persists for a very long time. If birds are suspected to be the trigger, treatment will be most effective if contact with birds and bird feathers is avoided. Not ...
Brain "fog" and low oxygen in Pulmonary Fibrosis
Просмотров 1,5 тыс.6 месяцев назад
"Brain fog" has been described by many patients who suffer from chronic conditions. Short term memory problems, difficulty focusing on important tasks, fatigue and sometimes the inability to make fully rational decisions that impact one's care are very important topics to explore. In the case of pulmonary fibrosis, one reason why these symptoms may occur could be that some patients with more ad...
Residual fibrosis or Pulmonary Fibrosis?
Просмотров 2,1 тыс.6 месяцев назад
Residual fibrosis or Pulmonary Fibrosis?
How does Acid Reflux impact Pulmonary Fibrosis?
Просмотров 1,5 тыс.6 месяцев назад
How does Acid Reflux impact Pulmonary Fibrosis?
No one knows what causes pulmonary fibrosis?
Просмотров 9056 месяцев назад
No one knows what causes pulmonary fibrosis?
Palliative care for pulmonary fibrosis
Просмотров 6246 месяцев назад
Palliative care for pulmonary fibrosis
What is the UIP (usual interstitial pneumonia) pattern?
Просмотров 2 тыс.7 месяцев назад
What is the UIP (usual interstitial pneumonia) pattern?
Multidisciplinary team (MDT) discussion for interstitial lung diseases (ILD)
Просмотров 3577 месяцев назад
Multidisciplinary team (MDT) discussion for interstitial lung diseases (ILD)
Patient perspective on ILD and pulmonary fibrosis (ahead of Christmas 2023)
Просмотров 5017 месяцев назад
Patient perspective on ILD and pulmonary fibrosis (ahead of Christmas 2023)
Steroids to treat Interstitial Lung Diseases - necessary?
Просмотров 2,6 тыс.7 месяцев назад
Steroids to treat Interstitial Lung Diseases - necessary?
What happens during the first consultation for ILD?
Просмотров 4407 месяцев назад
What happens during the first consultation for ILD?
3-5 year survival in Idiopathic Pulmonary Fibrosis (IPF)?
Просмотров 3 тыс.8 месяцев назад
3-5 year survival in Idiopathic Pulmonary Fibrosis (IPF)?
Are all ILD cases IPF?
Просмотров 5658 месяцев назад
Are all ILD cases IPF?
Pulmonary Fibrosis nursing - What does an ILD specialist nurse do?
Просмотров 6579 месяцев назад
Pulmonary Fibrosis nursing - What does an ILD specialist nurse do?
Pulmonary Fibrosis symptoms explained
Просмотров 6 тыс.9 месяцев назад
Pulmonary Fibrosis symptoms explained
Oxygen in Pulmonary Fibrosis
Просмотров 4,9 тыс.9 месяцев назад
Oxygen in Pulmonary Fibrosis
Exercise when having Pulmonary Fibrosis
Просмотров 14 тыс.9 месяцев назад
Exercise when having Pulmonary Fibrosis

Комментарии

  • @JulieWood-b7f
    @JulieWood-b7f 2 дня назад

    Thank you for info very useful- and will help going forward 👍

  • @magnetsa
    @magnetsa 2 дня назад

    I'm 73 and got IPF from a Covid attack. My CT scans are not good and are not getting better over time. Right after I got IPF I also had a heart attack two days later. I had been going to the gym just about every day and my cardiologist told my family after he inserted SIX stents that he had no idea how I was still alive other than I was in excellent shape other than my heart - which he had now fixed, even upgraded. Now my only hope is research scientists coming up with a cure for Pulmonary Fibrosis. Since they fixed sickle cell I suspect a similar fix with CRISPR and nanoparticles might be the research path. I just wish there were a well-maintained database listing all current research and clinical trial future possibilities. I would be a candidate.

