Posts belonging to Category 'asthma treatment child'

air quality in arenas

Question:

Couple of possibilities: 1. Air quality in ice arenas are notoriously bad.  The Zamboni machine used to clean the ice between periods emits Carbon Monoxide, Carbon Dioxide etc. When you are talking about your normal community rink, this is a pretty small volume of air to run the equivalent of a tractor in. Some communities have gotten together and insisted that doors be left open during cleaning time.  It may make sense to take your son out of the arena during ice cleaning, but it would be better for everyone if there was adequate ventolation Have you noticed that he needs his puffer more after the ice has been cleaned? 2. Another potential source of pollutant are gas fired infra red heaters. Perhaps you can have them checked for leaks? 3. Exercise can induce asthma.  Cold air can induce asthma even without exercise. I find that triggers are more than additive.  If I have one trigger, I may not react at all.  Put two together and I end up in the hospital. You put all of these factors together and they could cause your son a great deal of problems.  But they can be solved. Good Luck.  Hockey is a great deal of fun, my boys played hockey and my daughter played ringette. Connie

– Hide quoted text — Show quoted text – My 10 yr. old plays organized hockey once a week.  He normaly doesn’t get asthma attacks, but during a game he uses his puffer 5 or 6 times/hour. This is the only time he needs it.  Could the air quality be that bad and yet not noticable to the rest of us.  He doesn’t want to give up hockey. Is there another way to help him get through that hour?                             Nat

Response:

My 10 yr. old plays organized hockey once a week.  He normaly doesn’t get asthma attacks, but during a game he uses his puffer 5 or 6 times/hour. This is the only time he needs it.  Could the air quality be that bad and yet not noticable to the rest of us.  He doesn’t want to give up hockey.  Is there another way to help him get through that hour?                             Nat

See: http://www.lung.ca/asthma/exercise/reduce.html Asthma & Exercise [Canadian Lung Assoc] 5. Ways to Reduce EIB [exercise induced bronchospasm]    Avoid Exercise if Symptoms are Present    Medications    Adequate Warm-Up    Modified Exercise    Avoid Environmental Factors    Adequate Cool-Down    Avoidance of Certain Foods 2. Medications taking medications prior to vigorous exercise may help to prevent EIB; they are: a) bronchodilator (such as Ventolin

Suggestions anyone??

Question:

I’m also allergic to NSAIDs.  Nothing obvious – my regular doctor caught it in a checkup.  My kidneys were putting out extremely high amounts of protein.  Almost kidney disease levels.  They took me off of the NSAID I was on for my cramps, and was retested 3 months later.  The protein level went WAY down.  So I can’t take any NSAIDs – no Ibuprofen, Advil, Motrin….. It’s also noted in my medical files.

– Hide quoted text — Show quoted text – Ponstan I am allergic to Ponstan and won’t go near it either.  I get hives all around my lips and if I scratch it they spread and really puff up. I will try Tylenol but I’m not sure if it will be strong enough. Thanks for the suggestions! Meghan Ponstan is an NSAID, like ibuprofen and naproxen. The fact you’re allergic to 2 NSAIDS (ibuprofen and Ponstan) indicates you are could suffer reactions from any NSAIDS and should avoid them. Links: Yikes!  I didn’t know that!  Thank-you very much for the info.  I didn’t think the two were related.  I am definately going to tell my doctor about these sensitivities. Meghan Before you buy.

Response:

I just thought I would update you all on what happened at the doctor today.  I am now taking a higher dose of Flovent (750mcg/day instead of 500mcg/day) until I feel better and then if things are going really well I can go back down to 500mcg/day.  He said my chest is "clear as a whistle" compared to what it sounded like last week. So the anitbiotics might have actually done something.  It looks like I am through that asthma flare up though as I have not used any ventolin so far today. The doctor I saw was not my family doctor but another doctor I see when my family doctor is unavailable.  He seems to know a lot about asthma and was really helpful.  He wants to hold off from trying me on Atrovent or any new inhalers because he said I am already taking so much (but obiously not as much as some of you severe asthmatics, thank goodness).  So I am continuing with the Singulair for now as I think it is beginning to make a difference. I also told him about my sensitivities to Ponstan and Ibuprophen, so that is now in my files.  Thank-you so much for all your help and input and lets hope this works.  Many thanks to Ellis who answered most of my questions.  I wish you all good health and happiness!  Take care. A fellow asthmatic, Meghan Before you buy.

Response:

Ponstan

I am allergic to Ponstan and won’t go near it either.  I get hives all around my lips and if I scratch it they spread and really puff up.  I will try Tylenol but I’m not sure if it will be strong enough.  Thanks for the suggestions! Meghan Before you buy.

Response:

– Hide quoted text — Show quoted text – Ponstan I am allergic to Ponstan and won’t go near it either.  I get hives all around my lips and if I scratch it they spread and really puff up. I will try Tylenol but I’m not sure if it will be strong enough. Thanks for the suggestions! Meghan Ponstan is an NSAID, like ibuprofen and naproxen. The fact you’re allergic to 2 NSAIDS (ibuprofen and Ponstan) indicates you are could suffer reactions from any NSAIDS and should avoid them. Links:

Yikes!  I didn’t know that!  Thank-you very much for the info.  I didn’t think the two were related.  I am definately going to tell my doctor about these sensitivities. Meghan Before you buy.

Response:

It’s common for asthma symptoms and peak flows to cycle up and down. That’s why current asthma guidelines are for the patient to use a Self Management Plan or Action Plan, to increase and decrease asthma drugs as needed; rather than having to call the doctor every time. A common Action Plan is to double inhaled steroids and use Ventolin as needed, when peak flows are in the Yellow Zone (50-80% personal best) or symptoms worsen. Links:

I will ask my doctor about making an Action Plan.  He has never mentioned doing this but I have read about them.  My doctor received a letter from my Allergy/Asthma specialist stating that he is concerned because my asthma is being very poorly controlled.  So right now my doctor is only giving me samples of medication for two weeks at a time so that I have to come back and see him.  He won’t give me a prescription yet.  We are still trying to get me on the right meds.  So I guess for now he wants me to keep coming in.  Hopefully we will get to the bottom of this.  I am still unsatisfied with the care I am receiving because I am not sure he knows what to do, but he might be in contact with the specialist.  I do know that when my doctor doesn’t know what to do he admits it and is always willing to send me to someone else if I ask or if he is not sure what to do.  Maybe he does know more than I give him credit for, I guess I’ll find out and I will keep you posted on what happens. Not even rhinitis (hay fever) and nasal congestion? [Asthmatics with nasal congestion need to treat it so they can breathe thru the nose to humidify and filter the air. I use a steroid nasal spray as needed; I need it right now.]

Yes, I do have hay fever.  I also receive allergy shots for this.  So far the shots have done nothing but my Allergist wants me to take them for another year (total of three years then) and then he will test my allergies again.  I have taken a steroid nasal spray before (2 different kinds) but I have found that I don’t "seem" to need it anymore. Maybe I don’t realize I do??  I used to have sinus headaches about 2 years ago but those have dissappeared.   I can breathe through my nose most always but I have always just been used to breathing through my mouth.  I had my adneoids out as a child but by then I just could not get used to breathing through my nose.  I have noticed that I usually breathe through my mouth at night.  Could this be a sign of nasal congestion and cause asthma trouble?  I don’t have extended medical right now so all these meds take a tole.  When I go to college full time in the fall I will have extended medical again (80% of my meds will then be paid for.).  Right now my doctor is just giving me free samples to help me out and I know someone who works for Glaxo who sends me free sample meds.(Yes, she has permission to do so.) If you can’t get to the bottom of this with your doctors you might try contacting Ken Chapman, MD, Head of the Asthma Centre at the Toronto Hospital; he’s a sometimes poster to this NG. If I can find his email in my archives, will email to you privately. Dr. Chapman is also a researcher and some of his studies are cited in the Expert Panel Report 2, used as the US national asthma treatment guidelines.

What could he do?  Give me more info.? Thank-you, Ellis for all of your help.  It is greatly appreciated!! Take care, Meghan Before you buy.

Response:

- Hide quoted text — Show quoted text – Bingo. Your dose of Flovent 125, 4 pf/day is only a Medium dose. If you still have symptoms, it indicates the need to increase the inhaled steroids. Per the Expert Panel Report 2: Fluticasone doses are Low dose=88-264 ug/day (at the nozzle is 100-300 ug/day) Medium dose=264-660 ug/day (at the nozzle is 300-750 ug/day) High dose660 ug/day (at the nozzle 750 ug/day) So you could double your dose of Flovent, either by doubling the puffs or switching to higher strength version. For serious exacerbations the recommended treatment is a burst dose of prednisone; 40-60 mg/day for 3-10 days. I will ask my doctor about taking a higher dose of Flovent for now. Hopefully I will eventually be able to go on a lower dose.  I am breathing fine today, but can my lungs still be inflammed even though I feel okay?  Will things flare up again if I do nothing about it?  I have to see my doctor again anyway but when I go in feeling fine he never knows what to do.  Even though I tell him that recently my asthma was really bad.  It seems like after my bad attacks this weekend I am now breathing better than I have been in a month.  Or is it just from all the ventolin I took in the last few days?!

It’s common for asthma symptoms and peak flows to cycle up and down. That’s why current asthma guidelines are for the patient to use a Self Management Plan or Action Plan, to increase and decrease asthma drugs as needed; rather than having to call the doctor every time. A common Action Plan is to double inhaled steroids and use Ventolin as needed, when peak flows are in the Yellow Zone (50-80% personal best) or symptoms worsen. Links: http://www.ama-assn.org/special/asthma/treatmnt/guide/guidelin/comp4/…   Provide the Patient With Tools for Self-Management http://www.ama-assn.org/special/asthma/treatmnt/updates/patient.htm Patient Asthma Action Plans http://www.lung.ca/asthma/manage/action.html Action Plan ca How’s the air quality in your house; any smoke or other combustion products? a leak in the furnace plenum allowing carbon monoxide entry? You can get a CO detector for a few dollars. chemicals? The air quality in our house is good but not the air quality outside. I live in a city in BC that is ranked as having one of the worst air quality levels in Canada and we are not even a big city.  It is just from all of the mills and various plants.

Of course local outside air pollution can worsen asthma.  Our furnace was recently serviced and we clean the filter regularly.  I have a Hepa filter air cleaner in my room (Which really keeps the dust levels down, by the way!). As for chemicals, those are all kept outside in our double garages that does not have an enterance into the house.  Of course some of the cleaning solutions we use do bug me but I am not sure what to do about that.  My parents are unwilling to clean with vinegar and baking soda because they don’t think it would make much of a difference ( I don’t either).  Besides I can’t stand the smell of Vinegar and I think that would be irritating in itself. How about Sinusitis or GE reflux; both of these can worsen asthma. I don’t have any symptoms of GE reflux (no burning in the chest, etc.) My Dad and brother-in-law have this but don’t have asthma.

It is possible however to have ’silent GERD’, with no heartburn.  I never have problems with my sinus’s so I have never looked into Sinusitis; might be something to check out.

Not even rhinitis (hay fever) and nasal congestion? [Asthmatics with nasal congestion need to treat it so they can breathe thru the nose to humidify and filter the air. I use a steroid nasal spray as needed; I need it right now.] Your best bet is to see a pulmonologist and have lung function tests in a pulmonary facility. This can help determine the condition of the asthma or any other lung condition like emphesema. Will ask about this.

If you can’t get to the bottom of this with your doctors you might try contacting Ken Chapman, MD, Head of the Asthma Centre at the Toronto Hospital; he’s a sometimes poster to this NG. If I can find his email in my archives, will email to you privately. Dr. Chapman is also a researcher and some of his studies are cited in the Expert Panel Report 2, used as the US national asthma treatment guidelines. Ellis – Hide quoted text — Show quoted text – You might try a trial of Atrovent inhaler; it helps some  asthmatics, especially if some COPD present. I tried it,  it didn’t help me. My doctor did suggest maybe trying this if the Singulair didn’t give me any relief.  So we will see. Another drug I have found to help is TheoDur (sustained release theophylline) in low dose. (I take 200 mg twice a day in adddition to other asthma drugs) O.K.  Never tried it. Is it possible you have Acute Bronchitis? Usually involves muscus in the lungs. Usually caused by a virus and may take months to get over. It can co-exist with asthma. A bad case of bronchitis put me in ER for 7 hours. I guess it is possible.  I don’t have any other signs of being ill, just having problems with shortness of breath and coughing. Thanks for your help! Meghan

Response:

Ponstan I am allergic to Ponstan and won’t go near it either.  I get hives all around my lips and if I scratch it they spread and really puff up.  I will try Tylenol but I’m not sure if it will be strong enough.  Thanks for the suggestions! Meghan

Ponstan is an NSAID, like ibuprofen and naproxen. The fact you’re allergic to 2 NSAIDS (ibuprofen and Ponstan) indicates you are could suffer reactions from any NSAIDS and should avoid them. Links: http://www.rxmed.com/monographs/ponstan.html Ponstan Excerpt: "Pharmacology: Mefenamic acid, an anthranilic acid derivative,  is a nonsteroidal anti-inflammatory drug (NSAID)……. Contraindications: In patients who have previously exhibited  hypersensitivity to it. Because the potential exists for  cross-sensitivity to ASA or other nonsteroidal  anti-inflammatory drugs, mefenamic acid should not be given  to patients in whom these drugs induce symptoms of  bronchospasm, allergic rhinitis, or urticaria." http://www.ama-assn.org/special/asthma/treatmnt/guide/guidelin/comp2/… Aspirin Sensitivity JAMA "Aspirin Sensitivity Adult patients with asthma should be questioned regarding  precipitation of bronchoconstriction by aspirin and other  nonsteroidal anti-inflammatory drugs. If they have  experienced a reaction to any of these drugs, they should be  informed of the potential for all these drugs to precipitate  severe and even fatal exacerbations. Adult patients with  severe persistent asthma or nasal polyps should be  counseled regarding the risk of using these drugs. Usually  safe alternatives to aspirin include acetaminophen or  salsalate (Szczeklik et al. 1977; Settipane et al. 1995). From 3 percent of patients with asthma seen in a private  allergy practice (Chafee and Settipane 1974) to 39 percent  of adults with asthma admitted to an asthma referral  hospital (Spector et al. 1979) have been reported to  experience severe and even fatal exacerbations of asthma  after taking aspirin or certain other nonsteroidal  anti-inflammatory drugs. The prevalence of aspirin  sensitivity increases with increasing age and  severity of asthma (Chafee and Settipane 1974;  Spector et al. 1979). " from Expert Panel Report 2 Ellis

Response:

Nope.  This has been going on for a long time so I doubt it is related.  I do have problems when I am menstruating but that is usually (I think) from taking Ibuprophen for cramps.  The Ibuprophen usually causes my asthma to act up a bit.  Does anyone know of any other pain killer I could take for cramps?

It is generally considered Not Wise to continue to take ANY medication that flares one’s asthma… the potential for landing in a life-threatening attack is too significant. Other options? Tylenol [if you are not allergic to it]. Also, there are some Rx drugs that might help and are commonly prescribed for significant menstrual cramps: Anaprox [hey! Aleve is OTC and = half the dose of Anaprox, so you could use Aleve] Ponstan SW. THIS IS NOT MEDICAL ADVICE, MERELY ADVICE BASED ON EXPERIENCE.

Response:

Any relationship to your menstrual cycle? My asthma is always affected by it! Nope.  This has been going on for a long time so I doubt it is related.  I do have problems when I am menstruating but that is usually (I think) from taking Ibuprophen for cramps.  The Ibuprophen usually causes my asthma to act up a bit.  Does anyone know of any other pain killer I could take for cramps? Meghan

Some asthmatics are allergic to NSAID drugs like ibuprofen (Motrin), aspirin, naproxen (Aleve). It used to be recommended that all asthmatics avoid NSAIDS: now this is only recommended for those who are sensitive to them. Alternative pain killers should be used like Tylenol if you are in this category. The sensitivity often occurs in nonallergic asthmatics with nasal polyps. Ellis

Response:

Bingo. Your dose of Flovent 125, 4 pf/day is only a Medium dose. If you still have symptoms, it indicates the need to increase the inhaled steroids. Per the Expert Panel Report 2: Fluticasone doses are Low dose=88-264 ug/day (at the nozzle is 100-300 ug/day) Medium dose=264-660 ug/day (at the nozzle is 300-750 ug/day) High dose660 ug/day (at the nozzle 750 ug/day) So you could double your dose of Flovent, either by doubling the puffs or switching to higher strength version. For serious exacerbations the recommended treatment is a burst dose of prednisone; 40-60 mg/day for 3-10 days.

I will ask my doctor about taking a higher dose of Flovent for now. Hopefully I will eventually be able to go on a lower dose.  I am breathing fine today, but can my lungs still be inflammed even though I feel okay?  Will things flare up again if I do nothing about it?  I have to see my doctor again anyway but when I go in feeling fine he never knows what to do.  Even though I tell him that recently my asthma was really bad.  It seems like after my bad attacks this weekend I am now breathing better than I have been in a month.  Or is it just from all the ventolin I took in the last few days?! How’s the air quality in your house; any smoke or other combustion products? a leak in the furnace plenum allowing carbon monoxide entry? You can get a CO detector for a few dollars. chemicals?

The air quality in our house is good but not the air quality outside. I live in a city in BC that is ranked as having one of the worst air quality levels in Canada and we are not even a big city.  It is just from all of the mills and various plants.  Our furnace was recently serviced and we clean the filter regularly.  I have a Hepa filter air cleaner in my room (Which really keeps the dust levels down, by the way!). As for chemicals, those are all kept outside in our double garages that does not have an enterance into the house.  Of course some of the cleaning solutions we use do bug me but I am not sure what to do about that.  My parents are unwilling to clean with vinegar and baking soda because they don’t think it would make much of a difference ( I don’t either).  Besides I can’t stand the smell of Vinegar and I think that would be irritating in itself. How about Sinusitis or GE reflux; both of these can worsen asthma.

I don’t have any symptoms of GE reflux (no burning in the chest, etc.) My Dad and brother-in-law have this but don’t have asthma.  I never have problems with my sinus’s so I have never looked into Sinusitis; might be something to check out. Your best bet is to see a pulmonologist and have lung function tests in a pulmonary facility. This can help determine the condition of the asthma or any other lung condition like emphesema.

Will ask about this. You might try a trial of Atrovent inhaler; it helps some  asthmatics, especially if some COPD present. I tried it,  it didn’t help me.

My doctor did suggest maybe trying this if the Singulair didn’t give me any relief.  So we will see. Another drug I have found to help is TheoDur (sustained release theophylline) in low dose. (I take 200 mg twice a day in adddition to other asthma drugs)

O.K.  Never tried it. Is it possible you have Acute Bronchitis? Usually involves muscus in the lungs. Usually caused by a virus and may take months to get over. It can co-exist with asthma. A bad case of bronchitis put me in ER for 7 hours.

I guess it is possible.  I don’t have any other signs of being ill, just having problems with shortness of breath and coughing. Thanks for your help! Meghan Before you buy.

Response:

Any relationship to your menstrual cycle? My asthma is always affected by it!

Nope.  This has been going on for a long time so I doubt it is related.  I do have problems when I am menstruating but that is usually (I think) from taking Ibuprophen for cramps.  The Ibuprophen usually causes my asthma to act up a bit.  Does anyone know of any other pain killer I could take for cramps? Meghan Before you buy.

Response:

- Hide quoted text — Show quoted text – I am just racking my brain trying to figure out why my asthma keeps flaring up.  Until September 11 I was taking Beclovent 50mcg 4 puffs twice a day and ventolin when needed.  On September 15 I was put on Serevent 25mcg 2 puffs twice a day, Flovent 125mcg 2 puffs twice a day, Prednisone 5mg for two weeks, and ventoling when needed.  At this time I was using ventolin four times a day and my asthma specialist said that beclovent is only used for children and my asthma was poorly controlled.  The prednisone was used to end an attack I was having and to heal up my obviously ongoing inflammation.  So, for about 4 weeks my asthma was being controlled very well and I was using ventolin only 2-3 times a week. All that changed on October 10, from then on I have been taking 4-5 puffs of ventolin a day.  Why did this happen?  I understood that the Flovent is a stronger steriod than Beclovent and that I was now on a higher dosage along with the Serevent which I had never used before.  I have been seeing my doctor every other week and three weeks ago (October 18) I was given Singulair.  Now I have not noticed a change yet but I think I need something to aggressively treat my underlying inflammation.  Last week (Mon., Nov. 1) my doctor put me on Amoxil thinking I might have an infection since I had started coughing all the time and was still feeling short of breath.  Well, so far the antibiotics have not done a thing so obviously I don’t have an infection. Starting Thursday night I have been having some bad asthma attacks. Last night I almost went to the ER but the ventolin started to work after a half hour.  Has anyone else felt like they were going to faint during an asthma attack?

One sign you are not getting enough oxygen is if fingernails turn blue; at least that’s what my allergist said when I had a serious attack from allergy shots and needed 2 shots of epinephrine. [peak flow was 20% of normal] An oximeter on your finger could be used to determine lack of oxygen.  I have never had this before but lately it happens to me all the time.  I feel starved for oxygen, am a bit wheezy, and am breathing faster than normal.  When I used to have asthma attacks you could tell I really couldn’t breath because my chest was really tight, but now you can’t see that but I really can’t breath!  I usually feel like I am going to faint and so I have to sit down and I can barely walk. Right now I am doing really well, but my back and chest is still sore from an attack I had late this morning. Another question I have is, shouldn’t my ventolin be working faster and why isn’t it?  I already complained to my doctor about this but he didn’t say anything. Sometimes it provides very little relief.  What would a doctor do about this?  Is there another fast acting bronchodilator that I can try or would the next best thing be a nebulizer?

You could try another bronchodilator, like terbutaline. A nebulizer can be used to adminster a large dose, equivalent to 10 puffs by MDI; usually the MDI is just as effective and more convenient.  Should I go on prednisone again to attack this inflammation?  I am also wondering why the new meds aren’t providing much relief.  I thought I would be doing better than I was when on Beclovent.  Could it be that my dose of Flovent still isn’t high enough for me?

Bingo. Your dose of Flovent 125, 4 pf/day is only a Medium dose. If you still have symptoms, it indicates the need to increase the inhaled steroids. Per the Expert Panel Report 2: Fluticasone doses are Low dose=88-264 ug/day (at the nozzle is 100-300 ug/day) Medium dose=264-660 ug/day (at the nozzle is 300-750 ug/day) High dose660 ug/day (at the nozzle 750 ug/day) So you could double your dose of Flovent, either by doubling the puffs or switching to higher strength version. For serious exacerbations the recommended treatment is a burst dose of prednisone; 40-60 mg/day for 3-10 days.  By the way, my peak flows have been pretty good throughout all of this (in the green zone) so I suspect my smaller airways are just really inflammed.  I don’t own any pets and I use an Aerochamber.  So can anyone shed any light on this?

