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People who smoke, or live with smokers, often cough a great deal. It’s usually referred to as smokers cough, but in over 80% of all cases, it's COPD.
To just take some over-the-counter cough medicine, or “live with it” is endangering who whole life.
COPD? COPD stands for Chronic Obstructive Pulmonary Disease and is usually a combination of two similar maladies, i.e. chronic bronchitis and chronic emphysema.
COPD is the chronic obstruction of the air flow through the vessels into and out of the lungs. This obstruction generally is progressive and becomes permanent.
With early care, some patients with COPD can have the symptoms partially reversed, with asthma medications (bronchodilators).
These medications both enlarge and dilate the air passages. Without care, great complications can (and will) develop with an early death as a result.
It seems that COPD mixes the symptoms of both diseases; so people with exhibit the characteristics of. It works the same for bronchitis and emphysema.
Chronic bronchitis
Chronic bronchitis exhibits inflammation and swelling of the lining of the airways of the lungs.
This will leads to narrowing and obstruction of the airways. The inflammation evokes production of mucous, which itself further obstructs the airways.
This eventually leads to bacterial lung infections, and other dangerous complications.
Chronic bronchitis is a daily cough with production of mucus for 90 days. The cough is persistent, often accompanied by fever.
Emphysema
Emphysema is the permanent enlargement of the alveoli (air sacks in the lungs).
This is caused by the destruction of the alveolar walls, reducing the elasticity of the lungs generally. This loss of elasticity results in the collapse of the bronchioles, further obstructing airflow out of the alveoli.
Air cannot leave the alveoli, so the lungs lose their ability to shrink during exhalation.
The reduced exhalation reduces then the amount of air that is inhaled. It follows that less air and the normal exchange of gasses gets into and out of the lungs.
The result of improperly exchanged gases means that the person with will not be able to properly expel carbon dioxide and take in the necessary oxygen.
Emphysema also causes difficulty in breathing, and great complications follow.
Smoker’s Cough?
If you are coughing over 2 months, and producing mucus, you must see a doctor to test what exactly you have.
Smoker’s cough is only a symptom in about 12% of the cases, and usually the problem is COPD. If you have COPD, there are medications and techniques to help you.
If you do not seek medical care, you are only reducing your life expectancy, and certainly watching the quality of what is left of your life diminish daily.
Remember, COPD is the main reason for the chronic cough, not smoke or some leftover from a cold. You need to seek out professional help. You life is at stake, nothing less.
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Most men and women put on weight differently. But on what makes fat settle in a preferential way, there is little evidence.
Scientists ascertained that the specific body shapes are: the android shape, or apple shape, common among men (fat deposits on the middle section of the body, mostly on the abdomen) and the gynoid, or pear shape, more common among women (fat deposited on hips and bottom). There is also the third type of body shape: the ovoid shape, not differentiating between men and women. With this type we can speak of an over-all general coverage of bodyfat.
Thinking of many cases of exceptions, I try to find out in what follows if there is a strict specific fat pattern distribution for men and women and what are the factors influencing fat distribution. And I find this interesting not in as much as the aesthetic side is concerned but from the health perspective.
Being overweight or underweight are characteristics depending on many factors: you are genetically overweight if you have a family history of overweight parents/relatives. Also, the nervous system plays an important role in balancing the body weight: serotonin and endorphins send signals to the brain that induce the need to eat or on the contrary. There is also the CCK hormone which transmits the brain signals on the state of satiety - it decreases hunger.
While generally, body weight is influenced genetically, hormonally and by the body maintenance condition (the activity routine), it seems that the fat distribution is influenced by age, genetic inheritance, race, but to a greater extent by gender specific hormones. They are responsible for the distribution of fat in certain zones of our bodies: thus, estrogens which are responsible of the typical female sexual characteristics will influence the fat deposition in the pear format, favouring its laying on the hips, thighs, and belly, while testosterone will "lead" fat mostly towards tummy and upper body.
