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Wednesday, July 02, 2008

 

When breathing becomes an ordeal

Emphysema afflicts not only the old

By Perry Gil S. Mallari, Reporter

Smokin’ like hell: Winehouse
has early signs of emphysema

Emphysema, a major chronic obstructive pulmonary disease, has become a buzzword in the Internet lately. This, after it was reported that critically acclaimed English singer-songwriter Amy Winehouse was diagnosed with early signs of the ailment.

Winehouse’s case shatters the misconception that emphysema only afflicts old people. The singer’s father admitted that chain cigarette smoking and cocaine usage caused her daughter’s condition. For many who adhere to rock ‘n roll lifestyle, the credo is “live hard, die young.” But emphysema is a painful and pathetic way to die.

Emphysema reduces the lungs’ capacity to expel air. It’s the opposite of asthma where a patient has a hard time inhaling. “In emphysema, breathing out is an ordeal,” explains Ulysses Dorotheo, MD, senior policy adviser of the Framework Convention on Tobacco Control Alliance, Philippines (FCAP), adding, “The main characteristic of emphysema is that the air sacs in the lungs are destroyed. Though air was sucked in, the normal exchange of oxygen and carbon dioxide is not taking place thus, proper oxygenation of the blood stream is seriously hampered.” Describing the painful process of exhalation of emphysema patients, he narrates, “For them, expiring air out is like blowing through a tiny straw.”

Dorotheo cautions that emphysema is irreversible and lethal in the advance stage. He explains, “There’s nothing much that can be done once the damage to the lung tissue has been inflicted.”

He points to smoking as the major culprit in the development of emphysema. “If you want to save yourself from the horrors of emphysema then do not start smoking or if you already are smoking, quit immediately,” he advises.

One surreptitious characteristic of emphysema is that it usually takes years of exposure to cigarette smoke (second-hand smoke included) or some other inhaled irritants before it developed. “Some people may have unknowingly developed emphysema after years of heavy smoking,” Dorotheo points out. In most cases, symptoms of emphysema appear only after 30 percent to 50 percent of lung tissue is lost.

Should a person be diagnosed of possessing early indications of developing emphysema as in the case of Winehouse, Dorotheo stresses that the person must quit smoking immediately. This, he explains, is the only way to halt the progression of the disease. “If, at the time of diagnosis it was discovered that his lung capacity was down to 70 percent then at least he will retain that capacity, though diminished, if he quit smoking.”

The most vocal victim of emphysema in the country today is Amalia Gilmour, a former heavy smoker. Gilmour is helping FCAP in its campaign for the passage of the Picture Based Warning Law (a legislation requiring tobacco companies to put picture-based health warnings on cigarette packs) Now confined to a wheel chair with an oxygen tank tagging along, Gilmour in many FCAP campaigns shared to the public the misery smoking has caused her.

Besides emphysema, smoking is the known cause of a legion of health woes including cancer. Each puff of smoke may seem like heaven but one could never tell when it will take its toll. The wise choice is to quit smoking now and quit for good.

   

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