How’s the air quality in your house; any smoke or other combustion products? a leak in the furnace plenum allowing carbon monoxide entry? You can get a CO detector for a few dollars. chemicals? How about Sinusitis or GE reflux; both of these can worsen asthma. Your best bet is to see a pulmonologist and have lung function tests in a pulmonary facility. This can help determine the condition of the asthma or any other lung condition like emphesema. You might try a trial of Atrovent inhaler; it helps some  asthmatics, especially if some COPD present. I tried it,  it didn’t help me. Another drug I have found to help is TheoDur (sustained release theophylline) in low dose. (I take 200 mg twice a day in adddition to other asthma drugs) Is it possible you have Acute Bronchitis? Usually involves muscus in the lungs. Usually caused by a virus and may take months to get over. It can co-exist with asthma. A bad case of bronchitis put me in ER for 7 hours. Ellis – Hide quoted text — Show quoted text – I see a doctor on Wednesday or maybe earlier if the bad flare ups don’t stop today.  My asthma specialist comes from Vancouver (7 hrs away) and I only see him once a year.  We don’t have any asthma specialists where I live and my family doctor doesn’t seem to know a whole lot about asthma so I am usually giving suggestions for treatment.  I am just frustrated because I don’t want anymore damage done to my lungs and I have read that flare ups need to be treated aggressively (which obviously has not been happening).  On Wed. I am seeing another doctor (not my family doctor) who seems to know a bit more about asthma.  I am tired of being tired and not being able to do the things I know I should be able to do even though I have asthma.  I shouldn’t have to suffer everyday.  Do I demand to be referred to see a specialist in another city?  I know I am only going to see results if I take the action to be involved in my own treatment.  Sorry this is so long, I hope that is okay.  Thanks for any answers you can provide. Meghan Williams Lake, BC Canada Before you buy.

Response:

Any relationship to your menstrual cycle? My asthma is always affected by it! – Hide quoted text — Show quoted text – I am just racking my brain trying to figure out why my asthma keeps flaring up.  Until September 11 I was taking Beclovent 50mcg 4 puffs twice a day and ventolin when needed.  On September 15 I was put on Serevent 25mcg 2 puffs twice a day, Flovent 125mcg 2 puffs twice a day, Prednisone 5mg for two weeks, and ventoling when needed.  At this time I was using ventolin four times a day and my asthma specialist said that beclovent is only used for children and my asthma was poorly controlled.  The prednisone was used to end an attack I was having and to heal up my obviously ongoing inflammation.  So, for about 4 weeks my asthma was being controlled very well and I was using ventolin only 2-3 times a week. All that changed on October 10, from then on I have been taking 4-5 puffs of ventolin a day.  Why did this happen?  I understood that the Flovent is a stronger steriod than Beclovent and that I was now on a higher dosage along with the Serevent which I had never used before.  I have been seeing my doctor every other week and three weeks ago (October 18) I was given Singulair.  Now I have not noticed a change yet but I think I need something to aggressively treat my underlying inflammation.  Last week (Mon., Nov. 1) my doctor put me on Amoxil thinking I might have an infection since I had started coughing all the time and was still feeling short of breath.  Well, so far the antibiotics have not done a thing so obviously I don’t have an infection. Starting Thursday night I have been having some bad asthma attacks. Last night I almost went to the ER but the ventolin started to work after a half hour.  Has anyone else felt like they were going to faint during an asthma attack? One sign you are not getting enough oxygen is if fingernails turn blue; at least that’s what my allergist said when I had a serious attack from allergy shots and needed 2 shots of epinephrine. [peak flow was 20% of normal] An oximeter on your finger could be used to determine lack of oxygen.  I have never had this before but lately it happens to me all the time.  I feel starved for oxygen, am a bit wheezy, and am breathing faster than normal.  When I used to have asthma attacks you could tell I really couldn’t breath because my chest was really tight, but now you can’t see that but I really can’t breath!  I usually feel like I am going to faint and so I have to sit down and I can barely walk. Right now I am doing really well, but my back and chest is still sore from an attack I had late this morning. Another question I have is, shouldn’t my ventolin be working faster and why isn’t it?  I already complained to my doctor about this but he didn’t say anything. Sometimes it provides very little relief.  What would a doctor do about this?  Is there another fast acting bronchodilator that I can try or would the next best thing be a nebulizer? You could try another bronchodilator, like terbutaline. A nebulizer can be used to adminster a large dose, equivalent to 10 puffs by MDI; usually the MDI is just as effective and more convenient.  Should I go on prednisone again to attack this inflammation?  I am also wondering why the new meds aren’t providing much relief.  I thought I would be doing better than I was when on Beclovent.  Could it be that my dose of Flovent still isn’t high enough for me? Bingo. Your dose of Flovent 125, 4 pf/day is only a Medium dose. If you still have symptoms, it indicates the need to increase the inhaled steroids. Per the Expert Panel Report 2: Fluticasone doses are Low dose=88-264 ug/day (at the nozzle is 100-300 ug/day) Medium dose=264-660 ug/day (at the nozzle is 300-750 ug/day) High dose660 ug/day (at the nozzle 750 ug/day) So you could double your dose of Flovent, either by doubling the puffs or switching to higher strength version. For serious exacerbations the recommended treatment is a burst dose of prednisone; 40-60 mg/day for 3-10 days.  By the way, my peak flows have been pretty good throughout all of this (in the green zone) so I suspect my smaller airways are just really inflammed.  I don’t own any pets and I use an Aerochamber.  So can anyone shed any light on this? How’s the air quality in your house; any smoke or other combustion products? a leak in the furnace plenum allowing carbon monoxide entry? You can get a CO detector for a few dollars. chemicals? How about Sinusitis or GE reflux; both of these can worsen asthma. Your best bet is to see a pulmonologist and have lung function tests in a pulmonary facility. This can help determine the condition of the asthma or any other lung condition like emphesema. You might try a trial of Atrovent inhaler; it helps some  asthmatics, especially if some COPD present. I tried it,  it didn’t help me. Another drug I have found to help is TheoDur (sustained release theophylline) in low dose. (I take 200 mg twice a day in adddition to other asthma drugs) Is it possible you have Acute Bronchitis? Usually involves muscus in the lungs. Usually caused by a virus and may take months to get over. It can co-exist with asthma. A bad case of bronchitis put me in ER for 7 hours. Ellis I see a doctor on Wednesday or maybe earlier if the bad flare ups don’t stop today.  My asthma specialist comes from Vancouver (7 hrs away) and I only see him once a year.  We don’t have any asthma specialists where I live and my family doctor doesn’t seem to know a whole lot about asthma so I am usually giving suggestions for treatment.  I am just frustrated because I don’t want anymore damage done to my lungs and I have read that flare ups need to be treated aggressively (which obviously has not been happening).  On Wed. I am seeing another doctor (not my family doctor) who seems to know a bit more about asthma.  I am tired of being tired and not being able to do the things I know I should be able to do even though I have asthma.  I shouldn’t have to suffer everyday.  Do I demand to be referred to see a specialist in another city?  I know I am only going to see results if I take the action to be involved in my own treatment.  Sorry this is so long, I hope that is okay.  Thanks for any answers you can provide. Meghan Williams Lake, BC Canada Before you buy.

Response:

I am just racking my brain trying to figure out why my asthma keeps flaring up.  Until September 11 I was taking Beclovent 50mcg 4 puffs twice a day and ventolin when needed.  On September 15 I was put on Serevent 25mcg 2 puffs twice a day, Flovent 125mcg 2 puffs twice a day, Prednisone 5mg for two weeks, and ventoling when needed.  At this time I was using ventolin four times a day and my asthma specialist said that beclovent is only used for children and my asthma was poorly controlled.  The prednisone was used to end an attack I was having and to heal up my obviously ongoing inflammation.  So, for about 4 weeks my asthma was being controlled very well and I was using ventolin only 2-3 times a week. All that changed on October 10, from then on I have been taking 4-5 puffs of ventolin a day.  Why did this happen?  I understood that the Flovent is a stronger steriod than Beclovent and that I was now on a higher dosage along with the Serevent which I had never used before.  I have been seeing my doctor every other week and three weeks ago (October 18) I was given Singulair.  Now I have not noticed a change yet but I think I need something to aggressively treat my underlying inflammation.  Last week (Mon., Nov. 1) my doctor put me on Amoxil thinking I might have an infection since I had started coughing all the time and was still feeling short of breath.  Well, so far the antibiotics have not done a thing so obviously I don’t have an infection. Starting Thursday night I have been having some bad asthma attacks. Last night I almost went to the ER but the ventolin started to work after a half hour.  Has anyone else felt like they were going to faint during an asthma attack?  I have never had this before but lately it happens to me all the time.  I feel starved for oxygen, am a bit wheezy, and am breathing faster than normal.  When I used to have asthma attacks you could tell I really couldn’t breath because my chest was really tight, but now you can’t see that but I really can’t breath!  I usually feel like I am going to faint and so I have to sit down and I can barely walk. Right now I am doing really well, but my back and chest is still sore from an attack I had late this morning. Another question I have is, shouldn’t my ventolin be working faster and why isn’t it?  I already complained to my doctor about this but he didn’t say anything. Sometimes it provides very little relief.  What would a doctor do about this?  Is there another fast acting bronchodilator that I can try or would the next best thing be a nebulizer?  Should I go on prednisone again to attack this inflammation?  I am also wondering why the new meds aren’t providing much relief.  I thought I would be doing better than I was when on Beclovent.  Could it be that my dose of Flovent still isn’t high enough for me?  By the way, my peak flows have been pretty good throughout all of this (in the green zone) so I suspect my smaller airways are just really inflammed.  I don’t own any pets and I use an Aerochamber.  So can anyone shed any light on this? I see a doctor on Wednesday or maybe earlier if the bad flare ups don’t stop today.  My asthma specialist comes from Vancouver (7 hrs away) and I only see him once a year.  We don’t have any asthma specialists where I live and my family doctor doesn’t seem to know a whole lot about asthma so I am usually giving suggestions for treatment.  I am just frustrated because I don’t want anymore damage done to my lungs and I have read that flare ups need to be treated aggressively (which obviously has not been happening).  On Wed. I am seeing another doctor (not my family doctor) who seems to know a bit more about asthma.  I am tired of being tired and not being able to do the things I know I should be able to do even though I have asthma.  I shouldn’t have to suffer everyday.  Do I demand to be referred to see a specialist in another city?  I know I am only going to see results if I take the action to be involved in my own treatment.  Sorry this is so long, I hope that is okay.  Thanks for any answers you can provide. Meghan Williams Lake, BC Canada Before you buy.

Response:

Need Help, lots of ???? (long)

Question:

For background, read the FAQ for this newsgroup. It can be found at http://www.radix.net/~mwg/asthma-gen.html or http://www.radix.net/~mwg/asthma-gen.txt . It is very informative for the asthma "neophyte". Check out everything you hear in the newsgroup and this message on the JAMA (Journal of the American Medical Association) web site at http://www.ama-assn.org/special/asthma/,  I may mis-remember some things. This is a large site and confusing, so  a good starting place is  http://www.ama-assn.org/special/asthma/treatment/treatment.htm (the treatment center) and more specifically http://www.ama-assn.org/special/asthma/treatment/guide/mgmtpre/mgmtpr…, which is a Management and Prevention "Pocket Guide" for physicians and nurses.     Anyhow, I have to take her back next week to see how it is going. What

  should I expect from the doctors, what tests should they run? I believe the diagnoses goes like this; 1) test lung capacity 2) administer albuterol or equivalent 3) test lung capacity again if lung capacity has improved after medication, the patient has asthma. Should I try to limit my daughters activities?

No. The whole point of treatment is so you do not have to lose quality of life.  Sleep is very important so if sleep is disrupted, some sort of treatment is warranted. Your daughter seems to be responding well, so I will be surprised if she ends up on some sort of inhaled steroid at the present. If she does you have to decide if the potential minimal risks (for inhaled steroids I read that you might expect to lose 1 cm of growth per year if treated *continuously*, but this is new work and whether losses are regained later is controversial) outweigh the benefits of a normal lifestyle and perhaps preventing permanent damage to the lungs resulting in permanent asthma as an adult. Those infortunates who are saddled with ugly large doses of oral steroids may laugh at this agonizing but to me it was a big deal. Get rid of the cats?

Only if she is allergic to cats *and* this allergy is causing the asthma.  Although you manage her asthma now, allergies tend to worsen with repeated exposure. If she is cat allergic you can expect her asthma to return and require more aggressive treatment. Where do  I go from here?

Your docs ought to (in my mind) recommend some allergy testing (involving identifying potential allergies with skin tests and then experimenting with environmental changes and dietary changes to see if they make a difference) and help walk you through it all. If culprits are found you should change the environment. Always try to control the environment first, then resort to drugs. She really doesn’t seem bad, she just coughed all the time, and never slept through the night,  I don’t understand this whole thing.

I do not understand this sort of asthma either.  My 2 year old has it, but it seems to brought on by some seasonal triggers and colds.  I get it the same way but mine is not quite as bad. Except for the coughing and reduced lung capacity after a day or so of coughing fits there are no symptoms;  no asthma "attacks" per se.  If the docs and you decide she needs maintenance treatment (I think this is recommended if the Albuterol is used more than a few times per week) there are non-steroidal medications available, especially cromolyn sodium that you should insist on trying before the steroids. You can read more about this medication and when it is indicated on the JAMA site. Also, if you are not in the US, there have been encouraging results in treating asthma caused by allergic rhinitis (allergies) using antihistamines.  Unfortunately the US is behind on the curve and FDA approval of such treatments is still in early testing stages. I am going to look longand hard into getting some of this for my boy since during this latest bout he has been on inhaled steroids for the first time for 2 weeks with only margnially adquate improvement. Good luck and please let me know via email what happens.  I am looking for someone with a similar problem to my son to exchange notes with. — DON’T ‘RE’ this message.  I use a bogus address to thwart email harvesters for junk lists.  Reply on the newsgroup or respond David

Response:

This is very similar to what my daughter (age 4) and I have, also.  No asthma "attacks", just coughing triggered (usually) by a virus.  When she was smaller, she would often wheeze with a cold, but that seems to have stopped – she has a cold now, and I have been giving her the inhaled steroids for a couple of days now, which helps – I should have followed the doc’s advice and given it to her at the first sign of runny nose, but I am still getting used to this program.  I have been on inhaled steroids since May, and was cough-free for part of that time – but each virus takes me quite a long time to get rid of the cough completely.  I am finally nearly over the last one, I think. Unlike nearly all the other posters here, neither I nor my daughter seems to benefit any from albuterol – and no one has ever explained to me why I should expect it to help a cough, anyway.  Although I did give her some this morning, a few minutes before her steroids, on the theory that it might open her airways for the steroids.  Her PF is down a bit now, a couple of days into this cold. Good luck – Ann – Hide quoted text — Show quoted text – For background, read the FAQ for this newsgroup. It can be found at http://www.radix.net/~mwg/asthma-gen.html or http://www.radix.net/~mwg/asthma-gen.txt . It is very informative for the asthma "neophyte". Check out everything you hear in the newsgroup and this message on the JAMA (Journal of the American Medical Association) web site at http://www.ama-assn.org/special/asthma/,  I may mis-remember some things. This is a large site and confusing, so  a good starting place is  http://www.ama-assn.org/special/asthma/treatment/treatment.htm (the treatment center) and more specifically http://www.ama-assn.org/special/asthma/ reatment/guide/mgmtpre/mgmtpre.htm, which is a Management and Prevention "Pocket Guide" for physicians and nurses.     Anyhow, I have to take her back next week to see how it is going. What   should I expect from the doctors, what tests should they run? I believe the diagnoses goes like this; 1) test lung capacity 2) administer albuterol or equivalent 3) test lung capacity again if lung capacity has improved after medication, the patient has asthma. Should I try to limit my daughters activities? No. The whole point of treatment is so you do not have to lose quality of life.  Sleep is very important so if sleep is disrupted, some sort of treatment is warranted. Your daughter seems to be responding well, so I will be surprised if she ends up on some sort of inhaled steroid at the present. If she does you have to decide if the potential minimal risks (for inhaled steroids I read that you might expect to lose 1 cm of growth per year if treated *continuously*, but this is new work and whether losses are regained later is controversial) outweigh the benefits of a normal lifestyle and perhaps preventing permanent damage to the lungs resulting in permanent asthma as an adult. Those infortunates who are saddled with ugly large doses of oral steroids may laugh at this agonizing but to me it was a big deal. Get rid of the cats? Only if she is allergic to cats *and* this allergy is causing the asthma.  Although you manage her asthma now, allergies tend to worsen with repeated exposure. If she is cat allergic you can expect her asthma to return and require more aggressive treatment. Where do  I go from here? Your docs ought to (in my mind) recommend some allergy testing (involving identifying potential allergies with skin tests and then experimenting with environmental changes and dietary changes to see if they make a difference) and help walk you through it all. If culprits are found you should change the environment. Always try to control the environment first, then resort to drugs. She really doesn’t seem bad, she just coughed all the time, and never slept through the night,  I don’t understand this whole thing. I do not understand this sort of asthma either.  My 2 year old has it, but it seems to brought on by some seasonal triggers and colds.  I get it the same way but mine is not quite as bad. Except for the coughing and reduced lung capacity after a day or so of coughing fits there are no symptoms;  no asthma "attacks" per se.  If the docs and you decide she needs maintenance treatment (I think this is recommended if the Albuterol is used more than a few times per week) there are non-steroidal medications available, especially cromolyn sodium that you should insist on trying before the steroids. You can read more about this medication and when it is indicated on the JAMA site. Also, if you are not in the US, there have been encouraging results in treating asthma caused by allergic rhinitis (allergies) using antihistamines.  Unfortunately the US is behind on the curve and FDA approval of such treatments is still in early testing stages. I am going to look longand hard into getting some of this for my boy since during this latest bout he has been on inhaled steroids for the first time for 2 weeks with only margnially adquate improvement. Good luck and please let me know via email what happens.  I am looking for someone with a similar problem to my son to exchange notes with. — DON’T ‘RE’ this message.  I use a bogus address to thwart email harvesters for junk lists.  Reply on the newsgroup or respond David

Response:

– Hide quoted text — Show quoted text – Hi,     Well I am new to this group, and looking for information. Here is the situation. My daughter, Alyssa is 5 years old. She has a long history of ear infections, tonsillitis, etc. She has always had a chronic cough. I attributed her cough to her always being sick. We took her in last May and got tubes in her ears, a tonsillectomy, and adnoidectomy. It has helped, she has hardly been sick.     She still has this chronic cough though, it has never gone away. I have been waking up with her 2-3 times per night with her crying and coughing. (mom is getting tired here!). Well the week before last I finally took her back to the docs. (She was also sick). They put her on an antibiotic, and told me to come back in two weeks to talk about this ‘cough’.     Needless to say, we didn’t last our two weeks. I took her back into the docs last Thursday. Last Wed. her coughing go real bad, we (me and my nurse) listened to her lungs and they were wheezing. It lasted bout an hour and went away. I though she was getting pneumonia till the wheezing went away. The next morning she did the same thing.     So we went back to the doc that day. They put her on breathing treatments, albuterol with N/S 3 x’s per day through a nebulizer. She still coughs a bit, but she has actually slept every night through since we started the treatments. The teachers at her schools says PE tends to be a problem also. (but not consistently)     Anyhow, I have to take her back next week to see how it is going. What should I expect from the doctors, what tests should they run? (they haven’t run any, just started the treatments). Does this mean she does have asthma? Should I try to limit my daughters activities? Get rid of the cats? Where do I go from here? She really doesn’t seem bad, she just coughed all the time, and never slept through the night,  I don’t understand this whole thing.     Sorry this is so long, if you made it this far, I thank you! Any advice and help would be greatly appreciated. I am just trying to get this all figured out. Thank you, Lori

It would probably be a good idea to ask for a referral to a pediatric allergist. He can test her allergies (skin or blood) and usually allergists know more about asthma then GP/Pediatricians. She could have cough-variant asthma, or a look alike condition. If she has asthma, she will probably be prescribed long acting preventor meds, like Intal or steroid inhaler. Albuterol is the short-acting rescue drug. Here are links: http://www.aaaai.org/public/publicedmat/tips/tip20.html CHILDHOOD ASTHMA (AAAAI) http://www.vh.org/Providers/ClinGuide/Asthma/Asthma.html  Asthma Management:  Guidelines for the Primary Care  Physician (Virtual Childrens Hospital) c95, 97 (UIowa) Miles Weinberger, M.D. Department of Pediatrics University of Iowa College of Medicine Peer Review Status: Externally Peer Reviewed Ellis

Response:

   Anyhow, I have to take her back next week to see how it is going. What should I expect from the doctors, what tests should they run? (they haven’t run any, just started the treatments). Does this mean she does have asthma?

I expect that the doctors will try putting her on asthma control medications and see if this works.  Another possibility is that she has a respiratory infection and is responding to the albuterol. If there is a history of asthma in your family (asthma is typically an inherited disease) then the odds of it being asthma are much higher. If she has a history of allergies then this also increases the risk of asthma. Another big factor in increasing asthma risk is exposure to secondhand cigarette smoke. Should I try to limit my daughters activities? Get rid of the cats? Where do I go from here? She really doesn’t seem bad, she just coughed all the time, and never slept through the night,  I don’t understand this whole thing.

The goal of asthma treatment is to allow the child to have a completely normal childhood. My recommendation would be to ask for a referral to an asthma specialist.  If the specialist confirms asthma then ask for allergy testing.  Once you have identified these allergens you can use environmental control measures to limit her exposure. I cannot overemphasize the importance of finding a good asthma doctor. Not only are you looking for the necessary skills and experience you need to find someone who you can communicate with easily.

Response:

    Hi,         Well I am new to this group, and looking for information. Here is the     situation.  <snip         Anyhow, I have to take her back next week to see how it is going. What     should I expect from the doctors, what tests should they run? (they haven’t run any, just started the treatments). Does this mean she does have asthma?     Should I try to limit my daughters activities? Get rid of the cats? Where do I go from here? She really doesn’t seem bad, she just coughed all the time, and never slept through the night,  I don’t understand this whole thing.     Ok Lori,     a lot to cover but I understand your concern.  I’m not a doctor but some things did sound familiar.  The ear infections and such may have "flared up" your daughter’s asthema or it’s possible that they may have not been connected either.  That’s not a concern now though, because you said the tubes have helped.  (Does she have allergies too?)     Now, since she has been on albuterol the wheezing and coughing episodes should diminish.  But albuterol alone may not be enough.  Albuterol is the "rescue" drug.  Usually, there is a "preventative" drug that her doctor will prescribe.  Then she should only need the albuterol occasionaly.       There are a couple Dr’s here that I’m sure will be glad to help too.

