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	<title>breathinstephen.com &#187; Cough</title>
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	<description>Diary of a severely asthmatic wannabe endurance athlete</description>
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		<title>Brief race update.</title>
		<link>http://breathinstephen.com/brief-race-update/</link>
		<comments>http://breathinstephen.com/brief-race-update/#comments</comments>
		<pubDate>Mon, 05 Oct 2009 12:35:20 +0000</pubDate>
		<dc:creator>Stephen</dc:creator>
				<category><![CDATA[Asthma]]></category>
		<category><![CDATA[Asthma Symptoms]]></category>
		<category><![CDATA[Asthma exacerbations]]></category>
		<category><![CDATA[Asthma treatments]]></category>
		<category><![CDATA[Cough]]></category>
		<category><![CDATA[Marathons]]></category>
		<category><![CDATA[Peak Flows]]></category>
		<category><![CDATA[People, Places and Events]]></category>
		<category><![CDATA[Racewalking]]></category>
		<category><![CDATA[Shortness of Breath]]></category>
		<category><![CDATA[Wheeze]]></category>
		<category><![CDATA[walking events]]></category>
		<category><![CDATA[asthma exacerbation]]></category>
		<category><![CDATA[asthma flare up]]></category>
		<category><![CDATA[asthma symptoms]]></category>
		<category><![CDATA[marathon walk]]></category>
		<category><![CDATA[peak flows]]></category>
		<category><![CDATA[post exercise asthma flare-up]]></category>
		<category><![CDATA[San Jose Rock&Roll half marathon]]></category>

		<guid isPermaLink="false">http://breathinstephen.com/?p=8099</guid>
		<description><![CDATA[Had a great time and a stronger than expected finish at yesterday race. My final race results aren&#8217;t in yet due to a technical glitch, but I think I finished in about 3:07 , which is much faster than I anticipated and probably why I&#8217;m having problems today. I felt fine immediately after the race, [...]]]></description>
			<content:encoded><![CDATA[<p><center>  <a href="http://breathinstephen.com/wp-content/uploads/2009/10/SJM3.JPG"><img src="http://breathinstephen.com/wp-content/uploads/2009/10/SJM3-193x300.jpg" alt="SJM" title="SJM" width="193" height="300" class="aligncenter size-medium wp-image-8120" /></a> </center></p>
<p>Had a great time and a stronger than expected finish at yesterday race.  My final race results aren&#8217;t in yet due to a technical glitch, but I think I finished in about 3:07 , which is much faster than I anticipated and probably why I&#8217;m having problems today.</p>
<p> I felt fine immediately after the race, but as I was driving home, I could feel myself getting increasingly tighter and short of breath. By the time I made it home 2 hours later, my peak flows had fallen from 350 to 190 and I was tight as a drum.<br />
I ended up staying awake all last night taking nebs treatments every hour with only minimal relief. Earlier this morning I bumped up my pred to 60mg, but they haven&#8217;t kicked in yet, or I&#8217;m not reacting to them</p>
<p> My doctor wants me to go to the hospital, but I&#8217;m really not in the mood to be tortured right now. I&#8217;m sore enough as it is..I can barely walk.  I did however, promise her that I&#8217;d go in if things didn&#8217;t turn around by later today.</p>
<p>Bottom line, I might have exacerbated myself by over-doing it at yesterdays race. I shouldn&#8217;t have tried to racewalk the entire 13 mile distance , but I was feeling pretty good at the time and just couldn&#8217;t resist. It could have been that I had an exacerbation brewing and didn&#8217;t know it ( happens all the time to me). Exerting myself hard for 3 hours my have pushed me over the edge..Who know really knows what the trigger was.</p>
<p>I&#8217;ll have a proper race report up in a few days ( if I&#8217;m not in the hospital). Hope everyone else did well at their respective races!</p>
<p>PS&#8230;Check this out&#8230;what an amazing runner!   </p>
