Choosing the Way You Die

How would you like to die?

Would you like to die rich, fighting for every breath while tethered to every conceivable life support system in the medical world? You are surrounded by lawyers, accountants, relatives, and heck, even distant relatives wishing that you would either pass or not. Or would you like to die a poor man, with not a single cent to your name, with only four or five family members attending your funeral? The cheap white casket gleams with the 15 watt fluorescent bulb at the sides, while daisies and mums adorn your surroundings. Guests are served $10 biscuits.

Danny, don't write about this, nobody in the nine hells cares or wishes to read something negative, something utterly dark and forlorn, something that most people would rather like to delude themselves about or pretend to not exist. As I prevent my fingers from doing their dreary dance on the keyboard, I am reminded that the whole point of trying to quit smoking is to try and stop myself from dying. Every puff, every breath, and every stick is a dreary number deducted from the total I will have. Be it thirty-two years, forty, fifty or god forbid 90 years, I am going to die one day. With smoking, that death becomes more painful for me and my family. But open your mind and think about this for a while: who really knows how they're going to die or when?

Save for those who end their lives prematurely, nobody does. It is something beyond our control even with the most stringent of measures applied. Even legendary visionaries in the known world have no control over this phenomenon of mortality. How did Steve Jobs die? Pancreatic cancer. Did he have the means to prevent it? Maybe yes, maybe no. He certainly had the wherewithal to make the event at least comfortable. There are no accounts to indicate that he was a smoker, drinker, or that he suffered from any other terminal addictions. Some even say he was a fruitarian. But he did die of the dreaded disease nonetheless. The argument is weak, I know. And if we put science into the equation, we know that it's just a matter of statistical probability. Our circumstances, habits, environment and genes all play a role in something that we cannot really factor in. At least, not just yet.

So why should we stop smoking if we are going to die nonetheless?

More Women Found to Have COPD

For the more than 12 million people who suffer from chronic obstructive pulmonary disease or COPD it is poorly understood. It is several ailments that are characterized by airflow obstructions which includes emphysema, chronic asthmatic bronchitis and chronic bronchitis. Many who have COPD don't even know it.

According to the National Heart, Lung and Blood Institute(NHLBI) these respitory diseases are the fourth leading cause of death after heart disease, cancer and strokes. COPD symptoms are very much like viral respiratory illnesses but if wheezing, shortness of breath, chest tightness, and coughing that produces mucus are being suffered by you seeing your doctor is very important for early treatment is key in managing COPD effectively.

Unfortunately there is no cure for COPD but there are medications that will dilate airways and reduce inflammation and exercises to lessen symptoms and strenghthen the lungs.

More women are smoking now days and more women are being found to have the disease. They decline faster than men. And women that smoke the same amount as men are more likely to have greater loss in lung function. This is probably because women's lungs are usually smaller than men's.

Usually COPD is more common in seniors but if they smoke people younger than 65 can develope the disease. A person who started smoking in their teens can develope shortness of breath and wheezing in their 30's or 40's. There may be the early signs of bronchitis or emphazema in the lungs even before the signs of COPD become apparent. For common cancers and heart disease death rates are actually going down but the rates for COPD sufferers are going up. With proper medications and treatments people with COPD can do pretty well but others can develope heart disease and death from respiratory failure. COPD is now the leading cause of death in the U.S.

The life expectancy of a COPD patient can improve drastically if they give up smoking, change their lifestyle, take up a healthy diet, take medication and get on a exercise program. There is less strain on the lungs if the patient also loses some weight. If the patient stops smoking they will prevent more damage to the lungs and they start breathing better.

Ninety percent of COPD patients are smokers. Quitting will make a difference even if the patient has smoked for many years. COPD patients don't all have to use oxygen 24/7. Some with less severe cases only need the oxygen when they are exercizing or sleeping. Taking a spirometry test for lung function can determine if oxygen is needed or not. Those with less than 90% oxygen saturation in their lungs will need supplemental oxygen. Breathing may sap the strength of a COPD patient and they may lose muscle mass and can even become emaciated so they need more daily calories. A healthy diet of fruits and vegetables, and lean protein. This may also prevent malnutrition.

It is a good idea for the COPD patient to talk to their doctor about an exercise program tailored to their particular needs. Low impact exercise such as aerobic conditioning, light weight lifting, tread mill, stationary bikes, walking and swimming will help to strengthen the muscles in the lungs. They will want to build up endurance working slowly and sustain what they are able to do. When exercising outdoors they don't want the air to be too dry, too cold or too wet.

