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NewsTranscript
00:00Good evening, I am Dr. Ahmed Mahmoud Abdelhafiz, Professor of Cardiothoracic Surgery at the
00:21Faculty of Medicine Al-Asr Al-Ayni, University of Cairo, and President of the Plurious Association for Cardiothoracic Surgery at the Faculty of Medicine.
00:28Today, I would like to talk to you about some of the types of respiratory problems that may be spreading in the air.
00:37These days, it is no secret that there is a large spread of the respiratory disease on more than one face and on more than one type of bacteria and viruses around us.
00:47This started around September or the beginning of October with the advent of schools and universities.
00:52There has been a large spread of different types of infectious diseases,
00:57between different social classes, different age groups, from young children to some of the older people these days.
01:07There is a wave of infections, popular outbreaks, and respiratory infections that may have made us think about what happened three years ago,
01:14and the following waves of COVID-19, coronavirus, with its different types and mutations.
01:21I would like to talk to you today about this story as a message of reassurance to some of the people who are a little worried these days
01:27due to the increase in the rate of popular outbreaks and the role of respiratory infection in the air these days,
01:33whether it is a patient who is being treated at home or is being quarantined in hospitals or even in intensive care units.
01:41First of all, the COVID-19 and the coronavirus, as we have seen in the first wave of the virus,
01:51the first wave, the second and the third, from 2020 when we left,
01:55thank God, have become much less severe and less severe.
02:00The virulence, or the severity of the virus itself, has not returned to normal, not at the same level, much less.
02:07Because the virus itself and its mutations have been greatly weakened,
02:13whether by preventing transmission or herd immunity, which occurred due to the high rates of infections in society,
02:20and therefore our bodies, as humans, not only in Egypt, but even around the world,
02:25began to form immune systems against this virus, which led to its weakening in some way,
02:31so it became less severe and more likely to affect the respiratory system,
02:35or because of the mutations that we all took, or most of us took,
02:40more than one type of mutations, whether American, European, Russian or Chinese,
02:46and all of them had different success rates,
02:49but they also created a type of herd immunity that greatly weakened the virus.
02:55So the coronavirus exists, and we said this from 2020,
02:59and we said that it will continue with us for a long time, but not with the same severity or severity,
03:04and the virus, the weak monster that we were afraid of,
03:09became much more resilient, and became more similar to the normal influenza.
03:14So there is no need to worry now, and I always reassure my patients when they ask for a swab,
03:19and they ask if they want to be reassured that it is COVID or not.
03:22We may have passed this stage, we no longer ask for swabs regularly or traditionally,
03:26because the way of dealing with COVID is closer to influenza,
03:30and we, as breast surgeons or breast consultants,
03:33no longer have the great desire to differentiate between COVID and influenza,
03:38because both will almost take the same treatment path in the era, or in the era, or in the time we are in now,
03:44after the virus has become very close to influenza,
03:47and therefore the treatment protocols do not differ much now between influenza and COVID.
03:52Now, in the last two or three months, new mutations for COVID began to appear around the world,
03:58and the most famous one is called ZEC,
04:02and this is a type of COVID mutation that comes at a constant temperature rise,
04:08with inflammation in the throat and nasal mucosa.
04:11Sometimes there is a break in the body, a kind of fatigue, or malaise,
04:17or fatigue, or fatigue.
04:19Sometimes there is a pain in the chest, a cough, a sore throat, or a constant cough.
04:23Sometimes there is a feeling of tightness in the breathing,
04:26and the inability to increase the effort sufficiently.
04:29This type of virus is not as severe as the COVID we saw in the first wave and the second wave.
04:35We do not see new respiratory infections, as we were.
04:38It does not cause a lot of failure in the respiratory system,
04:41because the problem with COVID is that it always causes oxygen deficiency,
04:44and therefore it causes something called type 1 respiratory failure,
04:47or failure in the respiratory system from the first degree.
04:50This causes oxygen deficiency and difficulty in breathing.
04:53We are forced to have our patients in intensive care,
04:56in order to give them high doses of oxygen,
04:58or the situation sometimes develops to put them on artificial or non-interventional breathing devices,
05:03in an attempt to get the patient out safely.
