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COPD-INTERNATIONAL NEWSLETTER
http://www.COPD-International.com

Dedicated to the philosophy
"You can learn to control this disease instead of letting it control you!"

Monday, April 20, 2009             Volume #8 -- Issue #16
Susie Bowers, Editor -- Web-Editor@COPD-International.com
Copyright ? 2009 COPD-International.com All rights reserved.

FREE BY SUBSCRIPTION ONLY! Subscription information is at
the end of this newsletter. THIS IS AN AUTOMATED MESSAGE
PLEASE DO NOT REPLY. This newsletter is published on Mondays.
_______________________________________________________________

> > > > > > > > > >       IN THIS ISSUE       < < < < < < < < <
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==>  Welcome
==>  COPD News
==>  Recalls/Warnings
==>  Featured Articles - New Trends for Respiratory Therapists
==>  Nutrition/Wellness
==>  Community Update
==>  Link Directory
==>  Just for Fun
==>  Recipe
==>  Closing Thought
==>  Subscribe/Unsubscribe Information
________________________________________________________________

> > > > > > > > >           WELCOME           < < < < < < < < <
________________________________________________________________

ABOUT US
We are a group of fellow COPD sufferers, caregivers and others
interested in this disease. Our online community is devoted to
helping one another to live the best life possible with this
debilitating illness through interactive support.

As many of us have found, COPD is a disease of many faces,
contradictions and components. Therefore, our diversified community
is here to share its combined wealth of knowledge and information,
so we may all become well-informed patients and take control of our
disease rather than letting this disease control us.

We welcome your input and participation in our newsletters and will
review for publication any pertinent information you wish to share
with others on COPD and related topics. Also, periodically we will
feature stories and information from guest writers. If you wish to
contribute to the newsletter, please contact us at
Newsletter@COPD-International.com.

Yours in health,

Susie in Delaware

       Editor's Note: There are several exceptionally long links in
       this edition. Please cut and paste the entire address into
       your browser if you have trouble opening the page.
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> > > > > > > > >          COPD NEWS          < < < < < < < < <
________________________________________________________________
A COPD PATIENT COMPLETES THE BOSTON MARATHON
On Feb. 12th, Mike McBride sent an email that said "received word
today that the Boston Athletic Association is going to allow me to
participate in 2009 Boston Marathon as a mobility impaired athlete.
I am so excited!!"

He went on to say "Now I?ll work my behind off to make sure I cross
the finish line ..... It remains to be proven that an old man with
COPD can do the mother of all marathons."

Today (4/20) at 9:00, in the small New England town of Hopkington
MA, Mike crossed the start line, beginning the final steps in his
quest to not only be the first COPD patient to be accepted as a
competitor in the worlds oldest marathon, but to finish.

7:31:36 (7 hours, 31 minutes, and 36 seconds) later, with
temperatures in the mid 40's, a wind in his face, and hauling 4
Oxygen tanks over such obstacles as Heartbreak Hill (the downfall of
many runners over the 113 years of the marathon), Mike crossed the
finish line in Copley Square, Boston, MA.

Read more at: http://www.COPD-International.com/library/Boston.htm

AUSTRALIAN GUIDELINES FOR MANAGEMENT OF COPD RELEASED
New Australian guidelines for management of COPD have been released,
with new advice on anticholinergic safety, living wills and smoking
cessation. The latest version of the Australian Lung Foundation's
COPD-X guidelines posted online includes new advice based on a
review of the safety and side effects of tiotropium and ipratropium.

It concludes that the beneficial effects of tiotropium come at a
cost of increased adverse drug effects, but with no increase in
death from any cause and a decreased rate of serious adverse cardiac
events. On ipratropium, an increased risk of adverse cardiovascular
effects was identified, the guidelines note.

New advice for GPs is also provided to cover the issue of Advanced
Care Planning for patients with advanced COPD. See New Guidelines:
http://www.copdx.org.au/guidelines/index.asp

LEGIONNAIRES: HOW INFECTION IS ACQUIRED
Legionnaires disease is a bacterial infection that causes severe
pneumonia, which can be fatal. The disease takes its name from the
first recorded outbreak in 1976 at a conference of American
Legionnaires (or ex-servicemen).

