Talking Cures
Because Pain illness and fatigue are destructive to our
Health, Wealth and Well being...

Asthma Explored Explained Understood?

One may term this as hiding from the truth as we all appear to do - when mysterious illness strikes.

This Paper is as much of what is reasonable to consider - as it is a matter of fact...

It is also combined information from Wikipedia and a number of professional sources.

Therefore it may contain a number of repeats - giving rise to different opinions and or conflicting information; perhaps therefore this particular set of mysterious and distressing symptoms, demands such scrutiny.

Moreover, for a Medically qualified Person considered as. Anecdotal - a posh word for storytelling.

If in reading this paper my writing appears to be like a foreign language or even rambling.

Consider reading this paper - not as a book; take some time to comprehend the contents.

Where I would like to think and feel sure it will make sense?

So often, we read or hear in detail. "What" (description or symptoms) of an illness - but rarely if ever does anyone take the time to truly explain...

"...WHY," or how it is really caused...

...this paper is designed to answer many of the questions - we are so often left with.

Where many times we have the questions and no answers - or the answers and not the questions.

If I have unwittingly left anything out or not satisfactorily answered, please email (address at the end of this page) and I will include it in this Paper at the earliest opportunity.

Please include item number or a copy and paste if possible - of the item that is not clear.

Did we not all struggle as a Child to learn many things we now through the experience of life - are now extremely competent with.

No apology if offered if discussions are repeated within this paper.

The understanding for this, nothing is more repeating than illness that is there every day of one's life and - despite treatments not only does not get better or have a satisfactory explanation/understanding.

Moreover often becomes worse, as Medical Science continues to write Scientifically Proven Papers about illness; in a confusing, repeating strange to many language/words or description in a manner that confuses everyone - and ultimately even themselves!

The first thing in the process of answering this is, for any one suffering, it is clear...

"...New understandings are required about illness..."

...as it appears the existing education is the same worldwide?..

...Non-existent.

If on reading this or any of Talking Cures understanding of illness one gets the impression I am angry - then please believe it; because in 2016 People are not only not recovering from any illness - so often the treatments make them worse and no one knows why or it appears. Cares.

One could also be forgiven for thinking I am against:

1. Doctors.

2. The Medical Profession.

3. Medical Scientists.

4. Medical Researchers.

5. Alternative Medicine.

6. Complimentary medicine.

7. Religion.

The reality is I am a staunch supporter of any Person or Institution that helps People through tough emotional and physical concerns.

I am I confess most seriously against Bad Medical Science that has never once in real terms demonstrated the cause is truly known of any illness and as a result created a cure...

= ...no more illness and no more medications.

From Talking Cures point of view and therapeutic practice - names of illness especially Medically Diagnosed recognised and Scientifically proven, are of no real value in the understanding and treatment of any illness - the only Name we should use or symptom we may label is...

"A Person is unable to achieve a Healthy and satisfactory lifestyle...”

...Or never allowed to become the Person they should have been...

Thus requires. “Specialised assistance,” in order to make sense of the presenting symptoms, the cause and reason for them - enabling automatic resolution via the Persons own immune systems and Body replication process - referred to as, the Entire Body Chemistry. 

...Surely if a Person cannot be in control of self-repair when can they be in control!

To a trained Medical Mind these questions and answer updates may well appear or feel patronising - it is hoped not, as their structure is at the very. "Heart" of the success of Talking Cures as a therapeutic application and may well be a serious asset and improvement in Medical Treatment outcome success.

In order to fully appreciate this, it is helpful to consider and accept;

All of the information as to why a Person became ill in the first place and as a consequence - all of the information required for them to automatically create immune response repair is - not only contained within the confines of their Mind - it is the only information required to bring about the required Automatic Cure using their own immune systems and Body replication processes. As designed by the Mind and Body.

By creating very cleverly constructed questions - Knowing the Person is able to answer them with their own knowledge of themselves of which they are a Master and if they are unable to with my interpretations, accepted as re-education of their own information, that continues/completes on an ongoing bases; the process either returning to well-health or well-health for the very first time in their lives.

Based on the secure knowledge. "The only Person with the Integrity and Wisdom to fully Understand the illness and its cause - is the Person themselves."

There are most serious considerations as to why this process as with all illness treatment interventions - appears not to succeed...

...when the Protection created in response to early Childhood Emotional and or Physical traumas is so great the Person is unable to see the Protection and therefore unable to lower the Protection - allowing a Person to observe in a safe therapeutic environment the cause and consequences of such Protection, is the only safe way to resolve illness.

And. As a result, to gently - if one dare uses such words, lower the Protection, which will allow an immune response and an automatic alteration in ones thinking process, leading to a natural life - with comfort of Mind and Body.

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These explanations are from a collection of Scientifically Proven papers in the public domain and discussion forums and are in a Question and Answer forum style.

It is important to accept I am both the Questioner, on behalf of interested Person's as well as the Person supplying the Answers, or Responding thus in many ways - my own best critic.

Leaving one to choose the Questions and Answers that are important for a better or individual understanding of this seemingly mysterious illness.

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Courtesy of Wikipedia, the free encyclopedia:

This article is about making 2016 sense of this Individually Symptom Presented disorder.

Regarding Person's having Asthma and interrelated symptoms all with unknown cause and no known cure.

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Asthma.

Asthma - monitoring and diagnosing; Two white plastic tubes with movable dials on the front Peak flow meters are used to measure the peak expiratory flow rate, important in both monitoring and diagnosing Asthma.

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Classification and external resources.

Specialty: Pulmonology - is a medical speciality that deals with diseases involving the respiratory tract.

ICD-10

J45

ICD-9-CM

493 OMIM

600807

DiseasesDB

1006 MedlinePlus

000141 eMedicine

article/806890

Patient UK

Asthma MeSH D001249

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History.

A: Asthma was recognized in Ancient Egypt and was treated by drinking an incense mixture known as kyphi.

B: In 200 BC it was believed to be at least partly related to the emotions.

C: It was officially named as a specific respiratory problem by Hippocrates circa 450 BC.

D: With the Greek word for "panting," forming the basis of the modern name.

E: In 1873, one of the first papers in modern medicine on the subject tried to explain the pathophysiology of the disease.

F: While one physician in 1872, concluded that Asthma can be cured by rubbing the chest with chloroform liniment.

G: Medical treatment in 1880, included the use of intravenous doses of a drug called pilocarpin.

H: In 1886, F.H. Bosworth theorized a connection between Asthma and Hay Fever.

I: Epinephrine was first referred to in the treatment of Asthma in 1905.

J: 1907 advertisement for Grimault's Indian Cigarettes, emphasising their alleged efficacy for the relief of Asthma and other respiratory conditions.

K: During the 1930s-1950s, Asthma was known as one of the, "holy seven," psychosomatic illnesses.

L: Oral corticosteroids began to be used for this condition in the 1950s.

M: While inhaled corticosteroids and selective short acting beta agonist came into wide use in the 1960s.

N: Its cause was considered to be psychological, with treatment often based on psychoanalysis and other talking cures.

O: As these psychoanalysts interpreted the Asthmatic wheeze as the suppressed cry of the Child for its Mother.

P: It was considered the treatment of Depression to be especially important for individuals with Asthma.

Q: At that time there was no effective treatment...

...and no known cure.

Response. History: It is clear to see Medical Science is from its early understandings of this disorder - just as confused today as in the beginning.

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Historical Cases.

A: A notable and well-documented case in the 19th century was that of young Theodore Roosevelt (1858–1919).

B: Roosevelt's youth was in large part shaped by his poor health partly related to his Asthma.

C: He experienced recurring night time Asthma attacks that caused the experience of being smothered to death, terrifying the Boy and his Parents.

D: At that time there was no effective treatment.

Response. Historical Cases: One would seek to ask. "With all of Roosevelt's worldwide social and political connections" were this today, would the outcome be any different.

Item C: Is this perhaps the first; yet unrecognised sign of the Emotional Phenotype - missed then as now by the desire by the Medical Profession is to ignore the Mind and Emotional signs, as a medication cannot be administered to an emotional outburst.

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Asthma Explored Explained Understood?

Question. 1. At the beginning of this document, you stated. "You make no apologies for repeating discussions - this I understand, but how much repeating is acceptable?

Answer. 1. Sure is - I also said it was a collective of a number of papers available in the public domain.

A. Moreover is a clear demonstration of the facts when a Person is so disposed with Asthma and its related disorders contrary to the medical professions advise not to search the internet for miracle cures that do not exist - which is exactly what People have no option to do.

B. Only to find as this document demonstrates - the revolving door approach in the understanding and treatment of Asthma or as I would prefer to say. The back to the Street approach.

C. Therefore in order to ensure nothing important is missed the repeating will be vast - yet intended to be comprehensive of the information available to People in the unfortunate position of Having Asthma and the related disorders and not much available by way of real-long term relief - meaning a cure.

Question. 2: May we first review what the allied professionals say about this still apparently mysterious disorder?

Answer. 2: Nice way to start as surely People if they are not up to date may be interested.

Question. 3: Will you number reference, each item to make it easier to come back or question any of the comments made, especially your own?

Answer. 3: Yes of course - may we start with what is being suggested as the cause of Asthma - I will break any statement down into smaller segments, with the intention of making sense of the information, in bite sized pieces.

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Asthma.

Asthma in UK. What causes Asthma.

This Paper is as much of what is reasonable to consider - as it is a matter of fact...

Ref. 1. It is difficult to say for sure what causes Asthma.

