Monday, December 10, 2012

How does this asthmatic control his asthma/allergies

You know what I think is neat is the way I write about asthma and allergies on my log is similar to the way physicians wrote about the disease in the 19th century, in medical journals.  Much of what was written about asthma and allergies were based on the experience and observation of the physician writing about it.  

Every physician who wrote a book about hay fever in the 19th century had asthma with the exception of Dr. Phoebus, and he made his observations based on only one patient of his own.  What made his writings credible was because he performed a questionnaire for hay fever sufferers and compiled the date in his book.  His book, therefore, was a compilation of all the data up to the time his book was written in 1859.  

Yet pretty much all the other experts were interested in the disease they wrote about because they had the disease.  Most of their experiments were performed on themselves, and this includes the experiments performed by Charles Blackley, the physician who proved that hay fever wasn't caused by hay but by pollen.  

So if I were a physician in the 19th century I'd recommend what worked for my asthma.  I would recommend every asthmatic take the following every day, especially when he felt good:
  • Advair 250 or 500 (am and pm)
  • Singulair  (pm)
  • Claratin (pm)
  • Prilosec (am and pm)
  • Ventolin inhaler (as needed)
  • Ventolin solution (as needed)
  • Ultram (for headaches due to anxiety and sinusitis)
  • Prednosone (on hand just for those emergencies)
  • Xanax (for anxiety due to family members who don't understand)
Of course I'd also have to recommend to my patient to avoid cigarette smoke and avoid your asthma triggers as best you can.  It is best that you avoid things that trigger your asthma even if you are pressured to do those things  For example, even though your friends and family pressure you into going to hunting camp, you must not go.  

You must also, to the best of your ability, avoid dust mites.  You must have someone else put together the fake Christmas tree.  You must have someone else do the drywall.  You must have someone else do the wiring in the dusty basement.  You must have someone else pull dusty boxes from the basement closet.  

Now I know that it's impossible to avoid all your triggers.  It's not possible to live in a bubble. You have to do some things even when you know they'll bother you, but you must to the best of your ability try to avoid these things. But if you can't, that's what the Advair 500 and, if necessary, the prednisone are for.  It's also what the ventolin is for.  

The problem with living this way is you'll have to live with the stress and anxiety of living a life contrary to what a normal person would do.  You are going to have people, most of them, who have little empathy for you.  Even your wife will get annoyed and even angry with you because  you can't do simple chores around the house.  That's what the xanax is for.  

So there you have it.  That's how this guy happily makes his way through life.  

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