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Re: Bruce - Spirometer

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Jack

Lots of different instructions depending on condition and circumstances.

In the hospital right after surgery its generally quite frequent (every

two hours at first even). At home it may even be as low as once a day. I

try to do several breathing exercises (not just it) on alternate days

from the treadmill. Then at the least every day, I make the point of

using the spirometer before bed. In fact, I think using it early in the

day is something I should do too. Something to talk about with your

doctor if you're not in rehab. Generally, its done in ten repetitions at

a time.

It serves multiple purposes. First, it gets you several nice deep

breaths. Second, it trains you. It helps you to breathe better when not

using it. Third, it serves as another measurement. If suddenly you can't

reach the numbers you're use to, then there's a problem. For instance if

your normal is 1500-1700 and you know today you've got a cold or not

feeling well and you can only hit 1000, then get medical care. That is a

sure sign that if you don't already have pneumonia, you're at risk. Now,

there are no absolute numbers as everyone is different. So its comparing

to your norm and your baseline.

>

> Bruce, are there any guidelines for using the spirometer on a regular

basis, such as daily, number of exercies, e. g., ten, twenty, etc per

day?

>

> I want to get the most benefit from what I'm doing but I don't know

how many inhales are enough or too much.

>

> Thanks.

> Jack

> 79/IPF - UIP/dx06/05 Maine

>

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Jack

Lots of different instructions depending on condition and circumstances.

In the hospital right after surgery its generally quite frequent (every

two hours at first even). At home it may even be as low as once a day. I

try to do several breathing exercises (not just it) on alternate days

from the treadmill. Then at the least every day, I make the point of

using the spirometer before bed. In fact, I think using it early in the

day is something I should do too. Something to talk about with your

doctor if you're not in rehab. Generally, its done in ten repetitions at

a time.

It serves multiple purposes. First, it gets you several nice deep

breaths. Second, it trains you. It helps you to breathe better when not

using it. Third, it serves as another measurement. If suddenly you can't

reach the numbers you're use to, then there's a problem. For instance if

your normal is 1500-1700 and you know today you've got a cold or not

feeling well and you can only hit 1000, then get medical care. That is a

sure sign that if you don't already have pneumonia, you're at risk. Now,

there are no absolute numbers as everyone is different. So its comparing

to your norm and your baseline.

>

> Bruce, are there any guidelines for using the spirometer on a regular

basis, such as daily, number of exercies, e. g., ten, twenty, etc per

day?

>

> I want to get the most benefit from what I'm doing but I don't know

how many inhales are enough or too much.

>

> Thanks.

> Jack

> 79/IPF - UIP/dx06/05 Maine

>

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Bruce , when you say breathing exercises on the treadmill, do you mean the deep breathing and huffing of air.

Sharon p asthma ph 2008

Subject: Re: Bruce - SpirometerTo: Breathe-Support Date: Saturday, May 16, 2009, 8:25 AM

JackLots of different instructions depending on condition and circumstances.In the hospital right after surgery its generally quite frequent (everytwo hours at first even). At home it may even be as low as once a day. Itry to do several breathing exercises (not just it) on alternate daysfrom the treadmill. Then at the least every day, I make the point ofusing the spirometer before bed. In fact, I think using it early in theday is something I should do too. Something to talk about with yourdoctor if you're not in rehab. Generally, its done in ten repetitions ata time.It serves multiple purposes. First, it gets you several nice deepbreaths. Second, it trains you. It helps you to breathe better when notusing it. Third, it serves as another measurement. If suddenly you can'treach the numbers you're use to, then there's a problem. For instance ifyour normal is 1500-1700 and you know today

you've got a cold or notfeeling well and you can only hit 1000, then get medical care. That is asure sign that if you don't already have pneumonia, you're at risk. Now,there are no absolute numbers as everyone is different. So its comparingto your norm and your baseline.>> Bruce, are there any guidelines for using the spirometer on a regularbasis, such as daily, number of exercies, e. g., ten, twenty, etc perday?>> I want to get the most benefit from what I'm doing but I don't knowhow many inhales are enough or too much.>> Thanks.> Jack> 79/IPF - UIP/dx06/05

Maine>

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Bruce , when you say breathing exercises on the treadmill, do you mean the deep breathing and huffing of air.

Sharon p asthma ph 2008

Subject: Re: Bruce - SpirometerTo: Breathe-Support Date: Saturday, May 16, 2009, 8:25 AM

JackLots of different instructions depending on condition and circumstances.In the hospital right after surgery its generally quite frequent (everytwo hours at first even). At home it may even be as low as once a day. Itry to do several breathing exercises (not just it) on alternate daysfrom the treadmill. Then at the least every day, I make the point ofusing the spirometer before bed. In fact, I think using it early in theday is something I should do too. Something to talk about with yourdoctor if you're not in rehab. Generally, its done in ten repetitions ata time.It serves multiple purposes. First, it gets you several nice deepbreaths. Second, it trains you. It helps you to breathe better when notusing it. Third, it serves as another measurement. If suddenly you can'treach the numbers you're use to, then there's a problem. For instance ifyour normal is 1500-1700 and you know today

you've got a cold or notfeeling well and you can only hit 1000, then get medical care. That is asure sign that if you don't already have pneumonia, you're at risk. Now,there are no absolute numbers as everyone is different. So its comparingto your norm and your baseline.>> Bruce, are there any guidelines for using the spirometer on a regularbasis, such as daily, number of exercies, e. g., ten, twenty, etc perday?>> I want to get the most benefit from what I'm doing but I don't knowhow many inhales are enough or too much.>> Thanks.> Jack> 79/IPF - UIP/dx06/05

Maine>

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Sharon

No, I'm referring to two separate things. I use the treadmill, but I do

breathing exercises in addition to that and on the days I don't use the

treadmill. For me it's using the incentive spirometer and using the

muscle exerciser that I forget the exact name of at the moment. However,

it could be deep breathing or other exercises you might learn in rehab.

