Posts Tagged emphysema

Nick Jones: 2011 COPD Community Champion!

April 2nd, 2012 | Author: Janina Kowalski

In November 2011, the COPD Foundation asked readers to select a 2011 COPD Community Champion, an individual who has made outstanding contributions to COPD awareness, advocacy and volunteerism. After tallying all of the votes, our 2011 COPD Community Champion emerged: Nick Jones!

A well-known figure in the COPD community, Jones leads a community support group called The Airheads in The Villages, Florida. Jones is a compassionate teacher who helps others with his unwavering positive attitude. In response to this outpouring of support, the COPD Foundation asked Jones to share some of his thoughts regarding COPD, support groups and what made 2011 memorable.

What is your advice for other COPD patients?

Educate yourself. Have a well-qualified pulmonologist who will spend time answering your questions. Get questions for your doctor from the internet (COPD Foundation, EFFORTS, and Health Central/COPD Connection).  The more you know about the disease, the better you can cope with its “challenges.”  Stay active.  The more you do, the more you will be able to do.  Exercise.  Well-toned muscle requires less oxygen, resulting in being short of breath less often.  Stay Positive.  Learn to laugh at yourself.

How important are support groups for the COPD community?  Would you recommend people join them?

They are very important.  You are not alone!  By joining a support group you can relate to those with similar “challenges” and learn much from them.

Nick and Jan

Take your spouse with you.  When you both get the same information at the same time, it can eliminate the “You just don’t understand” syndrome.

How hard is it to create a support group?

It can depend on several factors.  It can be difficult in rural areas where folks live miles apart.  Demographics play a role.  Folks in retirement communities will have more COPD patients in a concentrated area.  Community “buy-in” can help tremendously, health organizations, hospital, church, local newspaper, DME’s, and hospice, to name a few.  It is imperative that the group has a positive leader.  We start off every meeting with my asking, “How are ya doin’ today, Airheads?” In unison, they all shout, “GREAT!” That is the only acceptable answer and it results in a room full of smiles.  My wonderful wife and caregiver, Jan, and I have a disk that tells how we got started.  You can order it here. nickandjan2@gmail.com

Many people refer to your positive and upbeat attitude.  How do you keep your mood upbeat?

My mantra is, “The only true handicap is a bad attitude.” Oh, I have my tough times like anyone else, but I know that “This, too, will pass.”  I look forward to the next project and plan for it in my mind.  It leaves no time to feel sorry for myself.  I have challenges like everyone else, but refuse to “suffer.”  I dislike seeing that word continuously used in conjunction with COPD.   I do, however, have an advantage, as I have to set a good example for my other Airheads.  I love each of them and they know it.  Love makes the world go ‘round!

You are extremely educated about COPD.  Any favorite resources that you use to get your information?

My pulmonologist is GREAT.  He frequently emails me up-to-date articles.  In addition to the earlier mentioned internet sources, I receive the COPD Digest, the Pulmonary Paper, question my oxygen provider, and get an endless number of questions and reports from individual Airheads.  COPD Foundation’s Coalition Workshops are always helpful.

How many people are in the Airheads?  What kind of people are in the Airheads?  How often do you meet?

We have had over 700 patients pass through our portals in the past ten years as well as many caregivers.  We welcome people who have any kind of breathing problems. Emphysema and chronic bronchitis outnumber all others by far, but we have folks with pulmonary fibrosis, Bronchiectasis, asthma, and lung cancer, to name a few.  We have four meetings a month.  Two are support group meetings where we have qualified speakers come to impart helpful information and two breathing and exercise classes that Jan and I teach.  Some attend both meetings and classes, while others prefer one or the other.  Attendance varies from as few as 25 to as many as 50.  Our heaviest attendance is during the winter season when we have many “Snowbirds” here to enjoy our Florida weather.  We still have some charter members attending after ten years. Many times, one will say that they don’t believe that they would have lived this long, were it not for the Airheads.  Is there any wonder why I am so devoted to this group?

What was your best moment of 2011?

