My Asthma – Patty Martino Marlin

The title says it all “My Asthma”. It’s very personal. It’s like a possession I own. It’s MINE.
I have found other asthmatics who understand what it’s like. Civilians say “oh it’s just asthma”. Asthma warriors say “MY ASTHMA”. I have other medical problems. Some brought on by asthma meds – some not. I don’t call them MY A-Fib or My Diabetes or My Sleep Apnea or My Arthritis. But, when it comes to Asthma, it’s MY ASTHMA.
Why so personal? A-Fib: I don’t have this all of the time. I’m on medicine. I had an ablation that cut episodes down tremendously. Occasionally been hospitalized for A-fib and sometimes TIA’s. Diabetes Type II – made worse by asthma – but treatable. Sleep Apnea – Cpap machine takes care of that . Arthritis – painful at times – but an nsaid usually takes care of that. All of these impact my life “sometimes”. While serious, they are not immediately life threatening.
Back to MY ASTHMA – My asthma impacts my life every day. Is it humid, is it too cold, are there chemicals, are there allergens? It’s like a minefield just going outside and facing these perils. In addition to that – Is anyone sick around me? – Am I going to get a cold, bronchitis, pneumonia? Sickness gradually (and it could be just 24 hrs.) brings on an asthma exacerbation. You know it’s coming and have some time to prepare but invariably you will wind up in the hospital. Triggers give no notice – Zero to 100 in a few seconds or minutes. You are in respiratory failure when you have been perfectly fine an hour before. Doctors in ER ask – Do you have a living will – Do you want us to do anything if you stop breathing…… I even think to myself “it’s just ASTHMA!!!!! What do you mean I may stop breathing? But, it’s not just asthma. It’s a terrible, deadly disease that impacts every day every minute of my life.
If one more person says to me “Oh is it just your asthma “ I am going to throw a tantrum. Occasionally I do pass out in front of people and then they say “You must have more than JUST ASTHMA”.
It’s – MY ASTHMA……….

Katrina Whiley

Life started out pretty normal, with a fun and healthy childhood with just a bit of hay fever seasonly, and asthma when unwell. A couple of puffs of ventolin and all was good again. At 18 I experienced my first attack that required medical assistance. I was taken to hospital via ambulance, and used a nebulizer for the first time. I stayed in hospital for 6 hours and was discharged with pred and regular ventolin. I was put on my first preventer. Over the next few years, I had the occasional attack, and spent no longer then 24 hours in hospital.

In January 2011, my home town of Brisbane Queensland Australia experienced its worst flooding in 100 years. My friends 2 story house had flood waters enter to the second story, destroying everything. Even the fridge was filled with water and silt. I helped hose out the kitchen, bathroom and bedroom on the top story, and 48 hours later I was admitted to hospital with costocondritis and asthma. From here the asthma attacks became much more frequent. On March 2nd, 2012, I presented to emergency with an asthma attack at 6am. It took 6 hours to settle it, and I was admitted overnight for observation. At 3pm I had a rebound attack, and a code blue was called. In the 100 metres from the ward to icu, I went into arrest. I was resuscitated and placed in an induced coma for 5 days. I have since been admitted a further 40 times, including a further 10 ICU stays. Asthma has taken over every aspect of my life, and prior planning is required for everything. I have a hospital bag packed at all times, and I don’t go anywhere without emergency medications.

In 2015 ive had 5 significant and some near fatal attacks. I have made a short video of my hospital stays in 2015.

Melody Papazis

I am not sure where to even begin so I shall start from the beginning. I was diagnosed with asthma at the age of 14. I am an identical twin and we were born prematurely so from the beginning I struggled with respiratory issues quite often. Coughing and chest tightness were a daily part of my life but because I had dealt with it for so many years I knew no differently and never complained. I started volunteering at the Children’s Hospital of Illinois when I was 14 and by that time I had developed a very deep, dry cough that caught the attention of one of the Pediatric pulmonologists. He suggested I have my pediatrician refer me to him and here is where the story takes off.

I went to Dr. Arnett, pediatric pulmonologist, who did pulmonary function testing and told me I indeed have asthma and have it pretty bad. I was started on several different inhalers which did help and only landed in the hospital 1 time for pneumonia during my high school years.

I started nursing school and was doing a home health rotation in a house infested with cockroaches. Apparently, these bad boys are not only disgusting but very bad for an asthmatic. I ended up in the ICU 2 times that semester before we realized what was causing these severe asthma attacks. While in nursing school my asthma went from moderate to severe and prednisone became my friend/enemy. From the age of 20 -30 years of age I was hospitalized about 15 times and every time I was in the ICU in severe respiratory failure. I still continued my job as a pediatric pulmonary nurse working with Dr. Arnett (crazy right, he was my doctor and then I became his nurse). I loved, loved, loved my job because I could truly empathize with my patients and their parents.

