Posts belonging to Category 'chronic asthma children'

links to attacks

Question:

Hi,Valerie. In response to your message.If it was a mild case of food poisoning wouldn’t I continue to feel unwell afterwards.I ask this because I don’t(apart from the after affect’s of the attack)

Well, I suppose it depends. But the deal with food poisoning is that the effects tend to be swift onset/swift departure. If you are effectively ridding yourself of the offending bugs, you might feel better right away, which of course is very different from a virus which has settled in to hang on for a few days… I’m no doctor, but I put one through school.  :) Valerie

Response:

Kevin, Along the lines suggested by Valerie, could it be a food allergy or  food intolerance. Some people are sensitive to certain foods like  peanuts, seafood, food or drink with sulphite preservatives.  This could cause both effects, the diarrhea and breathing  problems (asthma or anaphylaxis). Keeping a food diary might  help track this down. Also some people are sensitive only to certain foods when they also exercise. Links: http://www.njc.org/MFHTML/ANA_MF.html Anaphylaxis Excerpt: "Symptoms Of Anaphylaxis * The airways in the lungs can constrict, causing chest tightness,  shortness of breath and wheezing — the classic symptoms of asthma. *The gastrointestinal tract often reacts, especially if the allergen  is something that was swallowed. The person may experience nausea,  vomiting, cramping and diarrhea. Typically, a severe reaction caused by a food allergy occurs after  eating that particular food, even a small bite. Skin contact with  the food rarely causes anaphylaxis. Foods most commonly associated  with anaphylaxis are peanuts, seafood, nuts and, in children  particularly, eggs and cow’s milk. For some people, two or more factors may be needed to cause  anaphylaxis. Recently, it has been recognized that some persons  have experienced an anaphylactic reaction if they eat a certain  food, and then exercise. Neither the food alone nor exercise  alone causes any problem for these individuals."

Relief from Shingles pain?

Question:

I found that capsaicin cream helped when I had shingles a year ago. There are many over-the-counter brands. Calamine- or aloe-based lotions helped the itching.

Response:

: Animals, dear lady, stretch when they get up. That is how they adjust. : Humans should try it too. : : David I haven’t watched a lot of peoples actions as they awaken but it’s natural to stretch and sometimes yawn when I get out of bed.   Also do it during the daytime too.  This seems to be natural in humans as well as animals. — Carol ….. Scientist’s Door: Gone Fission. ~~~ }<(((0 ~~~ }<{{{o ~~~ }<(((0 ~~~ }<{{{o ~~~ }<(((0 : :

Response:

: If the adjustments were that painful, IMO you were seeing the wrong DC. *** Sorry.   The injury to my back was painful.  The adjustments weren’t all that painful and I always felt better afterward. : : There are autonomic nervous system fibers which travel to the primary and : secondary lymph organs, which when fired, can decrease the white blood cells : activity.  The sympathetic system decreases macrophage activity, so if the : nerve is facilitated, removing that facilitation should allow the macrophage to : function normally.  The parasympathetic system, also has an effect, but it’s : results would be more long term, and would probably not be noticed in that : short of time. *** Thank you. — Carol ….. Scientist’s Door: Gone Fission. ~~~ }<(((0 ~~~ }<{{{o ~~~ }<(((0 ~~~ }<{{{o ~~~ }<(((0 : : Leland Weathers : :

Response:

Since shingles is a form of herpes virus, would the above work for herpes simplex?

Response:

There’s a different protocol for Herpes Simplex 2. Higher dose of the lysine, different herbs, diet changes, etc. I have a protocol written for herpes if you would like it. Kay   —  kay   at   http://www.herbcare.com               or   —  slade   at   http://www.pensys.com/pages/slade – Hide quoted text — Show quoted text – Since shingles is a form of herpes virus, would the above work for herpes simplex?

Response:

I had shingles when I was 13 and the doc didn’t give me anything for it!  I was in extreme pain, but I survived.  But I do hear that it is alot worse for older people…don’t have any suggestions for you, but I know that Tylenol 1 with codeine always helps me. Sara

Response:

The idea that the only way to prevent polio is through vaccination only doesn’t swim in my pool. The polio epidemic of the fifties was iatrogenic (physician induced). The first line of defense against the polio myelitus(sp) virus are your tonsils. Doctors of the fifties ripped them out at an unprecedented rate. There is no substitute for a healthy immune system, though there are few healthy immune systems today due to the American diet and our toxic environment. Incidentally, studies have shown over and over that chiropractic adjustments boost the immune system. However, with immune systems the way they are, get the darn vaccine. David Bonello

Response:

:  There is no substitute for a healthy immune : system, though there are few healthy immune systems today due to the : American diet and our toxic environment. *** I rarely get sick.  A cold every few years.  There are meny like myself.  The people who are always sick seem to be the one’s on poor diets, lack exercise, drink alcohol and in other ways abuse their bodies.  The rest of us are pretty healthy. : : Incidentally, studies have shown over and over that chiropractic adjustments : boost the immune system. *** How?  I got adjustments for 2 years for a back wrenching (very painful) and was no sicker or healthier then when not getting adjustments.  What keeps the animals healthy?  They don’t get adjustments.   : : However, with immune systems the way they are, get the darn vaccine. *** Most people with any sence will get vaccinated for this dreadful disease (polio). — Carol ….. Taxidermist Window:  We really know our stuff. ~~~ }<(((0 ~~~ }<{{{o ~~~ }<(((0 ~~~ }<{{{o ~~~ }<(((0 : : David Bonello : : :

Response:

*** How?  I got adjustments for 2 years for a back wrenching (very painful) and was no sicker or healthier then when not getting adjustments.  What keeps the animals healthy?  They don’t get adjustments.

Animals, dear lady, stretch when they get up. That is how they adjust. Humans should try it too. David

Response:

- Hide quoted text — Show quoted text –  Adjustments should not be expected to increase this volume (unless there is decreased rib excursion, in which a rib adjustment may help). This is not just a mechanical problem involving rib expansion. The ribs expand fine. It is the constriction of the bronchial tubes restricting air flow that is the problem. Exactly, that is why, I don’t think that the respiratory volumes, in a non-acute attack, are a valid outcome measurement for our treatment, since only in the acute attack does the bronchoconstriction occur This is not true at all. Bronchoconstriction is on a continuum from mild to severe. Only when the bronchoconstriction reaches a certain level will an acute attack manifest. However as I have stated before you can have measurable air volume changes in otherwise asymptomatic individuals which is why respiratory volumes IS a valid measure for the study.

Now, if we are going to measure the levels of bronchoconstriction on this continuum, when there is not any sign of acute attacks, I would also like to see included in the studies a control group, besides a placebo group.  If my theory is correct, some of the actions on this sham group in the newest study could have altered the outcome.  For example, given that there would be the "inflammatory soup" (IL-1, PGE2, etc…) in the IVF, the activities of distracting the neck and putting it through ranges of motion, might pump out some of these substances, which would reduce some of the irritation on the DRG, and therefore, would also decrease the hyperresponsitivity of the placebo group.  (I realize this is speculation, and that it needs testing, which is what I am wanting). Leland Weathers

Response:

: Incidentally, studies have shown over and over that chiropractic adjustments : boost the immune system. *** How?  I got adjustments for 2 years for a back wrenching (very painful) and was no sicker or healthier then when not getting adjustments.

If the adjustments were that painful, IMO you were seeing the wrong DC. There are autonomic nervous system fibers which travel to the primary and secondary lymph organs, which when fired, can decrease the white blood cells activity.  The sympathetic system decreases macrophage activity, so if the nerve is facilitated, removing that facilitation should allow the macrophage to function normally.  The parasympathetic system, also has an effect, but it’s results would be more long term, and would probably not be noticed in that short of time. Leland Weathers

Response:

Shingles is an acute viral infection of the central nervous system that affects certain areas of the skin. Blisters erupt that crust and are very painful. They form along the path of a nerve. It should heal about 5 days after eruption. Although, in some people, it may last longer. Use a whole foods diet avoiding excessive consumption of refined carbohydrates. L-lysine may help–4 to 5 grams to start, then 500 mg. twice daily for several weeks. Vitamin B12, B complex, high doses of Vitamin C (to bowel tolerance) plus bioflavonoids, and calcium. Carrot, celery, spinach and beet juice is recommended. Herbs- Equal parts of Oatstraw, St. John’s Wort, and Skullcap tinctures. Take 1 teaspoonful of mixture 4 times a day. Hope these suggestions will help you out. Good luck! Kay   —  kay   at   http://www.herbcare.com               or   —  slade   at   http://www.pensys.com/pages/slade

Response:

My mother (age 86) is in her 2nd week of having the shingles and is suffering terribly with the pain.  Her Dr won’t give her any pain killers since she has a history of ulcers–altho’ I wish he would! Has anyone had any experience with anything that might offer someone relief from the excruciating pain of shingles? BTW, her lesions are mostly on the back of one leg and on her backside.  

Find and use Enzymatic Therapy Simicort.  It works almost instantly, and will also heal the sores.  Lavendar oil will work, too,  but Simicort is better to stop pain. There is a Shingles regimen on my web page in the Suggested Regimens for Various Maladies section at http://www.mindspring.com/~turf/ It recommends supplements taken internally like vitamin C and enzymes. turf

Response:

- Hide quoted text — Show quoted text – <SNIP- And if there were and they showed no evidence of efficacy would you stop claiming that it is effective even in isolated cases?? Will you NOW stop claiming that chiropractic can help asthma after two well controlled studies have shown no improvement?? Since you brought it up, let’s talk about these two studies that you are talking about (I assume they are the two that I have included at the end of the post).  IMO, the conclusions of these two studies are flawed due to poor choice of outcome measures.  Given knowledge of anatomy and the pathophys of asthma, using respiratory volumes as a guidepost is absurd. Huh?? Asthma is a result of bronchial constriction secondary to bronchial hypersensitivity. As a result of this bronchial constriction inspiratory air flow volume is markedly restricted. This reduction in inspiratory air flow then logically results in reduced volume of air in lungs. If one then measures expiratory respiratory volume of air as was done in the studies one can get a good objective measure of improvement in asthma. This has very clearly been demonstrated in studies looking at bronchoinhalers used to treat asthma.

I think there is good reason to think that part of this bronchial hypersensitivity may be in part due to the subluxation, and that is borne out in one of the studies I cited.  I do not think that we as chiropractors can cure asthma (the person will still have the allergies), but I think we can decrease the bronchial hypersensitivity, which should in turn decrease the number of attacks, and also decrease the severity of the individual attacks by decreasing the neurogenic inflammation component of this process.  Given this the respiratory volumes should change during an acute attack, but should not change the volumes during "normal" conditions.  Adjustments should not be expected to increase this volume (unless there is decreased rib excursion, in which a rib adjustment may help). This is not just a mechanical problem involving rib expansion. The ribs expand fine. It is the constriction of the bronchial tubes restricting air flow that is the problem.

Exactly, that is why, I don’t think that the respiratory volumes, in a non-acute attack, are a valid outcome measurement for our treatment, since only in the acute attack does the bronchoconstriction occur, therefore, measuring at another time I  would expect there to be no change in the functioning of the lungs. – Hide quoted text — Show quoted text -(pathophysiologic mechanism snipped)  This would not result in any change in respiratory volume changes, but would result in a change of severity of the attacks (due to decreased responsitivity of the neuron to fire and on top of that a decreased neuropeptide to stimulate the asthmatic attack). It would certainly result in a change in respiratory volume. If you know anything about measurement of respiratory volume in asthma patients you would understand that there is a direct correlation between lung volumes and improvement in asthma symptoms. It is a very effective way to do outcome measurement in asthmatics. Given this mechanism, the studies are split.  One found no difference in airway responsiveness, and the other did with a p=.01.  In addition the one study found a difference in the severity of asthma attacks, which I find to be also significant.  This therefore would be a reason to do more studies, but not to claim that what we as chiropractors do is inneffective. Do you believe that it is appropriate for chiropractors to claim that what they do IS effective for asthma without studies demonstrating such?? You understand that fraud is making unfounded claims of efficacy. Are YOU willing to go on record stating that chiropractic adjustments are effective in treating asthma??? If not then I suggest that such suggestions be stopped immediately!

Yes I understand what fraud is, and I resent the assumption that I am deliberately deceiving anyone.  I gave the studies, to which I believed you were refering, and then one of them to back up what my conclusions where of expected outcomes.   Yes, I do understand that there is not yet proof of the outcome of chiropractic treatment of asthma, and stated such (that "the studies are split" and "reason to do more studies").  One of the studies given, coincides with what I think is happening in the patient, and the conclusions of the second study does not agree with my conclusions, but after reading the full text and seeing what was included in the "sham" adjustment, I can see how some of what was in the "sham" adjustment might mimic what I propose is occuring, and therefore affect the statistical outcomes, when computing for possible placebo effects.  Given the two double-blind studies I have cited, there is conflicting evidence as to what the chiropractic adjustment does in helping asthmatics.  I suggest that there is some evidence that we can help, but do I claim it is proven? no. – Hide quoted text — Show quoted text – And will you stop claiming that chiropractic adjustments can help prevent polio in unvaccinated children?? I never have stated that, but it is a thought, and would involve a totally different mechanism, which I don’t want to put into this already lengthy post. No you never stated it. Agocs, Palmer chiro student, did. I think it is irresponsible to suggest chiropractic treatments are effective in preventing contracting polio or preventing its severe consequences suggesting to parents that instead of vaccinating they have their children adjusted. What do YOU think?? Aloha, Rich Far better to be uncertain Than to be sure and be wrong

Precisely. Leland Weathers

Response:

<SNIP- And if there were and they showed no evidence of efficacy would you stop claiming that it is effective even in isolated cases?? Will you NOW stop claiming that chiropractic can help asthma after two well controlled studies have shown no improvement??