Response:

Ok Lori,     a lot to cover but I understand your concern.  I’m not a doctor but some things did sound familiar.  The ear infections and such may have "flared up" your daughter’s asthema or it’s possible that they may have not been connected either.  That’s not a concern now though, because you said the tubes have helped.  (Does she have allergies too?)     Now, since she has been on albuterol the wheezing and coughing episodes should diminish.  But albuterol alone may not be enough.  Albuterol is the "rescue" drug.  Usually, there is a "preventative" drug that her doctor will prescribe.  Then she should only need the albuterol occasionaly.       There are a couple Dr’s here that I’m sure will be glad to help too.     —

Response:

Hi,     Well I am new to this group, and looking for information. Here is the situation. My daughter, Alyssa is 5 years old. She has a long history of ear infections, tonsillitis, etc. She has always had a chronic cough. I attributed her cough to her always being sick. We took her in last May and got tubes in her ears, a tonsillectomy, and adnoidectomy. It has helped, she has hardly been sick.     She still has this chronic cough though, it has never gone away. I have been waking up with her 2-3 times per night with her crying and coughing. (mom is getting tired here!). Well the week before last I finally took her back to the docs. (She was also sick). They put her on an antibiotic, and told me to come back in two weeks to talk about this ‘cough’.     Needless to say, we didn’t last our two weeks. I took her back into the docs last Thursday. Last Wed. her coughing go real bad, we (me and my nurse) listened to her lungs and they were wheezing. It lasted bout an hour and went away. I though she was getting pneumonia till the wheezing went away. The next morning she did the same thing.     So we went back to the doc that day. They put her on breathing treatments, albuterol with N/S 3 x’s per day through a nebulizer. She still coughs a bit, but she has actually slept every night through since we started the treatments. The teachers at her schools says PE tends to be a problem also. (but not consistently)     Anyhow, I have to take her back next week to see how it is going. What should I expect from the doctors, what tests should they run? (they haven’t run any, just started the treatments). Does this mean she does have asthma? Should I try to limit my daughters activities? Get rid of the cats? Where do I go from here? She really doesn’t seem bad, she just coughed all the time, and never slept through the night,  I don’t understand this whole thing.     Sorry this is so long, if you made it this far, I thank you! Any advice and help would be greatly appreciated. I am just trying to get this all figured out. Thank you, Lori

Response:

lori, my daughter had the same problem. chronic cough. they diagnosed her with ashtma last year. she is 7 years old. she has chronic ear infections also. she is on the nebulizer three times a day also. two days after starting the treatment her symptoms went away.she has an inhaler at school which she takes 20 min. before PE.this might be helpful to your daughter. the doctors didn’t run any tests on my daughter.just perscribed her with preventitive medicines,intal and azthmacort. it is very confusing but you will learn more with time.don’t worry ,you are not alone, ‘                  kristin

Response:

i am sorry what your little girl is going through.  when i was smaller i had to have tubes in my ears and the tonsillectomy and the other thing i cant spell :)  but i didnt have the coughing problem.  i bet it is tough.  I will pray for you and her.  as of what to do I dont have a clue i am sorry – Hide quoted text — Show quoted text -Hi,    Well I am new to this group, and looking for information. Here is the situation. My daughter, Alyssa is 5 years old. She has a long history of ear infections, tonsillitis, etc. She has always had a chronic cough. I attributed her cough to her always being sick. We took her in last May and got tubes in her ears, a tonsillectomy, and adnoidectomy. It has helped, she has hardly been sick.    She still has this chronic cough though, it has never gone away. I have been waking up with her 2-3 times per night with her crying and coughing. (mom is getting tired here!). Well the week before last I finally took her back to the docs. (She was also sick). They put her on an antibiotic, and told me to come back in two weeks to talk about this ‘cough’.    Needless to say, we didn’t last our two weeks. I took her back into the docs last Thursday. Last Wed. her coughing go real bad, we (me and my nurse) listened to her lungs and they were wheezing. It lasted bout an hour and went away. I though she was getting pneumonia till the wheezing went away. The next morning she did the same thing.    So we went back to the doc that day. They put her on breathing treatments, albuterol with N/S 3 x’s per day through a nebulizer. She still coughs a bit, but she has actually slept every night through since we started the treatments. The teachers at her schools says PE tends to be a problem also. (but not consistently)    Anyhow, I have to take her back next week to see how it is going. What should I expect from the doctors, what tests should they run? (they haven’t run any, just started the treatments). Does this mean she does have asthma? Should I try to limit my daughters activities? Get rid of the cats? Where do I go from here? She really doesn’t seem bad, she just coughed all the time, and never slept through the night,  I don’t understand this whole thing.    Sorry this is so long, if you made it this far, I thank you! Any advice and help would be greatly appreciated. I am just trying to get this all figured out. Thank you, Lori

Response:

Asthma and Pets

Question:

– Hide quoted text — Show quoted text -Those of you defending your decision to keep cats can toss words like "blanket statement" and "knee-jerk" around all you want, but the fact is that what bothers you is that the doctor told you something that you didn’t want to hear.  This by no means means your doctor is "lazy" or "incompetent." I was rather surprised to hear Colin Campbell, who apparently shares my distaste for the AMP’s on here, taking this tack.  To my mind this is why so many people go to "alternative therapies",  Their doctor says, I can’t cure you, I can only alleviate your symptoms and you must make drastic changes in your lifestyle.  The patient goes into denial decides either that 1)their doctor is lazy or incompetent or 2) Western medicine is a failure, and they look around until they find an Alternative Medicine "Practitioner" who will tell them what they want to hear. CC will doubtless reply that he would be willing to give up cats if his doctor PROVED that HE was allergic to cats, but I have to ask, what standard of proof will he accept?  I had to laugh when one poster ("surfer" I think it was) said that smoking was a much clearer case than cats, because smoking hurts everybody.  I guess he (or she?) has never spoken to all the smokers I know, who insist (hacking away) that smoking certainly doesn’t affect them and they don’t believe it harms people near them.  (unless of course you’re an asthtmatic and then in some way, it’s your fault not theirs..) Martin

that’s a rediculous comparison…cats do NOT harm everyone near them. ONLY people with allergies to cats specifically. and before you ask…I don’t have and have never had a cat, no. because my dad actually is allergic. so we always had dogs, because he wasn’t allergic to them. if a doctor says, get rid of your cats, without having an alergy test done…or worse, when the person has tested negative for cat allergy…that is a knee-jerk reaction and stupid of them. if they say, I want you to get tested for cat allergy and get rid of the cats if you have it, that isn’t. that’s what people are saying, not that cats couldn’t possibly be the problem and there’s no way they’d give up their cats no matter what. (some people say they wouldn’t give them up no matter what, but the majority of them are only saying they won’t give them up unless they test positive for allergy to cats.) — Emily …delete SPAMSTOP to email.

Response:

I personally agree that the best way to go is to test for the allergy and if the test is positive to try to use other means to control the asthma. If this proves difficult to do I then revisit the animal issue. There are many reason to suspect that animals in the house may be deleterious to an atopic person. There are many antigens present than the few tested for in standard (or even more than standard) testing. There is increased dust, a non-specific irritant. Fleas and tick are brought into the home. The skin tests do not test precisely the same reaction as in asthma. It is possible to be skin test, IgE, and RAST negative and still have that substance as a trigger for asthma. While my personal practice is to try to keep the animal with the owner I also recognize that advising immediately getting rid of the animal is another legitimate view. All of you people who are calling the advice "knee jerk" and "stupid" are being immature and arrogant, not to mention self centered and ignorant. Grow up, and accept that opposing viewpoints are not always wrong and those who disagree are not always "stupid" and "lazy." — Good Luck, CBI, M.D. – Hide quoted text — Show quoted text – says… Those of you defending your decision to keep cats can toss words like "blanket statement" and "knee-jerk" around all you want, but the fact is that what bothers you is that the doctor told you something that you didn’t want to hear.  This by no means means your doctor is "lazy" or "incompetent." I was rather surprised to hear Colin Campbell, who apparently shares my distaste for the AMP’s on here, taking this tack.  To my mind this is why so many people go to "alternative therapies",  Their doctor says, I can’t cure you, I can only alleviate your symptoms and you must make drastic changes in your lifestyle.  The patient goes into denial decides either that 1)their doctor is lazy or incompetent or 2) Western medicine is a failure, and they look around until they find an Alternative Medicine "Practitioner" who will tell them what they want to hear. CC will doubtless reply that he would be willing to give up cats if his doctor PROVED that HE was allergic to cats, but I have to ask, what standard of proof will he accept?  I had to laugh when one poster ("surfer" I think it was) said that smoking was a much clearer case than cats, because smoking hurts everybody.  I guess he (or she?) has never spoken to all the smokers I know, who insist (hacking away) that smoking certainly doesn’t affect them and they don’t believe it harms people near them.  (unless of course you’re an asthtmatic and then in some way, it’s your fault not theirs..) Martin that’s a rediculous comparison…cats do NOT harm everyone near them. ONLY people with allergies to cats specifically. and before you ask…I don’t have and have never had a cat, no. because my dad actually is allergic. so we always had dogs, because he wasn’t allergic to them. if a doctor says, get rid of your cats, without having an alergy test done…or worse, when the person has tested negative for cat allergy…that is a knee-jerk reaction and stupid of them. if they say, I want you to get tested for cat allergy and get rid of the cats if you have it, that isn’t. that’s what people are saying, not that cats couldn’t possibly be the problem and there’s no way they’d give up their cats no matter what. (some people say they wouldn’t give them up no matter what, but the majority of them are only saying they won’t give them up unless they test positive for allergy to cats.) — Emily …delete SPAMSTOP to email.

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alot of asthmatics can not lead normal lives.  I have yet to find a remedy for animal dander.  I cant have pets, or be around cigarette  smoke.  I will not go in someones house if they have ANY pets.  Its called sacrifice.

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Those of you defending your decision to keep cats can toss words like "blanket statement" and "knee-jerk" around all you want, but the fact is that what bothers you is that the doctor told you something that you didn’t want to hear.  This by no means means your doctor is "lazy" or "incompetent." I was rather surprised to hear Colin Campbell, who apparently shares my distaste for the AMP’s on here, taking this tack.  To my mind this is why so many people go to "alternative therapies",  Their doctor says, I can’t cure you, I can only alleviate your symptoms and you must make drastic changes in your lifestyle.  The patient goes into denial decides either that 1)their doctor is lazy or incompetent or 2) Western medicine is a failure, and they look around until they find an Alternative Medicine "Practitioner" who will tell them what they want to hear. CC will doubtless reply that he would be willing to give up cats if his doctor PROVED that HE was allergic to cats, but I have to ask, what standard of proof will he accept?  I had to laugh when one poster ("surfer" I think it was) said that smoking was a much clearer case than cats, because smoking hurts everybody.  I guess he (or she?) has never spoken to all the smokers I know, who insist (hacking away) that smoking certainly doesn’t affect them and they don’t believe it harms people near them.  (unless of course you’re an asthtmatic and then in some way, it’s your fault not theirs..) Martin

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I can relate to the "no cats" as a ‘knee-jerk’ blanket statment – I’ve heard it too often as "the first step" – As in "No argument, you <have to get rid of your cats!!". And then we do the patch test, and there is <no reaction. For a less scientific test, I just spent 3 days at a cat show, and the only time I had an allergic response was if I talked to someone who had smoked a cigirette, or if they had been petting the birds and rabbits next door. So, is that reason enough to question the Dr? Yes, some people are alllergic to cats. But not everyone. If someone walks past me wearing one of those <stupid Christmas sweaters with the Angora rabbit trim, I will have a serious attack. If someone touches a Guinea Pig, and then touches me, I will react. But cats – nothing. So I listen to my Dr, but I also expect him to listen to me. Health care is <much more interactive then ever before. And asthma treatment is very dependant  on Dr/patient exchange of information. regards Cathy – Hide quoted text — Show quoted text – When the doctor says something you like he is knowledgeable. When you don’t like his advice it is "knee jerk". Why is,"get rid of the cat," any more knee jerk than, "reduce the dust in your home," or, "stop smoking ?" The idea is to cut down on the exposure to dust and allergens. You know this, you are just letting feelings for your cats obscure your judgment. If my doctor came up to me and said: "Here are the results of your allergy tests.  They indicate that you have a problem with cat allergy that is affecting the control of your asthma."  Then I would consider him to be offering solid advice.  If he does the knee-jerk ‘get rid of the cats’ comment I am not impressed. IMO, any doctor should be able to answer the following questions about any asthma treatment method: 1) Why he is recommending it 2) How it works 3) What the expected benefits are 4) How to tell if the treatment is effective 5) Potential minor and major side effects 6) What to do in the case of item 5 Most doctors are either too lazy to do this – or (all too frequently) unable.

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When the doctor says something you like he is knowledgeable. When you don’t like his advice it is "knee jerk". Why is,"get rid of the cat," any more knee jerk than, "reduce the dust in your home," or, "stop smoking ?" The idea is to cut down on the exposure to dust and allergens. You know this, you are just letting feelings for your cats obscure your judgment.

If my doctor came up to me and said: "Here are the results of your allergy tests.  They indicate that you have a problem with cat allergy that is affecting the control of your asthma."  Then I would consider him to be offering solid advice.  If he does the knee-jerk ‘get rid of the cats’ comment I am not impressed. IMO, any doctor should be able to answer the following questions about any asthma treatment method: 1) Why he is recommending it 2) How it works 3) What the expected benefits are 4) How to tell if the treatment is effective 5) Potential minor and major side effects 6) What to do in the case of item 5 Most doctors are either too lazy to do this – or (all too frequently) unable.

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When the doctor says something you like he is knowledgeable. When you don’t like his advice it is "knee jerk". Why is,"get rid of the cat," any more knee jerk than, "reduce the dust in your home," or, "stop smoking ?" The idea is to cut down on the exposure to dust and allergens. You know this, you are just letting feelings for your cats obscure your judgment. — Good Luck, CBI, M.D.

CBI, I agree with your position that if you KNOW you allergic to certain things (ie: cats, dogs, etc), then it is in your best interest to limit your exposure to those triggers.  I discovered I was allergic to our cat but refused to believe she caused me any problems with my asthma. Within 6 months of discovering I was indeed allergic to cats, I had a near fatal asthma attack after petting her for a few minutes.  Having said that, I can also assure you that doctors do indeed have a "knee jerk" reaction when they discover a patient has an animal.  I am not allergic to dogs.  I’ve never had any problems around my dogs or anyone else’s.  I’ve had allergy testing done, with negative results for dog allergies.  Guess what the very first recommendation my allergist had for me was (upon discovering I had dogs)?  He told me to get rid of them.  After a rather lengthy debate, and after he had reviewed my allergy tests again, he dropped the matter and it hasn’t come up since. Many doctors do have a "knee jerk" response to those of us with animals, even when we aren’t allergic to the animals.  I think that response is intensified with more difficult asthma patients (like myself……I’m steroid dependant).  I refuse to "get rid of" my dogs when I am not allergic to them.  No doctor has been able to give me any valid reason as to why I should remove them from my home when I’m not allergic.  If I WERE allergic to dogs, I would remove them (grudgingly) from my home for the benefit of my overall health. Missie Harhold

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When the doctor says something you like he is knowledgeable. When you don’t like his advice it is "knee jerk". Why is,"get rid of the cat," any more knee jerk than, "reduce the dust in your home," or, "stop smoking ?" The idea is to cut down on the exposure to dust and allergens. You know this, you are just letting feelings for your cats obscure your judgment. — Good Luck, CBI, M.D. – Hide quoted text — Show quoted text – Well, I find it hard to avoid an emotional reaction to this.  My son (who was diagnosed with asthma)  has been to the hospital twice in his life. He’s six.  The first visit was when he was 8 months and first diagnosed, the second was after he was exposed to a known trigger. My own childhood in contrast was a hospital hell-hole–i suspect i spent in total at least one full year in hospital before I turned six. I attribute the difference to my mother’s refusal to give up her pets. There are no smokers and no pets in my house, and there never will be.  My son, due to this resolve, barely knows he has asthma. A parent has a responsibility to look out for the welfare of a child. What I have a problem with is the knee-jerk reaction of doctors to ‘get rid of the cat.’  I also have a problem with the apparent failure of doctors to even attempt to solve the problem of cat allergy. If I ever have to get rid of my cats, then asthma has just forced a drastic negative change in my lifestyle.  Which means that no matter how good my asthma is – the treatment program is a failure because I cannot lead a normal life. The goal of an asthma treatment program is to keep the asthma from forcing drastic lifestyle changes.

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It’s more knee-jerk because smoking will harm everyone (asthmatic or not) but owning cats doesn’t.  It’s possible to check if someone is allergic to cats.  Demonstrating their allergy will go a long way to making them comply with your request.  Simply making the request will go down like a ton of bricks with adults that enjoy having cats. I know a physio who specialised in sports injury.  He knew that what he had to do was to explain to his patients what they could and couldn’t do with their particular injury to get compliance, not just tell everyone to rest period – which they didn’t do as they were motivated athletes in most cases.  Similarly there’s no point in telling an asthmatic to avoid all common triggers when they won’t comply as this involves making a change they don’t want to make to their lifestyle. Like Colin I have cats (4 in my case) which make no difference to my asthma, which started last year at the age of 43.  So far as I can tell I have no allergies though some things (cigarette smoke, traffic fumes, some perfumes) do make the asthma worse.  I avoid the things that affect me, not the things that affect other people. writes When the doctor says something you like he is knowledgeable. When you don’t like his advice it is "knee jerk". Why is,"get rid of the cat," any more knee jerk than, "reduce the dust in your home," or, "stop smoking ?" The idea is to cut down on the exposure to dust and allergens. You know this, you are just letting feelings for your cats obscure your judgment. — Good Luck, CBI, M.D.

<snipped — Surfer! http://www.nevis-vieww.demon.co.uk http://www.nevis-vieww.demon.co.uk/flash Hopeful anti-spam: alter double ‘w’ to single ‘w’ to view site & send Email.

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Owning a pet is a pleasant past-time, a form of recreation if you will. I agree with making sure that the pet is the problem before getting rid of it. I also agree that people in new relationships have an interesting choice to make. But to imply that pet ownership ranks right up there with your child’s, your spouse’s, or your own breathing in your list of priorities is misguided.

And the moment I have to give up my cats because of my asthma, the treatment program is a failure.  No matter how good my asthma becomes, my asthma treatment cannot be considered a success because that asthma has forced a drastic and negative lifestyle change. What really bothers me is that doctors do not even try to treat cat allergy.  All they say is ‘get rid of the cat.’  

Response:

"normal life" would also include not having to constantly medicate too i would hope.  i suppose it’s just a personal choice, but if i could toss all my meds out the window right now, i’d give up much more than a cat.

Everybody is different and we all have to make choices based on our personal situations.  Fortunately, cat allergy is not a major problem for me. The moment you have to make a major lifestyle change then your asthma has now taken control of your life.  This is something I am not willing to let happen.

Response:

The treatment program is not a failure. You are just reluctant to follow one of its most important components. If your asthma could be well controlled in the presence of a known trigger (the cat) by giving you an expensive course of allergy treatments, then some allergist would be happy to take your money. Truth is, the treatments are not that good. It is also debatable whether or not they work in the continued presence of the allergen. The best allergy treatment is avoidance. — Good Luck, CBI, M.D. – Hide quoted text — Show quoted text – Owning a pet is a pleasant past-time, a form of recreation if you will. I agree with making sure that the pet is the problem before getting rid of it. I also agree that people in new relationships have an interesting choice to make. But to imply that pet ownership ranks right up there with your child’s, your spouse’s, or your own breathing in your list of priorities is misguided. And the moment I have to give up my cats because of my asthma, the treatment program is a failure.  No matter how good my asthma becomes, my asthma treatment cannot be considered a success because that asthma has forced a drastic and negative lifestyle change. What really bothers me is that doctors do not even try to treat cat allergy.  All they say is ‘get rid of the cat.’

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If I ever have to get rid of my cats, then asthma has just forced a drastic negative change in my lifestyle.  Which means that no matter how good my asthma is – the treatment program is a failure because I cannot lead a normal life.

it’s just as easily said that asthma itself is a drastic negative change in lifestyle (and health) in many cases induced by cats. i have realized that the pleasure i take from pet ownership simply can not outweigh my safety.  i suppose we just need to agree to disagree Maura ***** Maura K Phipps http://members.aol.com/mop418/main.htm

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Well, I find it hard to avoid an emotional reaction to this.  My son (who was diagnosed with asthma)  has been to the hospital twice in his life. He’s six.  The first visit was when he was 8 months and first diagnosed, the second was after he was exposed to a known trigger. My own childhood in contrast was a hospital hell-hole–i suspect i spent in total at least one full year in hospital before I turned six. I attribute the difference to my mother’s refusal to give up her pets. There are no smokers and no pets in my house, and there never will be.  My son, due to this resolve, barely knows he has asthma.

A parent has a responsibility to look out for the welfare of a child. What I have a problem with is the knee-jerk reaction of doctors to ‘get rid of the cat.’  I also have a problem with the apparent failure of doctors to even attempt to solve the problem of cat allergy. If I ever have to get rid of my cats, then asthma has just forced a drastic negative change in my lifestyle.  Which means that no matter how good my asthma is – the treatment program is a failure because I cannot lead a normal life. The goal of an asthma treatment program is to keep the asthma from forcing drastic lifestyle changes.  

Response:

You could make the same arguments about pets being "a normal part of life" for smoking for some people. We condemn that too. In the end, having uncontrolled asthma is not a normal part of life (or shouldn’t be), breathing is (or should be). Owning a pet is a pleasant past-time, a form of recreation if you will. I agree with making sure that the pet is the problem before getting rid of it. I also agree that people in new relationships have an interesting choice to make. But to imply that pet ownership ranks right up there with your child’s, your spouse’s, or your own breathing in your list of priorities is misguided. — Good Luck, CBI, M.D. – Hide quoted text — Show quoted text – why would anyone choose to be dependent on medications if a simple environmental change would relieve them of the problem?  i would agree that your doc is failing you by not being thourough in his diagnostics, but failing you by not medicating your husband?! that’s ludicrous. My guess is that the person os focusing on his/her total quality of life rather than just his airway performance. All the current standards for asthma care state that the patient should be allowed to live a normal life.  Too many doctors seem to forget that owning a pet is part of a normal life for most people. Well, I find it hard to avoid an emotional reaction to this.  My son (who was diagnosed with asthma)  has been to the hospital twice in his life. He’s six.  The first visit was when he was 8 months and first diagnosed, the second was after he was exposed to a known trigger. My own childhood in contrast was a hospital hell-hole–i suspect i spent in total at least one full year in hospital before I turned six. I attribute the difference to my mother’s refusal to give up her pets. There are no smokers and no pets in my house, and there never will be.  My son, due to this resolve, barely knows he has asthma. Martin

Response:

why would anyone choose to be dependent on medications if a simple environmental change would relieve them of the problem?  i would agree that your doc is failing you by not being thourough in his diagnostics, but failing you by not medicating your husband?! that’s ludicrous.