Jan and I have discussed this.  She believes that it might have been surviving heart attack #3 while on a SeaPuffer cruise in March.  Since I never disagree with my wife, I’ll have to go along with that. However, her agreeing to go on another cruise with me in March of 2012 has to rate right up there with having Billy Ray Cyrus select my entry in the DRIVE4COPD Song Writing Contest. Speaking to the International Convention for Respiratory care about the benefits of Transtracheal Oxygen Therapy with John Goodman and Dr. Michael Schwartz at the Tampa Convention Center was a thrill.

Why did you decide to get involved with COPD education?

In 1985, when I was first beginning to get sort of breath, my doctor didn’t feel that it was necessary to quit smoking.  In 1996, with heart attack #1, the doctor mentioned that I had a lot of fibrosis in my lungs.  When I asked what that meant he said, “We are more concerned about your heart.  Don’t worry about it.”   In 1996, with heart attack #2, I was told that my lungs looked pretty bad and that I should get them checked out. That is when I was first diagnosed with COPD and put forth a concerted effort to learn more about COPD.  In 2001, when we started the Airheads is when Jan and I learned that we had valuable information that could be shared with others.  We did so through our meetings, breathing & exercise classes, and a course that we taught for four years at The Villages Lifelong Learning College entitled, “Living with COPD.”

Any tips or advice for other COPD patients?

Take your spouse with you to support group meetings.  When you both get the same information at the same time, it can eliminate the “You just don’t understand” syndrome.  Always write down questions for your pulmonologist.  Take your spouse to the doctor’s as well.  Spouses are very honest with the doctor.  Stay positive, always answering “GREAT!” when someone asks how you are doing.

What would you want the COPD Community to know about you?

That I love them all.  I’d also like everyone to know how strongly I believe in the benefits of transtracheal oxygen therapy.  This procedure is the best-kept secret in our modern medical community.  In fact, if I might editorialize, I feel that the woeful lack of knowledge and misconceptions of well-meaning doctors is unfair to those on oxygen 24 hours a day, who could derive a much higher level of comfort and enjoy a more active lifestyle.

Do you have any advice to other community members interested in joining or creating a support group?

If you can, join one.  If you don’t have one and it is practical, create one.  If neither option is possible, then join an on-line support group such as EFFORTS, where you can read emails that cover every spectrum of COPD and will gladly answer any questions that you may have.

What can we expect from you in 2012?

I start off the New Year wearing two new hats; as an EFFORTS Ambassador and a soon-to-be worker on the COPD Information Line.  I will continue advocacy work and will go to the State Capitol to speak with legislators when called upon to do so.  I will also continue to work with the Florida COPD Coalition by participating in the Community Workshops.  Even with all of that, my Airheads come first.

Participate in the Inaugural DRIVE4COPD Pro-Am Celebrity Racing Challenge!

March 1st, 2012 | Author: Katelyn Harding

Place a Bid For Your Chance to Take Part in This Exclusive, Once-in-a-Lifetime Event

As you may know, DRIVE4COPD is the largest national awareness campaign for chronic obstructive pulmonary disease (COPD). COPD, which is an umbrella term that encompasses chronic bronchitis and emphysema, is estimated to affect more than 24 million Americans, but half of them don’t know it and remain undiagnosed. COPD takes one life every four minutes and is the only leading cause of death that is increasing in prevalence.

Over the past two years, DRIVE4COPD has worked with a number of celebrities, patient and professional organizations and businesses with the goal of finding these missing millions of people who may be at risk and encouraging them to take a five-question screener. Last weekend’s DRIVE4COPD300 race at Daytona was part of this initiative.

There is an inaugural DRIVE4COPD event coming up on Friday, March 23 called the DRIVE4COPD Pro-Am Celebrity Racing Challenge where well-known faces in entertainment, music and business will take the wheel of a NASCAR stock car to support awareness, screenings and research for COPD.

You can participate in this and earn a spot among this celebrity race team by bidding the highest on one of two VIP race seats being auctioned off by the COPD Foundation through eBay’s Giving Works program powered by MissionFish. The first auction began on February 28 and ends on March 8. Starting bids are $1,500 which includes travel and accommodations. Proceeds from the auction will be donated to the COPD Foundation. Click here to visit the auction site to learn about eligibility and racing requirements.