Since you brought it up, let’s talk about these two studies that you are talking about (I assume they are the two that I have included at the end of the post).  IMO, the conclusions of these two studies are flawed due to poor choice of outcome measures.  Given knowledge of anatomy and the pathophys of asthma, using respiratory volumes as a guidepost is absurd.  Adjustments should not be expected to increase this volume (unless there is decreased rib excursion, in which a rib adjustment may help).  In the pathophys of asthma, as you may be aware, is now thought to be due to hyperresponsitivity of the bronchial airways with increased levels of neuropeptides (the most well studied of these being substance P [SP]) in the non-adrenergic/non-cholinergic (NANC) neurons.  These NANC neurons are normally nociceptive C fibers which respond to the presence of allergen, and then release  SP via axon reflex mechanisms which then causes the bronchoconstriction, vasodilation, and mucous secretion that makes up this disease.  SP production is increased when the neuron is in the presence of IL-1 and that the neuron’s resting membrane potential is closer to threshold in the presence of PGE2, and that both of these substances are produced by macrophages/mast cells, which can be located in capsules and ligaments which surround the intervertebral foramen.  This SP and IL-1 are released upon stimulation of these mast cells.  This stimulation includes the opening of calcium channels, and there are channels which open to cellular membrane deformation.  (Note to Rich, here is the untested part of this mechanism) Given this knowledge, one can see how a subluxation, which causes a stretch on the capsular ligaments, or leads to a aberration in motion of the segments (depending on the definition of subluxation you like), can result in opening of these calcium channels, initiating the cascade above.  This would not result in any change in respiratory volume changes, but would result in a change of severity of the attacks (due to decreased responsitivity of the neuron to fire and on top of that a decreased neuropeptide to stimulate the asthmatic attack). Given this mechanism, the studies are split.  One found no difference in airway responsiveness, and the other did with a p=.01.  In addition the one study found a difference in the severity of asthma attacks, which I find to be also significant.  This therefore would be a reason to do more studies, but not to claim that what we as chiropractors do is inneffective.  And will you stop claiming that chiropractic adjustments can help prevent polio in unvaccinated children??

I never have stated that, but it is a thought, and would involve a totally different mechanism, which I don’t want to put into this already lengthy post. Leland Weathers Title A comparison of active and simulated chiropractic manipulation as adjunctive treatment for childhood asthma [see comments] Author Balon J; Aker PD; Crowther ER; Danielson C; Cox PG; O’Shaughnessy D; Walker C; Goldsmith CH; Duku E; Sears MR Address Division of Graduate Studies and Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada. Source N Engl J Med, 1998 Oct 8, 339:15, 1013-20 Abstract BACKGROUND: Chiropractic spinal manipulation has been reported to be of benefit in nonmusculoskeletal conditions, including asthma. METHODS: We conducted a randomized, controlled trial of chiropractic spinal manipulation for children with mild or moderate asthma. After a three-week base-line evaluation period, 91 children who had continuing symptoms of asthma despite usual medical therapy were randomly assigned to receive either active or simulated chiropractic manipulation for four months. None had previously received chiropractic care. Each subject was treated by 1 of 11 participating chiropractors, selected by the family according to location. The primary outcome measure was the change from base line in the peak expiratory flow, measured in the morning, before the use of a bronchodilator, at two and four months. Except for the treating chiropractor and one investigator (who was not involved in assessing outcomes), all participants remained fully blinded to treatment assignment throughout the study. RESULTS: Eighty children (38 in the active-treatment group and 42 in the simulated-treatment group) had outcome data that could be evaluated. There were small increases (7 to 12 liters per minute) in peak expiratory flow in the morning and the evening in both treatment groups, with no significant differences between the groups in the degree of change from base line (morning peak expiratory flow, P=0.49 at two months and P=0.82 at four months). Symptoms of asthma and use of 3-agonists decreased and the quality of life increased in both groups, with no significant differences between the groups. There were no significant changes in spirometric measurements or airway responsiveness. CONCLUSIONS: In children with mild or moderate asthma, the addition of chiropractic spinal manipulation to usual medical care provided no benefit. Title Chronic asthma and chiropractic spinal manipulation: a randomized clinical trial. Author Nielsen NH; Bronfort G; Bendix T; Madsen F; Weeke B Address National University Hospital (Rigshospitalet), Medical Department TTA, Allergy Unit, Copenhagen, Denmark. Source Clin Exp Allergy, 1995 Jan, 25:1, 80-8 Abstract The purpose of this randomized patient- and observer-blinded cross-over trial was to evaluate the efficacy of chiropractic treatment in the management of chronic asthma when combined with pharmaceutical maintenance therapy. The trial was conducted at the National University Hospital’s Out-patient Clinic in Copenhagen, Denmark. Thirty-one patients aged 18-44 years participated, all suffering from chronic asthma controlled by bronchodilators and/or inhaled steroids. Patients, or who had received chiropractic treatment for asthma within the last 5 years, who received oral steroids and immunotherapy, were not eligible. Patients were randomized to receive either active chiropractic spinal manipulative treatment or sham chiropractic spinal manipulative treatment twice weekly for 4 weeks, and then crossed over to the alternative treatment for another 4 weeks. Both phases were preceded and followed by a 2-week period without chiropractic treatment. The main outcome measurements were forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), daily use of inhaled bronchodilators, patient-rated asthma severity and non-specific bronchial reactivity (n-BR). Using the cross-over analysis, no clinically important or statistically significant differences were found between the active and sham chiropractic interventions on any of the main or secondary outcome measures. Objective lung function did not change during the study, but over the course of the study, non-specific bronchial hyperreactivity (n-BR) improved by 36% (P = 0.01) and patient-rated asthma severity decreased by 34% (P = 0.0002) compared with the baseline values.(ABSTRACT TRUNCATED AT 250 WORDS)

Response:

My mother (age 86) is in her 2nd week of having the shingles and is suffering terribly with the pain.  Her Dr won’t give her any pain killers since she has a history of ulcers–altho’ I wish he would! Has anyone had any experience with anything that might offer someone relief from the excruciating pain of shingles? BTW, her lesions are mostly on the back of one leg and on her backside. Feedback appreciated……Zena I had shingles last year and my doctor gave me all kinds of narcotics   but it did not help, finally my kids ped. called in a prescrption of    1% silver sulfadine made a world of difference hope it helps

        There is a lot of anecdotal evidence as well as several published case studies that show chiropractic adjustments to be effective in isolated cases. Now the disclaimer so Rich can’t have any fun with this:  Case studies and anecdotal evidence cannot be extrapolated to determine how effective the treatment may be on a general population.  Just because there are a lot of individual case studies does not necessarily mean that it will work for your mother.  There have not been any large scale studies, to the best of my knowledge.  Also, every DC who has had a success story has also had a patient who did not respond positively to adjustments for the problem of shingles.  It could go either way, but it may be worth trying, depending on your mother’s insurance, financial status, and willingness to try different treatments. Again, she may get relief or have absolutely no changes.  And, I am not telling you she should go t a DC for this condition.  All I’m saying is there is evidence pro and con, and it may not be a bad alternative to explore.  Is that enough of a disclaimer?  If not, I’m sure I’ll hear about it…Steve

Response:

My mother (age 86) is in her 2nd week of having the shingles and is suffering terribly with the pain.  Her Dr won’t give her any pain killers since she has a history of ulcers–altho’ I wish he would! Has anyone had any experience with anything that might offer someone relief from the excruciating pain of shingles? BTW, her lesions are mostly on the back of one leg and on her backside. Feedback appreciated……Zena

I have had real good results by using C, E, and L-Lysine. My dosage was 1000 mg of vitamin C four times a day, 500 mg L-lysine twice a day and 400 iu E a day. That is what worked for me. Of course age, sex, weight, and health make a difference in dosage. Talk to her doctor about this.  Most I have found will work with you on it. Also try and reduce the level of stress. — Good luck, Stanley Web site: http://bigfoot.com/~so You are never without a friend when you know God.

Response:

My mother (age 86) is in her 2nd week of having the shingles and is suffering terribly with the pain.  Her Dr won’t give her any pain killers since she has a history of ulcers–altho’ I wish he would! Has anyone had any experience with anything that might offer someone relief from the excruciating pain of shingles? BTW, her lesions are mostly on the back of one leg and on her backside.   Feedback appreciated……Zena

Response:

- Hide quoted text — Show quoted text – My mother (age 86) is in her 2nd week of having the shingles and is suffering terribly with the pain.  Her Dr won’t give her any pain killers since she has a history of ulcers–altho’ I wish he would! Has anyone had any experience with anything that might offer someone relief from the excruciating pain of shingles? BTW, her lesions are mostly on the back of one leg and on her backside. Feedback appreciated……Zena I had shingles last year and my doctor gave me all kinds of narcotics   but it did not help, finally my kids ped. called in a prescrption of    1% silver sulfadine made a world of difference hope it helps

Response:

Asthsma Pill???

Question:

I beleive what you’re refering to are a class of anti-asthmatics called Leukotriene esterase inhibitors.  They basically prevent mast cells (a white blood cell) from degranulating their bronchoreactive products in response to an allergen.   They’re meant to be taken on a daily basis to prevent an asthma attack. They’re not a "rescue" medicine like albuterol ect. A couple of the brand names are Singulair(montelukast) and Accolate(zafirlukast).  I’m sure your doctor will have heard of them and can discuss if they would be useful in your particular case. Below is some more info from a medical list I read.  Hope this helps. Don Van Wie Fourth Year Med Student Just tri-ing to practice what I preach. Ref: Montelukast for chronic asthma in 6- to 14-year-old children: a randomized, double-blind trial. Pediatric Montelukast Study Group. JAMA. 1998 Apr 15; 279(15): 1181-1186. There is compelling evidence in the adult literature on the role of leucotriene inhibitors in the management of chronic asthma. Zafirlukast (Accolate) was the first of its kind but only had approval for 12 years.  Singulair ( Montelukast)  is approved over 6 yrs. It makes sense to use it in chronic pediatric asthma to reduce steroid use and improve beta agonist responsiveness. I would use it on any child who has moderate to severe BA needing steroid inhalers for antiinflammatory purposes. My first option for antiinflammatory action would be cromolyn or nedocromil inhaler. As you alluded to, even in doses < 400 mcg/day steroid inhalers have been shown to have systemic effects, especially on growth in kids. Kids who would particluarly benefit from PO Montelukast would be those having particular difficulty with inhaler coordination despite use of spacers or those with nocturnal asthma.

Response:

Dunno about elsewhere, but here in Oz, the magic asthma pill is still undergoing trials. As I understand it at this point, it’s only suitable for very mild mild conditions, but that will suit just fine thanks. I’m one of those regular Ventolin+Becotide users, and it’s purported to eliminate this regime, and leave Ventolin only for occasional relief. Roll on little pill… — MB.

– Hide quoted text — Show quoted text -I have just read that a pill is on the market to replace those annoying puffers.. does anyone have any information on these pills, their cost, effectiveness, who they are targeted toward, etc??? I have asthsma and hate that chemical aftertaste… Thanks, Liu-Wing Smith

Response:

I have just read that a pill is on the market to replace those annoying puffers.. does anyone have any information on these pills, their cost, effectiveness, who they are targeted toward, etc??? I have asthsma and hate that chemical aftertaste…  Thanks, Liu-Wing Smith

Response:

I have just read that a pill is on the market to replace those annoying puffers.. does anyone have any information on these pills, their cost, effectiveness, who they are targeted toward, etc??? I have asthsma and hate that chemical aftertaste…  Thanks, Liu-Wing Smith

I know salbutamol and some of the steroids are available in tablet form, but pills are discouraged by the medical profession because they are systemic (i.e. they affect all the body’s organs, not just the lungs). Incidentally, have you heard of the Buteyko method? It’s a way of controlling your asthma without drugs. I’ve just come across it and it sounds really interesting. adrian IMUK98 12:19                           Dare to dream !

Response:

Advice Re Midlife Parenting

Question:

<snip Has anyone raised a "bonus" baby like ours without a close sibling?  Did you ever feel it would have been nice to have another child so that your child would have someone to share holidays and happy memories with?

Quite honestly this has never been part of my motivation for wanting another child.  I share those memories with my parents, which strikes me as no bad thing.  Watching my husband interact with his sibs, and all the bickering and endless digging up of trivial quarrels from light years ago, I can’t say I’m envious.  Ditto my best friend and her brothers.  I know it’s not always like that, but it’s not always a bed of roses either. Were you thoroughly exausted by the experience of midlife parenting or did the joys outweight the hard work?  

How midlife do you mean?  I’m 36 and my son is three.  I work, so I’m always tired.  Always.  But the joys are way, way ahead of the work. Do only children really like being onlies?

I was an only child and I loved it, I’m afraid.  The only time I wanted siblings was to have an older brother so I could meet his friends :) at the most icky moment of adolescence. However, it did make me slow to learn to live with my peers.  I was also fairly bright, which made matters worse.  I think onlies need to be exposed to other children early and often, even though it will be stressful for them (which is why my own son is in nursery school and began at two). On the plus side, I lvoe my own company and have a lot of virtuous solitary habits, like insatiable reading, all formed in childhood.  I was never ‘lonely’. — Jane Lumley

Response:

<snip Has anyone raised a "bonus" baby like ours without a close sibling?  Did you ever feel it would have been nice to have another child so that your child would have someone to share holidays and happy memories with?

Coming at it from the other point of view, I’m the eldest of four children, three close in age, the youngest a "happy accident" as Mum put it! I was 11 and my brothers 10 when my sister was born – not quite as big an age gap as Bonnie’s kids (18, 17 and 3). I think she and I benefited enormously from the arrangement. I went from being the odd one out – the only girl, twin brothers – to having a baby sister. I was the classic surrogate mother! Leah got a devoted big sister – a role model, bad influence, safety net and someone to run interference as her relationshiop with my Mum got difficult. We are still very close, and now Leah is taking on the role of bad influence etc to my daughter, which suits us all! Growing up in an older family, Leah always had to shout louder to get her voice heard, and maybe as a result is a confident, extrovert young adult. She had an easier time at adolescence, because we’d already shocked our parents – she couldn’t do much that really upset them. Leah had the benefits of being an only child – eg parents with more money, lots of time and attention lavished on her – and the benefits of having siblings – eg socialization, extended support network. Of course it depends on whether the older siblings are present and how much they are involved in the little one’s life, but in the case of my family, I’d say Leah benefited from being a late "singleton". Anna

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Quite honestly this has never been part of my motivation for wanting another child.  I share those memories with my parents, which strikes me as no bad thing.  Watching my husband interact with his sibs, and all the bickering and endless digging up of trivial quarrels from light years ago, I can’t say I’m envious.  Ditto my best friend and her brothers.  I know it’s not always like that, but it’s not always a bed of roses either.