<p><font color="blue">California’s fastest half-marathon lived up to its billing Sunday as American Meb Keflezighi set a new U.S. 20k record and bettered his personal best by 25 seconds winning the Rock ‘n’ Roll Half Marathon in a time of 1:01:00. Keflezighi’s 20k split of 57:52 broke Ryan Hall’s standing 20K record of 57:54 set in 2006. </font></p>
<p><center><a href="http://breathinstephen.com/wp-content/uploads/2009/10/RNRSJ09-Lester-34.jpg"><img src="http://breathinstephen.com/wp-content/uploads/2009/10/RNRSJ09-Lester-34-300x241.jpg" alt="RNRSJ09-Lester-34" title="RNRSJ09-Lester-34" width="300" height="241" class="aligncenter size-medium wp-image-8111" /></a></center></p>
<p>
<div id="wp_thumbie" style= "border: 0pt none ; margin: 0pt; padding: 0pt; clear: both;"><div id="wp_thumbie_rl1"><h3>You might like these posts as well:</h3></div><ul><li id="wp_thumbie_li"><div id="wp_thumbie_image"><a href="http://breathinstephen.com/race-results/" rel="bookmark" target="_top"><img id="wp_thumbie_thumb" src="http://breathinstephen.com/wp-content/plugins/wp-thumbie/timthumb.php?src=/wp-content/uploads/2009/10/SJ-results.JPG&w=70&h=70&zc=1"/></div><div id="wp_thumbie_title">Race results</div></a><div id="description"></div></li><li id="wp_thumbie_li"><div id="wp_thumbie_image"><a href="http://breathinstephen.com/rockroll-race-report/" rel="bookmark" target="_top"><img id="wp_thumbie_thumb" src="http://breathinstephen.com/wp-content/plugins/wp-thumbie/timthumb.php?src=/wp-content/uploads/2009/10/medal-026-300x225.jpg&w=70&h=70&zc=1"/></div><div id="wp_thumbie_title">Rock&Roll Race Report</div></a><div id="description"></div></li><li id="wp_thumbie_li"><div id="wp_thumbie_image"><a href="http://breathinstephen.com/rock-roll-training-complete/" rel="bookmark" target="_top"><img id="wp_thumbie_thumb" src="http://breathinstephen.com/wp-content/plugins/wp-thumbie/timthumb.php?src=/wp-content/uploads/2009/09/me1-203x300.jpg&w=70&h=70&zc=1"/></div><div id="wp_thumbie_title">Rock & Roll training complete</div></a><div id="description"></div></li></ul><div id="wp_thumbie_rl2"><a href="http://www.blogsdna.com"><small>By Blogsdna</small></a></div></div>]]></content:encoded>
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		<slash:comments>5</slash:comments>
		</item>
		<item>
		<title>Discouraging</title>
		<link>http://breathinstephen.com/discouraging/</link>
		<comments>http://breathinstephen.com/discouraging/#comments</comments>
		<pubDate>Sun, 18 Nov 2007 19:21:00 +0000</pubDate>
		<dc:creator>Stephen</dc:creator>
				<category><![CDATA[Air-trapping]]></category>
		<category><![CDATA[Asthma]]></category>
		<category><![CDATA[Asthma Medications]]></category>
		<category><![CDATA[Asthma Symptoms]]></category>
		<category><![CDATA[Asthma exacerbations]]></category>
		<category><![CDATA[Asthma hospitalization]]></category>
		<category><![CDATA[Asthma research]]></category>
		<category><![CDATA[Cough]]></category>
		<category><![CDATA[Marathon Training]]></category>
		<category><![CDATA[Nebulizer treatments]]></category>
		<category><![CDATA[Shortness of Breath]]></category>
		<category><![CDATA[Wheeze]]></category>
		<category><![CDATA[asthma flare up]]></category>
		<category><![CDATA[dynamic hyperinflation in asthmatics]]></category>
		<category><![CDATA[frustration]]></category>
		<category><![CDATA[peak flows]]></category>
		<category><![CDATA[slow hospital recovery]]></category>
		<category><![CDATA[type-1 brittle asthma]]></category>

		<guid isPermaLink="false">http://breathinstephen.com/?p=464</guid>
		<description><![CDATA[Felt pretty good for a few days , even racewalked during a research follow up visit ( more about that later), but now I&#8217;m starting to slide back . I don&#8217;t know if it&#8217;s the steroid taper ( I&#8217;m still at 40mg) , or if I&#8217;m rebounding, or if I starting exercising too soon, but [...]]]></description>
