- Lungs: Bronchospasm, emphysema (air trapping), fluid in the lungs
- Heart: Increased in size, weak pump, failure
- Nose: Crease on bridge of nose, nasal irritation
- Chest: Barrel chest, malformation of chest wall
- Spine: Curvature of the spine, hunchback
- Stomach: Eating too much made breathing difficult
Monday, May 16, 2011
1850s: Asthma was thought to involve other organs
Thursday, May 12, 2011
Asthma resolutions don't work for me
I suppose I could just ignore this topic altogether, yet it makes for a good talking point. The reason I can't make a resolution to help me make my asthma better is not because my asthma is perfect, it's because I know I will never stick to it. That's just me. I know me.
We humans are creatures of habit. My habit when I get up in the morning is to take my asthma controller medicines and then brush my teeth. When I go to bed I take my asthma controller medicines and then I brush my teeth. That's my habit. That's my routine. That's my life.
I can say that I will create a diary and do a peak flow daily to monitor my symptoms, but I know I won't stick to it. I might do it a week or two, but I won't stick to it. So making a resolution to make this change might be nice, and it might even result in better asthma control, yet I much prefer to simply monitor my symptoms.
It's what I've always done. Besides, I know me. I know my signs and symptoms of asthma. I also know peak flows are made to get lost and never found.
I can make a blog post with five resolutions of how I will use my blogs to help other people, but isn't that something I already do? Sure, I could do more, yet I'm not a social person so I know I won't make a public appearance any time soon. Any communicating or teaching I do is right here in the faceless blogosphere.
Ten years ago this might have been different. Ten years ago I didn't know me well. Ten years ago I was still trying to be like my dad. Yet now I know I'm not the outgoing, partying, cool, fun, social person that my dad is. I'm me. I'm an asthmatic, introvert, thinking, writing, blogging, educating, history loving, reading, fool.
I personally think that the best way to gain control of your asthma is to know yourself and be yourself. Once you discover who you are, everything else -- including your asthma action plan -- will fall into place.
Resources: Management and Treatment, So You Have Asthma
For tips on how to better manage your asthma click here and then click here.
(May is Asthma Awareness month, and May 3 is asthma awareness day. For more information about asthma, check out the Centers for Disease Control and Prevention/ Asthma.)
Monday, May 09, 2011
10,000 B.C.: Asthma caused by too much phlegm?
![]() |
| Were disease theories formed during the Neolithic Revolution about 10,000 B.C.? |
The humors are the bodily fluids. Primitive people must have noticed puss on open sores, and colored phlegm in those sick with breathing trouble. They must have noticed the diarrhea and vomiting of people with stomach discomfort, pain, nausea and malaise.
So early on they must have associated the humors with being associated with disease, and at some point linked them with the cause.
They most likely would have noticed that, upon spitting up a wad of phlegm the person who was short of breath felt better, or that after a good bowel movement or after vomiting, a person with stomach discomfort felt better.
So early on they must have linked the humors with the cure.
Some humors that were most certainly observed were blood, phlegm (sputum, nasal secretions, saliva), water and bile. (1, pages 111-112)
There are different descriptions of the humoral cause of disease. For instance, the Chinese describe it as an imbalance of yin or yang causing an obstruction of sorts to the flow of human life, or qi. The Ancient Greeks believed it was an imbalance of the four bodily humors: blood, phlegm, yellow bile and black bile.
The cause of such an imbalance was believed to be things like living non-virtuous lives, stressful living conditions, poor living conditions, uncleanliness and improper diet. Remedies for disease were believed to be incantations, drinks or inhalents of various herbal concoctions, or anything to purify the system to return the humors back to normal.
Yet whatever way you look at it, the similarities of the causes and cures of diseases by different civilizations is stunning. It almost makes one think such a theory was proposed before mankind split up into six different regions during the neolithic revolution or agricultural revolution nearly 10,000 years before the birth of Christ.