I was a runner and would tend to ignore my asthma symptoms. They say nurses make the worst patients and that is a very true statement. I would spend hours a day educating my patients about peak flows and asthma action plans but I myself never followed mine. I would come to work using every single accessory muscle my body had and would put on lipstick to cover my blue tinged lips. I would wear turtlenecks to cover up all the neck muscles I was using to breathe. Of course Dr. Arnett and my coworkers knew I was in distress but I was extremely stubborn and would not listen to them. People complain about the time you have to wait in the ER, well that was never an issue for me because I would only show up in the ER when I was practically near death. I always got star treatment in the ER….I don’t think this is necessarily a good thing…..and a first class ticket to the ICU. My typical hospital stays include intubation, bipap, continuous nebulizer treatments, prednisone, epi, magnesium, fluids and lectures about taking better control of my asthma.

8 months into my amazing marriage my asthma took another nose dive and my local pulmonologist referred me to Chicago to see about pursuing Bronchial Thermoplasty. The great Dr. White listened to my pathetic lungs (breath sounds almost completely silent with very little air movement or wheezing), did a pulmonary function test and told me we have 3 options. 1. We do the bronchial thermoplasty 2. You will most likely need a lung transplant in the next 3-4 years if we do not do the bronchial thermoplasty as my lungs were only functioning at 19% or 3. I will die from an asthma attack. BT (bronchial thermoplasty) is very difficult to get insurances to cover but by the amazing grace of God mine got covered right away and 2 months later I had my first procedure. The procedure is usually done outpatient but because of my severity mine was done inpatient and I spent a week in ICU after each procedure.

I spent the next 5 months in and out of the ICU as my lungs were pretty angry and irritated; however, after those 5 months my lungs opened up like they have never done before. My average peak flow prior to BT was 300 and after BT I am now blowing 560. I got to go back to work and things were looking good for our family. Then the big Washington Tornado came and turned our life upside down. The tornado destroyed hundreds of home’s and businesses but thankfully our house was fine; however, my lungs started clamping down hard. All the debris from the tornado irritated my lungs and I was back to asthma crisis. I had an appointment in Chicago to see the great Dr. White the following Monday so I just sucked it up, dealt with the asthma and decided to wait till I saw him to see if I needed to up my meds. By the time we got to Chicago my oxygen level was 72% and falling. See I told you I compensate well, I was still talking at this point…..not sure how but I was. As I was in the clinic I apparently lost consciousness and a code blue was called. My poor, precious husband had to endure watching all of this take place to me. I ended up on a ventilator but responded well and was only on the vent for a day. I was advised to not go back to Washington until all the debris settled so off to Missouri I went to stay at my twin sister’s house. Her husband is an ER physician and she is also a nurse so I was in good hands but completely homesick for my husband and kids. I ended up in the ICU 3 times in the 3 months I was there but after my last ICU stay we felt it was safe enough to go back to Washington.

And now comes the fun part of my asthma journey. For the next 18 months I did phenomenal and was not hospitalized 1 time. That had not happened to me since I was 19 years old. I have started back to work as a triage nurse and back to working out and living the abundant life God blessed me with. I come home from work and I am not completely exhausted. It’s amazing what good oxygenation will do for one’s morale and overall quality of life.

I was hospitalized this past June for 7 days but did not have to get intubated just bipap. I think my trigger was pushing myself too much when I was outside running and not paying attention to all the pollen my crazy lungs were being bombarded with. Even though I was really sick and in the ICU my lungs responded so much better than they previously had prior to BT. So, that brings us to today. I am currently on 3 inhalers but don’t have to take prednisone on a daily basis. We are currently in our beautiful fall season here in Washington and lungs are a little twitchy but responding well to albuterol.

I have been blessed with an amazing support system (family, physicians and friends) which I believe is vital to winning the battle of living with a chronic illness. My son is 12 years old and has been a diabetic for 4 years and his strength and endurance gives me extra courage to live my life to the fullest. My husband is quite possibly the world’s best husband. Marriage’s have a much higher divorce rate if one of the partners has a chronic illness. Our relationship has actually deepened and I can honestly say I would not be alive today if it wasn’t for him.

I also have an amazing support group on Facebook that have literally been a lifeline to me these past 3 years. Having a chronic illness can be very overwhelming and frightening at times but having a group of friends who can strengthen and encourage me in my journey is invaluable. I refuse to let asthma define me. It has shaped and molded me into a very courageous, kind and empathetic nurse, mom and wife. The trials I have endured have strengthened me and encouraged me to never give up, always look up and see the beauty in our moment by moment blessings. My favorite quote that I have hanging in my office is “ life is not measured by the breaths you take but by the moment’s that take your breath away.” I pray that whoever reads my story will be encouraged to never give up, take control of their asthma and not let asthma define them! God has a beautiful story unfolding before our eyes. Thank you for letting me share my story with all of you!!!