  • @maevemcmahon4217
    @maevemcmahon4217 3 дня назад

    Thank you Dr. Stephan. You have helped me a lot. Keep up the good work.

  • @Wrathofreason
    @Wrathofreason 3 дня назад

    I have interstial lung disease Still boxing, sprinting, and staying as active as possible. That has been my saving grace.

  • @WJK2198
    @WJK2198 5 дней назад

    I don’t want to spend a minute in the hospital.

  • @wormfriend5625
    @wormfriend5625 5 дней назад

    Hi I am 65 year old female worked all my life in horticulture on no medication no illness very strong, had a cough for 1 year, originally when breathing in, needed to cough out. The doctor referred me to respiratory Dr at local hospital i had 2 x rays, lung function, test and a ct scan. I have been told i have pulmonary fibrosis, no treatment available worse case 2 years to live. Does this sound right to you or should I seek a second opinion. My cough is not as bad as it was originally. Thank you your videos are very good.

  • @RB-cy8ng
    @RB-cy8ng 7 дней назад

    Thank you, for the information and explanation

  • @jhai12
    @jhai12 10 дней назад

    Hello Dr. Stefan, I don't smoke or don't have a cough..why did I have residual fibrosis?

  • @donnaowen3111
    @donnaowen3111 11 дней назад

    My Dad has just been diagnosed 😢

  • @zanboorasali2022
    @zanboorasali2022 11 дней назад

    The best treatment with absolutley no side effects for removing fibrotic tissue from the lungs or any other organs like breast and uterus is an enzyme called SERRAPEPTASE and also Nattokinase. I would take 120000spu of Serrapeptase and 2000fu of Nattokinase twice daily on EMPTY stomach.

  • @anilvaidya6624
    @anilvaidya6624 12 дней назад

    Why criobiopsy prescribed for what?

  • @teresavale2517
    @teresavale2517 12 дней назад

    My father was Not able to get diagnosed til 48 hrs. BEFORE his death.

    • @ibelieve98
      @ibelieve98 11 дней назад

      Wow same here . They diagnosed my brother with pneumonia. He was in the hospital three days and sent home with nothing but a appointment to see a reg Dr . He died three days later . I called the hospital and they told me the Dr that seen him on the day of release said he actually had pulmonary fibrosis

    • @juliagriego7693
      @juliagriego7693 7 дней назад

      My condolences to you both. I am so very sorry for your loss, both of you ❤

  • @artmakersworlds
    @artmakersworlds 12 дней назад

    Oh wow I JUST found your channel. Subscribed and watched a few already and will dive in more. My husband, a lifetime smoker, and has fed on ant acids all his life for heartburn, well… Last Nov they found Esophageal cancer. (lower part.) Thankfully treatment was successful, no cancer anymore. And he had quit smoking last Sept. Now the doctors prescribed high strength ant acids… meanwhile only in the past year I learned ANT acids are the polar opposite of what you should do. I said start taking apple cider vinegar. Good advice but bad timing. Between the treatment and the cancer, that gave him a bleeding ulcer. So ok, back on the ant acids. Meanwhile now he has emphysema and fibrosis (lower part of his lungs.) He’s always had the smokers cough, but it’s worse now, and the phlem he hacks up is much thicker and slimier. He gets winded just walking to the mail box. Though he is doing better, gotta do more the doctor said today. Anyway his doctor first said because of the cancer he is NOT a candidate for lung transplant. TRANSPLANT? First line of defense is replace an organ? Right there I lost trust. Then he prescribed something called ofev. Not only expensive BUT the list of side effects, include liver damage, kidney damage, etc etc etc. Insurance will pay for it but neither of his think this is a great idea. Today we saw his cancer doctor, and HE explained to me that since he’s been on ant acids for so long, that his stomach lining may not be tough enough to hand normal stomach acid levels. Your thoughts? (Trust me, I know you cannot diagnose anyone this way, I won’t hold any online doctor accountable. Just looking for info to go to our doctors with. Only asking your opinion in general based on a tiny bit of info here.) We meet with his gastro doctor in a few months. Side note, I have learned a TON from doctors such as yourself on youtube. THANK YOU! I have already taken myself off an array of drugs for type 2 diabetes, BP, yea. ALL gave me side effects. Dr. Eric Berg on youtube is where I learned about the keto diet and started that just over a year ago. Lost weight, got my energy back, NO MORE damn drugs! A1c started at 10, down to 7 only two weeks into the diet change. 5 the last time I had it checked. So I know the diet works. And why I got in this shape to begin with. (Seriously our diet in this country is shit. And that is being nice.)

