Asthma and COPD Management in the Rockaways

November 3, 2026

Understanding the Difference Between Asthma and COPD

Asthma and Chronic Obstructive Pulmonary Disease (COPD) are two common respiratory conditions that can make breathing difficult and significantly impact daily life. While both conditions share symptoms such as coughing, wheezing, chest tightness and shortness of breath, they are distinct diseases that require ongoing management and medical care. According to Tessy Peter, MD at Episcopal Health Services (EHS), understanding the differences between asthma and COPD, as well as recognizing worsening symptoms, can help patients better manage their health and reduce the risk of serious complications. 

Asthma is typically caused by airway inflammation and is often triggered by pollen, mold, dust, humidity, exercise or other environmental irritants. It commonly develops earlier in life, and symptoms may fluctuate over time. COPD, on the other hand, is most often linked to long-term smoking or prolonged exposure to pollutants and generally develops later in adulthood. Unlike asthma, COPD causes more permanent lung damage. In some cases, patients may experience both conditions, particularly if someone with asthma continues smoking or has ongoing exposure to environmental irritants.

Environmental Factors

Environmental conditions can also contribute to respiratory flare-ups. Coastal humidity, wind-driven pollen, mold exposure, traffic-related pollution and secondhand smoke can all worsen symptoms for individuals living with asthma or COPD. Dr. Peter noted that some homes in the area continue to experience lingering moisture and mold issues following hurricanes, nor’easters and other storms, which can further increase respiratory irritation and breathing difficulties.

Managing Asthma and COPD Symptoms

Managing asthma and COPD often requires a combination of medication, patient education and lifestyle modifications. Patients are commonly prescribed maintenance inhalers to control symptoms long-term, as well as rescue inhalers for sudden breathing difficulties. At EHS, pulmonary specialists, respiratory therapists and pharmacists work closely with patients to ensure proper inhaler use and help identify triggers that may worsen symptoms. Patients with asthma may also use peak flow meters at home to monitor their breathing and recognize when symptoms are becoming more severe. 

Dr. Peter emphasized the importance of seeking medical attention if symptoms suddenly worsen or if rescue inhalers are no longer providing relief. Severe shortness of breath, difficulty speaking or bluish discoloration may be signs that emergency care is needed.

Protecting Your Lung Health

Smoking cessation is one of the most important steps patients can take to protect their lung health. Dr. Peter also cautioned that vaping and marijuana use can still irritate and damage the lungs, particularly for individuals with underlying respiratory conditions. In addition to avoiding triggers, maintaining regular follow-up appointments with a primary care provider or pulmonologist can help patients better manage their symptoms and maintain their overall health over time. 

Preventive care is also critical. Patients living with asthma and/or COPD are encouraged to stay up-to-date on flu, COVID-19, RSV and pneumonia vaccinations to help reduce the risk of serious respiratory infections. 

At EHS, patients have access to pulmonary specialists and personalized treatment plans designed to help them manage asthma and COPD more effectively while improving their quality of life.

Call 718-EHS-DOCS (347-3627) to schedule an appointment with an EHS Pulmonologist or click here to learn more about pulmonary care services at EHS.