According to a 2009 study of the Journal of Cardiopulmonary Rehabilitation and Prevention those who practice deep breathing, power breathing, slow abdominal breathing experience less shortness of breath and increased oxygen absorption.It is recommended that COPD patients get a yearly flu shot, vaccine for pneumococcal infections and booster for pertussis (whooping cough).

Traveling With COPD

Traveling with COPD means doing your homework ahead of time. Airline, buslines and trains may have different regulations regarding breathing and oxygen equipment. So it is best to know ahead of time what is expected of you and what your options are.

Amtrak allows portable oxygen only. Buslines allow them also. If traveling internationally by bus use carry on incase of lost luggage or delays.

Check for the altitude in the area where you are going because in higher altitudes you will want to exercise lighter and will use extra oxygen. Avoid smoggy areas such as Phoenix, Pittsburgh and Los Angelos. When traveling inside a car you may want to use the air conditioning and keep the windows up to avoid smog and exhause fumes that will irritate your lungs.

You will want to call the airlines help desk ahead of time to get permission from the carrier for use of a airline allowed oxygen compressor. You won't be able to sue your own on the plane. You will need to show medical necessity and get permission from the carrier. This will need to be done atleast 48 hours before the flight. It is a very good idea to arrive at the airport early. This part of the trip may be the hardest on a COPD patient due to all the walking, going through the screening and getting to the plane on time. Some carriers expect you to be there an hour early. You will have to get into the special screening line and have your equipment checked through airport security checkpoints.

The Transportation Security Agency does allow nebulizers and respirators and such respiratory related equipment. You will have to have a doctor's note to show necessity to remain connected to an oxygen compressor while you go through the screening and until you get to the gate. After that your will need to change to a concentrator on the plane. You will also need to arrange for a person to pick up the compressor equipment at the gate. This has to be arranged 48 hours ahead of time. If you are having someone meet you at your destination or at a layover this same rule applies. Oxygen rules for international carriers vary so it is important to do your homework.

It is a good idea to have all of the equipment that you use checked before you leave. There are battery operated concentrators that are about the size of a laptop and weigh about 15-20 pounds. Battery power of 150% of your scheduled flight time is required by The Federal Aviation Administration.

High altitudes can trigger shortness so it is a good idea to discuss your destination with with your doctor. The air being thinner at higher altitudes makes oxygen concentration s lower. You may feel sleepy and your blood oxygen levels go out of whack. You may want to check with your airlines because some limits the amount of canisters they allow. And you may want to check with your medical supplier for branches you can visit along the way. This is if you are using compressed air tanks. Or if you have a malfunction with any of your equipment.

If you have allergies you may want to ask for a allergy free room when booking your hotel. Some hotels such as The Hilton offer them. They mean that extra care has been taken to reduce dust and other allergens. Hypoallergic linens, wood flooring, and shades are extra clean in these rooms.

If you plan to be cruising you will want to contact the cruise company 4-6 weeks ahead of time for advance arrangements to use oxygen. You will want to get a letter from your doctor with a brief health history and your most recent oxygen prescription to meet the ship's requirements. In case of an emergency you may want to have a copy of this letter available for the onboard doctor. Cruise ships will be banning smoking in their cabins beginning in 2013. Check with the cruise line because some are still allowing it. Experts advise COPD patients to take copies of their prescriptions, extra medication incase of delays or being stranded. Names of local doctors and numbers for your insurance companies and health care providers, a note from your doctor detailing your oxygen needs and a brief history of your conditions. Hand sanitizers and wipes just incase there are other passengers on board who are sick. All medications, bronchodilators and nebulizers should be in your carry on incase of lost luggage or delays.

If you check ahead and do your homework. then you should have an enjoyable vacation.

Russian Roulette

Nicotine is popularly known as the addictive compound contained in cigarettes and that's how the market for Nicotine patches and Nicotine gum developed. So, yes, NICOTINE is popularly known but not popularly understood from a scientific perspective, nor from the latest anthropological finding; so let the scholarly adventure begin:

 

I have been pondering for several weeks about this substance called nicotine: What is it? Where does it come from? How long has it been around? And finally, How harmful  is it really?

 

As most good researchers probably assume, the answers have been coming to me in a sychronistic manner. Today's research is intended to be part 1 of a trilogy.

 First, a Merriam webster definition of the popular word Nicotine: a poisonous alkaloid C10H14N2 that is the chief active principle of tobacco and is used as an insecticide.

So never mind that it is addictive, (which does not seem to phase most smokers anyway). What did I just  read?  POISONOUS. And was that INSECTICIDE? The medical definition also stresses the poisonous nature of nicotine, and the fact that it is used as an insecticide. Those two words alone should steer away any smoker who has an ounce of common sense.