  • @teresavale2517
    @teresavale2517 12 дней назад

    My dad died last month from this SILENT killer. No symptoms til it was too LATE!!! I will Not allow it to SNEAK up on me!!!

  • @user-wm4qr9uw1q
    @user-wm4qr9uw1q 16 дней назад

    thanks for this information... try Kankasav and Vasaka capsules by planet Ayurveda which are very effective in the management of Pulmonary fibrosis.

  • @allauddinsayed281
    @allauddinsayed281 17 дней назад

    Greeting how do i vope with Shallow Breathing

  • @allauddinsayed281
    @allauddinsayed281 20 дней назад

    Thank you, Dr., as a South African citizen age 74 yrs old. i have been diagnosed with Pulmonary fibrosis idiopathic i cannot use any Shower gel with any smell wht do you recommend.

  • @ruthmcquater3020
    @ruthmcquater3020 21 день назад

    I was diagnosed with NSIP, after a crises, May 2020. I have deteriorated over the last 6 months and, was last Monday put forward for assessment for a lung transplant. Chemical treatment has slowed progress a little, but not enough.

  • @michaelbaughman8524
    @michaelbaughman8524 22 дня назад

    Audio on this video is very low, I had to turn up the volume all the way and still barely audible.

  • @michaelbaughman8524
    @michaelbaughman8524 22 дня назад

    My wife took nintedanib (Ofev) for about 8 months but discontinued due to severe side effects, primarily diarrhea and nausea.

    • @michaelbaughman8524
      @michaelbaughman8524 22 дня назад

      Actually I think she took Ofev for about a year. It seemed like the side effects were getting worse before she finally stopped taking it.

  • @ShirleyWest-f6w
    @ShirleyWest-f6w 22 дня назад

    I appreciate these videos very much. I was just diagnosed 3 weeks ago. Bless you!

  • @p.l.eubank3108
    @p.l.eubank3108 22 дня назад

    Hi, thank you for this! In 2021, I was in ICU for 35 days from delta covid. That strain was the hardest on the lungs. Oxygen for 7 months. Recently diagnosed with PF, with issues on the upper lobes. This lead to sensitivity blood work resulting in very high levels of 5 fungus/molds. Biopsy scheduled soon. Replacing HVAV system soon & have been using allergy meds for quite sometime. Grew up with 2 parents for 18 years of second hand smoke. Mother & grandfather died from lung cancer. Genetics in play for sure. All other blood work is fantastic which I attribute to good eating & nutrients. Of course, the mental strain is huge since covid my body is not the same😢. I have a strong will & very diversified business background but have t worked in over 2 years. Need to find out if my lungs have fungus so I can quickly be treated. Unsure about the 2 anti-fibrotic meds… ad side effects. Question is, has anyone tried nebulizing with L-Glutathione for helping cellular activity in the lungs? Dr Jockers in GA has this product. I’m holding off until I get the biopsy & the results. There has been a clinical trial on this. I’m an advocate for functional medicine & take many things to build up the immune system. Thx for your thoughts!

  • @annalucinda8273
    @annalucinda8273 23 дня назад

    My facebook is filled choc-a-bloc with your videos - so inspiring and informative. You have got a servant's heart - kind and gentle.