			<content:encoded><![CDATA[<p>Felt pretty good for a few days , even racewalked during a research follow up visit ( more about that later),  but now I&#8217;m starting to slide back .   I don&#8217;t know if it&#8217;s the steroid taper ( I&#8217;m still at 40mg)  , or if I&#8217;m rebounding, or if I starting exercising too soon, but somethings not quite right.</p>
<p>Today&#8217;s test walk was very disappointing. I was so short of breath, I couldn&#8217;t racewalk..at all!    The best I could do  was some regular walking with an occasional sprint thrown in so I that wouldn&#8217;t get bored.</p>
<p>My Peak flows are all over the place as well. Today before my walk they were 375, after my walk&#8230;240 (almost my red zone). Even when I&#8217;m not exerting myself, they&#8217;re dipping 100-200 points without  rhyme or reason. In addition,  my shortness of breath has been near constant, which makes me very irritable and quite bitchy.  I havent been able to break through to my green zone in weeks now.</p>
<p>My lung doctors have been expressing their frustration as well.  Not so much about the speed of my current recovery , but because I&#8217;ve ended up in the hospital 5 times this year and I seem to be getting critically ill now , at the drop of a hat.<br />
They&#8217;re now classifying me as a <a href="http://fnsg.awardspace.com/brittle.htm" style="font-weight: bold" target="_blank">type-1 brittle</a> asthmatic (changed from a type-2) . We&#8217;re currently working on a new asthma action plan which includes close monitoring of even the most minor of flare-ups , so they don&#8217;t escalate into life- threatening ones.      They also want me to stay on steroids &#8230;.permanently!<br />
I&#8217;ve agreed to stay on a daily maintenance dose of 20mg, but anymore than that is totally out of the question.  I might have agreed to more if I was 23 years old, but I&#8217;m not&#8230;. I&#8217;m 53 years old now.  I&#8217;ve lived a long life with this disease and I&#8217;m just too tired to ride the steroid roller coaster anymore.   Besides&#8230;.  a  higher maintenance dose would kill me way before the disease does. I &#8216;ll take my chances without them.</p>
<p>On occasion I receive emails from other asthmatics, commenting on how it is that I&#8217;m able maintain such a happy outlook on life with such severe disease.  Some have even accused me of being in denial or hiding something.  I hope this post dispels those notions. I have bad days just like everyone else, I just don&#8217;t let them get the best of me.</p>
<div id="wp_thumbie" style= "border: 0pt none ; margin: 0pt; padding: 0pt; clear: both;"><div id="wp_thumbie_rl1"><h3>You might like these posts as well:</h3></div><ul><li id="wp_thumbie_li"><div id="wp_thumbie_image"><a href="http://breathinstephen.com/new-asthma-action-plan/" rel="bookmark" target="_top"><img id="wp_thumbie_thumb" src="http://breathinstephen.com/wp-content/plugins/wp-thumbie/timthumb.php?src=/wp-content/plugins/wp-thumbie/images/default.png&w=70&h=70&zc=1"/></div><div id="wp_thumbie_title">New asthma action plan</div></a><div id="description"></div></li><li id="wp_thumbie_li"><div id="wp_thumbie_image"><a href="http://breathinstephen.com/the-yellow-zone-in-detail/" rel="bookmark" target="_top"><img id="wp_thumbie_thumb" src="http://breathinstephen.com/wp-content/plugins/wp-thumbie/timthumb.php?src=/wp-content/plugins/wp-thumbie/images/default.png&w=70&h=70&zc=1"/></div><div id="wp_thumbie_title">The Yellow zone ...in detail.</div></a><div id="description"></div></li><li id="wp_thumbie_li"><div id="wp_thumbie_image"><a href="http://breathinstephen.com/too-fast-for-my-own-good/" rel="bookmark" target="_top"><img id="wp_thumbie_thumb" src="http://breathinstephen.com/wp-content/plugins/wp-thumbie/timthumb.php?src=/wp-content/plugins/wp-thumbie/images/default.png&w=70&h=70&zc=1"/></div><div id="wp_thumbie_title">Too fast for my own good</div></a><div id="description"></div></li></ul><div id="wp_thumbie_rl2"><a href="http://www.blogsdna.com"><small>By Blogsdna</small></a></div></div>]]></content:encoded>
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