My guess is that the person os focusing on his/her total quality of life rather than just his airway performance. All the current standards for asthma care state that the patient should be allowed to live a normal life.  Too many doctors seem to forget that owning a pet is part of a normal life for most people.

Response:

- Hide quoted text — Show quoted text – why would anyone choose to be dependent on medications if a simple environmental change would relieve them of the problem?  i would agree that your doc is failing you by not being thourough in his diagnostics, but failing you by not medicating your husband?! that’s ludicrous. My guess is that the person os focusing on his/her total quality of life rather than just his airway performance. All the current standards for asthma care state that the patient should be allowed to live a normal life.  Too many doctors seem to forget that owning a pet is part of a normal life for most people.

Well, I find it hard to avoid an emotional reaction to this.  My son (who was diagnosed with asthma)  has been to the hospital twice in his life. He’s six.  The first visit was when he was 8 months and first diagnosed, the second was after he was exposed to a known trigger. My own childhood in contrast was a hospital hell-hole–i suspect i spent in total at least one full year in hospital before I turned six. I attribute the difference to my mother’s refusal to give up her pets. There are no smokers and no pets in my house, and there never will be.  My son, due to this resolve, barely knows he has asthma. Martin

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social.com writes <snip 3/ Inhaled Steroids  Beclofort Pulmocort to aid in softening the lungs it aid normal breathing. **Inhaled Steroids! just look at all the posts in here from people suffering awful side effects.  dont even get me started!

There are also many, many people using inhaled steroids to allow them to live a full and normal life.  Most of them (in the UK) probably don’t have an Internet account so we’ll never here from them.  Remember that in this NG we tend to hear from people with problems controlling their asthma (and various snake oil salesfolk) rather than well asthmatics. <snip It may be necessary to rehome the cat if he is allergic to it.  Rehoming is a much kinder phrase than ‘get rid of’, and us folks with pets are very, very attached to them.  Some people find it easier to file for divorce than rehome a pet! — Surfer! http://www.nevis-vieww.demon.co.uk http://www.nevis-vieww.demon.co.uk/flash Hopeful anti-spam: alter double ‘w’ to single ‘w’ to view site & send Email.

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why would anyone choose to be dependent on medications if a simple environmental change would relieve them of the problem?  i would agree that your doc is failing you by not being thourough in his diagnostics, but failing you by not medicating your husband?! that’s ludicrous. My guess is that the person os focusing on his/her total quality of life rather than just his airway performance.

i’m not sure how asthma effects your life, but when i’m having an attack -heck even when i’m not having an attack, my airway performance is hardly the only health issue asthma presents. All the current standards for asthma care state that the patient should be allowed to live a normal life.  Too many doctors seem to forget that owning a pet is part of a normal life for most people.

"normal life" would also include not having to constantly medicate too i would hope.  i suppose it’s just a personal choice, but if i could toss all my meds out the window right now, i’d give up much more than a cat. -maura

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You might try washing the kitty regularly, if it lets you. My sister found

her allergy symptoms decreased when she did that. She also vacuumed it too. I have two cats and they are bathed once a week by my husband. This helps a lot. The cat will not like it at first but they get used to it and mine seem to enjoy it now.   My husband also does all the house cleaning while I am out of the house.  We have no rugs and no drapes. This has helped me considerably.  I also don’t have to do house work anymore.

Response:

My husband has recently developed asthma that our doctor believes is a reaction to our kitten …

my reply to this would be to have him get allergy tested.  it’s very easy to claim that something is an allergen, but i wouldnt throw your pet out simply because the doc "thinks" that is the trigger.  as many here have experienced, the "get rid of the cat" philosophy is rather knee-jerk.  however, i can not agree with the following posters opinion… KEEP YOUR PET.

*snip* There are a Host Of Medications on the market for asthma and it can be controlled  very well.  Your Dr Is Failling in his duties by not medicating your husbands problem

why would anyone choose to be dependent on medications if a simple environmental change would relieve them of the problem?  i would agree that your doc is failing you by not being thourough in his diagnostics, but failing you by not medicating your husband?! that’s ludicrous. and trust that i speak from experience- my two kittens will be moving in with my parents this weekend.  of course it was a last resort-but finally after hospitalization, and feeling like a 50/day smoker on an iron lung rather than a healthy 21 year old, i’ve stopped being stupid and realized that my health is more important than having my sweet boys around.  my asthma has been an issue since age 13, and is worsened by both animal dander/hair and multiple seasonal allergens. if your husband had NO pre-existing asthmatic condition and is simply reacting to an allergen, why pump medications that have potentially very serious side effects, into him?  and if he was having breathing difficulties before the cat, those should be managed accordingly, not perpetuated by further triggers in the environment. just look at the list below that he offered as treatment methods …all those meds …all that money …even just the sheer 25 minutes it takes out of my day 3 times a day to set up and administer my meds is enough of a hassle.   1/ Theophyline timed release pill taken around 10 to NOON each day. Provides all day releif from sysptoms Not Prevention!

**notice it says NOT PREVENTION – why not prevent symptoms if you can? 2/ INhaled medications for controll of attacks and programmed Better breathing PUFFER  propellant types can cause more Asthma tha Cure!

**side effect of some meds he clearly says "can cause more Asthma tha(n) Cure!" 3/ Inhaled Steroids  Beclofort Pulmocort to aid in softening the lungs it aid normal breathing.

**Inhaled Steroids! just look at all the posts in here from people suffering awful side effects.  dont even get me started! 4/ Sal Butomol in Nebuliser Form is Excellent For all Agesbut requires the use Of  an expensiove machine here in canad About $200 Or 100 UK pounds!  

**$200. $200?!  i dont have that kind of money to throw around, do you? especially on something that may be "cured" by removing a cat from the home. But More than worth the Expense Inmy forst tyear I saved More that the cost In Gasoline to go to The Hostpital Emergncy treatment!

**Emergency treatment your husband wouldnt even have to consider because he doesnt seem to have had a pre-existing condition! I have Had It With DRs’. so quick to say get rid Of the Pets Carpets atc!  Mine said change My Job. Had I done So I would have deserted my batrtle with the Erradication Of Dioxins in Pulp and Lumber! The World health is nmore impoprtant than the health of one !

it is very noble of this poster to consider World Health ahead of his own…but what you’re dealing with is not a world crisis (even though it might seem like it now-sure did to me to have to consider giving my guys away)  it’s the everyday health, well being, and just simple comfort of a HUMAN you love vs. having this particular family pet.   Last Exercise Walk is Excellent. Bicycicle more energetic but a real Lung builder! Maintain your weight at a good level.

excellent advice, but when ones (perhaps preventable in husbands case) asthma becomes so severe that one is dependent on steroids and nebulizer treatments -it’s strenuous to walk to the fridge for a glass of water, never mind become a marathon runner.  and hrm…isnt one of the side effects of oral steroids weight gain? i’m an avid mountain biker and dance teacher, and when it’s a struggle to breath, it’s a struggle to exercise, and it’s a struggle to keep the weight off -especially while on pred! These are somne of the things you can do and What I expect your Doctor to have done For you. Feel Free to take this Letter to Your physian I will deal with Best Regards Peter.

all in all, your doctor can only do so much.  he/she can not control your environment, can only be responsible for determining what the cause of the problem is, and making suggestions for you to follow. your family’s PHYSICAL well being is ultimately your (your husbands) responsibility and needs to be the priority (which it obviously is if you’re concerned enough to post here).  of course it is sad to have to give up a loved pet who has grown to be a part of the family.  but you’ve got to look at it this way; family member or not —it is still a PET.  i really dont mean to sound so heartless, and have been agonizing over my own decision for weeks, but it’s just the right choice for the health of your family.  if your hubby is allergy tested and it’s NOT the cat, well, then other options will of course be looked into, but to say, as Peter did that your doc is failing you by not simply throwing some albuterol in your husbands direction is ridiculous …and a truly irresponsible idea.  ironically, as i finish typing this, both kittens jumped into my lap.  i’m truly going to miss them, but i know that even 24 vacuuming and allerpet applications is not going to make me breathe easier best of luck to your whole family! Maura ***** Maura K Phipps http://members.aol.com/mop418/main.htm

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My husband has recently developed asthma that our doctor believes is a reaction to our kitten (now 7 months old).  He has a tightness in his chest which doesn’t allow him to breathe deeply anymore – no other symptoms are ongoing (he does get the occasional cough or runny nose, though). Can anyone recommend ways that would allow him to breathe normally again that also would allow us to keep the kitty?  We have invested in a Dyson vacume cleaner with HEPA filters, and also now apply a weekly treatment of Allerpet for Cats to the kitty’s coat.  Any suggestions would be most welcome, as we view rehoming the cat as a last resort.

You might try washing the kitty regularly, if it lets you. My sister found her allergy symptoms decreased when she did that. She also vacuumed it too. She now has two kitties and doesn’t seem to have a problem with them. ..diane

Response:

I would see an allergist and have him test you for allergies to animals. If it turns out he is allergic to the cat you will be treading water, fighting this thing until you get rid of the cat. Avoiding the triggers is the best treatment for allergies. — Good Luck, CBI, M.D.

– Hide quoted text — Show quoted text – My husband has recently developed asthma that our doctor believes is a reaction to our kitten (now 7 months old).  He has a tightness in his chest which doesn’t allow him to breathe deeply anymore – no other symptoms are ongoing (he does get the occasional cough or runny nose, though). Can anyone recommend ways that would allow him to breathe normally again that also would allow us to keep the kitty?  We have invested in a Dyson vacume cleaner with HEPA filters, and also now apply a weekly treatment of Allerpet for Cats to the kitty’s coat.  Any suggestions would be most welcome, as we view rehoming the cat as a last resort. Best regards, KEEP YOUR PET. ANimals are part Of the HOme. Its Obvius your  kitty is lived. !/ Get a Pneumonia Vacination BOth of you . and in 2 weeks get a Flue Shot. Keep as healthy as Possable. NO smoking ! There are a Host Of Medications on the market for asthma and it can be controlled very well.  Your Dr Is Failling in his duties by not medicating your husbands problem 1/ Theophyline timed release pill taken around 10 to NOON each day. Provides all day releif from sysptoms Not Prevention! 2/ INhaled medications for controll of attacks and programmed Better breathing PUFFER  propellant types For older persons Is probably best For Youger more Resiliant Porsons to 70 Years the NON CFC types are recomended as the propellants can cause more Asthma tha Cure! Ventoline Bricanyl 3/ Inhaled Steroids  Beclofort Pulmocort to aid in softening the lungs it aid normal breathing. 4/ Sal Butomol in Nebuliser Form is Excellent For all Agesbut requires the use Of  an expensiove machine here in canad About $200 Or 100 UK pounds!  But More than worth the Expense Inmy forst tyear I saved More that the cost In Gasoline to go to The Hostpital Emergncy treatment! Many More Drugs in each catagory can be used That zyou do not refer to. I have Had It With DRs’. so quick to say get rid Of the Pets Carpets atc!  Mine said change My Job. Had I done So I would have deserted my batrtle with the Erradication Of Dioxins in Pulp and Lumber! The World health is nmore impoprtant than the health of one ! I was a Research Chemist in Industrial Chemicals Yes uit destroyed MY lungs But I can smile!. Last Exercise Walk is Excellent. Bicycicle more energetic but a real Lung builder! Maintain your weight at a good level. These are somne of the things you can do and What I expect your Doctor to have done For you. Feel Free to take this Letter to Your physian I will deal with Best Regards Peter.

Response:

My husband has recently developed asthma that our doctor believes is a reaction to our kitten (now 7 months old).  He has a tightness in his chest which doesn’t allow him to breathe deeply anymore – no other symptoms are ongoing (he does get the occasional cough or runny nose, though). Can anyone recommend ways that would allow him to breathe normally again that also would allow us to keep the kitty?  We have invested in a Dyson vacume cleaner with HEPA filters, and also now apply a weekly treatment of Allerpet for Cats to the kitty’s coat.  Any suggestions would be most welcome, as we view rehoming the cat as a last resort. Best regards, Terri-Lynn Walker

Response:

My husband has recently developed asthma that our doctor believes is a reaction to our kitten (now 7 months old).  He has a tightness in his chest which doesn’t allow him to breathe deeply anymore – no other symptoms are ongoing (he does get the occasional cough or runny nose, though). Can anyone recommend ways that would allow him to breathe normally again that also would allow us to keep the kitty?  We have invested in a Dyson vacume cleaner with HEPA filters, and also now apply a weekly treatment of Allerpet for Cats to the kitty’s coat.  Any suggestions would be most welcome, as we view rehoming the cat as a last resort. Best regards,

KEEP YOUR PET. ANimals are part Of the HOme. Its Obvius your  kitty is lived. !/ Get a Pneumonia Vacination BOth of you . and in 2 weeks get a Flue Shot. Keep as healthy as Possable. NO smoking ! There are a Host Of Medications on the market for asthma and it can be controlled  very well.  Your Dr Is Failling in his duties by not medicating your husbands problem 1/ Theophyline timed release pill taken around 10 to NOON each day. Provides all day releif from sysptoms Not Prevention! 2/ INhaled medications for controll of attacks and programmed Better breathing PUFFER  propellant types For older persons Is probably best For Youger more Resiliant Porsons to 70 Years the NON CFC types are recomended as the propellants can cause more Asthma tha Cure! Ventoline Bricanyl 3/ Inhaled Steroids  Beclofort Pulmocort to aid in softening the lungs it aid normal breathing. 4/ Sal Butomol in Nebuliser Form is Excellent For all Agesbut requires the use Of  an expensiove machine here in canad About $200 Or 100 UK pounds!  But More than worth the Expense Inmy forst tyear I saved More that the cost In Gasoline to go to The Hostpital Emergncy treatment! Many More Drugs in each catagory can be used That zyou do not refer to. I have Had It With DRs’. so quick to say get rid Of the Pets Carpets atc!  Mine said change My Job. Had I done So I would have deserted my batrtle with the Erradication Of Dioxins in Pulp and Lumber! The World health is nmore impoprtant than the health of one ! I was a Research Chemist in Industrial Chemicals Yes uit destroyed MY lungs But I can smile!. Last Exercise Walk is Excellent. Bicycicle more energetic but a real Lung builder! Maintain your weight at a good level. These are somne of the things you can do and What I expect your Doctor to have done For you. Feel Free to take this Letter to Your physian I will deal with Best Regards Peter.

Response:

a few herbs

Question:

Hi all! I was looking through some alternative treatment books and came across a few herbs, which I thought I’d outline here in case anyone is interested. A couple notes, however:  I have never tried these herbs (with the exception of cranberries) nor do I know anyone who has.  I have no idea how effective they are in treating any symptoms.  I also do not – for even one second – believe that they will cure anything, especially endo.  I do hear of a lot of women who are very happy with herbs in general, though, so I thought it might be worth sharing.  This is not, however, an open invitation to all lurking salespeople to jump on board and bombard the members of alt.support.endo with their tales of cures and sales pitches.  If anyone is interested in trying herbal treatments, they can take a ride to their nearest GNC.  This info is for members of alt.support.endo and their personal use only – please take any sales pitches elsewhere. Of course, herbs are just as potent, if not more so, as any Rx drug available. Make sure you talk to your doc before trying any of them. Now…without further ado…the list. Hope someone finds it helpful.  =) –Heather From Dr Earl Mindell’s "Herb Bible" Blue Cohosh Part Used:Root Common Uses:  menstrual cramps, uterine inflammation, dysmenorrhea; aid to false labor and threat of miscarriage; aid in child birthing. Contraindication: Avoid in first trimester. Dosage: 5-10 drops. Cranberry (Vaccinium macrocarpon) "The common cranberry is one of nature’s best weapons against cystitis and urinary tract infections. For years, doctors have routinely advised patients to drink cranberry juice to prevent urinary infections. In fact, it is cited as an effective remedy for this problem in the U.S. Pharmacopeia, the official listing of drugs in the United States. At one time, scientists believed that cranberry acidified the urine, and in the process, killed invading bacteria that could cause infection. Recently, however, Dr. Anthony Sabota, a scientist at Youngstown State University in Ohio, offered another possible explanation. His studies suggest that cranberry prevents bacteria from sticking to the wall of the bladder, thus flushing the potential troublemakers out of the body before they can do their damage. At this writing, no one knows precisely how cranberry works, but nearly everyone agrees that it does. Unfortunately, commercially prepared cranberry juice beverages are often laden with sugar and high in calories. Capsules of cranberry extract available in health food store are not only more potent but less caloric." Caution:  If you suspect that you have a urinary infection, see your doctor at once. Untreated, it can lead to serious complications. Common Uses: Antibacterial, urinary tract infection and cystitis. Dosage: 10-15 drops, 2-3 times daily. Plantain Part Used: Leaves Common Uses: diuretic, anti-inflammatory, diarrhea. Dosage: 10-25 drops. St. John’s Wort "Through the years, this herb has been used as a mild tranquilizer and as a treatment for depression and insomnia. In fact, recent studies show that it is quite effective for anxiety and emotional problems; unlike many other psychotropic drugs, the patients did not report any side effects. St. john’s wort is also a muscle relaxer that has been used to treat menstrual cramps. In Europe, it is also a popular remedy for gastrointestinal disorders such as gastric ulcers. Externally it is an antiseptic and a painkiller for burns and irritations. Ointments are also used for rheumatism and sciatica or back pain. This herb has gotton a lot of attention recently after researchers at two of the world’s leading medical institutions–New York University and the Weizman Institute of Science in Israel– found that two fo its main constituents, hypericin and pseudohypericin, were found to inhibit the growth of retro viruses in animals, including HIV, the AIDS virus. Although the results of these studies are prommising, a synthetic form of hypercin is just now being tested on HIV infected patients. More studies are needed to determine if this herb can be useful against AIDS." Caution:  Although ther have been no reports of any problems in humans, this herb can be poisonous to cattle.  It also causes sensitivity to light, which means that if you use it, you should avoid exposure to the sun. Part Used: Herb Common Uses: urinary passage infections; immune support, anti-inflammatory, gentle sedative, menopause antidepressant. "Long term use is not recommended, but short term use is safe. Although, in many cases, it is safer than some of the medications typically prescribed for anxiety and emotional problems, your best bet is to use this herb under the supervision of a medical professional." Dosage: 15-25 drops. Peppermint (Mentha piperita) "Peppermint is one of the oldest and best-tasting home remedies for indigestion. Studies show that peppermint lessens the amount of time food spends in the stomach by stimulating the gastric lining. It also relaxes the stomach muscles and promotes burping. Peppermint is excellent for heartburn and stomachache. It is also good for nausea and vomiting. Migraine headaches, which are frequently accompanied by nausea, are often relieved by peppermint." Part Used: Leaves Common Uses: antispasmodic, aids digestion, migraines. Dosage: 10-30 drops. Valerian "Dubbed the "Valium of the nineteenth century," valerian (chemically unrelated to Valium) is recognized world wide for its relaxing effect on the body. In Europe, it is often prescribed to treat anxiety. Unlike many of the prescription drugs commonly used in the United States for this purpose–such as Valium and Xanax– valerian has few unpleasant side effects (other than the fact that it doesn’t taste very good) and it is not addictive. Valerian has a synergistic effect with alcohol: When taken together, the two drugs greatly exaggerate each other’s effect on the body. Not only does this synergistic relationship encourage abuse but when combined the two drugs can pose serious side effects. For centuries, valerian has been used to relieve muscle cramps related to stress, menstrual cramps, and PMS. Although valerian has been widely studied, how this herb works is still not known." Caution: In extremely high dosages, valerian may cause paralysis and a weakening of the heartbeat. Therefore, do not exceed recommended dose. Part Used: Root Common Uses: antipasmodic, nervine, anxiety, restless, headache, hysteria, sedative, promotes sleep. Dosage: 5-15 drops. Dong Quai (Angelica sinensis) "Dubbed the "female ginseng," dong quai is an all-purpose herb for a wide range of female gynecological complaints. For centuries, Chinese women have used this herb to regulate the menstrual cycle and quell painful menstrual cramps caused by uterine contractions. Modern herbalists use dong quai to eliminate the discomfort of premenstrual syndrome (PMS) and to help women resume normal menstruation after going off "the pill." Dong quai is also reputed to be useful against hot flashes and other symptoms of menopause caused by hormonal changes. Rich in vitamins and minerals including A, B12, and E, this herb may also prevent anemia. Dong quai has also been used to treat insomnia and high blood pressure for both sexes. Both men and women use this herb as a blood tonic." Caution:  Do not use during pregnancy or if you are still menstruating and typically have a heavy flow. Parts Used: Root Common Uses: strengthens female organs; blood support; hot flashes. False Unicorn Part Used:Root Common Uses: antispasmodic, sedative; female and uterine tonic, hormonal balancer, diuretic, ovarian pain relief, pregnancy, delayed menstration, use with threatened miscarriage. Dosage: 10-20 drops. Evening Primrose "Evening primrose is an American herb that was brought to Europe in the seventeenth century. Once called "king’s cure-all." this herb has been used for a wide range of problems. Native Americans used it as a painkiller and asthma treatment. The oil from this plant is high in gamma linolenic acid (GLA), and essential polyunsaturated fatty acid that is converted into prostaglandin, hormones necessary for many inportant body functions.  Studies have shown that evening primrose oil can help lower blood cholesterol. In fact, according to one Canadian study, patients who took 4 grams of Efamol (a brand of evening primrose oil) daily experienced a 31.5 percent decline in cholesterol after three months of treatment. Other studies have shown that evening primrose oil also reduces blood pressure. Evening primrose is often used to treat symptoms of premenstrual syndrome such as irritability, headaches, breast tenderness, and bloating. It is also used to alleviate anxiety and has been given to schizophrenics with good results. This herb is and old-time remedy for infantile eczema or "cradle cap." A 1987 study in the British Journal of Dermatology concluded that patients with eczema showed significant improvement after being treated with evening primrose oil and were able to reduce their dependence on steroids." Part Used:Flowers and seeds Common Uses: antispasmodic, hormonal balancing, menopause, PMS. Chasteberry/Vitex (Verbenaceae species) "Vitex (also known as chaste tree and agnus castus) is extremely popular in Europe where it is used to treat PMS as well as some of the unpleasant side effects associated with menopause. For centuries, this herb has been reputed to be a hormone balancer and was at one time recommended as a treatment for excessive sexual desire. … read more »

Response:

Hi Amy! All of the info I’ve come across on EPO indicates that it mimics and/or stimulates the increase of prostaglandin production.  I’m not real clear on the whole story; however, I would think (perhaps mistakenly so) that Nsaids would have a direct opposite effect on it’s indications, since they reduce the production of progestins.  I did find one article that I will send you in your email that explains it a little better than I can, though the article makes no mention of drug interaction w/Nsaids specifically. I know there are several women out there taking it; have any of you been taking Nsaids along with it?  If so, what were the effects, if any?