I made this comment because I have fond memories of sharing the anticipation of holidays with my brothers when I was young.  I’m sure my memories of childhood are somewhat *more* fond than those of my two brothers since as the only girl I pretty much did my own thing.  I’ve never really experienced sibling rivalry like some siblings.  I think my motivations are purely the desire to experience the miracle of  bringing a life into this world and the feelings of love for and being loved by a child.  Just like childbirth, mothers tend to forget all the hard work, heartaches and frustration that come with the territory and I’ve had my share with my two teenagers. How midlife do you mean?  I’m 36 and my son is three.  I work, so I’m always tired.  Always.  But the joys are way, way ahead of the work.

I have just turned 38 and my son will be 3 in February.  If we were to have another child we would be 37 and 39.  I worked full time for 15 years and have been a SAH mom for just 5 months now.  Being a SAH mom still doesn’t give me the time to read a book, but the stress is finally *gone* and I am enjoying spending the extra time with my son.  After reading all of the wonderful responses on this tread I am of the opinion that I am as young as I feel and I should not be too concerned with the number. I was an only child and I loved it,… On the plus side, I lvoe my own company and have a lot of virtuous solitary habits, like insatiable reading, all formed in childhood.  I was never ‘lonely’.

Good point, Jane! Bonnie – mom to Charla (18), Brandon (almost 17) and Ryan (almost 3)!!! – Hide quoted text — Show quoted text – — Jane Lumley

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My husband and I are in the process of deciding whether to have another baby.  Our family currently consists of two teenagers, 18 and 17, from my previous marriage, and our almost 3 year old son.  The 3 yo is daddy’s first child.  We are both in our late 30’s and since the birth of my little boy I have constantly had thoughts about having another child.  My heart says there is one more baby waiting for me but my logical mind says that maybe I’m "biting off more than I can chew" so to

I would say listen to your heart.  I am 42 and my DH is 40 and we finally had our first child 2.5 years ago.   Absolutely the most wonderful thing to happen to 2 people who had gotten lazy, slow, and boring!  We were 2 old couch potatoes.  Now we’re 2 young, vibrant, energetic (a.m. anyway), happy people. My parents had 5 children all spread out (oldest was 14 when youngest was born).  They always said that having the last 2 kept them young, and I agree.  It seemed that my parents never did age, really.  I believe that children do keep you young at heart.  And if you’re SAH now, that’s all the more reason! Good luck with your decision. Terri

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, suffering all day morning sickness, tiredness, etc, and ending in a drug free but very difficult mid-forceps delivery birth – with other complications.  I was so very distressed by the experience I couldn’t face the thought of another baby, and only managed being pregnant again with the knowledge that I

Donna you wrote a very lovely letter. Im 36 and have a two year old. I want a Number Two but I would like to wait 12 more months before I start trying.  I am traveling to the UK in March with my two year old. We are flying there by ourselves and my husband is meeting us there and will fly back with us.   This will be our second trip since she was born.  My husband is British.   Keep in touch  Jen      To send an e-mail reply to this message      remove anti-spam from the e-mail address

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How about adopting or being foster parents? –Sharon

Sharon – This is a very good question and one that I have thought a lot about.  I sometimes question my motives in wanting to bring another child into this world when there are so many in need of loving homes.  My cousin and his wife have become foster parents after years of infertility and I am impressed with their dedication to this most worthy endeavor.   I also have a younger brother who had two children out of wedlock that were subsequently placed in foster care due some problems the parents had.  Due to an inability for either parent to adequately raise the children at this time, the family is in the process of adopting the children (a blessing for them — some heartache for our family, but very much in the interest of the children).  Obviously, the desire to recreate ourselves is strong and it was easy for me to conceive and give birth to my children so we haven’t taken any steps in the direction of adoption or foster parenting.  I have often wished I had what it takes to be a foster parent (heartaches come with the territory), but who knows what my future might hold. Bonnie —

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I told you all of this so you’d see how we arrived at our decision. Because the pregnancy was high risk and extremely difficult……because we were so old…..because she was such of a high-needs baby we decided not to have another.   It seemed like the obvious choice to us……at the time.

A "nightmare" pregnancy can happen at any age.  My MIL’s first pregnancy at age 17 was exactly as you describe yours.  She was throwing up right into the delivery room and gained *no* weight during her pregnancy due to constant illness.  Her last pregnancy, at age 42, was a dream–easy as could be.  She had four pregnancies in the middle and each was different.

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<snip Has anyone raised a "bonus" baby like ours without a close sibling?  Did you ever feel it would have been nice to have another child so that your child would have someone to share holidays and happy memories with? Were you thoroughly exausted by the experience of midlife parenting or did the joys outweight the hard work?  Do only children really like being onlies?  Any advice or shared experiences would be appreciated.

How about adopting or being foster parents? –Sharon

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My husband and I are in the process of deciding whether to have another baby.  We are both in our late 30’s

So will I be if I have another child. If you are healthy, why not? After working full-time while raising my teenagers, I am now a SAH mom to the 3 yo and I am enjoying this new experience.

There you go! Listen to your heart!  Since my husband and I will be in our early fifties when our son graduates high school,  we need to be sure this is something we are both committed to.

Fifty is nothing nowadays! In short, if you feel in your heart that you want another baby, & you can afford it, & your doctor says you are healthy enough – do it!

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I am the Mother of a baby girl who just turned 1 last week.  I have just turned 42, and I can’t believe that I AM that age. I have another daughter who is 14 and just getting out of the horrible adolescent mood swings, thank God!  Frankly my teenage daughter has been more wearing on us emotionally than the baby. During my late pregnancy and since the birth of the baby, my teenage daughter has been wonderfully supportive and back to her old self. I was very ill during my first pregnancy, suffering all day morning sickness, tiredness, etc, and ending in a drug free but very difficult mid-forceps delivery birth – with other complications.  I was so very distressed by the experience I couldn’t face the thought of another baby, and only managed being pregnant again with the knowledge that I could ask for a caesarian section. BUT… although I had four months of all-day ‘morning sickness’, I ended up having a great pregnancy and although the birth was no bag of laughs, I survived a normal delivery to behold a beautiful baby girl who has been a great joy.  We travelled through the USA and the UK with the two children for 3 months and had a ball. The thought of parenting in my forties is exciting as I have faced many challenges and found success in my career and personal life.  I am not tired by the thought of another baby or the spectre of toddlers racing around my legs.  I am very happy and greatful for this second chance at bringing new life into the world. I believe very strongly in gut feeling.  I believe that we ignore our instinct too much and trust too strongly in logic and reason.  Common sense is more instinct than learned response.  If you feel you have room for another baby in your life – GO FOR IT!!   Good Luck. Kerry Stanek p.s. We have discussed having another baby!

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My pregnancy was a nightmare of morning sickness that lasted 9.5 months 24 hours a day….I only gained 9 lbs!   Brianne was overdue and things started going bad so after 24+ hours of non-productive (but extremely painful!) labor, she needed to be born via c-section.  Everything turned out fine…8lbs. 3oz. and very healthy.  However, she was never a happy baby, she had colic and was always cranky.  It was a tough couple of years. I told you all of this so you’d see how we arrived at our decision. Because the pregnancy was high risk and extremely difficult……because we were so old…..because she was such of a high-needs baby we decided not to have another.   It seemed like the obvious choice to us……at the time.

Your pregnancy sounds exactly like mine – except that I was 34 when I got pregnant, & the pregnancy was shortened by Anne Elizabeth "the Wonder Baby" kicking so hard she broke her own water (no joke – that’ our only explanation, becasue she kicked all night, painfully, with no signs of labor). The only reason I am "arguing" with you about your age being a factor is becasue my mother suffered just such a pregnancy – at almost ten yeaars my junior. While this may not be the case for you, such things I believe are genetic. I am only saying this for the benfit of others out there who might otherwise be discouraged on account of age. Now…….well, it’s a different story.  Brianne is such a people person and absolutely loves younger children, we think we should have tried to have another baby a year or so after she was born.

This is incredibly weird, because Anne Elizabeth is also high-needs & a people person, terribly active/inquisitive/ahead-of-her-age-group, etc. I thought the high-needs thing might have been triggered by the anxiety of the pregnancy – what do you think?  She seems to need a playmate and I think she’d be a happier person if she had a sibling close to her age. Also, I think it’d take the pressure off of us to always have to entertain her.  Even though she is with children all day at school, I think she is the type of person who would enjoy a close relationship with a little brother/sister and I feel sorry that she won’t have that.

I want to have another if only because she’s my only child – but I’d be willing to bet she will be as you describe your daughter. Now the flip side of that is…could we as parents handle another child?  I’m not so sure…we’re 45 and 48 now and my husband is severely restricted by chronic asthma/allergies and I have a ruptured disc in my back, so we just don’t have the strength or stamina it might take….but who knows?  I think most people can "rise to the occasion" so to speak. Every family is different…I think we made an honest/educated decision not to have another child.  But, I still feel sad at times that Brianne is alone…..

Have you considered a play group? Or do you think this will not suffice?I would check with your doctor before embarking on another pregnancy. Also, if Brianne (lovely name!) is 6, a *baby* won’t do her much good. Have you considered adoption (No, I’m not saying adoptees are commodities: if you truly want another child, you might consider an older one who needs you more, for being harder to adopt, than a tiny baby. & think of how much better it would be for the older adopteee: usually they are written off, & you would be providing one with a ready-made family! Susan Cohen

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I’m not in your position so I can’t comment from a position of knowledge as such :-) I just think if I were you, there I would go for it.  Firstly, late thirties isn’t all that old!  Lots of women are only thinking of *starting* their family by then.  Secondly, I have (sort of) been in the position of your youngest child (my sister was 13 years older than me) and I would have *loved* to have had a sibling.  My mother was 39 when I was born, and I don’t think she did consider having any more (but she had a hysterectomy when I was 2, anyway).   But I wish that she had had another one. writes: – Hide quoted text — Show quoted text -My husband and I are in the process of deciding whether to have another baby.  Our family currently consists of two teenagers, 18 and 17, from my previous marriage, and our almost 3 year old son.  The 3 yo is daddy’s first child.  We are both in our late 30’s and since the birth of my little boy I have constantly had thoughts about having another child.  My heart says there is one more baby waiting for me but my logical mind says that maybe I’m "biting off more than I can chew" so to speak.  After working full-time while raising my teenagers, I am now a SAH mom to the 3 yo and I am enjoying this new experience.  Since my husband and I will be in our early fifties when our son graduates high school,  we need to be sure this is something we are both committed to. Has anyone raised a "bonus" baby like ours without a close sibling?  Did you ever feel it would have been nice to have another child so that your child would have someone to share holidays and happy memories with? Were you thoroughly exausted by the experience of midlife parenting or did the joys outweight the hard work?  Do only children really like being onlies?  Any advice or shared experiences would be appreciated.

Candy Mummy to Peter, 4th September 1996 "A woman has to perform twice as well as a man to get half the recognition. Fortunately, this is not difficult."

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In a sense, the relationship of our oldest son to the babies is more like an uncle than a sibling.  He is a distant character, worshiped from afar.

This was my experience. I was in high school and my sister was in college when my mother had my brother.  We had and have more of an aunt-nephew relationship than a sibling relationship. After all, how many siblings say things like, "After you eat all your vegetables, I will take you out to play!". It was interesting to see how differently my mother had raised my brother than the way she raised my sister and I. She was very young when she had us- quick to anger. As an "older" mom, she was more mellow. The only real disadvantage I felt to having a sibling so much younger than me was that people naturally assumed that this child was the product of my relationship with my boyfriend. We were constantly labelled "teen-age" parents and it was assumed my mother was "grandma". As an adult I can say "Who cares what people think?" but as a teenager, it was much harder. Of course, this probably doesn’t apply to the original poster since she has a 3 year old already. Erika

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– Hide quoted text — Show quoted text -My husband and I are in the process of deciding whether to have another baby.  Our family currently consists of two teenagers, 18 and 17, from my previous marriage, and our almost 3 year old son.  The 3 yo is daddy’s first child.  We are both in our late 30’s and since the birth of my little boy I have constantly had thoughts about having another child.  My heart says there is one more baby waiting for me but my logical mind says that maybe I’m "biting off more than I can chew" so to speak.  After working full-time while raising my teenagers, I am now a SAH mom to the 3 yo and I am enjoying this new experience.  Since my husband and I will be in our early fifties when our son graduates high school,  we need to be sure this is something we are both committed to. Has anyone raised a "bonus" baby like ours without a close sibling?  Did you ever feel it would have been nice to have another child so that your child would have someone to share holidays and happy memories with? Were you thoroughly exausted by the experience of midlife parenting or did the joys outweight the hard work?  Do only children really like being onlies?  Any advice or shared experiences would be appreciated.

