I had no idea asthma could be fatal.

Dear Bloggers, 

I let my thoughts go when I think up a worst case scenario as my wife is diagnosed with the final stage of Asthma. Something that was told at the doctors office a couple of weeks ago. 

Somehow it is waiting untill things go terribly wrong. I imagine it like this.
At 7.50am, my wife left for work in her car as usual, dropping off our youngest at the day care centre on he way. I had to start earlier and do my rounds with the bus.

She texted me: “Can you take care of diner today?”she tapped.

I phoned her back and we chatted about the plans for that evening. We ended the ­conversation as always by saying: “Love you.”

A couple of minutes later, she was dead.

She’d driven into the side of a lorry after suffering a fatal asthma attack.
For us the rest of the family of four, her death came as a bolt from the blue. Shocking are the  statistics as they show that one person dies from asthma every eight hours.

But a new review, that will investigate the cause of asthma deaths, is hoping to reduce that number to two or three every year so that cases like my wife’s will become few and far between.

The review will ask GPs and ­hospital doctors for information to identify factors leading up to an asthma death, including the ­medication a patient was taking and whether a patient had any attacks in the run-up to their death.

On the morning she dropped our daughter at day care, nothing was out of the ordinary.
“She’d taken her inhalers the night before and in the morning and she didn’t seem unwell,” just an other day. “It was only when her boss at the telecom firm where she worked called me to say that she hadn’t turned up! I really started to worry.

“I knew something terrible had happened because she was if it comes to work she’s ­always punctual. I had a broken shift and I went home during the break, worried sick hoping to find her in bed or something similair.

I rang the police to see if they knew of any accidents but they couldn’t tell me anything. Then, at 10.10am, two police officers turned up at the door.

“They told me there had been a road traffic accident involving my wife. The officers had taken their hats off and said they were really sorry. I knew then she was dead. 

It was like the whole world stopped. I went into ­automatic gear, phoning her workplace to let them know what had happened, then I went to the school to tell the children their mum was dead. It was probably the hardest thing I’ve ever had to do.”

I never thought asthma would kill her.

She first developed the condition when he was 12 shortly after she went to another school it started being allergic to many things and she got some medication to stop it, when I met her she was 23 years old and her hands were a mess because she was reacting allergic to the Christmas tree. In Januari we bought a fake tree and I took her to her Phd. The evening before she had a severe Asthma attack and her lips turned blue due to the lack of oxygen. Her doctor was a bit hardheaded to admit that this would be asthma. So I pushed him verbally in a corner and he send us of to a specialist. A couple of weeks later she got a better life by having the right doses of medication.

 “We don’t know if this triggered her asthma but from then on she started to take Ventolin and Becotide inhalers,” the lungspecialist says.
As the years passed, She became increasingly prone to chest infections and I have to admit that after the breakdown after having our first child and several miscarriages, she began to smoke 15 cigarettes a day due to a lot of stress.

“She gave up for a while when we expected our second child and no I was not very supportive during those years but then she started smoking again. I was always nagging at her to take her inhalers when she was wheezy but she didn’t always listen.”

Her first wake-up call came in 2011 when she suffered a bout of pneumonia. She spent five days in bed where i still think she should have gone to the hospital. At the time she was taking a Ventolin inhaler and Seretide 250, a steroid preventer ­inhaler. Nothing really worked. After a Prednisolone treatment she recovered.

Her second bout came in February this year, when she had an attack of coughing syncope, a ­violent coughing ­episode which caused her to pass out.
A month later, she suffered a similar attack but this time he was behind the wheel of the car. It proved to be fatal.

“The postmortem showed a massive asthma attack, which means she probably passed out and drove into the lorry,” says the report. 
“She had all her inhalers with her in the car when she died.”

The lorry driver was totally blameless and it was an accidental death.

I am thinking back at our days that we met.  “It was a strange way to meet but we bumped into each other at the station and a few weeks later I took her out. We were both separated in a bad way in a former relationship. Eventhough I did not believe in love anymore after I was stood up again, creepy but after nearly five years of being single not wanting anything to do with women, I ­totally fell for her smile and a fair sense of humour.

“Asthma was always a problem for her and it did increasingly affect her day-to-day life. Simply running around with the children made her out of breath. But we thought her condition was under control and I still find it hard to believe that asthma could kill her.

 “Thank God we did many fun things together because we now treasure those memories if we would be losing her so unexpectedly. My point is even if your not that rich live life as best as you can. This is crucial and everyone must understand how deadly asthma can be.”

This story is just the freedom of my thoughs, It is still not too late for my wife as she is still around but this might be a realistic scenario. For her there might not be that many options left but it’s not too late for other asthma sufferers. 

“I want everyone to know that ­asthma can kill, because I didn’t know until it was told to me by a physician.

“I wish we’d known how deadly asthma can be because then, I would have made absolutely sure she took all her inhalers.” Here is a simple test: If you can breathe normal just put a straw in your mouth and try to breathe through it, don’t forget to block your nostrils as well. That is how many Asthma sufferers feel when they have an attack.

The Old Sailor,

Allergy or is it an irritant?