05:06Unfortunately, this happened in the first and second waves.
05:09We lost some patients due to the inability to contain the virus,
05:12and its consequences in the lung, and the infections that occur in the lung tissue as a result of this virus.
05:17Of course, the death rate in Egypt was much lower than in many European countries,
05:21and in the United States, thanks to God,
05:24and due to the efforts of doctors in Egypt,
05:27who put in a lot of effort during this period,
05:30thank God, to contain the virus,
05:32and Egypt is one of the countries with the lowest death rate,
05:35not because of the infections, of course.
05:37The infections were high, but the death rate in Egypt was under control.
05:40If we compare it to other countries,
05:42we will find that it did not exceed 10 or 8 deaths in other countries,
05:47which is a big health reference in Europe or in the United States.
05:51But what I want to say is that the virus,
05:53which is the new mutant, Zik,
05:55which appeared in September and is still with us now,
05:58is much lower in cost.
06:00We do not see any psychological failure from it,
06:02and it is very rare when we need to bring a patient to a hospital or intensive care,
06:05and most of them have an initial problem,
06:09which made them more susceptible to the virus complications.
06:14For example, a patient who has a tumor and is taking a chemical treatment,
06:18so his immune system is weak.
06:20A patient who is very old,
06:22and his immune system is exhausted or weak.
06:25A patient who has sugar,
06:27which is not controlled at all,
06:29and his blood sugar is high,
06:31or he takes cortisone or drugs that are good for the immune system.
06:33A patient who is washing,
06:35and there are certain types of patients
06:37whose immune system is already weak,
06:39and therefore the chance of them being exposed to the virus
06:43and its complications is slightly higher than a normal person.
06:46But in a normal person,
06:48when he gets this virus,
06:50it is as close as it is in the normal cold,
06:52which is the cold and flu.
06:54Problems in the lymphatic system,
06:56and loss of blood from the lymph,
06:58cough, nausea, and shortness of breath sometimes.
07:00The problem with this type of virus is that
07:02if this virus is not treated properly,
07:06with a specialist doctor for chest diseases,
07:09the only problem is that
07:11it sometimes leaves a mark on the lungs.
07:13This mark is called hyperactivity,
07:16or hyperresponsiveness.
07:18Therefore, the patient,
07:20except for the normal cold,
07:22which lasts for 2-3 days,
07:24will continue coughing for a period of more than a week or 10 days.
07:27And here I would like to give a piece of advice.
07:29For any person who has a cold,
07:31and has a cough,
07:33whether it is a dry cough,
07:35or a sore throat,
07:37and continues for more than 10 days,
07:39or let's say 2 weeks,
07:41there is no reason for him to be patient
07:43or to try to take medication.
07:45Because if it is not treated properly,
07:47with a specialist doctor for chest diseases,
07:49then this issue is very likely,
07:51with a rate of more than 50-60%,
07:53to turn into a chronic problem in the chest.
07:55Whether it is chest sensitivity,
07:57small airways,
07:59constant constipation in the airways,
08:01problems that may lead to impairment
08:03in the immune systems of the lungs,
08:05and it may lead to constipation.
08:07We have seen some cases that develop
08:09from inflammation of the airways
08:11that do not open even in the lungs.
08:13So, of course,
08:15we do not always expect a cough
08:17to last for a long time.
08:19So ask the people of memory
08:21if you do not know.
08:23It is necessary to ask the closest doctor to us.
08:25By the way, the subject is easy and simple,
08:27whether a person is financially able or not,
08:29because there are many free hospitals
08:31affiliated with the university.
08:33For example, Dr. Foulassou Al-Aini
08:35has a free hospital in the world.
08:37Or even the disabled person
08:39can go to the chest hospitals
08:41that are spread all over the Republic.
08:43He can seek medical advice
08:45or ask the experts in the chest doctor
08:47to try to help him with his problem,
08:49but it does not last for a long time.
08:51One of the controversies
08:53that is also famous these days
08:55is the pneumonia virus,
08:57or the metavirus.
08:59The metavirus,
09:01which is pneumonia,
09:03is also famous
09:05and has started to appear
09:07recently.