Response. Ref 1: Well this is a good start, truthful - hardly encouraging especially as we are aware already the disorder has been around since at least - 200 BC.

Ref. 2. Moreover the causes vary from Person to Person.

Response. Ref 2: Surely, this on its own is sufficient to destroy any aged or current research; if this is not understood and incorporated into the medical findings.

Ref. 3. What we do know is that research shows one is more likely to develop Asthma if:

A. There is a family history of Asthma.

Response. Ref 3: If we accept this - why then is the cause not known.

B. If one has Eczema.

Response. Ref 3. B: If we accept this - why then has Medical Science not found a way to prevent this developing into Asthma.

C. If one develops Allergies.

Response. Ref 3. C: If we accept - this why then is it not possible to prevent a Person developing Asthma.

Ref. 4. Scientific Evidence shows - that if one or both Parents have Asthma, it is more likely their Children will develop Asthma; if they already have Eczema and Allergies, such as Hay Fever.

Response. Ref 4: Then surely, it is not so much as Scientific Evidence - it is more of an Opinion.

A. Moreover, how implicit in the cause of Children getting the disorder is the Parents Mental attitude. (Link) Parents Cause all illness.

Ref. 5. Bronchiolitis is a common Childhood lung infection in a Child and is another precursor to Asthma.

Response Ref 5: Is this not an adaptation of Sepsis that had long been solved, why was this not cured at the time of the so-called infection.

Ref. 6. Being born prematurely is another precursor to Asthma.

Response. Ref 6: Surely, if a Child is Born with various pre-Asthma symptoms - it is easier with the available Scientifically Proven treatments - to cure the Child, well before Asthma presents itself or fully develops.

Ref. 7: Especially if there was a requirement of a ventilator to assist with breathing as a result of low-birth-weight, because normal growth was compromised whilst the Child was in the womb.

Response. Ref 7: It is scientifically suggested - this can be caused by various factors; the Mother smoked while she was pregnant.

A: My question is. If Medical Science had worth in the months of gestation - would not the Mother have been Medically supervised and treated for the Smoking, if indeed, it was a concern or the true implications understood.

Ref. 8. Research has shown that smoking during pregnancy significantly increases the risk of a Child developing Asthma if the Parents smoked or smoked whilst a Child or the Child spends time around People who smoke.

Response. Ref 8: Let us accept this as scientifically proven - does that justify or off load one's responsibility for not understanding the true implications of and why People smoke.

Ref. 9. Research shows that being exposed to second-hand cigarette smoke means a Child or youngster is more likely to develop Asthma - when later exposed to certain work-related substances.

Response. Ref 9: This is known as occupational Asthma and a clear demonstration of - a Child if pre-existing symptoms had seemingly been successfully treated or just long-term managed with medications.

Ref. 10. With an Adult Female - hormones can affect Asthma symptoms.

Response. Ref 10: Surely if a Woman still has a concern over her Hormones - it is a clear demonstration previous treatments have not demonstrated the success desired.

A: More importantly Medical Science still does not understand the Interaction of the Mind via the Brain and the Entire Body Chemistry following Emotional and or Physical traumas.

Ref. 11. Some Women first develop Asthma before the Menopause.

Response. Ref 11: Clearly the timing of this is suggesting - a Women's pathway into a Natural Menopause was compromised - thus another medical success.

Ref. 12. Following the Menopause is also a time when Asthma is possible.

Response. 12: Are we really to believe in 2016 there no one in the entire Medical Profession really asking - why this is and what is being missed.

Ref. 13. Why is it - more People are getting Asthma these days.

Response. Ref 13: Interesting question, we will cover this in detail later.

Ref. 14. It is thought many of the lifestyle choices we make today - our housing, diet and more hygienic environment for instance - may have added to the increasing numbers of People with Asthma, over the past few decades.

Response. Ref 14: Surely we have to accept - if no one knows the cause and no one has a cure; this is no more than Scientifically Proven Guesswork.

Ref. 15. Some researchers are currently investigating the theory that improved hygiene conditions have reduced the number of Childhood infections.

Response. Ref 15: If one looks back through history Hygiene conditions have constantly improved but Asthma numbers have increased. Is anyone asking why. Or what are we not seeing or allowed to see - due to Scientific dominance of knowledge.

Ref. 16. Fewer infections may mean the immune system does not develop as well.

Response. Ref 16: It makes me shudder with amazement when Medical Science uses the guesswork expression. "May."

Ref. 17. Lowered immunity can increase the risk of Asthma.

Response. Ref 17: Surely, after all of the years of study - at the very least this question could be answered; if not a satisfactory cure developed.

Ref 18. Environmental pollution, including traffic fumes and chemicals from power plants, can also make Asthma symptoms worse and may play a part in causing some Asthma.

Response. Ref 18: How sad such clever brains should be able to suggest this - but not why.

Ref. 19. What is the difference between a 'cause' and a 'trigger' of Asthma.

Response. Ref 19: This about the same as - we do not know the cause and have no cure.

Ref. 20. When Medical Science talks about the 'cause' of Asthma. It is meant - the underlying reason why it starts in the first place.

Response. Ref 20. Interesting so why does Medical science not research this as it so eloquently mentions it.

Ref. 21. There are different theories to explain what these possible causes are - as explained above, however if a Person has Asthma, it is impossible to know for certain, what caused it - in an individual case.

Response. Ref 21: There one has it - we Medical Scientists do not know and as it is impossible to know - we have no intention of finding out.

Ref. 22. Seriously - When it is mentioned about an Asthma 'trigger,' It means; anything that starts the Asthma symptoms or makes the symptoms worse.

Response. Ref 22: So does not the originating cause demonstrate - it is the only item on the research agenda worthy of funding - or is funding the problem, find the real or true cause - equals no more funding for any illness.

Ref. 23. It may be experienced, for example, when visiting someone with a pet - or spending time in a dusty room, this sets of the symptoms.

Response. Ref 23: Or is this no more than a clinician saying. "We just do not know what to do."

Ref. 24. Other common triggers include exercise, pollen, cold weather or cigarette smoke.

Response. Ref 24: From a Clinical team having studied the symptoms for decades - is this truly a good response or a poor excuse.

Ref. 25. More can be found out about Asthma triggers and, importantly, how to manage them - at a given link.

Response. Ref 25: Surely, when a Person is ill - let alone has Asthma...

A: Is it not best if the Medical Profession and support Charities are truly desiring a cure - all the information is simply presented and therefore easy to find; all in one place rather than a link elsewhere or a pop up multiple choice list.

Ref. 26. When does Asthma first appear.

Response. Ref 26: Asthma can appear at any age.

A: Symptoms usually start during Childhood, but it is not uncommon for Adults to get it.

Ref. 27. What is the Medical Science demonstration of it first appearance.

Response. Ref 27: It is reported - Some Adults develop it after a viral infection.

Ref. 28. What happens to Children and when it shows in them.

Response. Ref 28: Perhaps it is considered in the literature. Children unlike Adults are unable to communicate or as is often the case are not believed.

Ref. 29. If one gets Asthma in Adulthood, it is known as; 'Adult-onset' or. 'Late-onset' Asthma.

Response. Ref 29: There we have the answer to Ref 28. Does not seem right to give it an official sounding name as. Early Onset. Implies.

A. Rather than just say. "We Medical Scientists - should look for the true cause, "but" we are afraid we may just find it."

Ref. 30. Certain things found in the workplace, such as chemicals or dust from flour or wood, can also lead to Asthma symptoms. This is known as occupational asthma.

Response. Ref 30: Confirmed; Children cannot communicate - thus do not work. "So now we will have to look for the true cause - must not do that - we may find it."

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Asthma.

Ref. 31. Where does this leave a Person so disposed with a lifetime of debilitating Asthma.

Response. Ref 31: It appears; No option but result to what appears to be Support and or Charity information sites. Known as. Resources Forums.

Ref. 32. Is there a predictable pathway this approach demonstrates.

Response. Ref 32: It appears - this is what may be recognises as the Twelve Step approach or even the time line a Person with Asthma is guided to take....

1. Research; for the future. Get involved in our research with our scientists Achievements from our research strategy.

2. Donate now.

3. Take part in an event.

4. Do your own fund raising.

5. Leave a gift in your will.

6. Win prizes.

7. Become involved in Campaigns.

8. Corporate support.

9. Volunteer for our - Fund raising promise.

10. Contact us Work for us Media center.

11. Vulnerable supporter policy.

12. Join us as Professionals.

Leaving one to consider as the cause is still not know and there are no known cures is this anything less than a Money making Machine and nothing to do with Asthma at all.

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Asthma and Emotions.

Ref. 33. However a Person feels about Asthma, being in the right place for support, advice and motivation, is surely the best and perhaps the only option available to them.

Response. Ref. 33: Could not agree more - only if the provider has proper intentions of seeking to find the cause and then a cure.

Ref. 34. We all react differently to life's experiences - and the same goes for having Asthma.

Response. Ref 34: Is this not a Scientifically Proven confirmation. ALL with its cause securely embedded within the Mind and its memories - illness including Asthma, is as Unique to a Person as their Fingerprint - thus the reason why nothing of true or real value is known about the condition.

Ref. 35. People can feel a range of Emotions about their Asthma.

Response. Ref 35: Thus it is confirmed by back to front medical thinking - Asthma is not Biological caused.

Ref. 36. From fear and distress.

Response. Ref 36: The true and only cause of Asthma.

Ref. 37. To relief at finally getting a diagnosis.