I would also like a copy of that article.  I have been taking EPO and it has so far prevented me from needing to take Nsaids (Advil, specifically). I don’t understand how it can do that if it stimulates prostaglandins, unless there are several kinds of prostaglandins and it stimulates the ‘good’ ones, the way some lifestyle changes increase ‘good’ cholesterol and reduce ‘bad’ cholesterol.  As I understood it, Nsaids stop prostaglandin production and that’s how they reduce inflammation and pain. Puzzled… =Tamar

Response:

Hi Amy! All of the info I’ve come across on EPO indicates that it mimics and/or stimulates the increase of prostaglandin production.  I’m not real clear on the whole story; however, I would think (perhaps mistakenly so) that Nsaids would have a direct opposite effect on it’s indications, since they reduce the production of progestins.  I did find one article that I will send you in your email that explains it a little better than I can, though the article makes no mention of drug interaction w/Nsaids specifically. I know there are several women out there taking it; have any of you been taking Nsaids along with it?  If so, what were the effects, if any? I wish I could be of more help…as I come across more info I will keep you posted. Best, Heather http://www.geocities.com/HotSprings/9783/

Response:

Heather, Thanks for the information!  I went out and bought some evening primrose oil today based on several recommendations from women from a.s.e. and elsewhere. My only question is how does EPO affect the production of prostaglandins?  I have been taking Naprosyn, a prostaglandin inhibitor.  If EPO increases the production of prostaglandins I am concerned.  Could you please explain? Thanks, Amy

Response:

Hi Sunshine! Thank you much! Hugs, Birgit

Response:

Hi Dena! but what about the ointment for my sciatica, do you think it would be the

same?< Honestly, I really don’t know.  I will look into it and see if I can come up w/anything on that for you.  I’ll email you if I find anything. =) Hugs! Heather http://www.geocities.com/HotSprings/9783/

Response:

Heather, Your information on the herbs is very interest. Your research mentioned that St. Johns Wart ointments are also used for rheumatism and sciatica or back pain. I know that I can’t use SJW as long as I am on Prozac, but what about the ointment for my sciatica, do you think it would be the same?  SJW has done so much for others that I’d like to try it.  Especially if it will ease this blasted hip pain!   (((((((((((Hugs))))))))) Dena

Response:

Amy and I have been having a fascinating discussion about EPO and the prostaglandin inhibition/sythesis confusion. BTW I am a grad student in epidemiology (the study of disease cause and distribution) and many of my fellow students were veterinarians, chiropractors, etc as a previous profession, so I was able to get some biochemcial data together. This is what I have discovered: Prostaglandins are formed due to a chemical reaction between arachidonic acid and a biotransformation enzyme (in other words, the enzyme acts on the a. acid to make the prost.) NSAID’s work by blocking this reaction (as we know). EPO (as a group of fatty acids) provides a place for the enzymes to act instead of on the a. acid. It’s called competitive binding. In other words, if the enzyme is busy with the EPO it can’t act on the a. acid, therefore less prost. are formed. So it appears that EPO really will -inhibit- prost. formation. It also appears that the EPO may prevent the a. acid from moving out of the cells. If it stays in the cells, the enzyme can’t act on it. Hope this helps!

Response:

some questions

Question:

This is a long post, so I apologise in advance. I have been reading this newsgroup for a few weeks now, and I am very impressed with the quality of the informaton I have found. I have a few questions that I would like some help with. My 12 year old daughter apparently has asthma-I say apparently because she has not been to a pulmonologist yet, and the one her pediatrician wants her to see can’t take her until May(!)  She had practically never been sick in her life, but last year she started telling me that every time they ran the mile in P.E. she would start to cough, felt like she couldn’t breathe,and didn’t feel better for quite a while. I had no idea at the time that this was a sign of asthma–just thought she was out of shape. Then she got a virus over Christmas that took a while to get over. Later in the spring she developed a cough that wouldn’t go away, and I took her to the doctor, who said she was wheezing and put her on Azmacort and Maxair. She said at the time that sometimes when kids get sick, their lungs get twitchy for a while. She got better, and stopped using her inhalers. she was okay over the summer, although I noticed that sometimes she would get out of breath, and it would have a kind of hollow sound to it. Then in September she got very congested, coughing, and wheezy,  doctor put her back on the same inhalors but still didn’t feel that we should be looking for asthma. Well, at the end of November, after six weeks of azmacort 16 puffs a day, Maxair 8 puffs a day, two rounds of antibiotics, and 5 days of prednisone  she was still wheezing and congested, and could’nt make it through a day at school because she was so nauseated from the drainage. At that point she was sent for chest and sinus xrays, and blood tests. Any form of infection was ruled out. She had a spirometry, which was normal, but she had used Proventil in the Doctor’s office a couple hours before. We also did a test for alpha1 antitrypsin deficiency because her father, who was heterozygous for it, died from it at the age of 43 (he had liver disease,but his sister tells me he had respiratory problem a lot as a child and teen.)  Her test came back last week, and she does have the gene. (I know that this is not what’s causing her problems now, but it is a concern for later in her life, and I want to do whatever it takes to protect her lungs now.) At this point her pediatrician consulted with the above-mentioned pulmonologist and she was put on Flovent 110mcg 4 puffs bid, Intal 2 puffs bid, and serevent 2 puffs bid.(Also Astilin, which she hates and doesn"t use like she should.) The change has been amazing.  She was also given a peak flow meter, and when she got it she was lucky if she could get it up to 300 (she’s 12 and 5′8"–can’t find an average on the chart for her height!) Now she’s usually around 400-410 most mornings and evenings. I’m sorry this took so long-now my questions: Doctor’s a little vague about when she can come down on the amount of meds she’s using. I took her down to 2 puffs Flovent the other day with her doctors okay and she’s doing fine it looks like. Should we be aiming to get her down or off the other stuff?  If this isn’t asthma what could it be? What kinds of information should I be noting for the Pulmonologist when we go? She got her peak flow up to 430 once. Is this her personal best, or should I consider 410 her best since that’s her recent afternoon rate? I bought the Asthma Sourcebook and it is helpful, but I still am confused, mainly about medications and the approach we should be taking. I apologise again for the length of this post, but I do appreciate any perspectives you can give me.

Response:

- Hide quoted text — Show quoted text – My 12 year old daughter apparently has asthma-I say apparently because she has not been to a pulmonologist yet, and the one her pediatrician wants her to see can’t take her until May(!)  She had practically never been sick in her life, but last year she started telling me that every time they ran the mile in P.E. she would start to cough, felt like she couldn’t breathe,and didn’t feel better for quite a while. I had no idea at the time that this was a sign of asthma–just thought she was out of shape. Then she got a virus over Christmas that took a while to get over. Later in the spring she developed a cough that wouldn’t go away, and I took her to the doctor, who said she was wheezing and put her on Azmacort and Maxair. She said at the time that sometimes when kids get sick, their lungs get twitchy for a while. She got better, and stopped using her inhalers. she was okay over the summer, although I noticed that sometimes she would get out of breath, and it would have a kind of hollow sound to it. Then in September she got very congested, coughing, and wheezy,  doctor put her back on the same inhalors but still didn’t feel that we should be looking for asthma. Well, at the end of November, after six weeks of azmacort 16 puffs a day, Maxair 8 puffs a day, two rounds of antibiotics, and 5 days of prednisone  she was still wheezing and congested, and could’nt make it through a day at school because she was so nauseated from the drainage. At that point she was sent for chest and sinus xrays, and blood tests. Any form of infection was ruled out. She had a spirometry, which was normal, but she had used Proventil in the Doctor’s office a couple hours before. We also did a test for alpha1 antitrypsin deficiency because her father, who was heterozygous for it, died from it at the age of 43 (he had liver disease,but his sister tells me he had respiratory problem a lot as a child and teen.)  Her test came back last week, and she does have the gene. (I know that this is not what’s causing her problems now, but it is a concern for later in her life, and I want to do whatever it takes to protect her lungs now.) At this point her pediatrician consulted with the above-mentioned pulmonologist and she was put on Flovent 110mcg 4 puffs bid, Intal 2 puffs bid, and serevent 2 puffs bid.(Also Astilin, which she hates and doesn"t use like she should.) The change has been amazing.  She was also given a peak flow meter, and when she got it she was lucky if she could get it up to 300 (she’s 12 and 5′8"–can’t find an average on the chart for her height!) Now she’s usually around 400-410 most mornings and evenings. I’m sorry this took so long-now my questions: Doctor’s a little vague about when she can come down on the amount of meds she’s using. I took her down to 2 puffs Flovent the other day with her doctors okay and she’s doing fine it looks like. Should we be aiming to get her down or off the other stuff?  If this isn’t asthma what could it be? What kinds of information should I be noting for the Pulmonologist when we go? She got her peak flow up to 430 once. Is this her personal best, or should I consider 410 her best since that’s her recent afternoon rate? I bought the Asthma Sourcebook and it is helpful, but I still am confused,

I checked my typical peak flow chart from the 1991 Expert Panel Report. It shows a typical Peak Flow of 467 liter/min for a child/adolescent 67" tall. I would use the 430 number as her personal best. One way to help validate the asthma diagnosis is to chart her daily peak flows for 2 weeks. Measure the low peak flow 1st thing in the morning before using a bronchodilator. Measure the high peak flow around 2pm after using a bronchodilator; variations of 15-20% tend to support the asthma diagnosis. Also if asthma meds help this also supports the asthma diagnosis. The A1AD gene also supports it, so circumstantial evidence is pretty strong. However see the links I listed below on A1AD as this is considered to be inherited emphysema that can worsen with age, especially if not properly treated. The way to confirm asthma is to have a methacholine challenge test in a pulmonary function test lab. They test lung function before and after administering the methacholine challenge at different levels, a drop in lung function of 20% tends to confirm the asthma. Then they administer the antidote which is a bronchodilator, to bring lung function back up. There is also a test for exercise-induced asthma. They simply have you exercise for a while to see if lung function drops. You might want to ask for an additional referral to an allergist to check her allergies. Many allergists are good asthma doctors and can refer to the pulmonary lab for further tests if needed; plus give advice on avoiding allergens. Even if she doesn’t have allergies an allergist may be a good choice, hopefully at an earlier date than May. She should still also see the pulmonologist, especially in view of the A1AD condition. The meds she’s on now sound OK. Flovent 110 is the corticosteroid inhaler, used 2 puffs twice a day for Moderate asthma. Intal is a mild anti-inflammatory which has minimimum side effects. (Tilade is a similar inhaler which works better for some people, but Intal is prescribed 2:1 over Tilade, Tilade works better for nonallergic asthma according to some reports) Serevent works well as a long-acting bronchodilator. In terms of reducing the meds, this should be coordinated with Peak Flow Readings and her doctor. The med with the worst side effects is of course the corticosteroid inhaler, Flovent. It would be nice if this could be reduced to a Low Dose, ie 1 puff twice a day. Continuing the ‘combination’ therapy (Serevent, Intal) can allow a lower dose of the Flovent. Peak Flow readings need to be maintained in the Green Zone (80-100%); and an Action Plan implemented if they fall into the Yellow Zone (50-80%), usually double inhaled steroids and use bronchodilator as needed. Regarding exercise-induced asthma, the usual procedure is to pretreat with a bronchodilator (Maxair, Proventil, Ventolin) before exercise. Her PE teacher should be made aware of the situation and she should stop exercising for a while if she starts to have breathing problems. She should carry her bronchodilator with her at all times in case she has an exacerbation, and for the exercise pretreatment. Astelin is a new antihistamine nasal spray, www.astelin.com If it is a problem, there are other meds that can be used Rhinitus and sinusitus needs to be well controlled as postnasal drip can aggravate the asthma. Keep reading ‘The Asthma Sourcebook’, its an excellent reference of current asthma treatment. Here are links on A1AD: A1AD  INHERITED  EMPHYSEMA http://www.lungusa.org/noframes/learn/lung/luna1ad.html  A1AD Related Emphysema http://www.njc.org/MFhtml/AAT_MF.html Inherited Emphysema http://www.alphalink.org/faqtext.htm Alpha-1 antitrypsin deficiency FAQ http://bc.sympatico.ca/healthyway/REV_HTML/R7093.html What is Alpha1-Antitrypsin Deficiency? http://www.alaw.org/cld.html Lung Disease (ALA Washington) http://www.alpha1.org/whatis/pamphlet.html Alpha 1 National Assoc. http://www.alphaone.org/  The Alpha1 Community Internet Guide Ellis

Response:

Doctor’s a little vague about when she can come down on the amount of meds she’s using. I took her down to 2 puffs Flovent the other day with her doctors okay and she’s doing fine it looks like. Should we be aiming to get her down or off the other stuff?

It’s important to use the Flovent every day as directed, the Maxaire (or other bronchodilator) as needed or before exercise, if that is a problem. The Intal should be used daily. There is an improved form of Intal, called Tilade, that might be better, and you can ask about it. It probably won’t hurt to use the Flovent 2 puffs twice daily, if it reduces the use of the bronchodilator. It has less long-term side effects at that dose (or even higher) than the bronchodilator. But, use the bronchodilator when needed. It’s better to breathe than die. Donald Hellen (Note: Anti-Spam Measure… remove the "*" in front of our address to reply by email.)

Response:

I also have a 12-yr-old daughter with asthma. She has been diagnosed since the age of 2. At this very minute she has a thermometer stuck in her mouth as her peak flow readings are dropping and I trying to see if she has caught a new cold virus or the Christmas tree will be out on its branches. I would insist your doctor to consult with the pulmonologist for every one of your questions. Why do you have to wait until May to get in? And can you pitch a fit? I would consider the 410 her average. Do you keep peak flow records? If you don’t have a form, make one up yourself. Document all her peak flow readings. What medication she is on and when you change it. Take a reading after she uses a bronchodilator to see what kind of effect it has. Any changes in her routine, a cold virus, exercise, visits to a friend, visits with furry friends, class field trips and where they went. Some reactions take a while to show up. Mark any change you make in the household. New pet or pet being booted outdoors and all the furniture and rugs cleaned? Covers on the mattress and pillow? New furnace filter? Since exercise seemed to bring on the problem. Keep close tabs on any episodes related to exercise. And read, read, read. If you have been lurking did you catch the address for Mothers of Asthmatics? http://www.podi.com/health/aanma (temperature is up – could this be the second cold virus in a month or a return of the old one?) very best wishs, Kathy

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Doctor’s a little vague about when she can come down on the amount of meds she’s using. I took her down to 2 puffs Flovent the other day with her doctors okay and she’s doing fine it looks like. Should we be aiming to get her down or off the other stuff? If this isn’t asthma what could it be?

One possibility is that dust mite allergen may be a contributing factor. Simple way to test would be to get a mite proof pillow encasing for each pillow she sleeps with. There is a good bit of med. lit on this issue. May be able to find locally, but easier thru one of the mail order places (Nat’l allergy supply, Allergy control products, etc.)

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- Hide quoted text — Show quoted text – Doctor’s a little vague about when she can come down on the amount of meds she’s using. I took her down to 2 puffs Flovent the other day with her doctors okay and she’s doing fine it looks like. Should we be aiming to get her down or off the other stuff? If this isn’t asthma what could it be? One possibility is that dust mite allergen may be a contributing factor. Simple way to test would be to get a mite proof pillow encasing for each pillow she sleeps with.

Just a little more difficult than that. Dust mites are in the mattress, bed coverings, rugs, stuffed animals…etc.etc.etc. I would venture to say that we *all* are allergic (even if only a tiny amount) to dust mites. As far as asthmatics are concern every little thing you can do to less the habitat of dust mites will be helpful. I’ll list a few here (money prohibits/limits alot of these) Vacuum frequently. Dust frequently. Encase pillows and mattresses with coverings. Get a HEPA filter and keep it running 24 hours/day and keep bedroom door closed. Keep all animals out of bedroom. Get rid of stuffed animals in bedroom. Get rid of carpets in bedroom(whole house). Get rid of curtains in bedroom(whole house)use mini blinds. Any thing fabric will hold dead human cells and dust mites eat these things. bill

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Doesn’t anyone feel sorry for these poor cats having to eat the same flavour dry food all the time (granted Iams has about 5 flavours but they still get bored of it).

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Doesn’t anyone feel sorry for these poor cats having to eat the same flavour dry food all the time (granted Iams has about 5 flavours but they still get bored of it).

Although some of them seem to think so, cats are not furry litlle humans. They don’t know there are other flavors available. My girls have eaten the same food all their lives and continue to wolf it down. IMHO, switching too much just makes for finicky eaters. Kathie

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Before I moved in with my husband, my cats would eat the same thing everyday. My husband fed his boys a variety.  Now that they are together my husband has given the variety to everyone and my girls have become as picky as the boys.  I guess the saying about what you don’t no won’t hurt goes into affect here.  

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My cat has become a canned food afficionado, and through so much variety she’s settled into 2-3 particular flavors.  She only gets one can a day in addition to dry food.  The moral of my story here is that food variety for a cat (mine, at least), allows it to find out what it likes best.  

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Doesn’t anyone feel sorry for these poor cats having to eat the same flavour dry food all the time (granted Iams has about 5 flavours but they still get bored of it).

The breeder we bought our cat from feeds her cats a mixture of five different premium brands. To me, this seems like a good idea. My cat will eat anything now because she grew up on such a variety. Oh, she does seem to like Flint River the best, but if I give her something else she’ll eat it too. In my mind, mixing foods together not only prevents finickiness but if any of these foods is lacking a nutrient, she is not dependent on one single brand for all her nutrition. Of course, I know some cats would just pick out the kibbles they like and leave the rest, but maybe the key is to start when they are kittens. -yngver

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Doesn’t anyone feel sorry for these poor cats having to eat the same flavour dry food all the time (granted Iams has about 5 flavours but they still get bored of it).

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Doesn’t anyone feel sorry for these poor cats having to eat the same flavour dry food all the time (granted Iams has about 5 flavours but they still get bored of it).

Although some of them seem to think so, cats are not furry litlle humans. They don’t know there are other flavors available. My girls have eaten the same food all their lives and continue to wolf it down. IMHO, switching too much just makes for finicky eaters. Kathie

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Before I moved in with my husband, my cats would eat the same thing everyday. My husband fed his boys a variety.  Now that they are together my husband has given the variety to everyone and my girls have become as picky as the boys.  I guess the saying about what you don’t no won’t hurt goes into affect here.  

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My cat has become a canned food afficionado, and through so much variety she’s settled into 2-3 particular flavors.  She only gets one can a day in addition to dry food.  The moral of my story here is that food variety for a cat (mine, at least), allows it to find out what it likes best.  

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Doesn’t anyone feel sorry for these poor cats having to eat the same flavour dry food all the time (granted Iams has about 5 flavours but they still get bored of it).

The breeder we bought our cat from feeds her cats a mixture of five different premium brands. To me, this seems like a good idea. My cat will eat anything now because she grew up on such a variety. Oh, she does seem to like Flint River the best, but if I give her something else she’ll eat it too. In my mind, mixing foods together not only prevents finickiness but if any of these foods is lacking a nutrient, she is not dependent on one single brand for all her nutrition. Of course, I know some cats would just pick out the kibbles they like and leave the rest, but maybe the key is to start when they are kittens. -yngver

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Alrite i have a ‘93 Civic LX model and on acceleration when the engine is cold i hear a sort of rattling sound that goes away after the engine warms up.  Now my experience is only with older cars and this normally indicates main/engine bearing problem… whaddya think? Theres only like 80k on the engine.  And what can i do about squeeky brakes… when ya first step on the brake its like CHirp! then it fades to squeeeeek and i replaced the pads not to long ago but long enough ago for them to be broken in.

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Rattling when cold, is piston slap. It goes away as motor warms up and pistons expand to fit the cylinders. Just be easy until engine is warm enuf to not "rattle."  BTW change the the timing belt and water pump at 90,000 Miles. C. Tague aka. Mista Bone   "Baby won’t you rock it tonight." 93 Honda Civic DX HB   1.5L NO VTEC!   #17 DSP AEM,Neuspeed, Eibach, Stillen, & BFG R1

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Alrite i have a ‘93 Civic LX model and on acceleration when the engine is cold i hear a sort of rattling sound that goes away after the engine warms up.  Now my experience is only with older cars and this normally indicates main/engine bearing problem… whaddya think?

Where’s the sound coming from?  I had a metallic rattle when cold coming from underneath my ‘88 Integra many years back.  Turned out to be a loose heat shield over the catalytic converter–when warm the metal expanded sufficiently that the rattle went away.  Cost maybe twenty bucks to get it resoldered and clamped. Just a thought that isn’t an expensive engine problem.  :) Dennis

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Alrite i have a ‘93 Civic LX model and on acceleration when the engine is cold i hear a sort of rattling sound that goes away after the engine warms up.  Now my experience is only with older cars and this normally indicates main/engine bearing problem… whaddya think? Theres only like 80k on the engine.  And what can i do about squeeky brakes… when ya first step on the brake its like CHirp! then it fades to squeeeeek and i replaced the pads not to long ago but long enough ago for them to be broken in.

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Rattling when cold, is piston slap. It goes away as motor warms up and pistons expand to fit the cylinders. Just be easy until engine is warm enuf to not "rattle."  BTW change the the timing belt and water pump at 90,000 Miles. C. Tague aka. Mista Bone   "Baby won’t you rock it tonight." 93 Honda Civic DX HB   1.5L NO VTEC!   #17 DSP AEM,Neuspeed, Eibach, Stillen, & BFG R1

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Alrite i have a ‘93 Civic LX model and on acceleration when the engine is cold i hear a sort of rattling sound that goes away after the engine warms up.  Now my experience is only with older cars and this normally indicates main/engine bearing problem… whaddya think?