Latest studies show that men's tendency towards the gynoid format has increased in the past 30 years (one study shows a growth of 2 inches in men's hips in the past 30 years). According to researches as John R. Lee, M.D (specialist in natural progesterone therapy), Dr. Jesse Hanley and Dr. Peter Eckhart, it seems that modern life exposes people to increased amounts of estrogen and estrogen-like substances (xenoestrogens or foreign estrogens). Sources of these substances can be plastics, plastic drinking bottles, commercially raised beef, chicken and pork, personal care products, pesticides, herbicides, birth control pills, spermacide, detergent, canned foods and lacquers. The problem is that increased estrogen levels in men not only make their hips fatten but are the main risk factor for disease such as prostate enlargement and cancer.
Also, for women, the android pattern fat distribution should raise questions with regard to hormonal imbalances, such situations being a potential cause for health problems such as polycystic ovary syndrome.
We've seen how health related problems can affect body fat, now let's take a look at how fat can induce health problems.
It is clear that increased body fat affects health, the news is that its distribution on the body influences the state of health of specific organs.
According to its placement, fat can be subcutaneous (under the skin) or visceral (around organs). The greatest concern is generated by visceral fat that can interfere with the good functioning of vital organs. There is a relationship between overall fat deposits and specific fat deposits: fat around the body middle section is associated with visceral fat, so, abdominal fat is the most serious health risk.
The waist to hip ratio is a method of determining whether there are excessive amounts of upper body fat. It is obtained by dividing the waist measurement by the hip measurement. The upper limits are:.95 for men and .80 for women. Any exceeding values should be alarming.
Apple-shaped fat individuals are exposed to a greater risk of developing obesity-related diseases, as the fat is intra-abdominal and distributed around their stomach and chest. They risk:
Cardiovascular diseases and hypertension
Type 2 diabetes
Respiratory diseases (sleep apnea syndrome)
Some cancers
Osteoarthritis
The pear-shaped overweight persons are at greater risk of mechanical problems, as most of their body fat is distributed around their hips, thighs and bottom.
Both apple-shaped and pear-shaped obese persons are likely to develop psychological problems and alteration of the quality of life.
In any case, extra-weight cannot create but problems. Fact is that the main role in acquiring extra-fat is the food intake that the body cannot burn for various reasons (such as a decreased metabolic rate, low activity level or the physical condition), and, consequently, it creates fat deposits. The solution is a classic one: diet and exercise.
However, in shedding extra weight there are men-women differences. The process appears to be harder for women.
The total mass of the body is made up of fat mass and fat-free mass. The fat mass can be of two types: essential and excess. Essential fat is found in bone marrow, in various organs, and throughout the nervous system.
Women are at a disadvantage, as their physiological processes (childbearing and hormone functions) require a plus of essential fat, the "sex-specific fat". Thus the total percentage of body fat is higher, moreover, this part of essential fat is hard to dislodge. Secondly, women have less calorie burning muscle than men, which makes it more more demanding for the female to achieve a trimmer figure. Now, girls, don't use it as an excuse!
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Sexual health has been defined as the state of sexuality related to physical, emotional, mental and social well-being. A positive and respectful approach towards sexuality and sexual relationships is vital for attaining a sound sexual health.
Your feelings have a great impact on your sexual appetite. For example, if you are feeling anxious, bitter or angry towards your spouse you will not feel like having a sex with them.
Men’s sexual health is of immense concern nowadays. You could be the most affectionate man in the world but if you are unable to satisfy your spouse in the bed it can lead to relationship issues.
Sex is very important for a relationship to go smooth. Your inability to last in bed can turn your relationship bitter. Anxiety builds up in your mind making sex one of the most traumatic things in your life.
Various psychological factors are also considered while discussing men’s sexual health. Men’s failure to achieve their goal in life can put them into a state of depression. Avoidance to sex becomes natural in such a situation.
Other topics relating to men’s sexual health are as follows-:
• Desire
• Pleasure
• Orgasm
• Rapid or delayed ejaculation
• Prostate health
• Masturbation
A decrease in the production of testosterone in men makes them loose their desire in sex. Low sexual desire can also be the result of some chronic disease, hormonal imbalances, stress, fatigue or a poor body image.