09:09If you have been listening to us
09:11for six months or a year,
09:13we have been talking about
09:15the RSV virus,
09:17or the respiratory syncytial virus.
09:19The human metanemovirus
09:21is the closest
09:23to the respiratory
09:25syncytial virus.
09:27The respiratory virus
09:29is not a new thing.
09:31The RSV virus has been around
09:33for more than 50 or 60 years
09:35and is very famous
09:37in children,
09:39especially in developed countries
09:41such as Europe,
09:43America, New Zealand,
09:45Australia, Japan,
09:47Egypt, and even the Gulf states.
09:49We find a lot of information
09:51about this in children,
09:53whether they are infants or school children.
09:55The metanemovirus
09:57is very similar to the RSV virus.
09:59It has started to appear
10:01in Europe,
10:03specifically in the United Kingdom,
10:05England, Germany,
10:07the Netherlands,
10:09and some Scandinavian countries
10:11such as Denmark, Sweden,
10:13Norway, and Finland.
10:15The RSV virus is similar
10:17to the RSV virus,
10:19but it affects children more
10:21than adults.
10:23Adults
10:25in their thirties,
10:27forties, and fifties
10:29are not affected by the RSV virus.
10:31The problem is that children
10:33contract bronchitis.
10:35This is a problem
10:37in young children.
10:39If children contract
10:41the RSV virus,
10:43they experience a lot of
10:45tightness in their lungs,
10:47breathing,
10:49constipation,
10:51and they experience
10:53chronic chest pain.
10:55There is another age group
10:57that we should be aware of,
10:59the elderly,
11:01people over the age of 65 and 70.
11:03Their immune system
11:05is not at its best,
11:07so the virus can take its time.
11:09Instead of causing
11:11nausea, cough, and cold,
11:13the RSV virus penetrates deeper
11:15and enters the lower part
11:17of the respiratory system.
11:19The RSV virus penetrates
11:21the airways of the lungs,
11:23and the airways are filled
11:25with thick, heavy,
11:27congested, congested,
11:29and congested airways.
11:31So the two age groups
11:33that we should be
11:35more aware of
11:37are young children
11:39under the age of six,
11:41especially infants,
11:43plus people over the age
11:45of 65.
11:47As usual, the RSV virus
11:49penetrates the airways
11:51of the lungs,
11:53and penetrates the airways
11:55of the lungs,
11:57and penetrates the airways
11:59of the lungs,
12:01and penetrates the airways
12:03of the lungs,
12:05and penetrates the airways
12:07of the lungs,
12:09and penetrates the airways
12:11of the lungs,
12:13and penetrates the airways
12:15of the lungs,
12:17and penetrates the airways
12:19of the lungs,
12:21and penetrates the airways
12:23of the lungs,
12:25and penetrates the airways
12:27of the lungs,
12:29and penetrates the airways
12:31of the lungs,
12:33and penetrates the airways
12:35of the lungs,
12:37and penetrates the airways
12:39of the lungs,
12:41and penetrates the airways
12:43of the lungs,
12:45and penetrates the airways
12:47of the lungs,
12:49and penetrates the airways
12:51of the lungs,
12:53and penetrates the airways
12:55of the lungs,
12:57and penetrates the airways
12:59of the lungs,
13:01and penetrates the airways
13:03of the lungs,
13:05and penetrates the airways
13:07of the lungs,
13:09and penetrates the airways
13:11of the lungs,
13:13and penetrates the airways
13:15of the lungs,
13:17and penetrates the airways
13:19of the lungs,
13:21and penetrates the airways
13:23of the lungs,
13:25and penetrates the airways
13:27of the lungs,
13:29and penetrates the airways
13:31of the lungs,
13:33and penetrates the airways
13:35of the lungs,
13:37and penetrates the airways
13:39of the lungs,
13:41and penetrates the airways
13:43of the lungs,
13:45and penetrates the airways
13:47of the lungs,
13:49and penetrates the airways
13:51of the lungs,
13:53and penetrates the airways
13:55of the lungs,
13:57and penetrates the airways
13:59of the lungs,
14:01and penetrates the airways
14:03of the lungs,
14:05and penetrates the airways
14:07of the lungs,
14:09and penetrates the airways
14:11of the lungs,
14:13and penetrates the airways
14:15of the lungs,
14:17and penetrates the airways
14:19of the lungs,
14:21and penetrates the airways
14:23of the lungs,
14:25and penetrates the airways
14:27of the lungs,
14:29and penetrates the airways
14:31of the lungs,
14:33and penetrates the airways
14:35of the lungs,
14:37and penetrates the airways
14:39of the lungs,
14:41and penetrates the airways
14:43of the lungs,
14:45and penetrates the airways
14:47of the lungs,
14:49and penetrates the airways
14:51of the lungs.
