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Medical Forum / Diseases and Disorders / Asthma / September 2005

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Possible nubulizer down the futher

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Michelle Moreland Orlando - 04 Sep 2005 08:41 GMT
I don't have anyone to talk to in my town that I know about this
question as I have lost two friends last year and the year before.

I have been asthma under controll since January of this year, my
husband lost his job in Dec., and then in Jan of this year he had a
rupture to his intestine which was a touch and go, he recovered and in
May he had his intestine re-attached. Was doing great but the two
visits to the hospital during those months, had repiratory infections.
He recovered from the second surgery.
I live in SWC TX and the weather has been bad with ozone and hot, hot.

I have felt that I never recovered from the latest infection as my
pharmacy didn't have the full amount of the antibiotic on hand and
would inform me when they received it as they didn't, I completely
forgot about it and when I went to get my Advir 250 that is when I got
the last 4 tabs.
Then the house has been closed up in our 40 yr home with hepa filters
and being faithful to keep house clean, a/c on. Well, my husband was
hired by two weeks ago and doing great in job, but had to pass a test
that had to be 90 percent. He made a "B" on the test and lost the job.
Guess what, with this stress again, and the hurricane as I have family
in NO and surrounding area and don't know if they are safe, I have
another infection. Because of the weekend and I have the antibiotics I
have enough to last until I see my allergist Tuesday.

Here is my question,  my peak flows have been good until all this
stress and getting infections, had not had to use an inhaler. Oh, and
I was on Ventolin with the ozone free canister which I always felt
never did a good job, now I am informed Ventolin is no longer
available so I got Abuterol and it seems all of a sudden my lungs are
clearer and I am coughing up phlem.
I am on Advair 250 2x's a day, rescue inhaler if needed, which I had
not had to use, plus, saline nose spray and decongestant and
antihistimine plus allergy shots once a month.

I am diagnoised with COPD/asthma which has been ok so far.
Now my question, if I have to ever be prescribed using a nubulizer,
does this mean I am getting worse? When is the nubulizer prescribed
for patients?
Sorry for this long message, but do not have friends anymore who were
on the nubulizer around to ask some of them had bad COPD.

Michelle in TX
Sheri Shank - 05 Sep 2005 01:00 GMT
I was prescribed a nebulizer about 3 years ago when I got bronchitis..
followed by pneumonia... and then RSV (yes.. I am an adult... it was not
a pretty sight..... it took several months to get over it).... I have
had to use it since then... and I have gone from the "plug-in" kind to a
battery operated one because rescue inhalers no longer work for me....
in my case it was because I was getting worse.. but my dr has told me
that they are finding out that it does a better job of delivering the
meds than the newer "dry" methods they are using.... she at least
doesn't think that the "dry" ones (advair... spiriva) work.. I don't use
advair anymore.. in fact I seem to have less trouble since I went off
it.. and I have been on it since it first came out.... (just went off it
about 2 months ago... I live in Northern KY... and we have had several
days this past summer of unsafe for sensitive people....).... I guess
what I want to say is just because you might need one doesn't mean you
are getting worse... per se... it just may mean that you need a
different method of getting the meds into your lungs...  hope this
helps... and if you wanna talk to someone email.... (sheri at s a b
holmes dot com..... (take out the spaces between s a b holmes).....

> I don't have anyone to talk to in my town that I know about this
> question as I have lost two friends last year and the year before.
[quoted text clipped - 39 lines]
>
> Michelle in TX
jackmallory@webtv.net - 06 Sep 2005 02:56 GMT
The nebulizer works better for me.  Every morning I spend ten minutes or
so with it and breath that albuterol deep into my lungs.

I also take the mist into my nostrils and it opens up the sinuses.

My albuterol MDI on hand for use later in the day and for if I need a
"rescue" from SOB.

I do use the (powder) Spiriva and the new steroid, also a powder,
Asmanex.

You probably should be using one of the topical steroids: Flovent,
Pulmicort or Asmanex optimally.

And the time to use the powders is when your airways are open and you
feel relaxed shortly after  a nebulization session.

