Thoracic Manifestations of Rheumatoid Arthritis
NHS Lung Specialist Warns Of Severe Risks From Vaping – Including 'intensive Care'
A doctor has shared a video on TikTok warning people who vape that "the only things lungs need is fresh air" as the habit can lead to a number of health issues
The doctor issued an important warning (Stock Image) (Image: Getty Images/iStockphoto)
Vaping's rise in popularity has been meteoric, with many drawn to the habit for its indoor-friendly lack of stench, an array of tantalising flavours, and of course, its addictive nature.
However, an NHS respiratory specialist has issued a stark warning, insisting that "the only things lungs need is fresh air" and is calling on vapers to watch her video. She highlights the serious health risks associated with vaping, including the potential need for "intensive care".
The medic, who goes by @doc.Dewdrop on TikTok, identifies herself as a "chest doctor" and aims to shed light on the frightening consequences of persistent vaping.
She begins by explaining: "EVALI describes a range of injuries to the lung caused by vaping, and it stands for E-Vating Accute Lung Injury". Displaying a chest X-ray, she points out "hazy diffused shadowing" across the lungs, clarifying that while "a normal lung is black, abnormal is white" on such images.
She reveals that these white patches signify "acute inflammation", which can escalate dramatically. "The very worst way this can present is progression to something called ARDS, or Acute Respiratory Distress Syndrome", she elaborates, adding: "There's no air getting into that lung or going into the body as oxygen. This person will require ventilatory support on the intensive care unit".
She then revealed another chest X-ray of hypersensitivity pneumonitis, describing it as "like an allergic reaction to compounds within the vape that causes acute inflammation in the lung". Symptoms include a cough, phlegm, sputum, and occasionally coughing up blood. Sufferers will also experience shortness of breath.
Next, she highlighted "popcorn lung", a condition where the small airways become inflamed and damaged, leading to thickening and fixation, known medically as obliterative bronchiolitis. This results in trapped air within the lungs during breathing, causing breathlessness.
She proceeded to show images of lungs with fat and lipoid pneumonitis, explaining that "the lungs don't want to have fat tissue in them", and that it acts as an "irritant to the lungs and they heal with scarring and fibrosis".
Following this, she displayed a pnemothorax, "where the lung has collapsed as air gets in the plural space and makes the lung go down". Symptoms include acute shortness of breath and it can make you feel quite unwell.
She noted that all these conditions result in scarring, which leads to "shrinkage", and when the lungs "shrink and become stiff you can't exchange oxygen properly and you can't breathe efficiently".
The doctor concluded by saying that the long-term effects of vaping are still unknown, adding that "nicotine affects the brain and it's likely to be affecting mental health in our young people".
After Lung Transplant, Woman Finds Love With Late Donor's Brother
A West Virginia woman married the love of her life on Sept. 28 after receiving a double lung transplant and meeting and falling in love with her late donor's brother.
Jennifer Ellis, who also happens to be Ms. West Virginia America 2015, underwent a double-lung transplant at Cleveland Clinic in 2019, receiving a set of lungs from late donor Jill Ellis.
"My call came. The lungs are here. They found a set for me and I'm so excited," Jennifer Ellis said in a video recorded shortly before her transplant surgery. "It's definitely bittersweet because I know that some beautiful young lady had to pass away in order for me to get my lungs. I don't know that I'll ever know who you are, but thank you."
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According to Cleveland Clinic, Jennifer Ellis was born with situs inversus, a rare condition where the body's organs are flipped.
Jennifer Ellis was born with a rare condition called situs inversus and also has primary ciliary dyskinesia, a rare disease that can cause breathing problems and infections.
Courtesy of Jennifer Ellis
"My heart, stomach and spleen are on the right side instead of the left, and my gallbladder and liver are on the left instead of the right," Jennifer Ellis told Cleveland Clinic.
After being diagnosed with situs inversus at birth, Ellis was later diagnosed with primary ciliary dyskinesia, a condition that can lead to frequent sinus infections, lung damage, and can also be associated with situs inversus, according to the National Institutes of Health.
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Jennifer Ellis' condition turned into a chronic situation, and despite previously leading an active lifestyle, doctors eventually recommended her for the transplant waiting list.
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"I was very active before this, but that had to stop, because it got to the point where I was constantly hooked up to machines. I couldn't really go anywhere except for the doctor's [office]," Jennifer Ellis told Cleveland Clinic.
After receiving her new lungs, Jennifer Ellis said she experienced transplant rejection, but she said she is working with her care team to build up her lung strength.
Jennifer and Travis Ellis married in West Virginia on Sept. 28, 2024.
Courtesy of Jennifer Ellis
Along the way, she met her late donor Jill Ellis' family, including her brother Travis Ellis, who lived in Wisconsin.
"When I met Travis for the first time, I thought he was cute as could be," Jennifer Ellis told Cleveland Clinic. "But I never thought in a thousand years it would turn into anything. It wasn't even an option in my head because of the distance."
But the two hit it off and became friends in what Jennifer Ellis described to Cleveland Clinic as an "instant" connection. Later, their friendship turned into something more, and they fell in love.
