For years, I told myself I was doing everything right.
Patients would come in. I'd prescribe Mucinex. Increase doses. Recommend NAC supplements.
They'd improve for a few weeks. Then decline. Then get worse than before.
"That's just COPD," I'd tell them. "It's progressive. We manage the symptoms."
But one patient made me realize I was lying to myself.
Dorothy. 67 years old. Stage 3 COPD. My patient for four years.
She did everything I told her. Mucinex 1200mg twice daily. Mullein tea every night. NAC supplements. Pineapple juice every morning.
Every three months, she came back worse.
"Dr. Moore, I'm doing everything. But I wake up choking now. I can't sleep flat anymore. I spend thirty minutes every morning coughing and barely anything comes up."
I increased her Mucinex. Added more recommendations.
Three months later: worse.
Then she ended up in the ER. Mucus had completely blocked her airway.
I went to see her in the hospital. She was exhausted. Defeated.
She looked at me and asked: "Why do you keep prescribing things that don't work?"
I stood there with no answer.
That question haunted me for weeks.