This will be a once-in-a-lifetime experience all for a great cause.

Living Life to the Fullest

February 10th, 2012 | Author: Katelyn Harding

Chris Huckstepp says he first noticed deterioration in his lung function in 1994.

“I was running for a train and when I just managed to get on as the doors closed, I felt so out of breath and oxygen I thought I was going to die,” he says.

At the time, he was living in the UK and it was then he was diagnosed with emphysema and told to stop smoking by his doctor, which he did.

“My so-called ‘emphysema’ slowly got worse over the years, and in 2000 I had moved to the U.S. and signed on with a pulmonary specialist here,” Huckstepp says. “In 2001 I was asked if I had ever taken a genetic test for my emphysema, which I hadn’t, and that’s when I found out I had Alpha-1.”

Huckstepp was prescribed an Alpha 1-proteinase inhibitor, which he says has been effective in significantly lowering his rate of lung deterioration.

“Since then, some things had to change. I’ve stopped playing tennis, and I find it difficult to walk and talk at the same time. Every now and again I have to stop and catch my breath.”

In July of last year, Huckstepp began taking Daliresp (Roflumilast), a pill taken daily to decrease the frequency of exacerbations. It was approved in 2011 by the Food and Drug Administration and is an inhibitor of an enzyme called phosphodiesterase type 4 (PDE-4).  It represents the first new class of drugs that has been developed for COPD in more than 20 years.

Chris Huckstepp

“I talked to my doctor about it and started taking it in July and almost immediately I had a significant improvement in my breathing—to the point I could do daily exercises without a recovery period,” he says.

“That is the good side of Daliresp. But, there are side effects including upset stomach, inability to sleep, and a feeling of exhaustion and complete lack of energy. When my doctor prescribed this, he warned me about these side effects—another which is weight loss.”

Huckstepp, 57, says that since being diagnosed, the challenges he’s faced have been the inability to play sports and activities like before—the physical aspect of his life having been infringed upon.

A smoker of about 30 years, he says when he started taking Daliresp, he was shocked by the severity of the side effects.

“After a week, I was pretty convinced I would stop taking it. I went back to my doctor and he did some oxygen level tests. After a couple weeks we talked again, and the nastier side effects had gone away,” he says. “I saw significant changes in my breathing, and it was worth putting up with the side effects. The weight loss was, in my case, a benefit which probably contributed to my improved stamina.”

Huckstepp says he believes that what has had a big influence on the quality of one’s life is how people perceive themselves.

“If you perceive yourself as a victim, it will reduce your quality of life significantly. If others perceive you as a victim it will reduce your quality of life even more. Life should be lived to the fullest, in spite of your limitations.”

DALIRESP is a prescription medicine used in adults with severe COPD to decrease their number of flare-ups or the worsening of COPD symptoms (exacerbations). For more information about it, please consult your doctor.

What’s My Diagnosis?

October 26th, 2011 | Author: COPD Coach

Dear COPD Doctor,

When I had a regular CT scan I was told I had pan Read more…

Learning to Breathe Again

October 14th, 2011 | Author: Katelyn Harding

In 1998, Ray Maybury was found to have Panniculitis Read more…

What is the Difference Between Emphysema and Stage-4 Cancer?

September 14th, 2011 | Author: COPD Coach

Dear COPD Coach,

My doctor has told me I have end-stage emphysema. Does that mean the same as Stage-4 cancer?

Sincerely,

Concerned


Dear Concerned,

COPD, like many other medical conditions, is classified by its severity. There are four stages of COPD. Each stage is measured by what is called your Forced Expiratory Volume (FEV1), measures how much of the air you blew out was breathed out during the first second. A decrease in the FEV1 may mean there is blockage to the flow of air out of your lungs. Obstructive pulmonary diseases, such as emphysema, asthma or chronic bronchitis, can cause reduced FEV1 values. This value is often the most important value followed over time in COPD patients.

