{"id":118138,"date":"2014-05-31T17:39:44","date_gmt":"2014-05-31T21:39:44","guid":{"rendered":"http:\/\/dominicanewsonline.com\/news\/?p=118138"},"modified":"2014-06-01T11:14:03","modified_gmt":"2014-06-01T15:14:03","slug":"stay-well-sparkle-asthma","status":"publish","type":"post","link":"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/stay-well-sparkle-asthma\/","title":{"rendered":"STAY WELL &#038; SPARKLE  &#8211;  Asthma"},"content":{"rendered":"<figure id=\"attachment_118140\" aria-describedby=\"caption-attachment-118140\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-118140\" src=\"http:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2014\/05\/Wellsworth-Christian-300x267.jpg\" alt=\"Wellsworth singing calypso in Vet school, India \" width=\"300\" height=\"267\" srcset=\"https:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2014\/05\/Wellsworth-Christian-300x267.jpg 300w, https:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2014\/05\/Wellsworth-Christian.jpg 382w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-118140\" class=\"wp-caption-text\">Wellsworth singing calypso in Vet school, India 1978<\/figcaption><\/figure>\n<p>\u2018His oxygen saturation is less than 85%. He\u2019ll be gone in 5 years.\u201d<\/p>\n<p>I was stunned!<\/p>\n<p>I thought my big brother\u2019s asthma was just being troublesome. I had taken him for a consultation with the top lung specialist at Howard University Hospital in Washington DC. Dazzled by the unfolding array of advances in medical science, my main preoccupation how we would afford any fancy new inhalers he would likely prescribe.<\/p>\n<p>What on earth did he mean by \u201cHe\u2019ll be gone\u201d anyway?!\u00a0 I was trembling so violently on the inside; I could barely stand. Well first of all, who the hell was he to say how long anybody will live? I knew full well this pulmonologist had a gruff personality, but after all man, the least he could do was prepare me; soften the blow a little bit. Maybe he didn\u2019t butter it up because I was a newly-minted physician. Indeed, he presented the facts, straight from the medical literature at the time. I guess that his blunt verdict \u2013 Doc, deal with it!<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Demographics<\/strong><\/p>\n<p>Despite the scientific progress, asthma is still a very dangerous disease affecting up to 8% of the population. When properly controlled and taking the right precautions, one can live a fairly normal life. Failing that, it\u2019s many sleepless nights for mothers, trouble for teachers and visit upon visit to Casualty.<\/p>\n<p>Some people abuse themselves in every conceivable way and still occasionally outlive the average. Others are not so lucky. Despite doing all the right things, they end up asking \u2018why me?\u2019Smoking of any kind, by anyone, is a dangerous proposition. But smoking by, or around a pregnant mother, is sheer madness. Children of smoking mothers are 10 times more likely to develop asthma, not to mention prematurity and Sudden Infant Death Syndrome (SIDS).<\/p>\n<p>Pollen, moulds, dust and animal dander also contribute to allergic rhinitis, eczema and asthma. Seemingly, the among cruellest recommendations paediatricians can make is ordering removal of beloved pets felt to be the source of asthmatogenic irritants. Deeply conflicted, families often try to negotiate, then sneak around the ultimatum. But in the final analysis, it comes down to which is worth more, the child\u2019s health vs. fellowship with our furry friends.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Diagnosis<\/strong><\/p>\n<p>Asthma is a chronic airways disease that makes breathing difficult. Inflammation of the air passages causes reduced oxygen transport to the lungs. The resulting symptoms are wheezing, coughing and shortness of breath. Instead of simple diaphragmatic breathing that results in the gentle rise and fall of the chest, patients recruit accessory muscles to breathe. The neck muscles help pull up the chest cage, the nostrils flare and the eyes widen with anxiety and fear. Diagnosis of asthma is confirmed with peak flow measurements, pulmonary function tests and chest x-rays.