In that outbreak, 221 people were infected and 34 died. A bacterium
that had not been identified up to then was found to be the cause
and was named Legionella Pneumophilia. In recent years, there have
been sporadic outbreaks.

Legionella bacteria thrive in warm water and are typically found in
piped water or storage tanks in large buildings, air-conditioning
systems and warm-water whirlpool baths or spas. Infection is
normally acquired by breathing in water droplets from these sources.
After an incubation period of between two and 10 days, symptoms of
pneumonia occur. See More:
http://www.independent.ie/national-news/legionnaires-how-infection-is-acquired-1429946.html

NHLBI HIRES FIRM TO BUOY COPD AWARENESS EFFORTS
The National Heart, Lung and Blood Institute (NHLBI) awarded Porter
Novelli a three-year, $3.6 million integrated account that will
enhance the agency's COPD awareness campaign, according to Amy
Pianalto, project officer for the NHLBI.

The "Learn More Breathe Better" campaign, which launched in January
2007, is an ongoing effort that includes PR, ads, and marketing. It
aims to raise awareness about the disease, especially among the 12
million people who have not yet been diagnosed with COPD.

Work began April 1 and is based out of PN's Washington office, said
Dr. Carolyn Tieger. Tieger said that the win was significant for the
agency, partly because the NHLBI was the firm's first client in
1972. Raising awareness about the fact that the disease is treatable
is one of the campaign's main goals, she noted. See Story:
http://www.prweekus.com/NHLBI-hires-PN-to-buoy-COPD-awareness-efforts/article/130715/

POT PLUS CIGARETTES BOOSTS LUNG DISEASE RISK
People who smoke both tobacco and marijuana may have a particularly
high risk of developing COPD, a new study suggests. Cigarette
smoking is a well-known risk factor for COPD, a group of lung
diseases that includes emphysema and chronic bronchitis. In this
study, people who smoked tobacco alone were at elevated risk.

On the other hand, the study failed to show a strong link between
pot smoking, by itself, and a higher COPD risk. The findings suggest
that marijuana and cigarette smoking may act "synergistically" to
promote COPD, the researchers report in the Canadian Medical
Association Journal. See Article:
http://www.reuters.com/article/healthNews/idUSTRE53C5ZA20090413

COPD NO TRIVIAL PROBLEM
By Tedd Mitchell, M.D.
President, CEO of Dallas' Cooper Clinic

Chronic lung disease is our nation's No. 4 killer. And 80 percent to
90 percent of those deaths come from one cause: smoking. The two
main types of COPD are emphysema and chronic bronchitis.

There's an old Scottish proverb that goes something like this:
"We'll never know the worth of water till the well goes dry."
Unfortunately, for millions of Americans, COPD has caused their
lungs' wells to "go dry." For a doctor, few things are as difficult
to watch as someone suffering from severe obstructive lung disease.

As the fourth leading cause of death after heart disease, cancer and
stroke, COPD is no trivial problem for our nation. Still, COPD is
preventable. That's because 80 percent to 90 percent of all COPD
deaths result from just one cause: smoking. See Article:
http://www.usaweekend.com/09_issues/090412/090412healthsmart-breathing.html

ASTHMA STUDY: ACID REFLUX TREATMENT HAS LITTLE IMPACT
Results from a new, government-funded study should change treatment
practices for millions of asthma patients who take acid reflux drugs
but have no heartburn symptoms. The practice of prescribing acid
reflux- targeting proton pump inhibitor (PPI) medications to
patients whose asthma is not well controlled with treatment has
become common in recent years. But the new study confirms that acid
reflux drugs do not improve asthma control in patients with
gastroesophageal reflux disease (GERD) who do not have heartburn or
other acid reflux symptoms.

An asthma expert with the NIH's National Heart, Lung and Blood
Institute (NHLBI) says millions of asthma patients with so-called
"silent GERD" may be taking acid reflux drugs for no reason. See
Article:
http://www.webmd.com/asthma/news/20090408/millions-with-asthma-dont-need-ppis

NURSES' ROLE IN MANAGING PATIENTS WITH BRONCHIECTASIS
In a previous article on bronchiectasis, Alan Peres defined
bronchiectasis, its pathophysiology and clinical manifestations, and
how nurses may assess patients presenting with it. This article
provides an overview of treatment and the role of the nurse in
providing and managing the care of patients with this condition. See
More:
http://www.nursingtimes.net/nursing-practice-clinical-research/specialists/respiratory/the-nurse%E
2%80%99s-role-in-managing-patients-ith-bronchiectasis/5000165.article

STUDY: OZONE LEVELS RAISE RESPIRATORY DEATH RATE
People who live in areas with the most ozone pollution are 25
percent to 30 percent more likely to die from lung disease than
those living in areas with the cleanest air, researchers reported
recently.