Where’s the sound coming from?  I had a metallic rattle when cold coming from underneath my ‘88 Integra many years back.  Turned out to be a loose heat shield over the catalytic converter–when warm the metal expanded sufficiently that the rattle went away.  Cost maybe twenty bucks to get it resoldered and clamped. Just a thought that isn’t an expensive engine problem.  :) Dennis

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[stuff deleted about host's name on invitation] – Hide quoted text — Show quoted text –    As I’ve said before, I believe that a host is someone who takes on the responsibility for making sure the guests are happy, entertained, and comfortable throughout the event.  A host greets guests and says good-bye to them.  A host keeps an eye on the event and makes sure everyone is doing ok.  Sometimes the bride and groom do this without help from any parents.  In this case, I think the invitations should be issued by the bride and groom.  If they want to acknowledge parents, they can do so with a "son of" and "daughter of" line.  (If they really want to honor one or both sets of parents they can put them at the top of the invitation as, I suppose, honorary hosts.)  If the bride’s family is looking after guests, then the bride and groom can call themselves honored guests and the groom’s family, if desired, can properly be acknowledged with a "son of" line (and, of course, vice versa if the groom’s family hosts).  When both sets of parents take on host duties, then both are properly named at the top of the invitation.

[more stuff deleted - including sending thank you to the host] At all of the weddings I have been to in Minnesota (and western Wisconsin) one of the honorary duties is host/hostess.  This is done to allow the parents of the bride and groom to enjoy the day with the bride and groom.  This is often an older friend of one or both of the families who knows what is supposed to happen and does all the host things mentioned above.  When such a position exists – they really weren’t involved in the planning and expenses at all – they are just there as a double check that everyone has a good time, etc.   IMO, there should be no wrong or right way (obviously only my opinion) but the bride and groom should determine together what they want to say – because as it has been said many times  – it is _their_ wedding —  I know this is easier said then done, heck, who am I to talk I haven’t gone through this. ;-) Paula PS I never thought about sending a thank you to the host/hostess (I always knew who did the planning/paying and just sent to all involved with it) but after thinking about their responsibility – I probably should include them on my list too. — Roseville, MN, USA               *    necessarily those of my company.

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BTW, I think it’s lovely that you send a thank you note – is this common in your area (ie. do most wedding guests send a thank you note to the hosts)?  

        Nope, it’s not all that common.  I just think that anyone who’s provided an evening of entertainment for me should at least get a note of thanks ;-)  From my perspective, it seems as though thank you notes are pretty rare (with the possible exception of brides thanking their guests for gifts, and even that appears to be a hated task for many brides).  My experience has been that people fall all over themselves with shock when they get a thank you note.  It’s such a small effort on my part and they seem so thrilled, so I try to do it whenever I can. (I’m sure there are other thank you note writers out there–I just don’t know all that many of them.) Ericka

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| | As a guest, however, I also like to know who | the real hosts are.  If I have some difficulty, I want to know who to phone. Often wedding invitations come with little maps and other info, such as bride’s, groom’s and/or parents’ phone numbers.  We provided numbers that guests could call for any reason, including the phone number of the church and the reception hall in case they got lost on the way! | When it’s all over, I want to know who to send a thank | you letter to.  I don’t want to send a letter saying thanks for | arranging such a lovely evening to someone who had no hand in | arranging it! | As is often the case nowadays, the B&G may live in a different city than their parents. Thus, weddings are not always held in the bride’s hometown anymore.   So even though the wedding invitation might be issued from the bride’s and/or groom’s parents, the parents may not have all that much to do when it comes to "arranging" the wedding.  As traditions and social norms change, I expect you will find it increasingly difficult to determine who actually did the wedding arrangements just by looking at the invitation.   In my case, we put both sets of parents on the invitation but they had little to do with the planning or execution of the wedding because they live out of town.  On the other hand, my parents acted as hosts at the reception, mingling with other guests, introducing people in my family to my husband’s family, etc. Still, I think I’d be a little miffed if someone sent my parents a note saying "what a wonderful wedding you did!" when *I* actually did all the work. :-)   BTW, I think it’s lovely that you send a thank you note – is this common in your area (ie. do most wedding guests send a thank you note to the hosts)?   — Colette George                   Bell-Northern Research Ltd.     Ottawa, Ontario, Canada

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{much deleted about whose names to put on the invitations} Before you put *anyone’s* name on them (except your own, obviously) CHECK WITH THEM.  My mother requested that my parents’ names *not* be on it, since they disapproved of the wedding.  That was fine with us (it’s a *really* long story…). Beth — "We are not free; it was never intended we should be.  A book of rules is placed in our cradles, and we never get rid of it until we reach our graves."–E.W. Howe, 1924  

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I agree as well, with putting both sets of parents’ names on the invites.  My parents are footing the bill for almost the entire wedding (excluding the rehearsal dinner), but my mom wanted both sets of parents to be included on the invitation.  Here’s why:  My brother was just married about 3 weeks ago now. The invitations that my new sister-in-law ordered and sent out only had her parents name on there.  It made my mom feel like they were declaring to the world that this was *their* wedding and didn’t really involve the Sparks side except for the groom.

        I agree that it is often a nice sentiment to include both sets of parents on the invitations, and I’d be the last person to disagree with the people who choose to do so.  However, I think perhaps some people are getting a bit more emotionally invested in this piece of paper than might be good for them.  An invitation to a wedding is just that–an *invitation*–and the names that go at the top are the people hosting the event, just as is the case for every other event for which people send out invitations.  If one or both sets of parents are not functioning as hosts (which, by the way, does not necessarily have anything to do with who’s paying for what), then omitting the names of those parents at the top of the invitation should not necessarily be taken as a slight by those parents.  (Note that when other hostilities are in evidence, someone might choose to see this as yet another offense, but I’m just saying that in and of itself, there is not disrespect implies by not listing a non-host in a position reserved for hosts.)         As I’ve said before, I believe that a host is someone who takes on the responsibility for making sure the guests are happy, entertained, and comfortable throughout the event.  A host greets guests and says good-bye to them.  A host keeps an eye on the event and makes sure everyone is doing ok.  Sometimes the bride and groom do this without help from any parents.  In this case, I think the invitations should be issued by the bride and groom.  If they want to acknowledge parents, they can do so with a "son of" and "daughter of" line.  (If they really want to honor one or both sets of parents they can put them at the top of the invitation as, I suppose, honorary hosts.)  If the bride’s family is looking after guests, then the bride and groom can call themselves honored guests and the groom’s family, if desired, can properly be acknowledged with a "son of" line (and, of course, vice versa if the groom’s family hosts).  When both sets of parents take on host duties, then both are properly named at the top of the invitation.         Obviously, this is only my own opinion (though I think it’s grounded in a certain rationality).  I understand that it’s easy for a groom’s family to feel left out.  I certainly think that it’s a nice gesture to acknowledge both families in some way (the "son of" line is traditionally a part of a Jewish wedding invitation–yet another time the Jews have come up with a nice solution to a wedding etiquette dilemma!).  As a guest, however, I also like to know who the real hosts are.  If I have some difficulty, I want to know who to phone.  When it’s all over, I want to know who to send a thank you letter to.  I don’t want to send a letter saying thanks for arranging such a lovely evening to someone who had no hand in arranging it! Ericka

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: he explained to me about the "film wars" of the : early 80’s that a 35mm camera of today is just as good as a medium format. False : First of all, it’s auto-focus and he can take "quick" pictures, True : and the quality of the print is all in the film and the lab. Partially true : Can anyone give me : any insight into this?  I’ve been told to always use a medium-format camera. The real question is whether you (the Bride and Groom) will be able to tell the difference between photos taken with 35mm vs. medium format equipment. In 4×5" pictures, they are indistinguishable.  In a 16×20 wall portrait, the difference will be obvious.  At 8×10, I can tell the difference, but you may not be able to, or you may not care. I think you should visit a photographer who shoots with both 35mm and medium format, and ask him to show you the difference it makes in the prints. — Paul Nuber Hewlett-Packard Co. Fort Collins, CO

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– Hide quoted text — Show quoted text – : he explained to me about the "film wars" of the : early 80’s that a 35mm camera of today is just as good as a medium format. False : First of all, it’s auto-focus and he can take "quick" pictures, True : and the quality of the print is all in the film and the lab. Partially true : Can anyone give me : any insight into this?  I’ve been told to always use a medium-format camera. The real question is whether you (the Bride and Groom) will be able to tell the difference between photos taken with 35mm vs. medium format equipment. In 4×5" pictures, they are indistinguishable.  In a 16×20 wall portrait, the difference will be obvious.  At 8×10, I can tell the difference, but you may not be able to, or you may not care. I think you should visit a photographer who shoots with both 35mm and medium format ….

I agree with what Paul has advised.  The respective formats have their strengths.  However you must realize several more important advantages of medium format – especially square format – for wedding photography. Even if you are only getting 5" pictures, the medium format negative has the advantages of greater flexibilty in cropping, ability to have retouching done right on the negative, and FAR GREATER flexibility in album layout. Here’s the scoop on negative retouching.  Common facila problems needing attention are lines, scars, blemishes, and pimples.  Removing them is a simple matter on a medium format negative.  Once they are pencilled out on the negative, they are gone forever on all subsequent prints. In 35mm, this retouching cannot be done on the neg and must be done on EVERY PRINT. The 35mm frame is proportioned for an 8×12 or 4×6 print.  An 8×10 print – common for albums – cuts off 17% of the image length.  That is a serious problem for groups and full length shots, so the photogapher must compose very carefully if 8×10s are to be made.  There are 4×6 albums, but no albums yet that I’m aware of for 8×12. The unpredictable nature of wedding photography often necessitates cropping and realignment of the images.  That is an easy matter for medium format. Many pro labs supply the photographer a set of variable-size aperture cards for placement of the neg.  To do this in 35mm requires expensive hand custom printing. In 35mm, focus is far more critical due to the degree of enlargement. For an 8×10, a 2-1/4 neg is enlarged about 4X; a 35mm neg about 8x. Focus errors do happen, no matter what kind of gear is used.  They will kill a 35mm image before a medium format image. Still another medium format advantage is that you can use the faster films – like ASA 400 Vericolor and Pro 400 – with no apparent increase in grain in the print.  Do the same in 35mm and there is a visible loss of image detail and increase in grain.  Like many photographers, I like ASA 400 film because it gives me more time for sunrise and suset pictures and lets me use soft bounce-flash lighting instead of harsh direct flash.  I can operate my flash at lower power which is easier on my battery and the guest’s eyes.  The pictures have a wonderful natural look. So retouching and cropping costs often make 35mm shooting more expensive than medium format. But there are many situations where 35mm is better than medium format. Wide-to-tele zooms are not available yet in medium format.  I can zoom my 35mm lens faster than changing my medium format lens.  My 35’s motor drive is fast.  The infrared enhanced autofocus gets me good shots even in the dark. The equipment is lighter and more responsive. The computer comtrolled cameras and flashes allow me to do wonderful shots mixing flash and natural light.  I can also do neat shots with strobe effect and second-curtain sync (example – showing the bouquet streak thru the air and sharp at themoment it is caught). Bottom line: there’s no clear winner.  It depends on what the wedding couple want.  Those placing a high priority on their album expect pro equipment and materials to be used so that means medium format.  Those wanting lots of natural pictures wuickly and making thier own book are usually happy with 35mm.  Mixing is also possible.    /|/| /||)|/  /~ /| ||)[~|)/~   |   Everyone's entitled to MY opinion.

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| | For me, including both sets of parents on the invitations was a | "feel-good" thing, decoupled from the financial aspects. | I totally agree.  My husband and I paid for the entire wedding ourselves, but we wanted to honour our parents in some way and felt it appropriate to put both names on the invitation.  They were thrilled. -- Colette George                       Bell-Northern Research Ltd.         Ottawa, Ontario, Canada

Another $.02 worth...... I agree as well, with putting both sets of parents' names on the invites.  My parents are footing the bill for almost the entire wedding (excluding the rehearsal dinner), but my mom wanted both sets of parents to be included on the invitation.  Here's why:  My brother was just married about 3 weeks ago now. The invitations that my new sister-in-law ordered and sent out only had her parents name on there.  It made my mom feel like they were declaring to the world that this was *their* wedding and didn't really involve the Sparks side except for the groom.  Well her feelings were already a little sensitive on the subject for varying reasons, so she wanted to just make sure that the same kind of feelings were not conveyed to my honey's side by us.  Anyway I'm happy to put both sets of names on the invitation.  It really is a celebration for all the parents and yourselves.  Too, your parents, his parents, and yourselves are inviting the guests.  It just seemed a nice thing to do. (I know that this goes against traditional wording and is considered one of the contemporary wordings.  Oh well.  I like contemporary over traditional when I decorate anyway :) Sonja and Fred November 6, 1993-- Analyst/Programmer                                      Rochester, Minnesota

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The rule of ettiquette is that whoever pays for the wedding is the host. In this case it's not clear exactly who's paying for the wedding, since the money is kind-of a gift to you, and then you can spend it on whatever you want.  IMO that makes it somewhat ambiguous about who's actually paying for the wedding, and thus leaves it up to you how you want your invitations to read.

        No, no!  The person or persons acting as hosts are the hosts of the wedding, regardless of whether they are paying for the wedding or not!  The function of host(ess) cannot be bought.  The host is the person who greets guests, makes sure they're being taken care of properly, accepts their congratulations for having produced a lovely wedding, receives guests on their way out the door, and so forth.  The bridal couple can certainly be the hosts, but many choose a role more appropriate to guests of honor precisely so that they can be free of the responsibilites of being hosts.  Certainly, many brides and grooms help out with the duties of hosting, but it's the responsibility not the money that makes one a host. Ericka

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| | For me, including both sets of parents on the invitations was a | "feel-good" thing, decoupled from the financial aspects. | I totally agree.  My husband and I paid for the entire wedding ourselves, but we wanted to honour our parents in some way and felt it appropriate to put both names on the invitation.  They were thrilled. -- Colette George                   Bell-Northern Research Ltd.     Ottawa, Ontario, Canada

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[parents] can only afford $5000 for the wedding…actually, I would get the $5000 anyway as a graduation gift and if I choose to spend it on the wedding, then so be it.  Anyway, my fiance is in the working world and we’ve decided to go ahead with it spending an additional $5000 on the wedding and $5000 on the honeymoon.  So on the invitation should I put "Mr. and Mrs. Richard Leung invite you to the marriage of their daughter…" or "Pamela Leung and David Harper along with her         parents…" or since the money isn’t really "wedding money", "Pamela Leung   and David Harper invite you…".

The rule of ettiquette is that whoever pays for the wedding is the host. In this case it’s not clear exactly who’s paying for the wedding, since the money is kind-of a gift to you, and then you can spend it on whatever you want.  IMO that makes it somewhat ambiguous about who’s actually paying for the wedding, and thus leaves it up to you how you want your invitations to read. IMO, it is appropriate to include your parents (and his too) on the invitation whether or not they are actually paying.  My invites read something like "Together with their parents XXX and YYY request the honor of your presence …"  I felt that it was a good thing to include the parents even though the paying of the wedding was somewhat ambiguous (neither set of parents had at the time actually said whether they would contribute or not, and we were prepared to pay for the whole thing ourselves).  The point was that they were backing us emotionally, even though they had not (yet, they did later, partially) committed to backing us financially.   For me, including both sets of parents on the invitations was a "feel-good" thing, decoupled from the financial aspects. —                                                 —  Michal Impressive amounts of material can be accreted in this manner.

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Hi everyone! I just had a quick question about wedding invitations…but first, here’s the situation: I’m getting married on Sept 3, 1994.  So far, I have the reception hall and wedding location and now it’s photographer time.  I just met with one last night and I was told when he explained to me about the "film wars" of the early 80’s that a 35mm camera of today is just as good as a medium format. First of all, it’s auto-focus and he can take "quick" pictures, and the quality of the print is all in the film and the lab.  Can anyone give me any insight into this?  I’ve been told to always use a medium-format camera. Anyway…to the invitations…since I am now into my super-senior year of college, and my college fund has run out, my parents have told me that if I (and my fiance) insist on Sept, that they can only afford $5000 for the wedding…actually, I would get the $5000 anyway as a graduation gift and if I choose to spend it on the wedding, then so be it.  Anyway, my fiance is in the working world and we’ve decided to go ahead with it spending an additional $5000 on the wedding and $5000 on the honeymoon.  So on the invitation should I put "Mr. and Mrs. Richard Leung invite you to the marriage of their daughter…" or "Pamela Leung and David Harper along with her         parents…" or since the money isn’t really "wedding money", "Pamela Leung   and David Harper invite you…". Thanks in advance! Pam Leung  :) :wq D D D D D A A A A A

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Hi everyone! I just had a quick question about wedding invitations…but first, here’s the situation: I’m getting married on Sept 3, 1994.  So far, I have the reception hall and wedding location and now it’s photographer time.  I just met with one last night and I was told when he explained to me about the "film wars" of the early 80’s that a 35mm camera of today is just as good as a medium format. First of all, it’s auto-focus and he can take "quick" pictures, and the quality of the print is all in the film and the lab.  Can anyone give me any insight into this?  I’ve been told to always use a medium-format camera.

Pamela, What the photographer told you is true and false.   The film wars he mentioned is another way of saying that the film technology is always moving forward and that the technical quality is better than it was before.  Improvements in the film are passed down to both 35mm and medium format users.  So when he says that the 35mm camera can now equal the results found in medium format cameras he is comparing the new film in the 35mm camera to the old film in the medium format cameras.  But when you put the new films in the medium format camera the technical quality of it’s print also improves just as much. At which point the technical quality gap between the 35mm and the medium format cameras reappears. The 35mm auto focus cameras allow for quick or candid pictures to be taken, but this is not to say that it is impossible to take quick photographs with a manual focus camera.  An example where auto focus cameras can be helpful is in low light conditions where use the electronic flash can help the camera focus where focusing manually would be impaired. The problem with this is these special flash units are designed for the autofocus camera and are relatively low in output power.  This means the camera with the flash has a limited range in which good photographs can be produced while in the low light conditions.  So the best place for this combination is taking candid shots of guests at their tables at the reception or at dance floor where the camera to subject distance is short. As to his second statement about the quality of the print being in the film and the lab, well that is not quite true in and by itself.  The photographer, the camera, the film, and the lab form a chain of quality, should any link of the chain be weak or break down the quality of the print would fail.  An example of this, lets say that the photographer shoots a wedding completely using the best cameras, film, and processing labs but he or she doesn’t know what to photograph or does not get the pictures you wanted.  What good are the photographs?  Sure they are technically good but they are useless and of no value to you.  Quality to me is giving what the customer wants and needs at a fair price. So what about the medium format cameras?  Why do professionals use them? Where are many reasons a professional wedding photographer would use the medium format camera, but the bottom line for them is quality.  The professional has learned which camera system works the best for different photographic requirements and situations.  It is posible that a photographer would both formats in a wedding assignment.  But if he  or she is limited to a single system they will choose the system that will provide the best quality product. So what you are paying for is the photographer’s experience, judgement and skill, not the price of his film and processing only. What is the bottom line?  Quality, getting what you want at a fair price. When you look at the work of various photographers in your area ask yourself is this the kind of pictures I want of my wedding?  Are the photographs sharp enough for you?  Are the face colors real? Is the wedding dress really white and can you see the fine details in the dress?  Does the photographer capture the spirit of the Wedding?  What separates this photographer’s work from the others, what is that special something?  Independant of the technical issues of camera formats and films, what is the end result, do you like what you see? You may find that a good photographer can make good photographs with either camera formats and that a poor photographer cannot make a good photograph with all the best possible camera equipment. I hope I have of some help, Don Farra "Have you ever been in love?  Only then you can photograph."                                              A. Stieglitz

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[stuff deleted about host's name on invitation] – Hide quoted text — Show quoted text –    As I’ve said before, I believe that a host is someone who takes on the responsibility for making sure the guests are happy, entertained, and comfortable throughout the event.  A host greets guests and says good-bye to them.  A host keeps an eye on the event and makes sure everyone is doing ok.  Sometimes the bride and groom do this without help from any parents.  In this case, I think the invitations should be issued by the bride and groom.  If they want to acknowledge parents, they can do so with a "son of" and "daughter of" line.  (If they really want to honor one or both sets of parents they can put them at the top of the invitation as, I suppose, honorary hosts.)  If the bride’s family is looking after guests, then the bride and groom can call themselves honored guests and the groom’s family, if desired, can properly be acknowledged with a "son of" line (and, of course, vice versa if the groom’s family hosts).  When both sets of parents take on host duties, then both are properly named at the top of the invitation.

[more stuff deleted - including sending thank you to the host] At all of the weddings I have been to in Minnesota (and western Wisconsin) one of the honorary duties is host/hostess.  This is done to allow the parents of the bride and groom to enjoy the day with the bride and groom.  This is often an older friend of one or both of the families who knows what is supposed to happen and does all the host things mentioned above.  When such a position exists – they really weren’t involved in the planning and expenses at all – they are just there as a double check that everyone has a good time, etc.   IMO, there should be no wrong or right way (obviously only my opinion) but the bride and groom should determine together what they want to say – because as it has been said many times  – it is _their_ wedding —  I know this is easier said then done, heck, who am I to talk I haven’t gone through this. ;-) Paula PS I never thought about sending a thank you to the host/hostess (I always knew who did the planning/paying and just sent to all involved with it) but after thinking about their responsibility – I probably should include them on my list too. — Roseville, MN, USA               *    necessarily those of my company.

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BTW, I think it’s lovely that you send a thank you note – is this common in your area (ie. do most wedding guests send a thank you note to the hosts)?  

        Nope, it’s not all that common.  I just think that anyone who’s provided an evening of entertainment for me should at least get a note of thanks ;-)  From my perspective, it seems as though thank you notes are pretty rare (with the possible exception of brides thanking their guests for gifts, and even that appears to be a hated task for many brides).  My experience has been that people fall all over themselves with shock when they get a thank you note.  It’s such a small effort on my part and they seem so thrilled, so I try to do it whenever I can. (I’m sure there are other thank you note writers out there–I just don’t know all that many of them.) Ericka

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| | As a guest, however, I also like to know who | the real hosts are.  If I have some difficulty, I want to know who to phone. Often wedding invitations come with little maps and other info, such as bride’s, groom’s and/or parents’ phone numbers.  We provided numbers that guests could call for any reason, including the phone number of the church and the reception hall in case they got lost on the way! | When it’s all over, I want to know who to send a thank | you letter to.  I don’t want to send a letter saying thanks for | arranging such a lovely evening to someone who had no hand in | arranging it! | As is often the case nowadays, the B&G may live in a different city than their parents. Thus, weddings are not always held in the bride’s hometown anymore.   So even though the wedding invitation might be issued from the bride’s and/or groom’s parents, the parents may not have all that much to do when it comes to "arranging" the wedding.  As traditions and social norms change, I expect you will find it increasingly difficult to determine who actually did the wedding arrangements just by looking at the invitation.   In my case, we put both sets of parents on the invitation but they had little to do with the planning or execution of the wedding because they live out of town.  On the other hand, my parents acted as hosts at the reception, mingling with other guests, introducing people in my family to my husband’s family, etc. Still, I think I’d be a little miffed if someone sent my parents a note saying "what a wonderful wedding you did!" when *I* actually did all the work. :-)   BTW, I think it’s lovely that you send a thank you note – is this common in your area (ie. do most wedding guests send a thank you note to the hosts)?   — Colette George                   Bell-Northern Research Ltd.     Ottawa, Ontario, Canada

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{much deleted about whose names to put on the invitations} Before you put *anyone’s* name on them (except your own, obviously) CHECK WITH THEM.  My mother requested that my parents’ names *not* be on it, since they disapproved of the wedding.  That was fine with us (it’s a *really* long story…). Beth — "We are not free; it was never intended we should be.  A book of rules is placed in our cradles, and we never get rid of it until we reach our graves."–E.W. Howe, 1924  

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I agree as well, with putting both sets of parents’ names on the invites.  My parents are footing the bill for almost the entire wedding (excluding the rehearsal dinner), but my mom wanted both sets of parents to be included on the invitation.  Here’s why:  My brother was just married about 3 weeks ago now. The invitations that my new sister-in-law ordered and sent out only had her parents name on there.  It made my mom feel like they were declaring to the world that this was *their* wedding and didn’t really involve the Sparks side except for the groom.

