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Introduction; New here, and to asthma... Kind of! Relieved in one sense and scared on the other.

indissociation profile image
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Hi everyone, I'm here after quite a revelation over the past few weeks, which unfortunately, like so much in life is incredibly complicated. I was heavily abused from birth onwards in many forms, by different people so all of this gets confusing. I was literally told that I was attention seeking and lazy for being unable to breathe or gagging and choking from cold air, or exercise, or being too sensitive to certain smells and being mocked by adult family members. And was even told, when I was up in my room and other people were down stairs, to not breathe so loudly as it was annoying and I was just doing it for attention. And similarly when people were in the room with me, I was criticised for breathing in an ugly way. This is even before you get into actual abuse. I came to not believe I had asthma as a kid who lived two doors down would regularly be hospitalised regularly for extreme asthma attacks that he'd literally die from if he didn't go in, which is the beginning of two decades of: "I must just have some other normal reason I can't breathe" and genuinely believing that I was unfit, lazy and an attention seeker. It doesn't help that my father was grooming me and taught me that I was crazy and a liar and no one would ever believe me.

In my teen years there was a few exceptions, collapsing on the floor coughing choking and wheezing on a 1.5km winter out door run after less than a few hundred meters, a girl sneaked me her asthma pump, which after hesitation, I tried and it miraculously helped, to get point where I could finish, even if it was only by walking otherwise the air would set it off again. I tried seeing a doctor but he said because I was a saxophonist and had a built a good lung capacity through years of training, I couldn't have asthma. A year or so later, finally an ambulance was called out because I was unable to catch my breath at all at home and I was pale and shaking and horribly not ok, that whole thing was a bit of a blur, but the medic said having a large lung capacity had nothing to do with having asthma and I should see a doctor, several weeks later I finally got to see them, and he repeated the whole thing, saying I wasn't wheezing from listening to my chest and I was, again, making it up for attention and I was fine.

So for the next decade and a half, I have been increasingly more avoidant of everything, believing that I was so unfit I would virtually pass out, losing my vision and having to take days to recover, with anything except for swimming, possibly because its so low impact. I started trying to trick my body, by breathing out as much as possible and holding it until I felt I was going to pass out, just so that I could feel something when I breathed in and I would be ok.

After this I resigned myself to being unable and realised I would never be able to do most things without feeling like I was exhausted and needed to sleep for weeks. People told me it was depression that my chest telt so crushed and anxiety when I couldn't breathe. I mean I have mental health problems from trauma (DID, cPTSD and depression), so I believed it, but even that reached a point, where even on my best mental health days, I would go down to make a morning cup of tea and have to lie on the floor, flat, because it felt like someone was standing on my chest and I could neither move nor breathe. I have been begging my doctor to check and recheck my thyroid because I shouldn't be so tired I can't breathe. It's been a nightmare. But one I seem to be waking up from.

A few weeks ago, I'd had to get up to go to the doctors and was rushing, I felt too hot, like my clothes were tight around my neck and I needed fresh air, I made some toast before promptly giving it away, unable to eat it, I left for the doctors and sat in the waiting room complaining about the heat and the stuffy air to my mum, but I just wanted the appointment over so I could go and lay down and hope for this to pass like usual. The appointment went, and I got home and crashed but it didn't get any better. Later at a family meal time, I couldn't eat at all, gasping in between mouthfuls, worried I was going to choke, which I do frequently if I'm struggling to breathe and eat at the same time. It was then, when my sibling said, it looks like you're having an asthma attack, things started to happen. And being diagnosed with asthma recently, they told me to to just try using their inhaler, even if it was nearly empty. Desperate, I tried and that puff felt like a jolt of electricity opening my chest and lifting my shoulders, and albeit short lived relief. I could catch my breath a bit and finished dinner, but later it built up and I struggled throughout the rest of the night and just collapsed in bed and held on tight.