Dear Bloggers,

My wife came home this week with hardly any voice left due to the fact that someone sprayed some kind of perfume. The doctor gives her prednisone for a week and this will do the magic. But it is crap that you have to use these kind of heavy drugs when this could be prevented on the work floor.

Just ask yourself the following question: If you sneeze every time you get a whiff of perfume or room deodorizer, you may be one of millions of people with a fragrance sensitivity.

As many as 30 percent of people surveyed in a study said that they find scented products irritating. Those with asthma or chemical sensitivities may find strong scents particularly problematic due to the allergy-like symptoms they cause.

Unlike tree pollen or dander, for example, perfumes and scents aren't actually allergens, they're irritants  but that doesn't mean that they can't trigger allergy symptoms like sneezing.

Hmmmm.....So what's the difference between an allergen and an irritant? In fairly simple terms, a true allergen causes a person’s immune system to release chemicals to fight the invader. On the way to the battle, inflammation could result — eyes could water, nose could fill, and so on.

"An allergen is a protein that is known to cause an IgE-mediated reaction,"

The immune system's response to allergen exposure can be divided into two phases. The first is immediate hypersensitivity or the early phase reaction, that occurs within 15 minutes of exposure to the allergen. The second, or late phase reaction, occurs 4-6 hours after the disappearance of the first phase symptoms and can last for days or even weeks. During the early phase reaction chemical mediators released by mast cells including histamine, prostaglandins, leukotrienes and thromboxane produce local tissue responses characteristic of an allergic reaction.

In the respiratory tract for example, these include sneezing, oedema and mucus secretion, with vasodilatation in the nose, leading to nasal blockage, and bronchoconstriction in the lung, leading to wheezing. During the late phase reaction in the lung, cellular infiltration, fibrin deposition and tissue destruction resulting from the sustained allergic response lead to increased bronchial reactivity, oedema and further inflammatory cell recruitment. These observations suggest that IgE is instrumental in the immune system's response to allergens by virtue of its ability to trigger mast cell mediator release, leading directly to both the early and late phase reactions.

An irritant, on the other hand, doesn’t provoke the immune system. But it has no problem making eyes water or noses run.

It's not understood how or why this happens. "An irritant is a chemical or product that causes symptoms without a known immunologic cause," says Miller, so it does not cause an IgE-mediated reaction.

Only an allergen can cause a true allergy, while "irritants cause sensitivities."

Bottom line: What people call a "perfume allergy" is either fragrance sensitivity or an allergy to some chemical in the perfume.

Symptoms of Fragrance Sensitivity

You can have two types of allergy symptoms due to fragrance sensitivity respiratory, nose and eye symptoms, much like that of seasonal allergy symptoms  or skin allergy symptoms.

Symptoms of fragrance sensitivity can include:

    Headaches

    Difficulty breathing

    Wheezing

    A tight feeling in the chest

    Worsening asthma symptoms

    Runny and stuffy nose

    Sneezing

    A skin allergy like contact dermatitis — an itchy, red rash that appears on the skin

The Rise of Fragrance Sensitivities

People who have asthma may be more sensitive to fragrances and may experience allergy symptoms or worsening asthma symptoms from exposure to perfumes, fragrances, and other chemicals. Although, says Miller, there isn't really an established link between asthma and fragrance sensitivity.

People who already have allergies, like seasonal allergies or allergies to indoor allergens like molds and animal allergens, may be more likely to experience fragrance sensitivities.

“Often patients with allergies are more sensitive to these irritants due to their baseline allergic disease," says Miller. And with more than 50 million Americans dealing with allergies, that's a lot of people at an increased risk for fragrance sensitivity.

Combine that increased sensitivity with a constantly increasing level of irritating chemicals and fragrances that are ever-present in our environment and the things we use every day (over 5,000 types used today), and it's no surprise that fragrance sensitivities are more common than initially believed.

Preventing and Treating Fragrance Sensitivities

If you're dealing with allergy symptoms caused by fragrance sensitivity, there are some things that you can do for relief.

Nasal antihistamine and nasal corticosteroid medications can effectively control allergy symptoms caused by these sensitivities. But the best medicine is really an ounce of prevention and that means keeping all fragrances off yourself and out of your environment.

There just aren't any "safe" fragrances or products that can be recommended for anyone who has experienced allergy symptoms due to fragrance sensitivities.

"Any product with a scent can be irritating to patients," I am suggesting that patients utilize scent-free products if at all possible." That means fragrance-free:

    Lotions

    Soaps

    Skin care products

    Laundry detergents

    Fabric softeners

You should even be cautious with cleaning and deodorizing products that you use at home look for products that don't contain fragrance, which could cause your allergy symptoms.

You may also need to ask your friends, spouse or partner, and co-workers to avoid wearing or using heavily-fragranced products around you to prevent your allergy symptoms.

Of course, there's no hard and fast rule about what you can and can't use  fragrance sensitivity is an individual issue.

"This type of sensitivity can vary among individuals," every case is unique. "In some patients all scents are bothersome, and in others only strong smells [like chlorine] are irritating."

But rather than run the risk of having allergy symptoms from fragrance sensitivity, it's best to be conservative and avoid all products containing fragrance for the best chance at avoiding your allergy symptoms.

The Old Sailor,