### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
In September my husband was diagnosed with Lyme Disease, which we have learned causes respiratory problems, among other things. Beforehand he was diagnosed with COPD & Emphysema, he is prescribed Symbicort & Spiriva for these conditions. We are located in WV and at this time are having extremely cold temps. and he is having severe trouble breathing is there anything you can suggest we do at home to help his breathing in addition to the medications he is already taking? I understand the emergency room is available for emergency services but at this time driving conditions are very hazardous, if you have any suggestions short of a trip out to the emergency room, they would be so very greatly appreciated. Thank you so much!

### output:

**1. One possible symptom of Lyme disease is air hunger or so-called shortness of breath [SOB], and is due to Babesiosis [which is one of the Lyme coinfections]2. In best position I would suggest you to see a LLMD [Lyme-literate M. D] since most general doctors/physician don't know that much about Lyme and how to treat it properly and taking antibiotics in such condition will only worse the symptoms, called as herx.PS. The presence of antibodies in the blood is not sufficient reason for continued or pretreatment with antibiotics & currently, there is no available vaccine in the market for Lyme disease.3.  Emphysema/COPD is progressive and worsens every year, one has to live with it, stressing on deep breathing exercises, avoiding exertion and low dose steroids for severe cases is key to management. If breathing difficulty gets severe, seek help from ED [emergency department]PS. Acute exacerbations are usually due to infection and are related to change in weather.