The main thing is that we develop poor breathing habits. This is why the

incentive spirometer is used so much after surgery too. After surgery of

most kinds, breathing deeply is a little painful so without doing it

intentionally we just breathe more shallow. That is one of the biggest

causes of pneumonia immediately after surgery. My first use of an

incentive spirometer was long before my PF diagnosis. I had to use one

starting immediately after my colon resection.

Everyone who has PFT's and feels totally drained after, thats the

deepest fullest breathing any of us ever does. Now, while it is beyond

what we want to do on a daily basis, it does show our full capability

under extreme effort. Think of this. Let's say you show up at 70% on the

PFT's. That's breathing that hard. What percent of that are you using on

your average day. Well, we can't increase the capacity, but through

exercise and effort we can maximize our use of our existing lung

capacity.

> >

> > Bruce, are there any guidelines for using the spirometer on a

regular

> basis, such as daily, number of exercies, e. g., ten, twenty, etc per

> day?

> >

> > I want to get the most benefit from what I'm doing but I don't know

> how many inhales are enough or too much.

> >

> > Thanks.

> > Jack

> > 79/IPF - UIP/dx06/05 Maine

> >

>

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Thanks, Bruce. Your comments are very helpful. My norm is 2500, but my practice has been intermittant. I'm trying to do every day now, hoping to get back to 3000 and maybe more. I like the morning and evening times best and will use them. I'll let you know if I can boost my

numbers.

Jack79/IPF - UIP/dx06/05 Maine

To: Breathe-Support Sent: Saturday, May 16, 2009 9:25:47 AMSubject: Re: Bruce - Spirometer

JackLots of different instructions depending on condition and circumstances.In the hospital right after surgery its generally quite frequent (everytwo hours at first even). At home it may even be as low as once a day. Itry to do several breathing exercises (not just it) on alternate daysfrom the treadmill. Then at the least every day, I make the point ofusing the spirometer before bed. In fact, I think using it early in theday is something I should do too. Something to talk about with yourdoctor if you're not in rehab. Generally, its done in ten repetitions ata time.It serves multiple purposes. First, it gets you several nice deepbreaths. Second, it trains you. It helps you to breathe better when notusing it. Third, it serves as another measurement. If suddenly you can'treach the numbers you're use to, then there's a problem. For instance ifyour normal is 1500-1700 and you know today

you've got a cold or notfeeling well and you can only hit 1000, then get medical care. That is asure sign that if you don't already have pneumonia, you're at risk. Now,there are no absolute numbers as everyone is different. So its comparingto your norm and your baseline.>> Bruce, are there any guidelines for using the spirometer on a regularbasis, such as daily, number of exercies, e. g., ten, twenty, etc perday?>> I want to get the most benefit from what I'm doing but I don't knowhow many inhales are enough or too much.>> Thanks.> Jack> 79/IPF - UIP/dx06/05 Maine>

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Thanks, Bruce. Your comments are very helpful. My norm is 2500, but my practice has been intermittant. I'm trying to do every day now, hoping to get back to 3000 and maybe more. I like the morning and evening times best and will use them. I'll let you know if I can boost my

numbers.

Jack79/IPF - UIP/dx06/05 Maine

To: Breathe-Support Sent: Saturday, May 16, 2009 9:25:47 AMSubject: Re: Bruce - Spirometer

JackLots of different instructions depending on condition and circumstances.In the hospital right after surgery its generally quite frequent (everytwo hours at first even). At home it may even be as low as once a day. Itry to do several breathing exercises (not just it) on alternate daysfrom the treadmill. Then at the least every day, I make the point ofusing the spirometer before bed. In fact, I think using it early in theday is something I should do too. Something to talk about with yourdoctor if you're not in rehab. Generally, its done in ten repetitions ata time.It serves multiple purposes. First, it gets you several nice deepbreaths. Second, it trains you. It helps you to breathe better when notusing it. Third, it serves as another measurement. If suddenly you can'treach the numbers you're use to, then there's a problem. For instance ifyour normal is 1500-1700 and you know today

you've got a cold or notfeeling well and you can only hit 1000, then get medical care. That is asure sign that if you don't already have pneumonia, you're at risk. Now,there are no absolute numbers as everyone is different. So its comparingto your norm and your baseline.>> Bruce, are there any guidelines for using the spirometer on a regularbasis, such as daily, number of exercies, e. g., ten, twenty, etc perday?>> I want to get the most benefit from what I'm doing but I don't knowhow many inhales are enough or too much.>> Thanks.> Jack> 79/IPF - UIP/dx06/05 Maine>

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