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Asthma - Medical Animation

 

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Asthma - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Asthma is a chronic inflammatory disease that obstructs airflow in and out of the bronchial tubes. Normally, as the diaphragm contracts and relaxes, air moves freely in and out of the trachea and bronchi to the bronchioles and then to the alveoli where gas exchange takes place. During this process, carbon dioxide will diffuse out of the bloodstream into the alveolus while oxygen will diffuse from the alveolus into the bloodstream. Smooth muscle in the bronchial walls is controlled by the autonomic nervous system. Sympathetic stimulation relaxes smooth muscle and produces bronchodilation when the air is warm, moist, and free of irritants. Parasympathetic stimulation contracts smooth muscle and produces bronchoconstriction when the air is cold, dry, or contains irritants. People with asthma have chronically inflamed and swollen airways that are hyperreactive to irritants that can trigger an asthma attack. Asthma triggers include outdoor irritants and allergens such as pollen, smoke, pollution, and cold weather, indoor irritants and allergens such as mold, pet dander, dust mites, and cockroach droppings, food allergens such as fish, shellfish, eggs, peanuts, and soy, physiological conditions such as respiratory infections, stress and strong emotions, and exercise. During an asthma attack, these triggers can induce mast cells and leukocytes to release chemical substances such as histamine, kinins, prostaglandins, and leukotrienes. These substances are chemical mediators of inflammation that can precipitate a bronchospasm. Suddenly, the brochial smooth muscle tightens, and the bronchial wall becomes more swollen. Goblet cells in the mucosa produce thicker mucus further obstructing the airway. This combination of factors slows normal gas exchange. The symptoms of a broncospasm include coughing, wheezing, shortness of breath, and chest tightness. Medicines that treat asthma affect the inflammation of the airway wall, the constriction of the bronchial muscles, or mucus secretion. The most important asthma medications are long-acting anti-inflammatory drugs such as corticosteroids, leukotriene inhibitors, and cromolyn sodium. These drugs keep asthma under control by preventing or reducing inflammation of the bronchial wall. This makes the airways less sensitive to broncospasm triggers. Regular use of maintenance medications makes it less likely that an astma flare-up will take place. Broncodilators are either quick relief rescue medications such as short-acting beta agonists or long acting maintenance medications such as theophylline and anticholinergics. These drugs cause the bronchial smooth muscle to relax quickly or gradually over a longer period of time. Regular use of long-acting maintenance medication is critical in keeping your airways open and less inflamed. This reduces the likelihood of asthma flare-ups. When flare-ups do happen, it is important for patients to work with their licensed healthcare professional to develop an action plan for the correct use of short acting rescue medication. Rescue medication opens airways quickly providing symptom relief within minutes. [music]

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Frank Rothermel
Bernhardt & Rothermel
"I just wanted to let you know that after several days on trial, I settled [my client's] construction accident case for $4.5 million. Immediately after the jury was discharged, I spoke with several jurors who told me that they really appreciated the medical illustrations for their clarity in dealing with [my client's] devastating injuries. They also expressed their gratitude in being able to read from a distance all of the notations without difficulty. Obviously, the boards were visually persuasive. I am certain that this contributed to our successful result."

Michael Gunzburg, Esq.
Attorney at Law.
New York, NY

"Thank you for the splendid medical-legal art work you did for us in the case of a young girl who was blinded by a bb pellet. As a result of your graphic illustrations of this tragic injury, we were able to persuade the insurance company to increase their initial offer of $75,000.00 to $475,000.00, just short of their policy limits.

We simply wanted you to know how pleased we were with your work which, to repeat, was of superlative character, and to let you know that we would be more than willing to serve as a reference in case you ever need one. Many thanks for an extraordinary and dramatic depiction of a very serious injury which clearly "catapulted" the insurance company's offer to a "full and fair" amount to settle this case."

Philip C. Coulter
Coulter &Coulter
Roanoke, VA

"I thought you might want to know that after we sent a copy of your illustration to the defendants, with a copy to the insurance company, they increased their offer by an additional million dollars and the case was settled for $1,900,000.00.

I appreciate your help!"

O. Fayrell Furr, Jr.
Furr, Henshaw & Ohanesian
Myrtle Beach, SC
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