The next day, I still felt terrible and weak and quite frankly terrified that it would come back again, I went to see the doctor in an emergency who did my very first peak flow, which had a reading of 220, but I wasn't wheezing, she said it didn't confirm anything and told me to book a spirometry test and go home. I did but I kept getting worse, that very night I had so much coughing and wheezing, which I began to record, every single time it came back, as it continued every few hours.

Two days later, I went out going out on good Friday to buy my fiancé and Easter egg, I begged my mum to take me into boots to ask for advice, they told me to straight to the walk in emergency clinic round the corner and I did. I told him I didn't want to be a nuisance over Easter, or to call an ambulance but I was worried it was going that way and I didn't think I could wait And for the *FIRST* time in my life someone actually listened to me about me breathing, he asked family history, listened to my chest. Hea asked my mum if I wheezes or had problems as a kid but didn't know enough about our family dynamic when our dad was around all that time ago I showed him the audios and he laughed about how terrible the wheeze was and I did the right thing in recording it to finally stand up for my self. He immediately gave me a ventolin pump, mask and spacer (the pharmacy didn't have the mask, but I'm coping fine without) and said I would need to go back to the doctors for a steroidal pump and I should definitely have the spirometry.

The relief came from the ventolin, euphoric, like my body was crying for it (or for the air it enabled me to breathe) again and again and each day I needed it less until only when specific things set my breathing off. But when they did I was reduced to happy tears in relief that it just went away, it was immense relief. I literally want to find that doctor out and write to him, thanking him for doing what feels like saving my life, after as little as one day, and ever day since for more than a week. I literally am so immensely grateful.

Literally after that first 4-5 days of taking the ventolin, it's settling down, I've been better than I can remember and I feel like I can do and be more. I'm relieved and grateful beyond belief. I am worried I'm taking too much though and I have a lot of questions about it. The doctor said 1-2 puffs normally, but to take 6-8 during an attack before I'd need to call and ambulance.

On each day I've been logging what I've used and if I've known, what caused it, I'm actually going to get a diary to keep logging this, but yes, I am concerned about how much I needed if though its dramatically decreased overall (6, 8, 4, 3, 4, 4, 0, 0, 0, 0, 3).

I'm learning a lot, quickly but it's still all daunting. I've seen other people in asthma attacks, it looks the exact same, and I'm now disappointed I've been putting up with this for so, so long, but I've also made great progress.

All this said I'm now at a point where I'm really scared about the spirometry this Thursday, firstly not knowing what will happen much (though I did watch a video) though mostly not showing anything and going back to square one. I don't want to fix the results, nor do I know if that's possible, but I'm terrified I'll be kind of ok when I go in and it won't show up like my shy wheezing that no one ever believed I had. Or being told I have a good lung capacity, so I'm fine, just because I'm ok that day. Or being silenced. My other sibling was given a peak flow meter to record her breathing of a longer period of time and I believe at least I could show the huge variation in my experiences and give a more valid picture, but I'm also terrified that no one will believe anything I have to say, but I also would like the spirometry to validate everything too. I'm just so scared of them taking this inhaler or saying it doesn't work when it does, it's saving my life. But overall I'm relieved I'm being tested finally. I'm just anxious about I guess.

But yes, there's my terribly long introduction (and I still cut a hell of a lot out!) but hi, and thank you so much for reading and making it all the way down!

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indissociation
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Lysistrata profile image
LysistrataAdministratorCommunity Ambassador

Hi and welcome!

I am so sorry to hear what yiu have been through. I have found it bad enough to be dismissed and told it was in my head by consultants, without having to deal with the abuse and family issues. I have felt similarly with tests ie the wanting to find out but being concerned that they won't understand how much the medication helps and that asthma is variable.

I have to say I have met GPs like the first one and feel you were very unlucky to get them with your history. She does not seem to understand asthma very well - sadly some drs are fixated on wheeze. Very glad to hear you had a good one finally, but I wonder if you could avoid seeing that first one again when you go back to.discuss your spirometry? You should be able to.see any doctor in the practice. A peak flow meter would definitely be a good start though doctors should not fixate on that either.