        I agree that it is often a nice sentiment to include both sets of parents on the invitations, and I’d be the last person to disagree with the people who choose to do so.  However, I think perhaps some people are getting a bit more emotionally invested in this piece of paper than might be good for them.  An invitation to a wedding is just that–an *invitation*–and the names that go at the top are the people hosting the event, just as is the case for every other event for which people send out invitations.  If one or both sets of parents are not functioning as hosts (which, by the way, does not necessarily have anything to do with who’s paying for what), then omitting the names of those parents at the top of the invitation should not necessarily be taken as a slight by those parents.  (Note that when other hostilities are in evidence, someone might choose to see this as yet another offense, but I’m just saying that in and of itself, there is not disrespect implies by not listing a non-host in a position reserved for hosts.)         As I’ve said before, I believe that a host is someone who takes on the responsibility for making sure the guests are happy, entertained, and comfortable throughout the event.  A host greets guests and says good-bye to them.  A host keeps an eye on the event and makes sure everyone is doing ok.  Sometimes the bride and groom do this without help from any parents.  In this case, I think the invitations should be issued by the bride and groom.  If they want to acknowledge parents, they can do so with a "son of" and "daughter of" line.  (If they really want to honor one or both sets of parents they can put them at the top of the invitation as, I suppose, honorary hosts.)  If the bride’s family is looking after guests, then the bride and groom can call themselves honored guests and the groom’s family, if desired, can properly be acknowledged with a "son of" line (and, of course, vice versa if the groom’s family hosts).  When both sets of parents take on host duties, then both are properly named at the top of the invitation.         Obviously, this is only my own opinion (though I think it’s grounded in a certain rationality).  I understand that it’s easy for a groom’s family to feel left out.  I certainly think that it’s a nice gesture to acknowledge both families in some way (the "son of" line is traditionally a part of a Jewish wedding invitation–yet another time the Jews have come up with a nice solution to a wedding etiquette dilemma!).  As a guest, however, I also like to know who the real hosts are.  If I have some difficulty, I want to know who to phone.  When it’s all over, I want to know who to send a thank you letter to.  I don’t want to send a letter saying thanks for arranging such a lovely evening to someone who had no hand in arranging it! Ericka

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: he explained to me about the "film wars" of the : early 80’s that a 35mm camera of today is just as good as a medium format. False : First of all, it’s auto-focus and he can take "quick" pictures, True : and the quality of the print is all in the film and the lab. Partially true : Can anyone give me : any insight into this?  I’ve been told to always use a medium-format camera. The real question is whether you (the Bride and Groom) will be able to tell the difference between photos taken with 35mm vs. medium format equipment. In 4×5" pictures, they are indistinguishable.  In a 16×20 wall portrait, the difference will be obvious.  At 8×10, I can tell the difference, but you may not be able to, or you may not care. I think you should visit a photographer who shoots with both 35mm and medium format, and ask him to show you the difference it makes in the prints. — Paul Nuber Hewlett-Packard Co. Fort Collins, CO

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– Hide quoted text — Show quoted text – : he explained to me about the "film wars" of the : early 80’s that a 35mm camera of today is just as good as a medium format. False : First of all, it’s auto-focus and he can take "quick" pictures, True : and the quality of the print is all in the film and the lab. Partially true : Can anyone give me : any insight into this?  I’ve been told to always use a medium-format camera. The real question is whether you (the Bride and Groom) will be able to tell the difference between photos taken with 35mm vs. medium format equipment. In 4×5" pictures, they are indistinguishable.  In a 16×20 wall portrait, the difference will be obvious.  At 8×10, I can tell the difference, but you may not be able to, or you may not care. I think you should visit a photographer who shoots with both 35mm and medium format ….

I agree with what Paul has advised.  The respective formats have their strengths.  However you must realize several more important advantages of medium format – especially square format – for wedding photography. Even if you are only getting 5" pictures, the medium format negative has the advantages of greater flexibilty in cropping, ability to have retouching done right on the negative, and FAR GREATER flexibility in album layout. Here’s the scoop on negative retouching.  Common facila problems needing attention are lines, scars, blemishes, and pimples.  Removing them is a simple matter on a medium format negative.  Once they are pencilled out on the negative, they are gone forever on all subsequent prints. In 35mm, this retouching cannot be done on the neg and must be done on EVERY PRINT. The 35mm frame is proportioned for an 8×12 or 4×6 print.  An 8×10 print – common for albums – cuts off 17% of the image length.  That is a serious problem for groups and full length shots, so the photogapher must compose very carefully if 8×10s are to be made.  There are 4×6 albums, but no albums yet that I’m aware of for 8×12. The unpredictable nature of wedding photography often necessitates cropping and realignment of the images.  That is an easy matter for medium format. Many pro labs supply the photographer a set of variable-size aperture cards for placement of the neg.  To do this in 35mm requires expensive hand custom printing. In 35mm, focus is far more critical due to the degree of enlargement. For an 8×10, a 2-1/4 neg is enlarged about 4X; a 35mm neg about 8x. Focus errors do happen, no matter what kind of gear is used.  They will kill a 35mm image before a medium format image. Still another medium format advantage is that you can use the faster films – like ASA 400 Vericolor and Pro 400 – with no apparent increase in grain in the print.  Do the same in 35mm and there is a visible loss of image detail and increase in grain.  Like many photographers, I like ASA 400 film because it gives me more time for sunrise and suset pictures and lets me use soft bounce-flash lighting instead of harsh direct flash.  I can operate my flash at lower power which is easier on my battery and the guest’s eyes.  The pictures have a wonderful natural look. So retouching and cropping costs often make 35mm shooting more expensive than medium format. But there are many situations where 35mm is better than medium format. Wide-to-tele zooms are not available yet in medium format.  I can zoom my 35mm lens faster than changing my medium format lens.  My 35’s motor drive is fast.  The infrared enhanced autofocus gets me good shots even in the dark. The equipment is lighter and more responsive. The computer comtrolled cameras and flashes allow me to do wonderful shots mixing flash and natural light.  I can also do neat shots with strobe effect and second-curtain sync (example – showing the bouquet streak thru the air and sharp at themoment it is caught). Bottom line: there’s no clear winner.  It depends on what the wedding couple want.  Those placing a high priority on their album expect pro equipment and materials to be used so that means medium format.  Those wanting lots of natural pictures wuickly and making thier own book are usually happy with 35mm.  Mixing is also possible.    /|/| /||)|/  /~ /| ||)[~|)/~   |   Everyone's entitled to MY opinion.

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| | For me, including both sets of parents on the invitations was a | "feel-good" thing, decoupled from the financial aspects. | I totally agree.  My husband and I paid for the entire wedding ourselves, but we wanted to honour our parents in some way and felt it appropriate to put both names on the invitation.  They were thrilled. -- Colette George                       Bell-Northern Research Ltd.         Ottawa, Ontario, Canada

Another $.02 worth...... I agree as well, with putting both sets of parents' names on the invites.  My parents are footing the bill for almost the entire wedding (excluding the rehearsal dinner), but my mom wanted both sets of parents to be included on the invitation.  Here's why:  My brother was just married about 3 weeks ago now. The invitations that my new sister-in-law ordered and sent out only had her parents name on there.  It made my mom feel like they were declaring to the world that this was *their* wedding and didn't really involve the Sparks side except for the groom.  Well her feelings were already a little sensitive on the subject for varying reasons, so she wanted to just make sure that the same kind of feelings were not conveyed to my honey's side by us.  Anyway I'm happy to put both sets of names on the invitation.  It really is a celebration for all the parents and yourselves.  Too, your parents, his parents, and yourselves are inviting the guests.  It just seemed a nice thing to do. (I know that this goes against traditional wording and is considered one of the contemporary wordings.  Oh well.  I like contemporary over traditional when I decorate anyway :) Sonja and Fred November 6, 1993-- Analyst/Programmer                                      Rochester, Minnesota

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The rule of ettiquette is that whoever pays for the wedding is the host. In this case it's not clear exactly who's paying for the wedding, since the money is kind-of a gift to you, and then you can spend it on whatever you want.  IMO that makes it somewhat ambiguous about who's actually paying for the wedding, and thus leaves it up to you how you want your invitations to read.

        No, no!  The person or persons acting as hosts are the hosts of the wedding, regardless of whether they are paying for the wedding or not!  The function of host(ess) cannot be bought.  The host is the person who greets guests, makes sure they're being taken care of properly, accepts their congratulations for having produced a lovely wedding, receives guests on their way out the door, and so forth.  The bridal couple can certainly be the hosts, but many choose a role more appropriate to guests of honor precisely so that they can be free of the responsibilites of being hosts.  Certainly, many brides and grooms help out with the duties of hosting, but it's the responsibility not the money that makes one a host. Ericka

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| | For me, including both sets of parents on the invitations was a | "feel-good" thing, decoupled from the financial aspects. | I totally agree.  My husband and I paid for the entire wedding ourselves, but we wanted to honour our parents in some way and felt it appropriate to put both names on the invitation.  They were thrilled. -- Colette George                   Bell-Northern Research Ltd.     Ottawa, Ontario, Canada

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[parents] can only afford $5000 for the wedding…actually, I would get the $5000 anyway as a graduation gift and if I choose to spend it on the wedding, then so be it.  Anyway, my fiance is in the working world and we’ve decided to go ahead with it spending an additional $5000 on the wedding and $5000 on the honeymoon.  So on the invitation should I put "Mr. and Mrs. Richard Leung invite you to the marriage of their daughter…" or "Pamela Leung and David Harper along with her         parents…" or since the money isn’t really "wedding money", "Pamela Leung   and David Harper invite you…".

The rule of ettiquette is that whoever pays for the wedding is the host. In this case it’s not clear exactly who’s paying for the wedding, since the money is kind-of a gift to you, and then you can spend it on whatever you want.  IMO that makes it somewhat ambiguous about who’s actually paying for the wedding, and thus leaves it up to you how you want your invitations to read. IMO, it is appropriate to include your parents (and his too) on the invitation whether or not they are actually paying.  My invites read something like "Together with their parents XXX and YYY request the honor of your presence …"  I felt that it was a good thing to include the parents even though the paying of the wedding was somewhat ambiguous (neither set of parents had at the time actually said whether they would contribute or not, and we were prepared to pay for the whole thing ourselves).  The point was that they were backing us emotionally, even though they had not (yet, they did later, partially) committed to backing us financially.   For me, including both sets of parents on the invitations was a "feel-good" thing, decoupled from the financial aspects. —                                                 —  Michal Impressive amounts of material can be accreted in this manner.

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Hi everyone! I just had a quick question about wedding invitations…but first, here’s the situation: I’m getting married on Sept 3, 1994.  So far, I have the reception hall and wedding location and now it’s photographer time.  I just met with one last night and I was told when he explained to me about the "film wars" of the early 80’s that a 35mm camera of today is just as good as a medium format. First of all, it’s auto-focus and he can take "quick" pictures, and the quality of the print is all in the film and the lab.  Can anyone give me any insight into this?  I’ve been told to always use a medium-format camera. Anyway…to the invitations…since I am now into my super-senior year of college, and my college fund has run out, my parents have told me that if I (and my fiance) insist on Sept, that they can only afford $5000 for the wedding…actually, I would get the $5000 anyway as a graduation gift and if I choose to spend it on the wedding, then so be it.  Anyway, my fiance is in the working world and we’ve decided to go ahead with it spending an additional $5000 on the wedding and $5000 on the honeymoon.  So on the invitation should I put "Mr. and Mrs. Richard Leung invite you to the marriage of their daughter…" or "Pamela Leung and David Harper along with her         parents…" or since the money isn’t really "wedding money", "Pamela Leung   and David Harper invite you…". Thanks in advance! Pam Leung  :) :wq D D D D D A A A A A

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Hi everyone! I just had a quick question about wedding invitations…but first, here’s the situation: I’m getting married on Sept 3, 1994.  So far, I have the reception hall and wedding location and now it’s photographer time.  I just met with one last night and I was told when he explained to me about the "film wars" of the early 80’s that a 35mm camera of today is just as good as a medium format. First of all, it’s auto-focus and he can take "quick" pictures, and the quality of the print is all in the film and the lab.  Can anyone give me any insight into this?  I’ve been told to always use a medium-format camera.

Pamela, What the photographer told you is true and false.   The film wars he mentioned is another way of saying that the film technology is always moving forward and that the technical quality is better than it was before.  Improvements in the film are passed down to both 35mm and medium format users.  So when he says that the 35mm camera can now equal the results found in medium format cameras he is comparing the new film in the 35mm camera to the old film in the medium format cameras.  But when you put the new films in the medium format camera the technical quality of it’s print also improves just as much. At which point the technical quality gap between the 35mm and the medium format cameras reappears. The 35mm auto focus cameras allow for quick or candid pictures to be taken, but this is not to say that it is impossible to take quick photographs with a manual focus camera.  An example where auto focus cameras can be helpful is in low light conditions where use the electronic flash can help the camera focus where focusing manually would be impaired. The problem with this is these special flash units are designed for the autofocus camera and are relatively low in output power.  This means the camera with the flash has a limited range in which good photographs can be produced while in the low light conditions.  So the best place for this combination is taking candid shots of guests at their tables at the reception or at dance floor where the camera to subject distance is short. As to his second statement about the quality of the print being in the film and the lab, well that is not quite true in and by itself.  The photographer, the camera, the film, and the lab form a chain of quality, should any link of the chain be weak or break down the quality of the print would fail.  An example of this, lets say that the photographer shoots a wedding completely using the best cameras, film, and processing labs but he or she doesn’t know what to photograph or does not get the pictures you wanted.  What good are the photographs?  Sure they are technically good but they are useless and of no value to you.  Quality to me is giving what the customer wants and needs at a fair price. So what about the medium format cameras?  Why do professionals use them? Where are many reasons a professional wedding photographer would use the medium format camera, but the bottom line for them is quality.  The professional has learned which camera system works the best for different photographic requirements and situations.  It is posible that a photographer would both formats in a wedding assignment.  But if he  or she is limited to a single system they will choose the system that will provide the best quality product. So what you are paying for is the photographer’s experience, judgement and skill, not the price of his film and processing only. What is the bottom line?  Quality, getting what you want at a fair price. When you look at the work of various photographers in your area ask yourself is this the kind of pictures I want of my wedding?  Are the photographs sharp enough for you?  Are the face colors real? Is the wedding dress really white and can you see the fine details in the dress?  Does the photographer capture the spirit of the Wedding?  What separates this photographer’s work from the others, what is that special something?  Independant of the technical issues of camera formats and films, what is the end result, do you like what you see? You may find that a good photographer can make good photographs with either camera formats and that a poor photographer cannot make a good photograph with all the best possible camera equipment. I hope I have of some help, Don Farra "Have you ever been in love?  Only then you can photograph."                                              A. Stieglitz

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Just Diagnosed

Question:

My girlfriends’ 16 month old daughter has just been diagnosed as having asthma, after a cold, which progressed to pneumonia during five days in hospital.She was given enough Ventilin (sp?) and other assorted concoctions (prednisone amongst others) to sink a ship. We are as yet unaware of whether or not the attacks will be frequent, and my girlfriend had asthma when she was very young, but grew out of it  . What are the alternatives to this kind of treatment, as I’ve heard rumour to the effect that long term use of these drugs can induce dependancy?

The Ventolin is a brochialdialator which is generally used to control an asthma attack.  Now (if I remember correctly) the prednistone is an oral steroid which is used to prevent asthma attacks (somebody correct me if I am worng). Oral steroids are powerful medications that do have side effects. Hopefully, they will be discontinued once she recovers from the pneumonia.  You should make your doctor explain very carefully the reasons for any long-term use. Hopefully, once she recovers, she will be placed on different medications which have fewer side effects.  However, you have to consider the cost-benefit tradeoff inherent in her medications.  If the effective medications do have side effects, then you will have to judge what is in her best intrests. Cures or effective prevention?

There is _no_ cure for asthma.  Anyone who tells you otherwise is giving you a line of BS. Prevention:  1) If there is a smoker in your home – they have to quit (no ifs, ands, or buts – this _has_ to happen). Also you need to determine what her asthma triggers are.  Typical triggers are: smoke, pets, pollen, etc.  Basically you need to observe her carefully and determine what (if anything) she may be allergic to. Anything she is allergic to is a likely asthma trigger and (to the extent possible) removed. I’ve seen articles on current affairs programs claiming cures and the like, but as up until now I’ve not known anyone with the disease, I’ve not taken any notice.

Take _any_ cures or treatments not perscribed by a medical doctor with great scepticism.  The current guidelines for asthma treatment specify that the patient be under a doctors care.  For a 16 month old my advice is to stick with the ‘tried and true’ asthma management programs and avoid the ‘alternative’ stuff. Help as I can’t bare the thought of another 5 day stint in hospital with a 16 month old that can’t sleep because she is bouncing off of the walls because of the ventilin, and is so overtired that she has more mood swings than a manic depressives convention.

Once your daughter is recoverd from her present episode the emphasis will swithh to asthma management and control.  The basic goal of an asthma management program is for the patient to live a completely normal life – this _is_ a reasonable goal and you shold not settle for anything less. BTW.  In one respect your daughter is better off than I was.  I was diagnosed with asthma at age 35, but had undiagnosed asthma as a child.  Growing up with undiagnosed (and untreated) asthma did have a negative effect on my quality of life (I was unable to participate in things like baseball and basketball and even today I lack the basic skills needed to play those games).  Also, my body mass has always been below the norm for people of my age and height – something which I suspect was caused by untreated asthma. Remember that things will get better and as long as her asthma is controlled she likley will have a childhood identical to that as if she never had asthma.

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My girlfriends’ 16 month old daughter has just been diagnosed as having asthma, after a cold, which progressed to pneumonia during five days in hospital.She was given enough Ventilin (sp?) and other assorted concoctions (prednisone amongst others) to sink a ship. We are as yet unaware of whether or not the attacks will be frequent, and my girlfriend had asthma when she was very young, but grew out of it  . What are the alternatives to this kind of treatment, as I’ve heard rumour to the effect that long term use of these drugs can induce dependancy? Cures or effective prevention? I’ve seen articles on current affairs programs claiming cures and the like, but as up until now I’ve not known anyone with the disease, I’ve not taken any notice. Help as I can’t bare the thought of another 5 day stint in hospital with a 16 month old that can’t sleep because she is bouncing off of the walls because of the ventilin, and is so overtired that she has more mood swings than a manic depressives convention. Glenn

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Hi Salley, Yes I also was just  recently dianosed bi-polar II and now puts reasoning behind my life structure in the past.  Fought depression forever and the roller coaster was always going. As far as your obsession with men we all had the obsessions in various areas of our lives.  You need to talk to your thearpist about this.    Good Luck Sally Hope you do Well Peace Mark

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Hi Sally, You ARE great and intelligent, you just need some fuel for your body and mind to keep going. Do NOT fall for the premise that you are a broken thing, you are a human with great potential! My advice is to go and buy/borrow the book ‘Fit for Life’ by Diamnd & Diamond, out since 1985, that shows how the body should be treated, almost everyone is eating the wrong way. Try following this diet and you will be whole again in no time. All the best, — Joop Kaashoek INSA Limited http://www.insaltd.com (408) 268-9650

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you know, this is bunk. you obviously have no idea what it’s like to be me. i didn’t ask whether or not my behavior was correct, i’m smart enough to know it’s not. i simply asked whether the the meds would help when i have difficulty with control or whether it was strictly therapy and behavior modification. it seems, joop, that you are here to push your own agenda, whatever it is. Joop Kaashoek wrote in article … – Hide quoted text — Show quoted text -As for your osbsession with men… You should never be obsessed with anyone, because you might get hurt. If another person can not see you value, then do not waste your time any more. We all got our own life to live, so move on. You will find your soulmate eventually. I got good advice from a friend once. He said, the lover that spurns you has his/her reasons for doing so. Chasing him is not going to make him change his mind, and it is below your dignity too. So instead, write a letter with all your grievances in it, elaborate, get it off your chest. Then BURN it. If you were to send it, he would not understand it anyway. I tried this and it worked great. I had my time of mourning so to speak, and then I was back in the land of the living. The girl I was crazy about is off god knows where and I am now married 10 years, happier than ever. Also, take up exercising, it will take your mind off these crazy lovers quickly too. Good luck, — Joop Kaashoek INSA Limited http://www.insaltd.com (408) 268-9650

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I have just been diagnosed as Bipolar II. It explains my entire life. Everyone would think I was great and so productive and intelligent when I was hypomanic, and then I’d let them all down when I slipped into depression.

Sally, I had the same experience.  Remember – you are whole and complete every moment  you are alive. I say this to myself everyday. Both therapy and meds are important to managing this illness.  Take advantage  of both avenues.  It sure has helped me. Cathy

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[posted and emailed] I have just been diagnosed as Bipolar II. It explains my entire life.

