The patient needs to breath "out" longer then they breath "in".
Tepeye kadar koştuktan sonra, ben tamamen nefes nefese kaldım.
- After running up the hill, I was completely out of breath.
O, tepelerde aşağı yukarı yürürken nefes nefese idi.
- She was out of breath from walking up and down hills.
We were all out of breath when we got to the summit.