- With Mayo Clinic emeritus internist
Edward C. Rosenow III, M.D.
read biographyclose windowBiography of
Edward C. Rosenow III, M.D.
Edward C. Rosenow III, M.D.
Dr. Edward Rosenow III sees a natural link between the Information Age and health care as a way to promote better health. Dr. Rosenow, a Columbus, Ohio, native, is board certified in internal medicine and pulmonary disease and worked in the Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minn. He retired from clinical practice in 1996 after 30 years' service at Mayo Clinic.
"It has always been my feeling that the better informed the patient is about his or her body and its functions, the better the patient-physician partnership," he says. "The informed patient is in turn more compliant with the physician's recommendations and better able to make intelligent decisions about health care needs."
Dr. Rosenow is a former Arthur M. and Gladys D. Gray Professor of Medicine and former chair of the Division of Pulmonary and Critical Care Medicine at Mayo Clinic. He was also president of the American College of Chest Physicians, consultant to NASA on the Space Station Freedom project, president of the Mayo Clinic staff, a regent with the American College of Chest Physicians and program director of the internal medicine residency program at Mayo Clinic.
During his distinguished career, Dr. Rosenow was a five-time Teacher of the Year in internal medicine and inducted into the Mayo Fellows Hall of Fame of Outstanding Teachers.
In 1994, he won the Distinguished Mayo Clinician Award from Mayo Clinic staff and in 1995 was honored with the Ralph O. Claypoole Sr. Memorial Award for Lifetime Dedication to Patient Care by the American College of Physicians. He was named to a mastership by the American College of Physicians in 1998 and that year also won the Mayo Foundation Distinguished Alumnus Award. He is also a Master Fellow in the American College of Chest Physicians. In 2008, a professorship was established in his name — the Edward C. Rosenow III, M.D., Mayo Professorship in the Art of Medicine.
Dr. Rosenow has contributed to 156 publications, including 48 book chapters and one co-authored book.
Definition (1)
- Barrel chest: What causes it?
Complications (1)
- Hyperinflated lungs: What does it mean?
Treatments and drugs (1)
- Spiriva side effects: Is stomach upset a concern?
Lifestyle and home remedies (1)
- Emphysema: Does cold weather make it worse?
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Question
Spiriva side effects: Is stomach upset a concern?
My husband takes Spiriva for his COPD. It definitely helps his breathing, but it causes terrible stomach upset and vomiting. Is this common? Is there anything he can take with Spiriva to reduce these side effects?
Answer
from Edward C. Rosenow III, M.D.
Tiotropium (Spiriva) is an inhaled medication used to treat breathing problems associated with chronic obstructive pulmonary disease (COPD), such as emphysema. Stomach upset and vomiting are uncommon side effects of Spiriva.
To reduce gastrointestinal side effects, it's important to take Spiriva exactly as directed. When inhaling the medication, inhale slowly and deeply until your lungs are filled. Then hold your breath for as long as comfortable before resuming normal breathing. If you don't inhale deeply enough, most of the medication gets deposited in the back of your throat — where it's swallowed into your stomach — instead of in your lungs.
Also, it's important to rinse your mouth with water right after inhaling the medication. Then spit out the water rather than swallowing it. This reduces the amount of medication that you swallow into your stomach.
If gastrointestinal problems are severe or persist despite trying these methods, your husband should consult his doctor.
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