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, November 25, 2002               Volume #1 -- Issue #13
Susie Bowers, Editor -- Web-Editor@COPD-International.com
Copyright © 2002-2004   COPD-International.com All rights reserved.

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the end of this newsletter. THIS IS AN AUTOMATED MESSAGE
PLEASE DO NOT REPLY. This newsletter is published on Mondays.
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          > > > > > > > > > > IN THIS ISSUE < < < < < < < < < <
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==> Welcome
==> COPD News
==> Recalls/Warnings
==> Featured Articles - SOB in the Kitchen
==> Nutrition/Wellness
==> COPD Community Update
==> Just for Fun
==> Recipe
==> Closing Thought
==> Subscribe/Unsubscribe Information
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          > > > > > > > > > > WELCOME < < < < < < < < < <
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-----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.

-----EDITORIAL COMMENTS
Most of us are not only plagued with shortness of breath (SOB),
but also tire easily when performing simple household tasks. We all
have those days when we feel on top of the world, health wise, and
then, without warning, we encounter those days where simply getting
dressed saps most of our day's energy.

On those low-energy days, it can be a real chore to prepare good,
nutritious meals. This issue focuses dietary guidelines for COPD
patients as well as some menu-planning tips from COPD Advocate
Bill Horden, who coined the phrase "SOB in the Kitchen."

When reading these sample menus, or other recipe ideas, watch for
(and cross out) any foods to which you have an allergy or which are
contraindicated with one of your medications. If you are uncertain, ask
your doctor or pharmacist.

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. If you wish to contribute to the
newsletter, please contact us at Newsletter@COPD-International.com

Wishing all our U.S. residents a Happy Thanksgiving!

Yours in health ...
Susie
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         > > > > > > > > > > COPD NEWS < < < < < < < < < <
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-----U.S. REPORT ON WORKPLACE RISKS FOR COPD
A new study by the U.S. Centers for Disease Control and Prevention's
(CDC) National Institute for Occupational Safety and Health (NIOSH)
identifies industries and occupations with a higher-than-expected prevalence
of COPD. To NIOSH's knowledge, this was the first study that has
developed such an estimate from U.S. population-based data.
See Report: http://www.cdc.gov/niosh/lungdisprev.html

-----EARLY ACTION URGED FOR COPD EXACERBATIONS
Patient education and a couple of spare scripts could go a long way to
improving the timeliness of diagnosis and treatment in acute exacerbations
of COPD. These are just a few management tips from the exacerbations
section of the new Australia and New Zealand Management Guidelines
and COPD Handbook. See Tips:
http://copd.e-newsletter.com.au/index.php?type=0&cat=all&articleidn=127#127

Editor's Note: The entire COPD Handbook can be viewed at the link
below in PDF format, which requires Acrobat Reader software to view.
See Handbook: http://www.lungnet.com.au/COPDHandbook.pdf
The Handbook is also available on CD-ROM and a short version will
appear as a supplement to the Medical Journal of Australia early in 2003.

-----A MUST READ! SUPPORT KEY TO COPING WITH COPD
This article from the Australian Lung Foundation discusses the importance
of patient support groups in helping those with COPD overcome the
continual psychological adjustments and stressors of living with a disease
that is progressive. http://www.lungnet.org.au/psych-conseq-rd.html

-----COLD AND FLU SURVIVOR'S GUIDE
The link below leads to a collection of WebMD's best original news
and feature articles, plus additional reference information selected by its
medical editors, on everything you need to know about getting through
this winter in reasonably good health.
http://content.health.msn.com/content/article/4068.101

-----BENEFITS OF INHALERS AT REST, EXERCISE
The results of this study suggest that in COPD effective pharmacological
bronchodilation at rest may not be predictive of benefits of exercise
tolerance. This may be related to the occurrence of airway narrowing
during exercise, particularly when a deep inhalation at rest is followed by
a decrease in expiratory flow. See Study:
http://jap.physiology.org/cgi/content/abstract/93/6/2053

-----DISCONTINUATION OF INHALED CORTICOSTERIODS
The discontinuation of inhaled corticosteroids in patients with COPD
is associated with a more rapid onset and higher recurrence-risk of
exacerbations and a significant deterioration in aspects of health-related
quality of life, according to this study. See Details:
http://ajrccm.atsjournals.org/cgi/content/abstract/166/10/1358

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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-- PRO-RED Syrup Antitussive, Nasal Decongestant, Antihistamine
http://www.copd-international.com/Library/PRO-RED-Syrup_recall.htm

-- Cefuroxime
http://www.copd-international.com/Library/Cefuroxime_recall.htm

-- Premarin Tablets
http://www.copd-international.com/Library/Premarin_recall.htm