Response. Ref 37: Conformation the Medical Profession and attending Families have only listened to their own point of view and not the true Feelings and Emotions of the Person with Asthma.

Ref. 38. Confidence that they now understand how to manage their symptoms.

Response. Ref 38: Confirmation the Medical Profession and surrounding Families are back in control - thereby confirming - Asthma really is a Biological Condition.

Ref. 39. How a Person may feel about having Asthma often depends on where they are on the Asthma 'journey.'

Response. 39: Asthma is not ever to be considered a Journey it is a LIFE destroying condition for so many People not a Profit making Vehicle.

Ref. 40. One might feel bad about having Asthma when at first find; but OK with it later on, once used to it and learned how to manage it well.

Response. Ref 40: Thus the treatment is for the Clinician only and the attending Families - not the Patient, so pay on the way out please.

Ref. 41. There might be months when Asthma does not get in the way at all - and then key moments when it does: symptoms flaring up or an Asthma attack, which knocks a Persons confidence.

Response. Ref 41: Preparation for another invoice is at work here.

Ref. 42. For the small percentage - about four per cent of People living with severe Asthma, the emotional challenges can be even greater.

Response. Ref 42: Confirmation Asthma is not in the slightest of Biological Cause.

Ref. 43. One might find it helpful to read of other People's experiences.

Response. Ref 43: As the Audit Commissions of the world constantly advise us there are some Seven Billion Unique People in the world - and as of 2011; according the World Health Organisation, there are some 235 Million with Asthma - does a Person with Asthma really have to hear the life story of each of them in order to choose which one best fits their own story.

Ref. 44. Whatever one is feeling about their Asthma, Being in the right place for support, advice, motivation and reassurance as the Medical Industry and Charities suggest - is the correct thing to do.

Response. Ref 44: Surely, this can only be correct if there is truly a beneficial outcome from the advice given and it is only for the Patient not ever the clinician or charities benefit.

Ref . 45. Just been given a diagnosis of having Asthma.

Response. Ref 45: Whether as a Patient with Asthma, or a Parent having just found out your Child has Asthma, there will be a keen desire to get answers and reassurance.

Ref. 46. However - Getting an Asthma diagnosis can be a shock.

Response. Ref 46: Especially as a diagnoses is no more than an opinion as the true cause is not known and there is no known cure.

Ref. 47. One might feel scared and worried about what affect it will have and resent having a long-term condition to deal with.

Response. Ref 47: Or is it really the Long-term effect of. No known cause and no known cure that exacerbated the feeling of being scared, rather than just the Asthma itself.

Ref. 48. Sometimes - for a Person a diagnosis can be a relief or a starting point for getting on top of it and moving on with one's life.

Response. Ref 48: If we take this as a relief - does it not then allow us to ask. "How long will this relief actually last.

Ref. 49. Perhaps one does not feel positive now, but with time, support and advice one can get there.

Response. Ref 49: And if this never happens - is it back too. Pay on the way out please.

Ref 50. Whether a Patient is worried about an Asthma diagnosis and what it means, or motivated to get to know as much as they can, we have lots of information for People just getting to grips with an Asthma diagnosis.

Response. Ref 50: So when are long suffering Patients going to be told - all the support they have given in terms or Raising Funds and Awareness has transpired into a Cure.

Ref. 51. Coming to terms with an Asthma Diagnoses.

Response. Ref 51: Is it really acceptable in leaving a Person with perhaps a lifetime of observing their Mother with Asthma and how hard it was for her; because the cause is not known and there is no long-term cure, with the thought of having not been genetically disposed to it to be shocked into discovering; they now had Asthma.

Ref. 52. What helped was finding a consultant who realised how their Patient was feeling and how it was affecting them and knowing that medications and treatments nowadays are much more effective than they were in the past.

Response. Ref 52: Sounds brilliant and so it should be after all Medical Science has the Scientific proof do they not - but for how long does this feeling of being helped actually last.

Ref. 53. People have ups and downs with Ever Changing Emotional and Physical Symptoms and are still trying to come to terms with it.

Response. Ref 53: Thereby - Having no option, but to focus on doing their best on what they can do and not on what they cannot.

Ref. 54. Keeping Asthma in the background with a good routine should be as easy as suggested.

Response. Ref 54: Or is this where it leads. "People finding an Asthma diagnosis very Depressing."

Ref 55. All leaving one ultimately with - "But all one can say is getting into a routine of taking the medication, having regular reviews and avoiding triggers.

A. One should stay reasonably well and not have to think about Asthma at all.

Response. Ref 55: Should this not be a signal for the Medical Profession to increase their search to - if only but for one illness, find the true cause and work out a treatment cure regime - instead of only being concerned for long-term profit in lieu of a cure.

Ref. 56. When feeling somewhat comfortable about ones condition - an Asthma attack can be a shock to the system and make a Person feel scared where a flare-up of symptoms creates a loss of confidence.

Response. Ref 56: Typical back to front Medical Science. It was the lack of confidence - better said self-worth that caused the Asthma in the first place.

Ref. 57. Having a Child with Asthma seeing them struggling to breathe - is understandable.

Response. 57: Leaving a distraught Parent with feeling scared and worried that it will happen again. Thus it is NOW the Childs fault for frightening the Parent.

Ref. 58. Often; People think an attack is going to come out of the blue - makes it feel even more frightening.

Response. Ref 58: However, most of the time there are signs and symptoms to look out for and a written Asthma action plan can help with this.

Ref. 59. After an Asthma attack it takes a bit of time for confidence to return.

Response. Ref 59: However with the right support and the right medicines - feeling more in control returns following an Asthma attack.

Ref. 60. Longer-term Asthma activity.

Response. Ref 60: After a while one will realise and come to live well with Asthma, not perhaps in the way dreamed of, but when the panicking stops and one looks at the problem logically, coping and being happy and not letting Asthma dominate one's life; becomes more of a reality.

Ref. 61. Thereby appearing to ease the doubt - one will ever be totally free of Asthma.

Response. Ref 61: Having the confidence the condition is controlled and will not hinder in any future pursuits.

Ref. 62. Sometimes, once the shock has passed, an Asthma attack can be a wake up call and one can feel a real determination to avoid it happening again.

Response. Ref 62: Is there a possibility one's real problems start here.

A. Moreover is nothing to do with Asthma.

B. But is Creativity is the Brakes on Madness as the seeding of a new symptom.

C. Because NO ONE does or is knowledgeable to (link) Understand the true cause.

Ref. 63. Getting tailored advice on how one can cut the risk of an Asthma attack.

Response. Ref 63: By taking a risk test.

Ref. 64. Living with Asthma Perhaps feels like Asthma is just one more problem one has to think about every day.

Response. Ref 64: For some People Asthma symptoms are a day-to-day frustration.

Ref. 65. If there is a feeling Asthma is holding back the ability of living life the way it should be.

Response. Ref 65: Finding out how tried and tested tools and medicines are helping People live a life that is symptom free.

Ref. 66. Even for People with Asthma that is difficult to control there are many things that allow one to get on with life.

A. Making sure of good support.

B. Understanding what the triggers are.

C. Getting motivated to keep fit and healthy.

D. Knowing what to ask when receiving an Asthma review.

Response. Ref 66: Confirmation - Doing the best to stay on top of Asthma means; one is on one's own.

Ref. 67. The good news is that with good Asthma management most People can get on with their lives with no symptoms at all.

Response. Ref 67: Find out the best ways to manage Asthma to be in control of it and not out of control.

Ref. 68. This will probably involve being comfortable with an inhaler.

A. Taking it regularly and in the correct way and following a written Asthma action plan in order to know exactly what is needed to do to stay well with Asthma.

Response. Ref 68: But also know - what to do if symptoms return.

Ref. 69. It might be comforting to know that evidence tells us that using a written Asthma action plan means being less likely to end up in hospital with Asthma.

Response. Ref 69: In addition an action plan for Children reassures Parents that their Child's Asthma is being looked after.

Ref. 70. Asthma does not need to take over a Person's life.

Response. Ref 70: Being organised and getting into a good routine of taking Asthma medicines can help.

Ref. 71. Having come to the right place to learn all about Asthma - look around websites and find out about the medicines and treatments that have been prescribed for Asthma, the best way to look after it and what to do about triggers.

Response. Ref 71: Asthma medicines have a great record of accomplishment and are a safe and effective way to look after Asthma.

Ref. 72. Some People still find their Asthma symptoms frightening.

Response. Ref 72: Is this because - when first diagnosed with Asthma as a teenager, the advice given about Asthma and how to take medicines properly was not fully comprehended thus Understood.

Ref. 73. Now grateful for the medicines that help and knowing how important it is to take the inhaler regularly.

Response. Ref 73: When the Asthma is bad, or post an Asthma attack where it still makes one very frightened and anxious. Why then should one be compelled to feel Grateful.

Ref. 74. Being given stronger medications or oral steroids that allowed breathing again.

Response. Ref. 74: Makes a Person so thankful for living in an era where these medicines are available.

A. More importantly never missing an inhaler dose and thanking every day for helping breathing.

B. Moreover; feeling Grateful for having a lifetime of Asthma - look how much profit it creates with no known cause and no known cure.

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Keeping Fit and Well.

Ref. 75. However one decides to keep fit and well, whether it is giving up smoking, walking to work, taking up a sport, or keeping at a healthy weight, it is going to be good for your Asthma.

Response. Ref 75: With the right support and the right Asthma medicines most People with Asthma can do the things they enjoy, whether that is gardening, hitting the high street with friends, or even raising money-running marathons.

