I have mild, intermittant asthma strongly linked to allergic triggers.
What this means is that I can go months, even a year or more, between any sort of attack or asthmatic symptom. This gives the illusion of robust, good health. Actually, I am healthy … aside from a chronic issue that isn’t going away.
You asked about misinterpretations. Here are some of the highlights:
Children shouldn’t be on powerful drugs This one doesn’t happen anymore since I’ve been adult, but it was a serious issue when I was younger. Particuarly at summer camp. First of all, there were folks who criticized my parents for allowing the “sickly” child to go to camp in the first place, but maybe it was before it was considered proper to give children with medical conditions as normal a life as possible. I had a variety of problems, ranging from camps that wanted me medicated on a strict and ridgid schedule (leading rapidly to OVER medication) to camps that insisted a family doctor had to phone in permission to medicate each and every time a dose was given. On one memorable occassion, during a particularly bad afternoon hike, I begged for literally hours for my medicine, only to be told I was exaggerating, that I was trying to get high, that I was too young to be trusted with it, that we needed the camp nurse’s opinion as to whether or not I was having an allergy attack (I was fountaining phlegm at that point - either it was allergies or some new and exotic plague), and so on and so forth. Finally, when my eyes swelled up so I could hardly see where I was walking, I could barely talk because my throat was so raw, and I was developing some interesting rashes one of the counselors decided that hey, may there IS a medical problem here. So they carried me back to the main camp building and called my parents to tell them they were going to call an ambulance to take me to the hospital. My parents were, needless to say, in a panic. They demanded to know what sort of horrific accident had occurred. Well, when the truth came out my parents yelled at the camp authorities for ignoring me, told them THEY were being hysterical, give me 50 mg of Benadryl and let me sleep it off and I’d be fine. Next time, medicate when the kid starts complaining, not after an entire day has gone by. Better yet, let me carry a dose with me and I could take care of the problem.
Well, I don’t know what all occurred, but they did give me 50 mg, I slept the rest of the day, felt much better when I woke up, and was allowed to carry 25 mg thereafter, camp policies be damned or something.
You’re too healthy to have asthma! Um, no… I’m healthy because I don’t play games with the condition. I avoid my triggers, I medicate when appropriate, and I get my butt to the doctor (or even ER) when needed. I should not be penalized for taking care of myself.
The real downside of this is that there is little sympathy or understanding for when I get an upper respiratory infection. For me, a cold IS a serious illness and can trigger a week of requiring medications to keep breathing properly, interfere with my sleep, and generally put me at risk for serious complications. What would be a minor infection in someone else can knock me down and knock me down hard. “Toughing it out” is not an option. Taking care of myself does not make me a wimp.
Truth is, since my asthma was not properly diagnosed or treated until my 20’s (although other allergies were attended to) and I’ve had pneumonia several times I have probably suffered some permanent lung damage. My lungs simply do not work as efficiently or as effectively as those of a non-asthmatic. Thus, when I have chest congestion it’s harder for my body to clean out the gunk, which makes it more likely bacteria will set up housekeeping and I wind up with a very nasty infection. I really do have to be careful about these things.
How can you be allowed to fly airplanes with asthma? Simple - the airplane doesn’t care if I can breathe or not.
But seriously, folks, it’s not a huge issue.
I am occassionally accused of having lied to the FAA to get medical clearance. Not true. I made a full diclosure at my first medical. The FAA would much rather have someone with a chronic health problem properly treated than someone in denial and flying UNtreated. The former is much safer. Since I can go very long stretches without symptoms and without requiring medication I didn’t even require a special review. There are a couple (very few!) medications I can take for allergies and still fly. If those aren’t enough I simply don’t fly as pilot, solely as a passenger, or I just stay on the ground. Honestly, it doesn’t take a lot of brains to figure out that if you can’t draw a good breath on the ground it’s kind of stupid to go up where the air is thinner.
I am conversant with the FAA rules on this sort of thing, and obey them. If anything, I’m probably more anal about it than they are. Rather like their rule on alcohol - the FAA says 8 hours bottle to throttle but for myself I make it 24 because hey, it can’t hurt to be a little extra careful. I am doing that activity for fun, not to wind up at the center of a smoking crater.
You’re overreacting to that smoke/perfume/dust/whatever No, I’m not. Cigarette smoke really does cause me physical pain. Some perfumes can do that as well. My lungs go into spasm and I have a definite sense of slow suffocation, which is really, really, really unpleasent. It doesn’t matter that no one else in the room is affected - my lungs are much more easily irritated than normal. It’s like an albino sitting on a sunny beach with a bunch of black people. It doesn’t matter that no one else is getting sunburned, the albino is still having a problem. One of the ways I keep myself healthy is by avoiding lung irritants. I sorry you find that rude. Personally, I think it’s rude of people to expect me to put up with irritants that result in 2-3 days of wheezing, pain, and drug requirements for me. I don’t care that your sister/cousin/brother/whatever has asthma and smokes. He/she is an idiot.