Dee My parents in law had an "accident" baby about 18 years ago.  My wife (the oldest) is nearly 30.  They were devastated at the time but she has grown up into the joy child of the family.  She rounds it off so to speak and they really enjoy her now. I personally wouldn’t do it though.  Anyway they are finding that she is sapping the family of valuable resources (incl. money) which are in short supply.  Because she is the baby in the family, her father can’t say no to her. So if you feel you have a family which has a balance of personalities and energies, you should be content.  Also having 2 is just replacing yourselves, not contributing to the world’s population problems. Craig Esterhuizen Iscor Profile Products tel:    +27 3431 47146 fax:    +27 3431 47390 The views expressed may not be those of Iscor Ltd Remove the REM to send email to me

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: My husband and I are in the process of deciding whether to have another : baby.  Our family currently consists of two teenagers, 18 and 17, from : my previous marriage, and our almost 3 year old son.  The 3 yo is : daddy’s first child.  We are both in our late 30’s and since the birth : of my little boy I have constantly had thoughts about having another : child.  My heart says there is one more baby waiting for me but my : logical mind says that maybe I’m "biting off more than I can chew" so to : speak.  After working full-time while raising my teenagers, I am now a : SAH mom to the 3 yo and I am enjoying this new experience.  Since my : husband and I will be in our early fifties when our son graduates high : school,  we need to be sure this is something we are both committed to. : Has anyone raised a "bonus" baby like ours without a close sibling?  Did : you ever feel it would have been nice to have another child so that your : child would have someone to share holidays and happy memories with? It’s not just that, but we wanted her to have a buddie to do things with. I won’t let a 9 year old go to the swimming pool alone.  But I’ll let a 9 and 11 year old go together.  Same thing for the mall during the teen years.   So yes, we had the second child.  Ours are all from the same marriage, BTW.   : Were you thoroughly exausted by the experience of midlife parenting or : did the joys outweight the hard work?   It’s mostly fun.  I’m feeling lazy today, so perhaps I could repost something from a few years ago in response to your questions.   Colleen Kay Porter                           mom to Lorissa (4), Elaine (6), Rebecca (16), Julia (18) and Phillip (22) Today is Elaine’s third birthday.  I guess the customary thing would be to tell her birth story, but it was a fairly typical awful back labor.  Besides, the past three years have been much more interesting than that one day, and so many people have asked me, "What is it like to raise a spread-out family?"  Our fourth child was born 10 years after the third, and then our last child was born when the eldest was a senior in high school. Having children of all ages is really good for me, because when I feel the need for adult conversation, my teenagers come home and want to know what it was like during Watergate.  And when I get tired of all their philosophical discussions and depressing tales about their friend’s troubles, I can go hug the baby. My older kids consider the little ones THEIR babies. Whenever we show up at a school activity with a little person in tow, the older child comes over and takes the baby to show her off to their friends and teachers.  I expected that they would be embarrassed, but they are not. Lately they have taken to complaining that the little ones are growing up too fast. The family in which I was raised was spread out, and when the last ones were born, we stopped going places and doing things as a family, so I was determined that would not happen to my children.  So we just take the babies with us on a variety of activities that are really designed for the older kids. During the last month we have taken them tubing down a river, playing miniature golf, visiting the chamber of commerce exposition, and picking blueberries (the baby was in a backpack and quickly learned which ones are good to eat). Like many parents of school-aged children, I felt that I had three extra children in the family, because whenever we asked who did something, it was always the fault of "Not Me," "Nobody," or "Someone Else."  When Elaine was born, she became the scapegoat, being blamed for a wide variety of mischief, from eating potato chips over the computer to putting an empty milk jug in the frig.  There was a song by Milli Vanilli popular about the time she was born called, "Blame it on the rain."  Our kids changed it to, "Blame it on Elaine," and whenever there was a problem they started singing it.  They stopped this sometime after her first birthday, realizing that she was a sentient being who could be harmed by such accusations. Television is a real challenge for me.  The little ones might watch 30-60 minutes of PBS children’s programs in the morning if I have some work to do where I need them out of the way.  No big problem there.  But then the older kids come home and want to watch Animaniacs.  And then my husband might want to watch McNeill-Lehrer.  And then if it is a Friday, the big kids might want to watch a video. None of this is unreasonable on its own, but it adds up to a horrendous amount of television exposure for the little ones. For the first six months after Elaine was born, it started to dawn on us, all the things that we could do again: spending time on our knees in the children’s section of the library, going to the Magic Kingdom at Disney, the wonder of Christmas.  I think I’ve tasted a bit of what it is like to be a grandparent. One big advantage is that we have built-in babysitters. We have never left them with anyone other than family (grandparents spend winters here.)  Sometimes in the afternoons when baby is napping and Elaine playing, I will ride my bike to do errands, a freedom I did not have when raising the first batch of kids. I try not to overuse this privilege–I never make the girls change a stinky diaper, for example.  As a result, my girls are very happy to babysit, and sometimes push us out the door claiming they need "sister time." Perhaps the biggest disadvantage is that we have to be careful that the older ones don’Ut leave things around that could harm the little ones (i.e. earrings, beads, nails). The little ones love sharing a room with the older girls, and enjoy being bathed and dressed by them.  The older girls treat the little ones like dolls sometimes, coordinating their outfits and fixing their hair. In a sense, the relationship of our oldest son to the babies is more like an uncle than a sibling.  He is a distant character, worshiped from afar.  But it is still a relationship, yet another positive influence in their lives.  The last weekend Phillip was at college, he came home for Sunday supper to discuss plans and rooming arrangements, and hearing all the talk about Phil moving back in, our 3-year-old assumed he was moving in right then.  She came with me to drop him off, and when he left the car, she burst into tears, desperately screaming, "Phil!  I want you!  You come home!" much to the amazement of the other young people in the parking lot. I can’t recommend our pattern as ideal, but it works for us. Colleen K. Porter BS, MA, mother at home Phillip (18), Julia (14), Becky (13), Elaine (3) and Lorissa (1) –     –     –     –     –     –     –     –     –     –     –     – "Ideals are stars to steer by.  They are not a stick to beat ourselves with."                                            -Barbara B. Smith

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GREAT QUESTION!!!!!! I am 35, my hubby is 38.  Our daughter is 6.  I have raised this question with my husband for the last 2 years.  We were both oldest children.  He has a brother 15 months younger than he is. I have sisters 3 years younger and 9 years younger than I am.  We recall lots of competition between our closest sibs.  We recall being envious of kids with one sib.  However in adult life I am very close to my sisters and my husband is sort of close to his brother. Our daughter constantly complains of boredom.  She has lots of friends, but goes crazy when thay are not around.  She wants a baby brother or sister because her best friends mother just had her fourth child.  She is 43.  The children are 18, 17, 5 yo and 4 months!  All four are hers only the last one is her husbands. She seems to be doing fine.  She is a working mom who has a sitter come into her home during working hours.  

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My husband and I are in the process of deciding whether to have another baby.  Our family currently consists of two teenagers, 18 and 17, from my previous marriage, and our almost 3 year old son.  The 3 yo is daddy’s first child.  We are both in our late 30’s and since the birth of my little boy I have constantly had thoughts about having another child.  My heart says there is one more baby waiting for me but my logical mind says that maybe I’m "biting off more than I can chew" so to speak.  After working full-time while raising my teenagers, I am now a SAH mom to the 3 yo and I am enjoying this new experience.  Since my husband and I will be in our early fifties when our son graduates high school,  we need to be sure this is something we are both committed to. Has anyone raised a "bonus" baby like ours without a close sibling?  Did you ever feel it would have been nice to have another child so that your child would have someone to share holidays and happy memories with? Were you thoroughly exausted by the experience of midlife parenting or did the joys outweight the hard work?  Do only children really like being onlies?  Any advice or shared experiences would be appreciated.

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I am 36 and have a two year old.  This is my first marriage.  I had a couple of miscarriages prior to my daughters birth.   We are thinking about another  but have not been brave enought to try..   This is a – Hide quoted text — Show quoted text – My husband and I are in the process of deciding whether to have another baby.  Our family currently consists of two teenagers, 18 and 17, from my previous marriage, and our almost 3 year old son.  The 3 yo is daddy’s first child.  We are both in our late 30’s and since the birth of my little boy I have constantly had thoughts about having another child.  My heart says there is one more baby waiting for me but my logical mind says that maybe I’m "biting off more than I can chew" so to speak.  After working full-time while raising my teenagers, I am now a SAH mom to the 3 yo and I am enjoying this new experience.  Since my husband and I will be in our early fifties when our son graduates high school,  we need to be sure this is something we are both committed to. Has anyone raised a "bonus" baby like ours without a close sibling?  Did you ever feel it would have been nice to have another child so that your child would have someone to share holidays and happy memories with? Were you thoroughly exausted by the experience of midlife parenting or did the joys outweight the hard work?  Do only children really like being onlies?  Any advice or shared experiences would be appreciated.

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- Hide quoted text — Show quoted text – My husband and I are in the process of deciding whether to have another baby.  Our family currently consists of two teenagers, 18 and 17, from my previous marriage, and our almost 3 year old son.  The 3 yo is daddy’s first child.  We are both in our late 30’s and since the birth of my little boy I have constantly had thoughts about having another child.  My heart says there is one more baby waiting for me but my logical mind says that maybe I’m "biting off more than I can chew" so to speak.  After working full-time while raising my teenagers, I am now a SAH mom to the 3 yo and I am enjoying this new experience.  Since my husband and I will be in our early fifties when our son graduates high school,  we need to be sure this is something we are both committed to. Has anyone raised a "bonus" baby like ours without a close sibling?  Did you ever feel it would have been nice to have another child so that your child would have someone to share holidays and happy memories with? Were you thoroughly exausted by the experience of midlife parenting or did the joys outweight the hard work?  Do only children really like being onlies?  Any advice or shared experiences would be appreciated.

I am the mother of a 6 year old daughter who was born when I was 39 and my husband was 42.  My husband had two children from a previous marriage who are now 21 and 24 (both married and living half way across the continent)….so we seem to be in a similar situation as you.  We suffered through 4 years of trying to conceive (including a couple of miscarriages) before we finally had Brianne.  My pregnancy was a nightmare of morning sickness that lasted 9.5 months 24 hours a day….I only gained 9 lbs!   Brianne was overdue and things started going bad so after 24+ hours of non-productive (but extremely painful!) labor, she needed to be born via c-section.  Everything turned out fine…8lbs. 3oz. and very healthy.  However, she was never a happy baby, she had colic and was always cranky.  It was a tough couple of years.   I told you all of this so you’d see how we arrived at our decision. Because the pregnancy was high risk and extremely difficult……because we were so old…..because she was such of a high-needs baby we decided not to have another.   It seemed like the obvious choice to us……at the time.  Now…….well, it’s a different story.  Brianne is such a people person and absolutely loves younger children, we think we should have tried to have another baby a year or so after she was born.  She seems to need a playmate and I think she’d be a happier person if she had a sibling close to her age. Also, I think it’d take the pressure off of us to always have to entertain her.  Even though she is with children all day at school, I think she is the type of person who would enjoy a close relationship with a little brother/sister and I feel sorry that she won’t have that. Now the flip side of that is…could we as parents handle another child?  I’m not so sure…we’re 45 and 48 now and my husband is severely restricted by chronic asthma/allergies and I have a ruptured disc in my back, so we just don’t have the strength or stamina it might take….but who knows?  I think most people can "rise to the occasion" so to speak.   Every family is different…I think we made an honest/educated decision not to have another child.  But, I still feel sad at times that Brianne is alone…..

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My husband and I are in the process of deciding whether to have another baby.  Our family currently consists of two teenagers, 18 and 17, from my previous marriage, and our almost 3 year old son.  The 3 yo is daddy’s first child.  We are both in our late 30’s and since the birth of my little boy I have constantly had thoughts about having another child.  My heart says there is one more baby waiting for me but my logical mind says that maybe I’m "biting off more than I can chew" so to speak.  After working full-time while raising my teenagers, I am now a SAH mom to the 3 yo and I am enjoying this new experience.  Since my husband and I will be in our early fifties when our son graduates high school,  we need to be sure this is something we are both committed to. Has anyone raised a "bonus" baby like ours without a close sibling?  Did you ever feel it would have been nice to have another child so that your child would have someone to share holidays and happy memories with? Were you thoroughly exausted by the experience of midlife parenting or did the joys outweight the hard work?  Do only children really like being onlies?  Any advice or shared experiences would be appreciated.

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- Hide quoted text — Show quoted text – My husband and I are in the process of deciding whether to have another baby.  Our family currently consists of two teenagers, 18 and 17, from my previous marriage, and our almost 3 year old son.  The 3 yo is daddy’s first child.  We are both in our late 30’s and since the birth of my little boy I have constantly had thoughts about having another child.  My heart says there is one more baby waiting for me but my logical mind says that maybe I’m "biting off more than I can chew" so to speak.  After working full-time while raising my teenagers, I am now a SAH mom to the 3 yo and I am enjoying this new experience.  Since my husband and I will be in our early fifties when our son graduates high school,  we need to be sure this is something we are both committed to. Has anyone raised a "bonus" baby like ours without a close sibling? Did you ever feel it would have been nice to have another child so that your child would have someone to share holidays and happy memories with? Were you thoroughly exausted by the experience of midlife parenting or did the joys outweight the hard work?  Do only children really like being onlies?  Any advice or shared experiences would be appreciated.

DeeDee, I am in my late 30’s and have a 3 yo and a 6 1/2 month old.  I thought that the first one would be the only one but we made the choice to have a second.  It is a lot of work but worth it.  I am really looking forward to seeing how they grow as brothers in the coming years.  I hope you find your answer. Cathy

Response:

pulmicort in the USA

Question:

Hello! I understand that initially Pulmicort Turbuhaler will only be available at the 200 mcg/puff dose level in the US, tho its available in other strengths in other countries.

Here in Sweden Pulmicort Trubohaler is avalible in 100, 200 and 400mcg/dose. Maybe Astra is just trying out the market now and if it’s sold alot the other strength will be availible in the US too…. Lena

Response:

– Hide quoted text — Show quoted text – Based upon the national asthma guidelines, it would appear that flovent is superior to pulmicort due to its longer action and greater binding ability. Other than that pulmicort will come in an inhaler that avoids propellants, are there reasons by one would expect pulmicort to be better than flovent? Absolutely!  For me and many others who have found Pulmicort to work, the propellants in other meds such a Flovent make them counterproductive.  I have used both with one causing progressive improvement and the other (Flovent) causing regression. Flovent has been approved for use in dry powder form (Rotadisk) in 3 dose levels, 50, 100, & 250 mcg/puff (Mild, Moderate, & Severe asthma), Nov ‘97. It’s expected to be available in the first quarter of ‘98

Tis intresting to see that Flovent will be coming out in dry powder. I am hoping to enter a study with Nova appears to based in the UK regarding use of a dry powder inhaler for noctura Asthma.  Right now I’m just establishing base lines, but it is very intresting to see how exactly my nightime asthma affects my peak flow.