  All environmentalists and nature conservationists remember the admirable work of Rachel Carson published as Silent Spring in 1962. Thanks to her relentless efforts, the deadly effects of  insecticides on plants, waterways and humans were documented, and now many  insecticides such as DDT have been outlawed and some others are being carefully regulated. So what's the link? Well,  if DDT is harmful to animals, water, plants and humans, why would anyone want to expose himself to the insecticide-in-disguise called NICOTINE. The American Chemical Society explains this very well,

"Chemicals that don't outright kill, can accumulate in fat tissues causing medical problems." In addition to: "Chemicals can be transferred generationally from mothers to their young".

 So even if you don't feel sick, you may be still carrying some serious dormant medical problems from just waiting on your stubbornness to quit doing it's ravaging job on your health. After all, why would anyone want to play Russian Roulette and  find out about that one fateful cigarette that ignited it all, after all the times that nothing happened. It could be your fatal bullet.

 

COPD and Managing Allergies

Having COPD and allergies gives you added respitory problems. The two aren’t related, but having allergies can worsen your COPD symptoms. With allergies the COPD patient has a lot to fight. Coughing and wheezing increase as well as the mucos builds up and viruses and bacteria can settle in airways. These things can need immediate medical attention and increases the likelihood of life-threatening flare-ups. Read more

Walking to a Better Life With COPD

Experts say that even people with COPD still need to keep moving. The balloon-like sacs in the lungs have lost their elasticity, leaving the patient wheezing, coughing and gasping for breath. So gardening or pushing a cart at the grocery store can be difficult. And though there is no cure for the disease, there are things such as inhaled medication that can make the patient more comfortable. There is one other thing that will ease the ongoing breathing problem, and that is exercise. Many patients feel that since it is difficult to breathe, being inactive is normal for them but this is not the case. There are activities such as walking, riding a stationary bike, swimming, or other forms of aerobic activity that let the patient be active without causing breathing problems.

This can improve quality of life because it strengthens the lungs and makes every day of life more enjoyable. The lungs need to exercise, so that they will fill with air properly and remain elastic. By getting in the habit of exercising, the patient can reduce any feeling of anxiety or fear that they may be feeling. This can help a person with COPD feel more independent, have an improved quality of life, and a better sense of well-being.

Walking is a great way to build endurance, and help body's ability to use oxygen without placing a great deal of pressure on the joints. Walking will also help to strengthen and recondition the muscles. The diaphragm, which is a muscle, needs to have a work out as well, and resistance training for the uppper body is a good way to do this. But walking is a good start. It might be a good idea to keep a walking journal to keep track of your progress. The goal you want to reach is 10,000 steps per day. A pedometer may be of aid here. Being consistent is most important. Try to add more steps each day. Adding some aerobic exercises at some point is a good way to strengthen the upper body and the diaphragm.

Smell the Flowers

Peace and calm awaits as you take a walk in the garden. Nature's finest beckons as you caress the leaves of plants you pass by. Then, you see her. Dazzling, vibrant and beautiful. She may be surrounded by prickly thorns, protecting her like the king's guard. And to your eyes, she is unreachable, but your heart tells you to go nonetheless. You reach out to touch her, but the thorns pierce your skin. The pain heightens your senses, but you will yourself to bear the pain, you coax yourself to keep moving forward – to reach that goal. To reach her. You brave 10, 15, 20 more thorns. It hurts as you sweat under the heat of the sun. Finally, you do reach her. In your longing and in your weariness, you stop and just – just marvel at her beauty.

You gaze at her even as the sun scorches your back and your skin. In your mind you have already touched her. But you know that it would be a crime against nature to pluck her away from the one that nourished her into being. So then, you simply stop and smell the rose. New sensations from your olfactory senses fill your being with grace and joy. You knew that she could give you all those. Your lungs are filled with her essence and your self is filled with an epiphany of living. The smell of a rose coupled with the freshness of morning dew drops stuns you, nay, brings you to an ecstatic moment of calm. But you are a smoker.

Your lungs are a desolate battlefield, filled with scars and scorches, your mind is clouded and your ability to grasp the olfactory essence of a rose is hindered as many thousands of your nerves have been flayed and beaten by nicotine and hundred or so chemicals. Would you walk away from the rose upon realizing this truth? Having had the realization that you cannot appreciate it, you despair and just gaze at it. You sit down and watch and wait for a miracle to happen. You try to smell it again, this time, mustering with all your strength to breathe in stronger to try to suck in what fragrance you could. Still nothing. A tear makes it way down your cheek, as you live with the truth of your inadequate being. You wipe it away with your clenched fist as your body begins to shudder uncontrollably at the prospect of not being able to experience what she offers. Will this be your story? – – – –

– – – –

Creative Commons Image via Flickr

The Yellow Peril

As we all know, smoking is a most unattractive habit. It makes people less attractive in many ways, including the smell. Not to mention, the drying-out and premature wrinkling of the skin, and bad breath. Smokers often have ash on their clothes.  In addition to all that, one of the unpleasant outward tell-tale signs of smoking is the yellow/brown nicotine stains on hands and nails. Although in actual fact they are caused not from the nicotine (which is a clear substance) but from the tar in cigarettes, it is a residue from this sticky brown chemical. Apparently tar is one of the chemicals in cigarettes which is the most dangerous to health. It is certainly not a pretty sight, is it?