To view earlier drug recalls, please go to our Library section at:
http://www.copdinternational.com/library/contents.htm
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     > > > > > > > > > > FEATURED ARTICLES < < < < < < < < < <
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Editor's Note: The excepts below were taken from Bill Horden's "SOB
in the Kitchen," which is archived in its entirety in our Library at
http://www.copd-international.com/COPDAdvocate/kitchen.html

-----DIETARY NEEDS FOR COPDERS
You must keep in mind these basic facts of living with COPD:

-because of your shortness of breath (SOB) you have limited energy
resources, and you use a significant amount of energy just breathing
(perhaps half of your resting energy requirements), so preparing and
eating meals should be made as easy as possible;

-overeating, or consuming carbonated drinks, may cause bloating
which, in turn, will crowd your lungs and limit your capacity to breathe;

-immediately after eating, your body sends increased blood (and oxygen)
to the digestive tract, reducing the supply to the brain and motor muscles,
suggesting that you avoid strenuous exercise within an hour of eating and,
if possible, treat yourself to a nap after a heavy meal;

-take your time when eating, pausing as necessary to keep your breathing
comfortable, and chewing with the mouth closed, to avoid swallowing air;

-avoid caffeine, as it interferes with many medications used to treat COPD.

-----NUTRITIONAL REQUIREMENTS
What are the nutritional requirements of an adult COPD patient?

-low-to-moderate use of sugars; low-salt content; substitute herbs
and spices

-high ratio of fruits and vegetables, preferably raw or steamed, al dante

-generous use of beans and legumes (peas, lentils, etc.)

-plenty of complex carbohydrates and grains (pastas, whole-grain breads,
rice, potatoes, barley, sprouted wheat)

-frequent use of polyunsaturated fats and oils (canola, olive, peanut)

-moderate number of meat meals, using beef, pork, poultry, eggs and fish

-introduce nuts and seeds into the regular diet

-dried fruits supply variety, flavor and energy boosts

-butter, cheese, dairy products daily

-adequate water (sports drinks, fruit juices/ades or milk)

-portion sizes should vary, depending upon patient's size and weight
objectives.

----BREAKFAST - THE CHOICE OF CHAMPIONS
Make breakfast part of your daily routine. It's also a good time to take
your morning medications, including a daily vitamin-mineral tablet.

Below are three of Bill's breakfast suggestions:

½ cup - tomato juice
1 cup - hot or cold cereal with ½ cup whole milk
and either fresh or dried fruit
½ cup - whole milk
1 cup - decaf coffee or tea

½ cup - orange juice
1 ea - poached egg, placed on a toasted English muffin half
½ ea - English muffin with a pat of butter and lime marmalade
½ cup - stewed prunes or apricots
½ cup - whole milk
1 cup - decaf coffee or tea

1 cup - apple juice
1 ea - large egg, scrambled with diced onion and/or green peppers
3 oz - breakfast ham
1 slice - rye bread, toasted, with peanut butter and plum jell
½ cup - whole milk
1 cup - decaf coffee or tea

Okay, now you have the idea; every breakfast should include fruits,
liquids and an entree.
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      > > > > > > > > > > NUTRITION/WELLNESS < < < < < < < < <
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-----STUDY CONFIRMS FISH FOOD FOR THOUGHT
Elderly people who eat fish or seafood at least once a week are at lower
risk of developing dementia, including Alzheimer's disease, finds a study
in a recent issue of the British Medical Journal. The study confirms the
positive role played by nutrition, in particular fish fatty acids, on mental
health. http://www.foodnavigator.com/news/news.asp?id=6277

-----TIPS TO IMPROVE INDOOR AIR QUALITY
As you prepare to winterize your home this year, keep in mind that sealing
up the cracks and openings reduces natural airflow throughout the house,
meaning that the air you breathe indoors can become trapped. This can
result in breathing difficulties and other health problems. See Tips:
http://www.lungusa.org/press/envir/air_100402.html?trid=1649861&mid=8576
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    > > > > > > > > > > COPD 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.

-----HOLIDAY CHAT SCHEDULE
Holidays are very difficult times for many of us that are alone.
Stop in to our chat room and say hi anytime - it will be open all day.
We will not be on a formal schedule for the holiday, but our hosts
and staff will be dropping in throughout the day.
http://www.copd-international.com/MainChat.htm

-----KEEP IN TOUCH PROGRAM
Our Keep in Touch Program (KIT) is a program set up for those of
us that live alone, or persons who desire a way to maintain daily
contact with a small group of people like themselves for reassurance
- a daily check-in of sorts. For more information, please go to
http://www.copd-international.com/Keep_in_Touch

-----QUIT SMOKING NOW PROGRAM AND CHAT
If you want online support to quit smoking, join our interactive
Quit Smoking Now (QSN) Program, where community members support
one another in stopping smoking and remaining smoke-free.
http://www.copd-international.com/quit_smoking/

For more information on the QSN Program, contact Diane, program
coordinator, at Newsletter@COPD-International.com . Diane is also available
for scheduling one-on-one chats. This is in addition to the regularly
scheduled chat on Mondays at 9 p.m. (EST). The chat room
can be accessed at
http://www.copd-international.com/quit_smoking/chat.htm

-----WEEKLY CAREGIVERS CHAT
On Wednesdays at 7 p.m. (EST), we invite all caregivers who are in
need of mutual support to join host Kitty in this weekly chat. Kitty
is a caregiver for her husband, George. You can reach the Caregivers
Chat Room at http://www.copd-international.com/caregivers/chat.htm
(Note: Only caregivers in this chat please.)