Response:

Flovent has been approved for use in dry powder form (Rotadisk) in 3 dose levels, 50, 100, & 250 mcg/puff (Mild, Moderate, & Severe asthma), Nov ‘97. It’s expected to be available in the first quarter of ‘98 Tis intresting to see that Flovent will be coming out in dry powder. I am hoping to enter a study with Nova appears to based in the UK regarding use of a dry powder inhaler for noctura Asthma.  Right now I’m just establishing base lines, but it is very intresting to see how exactly my nightime asthma affects my peak flow.

Another asthma drug coming out as a dry powder inhaler is Serevent Diskus, the long-acting bronchodilator inhaler. See http://biz.yahoo.com/prnews/97/09/22/glx_y0022_1.html  Excerpt: "FDA Grants Marketing Clearance to Serevent(R) Diskus(R) — Award-Winning Design Helps Make Asthma Control Easier RESEARCH TRIANGLE PARK, N.C., Sept. 22 /PRNewswire/ — The U.S. Food and Drug Administration has cleared for marketing SEREVENT(R) DISKUS(R) (salmeterol xinafoate inhalation powder), which contains a powder formulation of salmeterol in a new, award-winning delivery device that helps ensure consistent medication delivery with every dose. SEREVENT DISKUS  offers patients similar preventive benefits as Serevent Inhalation Aerosol, the first and only long-acting inhaled bronchodilator that provides long-term control over asthma symptoms. For maintenance therapy of asthma, patients should take one inhalation (50 mcg) twice daily (morning and evening), approximately 12 hours apart. SEREVENT DISKUS is marketed by Glaxo Wellcome Inc., which is located in Research Triangle Park, N.C., and is the nation’s leading research-based pharmaceutical firm. A subsidiary of London-based Glaxo Wellcome plc,….." Info on clinical trials of asthma drugs at http://www.centerwatch.com/studies/CAT16.HTM  Clinical Trials: Asthma Ellis

Response:

Don’t look for Flovent Rotadisk in the 1st quarter of ‘98. A Pulmonologist friend of mine who is very close to Glaxo said he thinks they will only launch Serevent Rotadisk right now. They do not expect Flovent Rotadisk to be launched anytime in the next two years. Who Knows??

Response:

Don’t look for Flovent Rotadisk in the 1st quarter of ‘98. A Pulmonologist friend of mine who is very close to Glaxo said he thinks they will only launch Serevent Rotadisk right now. They do not expect Flovent Rotadisk to be launched anytime in the next two years. Who Knows??

Wow, that’s a bummer!  I was part of clinical trials for that flovent disk thing for two years, and I absolutely loved it!  I am using the ‘regular’ one now, but I really think the dry powder one was much better.   I have been wondering if it was ever going to be released.   Speaking of which, is there a newsgroup or webboard with info on clinical trials?   I have no insurance so have gotten most of my asthma treatment through doing drug studies, and am interested in seeing if others have the same results/side effects/comments as I have experienced.   For instance, reading about some folks side effects of serevent (nightmares, cramps) made me realize that I definitely had these side effects, but never connected them to the drug when I was part of the study.   — rls, barenaked in san diego http://www.concentric.net/~adnohr/

Response:

Don’t look for Flovent Rotadisk in the 1st quarter of ‘98. A Pulmonologist friend of mine who is very close to Glaxo said he thinks they will only launch Serevent Rotadisk right now. They do not expect Flovent Rotadisk to be launched anytime in the next two years. Who Knows?? Wow, that’s a bummer!  I was part of clinical trials for that flovent disk thing for two years, and I absolutely loved it!  I am using the ‘regular’ one now, but I really think the dry powder one was much better. I have been wondering if it was ever going to be released. Speaking of which, is there a newsgroup or webboard with info on clinical trials?  

Here’s a link on Clinical Trials of Asthma Drugs with Calif info: (I think there are other trials not listed) http://www.centerwatch.com/studies/CAT16.HTM California Fountain Valley; Bruce F. Friedman, M.D. Study to determine the benefits of Aerobid M in patients with mild to moderate asthma Fountain Valley; Bruce F. Friedman, M.D. Study of an investigational medicine to treat asthma Fountain Valley; Bruce F. Friedman, M.D. Study comparing an investigational oral tablet in the treatment of asthma Fountain Valley; Bruce F. Friedman, M.D. Comparative study of Flovent versus Accolate for mild to moderate asthma Fountain Valley; Bruce Friedman, M.D. Study of an investigational dry powder inhaler for mild to moderate asthma Los Angeles; Allergy Research Foundation Study of Accolate, an investigational treatment for moderate asthma Orange; Stanley P. Galant, M.D. Study comparing an oral non-steroidal tablet bronchodialator Orange; Stanley P. Galant, M.D. Study of a unique dry powder inhaler versus a metered dose inhaler in  the treatment for mild to moderate asthma Orange; Stanley P. Galant, M.D. Study of a chewable, once-a-day tablet for the treatment of asthma in children Orange; Stanley P. Galant, M.D. Study of an investigational oral capsule for the treatment of mild to moderate asthma Orange; Stanley P. Galant, M.D. Study comparing a metered dosage inhaled steroid delivery asthma therapy Orange; Stanley P. Galant, M.D. Study comparing an investigational therapy for the treatment of chronic asthma

Response:

Based upon the national asthma guidelines, it would appear that flovent is superior to pulmicort due to its longer action and greater binding ability. Other than that pulmicort will come in an inhaler that avoids propellants, are there reasons by one would expect pulmicort to be better than flovent? Absolutely!  For me and many others who have found Pulmicort to work, the propellants in other meds such a Flovent make them counterproductive.  I have used both with one causing progressive improvement and the other (Flovent) causing regression.

Flovent has been approved for use in dry powder form (Rotadisk) in 3 dose levels, 50, 100, & 250 mcg/puff (Mild, Moderate, & Severe asthma), Nov ‘97. It’s expected to be available in the first quarter of ‘98. See: http://www.centerwatch.com/drugs/DRU341.HTM Drug Name: Flovent Rotadisk I understand that initially Pulmicort Turbuhaler will only be available at the 200 mcg/puff dose level in the US, tho its available in other strengths in other countries. According to the Expert Panel Report 2, Fig 3-5b, Estimated Comparative Daily Dosages for Inhaled Corticosteroids, 3 puffs of the Pulmicort Turbuhaler (200) is equivalent to 3 puffs of the Flovent 220 MDI. Fluticasone (Flovent) has a higher potency than Pulmicort (budesonide) but the Turbuhaler delivers a larger percent of the drug to the lungs than the MDI. More links: http://www.industryreport.com/glaxo/glaxo.html Flovent (MDI) http://www.glaxowellcome.co.uk/home.html Flovent manufacturer http://www.pltbhinfo.com/ Pulmicort Turbuhaler (200) [Astra USA] Ellis

Response:

Based upon the national asthma guidelines, it would appear that flovent is superior to pulmicort due to its longer action and greater binding ability. Other than that pulmicort will come in an inhaler that avoids propellants, are there reasons by one would expect pulmicort to be better than flovent?

Absolutely!  For me and many others who have found Pulmicort to work, the propellants in other meds such a Flovent make them counterproductive.  I have used both with one causing progressive improvement and the other (Flovent) causing regression.   – Hide quoted text — Show quoted text –

Response:

The literature provided with the starter kit did not address these issues.  The product is not yet available in pharmacies.

Response:

As an Astra sales rep, I am glad to read your post about the success of  Pulmicort for your asthma. I hope you tell your docs as well as any asthmatic  friends. If you would, please let me know of anything that you do not like  about Pulmicort.

Response:

Beginning use of Pulmicort tomorrow after using Flovent for 5 days.  Two questions: 1.  How long should I hold my breath after inhaling the Pulmicort? 2.  How many second should I wait between puffs when using 2 puffs?         Bob

See Pulmicort web page at http://www.pltbhinfo.com/ click on Product Info Excerpt: "Q: Do I need to hold my breath after I’ve inhaled the medication  from Pulmicort Turbuhaler? A: No. Pulmicort Turbuhaler uses the airflow created by your lungs  when you inhale. Simply by taking a deep and forceful breath, you  get the medication into your lungs. That’s all there is to it." My understanding is there is no need to wait between puffs. Ellis

Response:

Beginning use of Pulmicort tomorrow after using Flovent for 5 days.  Two questions: 1.  How long should I hold my breath after inhaling the Pulmicort? 2.  How many second should I wait between puffs when using 2 puffs? Generally, following the instructions that came with the product is a good idea.

Just a general question… when you got the prescription for your doctor didn’t you get any information or instruction on how to use the device???? Jan

Response:

Reactive Airway/Asthma

Question:

I too have had the same experience..I only have problems when there is lots of pollen or I get a virus…I’ve been told the older you get the more sensitve one gets to there environment…

Response:

Mine started the same way, and I coughed for 4 months straight before it got under control.  And I was told it *is* asthma.  And 3 years later, I’m still being treated with the asthma meds.  Mine is triggered by sinusitus and irritants (strong smells). As has been mentioned here before, a spirometry test gives the definition as to whether it is classified as asthma. <<I was wondering the same thing. I had a respiratory virus, sore throat, hoarseness, coughing, etc. 2 mos. ago. The cough–explosive, gasping type, dry, every 15 mins. or so–has lasted 2+ months. It was so bad all my abdominal and chest muscles hurt.  It is finally lessening but my doctor said this is reactive airway, due to a virus.  She started me on Ventolin first, then switched to Azmacort, which has been helpful in controlling the spasmodic coughing. I never had any wheezing or shortness of breath, and have no asthma or allergy history in my family. She said be sure to get a flu shot next fall, and that every respiratory virus I get from now on will probably trigger this reactive airway thing. Why do people suddenly get this after years of no problems? Is it lifelong exposure to air pollution? Or what? My doctor says it isn’t asthma. But it is incapacitating during the worst part. Anyone else? Sue M.

Response:

My 3 y/o son was just diagnosed with Reactive Airway, seemingly triggered by viral respiratory infections.  My first impression is that RAD is just a less frightening name for asthma, but I would like to believe otherwise.  Is RAD really asthma?  If not, any suggestions for improving RAD to keep it from becoming full-fledged chronic asthma?  I’d appreciate any advice. Thank you.

Response:

I don’t know if there is a technical difference, but I do know that I have had doctors refer to me as having either of those problems…one calls it RAD, the other calls it Asthma…that is all I know,. Yana

Response:

My 3 y/o son was just diagnosed with Reactive Airway, seemingly triggered by viral respiratory infections.  My first impression is that RAD is just a less frightening name for asthma, but I would like to believe otherwise.  Is RAD really asthma?  If not, any suggestions for improving RAD to keep it from becoming full-fledged chronic asthma?  I’d appreciate any advice. Thank you.

See article on Childhood Asthma from AAAAI at  http://www.aaaai.org/patpub/resource/publicat/tips/tip20.html  Excerpt: "Reactive Airways Disease (RAD) Reactive Airways Disease is the name given to illnesses which have symptoms of wheezing and respond to bronchodilators. Asthma is included in this group. However, there is also a large group of children who wheeze with respiratory infections that they may outgrow. Differentiating between RAD and asthma is difficult and usually involves observing the child over the first few years of life to determine whether episodes of wheezing persist or resolve over time. Persistence of wheezing may indicate asthma." Here’s a definition of RAD from  http://parsons.ab.umd.edu/~kdemott/pages/glossary.htm "ASTHMA (or REACTIVE AIRWAY DISEASE): a disease of the bronchi, characterized by dyspnea, wheezing and a sense of constriction of the chest." Info from http://quickcare.org/resp/cough.html "What Does Asthma Mean? Many people think asthma and wheezing are the same thing. Actually, wheezing is only once sign of asthma, and many other things besides asthma can cause wheezing. Because of this confusion, the term asthma is being replaced with a more accurate description: Reactive Airway Disease (RAD). Those with RAD (5% and growing in the U.S.) have bronchial (lung) passages that are more sensitive to irritation than normal. This hypersensitivity leads to inflammation (redness and swelling) in the tiny airways deep in the lungs. The inflammation in turn causes excess mucus production, and tightening of airway muscles that wind around the bronchial tubes like laces. The combination of swelling, mucus, and muscle tightening all cause narrowing of the airways. Wheezing (whistling and labored breathing) usually results, but a dry cough is sometimes the only sign. Nobody knows exactly why some people have RAD. Many times it is inherited, and is often associated with allergies (especially in children). Asthma can develop at any time, but is more common in young children. When it starts in childhood it usually improves with age. But with adult onset asthma, aging often worsens the problem. Asthma has also become more common in this country, again for unknown reasons." As far as I can tell from these 3 references, RAD is just another name for asthma, altho the 1st reference implies asthma might be a subgroup of RAD. Ellis

Response:

When is enough enough

Question:

Help! My five year old daughter has asthma.  My doctor says it is chronic asthma. What does chronic ashtma mean?  She has been in the hospital three times this year alone.  And I plan my vacation every year for augusta, because she hasn’t missed being hopitilized yet. Also, can anyone tell me when exactly it is time to give up and take her to the Emergency room.  We have a breathing machine.  My doctor says don’t be afraid to give her treatments up to 40 minutes a part.  I know they do this in the hospital, but I get scared when I start giving them that close together. We have gone from inhalers to the breathing machine and now she is on a preventive medicine twice a day as well as a steroid inhaler twice a day. It appears that it is getting worse, and the attacks are coming more frequently, and with more severity.  Today we were introduced to something new.  The adrlien shot. Please any advise would be greatly apprectiated.  I get called on a daily bases to go to the school to give her a treatment.

