Another side to a PA
Question:
– Hide quoted text — Show quoted text – I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl A very sad story. The poor guy has now had this horrible experience added to his load. Its sounds to me that you did a great job Meryl. I hope he will take some time from his busy schedule to get some further medical help. The anxiety expereinced wondering if one is to have another attack is regenerative insome cases. He needs intervention quickly, dont you think? Regards,…Jason Hi Jason, He has needed intervention for 4 years. I tried to arrange it when he was in Year 7 but his family sent him to Saudi Arabia for 2 years. I managed to convince him to see a psychologist at an adolescent unit about 12 months ago. They diagnosed depression. I was sure it was anxiety as well. I think he tired off talking therapy. Or his family may have interefered. I dont mean that as a nasty remark, their religion and family cohesion may have put up some barriers perhaps.
The student has self-referred but yes, he did stop going to the psychologist after his family attended a session. I know that his mother has a diagnosis of depression. From the phone call I had with his psychologist, the family were more concerned about factors such as the student’s future prospects for employment. I will call a meeting with the family for an IEP, assuming it wasn’t done during my month’s LSL. It is entirely possible that he has PTSD. His life has been very difficult. He has a good relationship with his mother and newish stepfather. His family are Muslim but not fundamentalist. I suspect the War is not helping. He was in Sudan during the Gulf War and remembers the war. I will encourage him to get appropriate help. He left school with a lot of strategies to manage the PA. Hyperventilation, blurred vision and depersonalistion were his main symptoms. Sounds like a good start Meryl. Depersonalisation or that disconnected feeling with a light head was an early symptom for me. He must be going through hell. He was lucky to have a teacher so vigilant to anxiety symptons.
He has struggled for years but did take heed of some of the strategies I suggested. I discussed medication but he told me he cannot carry any or he gets into trouble with the police.They accuse him of dealing. I thought carrying a doctor’s letter might help. Thanks Jason, love Meryl
Response:
I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl
Response:
- Hide quoted text — Show quoted text – I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl
asthma attacks can cause anxiety attacks and anxiety attacks can cause asthma attacks in those predisposed to asthma-so lots of those who have both condiitons typically need to adjust one to only then adjust the other welcome to my world-most emergency room panic attacks are either those who think they are having a coronary and soon sent home-or those who have asthma and anxiety both feeding off each other and those patients if not attended to for anxiety and just asthma-sit and still have symptoms which are more aggresively treated with emergency asthma meds leading to more anxiety–even the pulmonary guys who are wonderous with asthma ignore anxiety— LM
Response:
I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl
And one of the dide effects of ventolin is a racing heart
Poor guy,I hope he is doing better now Love from Anna
Response:
– Hide quoted text — Show quoted text – I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl And one of the dide effects of ventolin is a racing heart
Poor guy,I hope he is doing better now Love from Anna
Hi Anna, Hopefully he is sleeping but I know he has insomnia at times. He stayed in the classroom after the paramedics left. He preferred that to hospital or the sick bay. After an hour or so he left for an uncle’s. love Meryl
Response:
– Hide quoted text — Show quoted text – I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl asthma attacks can cause anxiety attacks and anxiety attacks can cause asthma attacks in those predisposed to asthma-so lots of those who have both condiitons typically need to adjust one to only then adjust the other welcome to my world-most emergency room panic attacks are either those who think they are having a coronary and soon sent home-or those who have asthma and anxiety both feeding off each other and those patients if not attended to for anxiety and just asthma-sit and still have symptoms which are more aggresively treated with emergency asthma meds leading to more anxiety–even the pulmonary guys who are wonderous with asthma ignore anxiety— LM
Hi LM, This was not asthma. His O2 levels were fine, 99%. Mind you I had filled him up with Ventolin. I did wonder if the Ventolin had made him more anxious. I know my daughter, who has asthma, gets the shakes after Ventolin. Still we were worried that he might die, and he said later that he was as well. I had to debrief all the students later in the day. I was surprised how little information the paramedics gave the student. When paramedics were called to me they gave me a lot more information. I picked this kid as having anxiety 4 years ago. He is 17 now. He has had a very sad life (a refugee). He spent yesterday caring for his mum as she went for surgery and then he worked her overnight cleaning shift. Believe me he has lots of information about PAs now and understands he will not die. He was worried that he had epilepsy. I think I’ll stick to my world
love Meryl
Response:
Imagine my surprise to hear the diagnosis, a PA. This is the short version.
