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March 21, 1996 AUGUSTA FOCUS
Asthma crosses culture and age
Asthma is a lung disease that
causes breathing problems for
nearly 10 million Americans at
this time. The numbers are in
creasing, probably due to in
creased exposure to irritants.
Itis usually a chronic problem,
and is always serious, potential
ly life-threatening if not proper
ly managed. However, with prop
er management, most people
with asthma can live normal,
productive lives.
Anyone can get it
Asthma does not discriminate
by race, socioeconomic status ...
orby age. Of the Americans diag
nosed with asthma, approximate
ly three million are under 18,
while about seven million are
adults. Some have had it all their
lives, but others may have got
ten it for the first time as adults.
Children sometimes seem toout
grow their asthma, but it may
return later in life.
Approximately the same num
ber of men and women have asth
ma, but under age 20 rates are
higher among males. African
Americans have had slightly
higher rates than whites, and
their death rate from the disease
has been consistently higher.
An asthma attack
An attack typically occurs
when an irritant affects the
lungs. There may be tightness in
the chest, slight wheezing, cough
ing, restlessnessor difficulty try
ing to sleep, or trouble breath
ing. Air passages constrict, mak
ing it hard to breathe air in and
Black leaders committee looks
for ways to reduce racial tensions
By Bruce Smith
ASSOCIATED PRESS Writer -~
CHARLESTON, S.C.
Racial tensions in South Caro
lina have heightened in recent
weeks and lawmakers must find
ways to deal with the problem,
black leaders say.
At news conferences across the
state Thursday, black leaders
asked the General Assembly to
create a five-member panel to
propose solutions to what state
Rep. Ralph Canty, D-
Sumter, called “a sharp
exacerbation of racial
ill-will and outright ra
cialanimosity acrossthe
state.”
The group suggested
the panel hold hearings
in 12 cities and report to
Gov. David Beasley and
the Legislature in May.
“We believe a quick,
decisive and human re
sponse to what is now
occurring is very much
needed,” Canty said.
“I do think in South
Carolina we have some
racial problems and I
think we need to face
them,” said Milton
Kimpson, chairman of]
the state advisory com
mittee to the U.S. Civil
Rights Commission that
met here Thursday.
“We're still dealing
with the Confederate
flag,” he said.
In recent weeks, the
federal government be
gan investigating pos
sible racial motives be
hind several fires at
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even harder to breathe the stale
air out.
The cells that line the passag
es secrete more mucus than nor
mal, and it is very thick and
sticky, so it tends to clog the
passages, which swell because
they areirritated, which contrib
utes to the problem.
Attacks may begin suddenly or
may take a long time, even days,
to develop. Mild episodes are
more common, and the airways
open up again in a few minutes
orhours. However, some episodes
last longer and some are very
serious and need immediate
medical attention. In a severe
attack, the person may become
breathless and have difficulty
talking. The neck muscles may
become tight with each breath.
The lips and nail beds may have
a grayish or bluish color. The
person may exhibit chest retrac
tions (chest skin sucked in).
People with asthma are taught
by their doctors to take medica
tion to prevent an attack or to
help them if an attack occurs. In
severe attacks, they need emer
gency care.
Even though an attack may
subside, changes may be taking
place in the airways that may
lead to pr longi.ug the episode or
toa second wave of distress. This
second wave — or “late phase” of
the attack —is often more severe
than the initial attack and po
tentially more dangerous. In
flammation is the hallmark of
the second wave, and it causes
black churches.
A white state trooper was fired
after he pulled his gun and
roughed up a black wuman dur
ing a traffic stop. And a shop
selling KKK memorabilia has
opened in Laurens, prompting
protests from townspeople.
Kimpson’s committee issued a
report last year saying that fly
ing the Confederate flag over the
Statehouse “has pulled the cover
off race relations that were al
ready strained to the breaking
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further narrowing of the air pas
sages. The asthma victim may
find it even harder to breathe
during this second wave or late
phase of the attack than during
the first. It is this late-phase at
tack, which may last a day or
even longer unless it is treated
effectively, that leads to most
hospitalizations for asthma.
This phase makes lungs more
sensitive to other triggers that
may set off an attack. This un
usual sensitivity may last for
days or weeks after the initial
attack.
Controlling asthma
Today’streatment aims to pre
vent attacks, as well as stop an
attack onceit hasstarted. People
who see a doctor only when they
have an emergency may be miss
ing out on new preventions.
Successful control begins with
diagnosis. This usually includes
a detailed medical history, a de
tailed physical examination, and
various lab tests, including lung
function tests involving spirom
etry with an instrument you blow
into to measure the air taken
into and released from the lungs,
and possibly peak flow monitor
ing; a chest X-ray; and possibly
blood and allergy tests.
Treatment includes the doc
tor’s choosing and monitoring of
the most effective medications
at the proper dosages for a par
ticular patient. Treatment may
include medications taken daily
and medications used only if an
attack occurs.
point.” A
The panel is holding mectiligss
in Columbia, Charleston and
Greenville to update the report
based mainly on testimony col
lected four years ago.
The erosion of affirmative ac
tion and even the House’s recent
rejection of all-day kindergarten
contribute to the climate, com
mittee members said.
“If you talk about civil rights,
that’s (all-day kindergarten) civ
il rights — giving everyone an
e
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Through care of a doctor expe
rienced in treating asthma, sup
plemented by asthma health ed
ucation programs, people can
learn how to handle an attack if
one should occur. Treatment
must take along-term approach,
because asthma really doesn’t
just go away by itself.
