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Dr. Jennifer Rebecca Noble, MD is a pediatrician in Detroit, MI specializing in general pediatrics and pediatric emergency medicine. Dr. Jennifer Rebecca Noble, MD is affiliated with Detroit Medical Center (DMC).
3901 Beaubien Emergency Medicine Ground Floor
Detroit, MI 48201
Asthma
Asthma is a chronic lung disease where the tissue and airways of the lungs become extremely sensitive to certain substances. When these substances are breathed in, the lungs become inflamed. The muscles around the airways tighten and squeeze the lungs, and passages within the lungs swell and tighten. The airways themselves produce mucus, which further clogs the tightened, swollen airways. A person having an asthma attack finds it very difficult to breathe, and a severe attack can even be fatal.
Asthma affects people of all ages, but people with asthma are most often diagnosed as children. Symptoms can include wheezing, a tight feeling in the chest, shortness of breath, and coughing. Some people have mild symptoms all the time, and some people have no symptoms at all, but everyone with asthma is susceptible to occasional severe attacks or flare-ups of symptoms when they are exposed to triggers. Triggers vary widely but can include:
Treatment for most asthma patients involves three steps. Patients learn what their asthma triggers are and avoid them. They take a daily control medication, usually an inhaled corticosteroid, to reduce inflammation in the lungs. Also, they have rescue medication with them at all times to take in case of a severe attack. These quick-acting inhaled medications relax the muscles around the airways and allow the lungs to open up for air.
There is no cure for asthma, but with treatment it should not interfere with daily life and activities.
Skin Grafting
When a large area of skin is too damaged to heal, a skin graft may be used to protect the tissue underneath and reduce scarring. A layer of healthy skin is taken and moved to the injured area, where it is fixed in place. Skin grafts are used to treat burns, infections, large wounds, ulcers, and other significant problems that affect the skin.
There are several different types of skin graft, depending on where the donor skin is taken from:
In all cases, the skin graft may either be full-thickness or partial-thickness. While thicker grafts make recovery more difficult for the donor site, they heal more easily than thinner grafts.
Before skin graft surgery, patients are given anesthesia so they cannot feel any pain. If using an autograft, the surgeon carefully measures and removes the skin from the donor site. Sometimes the graft is cut in a mesh-like pattern, to allow a small piece of donated skin to stretch and cover a larger area. This also helps oxygen pass through the graft. The site where the skin graft will go is cleaned well to remove any dirt, bacteria, or dead skin cells. Then the skin graft is placed and attached with stitches or staples. It is often covered with antibacterial ointment and supportive bandages for the first few days.
As the skin graft heals into its new position, new blood vessels grow to reach and support the skin. Depending on the thickness of the graft, oil glands, sweat glands, and hair follicles may also regrow. Recovery time depends on the thickness of the graft and the overall health of the skin in the grafted area, but it generally takes from two to four weeks.
She has a state license in Michigan.
Licensed In: Michigan
Dr. Jennifer Rebecca Noble, MD is associated with these hospitals and organizations:
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Dr. Jennifer Noble is a pediatric emergency medicine and general pediatrics specialist in Detroit, MI. Her areas of expertise include the following: gastrostomy (G-tube insertion), vomiting, and abscess drainage. She is professionally affiliated with Detroit Medical Center (DMC).