Either that or there was more communication between Ancient Eastern and Western societies than historians are aware of. And in this way was devised the convection theory by Friedrich Ratzel in 1882 which states that nations have "identical phenomenon" because of communication between the various groups of humans, according to Fielding H. Garrison, in 1921 his book "An introduction to the history of medicine." (2, pages 17-19)
A separate theory mentioned by Garrison is the convection theory devised by Adolf Bastian in 1881. This states that "the appearance of identical ethnic phenomenon in different relations of space and time is due to the spontaneous development of certain 'elemental ideas' which are common to primitive man everywhere.(2, pages 17-19)
Garrison explained it as the "Solidarity of folkways." This theory postulates "humans have instinctive actions" that cause them to gather in groups, form societies, and generate myths to explain natural phenomenon. They tend to reach a "common point of similarity or identity." (2, pages 17-19)
Worded another way: "The development of the individual is but an epitome of the development of the race. Left to itself in a favorable environment, any savage tribe will inevitably evolve a culture all its own, for the regulation of food supply, sexual and social relations, adjustments to the unknown, manifesting itself as a political economy, ethics, law, medicine, religion, and so on." (2, pages 17-19)
In this way it's believed certain human actions are instinctive, no matter when a society is formed, at a certain stage in it's development. This may explain why the ancient Egyptians created their pyramids and mummification, and similar pyramids and mummification methods were discovered in Mexico thousands of years later. There may have been no communication between the two groups, just that the Mexicans were slower to develop their society and advance to this state.
Religions and laws in all societies are ultimately realized to be an important element of maintaining peace in the society, and a government with a totalitarian ruler was determined to be the best way to get people to do things that were needed to be done for the society to function, such as tending to the land, creating structures, and managing irrigation.
And plants were determined to have poisonous and medicinal properties in the evolution of the society. To explain how they worked myths were created. Myths were also created to explain health and sickness. It just so happens at a certain point the myths appear to be the same, such that disease is caused by an imbalance of some sort of substance, which the Greeks called humors and the Chinese called Qi and other societies called something else. Yet the ideas are similar, and this type of medicine is referred to as folk medicine (folklore).
These similarities are the natural, or instinctive, evolution of human societies. And at some point the society will develop a need to communicate ideas from one generation to another, and this is where folklore comes in. Poems and songs are recited to make it easier to remember stories and recipes, and then at some point a form of writing material and written language is developed. It's by this we have evolved to where we are today as a society.
In this way, societies evolve as new ideas are thought up to make life better for the civilization, but the heart and soul of the people has never changed. Humans always have an inert tendency to socialize, to think, to communicate, to breathe, to eat, to adjust to change, and to have empathy for fellow men and women.
Men and women observed their relatives and friends suffering, and yearned to find a way to help them. They attempted to find myths to explain the symptoms they observed or their fellows complained of. They created myths to give people hope and faith for a better future. This is always essential, as death and sickness are omnipresent. Life can be melancholy, and hope and faith are needed to give people a reason to do what they need to do to keep the society afloat.
Asthma, or asthma-like symptoms were believed to be caused by too much phlegm that causes a ceizure or epilepsy of the lungs resulting in various respiratory symptoms such as foaming at the mouth, cough, dyspnea (short of breath), and wheezes. These symptoms would be the result of anything that causes dyspnea, including exertion from running or battle. The remedy for asthma, as with any disease, was as simple as improving diet and getting plenty of sleep and exercise.
While the definition of asthma matured through the years, it wasn't until the mid 19th century that the myth of humoral causes of disease left the medical profession. This evolutionary advancement occurred in western nations of Europe and the United States. In this sense, the humoral cause of disease was such a simple description of disease it was easy to believe, and this dogmatic theory lasted perhaps 11,850 years if not longer. Yet at a certain point in the advancement of knowledge science would be learned, and myths would be found to be myths. Although I think it's safe to say that some medical myths still linger.
While most modern civilizations have moved on from old myths, some primitive societies continue to believe in them. They continue to worship gods and spirits, and justify health and sickness as being caused by transcendental forces. Medicines are thus gifts from the other world. As their society advances, as knowledge progresses, they too will some day reach the modern world.
Likewise, if our society continues to exist, society will continue to change. Who knows what the future will bring. Yet what we do know is that the heart of humans will continue to be the same.
Click here for more asthma history.