15:05and penetrates the airways
15:07of the lungs.
15:35I want to tell you something about the sensitivity of the chest.
15:37I want to tell you something about the sensitivity of the chest.
15:39I want to tell you something about the sensitivity of the chest.
15:41I want to tell you something about the sensitivity of the chest.
15:43Many people don't know that
15:45the bronchial asthma
15:47is one of the most common diseases
15:49is one of the most common diseases
15:51is one of the most common diseases
15:53in the world.
15:55You can imagine
15:57that the incidence of bronchial asthma
15:59in developed countries
16:01in developed countries
16:03accounts for 15-20%
16:05of the population.
16:07of the population.
16:09Out of every 100 people,
16:11out of every 100 people,
16:13we find that
16:1515% of them have chest sensitivity.
16:1715% of them have chest sensitivity.
16:19This incidence also increases in young children.
16:21This is applicable to Egypt.
16:23If we include a class with 30 children,
16:25If we include a class with 30 children,
16:276 of the 30 children
16:29have chest sensitivity.
16:31I don't think that there are two diseases
16:33that are as common as chest sensitivity.
16:35that are as common as chest sensitivity.
16:37that are as common as chest sensitivity.
16:39We have to admit that.
16:41But the important point
16:43that I want people to know
16:45that not every patient is the same.
16:47that not every patient is the same.
16:49There are huge differences
16:51and a huge difference
16:53between the sensitivity levels of a patient and another.
16:55Not only the sensitivity levels
16:57that are different,
16:59but also the causes of the sensitivity
17:01in a person
17:03may not cause sensitivity in another person.
17:05On the contrary,
17:07the response of each patient
17:09to the treatment is different.
17:11Even the symptoms of the sensitivity
17:13differ from person to person.
17:15Therefore, no one size fits all.
17:17Therefore, no one size fits all.
17:19Therefore, no one size fits all.
17:21Therefore, each person
17:23may have a different path
17:25of diagnosis and treatment.
17:27For example,
17:29if two patients
17:31from the same family
17:33have chest sensitivity
17:35and the treatment plan
17:37is completely different
17:39from one to the other
17:41because it is a tailor treatment
17:43because it is a tailor treatment
17:45and affects the efficiency
17:47of the respiratory system
17:49and the response of the patient
17:51to the treatment.
17:53It is very possible that the treatment
17:55of one patient
17:57does not affect
17:59the sensitivity of another patient.