Michael Jerrett of the University of California, Berkeley and
colleagues studied nearly 500,000 people across the United States
for 18 years and found that ozone played no role in heart disease
deaths once air pollution consisting of very tiny particles was
taken into account. But ozone, at ground level a corrosive form of
oxygen that is the primary constituent of smog, was the key player
in respiratory fatalities. See Story:
http://www.calgaryherald.com/business/Ozone+levels+raise+respiratory+death+rate+Study/1382224/story.html

MEDICAL RESEARCHERS FACE CONFLICTS OF INTEREST
Dr. Bruce Psaty of University of Washington in Seattle knows how
easy it can be to fall under the spell of a friendly relationship
with drug companies. As an assistant professor, he published an
article on using beta-blockers to treat high blood pressure that
caught the attention of the pharmaceutical industry.

"My family and I were invited to a first-class resort, where I
presented the results at a sponsored conference," Psaty wrote in a
commentary in the Journal of the American Medical Association
(JAMA). He agreed to help develop a set of slides on beta-blockers
and soon found himself suggesting that the drug company's studies be
featured, in part because he felt "a kind of social duty to
reciprocate both the kindness and the investment made by the sponsor
in the slide set."

Psaty said his own story illustrates the subtleties of conflicts of
interest. He is dissatisfied with the current debate among doctors,
spurred by reports last year by Iowa Republican Sen. Charles
Grassley that a prominent Harvard psychiatrist failed to fully
disclose hefty payments from drug companies. See Article:
http://www.reuters.com/article/healthNews/idUSTRE5391L820090413

Make browsing in our Library and catching up on general medical news
in our Reading Room part of your daily surfing routine at
http://www.copd-international.com/Library/
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> > > > > > > > >     RECALLS / WARNINGS      < < < < < < < < <
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U.S. DEPARTMENT OF AGRICULTURE RECALLS
The link below leads to the list of active recall cases of the
United States Department of Agriculture's (USDA) Food Safety and
Inspection Service (FSIS). See current recalls at
http://www.fsis.usda.gov/Fsis_Recalls/Open_Federal_Cases/index.asp

U.S. FDA RECALLS
To view current U.S. Food and Drug Administration (FDA) recalls,
go to http://www.fda.gov/opacom/7alerts.html
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> > > > > > > > >      FEATURED ARTICLES      < < < < < < < < <
_______________________________________________________________

NEW TRENDS FOR RESPIRATORY THERAPISTS
Research shows that respiratory therapists are the best qualified
medical professionals to teach asthma sufferers how to correctly use
their equipment.

By Cindy Mehallow
Monster Contributing Writer

For millions of people with asthma, chronic obstructive pulmonary
disease (COPD), other smoking-related illnesses and some sleep
disorders, the simple act of breathing can become a life-or-death
struggle. Respiratory therapists (RTs) help provide immediate care,
ongoing rehabilitation and patient education so patients can live as
normally as possible.

RTs, please, for asthma

For asthmatics in an acute phase, RTs restore normal breathing
through use of handheld inhalers, nebulizers and, if necessary,
injections. These therapists really shine as they teach patients how
to manage their disease.

Research shows that RTs are the best qualified medical professionals
to teach the nation's approximately 20 million asthma sufferers how
to correctly use their breathing equipment, says respiratory
therapist Thomas J. Kallstrom, RRT, FAARC, director of respiratory
care and echo/vascular services at Fairview Hospital in Cleveland.

"Asthma is our disease," says Kallstrom, a certified asthma
educator. "We provide essential information to help patients
recuperate and to prepare them to never see us again. If they take
their medication properly, they should never have to come to an
emergency room." See More:
http://www.suntimes.com/monster/industry/healthcare/1336025,respiratory-therapy-1217.article
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> > > > > > > > >     NUTRITION/WELLNESS     < < < < < < < < <
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LUNG PATIENTS BENEFIT FROM NUTRITION ADVICE
People with chronic lung conditions tend to be underweight or
malnourished, but dietary counseling can help them gain some weight
and function better, new research shows. For their study, Dr. C.
Elizabeth Weekes and colleagues recruited 59 people COPD, an
umbrella term for lung conditions, such as emphysema or chronic
bronchitis.