Yellow or brownish fingers are not just cosmetically unsightly, but they may also indicate a fungal infection. Smokers are far more likely to get these types of infections, as smoking affects the circulation to the extremities, like fingers and toes. Even worse than that, yellowed fingers can also be an indicator of lung disease, which is known medically as "yellow nail syndrome." This can arise as a result of a genetic disorder, or due to the lungs being adversely affected by smoking.

In my previous life as a smoker, I never got stains on my fingers as I never smoked that heavily. But I have known quite a lot of people with that those tell-tale yellow marks. They are hard to remove, but people say you can get them off by scrubbing with salt and lemon juice (or better still, giving up smoking!)

There is also another way to remove these stains, and it will probably gross you out, so brace yourselves! A friend told me about this the other day (and I confirmed it by doing an Internet search). My friend said her Dad used to be a heavy smoker. He also used to make nice apple pies, and said once:

 "Making pastry is great for getting the nicotine stains off my fingers!"

 Ewwww! I wouldn't have wanted to eat any of his apple pies! This is what I also found out via the Internet. Someone else said that making bread is a good way of removing these stains. It really makes me wish that all bakers and chefs were non-smokers!

 

 

 

 

Hope you got something from this blog, and I appreciate your votes and comments.

Picture courtesy of www.puff.com

The E-Cigarette Industry and Why Regulation Will be Good

You know that a fad is becoming a full-fledged industry when:

  • Mashable is writing about it
  • When doctors, medical associations and governments are now scrambling to regulate it.
  • When Silicon Valley big names like Sean Parker and Peter Thiel start investing millions in another industry.
  •  When celebrities like Bruno Mars start endorsing it openly.
  • Oh, and finally, when its industry earnings now run in the billions of dollars.

So yes, as a smoker, I really want to see if e-cigarettes can help me stop smoking or not. I genuinely want to try them and yes, I am disclosing that I am writing for this website to earn (partially to see if this post makes it to the front page), but more importantly, to find a solution for my smoking. That does not, however, impair my judgment on whether I would like to try e-cigarettes or not. The Phillipine government just made that decision easier for me by indicating that they want to regulate the product.

"The Philippine Medical Association (PMA) has called on government regulators to put a temporarily halt to the sale of electronic cigarettes to the public pending a proper study and testing of their safety." (Philippine Daily Inquirer: June 24, 2013) I'm all for this, so that when they put e-cigarettes in the clear, we will know which ones are legitimate and which ones are not. For context though, in the US, there are studies underway that are seeking to determine if there are carcinogens in such products, and whether there are other substances that could be harmful. That's also good. Then we'll know the good ones from the bad.

Personally, I think it's high time that the industry is regulated, because there are just so many brands that it's difficult to really know.  Here's what I don't like about e-cigarettes  (while having not yet tried them): I have three qualms specificially, regardless of what other people, including celebrities, medical associations, and governments, have to say about it.

1. Price. Here in the Philippines you can buy cigarettes for 3 Pesos ($0.07 USD) a stick. So far, the cheapest e-cigarettes I've seen at the grocery costs 1,700 Pesos ($39 USD).

2. There are too many brands. Every conventional smoker has his or her own brand. The same thing will happen for e-cigarettes. Online, there are hundreds (if not thousand)s of e-cigarette brands available in different parts of the globe. This has to be controlled and regulated. The industry will have to go through its own birth pangs.

3. Tobacco Industry sometimes linked with e-cigarettes. There are some e-cigarettes which are made by the same tobacco industry that sell us products their clasic products that cause cancer. If they didn't care about it then, they likely wouldn't not care cancer now. These folks just want to capitalize on the currently evolving industry. I don't want to make the guys who poison us even richer.

 

Creative Commons Image via Flickr:

 

 

 

Two New Cigarette Products Being Okayed by the FDA

During a news conference June, 25, 2013 FDA commissioner Dr. Margaret Hanburg said that new tobacco products under FDA’s authority cannot come on the market without the FDA’s reviewing them first. Using this new authority the FDA has let two new cigarette brands be put on the market. Read more