(thomas nods his head in knowing empathy – he’s been there….) Everyone would think I was great and so productive and intelligent when I was hypomanic, and then I’d let them all down when I slipped into depression. I just started taking St. John’s Wort, 750mg every morning, only 1 1/2 weeks so far. No difference yet. They say 3-6 weeks if it’s going to work. Wonder how long I’m going to hold on.

you may need a mood stabilizer too – it will make the SJW more effective, and keep you from burning yourself out when you go manic. My question is this… I seem to get very obsessed about a certain man (there have been a few of these situations in my life), and when he breaks it off because I’m overwhelming him, I lose it completely and feel totally out of control. I call and call, and turn up, and email. I get suicidal, rejected and my self esteem goes into the trash. Will this behavior be helped by meds, or only therapy? Or both? Do all the bipolars feel obsessive about things, especially relationships? I need to stop this compulsive thing, but I feel like it controls me, not me controlling it. Help?

i’m a bp2 and have some OCD as well – my pdoc says i exhibit symptoms across the entire serotonogenic spectrum (thus my nick)  maybe you do, as well. "Dark Prism" – My personality refracts darkly through the serotonigenic spectrum. Thomas A. Ott — ottthoma (at) pipeline.com – [3 t's in ottthoma!!!] http://www.geocities.com/~ottthoma — main site http://www.geocities.com/~ottthoma/depression/index.html—– depression site http://www.geocities.com/~ottthoma/depression/sjw.html —— st. john’s wort stuff FCC Regulations provide up to 500 dollars in damages PER INCIDENT for Unsolicited Commercial E-Mail.  Go ahead.  Make my day.

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sally’s not doing too well at all. down down down. if it weren’t for my two children i wouldn’t be here. my mother killed herself when i was six, my whole life’s been a mess. but the sad thing about it is that i could have done a lot. when i’m up i’m brilliant, but there’s not much left of that part of me anymore. pathetic, shriveled, mentally ill, and buried under this complicated mess. how the fuck are we supposed to keep going? i’m 37… i wish i had known this when i was a kid. i might have led a productive life. – Hide quoted text — Show quoted text -Hi Salley, Yes I also was just  recently dianosed bi-polar II and now puts reasoning behind my life structure in the past.  Fought depression forever and the roller coaster was always going. As far as your obsession with men we all had the obsessions in various areas of our lives.  You need to talk to your thearpist about this.    Good Luck Sally Hope you do Well Peace Mark

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Sally, . I seem to get very obsessed about a certain man (there have

been a few of these situations in my life), and when he breaks it off because I’m overwhelming him, I lose it completely and feel totally out of control. I call and call, and turn up, and email. I get suicidal, rejected and my self esteem goes into the trash.      I don’t know about others but it is the same way with me (except I’m a man and my experiences are with women.) I obsess over a loved one and want to possess them totally. Either the woman is scared off by my intensity or the relationship goes forward until it more or less burns out. I’ve never had a so called permanent relationship, the longest one lasted 12 years but here I am, alone. I somehow feel "validated" by a romantic relationship and am acutely sensitive to rejection, to the point of severe depression. I usually try to hold back on my feelings until I am more or less assured that the lady in question won’t reject me. My defense against years of pain! I do however know when to get lost since the abject humiliation of rejection is too much to bear. I’d rather crawl off and lick my wounds that to prolong the agony. Will this behavior be helped by meds, or only therapy? Or both?

Do all the bipolars feel obsessive about things, especially relationships?      Now for the bad part, I don’t think that this behavior can be "cured" with medicine. It is a learned behavior for me instead of simply a mood. The need to love and be loved has never left me (alas!) and I don’t see therapy helping either other than helping me to deal with the loss of a relationship. I am obsessive about many other things too, I call myself a perfectionist.      Hope this helps you to at least not feel alone in your behavior. Many times I feel like some sort of freak when I don’t think others share some of the feelings I have so know that you are not alone, many of us share behaviors. My Best, ~Robbi~  "oo" "With friends like this who need hallucinations?" http://www.geocities.com/SoHo/7160 Serving bipolars since 1997!

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My question is this… I seem to get very obsessed about a certain man (there have been a few of these situations in my life), and when he breaks it off because I’m overwhelming him, I lose it completely and feel totally out of control. I call and call, and turn up, and email. I get suicidal, rejected and my self esteem goes into the trash. Will this behavior be helped by meds, or only therapy? Or both? Do all the bipolars feel obsessive about things, especially relationships? I need to stop this compulsive thing, but I feel like it controls me, not me controlling it. Help?

I know that feeling well.  I can only get interested in one man at a time, and then I get very dependent on him and want him around all the time.  I too get suicidal when a guy breaks up with me.  I never thought of it as an obsession, but I guess it is.  Anyway, my experience has been that medication stabilized the mood swings and lifted me out of my nearly-constant depression, but did not do anything for the obsessive relationships.  Therapy is slowly helping that. June "word I was in my life alone, word I had no one left but God."                                                   — Robert Frost

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I’d be happy to send you a complimentary copy of the IBDetails newsletter which was a newsletter written for and by people who have UC and Crohn’s. Just send me your mailing address via snail mail or check out excerpts of it on the Web. –Carol

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Join the National Foundation for Ileitis and Colitis headquartered in NY. They have all kinds of publications and activites.  If you can start up the sulfasalazine slowly you will be less likely to have the headaches and nausea, although I never could get above 5 tablets.  You may be off it eventually, and there are alternatives.

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     This message goes out to anyone who may have some helpfull information.  I have just been diagnosed with UC and besides being scared, the medicine that the doctor gave me (Azulfidine) is having side effects. Does anyone have suggestions or books that would be good to read about this disease and or diet.  Pleade e-mail me at mikalbelle with any suggestions.  Thanks.

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    This message goes out to anyone who may have some helpfull information.  I have just been diagnosed with UC and besides being scared, the medicine that the doctor gave me (Azulfidine) is having side effects. Does anyone have suggestions or books that would be good to read about this disease and or diet.  Pleade e-mail me at mikalbelle with any suggestions.  Thanks.

I took Azulfidine for 12+ years without any major problems until now.  It kept the UC under control.  Just a couple of months ago I experienced an allergic reaction to the sun because of the Azulfidine. My doctor will be switching me to Asacol now. -scott — Scott Squires               "Insert funny stuff here"

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There is no answer to how long flare-ups last. I just had one that lasted for at least 9 months and the symptoms changed during that time. However, people can go for years without a flare. AND, I have had flares that were much shorter — maybe weeks or a couple of months. In terms of calling the doctor — when in doubt, call. If your doctor is not responsive, find a new doctor. Any doctor that deals with this type of disease should be prepared to do some hand-holding. The doctors don’t fully know what is going on or what to do, so why should you? I waited far too long to switch from a really jerky guy to someone much better. I also recommend that you start keeping a diary of what you eat, what medications you take, what your symptoms are. You should write down the times at which all of these things occur. Over a period of a few months, you should be able to see some sort of pattern and you’ll get a sense of what is "bad" and what is "good" for you. Good luck. Kirsten

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I just found out that I have crohn’s disease and would like some information about what is the normal period between flare-ups.  I’m not sure what to consider as a flare-up.  Is it everytime you have diarreah or when it’s really often.  What does everyone think is often? Thanks, Lisa

Lisa, this isn’t really an anwer to you but my question fits here. I, too,  have just recently been diagosed with Crohns though I suspect I’ve had it over a decade. The doctor started me on 40mg of Prednisone daily and I’m not (as of today) tapered back down to 10 mg a day. The diarrhea and stomach cramps hit today as well. When do I call the doctor? Is this a result of dropping the dosage of the Prednisone? (If so, I’m afraid of ever coming totally off the stuff but then how can you live ON the stuff<arghh!) Anyone out there who can answer both Lisa and me?                         Thanks, Chris

  Aim your favorite web browser at http://qurlyjoe.bu.edu/cduchome.html and hang on to your hats, kids. That’s my Crohn’s & Colitis web page, where you will find answers to these questions and more you don’t even know you want to ask yet. Thousands of happy (a relative term of course, when you’ve got a chronic illness) crohnies check in all the time for the FAQs, links to other sites of more or less relevance, and the infamous IBD Sucks! message board. C’mon and join the fun. Regards.    Bill Robertson    http://qurlyjoe.bu.edu/cduchome.html   Ahh, another day ends: All targets met… All systems working and   customers satisfied… all staff eager and enthusiastic…   …All pigs fed, watered, and ready to fly.

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I just found out that I have crohn’s disease and would like some information about what is the normal period between flare-ups.  I’m not sure what to consider as a flare-up.  Is it everytime you have diarreah or when it’s really often.  What does everyone think is often? Thanks, Lisa

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Lisa, this isn’t really an anwer to you but my question fits here. I, too,  have just recently been diagosed with Crohns though I suspect I’ve had it over a decade. The doctor started me on 40mg of Prednisone daily and I’m not (as of today) tapered back down to 10 mg a day. The diarrhea and stomach cramps hit today as well. When do I call the doctor? Is this a result of dropping the dosage of the Prednisone? (If so, I’m afraid of ever coming totally off the stuff but then how can you live ON the stuff<arghh!) Anyone out there who can answer both Lisa and me?                         Thanks, Chris

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To both of you: The first thing about Crohn’s is that it is so unpredictable and that it is different in every case.  I’ve met people with Crohn’s that can eat everything that I can’t and visa-versa.  All you can really do is listen to your body, in not much time at all you’ll beable to tell when there is a flare-up coming.  If you want a time span I may not be the person to ask because mine average about every three months.  Signs that you should call the doctor are if you get real skinny or dehydrated.  Also ofcourse if there is any blood or mucus in your stool.  About going off prednisone, at first when you start tapering your body might be adjusting and that you may mistake as a flare-up,BUT if it keeps up for two or so days increase your dosage again.  I’m saying all of these things and I am not even a doctor-I’m only a  20 year old female with Crohn’s.  There are some things that us patients with Crohn’s know more about than doctor’s without it. One last thing, if you have the money or know someone, go see a holistic doctor or some alternative doctor-you’d be amazed-it may not be chronic.Take care!!!!! —Jillian  

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My girlfriend was diagnosed with retroactive arhtritis and I can’t find it anywhere. Has anyone else heard of this type? Good luck with your doctor and your health! Joanne – Hide quoted text — Show quoted text – I was diagnosed four days ago.  The first appointment with the Rheumatologist will consist of getting you height, weight, BP,. there will also be questions about how long the symptoms have been present, an examination of joints.  I got a script for antinflamatories.  Good Luck.  Do search out others with the disease.  It’s a hard diagnosis to take without support.

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My girlfriend was diagnosed with retroactive arhtritis and I can’t find it anywhere. Has anyone else heard of this type? Good luck with your doctor and your health! Joanne

I believe that is reactive arthritis.  I think there’s some information on it at drdoc’s web site: http://www.aztec.co.za/users/drdoc/ Best regards, LadyAndy2

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I was diagnosed four days ago.  The first appointment with the Rheumatologist will consist of getting you height, weight, BP,. there will also be questions about how long the symptoms have been present, an examination of joints.  I got a script for antinflamatories.  Good Luck.  Do search out others with the disease.  It’s a hard diagnosis to take without support.

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I was diagnosed four days ago.  The first appointment with the Rheumatologist will consist of getting you height, weight, BP,. there will also be questions about how long the symptoms have been present, an examination of joints.  I got a script for antinflamatories.  Good Luck. Do search out others with the disease.  It’s a hard diagnosis to take without support.

Hi, K! Welcome to the group!!! Which diagnosis did you get? You see, there’s so many different types of arthritis (about 130)… I myself have PA (psoriatic arthritis). Others on this group have osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, lupus, scleroderma, PA like myself etc. etc. I probably forgot some types… We all have a lot in common, so this group is a great place to be!!! Keep on posting!!!! — Best regards / Med vennlig hilsen,       Aase Marit :) ))))))            ("Aw-Se-Mareet" from Norway) http://w1.2380.telia.com/~u238000263/flaker/docs/index.html

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My girlfriend was diagnosed with retroactive arhtritis and I can’t find it anywhere. Has anyone else heard of this type? Good luck with your doctor and your health! Joanne – Hide quoted text — Show quoted text – I was diagnosed four days ago.  The first appointment with the Rheumatologist will consist of getting you height, weight, BP,. there will also be questions about how long the symptoms have been present, an examination of joints.  I got a script for antinflamatories.  Good Luck.  Do search out others with the disease.  It’s a hard diagnosis to take without support.

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My girlfriend was diagnosed with retroactive arhtritis and I can’t find it anywhere. Has anyone else heard of this type? Good luck with your doctor and your health! Joanne

I believe that is reactive arthritis.  I think there’s some information on it at drdoc’s web site: http://www.aztec.co.za/users/drdoc/ Best regards, LadyAndy2

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I was diagnosed four days ago.  The first appointment with the Rheumatologist will consist of getting you height, weight, BP,. there will also be questions about how long the symptoms have been present, an examination of joints.  I got a script for antinflamatories.  Good Luck.  Do search out others with the disease.  It’s a hard diagnosis to take without support.

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I was diagnosed four days ago.  The first appointment with the Rheumatologist will consist of getting you height, weight, BP,. there will also be questions about how long the symptoms have been present, an examination of joints.  I got a script for antinflamatories.  Good Luck. Do search out others with the disease.  It’s a hard diagnosis to take without support.

Hi, K! Welcome to the group!!! Which diagnosis did you get? You see, there’s so many different types of arthritis (about 130)… I myself have PA (psoriatic arthritis). Others on this group have osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, lupus, scleroderma, PA like myself etc. etc. I probably forgot some types… We all have a lot in common, so this group is a great place to be!!! Keep on posting!!!! — Best regards / Med vennlig hilsen,       Aase Marit :) ))))))            ("Aw-Se-Mareet" from Norway) http://w1.2380.telia.com/~u238000263/flaker/docs/index.html

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Child asthma treatment

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Hello– My step son (4-years-old) has been diagnosed with asthma. This past winter we have been trying to treat a chronic cough. The cough is more predomiant than anything else and, of course, we’ve been trying to suppress it. I am interested in any suggestions the group might have, in addition to, or as an alternate to the cough medication that he is prescribed. Also, I am seeking a good resource to research treatment(s) (I use treatment because I don’t know what else to use?). Any help would be appreciated. Thanks in advance,

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: Hello– : My step son (4-years-old) has been diagnosed with asthma. Kelly, Try the Alpine air purifiers.  They remove dust from the air and mold, mildew, pollen, and toxic gases from furniture, chemicals, and everything else in our airtight homes.  I’ve just been looking into them them and am impressed.  I’ve heard and read some wonderful testimonials for asthma and allergies.  I might be able to get one to you on a trial basis, if interested.  Let me know by email if you’d be interested. — Dr. George Schmidt

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My step son (4-years-old) has been diagnosed with asthma. This past winter we have been trying to treat a chronic cough. The cough is more predomiant than anything else and, of course, we’ve been trying to suppress it. I am interested in any suggestions the group might have, in addition to, or as an alternate to the cough medication that he is prescribed. Also, I am seeking a good resource to research treatment(s) (I use treatment because I don’t know what else to use?). Any help would be appreciated.

There are three herbs which are very effective for asthma: 1. Cordyceps Sinensis 2. A combination of Reishi and Placenta extract 3. Gynostemma Tea Cordyceps Sinensis is particularly effective.  Its actions for asthma include: (a) Alleviating the allergy (b) Decreasing oxygen consumption so that each breath can last longer (c) Reducing coughs (d) Strengthening the entire immune system Gilbert Ng, Ph.D.

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Mushrooms Sports Supplements of Tomorrow In today’s burgeoning field of natural sports supplements, medicinal plants are one of the most recent and oldest entries. But with the exceptions of ginseng and Siberian ginseng, botanicals were for a long time largely overlooked in the West-mushrooms even more so. The last 20 years of research in China and Japan alone will soon change the way we view mushrooms for all time. For science is finding there are mushrooms that lower cholesterol, combat fatigue, scavenge free radicals, and even some that might help people to lose weight. *** Cordyceps sinensis In the fall of 1993, the women of China’s national track and field team broke the 10,000 meter running event by an incredible 42 seconds. They also dusted previous world records for the 1,500 and 3,000 meter events and went on to set further record times at the national games in China and at the Asian Games in Japan in 1994. Since then, controversy has surrounded one of the most regarded tonic foods of China known as the caterpillar fungus, or "cordyceps" (Cordyceps sinensis). From a Western perspective, the controversy is most understandable. While the runners attribute their success to taking the fungus and to hard training, any performance-enhancing action of this supplement remains unknown to pharmacologists in the West. There is also the question of illegal drug use, but repeated testing of the runners has yet to find any evidence of violations. Adding to the intrigue, their training schedule surpasses what runners in the West have been able to endure, at least without unbearable stress. This schedule equals running a marathon every day for half a year! Skeptics are still crying "drugs," but a scientific approach would give the fungus the benefit of the doubt. After all, it is a widely accepted fact that for millions of Chinese for thousands of years, herbal medicines have served rather well. Caterpillar fungus takes its Chinese name "winter worm, summer grass" (dong-xia-zhong-chang-cao) from the fact that it grows on the larvae of caterpillars that inhabit the ground in winter. In early spring, high in the mountains of China and Tibet, harvesters stoop to spot the little brown blade-like growths as they protrude above the melting snow. The individual growths are then graded, dried, and tied with bright threads to make up small bundles for sale to the wealthy. The flavor of the fungus is reminiscent of licorice. Today, thanks to cultivation technology, the far less expensive mycelium of caterpillar fungus is available which tests have shown to be equally active as the blade-like fruit bodies. (The mycelial form of a fungus is a fine web-like matter from which the fruiting body matures.) In traditional Chinese medicine, caterpillar fungus is prized as a potent tonic having properties similar in action to ginseng (Parsec ginseng), one of the very few medicinal plants with demonstrated performance enhancing effects in animals and in athletes. The oldest prescriptions held that if five drachms (8.5 grams) of the fungus were eaten cooked inside a duck, the effects were equal to taking an ounce (28.35 grams) of the best quality ginseng. Today, caterpillar fungus is also cooked with chicken. In the absence of published studies to show performance-enhancing effects, one must first consider the main traditional uses of caterpillar fungus. Perhaps not surprisingly, they include the treatment of debility, exhaustion, fatigue, impotence, kidney diseases, tiredness, upper respiratory tract ailments, and tonifying the ovaries. Presently in China, caterpillar fungus is also applied to treat menopause and infertility. This now controversial fungus shares beneficial actions in common with more familiar fungi, such as maitake and shiitake. For example, studies at Cornell University in New York and many in China have established that caterpillar fungus holds immunopotentiating activities. At Cornell, researchers found that an alcoholic extract counteracted the effects of immunosuppressive agents on helper T-cells. And at lowering cholesterol, a double blind, placebo-controlled clinical trial in 245 patients by Beijing Medical University found that the mycelial form is effective in lowering total cholesterol (by 17.5%) and total triglycerides (by 9.21%), and in raising levels of HDL cholesterol (by 27.19%). The treatment was without side effects. Various theories have been put forward to explain the basis of the famous "tonic" action of this fungus. While none have so far been proved, caterpillar fungus has shown a remarkable number of actions which are shared by ginseng, just as the ancients inform us. For example, both are tonics that inhibit the aggregation of blood platelets; stimulate components of the immune system (including natural killer cells); lower cholesterol levels; increase tolerance to hypoxia (low oxygen); and increase plasma corticosteroid levels which help the body to cope with stress. Among the more common traditional applications, both tonics are utilized in the treatment of lung conditions, insomnia, anemia, menopausal symptoms, and weakness. Finally, both are esteemed as gerontological agents having a "vital-energy-tonifying" action. Obviously, before any further judgments upon the women of China’s running team, the activity of caterpillar fungus needs to be studied impartially. REISHI** ******* The most popular medicinal mushroom in the West today and one of the most prized in the Orient, reishi is widely recognized by health practitioners using natural products as a useful adjunct to programs for building up a weakened immune system. Like shiitake, maitake, and caterpillar fungus, the immunologically active constituents are polysaccharides. The added benefits of a high blood pressure-lowering action and triterpene compounds that inhibit cholesterol synthesis and absorption and platelet aggregation, squarely position reishi among the more important fungi overlooked as sports supplements in the West. Various examples of a cardiotonic action are recounted by Terry Willard, Ph.D. and myself in the book Reishi Mushroom: "Following numerous experiments… and over seven years of clinical studies in patients with hyperlipidemia [high levels of fats in the blood] and coronary heart disease, Chinese authorities were able to calculate some figures for Reishi’s general efficacy in these conditions. Significant improvement was reported in 20 to 48% of patients with the treatment effectively improving 56 to 86% of the total patient population." "Reishi was notably effective in improving the flow of blood to the heart in 7.6% of [heart disease] patients and was somewhat effective in 42 to 94% of the total number of patients studied." The use of free radical scavengers or "antioxidants" as sports aids has become more widely practiced in recent years, largely due to research on their particular effects in exhaustive exercise. As the muscles adapt to more strenuous workouts, they gear up to produce more of the body’s own antioxidants and the point of exhaustion is extended. But there are limits to how much exhaustive exercise the body will tolerate before free radicals break the natural barrier of endogenous antioxidants. When this occurs performance becomes compromised and fatigue sets in. The tissue damage caused by excessive free radicals is believed to contribute to fatigue from exercise by allowing more lactic acid to permeate cellular membranes. Tissue damage caused by free radicals following exhaustive workouts also contributes to sore muscles after exercise. A free radical scavenging action of reishi is attributed to long-chain sugars called polysaccharides. In bone marrow cells, the polysaccharides of reishi produced a protective action against the free radical-damaging effects of X-rays. The effect was comparable to that of L-cysteine, an amino acid that is regarded as one of the most potent free radical scavengers available. The scavenging of hydroxyl and superoxide radicals in the blood plasma was significantly enhanced in rabbits after injections of a reishi extract. A constant administration produced a lasting effect against superoxide radicals, indicating that to achieve the best results reishi should be taken on a daily basis. Allowing mice to swim to the point of exhaustion before rescue is a classic test for the potential of performance enhancing agents. The antioxidant vitamin E (100 mg/kg/day X 3), for instance, increased the swimming time of mice by 1.5 times. In people, vitamin E enhanced the performance of high altitude mountaineers. Similar results are found with reishi. The herbal research community of China recently began to examine the anti-fatigue effects of reishi in people. A large study in 196 medal-winning athletes found that during competitions in cold conditions at high altitudes, athletes given a reishi/ginseng extract (80%/20%) had improved sleep, even though sleep is frequently compromised at higher altitudes. And compared to the athletes not allowed the preparation, they also benefited from having less fatigue. Perhaps further tests in China will incorporate the caterpillar fungus, too. The reishi mushroom has a long history of use in countering the effects of aging and in the treatment of conditions affecting the lungs and upper respiratory tract-primary uses in common with the caterpillar fungus. In 1578, the Great Pharmacopoeia of China (Pen t’sao Kang Mu) recorded that the mushroom "benefits a knotted and tight chest  effects in a positive fashion the heart Qi [life-energy], and mends the chest." The text advises that when the mushroom is taken "over a long period of time, agility of the body will not cease, and the years are lengthened." Further along, the Pen t’sao records that "[Reishi] also has a positive effect upon the limberness of the body and. . . effects a cure upon lack of stamina and work energy." While science … read more »

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