Most of the men today suffer from erectile dysfunction. Erectile dysfunction is a sexual dysfunction that immobilizes a man to develop an erection of the penis. Health problems such as high blood-pressure, cardiovascular disease, diabetes, high cholesterol or depression contribute to erectile dysfunction. Anybody can be affected by this illness at any stage of life, but more often it is seen in men above the age of 40 years.
Early ejaculation in men who are single debars them from seeking an ideal partner.
Men usually hesitate to talk about their sexual health as it might hurt their ego. They take it as a curse and begin living with it. Living under such a stress can lead to depression. If your husband feels the same, try taking to him. Make him feel comfortable and share his feelings with you. If necessary consult a doctor.
If you want to keep this issue as private, the best option for you is to seek levitra power. Levitra is a drug that helps men to improve their sexual health. It works by blocking an enzyme called phosphodiesterase-5, then relaxes smooth muscles in the penis and helps improve the blood flow. This results in a natural erection of the penis. Erection of penis will ultimately enhance your sexual desire thus giving you more pleasure.
Men’s sexual health needs considerate assistance. Do not dither to talk about your sexual problems with your spouse.
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Cheap viagra enables many men with erectile dysfunction (ED) to respond to sexual stimulation. Experts believe impotence affects between 10 and 15 million american men.
In 1985, the national ambulatory medical care survey counted 525,000 doctor-office visits for erectile dysfunction. Impotence usually has a physical cause such as disease, injury or drug side effects. Any disorder that impairs blood flow in the penis has the potential to cause impotence.
Incidence rises with age about 5 percent of men at the age of 40 and between 15 and 25 percent of men at the age of 65 experience impotence. However, it is not an inevitable part of aging.
Cheap viagra is a FDA-approved oral prescription medication for the treatment of erectile dysfunction in men. In major clinical trials in the general ED population, cheap viagra improved the quality of erections for a majority of men. A lot of guys who took viagra were satisfied the first time they tried it. It's for the guy who needs a little help once in a while and the guy who needs more frequent help.
Impotence is treatable in all age groups and awareness of this fact has been growing. More men have been seeking help from cheap viagra online and returning to near-normal sexual activity because of improved, successful treatments for impotence.
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I really don’t know how to say this any other way. My dog decided to talk to me the other night and he had a lot to say.
It initially played like any other night really. Once again, I was tossing and turning, in and out of sleep. I was half awake, mulling over my job situation: I want to make money writing but I need an income more. Then the most bizarre thing happened.
“Hey human Bob! This is your best friend speaking! Wake up!”
Who the hell was that? It was a deep, low voice; strong and certain with a hint of a bourbon induced slur. Sounded like Dean Martin actually. I immediately sat up. It was pitch black. The radio clock blurred 3:53 in a dull crimson light. All I could make out was the shadowy outline of Parker, my trusty beagle, sitting upright at my feet.
“Hey boy, did you hear that?” I whispered instinctively. “Someone’s in the house.”
My vision was starting to warm up to the darkness. Parker just stared back at me, his head tilted, his long ears hanging to the side of his head like hand towels on a wall. He turned his head to the bedroom doorway, lifted his nose to the night and sniffed. He turned back to face me.
“Don’t think so.”
I swore Parker spoke but it couldn’t be. I mean his hound drawn lips seemed to move to the words I heard but that was impossible.
“Who’s there?” I yelled into the night. “Whoever it is, I am warning you that I am at this moment retrieving my loaded double-barrel twelve gauge from under the bed. I will shoot you. So leave now and I want to hear the door slam behind you.”
I made some dumb noises in a lame attempt to fool the intruder into believing what I had just proclaimed. I took the ruse to the next level.
“Okay. I’m fully armed and about to call 911 from my fully powered cell phone. Oh yeah, strong signal, four bars. Oh yeah, this is going to be a very clear 911 call.”
“You’re breaking me up. Put the phone down human Bob.”
It was Parker talking. I was certain of it. Nah, it had to be a sick trick.
“Okay, good one Steve. You wired up the dog with a little speaker. Very funny.”