  • @kennethturner1481
    @kennethturner1481 24 дня назад

    Hello doctor my wife has fibrotic nsip and has in the last 2 months been in hospital twice fist time she received oxygen for her breathlessness for a week then was sent home, the second time they gave large dose of steroids and oxygen and this time was sent home with oxygen at home and a portable oxygen for when going out, she is on oxygen all the time and needs it otherwise her oxygen level drops and has been taking steroids for about 6months. They suspect worsening nsip but when I ask them will my wife die from this disease they just tell me we can treat it, the oxygen nurse just said don’t believe what you read on google, google says some people with fibrotic nsip die 5 years after diagnosis some live longer. My wife used to smoke so I assume this may have caused the nsip. My question: can my wife be treated and actually not need oxygen therapy and can this disease go into remission basically can she get better.

  • @blairyaganiski9805
    @blairyaganiski9805 25 дней назад

    I am 46 years old and was just diagnosed with IPF. My mother had it, as well as other health issues, and passeed away at the age of 41. I got 5 years up on her... This has been quite the shock to my system, needless to say. I have alwaays haddd issues with mental health and this has just blasted me. i am seeing a therapist about that, but where I am living makes it difficult to get any help as to what and where I need to go, where to turn to get treatment for my IPF. Your videos have been very helpful in what I can ask the doctors and where I can turn. Thank you, God bless.

  • @rebecawilliams9902
    @rebecawilliams9902 28 дней назад

    Do you think prednisone would be ok during chemo for gastric adenocarcinoma? My father is 85y/o, and after his last chemo treatment, his breathing became significantly worse. He gets winded after walking for 5 minutes.

  • @GailOwens
    @GailOwens 28 дней назад

    Perfume is my worst enemy, as well as nicotine on people's clothes. I am now reacting to shampoos cat hair. There is in get out, I have to stay indoors most of the time.

  • @handel0012
    @handel0012 Месяц назад

    Hi sir i need help please how can I contact you

  • @amandapryce3599
    @amandapryce3599 Месяц назад

    Thank you for this excellent advice. I will listen to this regularly.

  • @user-ez9yq4hu1u
    @user-ez9yq4hu1u Месяц назад

    Thanks Doctor.This video is very encouraging.

  • @jacquelineadams5245
    @jacquelineadams5245 Месяц назад

    I suffer from violent coughing episodes upon exertion and at night. I become breathless during conversations of two or more sentences. I take prednisone (10 mg) does not really help with the coughing but the breathing is better. Great to hear of other means to control coughing and will discuss these options on my visit with ILD specialist and pulmonologist. Very informative video. Trying to get oxygen now also.

  • @FUELify-xw7me
    @FUELify-xw7me Месяц назад

    Thank you for this video. My 84 yo father was recently diagnosed. Waiting to see Pulmonoligist. We believe the scarring came from his 40's ... 10+ years of wood sanding (walnut). The scarring is old they say. * He is going downhill... fatique from anything strenuous. He was just placed oxgen for sleeping. My question is, if we get him going with a good Pulmonary Rehab and exercise program (with oyxen) can we stop the spread of the scarring? in other words...Do old 45 years scars get worse? We are not sure that we want to have him take medicine. (risks may outweigh benefits, we are thinking already) Was hoping that he could successful live with what he's got, and make his last years as comfortable as possible through pulm. rebab and O2. Thank you.

  • @ernestinejones8822
    @ernestinejones8822 Месяц назад

    Hello dr. What do you think of taking the medication pirefidone or called sentient? I could not take Ofev was to many side effect s … but so far so good on the Enbrient. But I was on prednisone for many years for my Rhuematoid arthritis been off it for a while an u hav to be weened off the prednisone

  • @bettygentry9672
    @bettygentry9672 Месяц назад

    Thank you for all the much needed infomation.

  • @iancaldo
    @iancaldo Месяц назад

    Thank you for this video! I hope you can make a video about Post COVID-19 Interstitial Lung Disease (PC-ILD). It would really help a lot of COVID survivors.