Response:

- Hide quoted text — Show quoted text – Help! My five year old daughter has asthma.  My doctor says it is chronic asthma. What does chronic ashtma mean?  She has been in the hospital three times this year alone.  And I plan my vacation every year for augusta, because she hasn’t missed being hopitilized yet. Also, can anyone tell me when exactly it is time to give up and take her to the Emergency room.  We have a breathing machine.  My doctor says don’t be afraid to give her treatments up to 40 minutes a part.  I know they do this in the hospital, but I get scared when I start giving them that close together. We have gone from inhalers to the breathing machine and now she is on a preventive medicine twice a day as well as a steroid inhaler twice a day. It appears that it is getting worse, and the attacks are coming more frequently, and with more severity.  Today we were introduced to something new.  The adrlien shot. Please any advise would be greatly apprectiated.  I get called on a daily bases to go to the school to give her a treatment.

It sounds like your daughters asthma is not adequately controlled.She would benefit from being referred to a pediatric asthma specialist. Recommended book is ‘Children with Asthma: A Manual for Parents’ by Thomas Plaut, MD, c95, Pedipress $10 order by calling 1-800-611-6081 Dr Plaut is a pediatric asthma specialist in Amherst MA. It is recommended that a Peak Flow Meter be used to monitor lung condition at home (for children as young as 4). Green zone (80%) is OK, yellow zone (50-80%) is time for more medication per doctor approved Action Plan, red zone (<50%) is asthma episode needing much medical intervention. Your daughter should be evaluated for allergens like pollen, dust mite,etc. Environmental control like removing rugs or keeping pets out of bedroom may help asthma. The book explains these things. Also a good asthma doctor should explain all these things. The book explains all about asthma, Peak Flow Meter, medications, how to pick an asthma doctor, etc. Chronic asthma is a persistent or long-lasting type of asthma. Bronchial tubes swell making it hard to exhale.This is a reversible condition with medication. The adrenaline shot sounds a little unusual, I didn’t think it was used much for asthma anymore, but I don’t know the circumstance of its use. Ellis, not a doctor but a well informed asthmatic.

Response:

Help! My five year old daughter has asthma.  My doctor says it is chronic asthma. What does chronic ashtma mean?  She has been in the hospital three times this year alone.  And I plan my vacation every year for augusta, because she hasn’t missed being hopitilized yet.

Chronic means it’s fairly constant symptoms, rather than just an occasional flare. Also, can anyone tell me when exactly it is time to give up and take her to the Emergency room.  We have a breathing machine.  My doctor says don’t be afraid to give her treatments up to 40 minutes a part.  I know they do this in the hospital, but I get scared when I start giving them that close together.

I’ve had various recommendations from various doctors. Here’s what some of them said: Pediatrician at the Hospital: Don’t give a treatment less than 4 hours apart. If he needs it more often, go to the hospital where he can be monitored. Family Doctor: In general, try not to give treatments more often than every 4 hours. If he needs it more often, start him on Prelone. If you need to treat every 2 hours, take him to the hospital. If he’s really in trouble, give him a treatment before leaving home, no matter when the last treatment was. Pulmonologist: You really shouldn’t give breathing treatments at home more often than 3-4 hours apart. You could probably do it 2 hours apart for a short time to see if he pulls out of it. Otherwise, your child really needs to be monitored at the hospital — albuterol does make your heart race, and children are more volatile than adults. He feels that many asthma deaths are because of people waiting too long before heading for help. If my son needed a treatment every 40 minutes and wasn’t getting better, I would hardly have time to get us in the car, get to the hospital, get triaged, and get a treatment before his breathing was almost stopped. Because of where we live, an ambulance wouldn’t cut down the time much. EVERY time I’ve called the doctor’s office or an on-call nurse because I wasn’t sure whether to take him in, they said GET IN YOUR CAR AND GET TO THE HOSPITAL RIGHT NOW. We have gone from inhalers to the breathing machine and now she is on a preventive medicine twice a day as well as a steroid inhaler twice a day. It appears that it is getting worse, and the attacks are coming more frequently, and with more severity.  Today we were introduced to something new.  The adrlien shot.

Her asthma is out of control. She should be re-evalutated, and her preventive medications increased. Mary

Response:

Help! My five year old daughter has asthma.  My doctor says it is chronic asthma. What does chronic ashtma mean?  She has been in the hospital three times this year alone.  And I plan my vacation every year for augusta, because she hasn’t missed being hopitilized yet.

I’m not sure what your doctor meant but as far as I know _all_ asthma is chronic. Also, can anyone tell me when exactly it is time to give up and take her to the Emergency room.  We have a breathing machine.  My doctor says don’t be afraid to give her treatments up to 40 minutes a part.  I know they do this in the hospital, but I get scared when I start giving them that close together.

Your doctor should provide you with a _written_ action plan.  Get him to write down a list of instructions of what to do and when to do it. ‘Reply to’ address changed to foil email spammers.

Response:

- Hide quoted text — Show quoted text – Help! My five year old daughter has asthma.  My doctor says it is chronic asthma. What does chronic ashtma mean?  She has been in the hospital three times this year alone.  And I plan my vacation every year for augusta, because she hasn’t missed being hopitilized yet. Also, can anyone tell me when exactly it is time to give up and take her to the Emergency room.  We have a breathing machine.  My doctor says don’t be afraid to give her treatments up to 40 minutes a part.  I know they do this in the hospital, but I get scared when I start giving them that close together. We have gone from inhalers to the breathing machine and now she is on a preventive medicine twice a day as well as a steroid inhaler twice a day. It appears that it is getting worse, and the attacks are coming more frequently, and with more severity.  Today we were introduced to something new.  The adrlien shot. Please any advise would be greatly apprectiated.  I get called on a daily bases to go to the school to give her a treatment.

Talk to her doctor about an asthma  protocol: when to increase meds, when to come to the ER. The protocol should also include instructions to increase preventative medications at the first sign of a respiratory virus. Start teaching her to use a peak flow monitor so that you can have additional data to guide you. Look carefully ar her diet and environment for allergic asthma triggers – get her allergy tested for inhalant and food allergens. If she has allergies, she is also prone to sinusitis, which is a powerful asthma trigger. The pattern is something like this:         – child gets a respiratory virus         – coughing starts         – virus seems to improve         – child runs a small fever (sign of a sinusitis)         – coughing increases and asthma flares (sometimes           quite quickly) Antibiotics clear this up (sometimes takes strong antibiotics over a long stretch), and are sometimes used as preventatives. Better bet may be to use a steroid nasal spray on a daily basis to ease the chronic inflamation that leads to swelling and poor drainage that then leads to bacterial sinusitis when a cold comes along. — Mark Feblowitz,   GTE Laboratories Inc., 40 Sylvan Rd.  Waltham, MA 02254

Response:

Looking For Articles on Inhaled Steroid Dosages

Question:

To All: Thanks for the info on finding this stuff. BTW, I’ve also been referred to (and found) another excellent piece on the topic:  Peter J. Barnes, "Inhaled Glucocorticoids For Asthma", *New England Journal of Medicine* Vol. 332, No. 13, March 30, 1995 Jerome Harris

Response:

<<  Does anyone know how I might track these down (I’m not a college student, so I don’t have access to a medical library)? Any Internet sources? I’m also on AOL and CompuServe, but just starting to explore their resources in this area: The citations are: "Global Initiative On Asthma"; National Heart, Lung & Blood Institute (NIH) Publication # 95-3659, January 1995; "Flunisolide Aerosol For Treatment of Severe Chronic Asthma in Steroid-Independent Children" by Meltzer, Kemp, Orgel & Izu; *Pediatrics* Vol. 69, No. 3, March 1982   For the NHLBI article you can try the NIH home page at http://www.nih.gov/  or contact the NHLBI directly via snail-mail at NHLBI Information Center, P.O. Box 30105, Bethesda, MD 20824-0105.  Fax (301) 251-1223.  Phone (301) 251-1222. The article from Pediatrics can probably be found in the library of a local hospital.  You can get the abstract (a brief summary) via Medline which is available in the health section on AOL.

Response:

Sorry these were repeatedly posted.  Must have been a problem with my e-mail account.

Response:

Men–Who Needs Them?

Question:

I take a real exception to the statement that biological parents are the most committed and have the best outcome.  You are certainly entitled to your opinion but I work with adoptions and in fact have two adopted children and two biological children myself.  While many biological parents are committed, many are not and that’s exactly why I have a job!  In a lot of

Actually, I had already said a paragraph or so above that I thought those statistics could substitute the word "adoptive" for "biological". I would not hesitate to lump a couple who adopt a child together with a couple who plan a wanted child through biological means. I was talking more specifically about how difficult it is to get people to join into a relationship with a child who wasn’t there from the start. There seems to be some imperative to raise children that some have for their own children, but it doesn’t carry over to other people’s children. No one becomes an adoptive parent unless they are actively seeking to parent a child or children.  

Actually, I know at least one person who adopted their spouse’s kids from a prior marriage.  He made an awful step-parent, and the marriage failed. The kids have serious problems of the sort I relate to stepfathers. Raising children is hard, and not everyone is interested in it.  For whatever reasons, biological parents seem to be the most committed to

                     xxxxxxxxxx ^the original set of – Hide quoted text — Show quoted text – it (in general) and have the best outcome (in general).  That’s what I saw reflected in those statistics, and I have no trouble believing that. Wendy, who has two full sibs, 3 steps by another woman, 1 step by       another man, and a half brother who just found us 30 years       after the adoption…

Response:

How many times have you heard someone say that they don’t want to adopt a child; they want their *own* at any cost?  I personally don’t feel that way, but my husband had told me more than once that he has no interest in raising someone else’s children (even though he is a *wonderful* father to our own.)  

When you adopt, that child *becomes* your own.  It isn’t easier, in some ways it’s much more difficult than having birth children, but if you’re doing it right, that child bonds to you and you to her (a girl in our case). "Not flesh of my flesh, or bone of my bone,  But still, miraculously, my own.  Never forget for a single minute,  You didn’t grow under my heart,  But in it."   (unknown) Some of the children available for adoption have had their hearts broken by birth parents.  My daughter was one of those, she needed a mother so badly and is so thrilled and proud of her parents.  There are times she still fingers the cigarette burn scars and the knife scar and asks me WHY her birth mother did that to her. I believe that the number of foster children in state custody today shoots down the theory that biology is better. Mother of 3; one adoptive daughter, one homemade daughter and son  ;)

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Isn’t adoption wonderful?  I also have 2 biological children and two adopted ones.  It’s easy to blend them together and become one big happy family.  And I agree that adopting children isn’t as easy as having biological ones.  The physical problems of a pregnancy are missing but the emotional rollercoaster is awful.  Sometimes I get very angry when people tell me that I got my younger children the easy way.  They have no idea that it took us almost 15 years to locate Andy and another 7 to find Thiago.  Actually we did it in reverse.  When Andy was 7 we found his biological older brother living on the streets in Brasil after their biological mother had died and adopted him at 13 years old.  Now Andy is 9 and Thiago is 15.  They are happy, healthy and full members of our family.  They both receive special education services since they both have many learning disabilities and are ADHD and have Tourette’s Syndrome.  Our daughters have bonded with both boys and since they are now adults with their own families frequently invite the boys to sleep over so we can get a break from having two extremely active boys.  Yes, adoption does work and is worth it.  Is it for everyone?  No, but then neither is marriage or having any children at all regardless of birth or adoption.  Would I do it again?  Absolutely if I found the right child but no more babies, thank you. One of our daughters recently remarriage and has a 4 year old son.  Her husband has custody of his 4 year old daughter.  They are each busy completing step-parent adoptions for both children.  Not only does my daughter love her husband’s daughter, I am in love with my new granddaughter. How many times have you heard someone say that they don’t want to adopt a child; they want their *own* at any cost?  I personally don’t feel that way, but my husband had told me more than once that he has no interest in raising someone else’s children (even though he is a *wonderful* father to our own.)   When you adopt, that child *becomes* your own.  It isn’t easier, in some   ways it’s much more difficult than having birth children, but if you’re   doing it right, that child bonds to you and you to her (a girl in our

case). I have this poem framed in my younger son’s bedroom.  Isn’t it beautiful? "Not flesh of my flesh, or bone of my bone, But still, miraculously, my own. Never forget for a single minute, You didn’t grow under my heart, But in it."   (unknown)

Lois Paul Help The Children mother to Helene (26), Erica (25), Thiago (15), Andy (9), and grandmother to Joshua and Jessica (both 4 but not twins)

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How many times have you heard someone say that they don’t want to adopt a child; they want their *own* at any cost?  I personally Wendy, who has two full sibs, 3 steps by another woman, 1 step by       another man, and a half brother who just found us 30 years       after the adoption…

FWIW, I have one of my *own*, he is adopted, but he is just as much my *own* as a child could be!  My husband feels the same way. Joy Willinger Adoptive MOTHER to Samuel, 3/20/92, born in Quito Ecuador

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: I take a real exception to the statement that biological parents are the : most committed and have the best outcome……As a group, adoptive : parents are more highly educated and therefore are more open and able to : seek outside help (such as counseling) when problems arise.  The majority of Dear Lois, On the surface it would seem that your argument would have much merit.   However, my experience with the "adoption" world is not so positive to make me think that adoptive parents are all that much more motivated or committed as their counterparts. I am the biological father of one child and adoptive of two.  My son Izak came to me through a public adoption.  At about age 2 my son started showing some unusual behaviors which later proved to be autism.  Upon diagnosis, the social worker in charge of the adoption offered to us, to my utter amazement, to allow us to return the child to the custody of the state (where he would be wearhoused in an institution ala "Rainman" for the balance of his life.) "You gotta be kidding!" was my reaction.  I found myself getting a little angry that anyone would suggest I do such a thing.  "Oh no," said the social worker, "90% of parents opt to return the child with this kind of disabilty."  Well Izak is my son autism or no and I declined the offer.   This got me thinking about people who adopt children and their motives for doing so.  It would seem that to reject your child because he or she is not perfect is typical yuppie selfishness not a whole lot different from the rest of the population (who do not have the easy option of relinquishing their "imperfect" biological children without obligations.)   So I don’t buy the sainted stature of adopting parents over their biological reproducing counterparts. If you do happen to find parents who want to adopt handicapped children, please have them contact me and I will forward them to Adoption Advocates for Special Kids in Berekely, CA. Love, lenny — Abolish sigs.                                          

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In response to the comments about biological parents being the most committed — what is the point of comments like that?  Child abuse statistics are about the same for biological fathers and "step" fathers.   The only thing that really makes a difference with men is a study that said that men who participated in childcare before the child was 3 were significantly less likely to abuse (this study was sexual abuse) the children.           I think committment can be based on many things besides biology.  My son is very happy with with two households, one consisting of his biological father and the father’s girlfriend and the other consisting of his biological mother me, and my girlfriend.  All the adults in his life are committed to his health, happiness, security, and well-being if not to traditional ideas of parenthood. Gwendolyn

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Just wanted to add a generic answer to the question. It has been discussed in length already. My answer is short: My kids do.