My brother Steve was known to go to great lengths to pull off pranks. But I was pretty sure he was at his apartment in the city, sixty miles away, God knows doing what, and at 48 years old, unlikely to suddenly bother me with a prank—it had been 25 years since his last one. But the mind scrambles to the most implausible scenarios when so duly challenged.
“Don’t think so. Nope it’s me, Parker,” the dog mumbled.
I was positive he spoke again. By now I was sitting straight up, leaning towards him. He just sat there and looked at me with those big dark eyes. His poker face was on.
“Parker? Are you talking to me?”
“Well I’m not talking to myself.”
I leaned back against the headboard. He yawned.
“This can’t be. I’ve got to stop watching Animal Planet.”
“Listen, I’ve got something to say and I’m not sure how long this talking stuff is going to work so …”
“You are talking!” I interrupted incredulously.
“Should you want I bow wow?”
“Holy cow! Parker you are talking.”
“Yup. But I’m not sure for how long. So can I say a few things before …”
“I can’t believe this.”
“Yeah I know. Either can I but if you don’t mind.”
I looked at him with a giant smile plastered across my face. Parker can talk. The dog was talking. Who was I kidding? It had to be a prank. He continued.
“I’ve been listening to a lot of that talk radio and that C-SPAN channel you watch while you write. I’m here to tell ya I don’t like what I’m hearing.”
“You’re kidding me right?”
“Afraid not.”
Oh this was good. I was really hallucinating. Talk-shmalk, I had a few nagging questions of my own.
“Hey, can I ask you something before you get to your stuff?”
“Make it quick. I haven’t got all night.”
“You like smell things a hundred times more than we do, right?”
“Four hundred.”
“Okay, four hundred. Wow! Then I really wonder about this.”
“Yeah I know. Why do we like to sniff every morsel of excrement or yellow patch of urine we encounter on our walks?”
“Now that you bring it up, yeah, why? It must smell like the inside of Dick Cheney’s or Ted Kennedy’s septic tank? And you know how much crap they’re filled with.”
“That was a funny one human Bob. But it isn’t like what you smell. We pick up a lot more notes. It’s a broader pallet if you will. We don’t smell stink. We smell identity, mood, and illness. For instance, you know that crazy cairn terrier down the street?”
“Yeah.”
“She has stomach cancer and her humans don’t have a clue.”
“You are kidding me?”
“She probably has less than six months if they don’t get her to a vet soon.” He paused to lick his right front paw. “Yeah, and another thing. Don’t take me out at nights for awhile.”
“Why?”
“Cause there is a rabid possum living under the porch. That’s why.”
“You know this from the smell of possum poop?”
“Excrement.”
“Whatever.”
“Yup.” Parker yawned as if bored. “So is that it? Can I say what I need to say?”
“Well there is that thing you do with that licking your, you know, your …”
“Penis?”
“Well, yeah.”
“Jealous are we?”
“Well, it’s just that …”
“It’s all about keeping clean. Nothing pleasurable if that’s what you’re driving at. Nothing like what you do with your hand. By the way, I’d appreciate it if you wouldn’t pet me afterwards. Nope, no pleasure; it’s all business. You made sure of that when you had me “fixed”, remember. Thank you very much.”
“Oh yeah, sorry about that. I had no idea you knew any different.”
“No idea my butt. I’ll ‘no idea’ ya.” He paused again to lick his right paw again and then continued. “But I don’t hold it against you. We don’t hold grudges. Heck, if we did, we would have mauled most humans dead by now. Which brings me to why I am talking to you.”
“No grudges. Really? I mean that “fixing” stuff is pretty serious. That’s pretty good if that doesn’t bother you.”
“You done? Can I get to my concern?”
“Sure. Sorry. Go ahead.”
“How can humans be so smart supposedly, while they single handedly are destroying the Earth?”
“You mean global warming?”
“It’s more than that. It’s the air. It’s the water. It’s the dirt. It’s the forests. It’s the killing. It’s the anger. It’s the hate. It’s the grudges. It’s the fear. It’s everything.”
“Oh come on. You’re being a little dramatic.”
“We don’t know dramatic.”
“Well give me examples of what you mean.”
