Flying and Asthma - repost

One of the most popular things I have ever posted here is due to search engines.  I have asthma, and posted a drawing about what it feels like, and because of the word "flying" in my blog's title, a lot of people come here looking for information about taking puffers on planes and asthma in general.

Summer is here, smog warnings are up, and the post has gone up in frequency. Here it is again.   Originally posted in May 2008, and worth going back to to see the original comments it generated.  If you like the art, I experimented with an updated version.

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The Flying Trilobite already receives a lot of pageviews due to a steady stream of people searching about being an asthmatic and flying (in an airplane, I presume). I thought it may be somewhat useful for me to therefore pen a post on the subject. The reason so many asthma-sufferers find this blog, I believe is because of the post I did of a drawing called, Asthma Incubus back in May of 2007.

If you are reading this blog for the first time, then welcome! Drop in for the  asthma, stay for somepaintings inspired by the awe of modern science. I am an artist living in Toronto, Ontario, Canada. Please don't be frightened by the atheism. With atheism comes a healthy dose of skepticism, which you will need if you are suffering from asthma and don't know where to turn next. And anyway, the way I see it, when it comes to asthma relief, it just means instead of thanking god(s), I thank the fine scientists, pharmacists and chemists that have helped save more lives than prayer ever has.

Without skepticism someone may try to wave their hands over you or ask you to carry a small doll to cure your asthma, and while both could be entertaining, you and I both know it's hard to laugh when your lungs feel like they weigh 200 pounds and are made out of bags of rusty harmonicas.

So to begin: a caveat, a warning, a caution. I am an artist,  not a medical respirologist. If you are looking for relief from your wheezy lungs, I strongly, mightily urge you to seek out a "Western" medically-trained respirologist and asthma clinic that keeps up on the latest advances in drugs to ease your lungs back into contributing members of your chest cavity. All I will share in this blog are anecdotes, individual stories about asthma, which is not how you should make a diagnosis! Medicines and remedies using double-blind, empirical and statistical trials are the ones to trust. Your respirologist will know which ones. I would also suggest checking out The Asthma Society of Canada for some up-to-date "'evidence-based', market-tested, " information on a regular basis.

Also to begin: some reassurance. I am a skeptic, and I will  not try to sell you on the idea of water-pills, drinking urine, homeopathy, acupuncture, taking something just because it is "all-natural", or rearranging mythical chakras. If people seriously think they are helping you with this advice, I would strongly advise you to laugh, ask them to explain further, laugh some more, and do nothing they tell you to treat your asthma. If you are unsure of whether something someone suggests is pure nonsense or not, look for information that has piles of trustworthy studies behind it. To get you started, check out The Skeptic's Dictionary, particularly under "Alternative Medicine".

Oh, and get your children vaccinated too. It doesn't cause asthma, and will save their lives.

So, flying with asthma.

I have flown a number of times in my life so far, probably about 8 trips there and back again. As I said, I live in Toronto, and I have flown as far away as Aruba and Calgary, some 6 or 7 hours at a stretch. I have taken numerous shorter flights from Toronto to Montreal on a variety of airlines; Air Canada, Westjet and Porter, small planes and large ones.

My asthma has been diagnosed as "brittle", though that seemed to be a mistake; I have never fallen unconscious, even in my worst heart-pounding, suffocating moments. The most recent diagnosis was "moderate persistent asthma".

I haven't had any trouble flying with asthma. Whew! I know, all this preamble to find out you should be okay! Modern planes are pressurised so the air will not be thin as you fly up to 35'000 feet. A smaller plane, you may feel light-headed I guess. I have hiked in the Blue Mountains of Virginia before up to 4'000 feet, and I could still breathe and carry a 60 pound backpack.

Flying in a plane is exciting, and I am not jaded by the experience yet. So, sometimes I will need to take a puffer during the duration of the flight, but ask your doctor, or use your own experiences to see if this is necessary. For myself, I do not experience any sudden tightening of the chest, and I suspect I may take it in those moments larger as a psychological comfort. Perhaps the next time I fly I'll skip it if I can and see how it goes.

Most puffers are pressurised canisters, and there seem to be no negative effects on these in a plane. They do not explode or leak. Again, a pressurised cabin would give the canister a steady barometric pressure, and it will function as though you are on the ground. Take your medications in-flight with you in your carry-on luggage. Be comfortable, and relax. Get a window seat and enjoy the flight.

Currently, I take two medications to treat my asthma. One is preventative, and another for fast relief in moments of distress. A while ago, I switched away from a ventolin inhaler to Airomir, and I find I am sleeping better at night. I recommend it. ( Ask your doctor!) My wife also informs me that I am not jerking my full body in my sleep anymore the way I used to once a night. There are a lot of options on the market, and you should work with your respirologist to see what works for you. A new medication, which I will not name, gave me some anxiety attacks when in combination with another puffer. My doc said it happens in a small samples of patients, about 5% of cases. So I switched.

I hope this has been helpful. Asthma is manageable, and sufferers have many options to help nowadays. If, however, I am wrong and there is some folklore I do not know about and people are finding this blog to learn about flapping their arms like Icarus and flying while suffering some asthmatic-like effects afterward, I have only one response.

"Umm." 

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Original artwork on The Flying Trilobite Copyright to Glendon Mellow
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