Jack
Alison Chaiken - 06 Sep 2005 04:08 GMT
http://www.nytimes.com/2005/09/06/health/psychology/06asth.html?ex=1283659200&en
=e6b20b422b777f83&ei=5088&partner=rssnyt&emc=rss


Signature

Alison Chaiken            "From:" address above is valid.
(650) 236-2231 [daytime]    http://www.wsrcc.com/alison/
Predators fail often; prey fail only once. -- Tom Evslin

jackmallory@webtv.net - 06 Sep 2005 17:43 GMT
Allison was good enough to post something from the Times.  I'm printing
it out below.  I'm sure many of you are not subscribers of the New York
times on Line.  It wasn't easy for me, some years ago, to sign on:
believe me!  But, ya know, perserverance--blah blah.---Jack

<<<Brain Scans Find Spot That Links Stress to Asthma

By NICHOLAS BAKALAR
Published: September 6, 2005
Using brain scanning techniques, researchers have located a specific
part of the brain that causes people with asthma to wheeze and gasp for
breath when under emotional stress.
Their report, released on Aug. 29, will appear in the Sept. 13 issue of
The Proceedings of the National Academy of Sciences.
Skip to next paragraph

Forum: Mental Health and Treatment
Asthma sufferers often note that anxiety and emotional turmoil make the
symptoms of an attack much worse, and in some cases, emotion alone can
precipitate an attack.
Previous research has shown, for example, that college students with
asthma have greater airway inflammation when they are exposed to an
allergen during exam week than when the exposure occurs at a less
stressful time.
Though these psychological exacerbations of asthma were well known, the
physical connection between the brain and the immune system had not been
described.
Richard J. Davidson, the senior author of the paper and a professor of
psychology and psychiatry at the University of Wisconsin, said the work
showed that when people with asthma are exposed to their allergen, "you
find certain centers in the brain that we know are intimately involved
in emotions that get activated."
In asthma attacks there are at least two phases. First, the inhalation
of an allergen provokes a release of chemicals that cause smooth muscles
to contract. A result is the tightness in the chest that many asthma
sufferers feel when an attack begins. Then, other cells are activated
that release chemicals called cytokines to fight off the invading
allergen. This causes inflammation.
Together, these reactions bring on airway obstruction and difficulty in
breathing.
In the new study, the researchers exposed six volunteers with mild
allergic asthma to two different substances, one that caused muscle
constriction, and a second that caused inflammation.
At one hour and four hours after the exposure, the participants' brains
were scanned using functional M.R.I., essentially photographing the
brain's activity during the muscle constriction stage and then at the
inflammation stage of the attack.
During the scans, the participants were asked to read words shown on a
screen. Some were emotionally neutral, like "curtains." Others, like
"lonesome," were likely to provoke negative emotions. Still other words
were specifically associated with asthma attacks, like "wheeze," "cough"
or "suffocate."
The researchers found that brain activity in the early muscle
contracting phase of the asthma attack differed from that in the later
inflammatory phase.
They also found that the presentation of words specifically associated
with asthma attacks caused increased activity in the inflammatory phase
in parts of the brain that govern emotions. This effect was not apparent
when the subjects were shown the neutral or negative words.
The authors said the study had certain limitations.
It involved a small number of subjects, and, therefore, only the
strongest brain activity was likely to be detected statistically.
And, they said, it is likely that parts of the brain other than those
examined in this study are involved in the process.
Still, they said, the data may have broader implications for the role of
the central nervous system in causing or controlling inflammation, and
the study reveals an unknown link between the brain and physiological
events in a separate part of the body.>>>

Yeah that's me.  I really feel the exacerbation from stress and exercise
now that my emphysema is doing so well for itself. !#%$$&^*+$#!
Nancy - 06 Sep 2005 04:21 GMT
> The nebulizer works better for me.  Every morning I spend ten minutes or
> so with it and breath that albuterol deep into my lungs.
[quoted text clipped - 14 lines]
>
> Jack

Hey Jack -

How's the Asmanex working???

Life is uncertain..........eat dessert first!!

Nancy
8=: )
 
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