Ref. 76. Do not let Asthma hold you back.

Response. Ref 76: I am not too happy at the moment; as I am unable to do the things I used to such as exercise classes and hiking/bike riding.

A. I am working on it though and still manage to do swimming.

B. Swimming is great and helps me feel Mentally and Physically better with my Asthma.

C. I will not rest until it is sorted and I can do these things without Asthma holding me back.

D. All confirmation once diagnosed with Asthma - one is only ever in reality on one's own.

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Asthma - Common Concerns.

Ref. 77. Can a Person die from an Asthma Attack.

Response. Ref 77: Yes. Although most People who have an Asthma attack get help and get well, the shocking and tragic fact is that Asthma attacks kill three People each day.

Ref. 78. The UK has amongst the highest death rates from Asthma in Europe.

Response. Ref 78: Did you know that every 10 seconds, someone in the UK is having a potentially life-threatening Asthma attack?

Ref. 79. If the right treatment is not applied. Asthma symptoms are more likely to be serious and Asthma attacks are more likely.

Response. Ref 79: On a more positive note, it is estimated that two-thirds of Asthma related deaths are preventable with better routine care.

Ref. 80. Taking Asthma medicines regularly as prescribed is the best way to prevent Asthma symptoms and a potentially life-threatening Asthma attack.

Response. Ref 80: Also, using a written Asthma action plan one is four times less likely to end up in hospital due to Asthma.

Ref. 81. Have Asthma and being pregnant. Will the baby have Asthma too.

Response. Ref 81: Medical Science does not know the exact cause of Asthma, but it is known that Asthma - often runs in families.

Ref. 82. A baby is more at risk of developing Asthma or breathing problems if:

A. The Mother smokes while pregnant or around the Child when they are born.

B. Especially if both Parents have Asthma.

Response. Ref 82: If only one of Parent has Asthma, the baby has a greater chance of developing Asthma if it is the Mother; rather than the Father.

Ref. 83. There is more information about managing Asthma during pregnancy.

Response. Ref 83: Will the cause be found where more information is to be found and is there a mention of a cure.

Ref. 84. Are steroids in Asthma medicines safe.

Response. Ref 84: Many Children and most Adults with Asthma are prescribed medicine that contains steroids.

A. Taking steroid medicines makes it less likely to experience symptoms such as coughing, wheezing, chest tightness and shortness of breath.

B. It also means it is less likely that the Body will react to Asthma triggers, such as pollen or pollution.

Ref. 85. The preventer inhaler taken every day contains a really low dose of steroids to help manage symptoms.

Response. Ref 85: Taken correctly and regularly as prescribed, it helps to reduce inflammation in the airways that makes them irritable and more likely to react to triggers.

A. This reduces the risk of an Asthma attack.

B. If Asthma symptoms get worse, or there is an Asthma attack, the preventer inhaler may not be enough to manage the inflammation so a GP or Asthma nurse may give a short course of steroid tablets - called prednisolone.

C. These contain a higher dose of steroids to reduce the risk of a potentially life-threatening Asthma attack.

D. Some People worry about taking steroids, often because of the long list of potential side effects.

Ref. 86. What is reassuring to remember is that the steroids in the preventer inhaler are unlikely to cause side effects because the inhaled medicine goes straight down to your airways where it is needed.

Response. Ref 86: Because - Very little is absorbed into the rest of the Body.

Ref. 87. In addition, short, occasional courses of steroid tablets taken for no longer than three weeks are very unlikely to cause troublesome side effects.

Response. Ref 87: If taking higher doses of steroids for longer periods, the GP, Asthma nurse or consultant will help weigh up the benefits and risks.

A. Moreover, if there is the experience of side effects, more often than not there are ways to deal with them - ask your GP or Asthma nurse for advice.

Conclusion. Ref 87: In consideration to Ref 84>87 - it is clear the evidence speaks for itself.

A. Or is it Medical Science is too blinded by the profits, to see through the haze they leave in their wake.

Ref. 88. Do Asthma medicines stunt growth.

Response. Ref 88: There is a small link between inhaled steroids and reduced growth - approximately half a centimetre in Children.

A. This cannot be anything less than guesswork at its best for. NO Two Children has the same growth rate to be able to determine just a 5 Millimetre difference from one Child to the next.

B. To use Medical Science own words. "They may have a late onset of growth or indeed another Child may well have an early onset of growth.

C. As indeed can any Child with or without Asthma.

Ref. 89. If a Child is taking inhaled steroids, the GP or Asthma nurse will want to monitor their height and weight at least once a year.

Response. 89: If there are worries, speak to the GP or Asthma nurse about the Height and Weight concerns.

A. Check the medical professions confusion - if the Child has exceeded their expected growth or not.

Ref. 90. Remember, though, that if a Child is taking a regular lower dose of steroids in a preventer inhaler to manage their symptoms.

A. It can mean they need to take fewer steroid tablets overall, plus their risk of a potentially life-threatening Asthma attack is reduced.

B. Also, poorly controlled Asthma can itself affect growth.

Response. Ref 90: In other words, the benefits appear to far outweigh the risks.

Ref. 91. Do Asthma medicines cause osteoporosis.

Response. Ref 91: The long-term use of steroids has been associated with a risk of reduced bone density in some People.

Ref. 92. At annual Asthma review, the GP or Asthma nurse can talk about individual risks and what simple things can lower this risk.

Response. Ref 92: These include; getting plenty of exercise.

A. Eating well, including lots of foods rich in calcium. E.G. leafy green vegetables, dried fruit, tofu, yoghurt and vitamin D. E.G. eggs, milk, oily fish.

B. Giving up smoking.

C. Avoiding too much alcohol.

D. One can get more information and advice from the National Osteoporosis Society.

Conclusion: Response. Ref 92: Is it not clear to see all of these are of - so called free choice Adult activity, are Mind related not biologically driven.

Ref. 93. Do Asthma medicines have side effects.

Response. Ref 93: Like all prescription drugs, there is a risk of side effects when you take Asthma medicines.

Ref 94. What is reassuring is that most People who take them will not experience all of the side effects, or even any.

Response. Ref 94: And only ever be prescribed a medicine if the benefits outweigh the risks.

Ref. 95. Feeling worried about anything or has concerns about medicines, speak to the GP or Asthma nurse.

Response. Ref 95: Again. as the earlier advise was not taken in by the Mind or was found - not to be of real long-term value.

Ref. 96. If a Person has Asthma. Is it safe to fast - restrict diet for religious or other means.

Response. Ref 96: Fasting is willingly avoiding some or all food, drink, or both, for a period of time.

A. Often carried out for religious reasons.

B. There is little to suggest that fasting causes problems if you have Asthma.

C. But if when fasting - choosing not to take medicines exactly as prescribed, for example. Stopping using the inhaler(s) believing using an inhaler would break the fast or using them at different times to the prescribed times, can cause symptoms to get worse.

D. In fact, stopping medicines can cause Asthma symptoms to return and increase the risk of a life-threatening Asthma attack.

E. Speak to the GP or Asthma nurse before stopping medicines.

Conclusion. Ref 96: Fasting for whatever reasons is an informed lifestyle activity carried out by Adults and imposed on Children who are unable to express the negative or positive implications relating to their Asthma.

Ref. 97. Do Asthma attacks damage lungs.

Response. Ref 97: Having frequent Asthma attacks, airways can become scarred and narrower.

A. This is sometimes called; 'airway remodelling.'

B. If this happens, it means that less air can move through the airways and symptoms may become worse and/or more frequent.

Ref. 98. It is more likely to have frequent Asthma attacks by.

A. Smoking.

B. By not taking medicines regularly as prescribed.

C. Not seeking help as soon as soon as it is noticed symptoms getting worse.

Response. Ref 98: The best way to prevent airway remodelling is by not smoking and to take the preventer inhaler and any other prescribed medicines regularly.

A. In addition, if symptoms are getting worse, book an appointment to see the GP or Asthma nurse as soon as possible so that they can review treatment.

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Asthma - Common Questions.

Ref. 99. How is Asthma treated.

Response. Ref 99: When first diagnosed with Asthma, a GP or Asthma nurse will prescribe treatment depending on age and the severity of symptoms.

Ref. 100. What is great for anybody with Asthma is that there are many safe and effective medicines available these days.

A. The aim of treatment is to stay symptom-free.

Response. Ref 100. A: If the treatments aimed at getting a Person symptom free - how long will this last, once achieved.

B. Taking medicines regularly, exactly as prescribed, the chances are that the condition will not stop one from getting on with life.

Ref. 101. What triggers Asthma attacks.

Response. Ref 101: Lots of different things can trigger Asthma symptoms and Asthma attacks including pets, pollen, exercise and house dust mites.

A. Finding out which triggers set off symptoms means one can work out ways to avoid and deal with them.

B: Once the list of triggers is identified - will that be a lifetime list, or will it alter as other symptoms are ever changing.

Ref. 102. What happens after an Asthma attack.

Response. Ref 102: After an Asthma attack, it is not uncommon for the Body to take a while to get back to normal.

A. There may be a feeling of being more tired or stressed than usual, or it may be difficult to drop off to sleep at night.

B. It is also not unusual after an Asthma attack to feel a range of different emotions, perhaps - feeling frightened there may be another attack, guilty for worrying the family and/or feeling down that a chronic condition exists.

Conclusion Ref 102: Is it fair to say - after an attack, one has to re-evaluate the triggers and a conformation all of the management of symptoms are for the Family and clinicians Peace of Mind and nothing to do with the Patient.