“First of all, the air is filled with danger. Dogs, cats, birds, animals of all kinds can smell it. It is our biggest topic when we get together.”
“I don’t smell a thing.”
“Yeah, that’s part of the problem. And you can’t taste the troubled water either.”
“Scientists don’t seem to be complaining. So I should be listening to a dog?”
“We have no agenda. Dogs call it as they smell it.”
“ ‘call it as they smell it’; I’m suppose to just accept that?”
“Yeah, there is a lot you should just accept.”
“Oh yeah, like what else?”
“Well, and here is what I think is the crux of the problem, you keep choosing the wrong alpha humans.”
“What?”
“You’ve got this alpha thing all wrong. Just because animals order their packs based on physical size and strength doesn’t make it so for humans. We do it because we are simple. You do it because you are thoughtless. That’s what we, and I think it is fair to say I am speaking for all animals, don’t get. Humans are able to think things through. But they never do. Well, that’s not completely true; some have but they are mocked or marginalized.
An alpha dog barks and gets all puffy, like that wacky shepherd Sarge from around the block. The worst he can do is break out of his electronic fence and charge one of us. But you humans take it up a notch.”
“Can you give me a for instance?”
“God there are so many. Let me see. Okay, you’ve elected a president who pounds his chest and walks around like a gorilla with its arms all out to the side, all tough and all, carrying on with ‘bring it on’. When he jumps the fence, he brings tanks and bombs and humans loaded down in weapons and in body armor. Meanwhile, you have alpha males all over the place, flexing their muscle in their packs, threatening to obtain nuclear weapons, the great equalizer, giving the president one excuse after another to hop the fence. It’s nuts. And I for one am telling you, you’ve got it all wrong.”
“Well, I don’t know what to say.”
“You don’t need to say anything. Just start picking the right alpha humans; humans whose visions see beyond fighting, whose hearts hold no grudges, whose thoughts and reasons are not the products of testosterone, whose collective knowledge is rooted in the concept that true peace is never the consequence of war but the outcome of constant learning, negotiating and adjusting.”
“This is what you want to tell me? Nothin’ for nothin’ but it’s a little heavy for a little chat with a dog at 3:30 in the morning.”
“In a nut shell, yeah.”
It was hard to accept this from my beagle. I mean, he’s a dog; a sleeping, eating, sniffing, crapping dog. I was chalking this whole episode up to stress. I was apparently snapping.
“That’s it. I’m pretty much done. Just one last thing while I have the chance.”
“What? World hunger? String theory?” I asked sarcastically.
“You get the right alpha humans and the world hunger thing will take care of itself, smart ass. As far as string theory, who do you think I am, Hawking? I’m just a dog. No it’s more pedestrian than that, something I think you can manage.”
“Then what, already?” I asked impatiently.
“You know that thing you do occasionally where you empty the dish washer in the buff.”
“Ummm … yeah I guess.”
“Put some clothes on. It’s disturbing. I’m beggin’ ya, please!”
“All right, but only if you lick your privates in private.”
“I’ll see what I can do. No promises.”
“So this is it? No more talking? You know we could make a fortune on Letterman with his stupid pet tricks.”
“It’ll never happen. You see, this is a one time deal. Not sure why or how this is happening. Maybe that God guy is involved somehow. All I know is that when it is done, it is …” He abruptly stopped talking.
“Parker?”
Not a grunt. He yawned and as he did he stretched his front legs out and spread across the foot of the bed, his ears resting flat on the blanket.
“Parker … are you done? Is that it?”
He slowly closed his eyes and floated off to sleep.
“Parker … just like that?”
He began to twitch; in hot pursuit of a fox I imagined.
“Holy smokes. I must be dreaming myself.”
I curled back down under the safety of my covers, scratched my butt and thought about the conversation I had just had with Parker or myself or both. I sniffed the air. It smelled fine to me. What the heck was he talking about, ‘danger in the air’? It had to be a dream.
As I drifted off to sleep, I thought about getting a real job real soon, apparently this writing stuff was getting the best of me. I also made a point to remember to talk to the owners of that crazy cairn terrier. I thought it was the least I could do. One can’t be too dismissive of the unexplainable these days.