Jennifer and Travis Ellis married in West Virginia on Sept. 28, 2024.
Courtesy Karen Akers
"Whenever she was at the hospital, I would check on her so she didn't feel lonely. Everything just happened naturally," Travis Ellis told Cleveland Clinic.
Travis Ellis proposed to Jennifer in July 2023 and the couple tied the knot 14 months later. In addition to their families and friends, the Ellises also said "I do" in front of their guest of honor, one of Jennifer Ellis' doctors, Dr. Marie Budev, a pulmonologist and the medical director of Cleveland Clinic's lung transplant and heart-lung transplant programs.
Jennifer Ellis with one of her doctors – Dr. Marie Budev, a pulmonologist and the medical director of Cleveland Clinic's lung transplant and heart-lung transplant programs.
Courtesy of Jennifer Ellis
"When Jennifer asked me to be the guest of honor at her wedding, I was so flattered," Budev said. "But the real guest of honor is her donor, and [she was] there with us in spirit."
Jennifer Ellis said organ donation saves lives and Jill Ellis' gift to her has been nothing short of life-changing.
"Becoming an organ donor saves lives. It allows others to create memories they wouldn't have if it wasn't for organ donation," she said. "Without my donor, I would have never met the love of my life."
Top Lung Surgeon Suspended After 'squeezing' Junior Female Colleague's Bottom And 'brushing His Body Against Her Breasts'
A top lung surgeon has been suspended after a 'squeezing' a junior female colleague's bottom and 'brush[ing] his body against her breasts' twice, a tribunal heard.
Dr Rajesh Shah, who was a consultant thoracic surgeon at Wythenshawe Hospital in Manchester, was found to have sexually harassed his co-worker by a tribunal.
The 61-year-old also confessed to calling female members of staff 'birds' when he forgot there names, and also had colleagues do sections of his mandatory training.
Allegations of inappropriate behaviour towards two female co-workers, which occurred between 2005 and 2021, was placed against the lung doctor.
It was claimed that some of that behaviours 'constituted of sexual harassment. The tribunal later found that allegations made by one co-worker were not proved.
Dr Rajesh Shah as been suspended after a 'squeezing' a junior female colleague's bottom and 'brush[ing] his body against her breasts' twice
The consultant thoracic surgeon at Wythenshawe Hospital (Pictured in 2019) has been suspended for 12 months after being found guilty of serious misconduct
The Medical Practitioners Tribunal Service found him guilty of serious misconduct and he was suspended for 12 months.
After a complaint was lodged against the lung surgeon, the Trust began an investigation into Dr Shah in 2021.
By the following April, the consultant was dismissed with the incident also being referred to the police.
There was an 'imbalance of power' between Dr Shah, who qualified at Bombay University in 1988, and the complainants, the tribunal said.
On October 11, 2014, Dr Shah put his arm around a female staff member, known as Colleague B, and 'steered her towards the coffee room'.
There he gave her a hug and touched and squeezed her bottom.
On October 2, 2019, Dr Shah is said to have started a conversation with Colleague B, during which he 'brushed his body against her breasts' and 'squeezed her right buttock'.
Colleague B told the tribunal: 'I recall telling Dr Shah that he... Could not touch me like he did there as I did not like it and never to do it again.
'I recall he apologised and said he wouldn't do it again. He wasn't surprised or shocked that I had approached him,
'I got the impression that he knew what he did was wrong. The conversation was very quick.'
Dr Shah denied any wrongdoing, dubbing himself as 'tactile by nature' and stating there may have been 'social touching.
Following the incident, Colleague B lodged a formal complaint, to which Dr Shah responded to her in a written format, the tribunal heard.
'I am writing to apologise for making you feel uncomfortable,' he wrote.
'I understand that I hurt you by compromising your personal space and by touching you in a way which you felt was inappropriate. For this I am truly sorry.'
The tribunal ruled that any well-informed member of the public or colleague would find Dr Shah's conduct towards Colleague B 'deporable', concluding he was guilty of 'serious misconduct'
The tribunal ruled Dr Shah's conduct constituted sexual harassment because it created an 'intimidating, hostile, degrading, humiliating or offensive environment'.
Rosalind Emsley-Smith, representing the General Medical Council, said his 'grossly inappropriate' behaviour meant Dr Shah should be struck off.
A file image of the Medical Practitioners Tribunal Service
Representing Dr Shah, Stephen Brassington, argued that would be disproportionate, adding that while the lung surgeon 'let down the profession' his 'conduct towards his patients had always been appropriate and proper.'
'A right thinking reasonable member of the public would want him back at work as soon as possible in an effort to make amends,' Mr Brassington continued.
The tribunal, chaired by Gerry Wareham, suspended Dr Shah for a year, concluding that while his misconduct was a 'serious breach it 'fell short of being fundamentally incompatible with continued registration'.
Several other allegations against Dr Shah, made by a different woman referred to as Colleague A, and spanning between 2005 and 2021, were found not proved.
They included claims that he masturbated in her presence, put his hands up her skirt, touched her genitals over her underwear, 'rubbed his penis up and down her legs' and touched her bottom and breasts while she was sat in his office.
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