I have heard of this happening. How did you hold up Meryl? I had a student choke on me a few months back and at the time I handled it fine. Later on on hindsight I began to panic thinking of all the "what if’s". Missy
Response:
What triggers asthma attacks ? I wonder if my early panic attacks were actually triggered by asthma attacks, in which I felt like I couldn’t breathe. My early "out of the blue" attacks happened around April/May each year. One when I was outside attending a ceremony at work. Another when I was in a convertible riding as a passenger from Orlando to Cocoa Beach. Is it possible that these attacks were asthma attacks from an allergic reaction to pollen. I felt like I couldn’t breathe initially, then I went through the catastrophic thoughts that I’m either dying or losing my mind, then I regained my breath but was emotionally drained from the panic attack and extremely concerned that it may happen again. My GP was asking me if I have asthma when I was in for the flu a few months ago. My chest felt tight while breathing yet he couldn’t hear anything peculiar with his stethoscope. He was thinking about sending me to have a workup for asthma done by a specialist. April & May tend to be my worst months for panic attacks. That is, until I started taking Zoloft and Clonazepam. Thanks, Tony
Response:
Imagine my surprise to hear the diagnosis, a PA. This is the short version. I have heard of this happening. How did you hold up Meryl? I had a student choke on me a few months back and at the time I handled it fine. Later on on hindsight I began to panic thinking of all the "what if’s". Missy
Hi Missy, I am fine in a crisis but I was relieved when the paramedics arrived. It seemed such a long time but the ambulance only took about 10 minutes to arrive. love Meryl
Response:
HI Meryl Oh My. What a day you had. I am so glad the young man was ok. How frightening it must have been for him. Thank goodness he had you to help him until help arrived. Deb – Hide quoted text — Show quoted text – I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl
Response:
– Hide quoted text — Show quoted text – I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl
A very sad story. The poor guy has now had this horrible experience added to his load. Its sounds to me that you did a great job Meryl. I hope he will take some time from his busy schedule to get some further medical help. The anxiety expereinced wondering if one is to have another attack is regenerative insome cases. He needs intervention quickly, dont you think? Regards,…Jason
Response:
Hi Deb, It frightened a lot of people, including me. The other students thought he was dying. We had trouble convincing them to go to another room. The student thought he was dying. He now knows it was a PA and he will not die. I truly thought it was asthma. love Meryl – Hide quoted text — Show quoted text -HI Meryl Oh My. What a day you had. I am so glad the young man was ok. How frightening it must have been for him. Thank goodness he had you to help him until help arrived. Deb I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl
Response:
– Hide quoted text — Show quoted text – I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl A very sad story. The poor guy has now had this horrible experience added to his load. Its sounds to me that you did a great job Meryl. I hope he will take some time from his busy schedule to get some further medical help. The anxiety expereinced wondering if one is to have another attack is regenerative insome cases. He needs intervention quickly, dont you think? Regards,…Jason
Hi Jason, He has needed intervention for 4 years. I tried to arrange it when he was in Year 7 but his family sent him to Saudi Arabia for 2 years. I managed to convince him to see a psychologist at an adolescent unit about 12 months ago. They diagnosed depression. I was sure it was anxiety as well. I think he tired off talking therapy. I suspect the War is not helping. He was in Sudan during the Gulf War and remembers the war. I will encourage him to get appropriate help. He left school with a lot of strategies to manage the PA. Hyperventilation, blurred vision and depersonalistion were his main symptoms. love Meryl
Response:
Hi Tony, I first was diagnosed with asthma about a year before PD. Sometimes I am not sure if I have asthma so I use my bronchodilator "just in case". My asthma presents more as a cough than breathing difficulties. I have sometimes wondered about a link. There is a breathing technique called the Buteyko (sp) method which some suggest helps change the overbreathing of asthmatics. I think some of this technique can help with hyperventilation. JMO love Meryl
– Hide quoted text — Show quoted text – What triggers asthma attacks ? I wonder if my early panic attacks were actually triggered by asthma attacks, in which I felt like I couldn’t breathe. My early "out of the blue" attacks happened around April/May each year. One when I was outside attending a ceremony at work. Another when I was in a convertible riding as a passenger from Orlando to Cocoa Beach. Is it possible that these attacks were asthma attacks from an allergic reaction to pollen. I felt like I couldn’t breathe initially, then I went through the catastrophic thoughts that I’m either dying or losing my mind, then I regained my breath but was emotionally drained from the panic attack and extremely concerned that it may happen again. My GP was asking me if I have asthma when I was in for the flu a few months ago. My chest felt tight while breathing yet he couldn’t hear anything peculiar with his stethoscope. He was thinking about sending me to have a workup for asthma done by a specialist. April & May tend to be my worst months for panic attacks. That is, until I started taking Zoloft and Clonazepam. Thanks, Tony
Response:
– Hide quoted text — Show quoted text – I had quite a day at work today. At 11 am, one student started struggling to breathe. He is asthmatic, so with a colleague, we located our emergency supply of Ventolin and cleared the room of other students. The student continued to struggle to breathe, was sweating and was quite distressed. We called an ambulance. For the next 10 minutes, we continued to give Ventolin, tried to keep him awake and calm and supported him in a seated position. For much of this time, the student could not speak. He had a dry cough and was breathing shallowly. Approximately 10 long minutes later, the MICA paramedics arrived. Imagine my surprise to hear the diagnosis, a PA. This is the short version. love Meryl A very sad story. The poor guy has now had this horrible experience added to his load. Its sounds to me that you did a great job Meryl. I hope he will take some time from his busy schedule to get some further medical help. The anxiety expereinced wondering if one is to have another attack is regenerative insome cases. He needs intervention quickly, dont you think? Regards,…Jason Hi Jason, He has needed intervention for 4 years. I tried to arrange it when he was in Year 7 but his family sent him to Saudi Arabia for 2 years. I managed to convince him to see a psychologist at an adolescent unit about 12 months ago. They diagnosed depression. I was sure it was anxiety as well. I think he tired off talking therapy.
Or his family may have interefered. I dont mean that as a nasty remark, their religion and family cohesion may have put up some barriers perhaps. I suspect the War is not helping. He was in Sudan during the Gulf War and remembers the war. I will encourage him to get appropriate help. He left school with a lot of strategies to manage the PA. Hyperventilation, blurred vision and depersonalistion were his main symptoms.
Sounds like a good start Meryl. Depersonalisation or that disconnected feeling with a light head was an early symptom for me. He must be going through hell. He was lucky to have a teacher so vigilant to anxiety symptons. love Meryl
cheers,….Jason – Hide quoted text — Show quoted text –
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