Ref. 103. Having been in hospital or to a walk-in center because of an Asthma attack, there is the requirement to have an Asthma review with the GP or Asthma nurse within two working days after leaving hospital.

Response. Ref 103: If this appointment has not been booked, calling the GP surgery to arrange it as soon as possible is recommended.

Ref. 104. This is a chance to talk to a healthcare professional about any physical or emotional concerns or about anything at all that is worrying.

Response. Ref 104: It is also a chance for the GP or Asthma nurse to check of the Patients progress. And in so doing somewhat ignore the Patients Emotional disposition.

Ref. 105. It is very important to book and go to this appointment because one in six people who receive emergency treatment for an Asthma attack need emergency treatment again within two weeks.

Response. Ref 105: Following an Asthma attack, but did not go to hospital or a walk-in center, it is still important to book an appointment with a healthcare professional - so they can see how their Patient is doing and help to find solutions for any current symptoms.

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Asthma - Find out how to reduce risks.

Ref. 106. What is the best way to avoid Asthma attacks.

Response. Ref 106: There are many things that can be achieved in order to help reduce the risk of an Asthma attack:

A. Take your medicines regularly, as prescribed Follow a written Asthma action plan.

B. Have regular Asthma reviews with a GP or Asthma nurse.

C. Check with the GP or Asthma nurse the inhaler is being used correctly.

D. Avoid the things that trigger Asthma where possible.

E. Monitor Asthma symptoms in order to become aware symptoms are getting worse.

F. Take a Risk Test to find out the risk of an Asthma attack.

G. Do not smoke.

H. Keep weight at a healthy level, or lose weight if need to after checking with a GP or Asthma nurse that a weight loss plan is suitable for individual requirements.

I. Have regular flu vaccinations if required.

Ref. 107. Is it possible to have an Asthma attack with mild Asthma.

Response. Ref 107: Yes. Whilst it is more likely to have an Asthma attack with moderate or severe Asthma.

A. it is possible to have a potentially life-threatening Asthma attack with mild Asthma.

B. That is why it is important to take Asthma medicines exactly as prescribed, even if there are no symptoms, or if there are very few and/or mild symptoms.

Ref. 108. What is the link between Asthma, Eczema and Hay Fever.

Response. Ref 108: Eczema is a condition that causes the skin to become itchy, red, dry, cracked.

A. Occurs more often in People who get allergies.

B. Hay fever is an allergy to pollen, a tiny powder-like substance produced by certain types of trees, grasses, weeds.

C. Which causes symptoms such as a runny nose, sneezing and itching.

D. Along with Allergic Asthma, Eczema and Hay Fever are known as. 'Atopic conditions.'

E. Atopic, means the Body produces a certain type of antibody, called immunoglobulin E (IgE), in response to harmless allergens, such as pollen and dust mites.

F. Being Atopic, a Person could have; one, two or all three of the conditions.

G. For example, 80 per cent of People with Asthma also have Hay Fever.

H. Plus having family members who are Atopic, a Child is more likely to develop Asthma.

I. Speaking to a GP or Asthma nurse who may be able to answer if further questions about any of these conditions.

Conclusion. Response Ref 108 - I: It is clear to see the only real link between these two symptoms is once again and demonstrated by the use of the word Atopic - nothing of real value is known and pay on the way out please an acceptable clinical request.

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Asthma - Get the help required.

Ref. 109. Is Asthma UK available for advice.

Response Ref 109: The Help line number is 0300 222 5800. Speaking in confidence to one of our their friendly Asthma expert nurse specialists is assured - Monday to Friday from 9am to 5pm.

Ref. 110. Is there information about Asthma available anywhere that is easy to understand if English is not the first language.

Response. Ref 110: Asthma UK has put together some easy-to-understand information about Asthma especially for People who do not speak English as a first language and included People with learning disabilities.

A. It is easy to read and there are lots of pictures so the information is easier to understand.

Ref. 111. Sign up to get email updates from Asthma UK.

Response. Ref 111: Help to improve Asthma UK website. Fill out the short survey.

A. Adult Written Asthma Action Plan.

B. Action plan Find out more about Asthma action plans and how they can help with Asthma.

C. The Information is Standard.

D. Visit the contact page for more ways of getting in touch and Donate to further research.

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Asthma - Long-Term.

Ref. 112. Asthma is a Life-long-term condition For most People.

A. Especially if it starts in Adulthood.

B. It is natural to have a lot of questions about the future having recently been diagnosed with Asthma - or having a Child with Asthma.

C. There may be a concern about whether it will get worse as time goes on.

D. Or wondering whether there really will be a need to keep taking Asthma medicines for the rest of one's life.

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Find out what Asthma means for future health.

Ref. 113. Will A Person so affected always have Asthma.

Response. Ref 113: For most People. Asthma is a life-long condition, especially if it starts in Adulthood.

A. But for some Children diagnosed with Asthma, the condition might improve or disappear completely as they get older.

B. It can return later in life though.

1. Sometimes triggered by events such as menopause.

2. lifestyle.

3. Environment changes, such as going to a new workplace that means being exposed to more triggers.

C. If a Child has moderate or severe Asthma, the symptoms are more likely to carry on or come back than if a Child has Mild Asthma.

D. The good news is that even though Asthma is a long-term condition, it can usually be well managed in most People.

E. Asthma medicines are now very effective.

F. Therefore using medicines as prescribed and getting into a good routine can manage symptoms and lead an active life, just like People without Asthma.

G. Saying that, around four per cent of People with Asthma have Severe Asthma.

H. This type of Asthma does not respond as well to the usual Asthma treatments.

I. If a GP or Asthma nurse thinks a Person may have Severe Asthma, they will be referred to a specialist who will help find the right treatment.

Ref. 114. Can Asthma be cured.

Response. Ref 114: It appears from the very best or latest Medical Science the only answer to this - based on the cause is still not in 2016 known is. No. Confirmed by, after some 4000 years perhaps never will be.

A. The treatments prescribed for Asthma helps manage the condition, but it does not actually cure it.

B. Taking the medicine as prescribed, though - can cut the risk of symptoms and of having an Asthma attack.

C. Everyone with Asthma is given a reliever inhaler - usually blue, which relaxes the smooth muscles in the airways - very quickly when sudden symptoms appear.

D. There may also have been prescribed a preventer inhaler, which works away in the background to reduce inflammation and sensitivity in the airways, helping to prevent airways reacting to triggers and causing symptoms.

E. These treatments do not actually cure Asthma.

F. Information: From the UK's leading Asthma Research Charity.

G. The research we support helps us understand more about Asthma, its causes and treatments.

H. Ultimately we are hoping to find a cure, say Asthma Charities.

Ref. 115. Will the Asthma get worse.

Response. Ref 115: The evidence - if one is able to make a secure interpretation, suggests, yes, it does get worse over time or the symptoms change to another labelled illness that has to be managed with different medications not listed here.

A. If there are frequent Asthma attacks, the airways can eventually become scarred and narrower.

B. This is sometimes called. 'Airway remodelling.'

C. If this happens, it means that less air can move through your airways and symptoms may become worse and/or more frequent.

D. It is likely for there to be more frequent Asthma attacks by smoking; not taking medicines regularly as prescribed and/or if help as soon as it is noticed symptoms getting worse is not sought.

E. Severe Asthma may also have more symptoms, which might raise the risk of airway remodelling.

F. The best way to prevent airway remodelling is to quit smoking and to take medicines as prescribed.

G. If it is noticed symptoms are getting worse, book an appointment to see a GP or Asthma nurse as soon as possible - so they can review the treatment.

H. The good news is that by following a written Asthma action plan and taking treatment as prescribed, it is likely Asthma will remain stable or may improve.

I. In fact, by following a written Asthma action plan, it is expected for a Person to be free of symptoms.

J. This can be achieved by working in partnership with a GP or Asthma nurse to reduce symptoms and get on with enjoying life.

Ref. 116. If symptoms have become worse during the passage of time - does this mean the Asthma is getting worse.

Response: Ref 116: Just a one-off episode of symptoms does not necessarily mean the condition over time is getting worse.

B. This can just happen if the airways have reacted to a particular trigger.

C. Having a written Asthma action plan can help pinpoint what triggers Asthma symptoms.

D. Talk to a GP or Asthma nurse about managing these triggers.

E. The Asthma UK Help line - 0300 222 5800 - open 9am to 5pm, Monday to Friday Asthma UK Help line Call the help line on 0300 222 5800, 9am-5pm Mon-Fri.

F. Sign up to get email updates from Asthma UK

G. Sign up to receive Asthma UK updates by email.

H. Fill out our short survey.

I. Create an Adult Written Asthma Action Plan.

J. Find out more about Asthma action plans and how they can help with Asthma.

K. The Information Standard Information Standard from Asthma UK Site Health advice Research - Get involved.

Conclusion. Ref. 116: Once again a clear demonstration of the Medical revolving door mechanism - no matter what direction a Person is sent in they always end up back where they started.

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Asthma.

Ref. 117. Asthma is a common long-term inflammatory disease of the airways of the lungs.

A. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm.

A. 1. A bronchial spasm is a sudden constriction of the muscles in the walls of the bronchioles.

A. 2. It is caused by the release - degranulation, of substances from mast cells or basophils under the influence of anaphylatoxins.