In the first stage of COPD, often referred to as either “Mild” or “At Risk”, generally indicates that you have 80 percent or more of predicted lung capacity. During this stage, most people will not even realize that they may have a problem, and often will attribute getting out of breath to “just being out of shape” or a normal process of aging. Needless to say, it is rare for a person in stage one to be diagnosed unless they happen to take a spirometry test or screening.

In Stage Two, often called the “Moderate” stage, your FEV1 falls between 50 percent and 79 percent. Your airflow limitations become more severe and you may start coughing or producing sputum.  At this stage most people seek treatment.

In Stage Three, which is often classified as “severe”, your FEV1 falls between 30 percent and 49 percent. During this stage you will notice more fatigue and a decrease in activity tolerance.

In Stage Four, often called “Very Severe” or “End Stage” your FEV1 falls below 29 percent. It is here where there is some misunderstanding. Many people, when first hearing this term, assume that death is imminent. While having very severe COPD is serious with a possible variety of complications, many people in this stage who eat right, exercise, take their medications and generally take very good care of themselves, are still enjoying an active, quality life. Having advanced emphysema should not be viewed as having Stage Four lung cancer.

With that said, there are still many people in Stage Four who are very sick. What determines which group you are in has a lot to do with such things as smoking history and your level of dyspnea (shortness of breath). It is also influenced by how well you take care of yourself.

Research shows that COPD patients who are smokers have a higher risk of getting lung cancer. However there is increasing evidence that even those non-smokers with COPD have a greater risk of developing lung cancer. The link between the two could be that smoking is an acknowledged cause of COPD, and a cause of lung cancer. But, recent evidence suggests that COPD itself is an independent risk factor for developing lung cancer, separate from any smoking history.

A final word: stages are medical terms that classifies where you are in a particular stage of your illness. A stage does not necessarily indicate your life expectancy, and the factors that actually influence just how long you may live are numerous enough to fill a book. I view having the “label” Stage Four as a call to take even better care of my health, as well as closely following the advice of my medical professional.

Best Wishes,

The COPD Coach

Ask the Expert is aimed at providing information for individuals with COPD to take to your doctor, and is not in any way intended to be medical advice.

If you would like to submit a question to the Coaches Corner email us at coachescorner@copdfoundation.org. We would love to hear your questions and comments. You can address your emails to any of the following: COPD Coach, Caregiver Coach, COPD Doctor or COPD RT.

Standing Strong

July 1st, 2011 | Author: Katelyn Harding

This blog post was written by Joanna Murray. Read more…

Stay Involved, Stay Active

March 25th, 2011 | Author: Katelyn Harding

Bonnie Chakravorty says she first remembers being extremely short of breath in 1973 while living in Champagne, IL.

“At the time I was living in a rural area, and there was fertilizer put out and you could smell it everywhere. I thought I was allergic to it. But after I moved to the city but I continued to have episodes, particularly when I was driving in my car and exposed to fumes from cars,” Chakravorty says. “It got so bad one day I pulled into a hospital and went to the emergency room, thinking I was having a heart attack.”

Soon after, Chakravorty says she was diagnosed with asthma in 1979.

“They prescribed me inhalers, but in the meantime through all of this, I was teaching fitness classes. I decided I had to tone it down a bit myself,” she says. “I did notice I started feeling better, but I continued to sporadically have episodes.”

She was very active during this time, riding her bicycle almost a mile to where she taught her classes.

Bonnie

Currently living in Tennessee, Chakravorty works full time as a professor of Health Sciences  at Tennessee State University.  Among other courses she teaches a course on Pathology and frequently uses Alpha-1 as an example of a genetic condition.

She says at most she smoked half a pack or less per day during her teenage years.

“My first piece of advice for other individuals with COPD is to go to pulmonary rehab. That’s a good start, particularly if you’re not used to being active,” Chakravorty says. “It’s nice because they give you good advice and help you understand how to cope with some of the feelings of shortness of breath, and teach you how to do the right exercises.”

Although when diagnosed with asthma she began taking inhalers, she noticed that she was still getting progressively worse.

Chakravorty remembers being told in 1996 she had the lungs of an 80-year-old who smoked two packs a day. This is when she was tested for Alpha-1.