Triggers
Attacks probably do not occur
spontaneously, although the trig
gers frequently cannot be identi
fied. The range of these triggers
is enormous: allergic reactions,
infections, emotional stress and
excitement, vigorous exercise,
cold air, occupational dusts and
vapors, pollution, sleep, house
hold products, and drugs.
Exercise and smoking
Most people with asthma can
participate in regular exercise
with minimal difficulty, provid
ed their asthma is under control.
Exercise-induced asthma can
occur, but many people with asth
ma are advised by their doctor to
take appropriate medication pri
or to exercise to prevent an at
tack. Short-duration activities
and certain types of exercise may
prove less likely to cause asthma
symptoms.
Smoking makes asthma worse.
Adolescents and adults with asth
ma must be encouraged and
helped to quit smoking for the
sake of their lives. Breathing
secondhand smoke can trigger
asthma symptoms. Smoke-free
environments can help prevent
asthma attacks.
opportunity,” Kimpson said.
u&mmm eas
ing racial tensions will require
everyone’s help and people have
to speak up.
Mary Dunlap Sneed, a white
advisory committee member
from Columbia, said white wom
en also should complain about
attacks on affirmative action.
“White women in South Caro
lina government have benefited
more from affirmative action
than any other group,” she said.
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Making your medicines
work for you is essential
The fact is, 30 to 50 percent of
patients do not use medicines as
prescribed. Moit common among
medication misuses are taking
doses at the wrong time, taking
incorrect doses, forgetting totake
doses and stopping medications
‘too soon.
People with chronicillness pro
ducing no symptoms or erratic
symptoms are particularly prone
to medication misuse. Such pa
tients — including those with
mental disorders, hypertension,
asthma, glaucoma and
osteoporosis — must resist the
temptation to stop taking a me
diation when they are feeling
well, because their condition will
ultimately worsen without treat
ment.
Others at increased risk of not
taking their medications as pre
scribed are people who are older,
have poor vision and take multi
ple medications; are depressed;
‘are going through a life change,
such as death of a loved one,
retirement, moving, divorce or
remarriage; frequently drink al
cohol; live alone and don’t get out
much; suffer from pain; can’t
easily talk to the doctor due to a
language or hearing difficulty or
feeling uncomfortable asking
questions.
SR Dusan <« -DU tL) 188 j : .
Cel L H §PR A
s i iRt aet il AR
Medical tests for adults
The following is a list of medi
cal tests that might be given to
adults, and an explanation of
what each is for.
Blood pressure measure
ment. This is perhaps the single
most common health screening
test. Devastating complications
like heart disease and stroke can
often be prevented by early diag
nosis and treatment of high blood
pressure.
Breast exam. Careful exami
nation of the breasts by a physi
cian can often detect abnormali
ties overlooked in self-examina
tion and is used to follow up on
abnormalities that are detected.
Men should examine their
breasts also, as one percent of
breast cancer occurs in males.
Cervical exam. A pap test or
smear detects precancerous cells
in cervical or vaginal secretions.
Microscopicexamination ofthese
secretions can detect early chang
esin these cells in a high propor
tion of cases of cervical cancer.
Colon-rectal exam. A digital
rectal exam is used to reveal co
lon-rectal cancer, In
proctosigmoidoscopy, the physi
cian manipulates a flexible in
strument to detect suspicious
Basil Coombs, 0D
Optometrist Former Asst. Clinic Chief
Eisenhower Medical
SOUTHSIDE EYE CARE
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If you (or someone you know)
has difficulty following a. pre
scribed treatment regimen, help
may be available. Your doctor or
pharmacist may be able to sug
gest a compliance aid to help you
remember when it’s time for a
dose and to keep track of how
many doses you've taken.
Always be honest with your
physician. Iffor some reason you
have notbeen taking a prescribed
medication or have not been tak
ing it according to instructions,
tell your doctor. Without this
knowledge, he may change your
therapy believing the medication
has failed, when actually the
drug has not been given a chance
to be effective.
When you get a prescription,
be sure to ask your doctor the
following questions:
*What is the name of the med
icine and what is it supposed to
do?
*How and when do I take it,
and for how long?
*What foods, drinks or other
medicines or activities should I
avoid while taking this medicine?
*Arethere any side effects and,
if so, what do I do if they occur?
Be sure you understand all
instructions before you leave
your doctor’s office.
growths that should be biopsied
and removed before they become
life-threatening. A guiac or
hemacult test is a test to detect
blood in the stool, often a warn
ing sign of some ongoing pathol
ogy.
. Blood and urine exam. A
wide range of tests can be done
simply, safely, and inexpensive
ly from samples of blood and
urine. For example, a low hemo
globin level suggests anemia,
cholesterol levels relate to the
risk of hardening of the arteries;
and elevated sugar levels in the
blood or urine may be a sign of
diabetes.
Venereal disease exam. The
increasing incidence of sexually
transmitted diseases means
these tests should not be ignored
by sexually active people, includ
ing teenagers.
Vision and hearing exam.
Anyone who doesn’t already vis
it an eye specialist regularly
needs an occasional vision exam, |
which should be more frequent if
there is a continuing eye prob
lem. For people over 40, the exam
should include a test for glauco
ma — excessive fluid in the eye.
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