Very well said!  I couldn’t agree with you more (and I’m a divorced female!) Janine Mommy to Mallory 8yo, Jocelyn 6yo, and Brooklyn 11.5 mos

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Just wanted to add a generic answer to the question. It has been discussed in length already. My answer is short: My kids do. FYI: my oldest daughter has been with (only) me since her biological mother decided to take off when she was three. My son has been with me since he was two years old. His father left him when his mother (now my wife) refused to abort him. The other two daughters we "made" together. 8-) BTW: Women – who needs them?  Judging from my experience, if its the right woman, my kids and I both do!

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Hi Lenny: I am also the parent to two biological daughters and two adopted sons.  My youngest son is extremely special needs but that wasn’t disclosed to us nor was it apparent at the time of the adoption.  If we had been told the truth about his family and prenatal background, we would have known that he was a very high-risk baby.  He has severe neurological damage because of the mother’s drug usage.  Because he was an international adoption, the offer to take him back was never made.  But we would have been appalled if it had.  Andy is our son, plain and simple.  I’m telling you this to you know that I understand exactly what you are saying. As for the families we work with, we try as much as possible to be sure that they will be able to unconditionally love the child they are planning to adopt even if the child isn’t perfect.  Occasionally, our agency isn’t given the complete history of the child so of course we can’t give it to the parents.  Or they do receive a healthy child only to have something go terribly wrong and they end up with a child with problems.  This is reality. To date, in the 9 years Help The Children has been in existence, we’ve never had a parent want to "return" a child and we do place many special children so I would say that we do a good job of screening.   I am the biological father of one child and adoptive of two.  My son Izak   came to me through a public adoption.  At about age 2 my son started   showing some unusual behaviors which later proved to be autism.  Upon   diagnosis, the social worker in charge of the adoption offered to us, to   my utter amazement, to allow us to return the child to the custody of the   state (where he would be wearhoused in an institution ala "Rainman" for   the balance of his life.)

I know about AASK and have referred a few families to them but we do have our own special children.  In just the last 2 months, we’ve matched 7 special international children and are waiting for the foreign officials to approve the families. If you do happen to find parents who want to adopt handicapped children,   please have them contact me and I will forward them to Adoption Advocates   for Special Kids in Berekely, CA.

Lois Paul Help The Children

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: : : These statistics would be more meaningful if we knew how the : sample population was picked, and whether the problems indicated : happened before the parents split, after, or both.  Also, does : Single mother parent imply that no man was EVER present or currently : involved with the child, or just that they were never legally married? : Without additional info, we might just as validly infer that kids with : educational problems cause divorce. : IMHO the meaning of these statistics is absolutely common-sensical, and : querying sampling methods or causal links as though we were discussing : time-reversal in astrophysics, is otiose. Is it because a clique of inverts : has hijacked the women’s movement into inappropriate misanthropy, that such : blindingly obvious statistics as these jar politically-correct sensibilities : into nit-picking about details instead of raising the alarm? : It’s obviously time for a post-feminist reappraisal of biological : fatherhood, and for fathers to reassert their children’s rights to two real : parents.   : No, it’s only common sensical if you come at it with a preconceived notion, : such as two bio parents are ALWAYS good for the children.   Dear Pandora, For me the purpose of gathering and studying these statistics is not to assess blame on ANY group in society for the harm visited upon kids.   What has to happen is the end of the incessant men and father bashing that is primary propaganda device employed by the gender supremacists who have taken over the women’s equality movement and their apologists. NOW has launched a sustained campaign here in California to have fathers marginalized in the lives of their children around divorce situations. Bill after bill has been introduced (and defeated) by this bunch who seek to legislate their distorted definitions of equality at the expense of fatherhood.  They have sought to restrict custodial and visitation by fathers.  Their rational includes "who really NEEDS fathers anyway?" And I hear the chorus chime in: I hear gender feminists proclaim: "Who Needs Fathers?" I hear lesbian couples wanting to adopt proclaim:  "Who Needs Fathers?" I hear Single Mothers by Choice proclaim:  "Who Needs Fathers?" I hear fictional hollywood characters prclaim  "Who Needs Fathers?" I hear welfare laws suggest to teenage mothers:  "Who Needs Fathers?" Well damn it, children do.  children do.  children do.  children do. children do.  Where does this anti-fathers, Black Widow mentality spring from?   Now where do you think these feminists got their first taste of blood re-engineering the family to fit their orthodoxy?  Ironic that some of the same "progressive" crowd now wants to adopt. This is not about blaming single mothers.  It is about battling those who would promote the disposability of fatherhood as an ideology. Love, lenny — Abolish sigs.                                          

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– Hide quoted text — Show quoted text – These statistics would be more meaningful if we knew how the sample population was picked, and whether the problems indicated happened before the parents split, after, or both.  Also, does Single mother parent imply that no man was EVER present or currently involved with the child, or just that they were never legally married? Without additional info, we might just as validly infer that kids with educational problems cause divorce. IMHO the meaning of these statistics is absolutely common-sensical, and querying sampling methods or causal links as though we were discussing time-reversal in astrophysics, is otiose. Is it because a clique of inverts has hijacked the women’s movement into inappropriate misanthropy, that such blindingly obvious statistics as these jar politically-correct sensibilities into nit-picking about details instead of raising the alarm? It’s obviously time for a post-feminist reappraisal of biological fatherhood, and for fathers to reassert their children’s rights to two real parents.  

No, it’s only common sensical if you come at it with a preconceived notion, such as two bio parents are ALWAYS good for the children.  Factor A and Factor B may have a relationship, such as a single mother has a lower socioeconomic level which make her and her children’s life more stressful.  Being poor is stressful for anyone whether they have both biological parents or not.  Did they adjust for this?   Each case and each child is unique.  In some (probably many) one single happy parent (or two single happy parents, one of whom does not live with them) is much better than two miserable parents who are married to each other.   Sometimes even BOTH bio parents are totally inappropriate – in my state of Arizona last week a twin boy and girl were burned badly (80% of their body, I think) when their drug addicted parents let the house burn. In any case, let’s not get into a "blame the mother" mentality here.  I imagine many of these ’single mother, never married’s and ’single mother, divorced’s would LIKE to have dad around but for some reason or another he skipped out on his responsiblitly, divorcing her or never marrying her in the first place.   She would love to provide her children with a father and a more stable condition but the father didn’t want to do that and so she is doing the best she can to provide, and doesn’t need studies like this (except maybe to convince dad to stay?)  

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What’s the saying, there are lies, damn lies, then statistics… But can’t we agree that having two biological parents raise a child is a fine thing to shoot for?  Obviously it doesn’t always work.  Just as breastfeeding doesn’t always work.  But that doesn’t mean that one isn’t "better" in an objective sense for the great mass of humanity.

Given that each of the biological parents are good parents, I’d say yes. But one good parent is better than 2 bad ones. I see this all the time in my kids’ friends parents…2 parents, both of whom treat the kid like an inconvenience, like something that has to be put up with instead of treasured.  They leave the kids home alone for the most trivial reasons.  The kids can do no right.  They can get no attention. Yet all the time the parents bitch about how tough it is raising kids, how terrible their lives have become because of their kids. No, I’ll take quality over quantity any day.                                                 Ben Weber

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I take a real exception to the statement that biological parents are the most committed and have the best outcome.  You are certainly entitled to your opinion but I work with adoptions and in fact have two adopted children and two biological children myself.  While many biological parents are committed, many are not and that’s exactly why I have a job!  In a lot of cases (certainly not all), a biological parent becomes a parent because it just happens (wanted or not).  No one becomes an adoptive parent unless they are actively seeking to parent a child or children.  As a group, adoptive parents are more highly educated and therefore are more open and able to seek outside help (such as counseling) when problems arise.  The majority of adoptees (as adults) are happy, healthy, well educated, and productive members of society.  Perhaps you need to take a look at all of the statistics regarding this. Lois Paul Help The Children – Hide quoted text — Show quoted text -Raising children is hard, and not everyone is interested in it.  For whatever reasons, biological parents seem to be the most committed to it (in general) and have the best outcome (in general).  That’s what I saw reflected in those statistics, and I have no trouble believing that. Wendy, who has two full sibs, 3 steps by another woman, 1 step by       another man, and a half brother who just found us 30 years       after the adoption…

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What’s the saying, there are lies, damn lies, then statistics… But can’t we agree that having two biological parents raise a child is a fine thing to shoot for?  Obviously it doesn’t always work.  Just as breastfeeding doesn’t always work.  But that doesn’t mean that one isn’t "better" in an objective sense for the great mass of humanity. I’ve read a hilarious essay by Ellen Goodman in which she proclaims that every family really needs three adults, and those poor two-adult families are truly disadvantaged.  I couldn’t argue with a word she said! In general I think you can replace the word "biological" with "adoptive", but I think we should pause a moment to reflect on the nature of the parent/child relationship.  You can argue with me about this, but I think that the relationship is remarkably unbalanced; we give and give and give, and the kids take and take and take.  There are particularly strong urges that make me want to mother and raise my children, but I can’t expect that some other adult will feel the same way about entering into such a lopsided relationship.  (This is *not* to say that some men can’t commit to the children; obviously some do!) How many times have you heard someone say that they don’t want to adopt a child; they want their *own* at any cost?  I personally don’t feel that way, but my husband had told me more than once that he has no interest in raising someone else’s children (even though he is a *wonderful* father to our own.)   Raising children is hard, and not everyone is interested in it.  For whatever reasons, biological parents seem to be the most committed to it (in general) and have the best outcome (in general).  That’s what I saw reflected in those statistics, and I have no trouble believing that. Wendy, who has two full sibs, 3 steps by another woman, 1 step by        another man, and a half brother who just found us 30 years        after the adoption…

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IMHO the meaning of these statistics is absolutely common-sensical, and querying sampling methods or causal links as though we were discussing time-reversal in astrophysics, is otiose. Is it because a clique of inverts has hijacked the women’s movement into inappropriate misanthropy, that such blindingly obvious statistics as these jar politically-correct sensibilities into nit-picking about details instead of raising the alarm? It’s obviously time for a post-feminist reappraisal of biological fatherhood, and for fathers to reassert their children’s rights to two real parents.  

Whether the conclusions are true or false, the statistics as presented are meaningless.  Period.  One draws conclusions from valid statistics…one does not justify invalid statistics with prejudices.                                                 Ben Weber                                                 AT&T NS "Otiose is as otiose does"…from "Forrest Gump, the Sequel"

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: Bless you Mary Ellen!!!  There is another woman alive going through the exact : same thing that I am.  those statistics are utterly deplorable!!!   Some have raised some interesting questions about the information presented and I will forward them to David Garrod and see if I can come up with some answers.  However, nothing said so far has rendered the report as being false.  In fact, it corresponds to a number of other similar studies which admittedly only high lights correlations.  However, this does match  with my far less scientific personal anecdotal experience–not to mention that it makes sense (to me). In my : opinion, there is a strong difference between "Daddy" and "Father".  My SO is : Daddy!  My daughter’s father is "sperm donor", he doesn’t even deserve the : reference of father.   I know what you speak about Keli, I am not the biological father of my two younger kids who are adopted.  I couldn’t possibly be more of a dad, or love them more than I do now. Love, lenny — Abolish sigs.                                          

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These statistics would be more meaningful if we knew how the sample population was picked, and whether the problems indicated happened before the parents split, after, or both.  Also, does Single mother parent imply that no man was EVER present or currently involved with the child, or just that they were never legally married? Without additional info, we might just as validly infer that kids with educational problems cause divorce.

IMHO the meaning of these statistics is absolutely common-sensical, and querying sampling methods or causal links as though we were discussing time-reversal in astrophysics, is otiose. Is it because a clique of inverts has hijacked the women’s movement into inappropriate misanthropy, that such blindingly obvious statistics as these jar politically-correct sensibilities into nit-picking about details instead of raising the alarm? It’s obviously time for a post-feminist reappraisal of biological fatherhood, and for fathers to reassert their children’s rights to two real parents.  