The participants were assigned on a random basis to receive dietary
counseling and advice on food fortification or to receive a dietary
advice leaflet only. The counseling was ongoing for six months, and
the subjects were followed for another six months. Daily intake of
calories and protein was significantly greater in the intervention
group than in the comparison group, Weekes' team reports in the
medical journal Thorax. See Article:
http://www.reuters.com/article/healthNews/idUSTRE53779020090408

7 WAYS TO KEEP GOING -- By Therese J. Borchard
A woman who lives with chronic pain said to my mom the other day,
"You can't sit around and wait for the storm to be over. You've got
to learn how to dance in the rain."

That's a perfect description of living with depression, or any
chronic illness. But what do you do on the days you don't think you
can take the pain anymore? When you want so badly to be done with
your life . or at least be done with the suffering? What do you do
when anxiety and depression have spun a web around you so thick that
you're convinced you'll be trapped forever in those feelings?

I've compiled a few tools for moving past that harrowing darkness,
suggestions on how to emerge from a place of panic, and techniques
on how to dance in the rain.

        1. Escape from the pain.
        2. Track your mood.
        3. Talk about it.
        4. Repeat: "I WILL Get Better"!
        5. Take baby steps . a day at a time.
        6. Distract yourself.
        7. Get out your self-esteem file.

See Details:
http://psychcentral.com/blog/archives/2009/04/07/8-ways-to-keep-going/
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> > > > > > > > >      COMMUNITY UPDATE       < < < < < < < < <
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WELCOME NEW SUBSCRIBERS!
We welcome all our new subscribers and invite you to join our
e-mail lists and check out our chat rooms, where you can talk freely
about COPD in an atmosphere of fellowship. The link to the chat
schedules can be found on our Home Page or just drop in anytime
you have a need to talk. For new subscribers, archives of back
issues of the newsletter can be accessed at
http://www.copd-international.com/Library/newsletters/archives.htm

MESSAGE BOARD ON SURGICAL OPTIONS FOR COPD
Thanks to the generous contribution of time and experience by some
of our regulars here at COPD International, we were able to open a
new message board for the exchange of information and support on
surgical options for COPD. This new board will cover subjects such
as LVRS, transplants and valve procedures, etc. For a complete
listing of all our message boards (forums), please go to
http://www.copd-international.com/messageboards.htm

COPD NEWS/INFORMATION FEATURE
"COPD Info" brings you the latest news, articles and
information from a wide variety of resources on a very timely basis.
http://www.copd-international.com/COPDInfo/

For those of you with news readers, there is also an RSS link.

LOVING THOUGHTS
To express your loving thoughts, get-well wishes and prayers for
our fellow community members, who are very ill or hospitalized,
please go to http://www.copd-international.com/Loving_Thoughts/

-- Mike Asarch, Metro as we know him in chat, received his call for
his double-lung transplant. You can leave messages for Mike at
http://www.copd-international.com/Loving-Thoughts/

NEWCOMERS CHAT
        -- Tuesdays at 1:30  p.m. - Hosted by Deb and Lyn. -- New Time
        -- Wednesdays at 10:00 p.m. - Hosted by Jackie and Rachel. 
                
                  Officially titled "Newcomers Chat," you do not have to be
                  new to COPD to join us!  It is for the newly diagnosed,
                  new computer users or those that are unfamiliar and want
                  to learn more about how chat rooms work.  These chats will
                  be slow paced to give all time to keep up.
        
                  These chats are held in the Special COPD Topic Room at
                  http://www.copd-international.com/COPD/chat.htm
                  If you are a mIRC or Web TV user, the room is #copd

TWO COPD FOCUSED CHATS
These chats are a change from our "open" chat style to a more
structured "COPD focused" type of chat that is geared exclusively to
discussions surrounding our COPD diagnosis and its related life
issues.