<\/p>\n<p>Viruses, allergens and other environmental triggers can initiate changes in the lungs of sensitive people. The good news is that this narrowing is reversible unlike other breathing conditions such as bronchitis and emphysema.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Treatment<\/strong><\/p>\n<p>Short-acting bronchodilators (rescue inhalers)form the basis of treatment for asthma. They relieve symptoms by relaxing the muscles that tighten around the airways.Patients with exercise-induced asthma use inhalers beforehand to prevent symptoms. Nebulizers are larger, more versatile devices which do not require the coordination of holding ones breath.Repeated use of either more than twice a week indicates need for better control with long-acting bronchodilators. Steroid combinations and oral drugs like Theophylline and Singulair may also be added.<\/p>\n<p>As often is the case there is a nutritional component to improving disease management.Recent studies show that Vitamin Dimproves asthma control by blocking inflammation in the airways and lungs.\u00a0 Fish, eggs and dairy are rich this \u201csunshine vitamin.\u201d Avoid processed sugars, saturated and trans-fatty acids that that tend to undermine a robust immune system needed to fend off environmental threats.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Carry on!<\/strong><\/p>\n<p>As with many diseases, asthma tends to run in families. Unlike many other diseases, it is more common in childhood though some individuals outgrow it.<\/p>\n<p>Unfortunately, not Wellsworth. He battled his asthma as it progressed to chronic bronchitis and bronchiectasis. That specialist in Washington DC told no lie. As Dominica\u2019s first native-born Doctor of Veterinary Medicine, \u2018Wello\u2019strove to pack more into those five years than the rest of us put in 25. He was instrumental in laying a foundation of programs in the Livestock Division of the Ministry of Agriculture that have stood the test of time.<\/p>\n<p>He nurtured the loving support of his wife Alicia and daughter Trudy. In fact, his entire family was intimately involved in his care, sometimes pounding on his back to loosen the phlegm (chest physio). Other times they were afar off, prayerfully attentive to regular updates and shipping him medication. His contributions as part of Dominica\u2019s first sea cadets is a legacy that continues to thrive.<\/p>\n<p>Today, if a Christian family member coughs once too much, the rest gets on edge. We respect asthma, fully understanding that timely treatment prevents unwanted complications.<\/p>\n<p>Take a deep breath. If that was easy, give thanks. If that was hard, check your oxygen saturation. Chances are, today, we can make it better.<\/p>\n<p>Click here to listen to a celebration of what it means to <strong><a href=\"https:\/\/www.youtube.com\/watch?v=joeiC3F_5VI\">BREATHE<\/a>\u00a0.<\/strong><\/p>\n<p><strong>Dr. Sam Christian runs the Urgent Care on 137 Bath Road. He is Medical Officer of the Dominica Cadet Corps, Medical Adviser to the Dominica Cancer Society and author of the faith and fitness nutrition book, \u2018Mannafast Miracle.\u2019 Dr. Christian can be reached anytime at 440-9133, 615-8345 or by writing to\u00a0<\/strong><a href=\"mailto:urgentcare.da@gmail.com\"><strong>urgentcare.da@gmail.com<\/strong><\/a><strong>.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"\u2018His oxygen saturation is less than 85%. He\u2019ll be gone in 5 years.\u201d I was stunned! I thought my big brother\u2019s asthma was just being troublesome. I had taken him for a consultation with the top lung specialist at Howard&#8230;","protected":false},"author":15,"featured_media":118140,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_cbd_carousel_blocks":"[]","footnotes":""},"categories":[30,102],"tags":[],"class_list":["post-118138","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-columns","category-stay-well-sparkle"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>STAY WELL &amp; SPARKLE - Asthma - Dominica News Online<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/stay-well-sparkle-asthma\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"STAY WELL &amp; SPARKLE - Asthma - Dominica News Online\" \/>\n<meta property=\"og:description\" content=\"\u2018His oxygen saturation is less than 85%. 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