If you can, ask for reversibility testing with the spirometry. They should do that anyway bur sometimes want to stop if the initial result seems ok. As a saxophonist your best spirometry is probably better than predicted for your age and height, which may make things look better than they are. It may not be an issue but ask/politely insist on the reversibility if you can and perhaps explain that you have better than average because of the sax. You almost certainly know this already but avoid using reliever for a few hours before the test (you can google to check the exact requirements as the surgery may be vague. I often find even hospitals give vague instructions for this test!)

I hope this helps and good luck with the test! The Asthma UK nurses are always very friendly and helpful so if you have questions or problems I advise contacting them.

indissociation profile image
indissociation in reply toLysistrata

Thank you Lysistrata for your reply, and I'm sorry you've had professionals dismiss your experiences too, it really is frustrating and daunting when it feels no one understands or listens. Also thank you for sharing you also get worried about the tests. The pump really does help and I guess it wouldn't if everything was fine, so I should trust in the process a bit more!

Unfortunately I don't know the name of the doctor I saw the other day about it, as my practice seems to give me someone new each time I go in, but I will specifically ask for the a different doctor who I recently saw about other things. Luckily who ever I see now can hear several times I've recorded both coughing and wheezing (though I don't usually wheeze either, I just think I had a really bad time of it the other week). But it means a lot to hear that not all doctors are created equal with asthma (there was me thinking that happened more with mental health!), but I will do all I can to request someone specific I know isn't her. Thanks, I won't focus too much on peak flow either, but I will chase it up as well.

Thankfully I think it is a reversibility spirometry test, because they said it would take about an hour or something. I wasn't sure whether to tell them about the saxophone (I haven't been able to play recently anyway) but I will, your explanation makes sense about it improving my lungs in the first place, even if there is still something underlying. But if they try to say about cutting the reversibility I will request it for sure. I didn't know about the not using a reliever before but had thought that myself, so thank you for confirming this! Google repeatedly referring me to this board has been a life saver the past two weeks, I am forever grateful to it!

Thank you for the luck, I need it! And the post as a whole, it was really relieving and good to read. And also, thanky And I will try and find out about the asthma nurses, that sounds specific and supportive and like they might be the right people to see! They aren't just who you're referred to, or do you mean I should ask to be referred? I can try and find out, but thank you so, so, so much. For everything. It really did help. I hope you have a good day.

Lysistrata profile image
LysistrataAdministratorCommunity Ambassador in reply toindissociation

I'm very glad it helped! :) I had a tricky path to diagnosis though thankfully not with all yiu have had as well, so happy to help. I also find it helps to know that the doctor is not always right - it helps me to know I am not crazy. I do not even have any mental health issues or a history of anything like you have had but doctors can be very dismissive when they don't understand, and it helps to know that it is their problem and you are not being unreasonable or a hypochondriac. I had to learn this myself as it does sink into your head, and I imagine much more so with your family history.

The lung and sax thing tends to last - I played the oboe for a while and that seemed to have a lasting effect, so I would expect your best results to still be higher than average. (The average really is just that but you meet some people who.really do not get that so I thought you should be aware - what is good for someone else could be not so good for you!)

Re the nurses - they work for Asthma UK and you csn ring or WhatsApp them any time. If you go to the main Asthma UK page you will find their details. Obviously they dom't hsve your notes but they are very nice and know a lot so you can ask them questions ans talk it all through. They have been a life and sanity saver when I have had difficult times with asthma and drs! As has this forum.

Good luck with your test but feel free to ask more questions beforehand.

indissociation profile image
indissociation in reply toLysistrata

:D It really did! Thank you for understanding and explaining, I'm sorry for everything you've been through too, and that now you have that diagnosis you are being treated better. The daft thing is I know when doctors blow off other people's symptoms but I'm not always able to tell about this for myself, but it is useful to remember. I know I am worried about aspects of my health, but only where they are clearly not ok, and I tend to let it get awful before I actually confront the issue, but no, I'm not a hypochondriac, even if I'm not the most mentally sound person otherwise.