        -- Mondays at 3 p.m. hosted by Lyn and James
        -- Fridays at 10:30 a.m. hosted by Deb and Naomi

ON-TOPIC CHATS

        -- Caregivers: (NEW TIMES)
           Hosts Kitty, Gal, Jackie and Lyn
           (Note: Only caregivers in these chats please.)
           http://www.copd-international.com/caregivers/chat.htm
                -- Monday through Friday at 9:30 to 10:30pm --

        -- Quit Smoking Now (QSN): Daily at 7:30 p.m.
           with Hosts James, Gal, and Jackie
           http://www.copd-international.com/quit_smoking/chat.htm.
          
For more information on all our chat rooms, please contact Deb,
chat coordinator, at chat@copd-international.com.
______________________________________________________________

> > > > > > > > > >    LINK DIRECTORY    < < < < < < < < < < <
______________________________________________________________

SPECIAL-INTEREST PROGRAMS

        -- General Information on Clinical Trials
           http://www.COPD-International.com/Library/clinical_trials.htm
        
        -- Continually Updated List of COPD Clinical Trials
           http://www.COPD-International.com/Library/trials.htm
        
        -- Quit Smoking Support
           http://www.COPD-International.com/quit_smoking/
        
        -- Exercise Forum
           http://www.COPD-International.com/exercise/
        
        -- Caregivers Support
           http://www.copd-international.com/caregivers/
        
        -- COPD Advocate Bill Horden Library
           http://www.copd-international.com/COPDAdvocate/
        
        -- COPD Library
           http://www.COPD-International.com/Library/
        
        -- Welcome Wagon
           http://www.COPD-International.com/welcome/
        
        -- To Volunteer
           http://www.copd-international.com/volunteer.htm

Don't forget to checkout all our support programs listed on our
Home Page at www.COPD-International.com.
_______________________________________________________________

> > > > > > >           JUST FOR FUN          < < < < < < < < <
_______________________________________________________________

AMAZING BEACH TRIVIA QUIZ
As you head off for your highly anticipated beach vacation, have a
little beach fun! Take this breezy trivia quiz to discover some
amazing -- and little-known -- facts of life about America's sandy
shores. See Quiz:
http://encarta.msn.com/quiz_273/amazing_beach_trivia_quiz.html
_______________________________________________________________

> > > > > > > > >            RECIPE           < < < < < < < < <
_______________________________________________________________

EASY GARLIC BROILED CHICKEN
This very easy dish works with any cut of chicken, skin on or
off...even with whole split chickens.

Tip: Don't omit the parsley.

PREP TIME  10 Min
COOK TIME  20 Min
READY IN  30 Min
SERVINGS 6

INGREDIENTS
        1/2 cup butter
        3 tablespoons minced garlic
        3 tablespoons soy sauce
        1/4 teaspoon black pepper
        1 tablespoon dried parsley
        6 boneless chicken thighs, with skin
        Dried parsley, to taste

DIRECTIONS
        Preheat the oven broiler. Lightly grease a baking pan.

        In a microwave safe bowl, mix the butter, garlic, soy sauce,
        pepper and parsley. Cook 2 minutes on High in the microwave, or
        until butter is melted.

        Arrange chicken on the baking pan, and coat with the butter
        mixture, reserving some of the mixture for basting.

        Broil chicken 20 minutes in the preheated oven, until juices run
        clear, turning occasionally and basting with remaining butter
        mixture. Sprinkle with parsley to serve.

(Allrecipes)
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> > > > > > > >         CLOSING THOUGHT         < < < < < < < <
_______________________________________________________________

About Guarantees, Hope and Chance!

Bill Woods, Woody as we know him, had a double lung transplant 5
years ago.  As he has said many times, all he wanted was a chance -
an he feels blessed that he has, in fact, had that. Over the past 5
years, he and Judy have been able to travel a lot, crisscrossing a
good part of the country and visiting many of their COPD friends.

He has had several setbacks, yet has been vehement in his desire to
insure that his issues never cause a potential transplant candidate
to back away. A firm believer in the good that it has given him,
even today, as his FEV1 has deteriorated along with rising CO2
retention, the word passed on from Woody was to insure that people
were encouraged, not discouraged. As we all know, there are no long
term guarantees in life in general, much less in COPD patients.

cg

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All Disclaimers Apply: The information and guidance provided in this
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and discussed with a qualified health care professional before any
remedy, treatment or therapy is started.

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