“Coincidentally, I’m also a tobacco researcher, and Alpha-1 was always a footnote. We’d talk about COPD, and how a small percentage of people had a genetic condition [of Alpha-1],” she says. “Well, the doctor, pulmonologist and nurse were all there, and when they got the results back, they told me I had Alpha-1.”

“At one level I didn’t believe them. What I thought was, ‘I have the test results, I have the symptoms, I must have it. Maybe people from other ethnic groups can also have Alpha-1,’” she says.

At this time, Chakravorty was living in Boston, and was forced to move because of the cold winter weather. She was having trouble getting to her office on foot.

Today, Chakravorty wants people to know that they are not alone with their disease, and wants to get rid of the stigma of COPD.

“I continue to take care of myself and I still have a pretty high quality of life, but not without adjustments. I can’t always, and do everything I want to do. For example, I can’t teach aerobics or dance, but I want people to know I am still vibrant and active in other ways,” she says.

“You have to take it one step at a time, and don’t worry about what anybody else is doing. Try to do what you can. I try very hard to educate people about Alpha-1, and I will sometimes tell people more than what they want to hear,” she says. “But overall, it’s really up to you, on what you want to disclose. But whatever you decide stay involved and stay active.”

Chakravorty and a colleague are forming a COPD Coalition of Tennessee. If you are interested in learning more about their efforts, you can email her at: bchakravorty@tnstate.edu.

Patrick Ewalt: Making a Positive Impact

March 18th, 2011 | Author: Katelyn Harding

Patrick Ewalt says if he can influence even one person more positively to protect their lungs and health, he will have done his job.

“I want to be a positive reinforcement for my grandkids and maybe even their kids. You have to really take care of yourself – eat right and exercise,” Ewalt says. “I just want to positively influence somebody.”

Diagnosed with COPD five years ago, Ewalt says he was a three-pack-a-day smoker for around 30 years.

Patrick Ewalt

“I went to a pulmonary doctor up the street because I was real short of breath and couldn’t figure out why. So I made an appointment and he checked me out. He has me come back a week later, where I did the treadmill and when he got the results in he told me I had 50 percent lung capacity left, 65 percent if I used inhalers everyday,” Ewalt recalls. “He got this strange look on his face and said, ‘You have emphysema.’”

Ewalt says his doctor put him on different medications, which helped his lung function considerable.

“The scary part is when you quit breathing, though. For some reason, I guess, my diaphragm and lungs just stopped,” Ewalt says. “I have a thing about breathing. I’m paranoid about not being able to. I am really easygoing, but if someone lights up a cigarette near me, I get really angry really fast.”

Being told he only had 50 percent lung capacity left was daunting, so Ewalt took it upon himself to begin educating himself.

“I thought, ‘What is COPD?’ and I found out basically that I had prematurely aged my lungs. And I thought, ‘Good, now I have the lungs of an 80-year old,” Ewalt says. “I exercise on a regular basis, and I do a lot of walking on our three acres, but it can be a struggle, you have to keep pushing yourself.”

“If you sit on a sofa and watch TV all day, your body loses tone. But if you remain active or active as you possible can – use a stationary bicycle, leg lifts, jumping jacks or just walking – that’s going to help you. So I remain active, even if I’m short of breath,” he says.

Ewalt compares his COPD to “breathing through a straw all the time.”

“Back when I started smoking in the 70s, they didn’t say anything on the package. People didn’t talk about lung cancer when I was growing up and I didn’t know anybody who had it,” he says.

Educating the younger generation to quit smoking is what Ewalt says is the most important.

“I don’t want anybody to have to go through this. Young people need to listen to someone going through it – see them, know them – they need to realize that life is too precious,” he says. “I have three grandkids with another on the way this month, and I’d like to be around to attend their weddings, and maybe see great-grandkids. It motivates me to do everything I can for them – the love keeps me going.”

“I hope somebody reads this and gets inspired. I hope I can influence someone for the positive,” Ewalt says.

COPDer Barbara Hlatky Leans on Family, Friends, Music

September 17th, 2010 | Author: Katelyn Harding

Barbara Hlatky says it was two years ago when she awoke with severe pains in her back. Read more…