References:
- Neuburger, Max, writer, "History of Medicine," 1910, translated by Ernest Playfair, Volume I, London, Oxford University Press
- Garrison, Fielding Hudson, "An introduction to the history of medicine," 1922, Philadelphia and London,
Thursday, May 05, 2011
It's time to grade your asthma action plan
My Asthma Action Plan is a bit unique, and perhaps even simpler, than the ones recommended by most asthma experts. Mine does not involve my doctor, and generally incorporates vigilance and common sense.
Myplan pretty much consists of the following:
- Take my asthma controller medicines daily
- Avoid my asthma triggers as best I can
- Monitor my asthma symptoms
- Play it by ear
It's about controlling your asthma so YOU can live a normal life. What I wrote above is what I do to maintain control of my asthma based on what I know about myself. And for the most part, it's worked like a charm for 14 years.
I can do better, as we all can do better. Yet one of the main problems I encounter is I like to live a normal life, and I like to, well, clean my basement for example. And I know that most people, myself included, become rapt in certain project they enjoy and want to work until they get the job done.
Yet as an asthmatic I cannot do that. I know If I get rapt, and I don't pay attention to the early warning signs of asthma, and I just keep on a working on cleaning my basement, I will have trouble breathing for the next couple weeks. It will be a major set back. The job will never get done.
So I have learned that a better method, even though it is hard for me to do, is to limit myself to 30 minutes on any given day involved in any project in my basement. Once thirty minutes is up I have to be done. I have to quit at the 30 minute mark. My wife too has to understand that projects entrusted to me might take a while.
You see, if you have asthma you have to make adjustments in your life. You have to do what you need to do to live a normal life the way you see it.
I ask you, my readers, to review your asthma action plans and grade yourself on how well you're doing. What's that? You don't have an asthma action plan? Well it's time you invent one.
You ideally should work with your doctor, and I have done that in the past. Yet as an adult perhaps you'll find you're better at doing one on my own. After all, YOU know yourself better than anyone.
Do you give yourself an A grade? Keep up the good work. Do you give yourself a B? A C? Perhaps you guys should refocus on self-management and consider identifying a “personal champion” for encouragement and support.
Any F’s? Perhaps you should wisit their doctor to reassess your asthma action plan and determine whether alternate treatment options would be better for controlling YOUR asthma. And don't feel bad if you grade yourself an F, because we all start out there -- I did too.
As you learn about yourself, and your illness, you'll learn, perhaps, how to adjust your asthma action plan to your personality.
To learn how to create an asthma action plan click here.
Download Printable Action Plan by clicking here
(May is Asthma Awareness month, and May 3 is asthma awareness day. For more information about asthma, check out the Centers for Disease Control and Prevention/ Asthma.)
Sunday, April 24, 2011
Happy Easter!!!!
Sunday, April 17, 2011
A perfect dattackescription of the asthma
"In marked attacks not only is the struggle for breath so severe as to make the patient sit or kneel in bed, but he may even get out of bed and stand gasping at an open window, or clutching at any support that will aid the respiratory muscles of respiration. many will not go to bed at all, but sit in a chair all night, dozing when they can."If that doesn't describe one of my typical asthma attack when I was a kid I don't know what does.
This was written by an asthma expert by the name of James Adam in his 1913 book, "Asthma and its Radical Treatment." After interviewing so many asthmatics in his day, or perhaps due to his own asthma experiences, he had the asthma esperience nailed to a tee.
Saturday, April 16, 2011
Henry Hyde Salter
One of the premier asthma experts of the 19th century was Henry Hyde Salter. In fact, many will even say that he was the asthma expert most respected in the second half of the 19th century.
Yet as I've written about before, young Teddy mentioned at one point that many of the so called remedies were pure torture.
If you read his book, most of what you'll get from it is that he was very observant of his asthma patients. He studied the cases of asthma that he treated, and from his own observations he came to conclusions.
Salter was also an asthmatic himself, which may have added to his interest in the phenomenon. And based on his own experiences with asthma remedies offered by his doctors when he was affected by an episode of asthma, he developed an interest in the disease.
So I thought a good place to start in my quest to examine the history of asthma would be with the great Henry Hyde Salter. From there I will flip through the pages of time to examine people effected with this ailment, ancient theories, old remedies, and anything else of interest we can come up with.
