Posted on 09/05/2001 10:32:26 AM PDT by Just another Joe
"Better detection methods of what?"
@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
Sorry...if I wasn't clear. Better detection methods of diagnosing asthma...was what I meant to communicate.
My point was that....I don't subscribe to those who say asthma is on the increase....The numbers are up...secondary to better detection. And that it's a mis-labeled diagnosis...that's easily remunerated.
"CASES of asthma, hay fever and wheezing have more than doubled in adults in the past 20 years, researchers say today. ...The study from Dr Mark Upton, a GP and clinical epidemiologist, of Thornaby, Cleveland, was based on a survey of 1,477 adults from Renfrew and Paisley and later of 2,338 of their children. Dr Upton does not believe that the increase can be accounted for by greater awareness of asthma and more people seeking treatment for it."
Hope you told the hotel manager why you left and also sent a letter to the City Council.
In that case all they have to do, is stay smoke free, and let everyone make their own choice.
But we knew you would all use that excuse..... too funny.
Except for the one Minion likes.
"You seem to disagree with most of the "experts" in the field. May I ask on what you base your opinion?
"CASES of asthma, hay fever and wheezing have more than doubled in adults in the past 20 years, researchers say today. ...( snip..) "Dr Upton does not believe that the increase can be accounted for by greater awareness of asthma and more people seeking treatment for it."
*********************************************************
I'm careful when using the word "expert"....as I believe you trying to be also....ex pert (ek.spurt') a. taught by use, practice, or experience; adroit; dexterous; skillful. n. an authority; a specialist. OR....ex = "a hasbeen" & spurt = ''a little drip of water''...hehehe....Also, I'm careful in using the words..."most", "always", "never"...etc...( grin..) Okay..now that that's out of my system...!! hehehe..
My opinion...is based on professional & anecdotal experiences. Dr. Upton may not believe that better detection methods are the reason asthma rates are ''up''. He's got an opinion. Most people do......hehehe
Let me say this...there are overlaps..but it's helpful to classify asthma into two categories: extrinsic and intrinsic. Extrinsic is characterized by bronchospasm to patients exposed to enviromental irritants. Intrinsic asthma is present when a patient suffers bronchospasm without the evidence of outside irritants. Extrinsic asthma occurs most commonly in childhood. ( We now test....OR detect this type of asthma earlier, and earlier..) Many times extrinsic or childhood asthma is out-grown. Some theories abound that bronchial diameter plays a part in this. In other words, children have smaller airways, and thus are sometimes prone to have bronchospastic episodes when exposed to airway irritants..secondary to their smaller airway structure. We are also much better in detection of Occupational asthma...where in the past, the workers...just put up with the conditions. My guess is..they figured it was part of the job..
I will say again, that asthma is also ''catch-all'' diagnosis..that is easily reimbursed. (Reimbursement is one KEY to this puzzle...) A provider MUST put down a diagnosis..and thus "if it wheezes, it's asthma". Not to mention demands to "do something, & call it something" placed on the provider by the patient.
Hope this helps clarify.....
I don't believe this was (as) true twenty or thirty years ago. It seems to me science itself has made a 180 and it's not to the betterment of humanity. (Or maybe my memory is simply failing.)
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.