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Bless you Mary Ellen!!!  There is another woman alive going through the exact same thing that I am.  those statistics are utterly deplorable!!!   In my opinion, there is a strong difference between "Daddy" and "Father".  My SO is Daddy!  My daughter’s father is "sperm donor", he doesn’t even deserve the reference of father.  Thank you, thank you, thank you!!!  Keep up the good work :) !!! Keli

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Is it just me, or are there a couple of categories missing here: ex:  single mother (widowed), single father (never married) single father (divorced) single father (widowed). BTW:  are you all ever going to find something else to argue about?  This is getting really dull. Kelly  (go ahead–flame me–see if I care :) )

I’m not going to flame you I am going to saw he left out a LOT. Ex. bio parents where the father is an alcoholic irresponsible, immature jerk. Yeah my 5 year old was in counseling when her father and I were married because she had accidents on a daily basis after being potty trained for QUITE some time. Also she had severe emotional problems. We’re divorced and I have custody and she is a happy healthy well adjusted 8 year old. Let’s be tolerant of each other instead of throwing meaningless statistics at those of us who struggle to keep our kids happy and healthy when their own fathers don’t give a damn! I don’t think all men are terrible but I do not think that a sperm donor (and we’re not talking AI here either) makes a father. A father is one who loves their children and supports them in whatever they may need within reason. A father DOES not use the children as pawns against their mother. A father’s main goal should be to ensure that his children grow up to be health happy well rounded adults. Thus said I think my SO makes a MUCH better parent then my ex could ever hope to do. Why? He thinks of them, he listens to them and most of all he loves them just because they are who they are. He’s been there for me and them when it’s been inconvienant for him, just like a real parent. Their dad? His response when they call and ask to spend time with him is to either 1)Not call back or 2)Tell them it’s not "convienant" mostly because he needs to babysit his girlfriends kids.

(bunch of biased statistics deleted) — q Mary Ellen Froning                   In women hot flashes are surges of POWER

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– Hide quoted text — Show quoted text – (forwarded from David Garrod) Source: U.S. DHHS, Public Health Services Report, June 1991 from CDC, Hyattsville, MD. (Number of single father parents insignificant) Single mother parent (divorced)        5.9% Single mother parent (never married)   5.0% Mother and Step-father                 4.8% Both bio-parents                       3.9% Asthma is strongly correlated with parental smoking.  Smoking is strongly correlated to socioeconomic level.  Single parenthood is also correlated with socioeconomic level.  You can argue which way the causitive relationship works in that last one, but basically, the poorer you are, the more likely you are to have children early & as an unwed mother.  Thus, Asthma is basically tied to socioeconomics, which also happens to be tied to incidence of unwed births…it isn’t that not having a father (per se) does damage to one’s lungs.  

As I undersand it, asthma is also correlated to anxiety levels. And smoke, of course. My wife has asthma, and it kicks up when around cologne, smoke, or during a stressful period. The stats given in the original post don’t say why any of this is caused, nor do they judge the circumstances or individuals represented in each category. I’d offer a guess that those in lower socio-economic levels, over-burdened single parents, or those facing adjustment factors involved in a blended family experience higher stress levels, and thus there may arise a correlation to higher incidence of asthma and other illnesses. —  Web home page — http://www.rahul.net/thinker

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– Hide quoted text — Show quoted text – (forwarded from David Garrod) Source: U.S. DHHS, Public Health Services Report, June 1991 from CDC, Hyattsville, MD. (Number of single father parents insignificant) Percent of children 5 – 17 years of age, who had ever experienced academic problems as a percent of children in that category. Needed special parent-teacher conference: Single mother parent (never married) 27.6% Single mother parent (divorced)      21.3% Mother and Step-father               22.9% Both bio-parents                     13.3%

These statistics would be more meaningful if we knew how the sample population was picked, and whether the problems indicated happened before the parents split, after, or both.  Also, does Single mother parent imply that no man was EVER present or currently involved with the child, or just that they were never legally married? Without additional info, we might just as validly infer that kids with educational problems cause divorce.                                                       Ben Weber                                                       AT&T NS

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Is it just me, or are there a couple of categories missing here: ex:  single mother (widowed), single father (never married) single father (divorced) single father (widowed). BTW:  are you all ever going to find something else to argue about?  This is getting really dull. Kelly  (go ahead–flame me–see if I care :) ) – Hide quoted text — Show quoted text – (forwarded from David Garrod) Source: U.S. DHHS, Public Health Services Report, June 1991 from CDC, Hyattsville, MD. (Number of single father parents insignificant) Percent of children 5 – 17 years of age, who had ever experienced academic problems as a percent of children in that category. Needed special parent-teacher conference: Single mother parent (never married) 27.6% Single mother parent (divorced)      21.3% Mother and Step-father               22.9% Both bio-parents                     13.3% Repeat Grade of School: Single mother parent (never married) 29.7% Single mother parent (divorced)      21.5% Mother and Step-father               21.7% Both bio-parents                     11.5% Suspended of Expelled: Single mother parent (never married) 15.3% Single mother parent (divorced)      10.7% Mother and Step-father                8.8% Both bio-parents                      4.4% Percent of children 3 – 17 years of age, who were treated for emotional problem or behavioral problems in 1988, by family category. Single mother parent (divorced)  8.8% Single mother parent (never married) 4.4% Mother and Step-father   6.6% both biological parents  2.7% Percent of children under 17 years of age, who had health problems in 1988, as a percent of children in that category: Accident, injury or poisoning: Mother and Step-father                17.7% Single mother parent (divorced)       17.1% Single mother parent (never married)  13.4% Both bio-parents                       9.1% Frequent headaches: Mother and Step-father                 5.0% Single mother parent (divorced)        4.1% Single mother parent (never married)   2.3% Both bio-parents                       2.5% Stammer or speech defect: Single mother parent (never married)   4.3% Single mother parent (divorced)        3.2% Mother and Step-father                 2.4% Both bio-parents                       2.3% Chronic enuresis (bed-wetting): Mother and Step-father                 3.0% Single Mother parent (divorced)        2.9% Single mother parent (never married)   2.3% Both bio-parents                       2.3% Chronic Asthma: Single mother parent (divorced)        5.9% Single mother parent (never married)   5.0% Mother and Step-father                 4.8% Both bio-parents                       3.9% Percent of children 5 – 17 years of age with specific behavioral problems, as percent of children in that category: Headstrong Behavior: Mother and Step-father                62.7% Single mother parent (divorced)       58.1% Both bio-parents                      43.4% Single mother parent (never-married)  42.3% Antisocial behavior: Mother and Step-father                43.9% Single mother parent (divorced)       40.4% Single mother parent (never married)  33.6% Both bio-parents                      23.8% Dependency: Single mother parent (never married)  21.4% Single mother parent (divorced)       20.75 Mother and Step-father                19.6% Both bio-parents                      15.0% Peer Conflict or Social Withdrawal: Mother and Step-father                19.2% Single mother parent (divorced)       16.5% Single mother parent (never married)  14.4% Both bio-parents                       9.5% David Garrod — Abolish sigs.                                          

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(forwarded from David Garrod) Source: U.S. DHHS, Public Health Services Report, June 1991 from CDC, Hyattsville, MD. (Number of single father parents insignificant) Percent of children 5 – 17 years of age, who had ever experienced academic problems as a percent of children in that category.

Just be careful not to confuse *correlation* with *causitive relationship*.  The following example is a good case in point: Chronic Asthma: Single mother parent (divorced)        5.9% Single mother parent (never married)   5.0% Mother and Step-father                 4.8% Both bio-parents                       3.9%

Asthma is strongly correlated with parental smoking.  Smoking is strongly correlated to socioeconomic level.  Single parenthood is also correlated with socioeconomic level.  You can argue which way the causitive relationship works in that last one, but basically, the poorer you are, the more likely you are to have children early & as an unwed mother.  Thus, Asthma is basically tied to socioeconomics, which also happens to be tied to incidence of unwed births…it isn’t that not having a father (per se) does damage to one’s lungs.   Sue

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(forwarded from David Garrod) Source: U.S. DHHS, Public Health Services Report, June 1991 from CDC, Hyattsville, MD. (Number of single father parents insignificant) Percent of children 5 – 17 years of age, who had ever experienced academic problems as a percent of children in that category. Needed special parent-teacher conference: Single mother parent (never married) 27.6% Single mother parent (divorced)      21.3% Mother and Step-father               22.9% Both bio-parents                     13.3% Repeat Grade of School: Single mother parent (never married) 29.7% Single mother parent (divorced)      21.5% Mother and Step-father               21.7% Both bio-parents                     11.5% Suspended of Expelled: Single mother parent (never married) 15.3% Single mother parent (divorced)      10.7% Mother and Step-father                8.8% Both bio-parents                      4.4% Percent of children 3 – 17 years of age, who were treated for emotional problem or behavioral problems in 1988, by family category. Single mother parent (divorced)  8.8% Single mother parent (never married) 4.4% Mother and Step-father   6.6% both biological parents  2.7% Percent of children under 17 years of age, who had health problems in 1988, as a percent of children in that category: Accident, injury or poisoning: Mother and Step-father                17.7% Single mother parent (divorced)       17.1% Single mother parent (never married)  13.4% Both bio-parents                       9.1% Frequent headaches: Mother and Step-father                 5.0% Single mother parent (divorced)        4.1% Single mother parent (never married)   2.3% Both bio-parents                       2.5% Stammer or speech defect: Single mother parent (never married)   4.3% Single mother parent (divorced)        3.2% Mother and Step-father                 2.4% Both bio-parents                       2.3% Chronic enuresis (bed-wetting): Mother and Step-father                 3.0% Single Mother parent (divorced)        2.9% Single mother parent (never married)   2.3% Both bio-parents                       2.3% Chronic Asthma: Single mother parent (divorced)        5.9% Single mother parent (never married)   5.0% Mother and Step-father                 4.8% Both bio-parents                       3.9% Percent of children 5 – 17 years of age with specific behavioral problems, as percent of children in that category: Headstrong Behavior: Mother and Step-father                62.7% Single mother parent (divorced)       58.1% Both bio-parents                      43.4% Single mother parent (never-married)  42.3% Antisocial behavior: Mother and Step-father                43.9% Single mother parent (divorced)       40.4% Single mother parent (never married)  33.6% Both bio-parents                      23.8% Dependency: Single mother parent (never married)  21.4% Single mother parent (divorced)       20.75 Mother and Step-father                19.6% Both bio-parents                      15.0% Peer Conflict or Social Withdrawal: Mother and Step-father                19.2% Single mother parent (divorced)       16.5% Single mother parent (never married)  14.4% Both bio-parents                       9.5% David Garrod — Abolish sigs.                                          

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Dust Mites

Question:

: : Our 5 year old daughter has asthma ie provental, beclovent, slo-bid… : today she was skin tested for allergies and the dust mite was the only : thing that she tested positive. Has anyone out there out witted the dust : mite! Has anyone actually improved as a result of all the anti-dust mite : precautions. What about other person’s houses??? : – : : : Our 5 year old daughter also has asthma and tested positive for dust mites and we’ve had much success with those mattress and pillow encasings. Much more success than I would’ve thought possible.  She used to wake every night coughing, now it’s only occassional. She’s also on Intal, but I noticed the reduction in night coughing before the Intal had a chance to take hold. We haven’t had to remove carpets or get air filters (yet?) since she improved. We also put filters over the heat vent in her room.  I’ve got the info from the supply company if you want it, let me know. -Linda psu03610.odin.cc.pdx.edu  (I don’t know how to edit the stuff that follows – sorry!!) : You can fight dust-mites to a draw, but you will never win. : I have no carpeting in the house, NONE!  Every floor is : damp-mopped daily (great CV workout!).  Every surface is : wiped down with a damp rag daily (fewer knick-knacks : help a lot with this.)  The furniture is cleaned monthly, : and vacuumed weekly.  The mattresses are all sealed. : The air system is HEPA filtered. : This will be a royal pain — and a major change — : at first; but I will testify that it has made a world : of difference in my breathing. : Chris Owens

Response:

Our 5 year old daughter has asthma ie provental, beclovent, slo-bid… today she was skin tested for allergies and the dust mite was the only thing that she tested positive. Has anyone out there out witted the dust mite! Has anyone actually improved as a result of all the anti-dust mite precautions. What about other person’s houses??? – check out our ewb site at the branch mall (http://www.branch.com)

and look for Miele vacuum cleaners. Selected by the University of Virginia’s Allergy & Immunolgy Division as the best for people who suffer from allergies and asthma. These machines can help your daughter.

Response:

Our 5 year old daughter has asthma ie provental, beclovent, slo-bid… today she was skin tested for allergies and the dust mite was the only thing that she tested positive. Has anyone out there out witted the dust mite! Has anyone actually improved as a result of all the anti-dust mite precautions. What about other person’s houses??? –

You can fight dust-mites to a draw, but you will never win. I have no carpeting in the house, NONE!  Every floor is damp-mopped daily (great CV workout!).  Every surface is wiped down with a damp rag daily (fewer knick-knacks help a lot with this.)  The furniture is cleaned monthly, and vacuumed weekly.  The mattresses are all sealed. The air system is HEPA filtered. This will be a royal pain — and a major change — at first; but I will testify that it has made a world of difference in my breathing. Chris Owens

Response:

Our 5 year old daughter has asthma ie provental, beclovent, slo-bid… today she was skin tested for allergies and the dust mite was the only thing that she tested positive. Has anyone out there out witted the dust mite! Has anyone actually improved as a result of all the anti-dust mite precautions. What about other person’s houses??? –

Response:

: Our 5 year old daughter has asthma ie provental, beclovent, slo-bid… : today she was skin tested for allergies and the dust mite was the only : thing that she tested positive. Has anyone out there out witted the dust : mite! Has anyone actually improved as a result of all the anti-dust mite : precautions. What about other person’s houses??? : – I don’t know if you can ever totally beat dust mites, but you owe it to your little girl to try.  Some things to try:  get rid of stuffed animals (or place them in a pillowcase in the freezer for 4 days to kill dust mites); get rid of as much carpeting as you can; get an HEPA filter for her bedroom and any other rooms where she spends a lot of time; no feather pillows or comforters for her; get a vaccuum cleaner like the Miele that is designed to keep allergens in the bag, not in the air; if her allergy is severe enough to give her chronic asthma, maybe she shouldn’t spend the night at someone else’s house.   I’m allergic to dust mites and I found that the HEPA filter is invaluable and   so was getting rid of feather pillows.  It’s awful when you can feel the dust mites entering your lungs as you inhale.  You can encase her mattress with special materials your allergist can tell you about. It’s sad when little children have to deal with all this stuff–how is she dealing with the Slo-bid? It always gave me the shakes. Good luck to you all! Marcy Tanter R

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