A. 3. It causes difficulty in breathing which can be very mild to severe.

B. Symptoms include episodes of wheezing, coughing, chest tightness and shortness of breath.

C. These episodes may occur a few times a day or a few times per week.

D. Depending on the Person they may become worse at night or with exercise.

E. Asthma is thought to be caused by a combination of genetic and environmental factors.

F. Environmental factors include exposure to air pollution and allergens.

G. Other potential triggers include medications such as aspirin and beta-blockers.

H. Diagnosis is usually based on the pattern of symptoms, response to therapy over time and spirometry.

H. 1. Spirometry is a test of how well one can breathe and can help in the diagnosis of different lung diseases such as chronic obstructive pulmonary disease (COPD).

H. 2. The test requires taking in a very deep breath and blowing out as fast as possible into a small device called a spirometer.

I. Asthma is classified according to the frequency of symptoms, forced expiratory volume in one second (FEV1) and peak expiratory flow rate.

J. It may also be classified as atopic - denoting a form of allergy in which a hypersensitivity reaction such as Eczema or Asthma may occur in a part of the Body not in contact with the allergen.

K. Alternatively, non-Atopic - where atopy refers to a predisposition toward developing a type 1 hypersensitivity reaction.

K. 1. Non-atopic Asthma refers to inflammation and constriction of the airways that is not caused by exposure to an allergen.

K. 2. Management of Asthma and medications used to prevent and treat symptoms depends on the frequency and severity.

L. There is no cure for Asthma.

M. Symptoms can be prevented by avoiding triggers, such as allergens and irritants and by the use of inhaled corticosteroids.

N. Long-acting beta agonists (LABA) or antileukotriene agents may be used in addition to inhaled corticosteroids if Asthma symptoms remain uncontrolled.

O. Treatment of rapidly worsening symptoms is usually with an inhaled short-acting beta-2 agonist such as salbutamol and corticosteroids taken by mouth.

P. In very severe cases, intravenous corticosteroids, magnesium sulfate and hospitalization may be required.

Q. In 2013, 242 million People globally had Asthma up from 183 million in 1990.

R. It caused about 489,000 deaths in 2013, most of which occurred in the developing world.

S. It often begins in Childhood.

T. The rates of Asthma have increased significantly since the 1960s.

U. Asthma was recognized as early as Ancient Egypt.

V. The word Asthma is from the Greek ἅσθμα, Asthma which means "panting."

W. Signs and symptoms Wheezing.

X. The sound of wheezing as heard with a stethoscope.

Y. Asthma is characterized by recurrent episodes of wheezing, shortness of breath, chest tightness and coughing.

Z. Sputum may be produced from the lung by coughing but is often hard to bring up.

Z. 1. During recovery from an attack, it may appear pus-like due to high levels of white blood cells called eosinophils.

Z. 2. Symptoms are usually worse at night and in the early morning or in response to exercise or cold air.

Z. 3. Some People with Asthma rarely experience symptoms, usually in response to triggers, whereas others may have marked and persistent symptoms.

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Asthma Associated conditions.

Ref. 118. A number of other health conditions occur more frequently in those with Asthma.

1. Gastro-esophageal reflux disease - GERD. happens when the stomach contents come back up into the oesophagus causing heartburn.

2. Acid reflux is another name for GERD and is long-lasting.

Response. 118: As the cause is not known and there is no known cure.​​​

3. Rhinosinusitis. Is a more accurate term for what is commonly termed sinusitis, where the mucous membranes of the nose and sinuses are contiguous and subject to the same disease processes.

Ref. 119. Until a few years ago, no diagnostic criteria existed for distinguishing among the various subtypes of rhinosinusitis and no commonly accepted disease staging system was in place.

Ref. 120. Rhinosinusitis can be divided among four subtypes:

1. Acute.

2. Recurrent acute.

3. Subacute.

4. Chronic.

3. Sinusitis without Rhinitis is rare.

Ref. 121. Obstructive Sleep Apnea:

A. Sleep apnea, also spelled Sleep Apnoea, is a sleep disorder characterized by pauses in breathing or instances of shallow breathing during sleep.

B. Each pause, called apnea, can last for a few seconds to several minutes.

C. For a diagnosis of sleep apnea, more than five episodes an hour must occur.

D. Similarly, each abnormally shallow breathing event is called a hypopnea.

E. Sleep apnea is classified as a dyssomnia.

F. When breathing is paused, carbon dioxide builds up in the bloodstream.

G. The brain is signalled to wake the Person sleeping and breathe in air.

H. Breathing normally will restore oxygen levels and the Person will fall asleep again.

I. Sleep apnea is often diagnosed with an overnight sleep test called a polysomnogram, or "sleep study."

Response. 121. F-G: Let us accept the Brain is signalled to wake the Person - should this not instigate a question "WHY, did the breathing stop."

A. Would it not be acceptable to suggest - there is a simple answer to this medical quandary.

B. The Mind of the Person had an aged and traumatic issue to deal with and when it was first installed in the Mind - perhaps many decades earlier and to now stop breathing if but for a few seconds, is one way of seeking to resolve the issue by gaining an Understanding for what happened and why.

Ref. 122. There are three forms of Sleep Apnea:

1. Central (CSA).

2. Obstructive (OSA),

3. Complex or mixed sleep apnea. i.e. a combination of central and obstructive) constituting 0.4%, 84% and 15% of cases, respectively.

Ref. 123. In CSA, breathing is interrupted by a lack of respiratory effort.

Ref. 124. In OSA, breathing is interrupted by a physical block to airflow despite respiratory effort and snoring is common.

Ref. 125. Regardless of type, an individual with sleep apnea is rarely aware of having difficulty breathing, even upon awakening.

Ref. 126. Sleep apnea is recognized as a problem by others witnessing the individual during episodes or is suspected because of its effects on health or alertness.

Ref. 127. Symptoms may be present for years - or even decades without recognition, during which time the Person may become conditioned to the daytime sleepiness and fatigue associated with sleep disturbance.

Ref. 128. Sleep apnea affects not only Adults but sometimes also Children.

Ref. 129. Psychological disorders are also more common with:

A. Anxiety disorders occurring in between 16-52%.

B. Mood disorders in 14-41%.

C. However, it is not known if Asthma causes Psychological problems or if Psychological problems lead to Asthma.

Ref. 130. Those with Asthma, especially if it is poorly controlled, are at high risk for radio contrast reactions.

A. Radio Contrast; These include: previous adverse reactions to iodine-based contrast materials. History of asthma, history of allergy, heart disease, dehydration, sickle cell anaemia, polycythemia and myeloma, renal disease. In addition - the use of medications such as Beta-blockers, NSAIDs, interleukin 2.

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Asthma Causes.

Ref. 131. Asthma is caused by a combination of complex and incompletely understood environmental and genetic interactions.

Ref. 132. These factors influence both its severity and its responsiveness to treatment.

Ref. 133. It is believed that the recent increased rates of Asthma are due to changing Epigenetics.

A. Epigenetics is the study of these chemical reactions and the various factors that influence them.

B. Heritable factors other than those related to the DNA sequence and a changing living environment.

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Asthma Causes Environmental.

Ref. 134. Asthma-related microbes.

A. Chronic Mycoplasma pneumonia and Chlamydia pneumonia infections are associated with the onset and exacerbation of Asthma.

B. These microbial infections result in chronic lower airway inflammation, impaired mucociliary clearance, an increase in mucous production and eventually Asthma.

C. Furthermore, Children who experience severe viral respiratory infections early in life have a high possibility of having Asthma later in their Childhood.

D. These viral respiratory infections are mostly caused by respiratory syncytial virus (RSV) and human rhinovirus - HRV.

E. Although RSV infections increase the risk of Asthma in early Childhood, the association between Asthma and RSV decreases with increasing age.

F. HRV on the other hand is an important cause of bronchiolitis and is strongly associated with Asthma development.

G. Children and Adults with established Asthma, viral upper respiratory tract infections (URIs), especially HRVs infections, can produce acute exacerbations of Asthma.

H. Thus, Chlamydia pneumoniae, Mycoplasma pneumoniae and human rhinoviruses are microbes that play a major role in non-atopic Asthma.

I. Many environmental factors have been associated with Asthma's development and exacerbation including allergens, air pollution and other environmental chemicals.

J. Smoking during pregnancy and after delivery is associated with a greater risk of Asthma-like symptoms.

K. Low air quality from factors, such as traffic pollution or high ozone levels, has been associated with both Asthma development and increased Asthma severity.

L. Exposure to indoor volatile organic compounds may be a trigger for Asthma; formaldehyde exposure, for example, has a positive association.

M. In addition, phthalates in certain types of PVC are associated with Asthma in Children and Adults.

Ref. 135. There is an association between acetaminophen - Paracetamol use and Asthma.

Ref. 136. The majority of the evidence does not, support a causal role.

Ref. 137. A 2014 review found that the association disappeared when respiratory infections were taken into account.

Ref. 138. Use - ref. 137; by a Mother during pregnancy also appears to be associated with an increased risk.

Ref. 139. Asthma is associated with exposure to indoor allergens.

Ref. 140. Common indoor allergens include dust mites, cockroaches, animal dander and mould.

Ref. 141. Efforts to decrease dust mites have been found to be ineffective.

Ref. 142. Certain viral respiratory infections, such as respiratory syncytial virus and rhinovirus, may increase the risk of developing Asthma when acquired as young Children.

A. Syncytial virus. (RSV) is a virus that causes infections of the lungs and respiratory tract.

1. It is so common that most Children have been infected with the virus by age 2.

2. Respiratory syncytial (sin-SISH-ul) virus can also infect Adults.

B. Rhinoviruses were first isolated 50 years ago from individuals with - The characteristic clinical syndrome associated with Rhinovirus Infection, being the common cold and Rhinoviruses are responsible for at least 50% of these illnesses.

