{"id":16051,"date":"2018-05-21T10:51:41","date_gmt":"2018-05-21T16:51:41","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=16051"},"modified":"2022-07-29T12:32:09","modified_gmt":"2022-07-29T18:32:09","slug":"adultasthma","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/adultasthma\/","title":{"rendered":"UCHealth team gets \u2018Lunch Lady\u2019 tasting again"},"content":{"rendered":"
<\/div>
\"Vicki
Vicki Burke, who runs the cafeteria at Holy Family High School, assists junior Angelo Christoff at the register. She\u0092 is back to her old self with help from the UCHealth\u0092’s Comprehensive\u00a0Lung and Breathing Program.<\/figcaption><\/figure>\n

Vicki Burke\u2019s email tag includes a quote from Mother Theresa. It reads: \u201cIf you can\u2019t feed a hundred people, then feed just one.\u201d<\/p>\n

Burke can feed 100, easy. In fact, five days a week, she leads a team that cooks for 650. She runs the cafeteria at Holy Family High School in Broomfield. She could go by \u201cexecutive chef\u201d or \u201cfood service manager,\u201d but Burke, 57, just likes to be called \u201cthe Lunch Lady.\u201d Her kids, as she calls the Holy Family student body, generally refer to her simply as \u201cMama.\u201d<\/p>\n

She\u2019s been an actual mama, and she\u2019s now a grandmother of seven. Whatever you call her, she\u2019s feeling a whole lot better these days, thanks to UCHealth\u2019s Comprehensive Lung and Breathing Program.<\/a><\/p>\n

Burke had never had breathing issues. Then about four years ago, the wheezing started. Her doctor diagnosed her with adult-onset asthma (which, as long as we\u2019re being flexible with names, you can also call late-onset asthma).<\/p>\n

She ended up at an allergist, taking shots for sensitivity to trees. But long after the leaves had fallen and well before the spring burst of pollen, she was still wheezing. She was prescribed an inhaler, and during cold-and-flu season, the steroid prednisone. Then her nose and sinuses got into the act, to the point that she couldn\u2019t smell and could scarcely taste. That\u2019s not good for anyone, and worse yet if you\u2019re a Lunch Lady. She would have to ask her staff questions like, \u201cDoes this have enough salt?\u201d<\/p>\n

It got to where she was going through three or four boxes of tissues a day. The kids at Holy Family noticed. \u201cMama, you\u2019re not feeling well,\u201d they told her. A surgery to remove sinus polyps restored her sense of smell, but the polyps came back after a while, robbing it again. A second surgery repeated the process. The polyps returned, and it got to the point that her nose and lungs produced so much mucous she couldn\u2019t sleep, The wheezing wasn\u2019t getting better, and her face was \u201cstarting to look like a basketball because of all of the prednisone,\u201d Burke said.<\/p>\n

More than a hunch<\/strong><\/h3>\n

She learned of a UCHealth sinus specialist, otolaryngologist Dr. Todd Kingdom<\/a>, who might be able to help. In December 2017, Burke sat down with him and described what she had gone through. He listened, and then said, \u201cI think I know what it is.\u201d<\/p>\n

A blood test confirmed it. It wasn\u2019t just a sinus problem per se, but something more complicated called eosinophilic asthma<\/a>, an inflammatory disorder. The sinus problems stemmed from it. White blood cells called eosinophils, which usually increase with allergies, trigger inflammation in the lungs\u2014and also the sinuses. That, in turn, can lead to the sorts of polyps that Burke had twice had surgically removed.<\/p>\n

\u201cIn the United States, 80 percent of those with nasal polyps will have an increased concentration of eosinophils in the sinus tissue,\u201d Kingdom said. \u201cAnd an 80-percent chance of asthma.\u201d<\/p>\n

Kingdom could surgically remove the polyps to ease Burke\u2019s sinus symptoms. But he knew that, unless he addressed the underlying cause \u2013 the eosinophilic asthma \u2013\u00a0they\u2019d probably just come back like they did last time.<\/p>\n

Burke had come to the right place in a couple of ways. First, while severe adult-onset eosinophilic asthma is uncommon, academic medical center specialists such as Kingdom frequently see difficult cases referred from outside physicians, so he sees enough eosinophilic asthma and related sinus disease that it\u2019s on his radar. Second, Kingdom\u2019s work as part of UCHealth\u2019s Comprehensive Lung and Breathing Program places him among a stable of specialists who collaborate on cases like Burke\u2019s. In this case, he brought in Dr. Fernando Holguin<\/a>, a UCHealth lung specialist who leads the Severe Asthma Clinic and research program for the Comprehensive Lung and\u00a0Breathing Program.<\/p>\n

Dial it back<\/strong><\/h3>\n

The blood test showed Burke\u2019s eosinophil production to be in hyperdrive. In such cases, Holguin said, traditional asthma treatments often don\u2019t work. He prescribed one, then a second biologic \u2013 medications that work by adjusting how the immune system operates. The first, zileuton (Zyflo), is a pill; the second, reslizumab (Cinqair), is a once-a-month infusion. The drugs act on different links of the immune-system chain, with the common goal of tamping down on eosinophils and other cells causing inflammation. New eosinophilic asthma patients hoping for relief come to the Severe Asthma Clinic on a weekly basis, Holguin said; these therapies have helped many of them.<\/p>\n

They\u2019re helping Burke. She\u2019s off steroids and allergy shots and can taste the salt again. The Comprehensive Lung and Breathing Program\u00a0has made \u201ca huge difference in quality of life,\u201d she said.<\/p>\n

Burke says she may need the medications the rest of her life, and now that the underlying cause is on a short leash, another sinus surgery to remove polyps may be in the cards, this time with a much better chance of a successful outcome. But she\u2019s grateful, she said, and amazed at how much better she feels.<\/p>\n

\u201cThey gave me back more than I could ever repay UCHealth,\u201d she said. \u201cEverybody depends on me \u2013 I\u2019m the Lunch Lady.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Vicki Burke\u2019s email tag includes a quote from Mother Theresa. It reads: \u201cIf you can\u2019t feed a hundred people, then feed just one.\u201d Burke can feed 100, easy. In fact, five days a week, she leads a team that cooks for 650. She runs the cafeteria at Holy Family High School in Broomfield. She could […]<\/p>\n","protected":false},"author":23,"featured_media":16056,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[338,9138,1112,3357],"class_list":["post-16051","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-allergy-care-and-immunology","tag-ear-nose-and-throat-care","tag-ear-nose-throat-care-otolaryngology","tag-lung-and-respiratory-care-pulmonology"],"acf":[],"yoast_head":"\nUCHealth team gets \u2018Lunch Lady\u2019 tasting again - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Four years ago, the wheezing started. 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