Yeah I do expect them to be higher, I have done all sorts of exercises to strengthen my breath control, expand my lung capacity and so much more, for years, both for music and for the desperate feeling I had to improve them. But telling them that may explain some things about my breathing better than if I say nothing and they just presume my lungs are fine, without seeing the whole picture, so thank you.

That sounds like a lifesaver for me too, I have been desperate to ask anyone so many things this last week and I have read so many things online some of which give completely different advice, so when something is important having a trusted source of information, or if I'm horribly not ok, asking for advice could be unbelievably useful for me. Thank you so, so, so much. I will ask away, if I can organise my thoughts enough to make sense of them, and thank you again!

Superzob profile image
Superzob

You've had a rotten experience to date, but there's no need to worry about the forthcoming tests as these should provide the answer you've been looking for. Your experience with Ventolin definitely suggests some asthma and, importantly, that it can be controlled; you will probably be prescribed a preventer inhaler, so you don't have to use one so much. There is a lot of misunderstanding about peak flows (which are only a comparative guide and not much use in predicting symptoms) and wheezing (I never wheeze!). And Lysistrata is right about the spirometry: it should check your flow before and after Ventolin to detect reversible asthma. The most important thing to aim for here is that you get better, not that you pass a load of tests; keep that in mind with the subsequent treatment to make sure you're getting the best care ( there are a lot of people on this forum who can give you better advice than I can on asthma nurses, etc - don't be afraid to ask for their help and Asthma UK directly). The impression I get is that this is starting to look a whole lot more positive for you and I very much hope that you get the benefits of the proper treatment you so much deserve.

indissociation profile image
indissociation in reply toSuperzob

Sorry for the delay in answering all of these, but your answer is also really helpful as well! Thank you for saying about the tests, I really do hope I finally get some answers and can confidently say its "X", or in this case asthma or some kind of "not-normal" breathing problem contrary to my life-long belief! It's also relief to hear that the ventolin helping suggests something going on, which I'd always thought and have spent some time this week researching whether ventolin would enable better breathing if there wasn't going on. And even better, to hear that answer, that yes, it can be controlled - I am so relieved about this. I am already relieved by the ventolin, I have literally searched if it's possible to be high off of this, but I'm really not, I just am intensely relieved to finally be able to breathe, literally my vision has got better this week, I can think clearer and move more too. If it can be treated in the long-term as well as short term, this really is a life-changing revelation. I am just thankful that for these answers here, and so many others I have been reading from the sidelines, and that one amazing emergency doctor. I am just a bundle of thanks right now. Also, thank you for saying about not wheezing, most of the time I just cough or go to this shallow, empty, silent breathing because my chest feels so heavy.

Passing the test isn't necessary, it's not about a getting good or bad grade, it's about seeing what's actually happening and the doctors being able to tell that. I guess I'm usually defensive and always search for something else to give evidence on my behalf, in case I can't speak up for myself or people don't believe me, but often this works - the recordings are what made the emergency doctor immediately listen and I am intensely relieved. But yes getting the right treatment is what matters, so thank you, I needed to hear all of this. :)

I will find out more and contact Asthma UK too, but honestly thank you for all your advice and explanation, it really helps, and yes this is looking positive, I could literally cry I'm so relieved, thank you so much. I hope you have a good day too.

Suspect1 profile image
Suspect1

I am so sorry to hear of your past and your sibling behavior. I do hope you have reported this.

If I were in your shoes I would refuse to leave the Drs until he gave you something for relief you cannot go on like that. Also don’t forget before the spirometer test don’t take any ventolin it will give a wrong reading.

I do hope you get somewhere with this. Let us know how you get on.

indissociation profile image
indissociation in reply toSuspect1

Thank you so, so, so much. Honestly reporting is difficult because the situation is very complex, there are so many elements that are separate and linked it's a mess. Additionally, later it escalated to familial trafficking, and there are some people there who terrify me far more than my father. But social services, some police and some advocacy networks are aware, between that and my remaining "safe" family and I, some things are beginning to happen. Though that in itself is terrifying. I am just so ashamed of it all. But thank you, I am slowly beginning to try to.