1. Subsequent studies have defined the epidemiology and clinical implications of these infections.

2. Rhinovirus infections occur year round with seasonal peaks of incidence in the early September to November and again from March to May.

3. During these periods of increased incidence, up to 80% of common cold illnesses may be associated with a documented rhinovirus infection.

4. Although common colds are of little direct medical consequence, they are associated with enormous cost to society.

5. The medical implications of rhinovirus infection are not, however, limited to the common cold.

6. One-third of Children with acute otitis media have at the same time evidence of rhinovirus infection, including 25% who have evidence of virus in the middle ear fluid.

7. Some of these Children also have bacteria isolated from the middle ear, suggesting that rhinovirus infection may cause Acute Otitis Media directly or by predisposing to bacterial infection.

Ref. 143. Acute otitis media (AOM) is a painful type of ear infection.

A. Defined by convention of Medical Science as the first 3 weeks of a process in which the middle ear shows the signs and symptoms of acute inflammation.

B. It occurs when the area behind the eardrum called the middle ear becomes inflamed and infected.

C. The following behaviours in Children often mean they have AOM: fits of fussiness and intense crying - in infants.

Ref. 144. Sinusitis is less well studied, but it seems likely that rhinovirus may play a similar role in this syndrome.

A. Sinusitis is a common condition in which the lining of the sinuses becomes inflamed.

B. In Sinusitis, these channels become blocked because the sinus linings are inflamed and swollen.

C. Having a persistent cold and developing the symptoms mean it may be Sinusitis.

Ref. 145. A study of young adults with uncomplicated common colds found that most had involvement of the sinuses detectable by computed-tomography scanning and these abnormalities resolved in all cases without antibacterial treatment.

Conclusion. Ref 144. 145: In consideration the nose is a waste discharge organ, there must be a serious consideration as a direct response to a Fear creating trauma the so-called inflammation is where the toxic and caustic nature of the entire body chemistry is too much for the nose to discharge in any given sequence - thus collects in the chambers relating to the nose thereby causing the said inflammation.

Ref. 146. Certain other infections, however, may decrease the risk.

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Asthma Causes - Hygiene Hypothesis = Posh word for guesswork.

Ref. 147. The hygiene hypothesis attempts to explain the increased rates of Asthma worldwide as a direct and unintended result of reduced exposure, during Childhood, to non-pathogenic bacteria and viruses.

Ref. 148. It has been proposed that the reduced exposure to bacteria and viruses is due, in part, to increased cleanliness and decrease in family size in modern societies.

Response. 148: If one takes information from Ref 147 - hypotheses, is it not reasonable to consider; Mankind, in always seeking change is as responsible for improvements in hygiene as the medical profession confesses too and smaller families allow Parents - the cause of all illness to be less controlling or demanding on their now smaller family creation.

Ref. 149. Exposure to bacterial endotoxin in early Childhood may prevent the development of Asthma, but exposure at an older age may provoke bronchoconstriction.

A. Endotoxin, toxic substance bound to the bacterial cell wall and released when the bacterium ruptures or disintegrates.

B. Endotoxins consist of lipopolysaccharide and lipoprotein complexes.

C. The protein component determines its foreign - antigenic nature; the polysaccharide component determines the antibody type that can react with the endotoxin molecule to produce an immune reaction.

D. Endotoxins are rarely fatal, although they often cause fever.

Response. Ref 150: And it is nothing to do with the entire Body Chemistry as instructed by the Mind following emotional and or physical traumas perhaps some years or even decades earlier. IS IT.

Ref. 151. Evidence supporting the hygiene hypothesis includes lower rates of Asthma on farms and in households with pets.

Response. 151: Moreover it is nothing to do with a perceived freedom although having to work hard; Children feel - out in the Barn or Fields; away from the drunken/worried Father and Mother. IS IT.

Ref. 152. Use of antibiotics in early life has been linked to the development of Asthma.

Response. Ref 152: Let us accept this and then have the Integrity and Wisdom to ask "Why" did a Child require antibiotics - Surely it cannot possibly be due to the use of many Vaccines administered in pursuit of long-term well health. Can it.

Ref. 153. In addition; delivery via caesarean section is associated with an increased risk - estimated at 20-80% of Asthma.

Response. Ref 153: Is it possible Medical Science cannot answer why this is, so makes somewhat wild guesses; hoping to satisfy themselves - if not the worried Parents.

Ref. 154. This increased risk is attributed to the lack of healthy bacterial colonization that the new-born would have acquired from passage through the birth canal.

Response. Ref 154: Someone must have read my Mind.

A. Thus Ref 154: leaves us with another question to answer.

B. There was not a Lack of Healthy bacterium within the Birth canal - it was perfectly balanced as Mother intended it to be right through the Childs entire confinement from the Childs conception or even before.

Ref. 155. There is a link between Asthma and the degree of affluence.

Response. Ref 155: The link is with the rich - the money runs out when the symptoms are unable to be controlled, where the poor have no option but to continue to believe the medical profession will eventually help - before it is too late or they realise they have more symptoms requiring more medications.

Ref. 156. Genetic CD14-endotoxin interaction based on CD14 SNP C-159T

Ref. 157. Endotoxin levels CC genotype TT genotype. High exposure Low-risk. High-risk Low exposure.

Ref. 158. Family history is a risk factor for Asthma, with many different genes being implicated.

Ref. 159. If one identical twin is affected, the probability of the other having the disease is approximately 25%.

Ref. 160. By the end of 2005, 25 genes had been associated with Asthma in six or more separate populations, including GSTM1, IL10, CTLA-4, SPINK5, LTC4S, IL4R and ADAM33 among others.

Ref. 161. Many of these genes are related to the immune system or modulating inflammation.

Ref. 162. Even among this list of genes supported by highly replicated studies, results have not been consistent among all populations tested.

Ref. 163. In 2006 over 100 genes were associated with Asthma in one genetic association study alone; more continue to be found.

Ref. 164. Some genetic variants may only cause Asthma when they are combined with specific environmental exposures.

Ref. 165. An example is a specific single nucleotide polymorphism in the CD14 region and exposure to endotoxin - a bacterial product.

A. Single nucleotide polymorphism, often abbreviated to SNP - pronounced snip; plural snips, is a variation in a single nucleotide that occurs at a specific position in the genome, where each variation is present to some appreciable degree within a population.

B. For example, at a specific base position in the human genome, the base C may appear in most individuals, but in a minority of individuals, the position is occupied by base A.

C. There is a SNP at this specific base position and the two possible nucleotide variations - C or A - are said to be alleles - a variant form of a gene for this base position.

D. Alleles. Although in this example and with most SNPs so far discovered - there are only two different alleles, there are also triallelic SNPs in which three different base variations may coexist within a population.

Conclusion. Ref. 155 > 165: Where does Medical Science go next when it has made secure understandings of all the Body Genetics and their individual activities. And still have no long-term symptom management or cures.

A. Will Medical Science then recognise; the Genetic System they have been studying is only a working copy - unique to each and every one of us, which is not only constantly changing; is able to alter its expression in a single heartbeat.

B. Based on the mass of information that is coming at a Person every second of every day and has to be intertwined into the already mass of information stored within the Subconscious Mind.

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Population Genetics.

Ref. 166. SNPs that come in threes.

1. Single-nucleotide polymorphisms (SNPs) are the bread and butter of many studies of sequence variation and so understanding how they vary is useful to studies of genome evolution and disease susceptibility.

A. Allelic is the phenomenon in which different mutations at the same locus cause a similar phenotype.

B. Biallelic: Pertaining to both alleles - both alternative forms of a gene.

C. Triallelic SNPs in which three different base variations may coexist within a population.

2. Most human SNPs are biallelic - that is, two allelic variants are segregating in the population.

3. A published paper shows that there are twice as many. Triallelic SNPs, as expected and puts forward a mutational mechanism by which they might arise.

Ref. 167. Triallelic. Applied to a polyploid in which three different alleles exist at a given locus.

1. Locus. The specific place on a chromosome where a gene is located.

2. In diploids, loci pair during meiosis and unless there have been translocations, inversions, etc., the homologous chromosomes contain identical sets of loci in the same linear order.

3. At each locus is one gene; if that gene can take several forms - alleles, only one of these will be present at a given locus.

Ref. 168. SNPs underlie differences in our susceptibility to disease; a wide range of human diseases, e.g. sickle-cell anaemia, β-thalassemia and cystic fibrosis result from SNPs.

Ref. 169. The severity of illness and the way the Body responds to treatments are also manifestations of genetic variations.

A. For example, a single base mutation in the APOE - apolipoprotein E gene is associated with a higher risk for Alzheimer's disease.

Ref. 170. Endotoxin exposure can come from several environmental sources including tobacco smoke, dogs and farms.

Ref. 171. Risk for Asthma, then, is determined by both a Person's genetics and the level of endotoxin exposure.

Conclusion. Ref. 169 > 171: These items clearly demonstrate the desire of the entire medical profession to make sense of this simple to understand illness and in so doing confirming how little is known and will continue to be so whilst the Genetic dream is pursued that Genetic Mutations are the cause rather than just another symptom of the real cause.

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Asthma Causes - Medical conditions.

Ref. 172. A triad of atopic eczema, allergic rhinitis and Asthma is called atopy.