A little bit of XYZ won’t hurt you Yes, it will. Food allergies are my most seroius trigger. It makes me sound a little paranoid around food. Well, I’ve got reason to be. I am not required to prove I’m allergic to something. I don’t care if you believe me or not, or consider me a psycho-picky eater. It’s not a matter of “not liking” a food (I actually like many foods I’m allergic to), it’s a matter that certain foods make me seriously ill. Do not shove them in my face, attempt to trick me, or argue with me. Trust me, having to call 911 mid-meal is very disruptive and not at all fun. Alright, it’s been about 14 years since that was required. That’s a good thing. I’m trying to aim for 50-60 years without further catrastrophic incident. Please support me in this marathon effort by not urging me to eat things I shouldn’t.
If I am having an attack, please do not push me down flat Granted, serious attacks are pretty rare for me. But if I want to sit up, let me sit up. Pushing me to lie flat will only make it harder for me to breather. Really. Ignore what you’ve seen on TV. Please, stop pushing me. It is already a struggle to breathe, I do not want to have to add a street brawl on top of it.
Please do not push any miracle cures on me First, I’ve probably heard of more allergy/asthma cures than you have. Second, my medical care is between my doctor(s) and me and is none of your damn business.
More water/megavitamins/vegetarian diet/dairy-free diet/herbs/yoga/magical incantations will not “cure” this problem. Neither will praying to Jesus. Please do not lecture me on my immune system being “weak”. It’s not weak, it’s actually a hittle hyperactive and overpowered which is why I have this problem in the first place. Do not push echanecea on me - it does not help, it actually makes my allergies worse Do not push herbal teas on me - I’m allergic to too many of them.
I actually love cats - I just can’t handle being around them Really, I used to own cats. I like cats. Probablem is, being around cats makes my eyes swell shut, my nose and ears run and itch, and my lungs spasm so I’m back to that slow suffocation thing again. I can visit your home where cats live, but I can’t safely sleep there overnight and I should not touch or pet your darlings. Please do not take this as a personal rejection of either you or your pets. I will happily marvel at their antics, sing praises for their feline beauty and maybe stratch their heads and chin (followed by a quick dash to the sink to thoroughly wash my hands) but I cannot have them climbing on me, sitting on me, or rubbing themselves on my face. Dusting/vacuuming will not take care of the problem.
Do not blame my parents It’s not their fault, either. Never in a million years would they have wished this on their kids. Except mom would rather die than quit smoking - literally. That probably was not good for me growing up, but addiction is an ugly thing. At least I didn’t have to worry about my parents burning down the house while freebasing cocaine or cooking up methamphetamine. Anyhow, you can’t blame the cigarettes, at least not entirely - I have a niece and a nephew who grew up in smoke-free homes who both have allergies/asthma significantly worse than mine. Not that anyone believes that - both of them are “too healthy” to have such a chronic health problem! Of course, they’re healthy for the same reason I am - they don’t screw around playing games with their health. They take care of themselves, medicate as ordered, and when things start to flare up seek help before it erupts into a crisis.
I’m not having a problem because I was careless I don’t care how good you are at managing a chronic health problem - every once in awhile it will flare up.
I’m not malingering or doing this for attention, a.k.a. some days are better than others Seriously, I’ve been accused of this many times. I hate being sick. I hate missing stuff because I’m feeling sick. I know my body. It’s a feature of many chronic problems that while one particular day I may be up to a certain activity, the day before or the day after I may not. Toughing it out, pushing myself, etc. is not wise because it can lead to extended periods of lying in bed feeling quite ill and weak.
Likewise, some days I’m more adventurous than others. If I’m already having allergy problems, or getting over some upper respiratory illness, I will be more cautious in diet, activity, and environment. Fortunately, the people where I currently work are very supportive (mostly) about this. When I’ve been sniffling and coughing for a couple days they understand when I decline the most recent office goody and say I’m not feeling adventurous in food today, or decline a walk somewhere on a very cold day (even though normally I’m a winter sports enthusiast). My system is already under stress, it doesn’t need more.
Don’t limit me unnecessarially There are Olympic athletes who have asthma, obviously this doesn’t HAVE to be a crippling disease. I exercise, I go camping, I worked on a horse farm, I enjoy gardening, I like walks in the woods, I fly airplanes, I play wind instruments including the bagpipe… Please do not assume any activity is off limits. In some instances it’s no problem at all. In other situations I must take some precautions - gardening, for example, requires gloves and sometimes a dustmask. Sometimes there are seasonal considerations - I don’t go for walks outside when particular plants I’m allergic to are blooming. However, I can certainly enjoy blooming plants I’m NOT allergic to, and intend to do so. Once in a very great while I find something truly incompatible. Trust me, I have the sense not to continue such activities.
You know, the above actually makes for a somewhat satisfying vent. Thank you for the opportunity.