  • @cjknavy3003
    @cjknavy3003 Месяц назад

    There are a variety of meds post transplant some have side effects for some people. My medical team are very good at monitoring, adjusting dosage, or taking a different med altogether. I get shakes from some meds but I can deal with this so I can keep my new lungs. By shakes I mean shaky hands. When that med was higher dose it would cause whole body shakes.

  • @amandapryce3599
    @amandapryce3599 Месяц назад

    Thank you very much. That was an excellent presentation. It couldn't have been clearer.

  • @GaryDinning
    @GaryDinning Месяц назад

    Rituxin for ipf

  • @vmkmenon
    @vmkmenon Месяц назад

    thank you. the video gives a confidence to accept the reality and move.

  • @user-kv2ey6np9d
    @user-kv2ey6np9d Месяц назад

    Please make vedio how to improve arterial blood gas thanks

  • @stevernie100
    @stevernie100 Месяц назад

    My Dr is treating me with both MMF & Nintedanib for hypersensitivity pnumonitis, since with Nintedanib there was still progression. Is it ok. They's many a time where my stomach is affected. Though my condition was diagnosed early, no treatment was started for 2yrs. And finally when Nintenadib was started it was only 100mg twice... Any suggestions Dr, because i still feel very unwell

    • @PaulGreenwald
      @PaulGreenwald Месяц назад

      Same here i have bouts of nausea feel really bad for days my hypersensitivity originated from silica dust

  • @ushamehta8997
    @ushamehta8997 Месяц назад

    I am Usha Mehta. I am suffering wit pulmonary fibrosis since October 2023 . I’m still getting up and down Struggling with daily leaving, I’m looking for some exercise and get done with my life thank you

  • @KtElliott-zm3io
    @KtElliott-zm3io Месяц назад

    Hi I have amyloidosis in my heart, lungs, gastro and skin, also mm all under control with Dara and immunotherapy, I continue to be in poor shape eg sob when walking up stairs, they aren’t too many specialist here, Adelaide Australia, thanks

  • @emptynestingdad1
    @emptynestingdad1 Месяц назад

    I just completed three weeks of umbilical cord stem cell transplants in Bangkok to treat IPF. I now have no symptoms. My blood oxygen is 99. I can run, sing, play trumpet and exercise again. I have my life and my health back.

    • @annalucinda8273
      @annalucinda8273 Месяц назад

      That's terrific news. I would be interested in knowing the name of the hospital and how much your three week treatment cost.

    • @mohdmohsin9369
      @mohdmohsin9369 28 дней назад

      Pls do share the details of the hospital

    • @MOHAMMEDSHAREEF-fx8nn
      @MOHAMMEDSHAREEF-fx8nn 2 дня назад

      Please share details

  • @emptynestingdad1
    @emptynestingdad1 Месяц назад

    There is a cure. I just did an umbilical cord stem cell transplant in Bangkok and it completely reversed the condition and healed the lungs.

  • @jrsmac5081
    @jrsmac5081 Месяц назад

    Thank you for your encouragement. God Bless you!

  • @marlachapman3874
    @marlachapman3874 Месяц назад

    God bless you for informing us, patients, that have IPF, CHF, COPD, ect. My blood gas is 34% carbon dioxide. My oxygen is Level 6, 24 hours a day. I am currently on a ventilator now for 8 hours a night. Exertion of any kind makes my O2 levels fall down to 75-78% and now five years into IPF, recoup time is taking longer for oxygen to come back up to 90%. Thank you again and yes, I know my time on earth is limited.

  • @andrewbarker4992
    @andrewbarker4992 Месяц назад

    Thank you very much sir

  • @daisies4444
    @daisies4444 Месяц назад

    Excellent! You hit the nail on the head! Thank you. Your videos are always great.

  • @cynthiacarolineengel3374
    @cynthiacarolineengel3374 Месяц назад

    Very very helpful from South Africa 75yrs old female with copd thank you so very much 🎉