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  This is an overview of what emphysema is and how we get it. Approaches to treatment are reviewed and steps to prevent the progression of disease offered.          

Patients with COPD who use inhaled corticosteroids to improve breathing for more than 6 months have a 27% increased risk for bone fractures. The risk goes up as the dosage increases. It was previously assumed that inhaled steroids would have a predominantly local effect, but now we know this is not true. Treatment should consist of lowering or discontinuing inhaled...

Dr. Len and Nurse Vicki review the dangers and health costs of smoking and second hand smoke. They review the varied increased risks for cancer, heart attacks, strokes, emphysema, and asthma. The callousness and greed of the tobacco industry is highlighted. This is a very indepth review of smoking and its effects on our health and our economy.