I'm not so great at asserting myself but I have been getting to this point and it's good to here someone say that I'm not being a terrible person to demand the doctor actually listen to this. I managed to do this recently about some other health problems and for the first time in many years they're being listened to. But it means so much to hear someone say something as simple as "you cannot go on like that", I have been trying to say this for years and just wow, thank you! Thankfully I have the ventolin now, but I would like to chase up the preventer because I think that would really help a lot. I would like to have it "well managed", which I think is the official term, that would be really nice!

And also thank you for bringing up not taking the ventolin before the test, I was going to try and find this out, so you really helped. I used it yesterday, but I will not use it now until after the exam on Thursday, and cope as I was before if anything comes up.

Really thank you for your reply and I hope you have a great day.

strongmouse profile image
strongmouse in reply toindissociation

I agree with the other comments but wanted to add that you definitely are learning to become assertive for your needs and that is good. Well done. It can't be easy after all you have been through. Often I find it useful to make a short list before I see the doctor. A list of questions I have and want answered or a list of symptoms I want treated. It helps to go armed with information about asthma and you are already finding people here who can identify with similar issues around diagnosis. I had moderate asthma for a couple of years before it was diagnosed and they even thought it might be my heart and did an angiogram which was fine! Like you once I started on treatment for asthma it made such a difference. Good luck with the tests and seeing your doctor, but I am sure that as you are getting better at speaking out about your needs and being clear the right treatment will be found. Be persistent and yes speak to the Asthma UK nurses on their helpline as they are very knowledgeable and supportive.

Helpline tel no: - 0300 222 5800

Open Monday to Friday 9am to 5pm. or visit Asthma UK contact page for more ways of getting in touch.

Suspect1 profile image
Suspect1

Your welcome. I understand your situation. I do hope it all gets better for you. There is nothing worse than being unable to breath.

You can take your ventolin up to the night before as it will worm off by Thursday. Hope it goes well and keep us updated as I would really like to know how it goes for you. Best wishes.

indissociation profile image
indissociation in reply toSuspect1

Thank you, especially for understanding, I am very grateful. Yeah, apparently not breathing is pretty serious, it feels terrible... (How did I never work this out before @_@)

Ok, thank you! I will post here after the test and my results, trust me, I am going to be so overwhelmingly relieved I will need to shout it from the rooftops!

indissociation profile image
indissociation

It will be the full intention to write a longer post soon, however the past week or so has been tricky so I'm sorry for not sharing sooner. Our results for the spirometry was apparently inconclusive, which was essentially a major fear, but they have given us a peak flow meter and to keep a diary, which for now is interesting. Interestingly, my highest reading with that is just over 500, (my lowest recorded over these weeks has been about 220) and approximately that high fairly frequently. But descends quite a lot throughout the day, I seem to be ok with my breathing, even if I notice minor differences below 350, but struggle more and more under 280. It fluctuates quite a lot.

I don't know if it could have affected the spirometry, but it seems that we were coming down with some kind of throat problem, strept throat or something else, which was giving us huge problems with swallowing air and being uncomfortable with breathing (wasn't sure what it was, but chalked it up to anxiety as it was different to asthma breathing problems and seemed to be located in the throat, and our fiancé suffers similarly). After the nebuliser from the test, I was fantastic for about 10-20 minutes, it was still a major relief, but the by time the thirty minutes had passed from the waiting, I was having problems with burping and gagging on this (that said I swear half of the nebuliser ended up in my stomach anyway), so I'm not sure how this would have affected our ability to expel air so well. Overall however, I'd been absolutely fine that morning, with no breathing problems overall and the doctor said in this type of situation, the spirometry wouldn't show a dramatic change.

So right now I'm uncertain and unsure of what to expect, but I am finding the peak flow a positive step and interesting to log.

Again, I'm sorry we didn't get back to you sooner with these results but thank you for everything.

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