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Guidelines Are Issued on Asthma and Youths
NY Times ^ | August 30, 2007 | DENISE GRADY

Posted on 08/29/2007 11:48:52 PM PDT by neverdem

Children ages 5 to 11 with asthma require different treatment than do adults, guidelines issued yesterday by the National Heart, Lung and Blood Institute say.

The new guidelines are the first to recognize that this age group has distinct needs and should not be lumped together with adults, as has been done in the past.

Specifically, these children can often control their asthma with inhalers that contain only steroid drugs, whereas adults are more likely to need inhalers that combine steroids and other medicines.

(The steroids used to treat asthma are different from the ones that athletes take to bulk up their muscles.)

The new information is part of a 440-page report (http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm) that spells out details for diagnosing and treating the disease. The report emphasizes that every patient should have a treatment plan that considers not only current symptoms, but also the risk of future attacks. Someone with asthma can be feeling perfectly fine and yet still be at high risk of having a severe attack. The risk is based on the history of asthma attacks and related problems like allergies, and it is an important factor in determining the type of medicine needed and how often it should be used.

People with persistent asthma need to take medicine every day to prevent attacks, even when they are feeling well, and the report notes that educating patients and their families is an essential part of controlling the disease. Patients must be persuaded to take medicine even when they do not feel sick, and they need to be taught how to use inhalers properly, or the medicine will not reach their lungs.

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Government; News/Current Events; US: District of Columbia
KEYWORDS: asthma; health; medicine; youths
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To: TigersEye
Good idea I won’t mention it to her. Its good there was this topic tonight as I have to call the dr & get her a new note & a inhaler for school. I still am fuming she isn’t allowed to carry hers on the bus. I worry like crazy about an attack on the bus. If she hadn’t begged to go back to school I would have been much happier. First sign of any of the gay bs or sickness she is being homeschooled.
21 posted on 08/30/2007 1:03:30 AM PDT by pandoraou812 ( zero tolerance to the will of Allah ...... dilligaf? with an efg.....)
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To: Hi Heels

Thank you. I’m very sorry about your daughter. You’ll be in my prayers too. Thank you for bringing your good advice here.


22 posted on 08/30/2007 1:06:35 AM PDT by TigersEye (This is the age of the death of reason.)
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To: pandoraou812
My school district INSISTED that she go to preschool for disabled students. She got sick every single time she went. Finally I got a MD note to excuse her due to her impoverished immune system. Although she was much more disabled than your child, I found that the school MUST accommodate her with the MD note. So, if she gets sick, talk to your doctor. The school will have to send a teacher out to help her if it’s found that the school, in fact, is dangerous to her health. There are programs to help if it’s found her immune system is compromised.
23 posted on 08/30/2007 1:11:40 AM PDT by Hi Heels (Cleverly disguised as a responsible adult)
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To: TigersEye

How nice you are. Thank you. I just love how supportive FReepers can be.


24 posted on 08/30/2007 1:19:09 AM PDT by Hi Heels (Cleverly disguised as a responsible adult)
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To: Hi Heels

Thanks for the advice. I wanted to homeschool & we did all summer. But when we talked to her about it she said please let me go to school... I love going. So we are . My oldest daughter(now 28 yrs old) had a tutor for almost a year when she got sick so I know it can be done. Its strange but since she got off those 2 drugs she has been so much better. She had an allergy med for the beginning of the summer but the dr took her off it when the pollen season was over & we had no problems. I honestly felt her old dr was turning her into a mini drug addict. Both the drs in that office made me feel like I was a bad mother. In fact the woman dr hinted on calling social services on me if I took her off the drugs. She never came out & said it directly but she sure scared me enough into getting a new dr asap. Time for bed for me...Sassy gets up early. It was good to meet you & I hope to see you again ..~Pandora~


25 posted on 08/30/2007 1:22:58 AM PDT by pandoraou812 ( zero tolerance to the will of Allah ...... dilligaf? with an efg.....)
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To: pandoraou812

Good luck, FRiend. My prayers are with your daughter.


26 posted on 08/30/2007 1:26:50 AM PDT by Hi Heels (Cleverly disguised as a responsible adult)
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To: neverdem

A friend of my daughter is doing her residency. Several welfare patients have tried to get her to say they or their kid has asthma even though they don’t. Why? They can have air-conditioning installed and it becomes a medical expense paid for by us.

She ran these cases past the doctors and they said, “Oh, go ahead and give it to them.”

Great system.

Not saying all asthma patients are faking it, but there are probably a lot of happy, cool scammers out there as the word of this great benefit gets around very quickly.


27 posted on 08/30/2007 2:59:35 AM PDT by Right Wing Assault ("..this administration is planning a 'Right Wing Assault' on values and ideals.." - John Kerry)
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To: neverdem; All

Your theory may be very close to what I believe to be the correct one. ;) Lack of exposure to various elements in fresh air.

Until fairly recently, children were exposed immediately at birth to fresh air (OMG!), which includes all kinds of things. Beginning in the late seventies, hospitals began to close up their windows. I remember fighting with staff when my son was born. I wanted the window open. They kept closing it. They gave me a humidifier which made the stuffy room worse.

I’m not big on a/c either. I think it causes health problems for children and adults. Homes and businesses are becoming more air-tight and more of them use a/c. More and more people are spending their days inside in more sterile environments - places that are professionally cleaned on a daily basis. No fresh air, no dirt, but plenty of germs from other people.

Since the mid-to-late eighties, kids have been plopped in daycare/preschool where they spend most of their time in an enclosed environment (no open windows). School windows are no longer opened. Mom heads off to her job which is in an enclosed environment (no open windows). Then she picks her kids up and they head home to an enclosed environment. Mom gets pregnant in an enclosed environment and spends the bulk of her pregnancy in an enclosed environment.

No exposure to allergens leads to lack of build up of tolerance to those allergens.

Wanna do one on the obesity problem now?


28 posted on 08/30/2007 8:01:35 AM PDT by sageb1 (This is the Final Crusade. There are only 2 sides. Pick one.)
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