18:01Therefore, it is very important
18:03to evaluate the sensitivity
18:05of each patient individually
18:07to determine the level
18:09and sensitivity of the body
18:11and the extent of the effect
18:13of the respiratory system
18:15on it, and what are the causes
18:17that affect it,
18:19and what is the optimum treatment
18:21that can benefit from it
18:23and what is the optimum treatment
18:25that can benefit from it
18:27and what is the optimum treatment
18:29that can benefit from it
18:31and what is the optimum treatment
18:33that can benefit from it
18:35and what is the optimum treatment
18:37that can benefit from it
18:39and what is the optimum treatment
18:41that can benefit from it
18:43and what is the optimum treatment
18:45that can benefit from it
18:47and what is the optimum treatment
18:49that can benefit from it
18:51and what is the optimum treatment
18:53that can benefit from it
18:55and what is the optimum treatment
18:57that can benefit from it
18:59and what is the optimum treatment
19:01that can benefit from it
19:03and what is the optimum treatment
19:05that can benefit from it
19:07and what is the optimum treatment
19:09that can benefit from it
19:11and what is the optimum treatment
19:13that can benefit from it
19:15and what is the optimum treatment
19:17that can benefit from it
19:19and what is the optimum treatment
19:21that can benefit from it
19:23and what is the optimum treatment
19:25that can benefit from it
19:27and what is the optimum treatment
19:29that can benefit from it
19:31and what is the optimum treatment
19:33that can benefit from it
19:35and what is the optimum treatment
19:37that can benefit from it
19:39and what is the optimum treatment
19:41that can benefit from it
19:43and what is the optimum treatment
19:45that can benefit from it
19:47This is a very important message
19:49especially for the youth listening to me
19:51especially for the youth listening to me
19:53who started smoking early or late
19:55who started smoking early or late
19:57I would like to say that the whole world
19:59is now against smoking
20:01is now against smoking
20:03We don't want it to get in our way
20:05We don't want it to get in our way
20:07We have been talking about it
20:09since the 70s, 80s and 90s
20:11We have been talking about it
20:13since the 70s, 80s and 90s
20:15The problems for smoking
20:17The problems for smoking
20:19and the warnings
20:21They are supposed lighten
20:23I think they should be lightened
20:25Especially seeing the youth
20:27Especially seeing the youth
20:29letting the smoke get to their lungs
20:31letting the smoke get to their lungs
20:33what is not affected is heart
20:35what is not affected is heart
20:37pancreas
20:39pancreas
20:41pancreas
20:43and almost everywhere in the human body
20:45but maybe we see the biggest impact of cigarettes or smoking in general
20:49not only cigarettes, but cigarettes, weed, vape, pipe
20:53all the smoking habits that exist on lungs, airways and heart muscles
20:59these are the places we are most concerned about and are most afraid of
21:03so this is a very important message I see for any smoker
21:08especially for the young people who are still young
21:10and of course for the elderly, I hope they stop smoking
21:13because cigarettes cause a decline in the ability to breathe
21:19which means that the ability to breathe reaches its peak in the age of 30
21:25and then it's necessary, with the age of 30, for it to start decreasing
21:29but in a gradual way, without feeling it
21:33but for the smokers, this decline is severe
21:36so for a patient who smokes and has a chronic lung disease
21:40we expect his ability to breathe to reach the age of 40 or 50 to be very weak
21:46which means that he is able to breathe before the age of 50, without a doubt
21:50not only on the lungs, but on other parts of the body
21:53but since I have a chest disease, I am focusing more on the lungs and the airways
21:59so what is more important than health for human beings?
22:03God has given me a large amount of money in the bank
22:06I don't mean money, I mean health
22:08the ability to breathe, air, oxygen
22:11and I clean it and use it without feeling it
22:14until there is a moment of emptiness, the cough that separates the back of the mouth
22:18the role of the lung disease, or a viral infection, or bacteria
22:21that reveals all this mystery
22:23then there is a decline in the ability to breathe and a decrease in oxygen
22:26and a rise in the level of carbon dioxide
22:28and all these mystery problems are revealed
22:31plus, this person, who has a strong immune system
22:34is not able to live a normal life
22:36he can't do sports, he can't do what he is supposed to do at his age
22:41even the normal daily activities
22:44moving, shopping, walking long distances, he can't do that
22:48and of course he tries to be arrogant and convince himself that this is a process of aging
22:51and that he is advancing in life
22:53and of course, this is not the case
22:54a person who is 40 or 50 years old can't be at peace
22:57he has to stop every round or two, because he can't breathe
23:00this is a decline in the ability to breathe that is unacceptable at this age
23:04so, this is a warning message to anyone who smokes
23:08they should try to take a decision to stop smoking
23:10whether it is cigarettes or cigarettes
23:12because for us, as lung diseases, cigarettes are more dangerous than cigarettes
23:15why is it more dangerous?