For more information on our chat rooms, please contact Deb,
chat coordinator, at Chat@COPD-International.com

-----CONDOLENCES
Barb "Barbske" Skelton, a very good friend of many through the COPD
online support lists, died Saturday, Nov. 23. She is now in a better place,
a place where she can ride her beloved horses for eternity. On behalf of the
staff and the entire COPD-International Community, we send our condolences
to her family. There is a TLC page where memories and condolences can be
posted for her family at http://members.tripod.com/~copd_tlc/barbske2.html

-----LOVING THOUGHTS
Express your loving thoughts, get-well wishes and prayers for
our fellow community members, who are very ill or hospitalized.

"Books" of loving thoughts have been established for:

-Carol Richmond, who recently was hospitalized, is now home.
Our loving thoughts go out to her, her sister and caretaker, Karen,
and her niece, Chrissy, who is a contributor to our Teen's Forum.

-Helen Price, caregiver and wife of Ray Price, one of the founders of
COPD-International, who recently underwent intestinal surgery.

-Our first "book" of loving thoughts is dedicated to COPD
Advocate Bill Horden.

To participate in this program of loving concern, go to
http://www.copd-international.com/Loving_Thoughts/

To request a loving-thoughts "book" for someone special,
who is very ill or hospitalized, please send details to
Webmaster@COPD-International.com

-----VISIT THE BILL HORDEN LIBRARY
Our Library includes the works of COPD Advocate Bill Horden,
a pioneer of online support for those with COPD. His work continues
to be a source of inspiration to all of us - not only to live well, but also
to help others do the same. To browse the Horden Library,
go to http://www.copd-international.com/COPDadvocate/

-----VOLUNTEERS
Volunteers are always needed to maintain the various interactive
support programs. If you wish to volunteer, please contact us
at 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
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       > > > > > > > > > > JUST FOR FUN < < < < < < < < < <
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A fellow was sitting in the doctor's waiting room, and said to himself
every so often, "Lord, I hope I'm sick!"

After about the 5th or 6th time, the receptionist couldn't stand it any
longer and asked, "Why in the world would you want to be sick
Mr. Adams?"

The man replied, "I'd hate to be well and feel like this."
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              > > > > > > > > > > RECIPE < < < < < < < < <
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-----EASY TURKEY POT PIE
Whip up this comforting main-dish pie using leftover turkey.

Ingredients

2 cans (10 3/4 ounces each) condensed creamy chicken mushroom soup
1 can (10 1/2 ounces) condensed chicken broth
4 cups cut-up cooked turkey
1 bag (1 pound) Green Giant® frozen mixed vegetables
2 cups Original Bisquick® mix or Reduced Fat Bisquick® mix
1/2 teaspoon poultry seasoning
1 1/2 cups milk

Directions

1. Heat oven to 375ºF (350ºF for glass pan). Heat soup, broth, turkey
and vegetables to boiling, stirring constantly. Boil and stir 1 minute.
Spread
in ungreased rectangular pan, 13x9x2 inches.
2. Stir remaining ingredients until blended. Pour evenly over soup mixture
(crust will rise during baking).
3. Bake about 30 minutes or until light brown. (Betty Crocker Recipe)

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         > > > > > > > > > > CLOSING THOUGHT < < < < < < < < < <
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"I wish I could stand on a busy corner, hat in hand, and beg people
to throw me all their wasted hours."

-- Bernard Berenson, art historian, writer

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    > > > > > > > > > > SUBSCRIBE/UNSUBSCRIBE < < < < < < < < < <
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Recommend the COPD-International Newsletter to a friend!
Thank You For Your Readership
-----------------
Notes
-----------------
Newsletters are archived in the COPD-International online Library.
However, links to outside sources cannot be guaranteed after
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© 2002 COPD-International.com, except where otherwise indicated. All
rights reserved worldwide. Reprint only with permission from
copyright holder(s). All trademarks are property of their respective
owners. All content provided "as is" without warranty of any kind.

All Disclaimers Apply: The information and guidance provided in this
newsletter should never be interpreted as a diagnosis, treatment
plan or any other form of professional service.

All information provided should be judged as individual "opinions"
and discussed with a qualified health-care professional before any
remedy, treatment or therapy is started.