23:17because the raw material in cigarettes is much higher than in cigarettes
23:23and there are more than 50 or 60 toxins in both cigarettes and cigarettes
23:28but the percentage of cigarettes is higher
23:30cigarettes have hydrocarbons, nicotine, tar and other substances
23:34and more than 50 toxins, which are still coming
23:37but cigarettes are more concentrated
23:39and the amount of toxins in cigarettes is higher
23:41and the reduction and the effort that is being made
23:44and the negative pressure that we put on ourselves while smoking
23:47is higher, and therefore the reach of these substances to the airways and lungs
23:51is higher
23:52to the extent that there are many studies on the subject of cigarette smoking
23:56and it is estimated that a person smokes 15 to 17 cigarettes a day
24:00so, a person who smokes 2 to 3 cigarettes a day
24:03should drink 2 to 3 cigarettes a day
24:06contrary to the common understanding
24:08where many people say that cigarettes are lighter
24:10no, cigarettes are not lighter
24:12cigarettes have a stronger effect on lungs than cigarettes
24:14and therefore, it is a general call to quit smoking
24:18of course, there are many ways to quit
24:20the first one is the cornerstone
24:23which is the will
24:25the will to quit smoking
24:27and to know the harm that comes from smoking
24:29so, you can take the decision smoothly and calmly
24:31and you can quit if you control your mind
24:33if you can't and you tried a lot
24:35and you started smoking when you were very young
24:37so, your body took nicotine
24:39there are ways to quit smoking with nicotine
24:41such as drugs, medical substances
24:43additives, types of milk
24:45such as electronic cigarettes
24:47or electronic cigarettes
24:49iqos, vape
24:50by the way, these things, although they are made in social media
24:53and the internet is not the best thing
24:55but it is much better than smoking cigarettes
24:58and we consider it a gradual step to quit smoking
25:01so, the person who says
25:03I can take vape or electronic cigarettes
25:05electronic cigarettes or iqos
25:07I tell him it's ok
25:09we will do this and we will do it in a certain plan
25:11with a certain degree of nicotine in the oil
25:13and it will be gradually withdrawn
25:15as a means of quitting
25:17not as a fashion or as a look
25:19that I drink these things
25:21we want to get out of a problem
25:23and enter another problem
25:25but if we look at it
25:27as a way to quit smoking
25:29I think it is a suitable way
25:31or a good way to quit smoking
25:33let me tell you about the problems
25:35of breast cancer that we see
25:37in the age group
25:39I am still young
25:41I used to work as a nurse
25:45for 35 or 36 years
25:47and I did some editing
25:49by chance
25:51I am telling you
25:53I have been finishing this topic for half an hour
25:55we found a mass
25:57in the upper right breast
25:59he is 35 years old
26:01he is losing weight
26:03he has a severe pain
26:05he coughs a lot
26:07and his breath is heavy
26:09so we do a full up CT
26:11and we found a mass
26:13in the upper right breast
26:15of course, this is not a good news
26:17for us, for the patient
26:19and for the patient's family
26:21we had to do a full up CT
26:23and we found this mass
26:25in the upper right breast
26:27we took enough samples
26:29and we sent it for analysis
26:31and it is expected to show
26:33bronchogenic carcinoma
26:35so imagine what is the problem
26:37that we are talking about
26:39if he was not smoking
26:41we would have avoided this problem
26:43there is a clear link
26:45between bronchogenic carcinoma
26:47and breast cancer
26:4995% of breast cancer
26:51occurs in smokers
26:53and it does not have to be
26:55bronchogenic carcinoma
26:57bronchogenic carcinoma
26:59has a higher chance of having breast cancer
27:01but even if you do not drink
27:03a lot of cigarettes
27:05if you have a genetic predisposition
27:07it is possible that
27:09a few cigarettes
27:11will activate this predisposition
27:13so what should we do?
27:15what is stopping us from doing this?
27:17let us avoid this
27:19let us take the right steps
27:21God says
27:23God will not change those who resist
27:25until they change themselves
27:27so there is no problem
27:29if we change ourselves
27:31and take the right steps
27:33to avoid these big problems
27:35so that we can live a healthy life
27:37without exposing ourselves
27:39or our loved ones
27:41we can avoid this kind of psychological problems
27:43because it is a disease
27:45that can be easily avoided
27:47just by smoking
27:51Thank you