A. The strongest risk factor for developing Asthma is a history of atopic disease; with Asthma occurring at a much greater rate in those who have either eczema or hay fever.

B. Atopic. Of, relating to, or caused by a hereditary predisposition to developing allergic reactions, such as hay fever, Asthma, or Urticaria after exposure to specific antigens such as pollen, food and insect venoms.

Ref. 173. Urticaria - from the Latin urtica, "nettle" from urere, "to burn."

A. Urticaria – also known as hives, wheals, welts or nettle rash - is a raised, itchy rash that appears on the skin.

B. Hives may cause a burning or stinging sensation.

C. They are frequently caused by allergic reactions; however, there are many non-allergic causes.

D. Most cases of hives lasting less than six weeks - acute urticaria are the result of an allergic trigger.

E. Chronic urticaria - hives lasting longer than six weeks is rarely due to an allergy.

F. The majority of chronic hives cases have an unknown - idiopathic cause.

G. Idiopathic cause. Relating to or denoting any disease or condition which arises spontaneously or for which the cause is unknown.

H. In perhaps more than 50% of Patients with chronic idiopathic urticaria, it is caused by an autoimmune reaction.

Ref. 174. Asthma has been associated with Churg–Strauss syndrome.

A. Which is an autoimmune disease.

B. Vasculitis = inflammation of the blood vessels.

C. Churg-Strauss syndrome - also known as eosinophilic granulomatosis (gran-u-loe-muh-TOE-sis) with polyangiitis (pol-e-an-jee-I-tis) - is a disorder marked by blood vessel inflammation.

D. This inflammation can restrict blood flow to vital organs and tissues, sometimes permanently damaging them.

E. Asthma is the most common sign of Churg-Strauss syndrome, but Churg-Strauss syndrome can cause a variety of problems, ranging from hay fever, rash and gastrointestinal bleeding to severe pain and numbness in your hands and feet.

F. The wide range of signs and symptoms and their similarity to those of other disorders makes Churg-Strauss syndrome challenging to diagnose.

G. Churg-Strauss syndrome is rare and has no cure.

H. But, a Doctor can usually help control symptoms with steroids and other powerful immunosuppressant drugs.

Ref. 175. Individuals with certain types of urticaria may also experience symptoms of Asthma.

Ref. 176. There is a correlation between Obesity and the risk of Asthma with both having increased in recent years.

A. Obesity At an individual level, a combination of excessive food energy intake and a lack of physical activity is thought to explain most cases of obesity.

B. A limited number of cases are due primarily to genetics, medical reasons, or psychiatric illness.

C. In contrast, increasing rates of obesity at a societal level are felt to be due to an easily accessible and palatable diet, increased reliance on cars and mechanized manufacturing.

Ref. 177. A 2006 review identified ten other possible contributors to the recent increase of obesity:

A. Insufficient sleep.

B. Endocrine disrupters - environmental pollutants that interfere with lipid metabolism.

C. Decreased variability in ambient temperature.

D. Decreased rates of smoking, because smoking suppresses appetite.

E. Increased use of medications that can cause weight gain. E.G., atypical anti psychotics.

F. Proportional increases in ethnic and age groups that tend to be heavier.

G. Pregnancy at a later age - which may cause susceptibility to obesity in Children.

H. Epigenetic risk factors passed on generationally.

I. Natural selection for higher BMI.

J. Assortative mating leading to increased concentration of obesity risk factors - this would increase the number of obese People by increasing population variance in weight.

1. Assortative Mating is a mating 0pattern and a form of sexual selection in which individuals with similar genotypes and/or phenotypes mate with one another more frequently than would be expected under a random mating pattern.

K. While there is substantial evidence supporting the influence of these mechanisms on the increased prevalence of obesity, the evidence is still inconclusive and the authors state that these are probably less influential than the ones discussed in the previous papers.

Ref . 178. Several factors may be at play including decreased respiratory function due to a build-up of fat and the fact that adipose tissue leads to a pro-inflammatory state.

Conclusion. Ref 177. 178: In the history of scientific and we must include the alternative and complimentary fields of medicine - it is safe to say up to 2016 - not once has a diet been shown to work long-term.

A. Moreover Bariatric Surgery is now being pioneered as an effective way of controlling weight.

B. Never - whilst this must not be accepted as conclusive, apart from myself, has any one in any of these fields suggested. Obesity is nothing to do with food or over eating at all.

C. Even if a Person loses weight following a restricted diet.

C. Demonstrated by - if the weight loss is not permanent or illness symptoms exist or become worse.

D. A further demonstration is the excess of skin that has to be surgically removed.

E. We must surely include when the stomach is made smaller and the diet restricted no longer is the digestive system able to supply the necessary nutrients for a natural chemical balance.

F. Leaving the Body in a higher degree of toxic shock than when Obesity was the problem.

Ref. 179. Beta-blocker medications such as propranolol can trigger Asthma in those who are susceptible.

Ref. 180. Cardioselective beta-blockers, however, appear safe in those with mild or moderate disease.

Ref. 181. Other medications that can cause problems in Asthmatics are angiotensin-converting enzyme inhibitors, aspirin and NSAIDs.

Conclusion. Ref. 172>181. Is it just possible based on this information most cases of Asthma are caused by the Medical Profession themselves.

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Asthma Causes - Medical conditions Exacerbation.

Ref. 182. Some individuals will have stable Asthma for weeks or months and then suddenly develop an episode of acute Asthma.

Ref. 183. Different individuals react to various factors in different ways.

Ref. 184. Most individuals can develop severe exacerbation from a number of triggering agents.

Ref. 185. Home factors that can lead to exacerbation of Asthma include dust, animal dander - especially cat and dog hair, cockroach allergens and mould.

Ref. 186. Perfumes are a common cause of acute attacks in Women and Children.

Ref. 187. Both viral and bacterial infections of the upper respiratory tract can worsen the disease.

Ref. 188. Psychological stress may worsen symptoms - it is thought that stress alters the immune system and thus increases the airway inflammatory response to allergens and irritants.

Conclusion. Ref. 188: Coming from the medical profession is this "Psychological stress may worsen symptoms" a clear indication almost all Asthma is made worse or even caused by lack of knowledge as to how the Mind is influential in the cause of Asthma.

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Asthma Causes - Pathophysiology.

Ref. 189. Pathophysiology or physiopathology is a convergence of pathology with physiology.

A. Pathology is the medical discipline that describes conditions typically observed during a disease state.

B. Physiology is the biological discipline that describes processes or mechanisms operating within an organism.

Ref. 190. Asthma is the result of chronic inflammation of the conducting zone of the airways - most especially the bronchi and bronchioles, which subsequently results in increased contractibility of the surrounding smooth muscles.

Ref. 191. This among other factors leads to bouts of narrowing of the airway and the classic symptoms of wheezing.

Ref. 192. The narrowing is typically reversible with or without treatment.

Response. Ref. 192: Is it not a possibility - the Mind in recognising the Medical Profession is going to ultimately send a Person Mad; if only with anger, has the integrity and wisdom to switch off Asthma - and in so doing some three to seven years later create another more mysterious set of symptoms.

Ref. 193. Occasionally the airways themselves change.

A. Typical changes in the airways include an increase in eosinophils and thickening of the lamina reticularis.

B. Chronically the airways' smooth muscle may increase in size along with an increase in the numbers of mucous glands.

Ref. 194. Other cell types involved include: T lymphocytes, macrophages and neutrophils.

Ref. 195. There may also be involvement of other components of the immune system including: cytokines, chemokines, histamine and leukotrienes among others.

Ref. 196. Obstruction of the lumen of a bronchiole by mucoid exudate, goblet cell metaplasia and epithelial basement membrane thickening in a Person with Asthma.

Response. Ref 196: Means in plain speaking. "We have not a clue what we are talking about - so we will make it sound important."

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Asthma Causes Diagnosis.

Ref. 197. While Asthma is a well-recognized condition, there is not one universal agreed upon definition.

Ref. 198. It is defined by the Global Initiative for Asthma as; "a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role.

Ref. 199. The chronic inflammation is associated with airway hyper-responsiveness that leads to recurrent episodes of wheezing, breathlessness, chest tightness and coughing particularly at night or in the early morning.

Ref. 200. These episodes are usually associated with widespread but variable airflow obstruction within the lung that is often reversible either spontaneously or with treatment."

Ref. 201. There is currently no precise test with the diagnosis typically based on the pattern of symptoms and response to therapy over time.

Ref. 202. A diagnosis of Asthma should be suspected if there is a history of: recurrent wheezing, coughing or difficulty breathing and these symptoms occur or worsen due to exercise, viral infections, allergens or air pollution.

Response. Ref 197 > 202: Taking into consideration; "Hyper-responsiveness" is a symptom - is no one ever going to ask. "What caused this." Or is finding the true cause of any illness not allowed to be on the research agenda.

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Asthma Causes - Spirometry is then used to confirm the diagnosis.

Ref. 203. Spirometry is a test of how well a Person can breathe and can help in the diagnosis of different lung diseases such as chronic obstructive pulmonary disease (COPD).

A. The test requires taking in a very deep breath and blowing out as fast as possible into a small device called a spirometer.

Ref. 204. In Children under the age of six the diagnosis is more difficult as they are too young for spirometry.

Conclusion. Ref 203 >204: Does this not negate any Asthma in Children just born and up to the age of Six, as there is no diagnostic test to confirm - thus is it not fair to say Asthma after the age of Six is Medically caused.

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Asthma Causes - Spirometry.

Ref . 205. Spirometry is a simple test used to help diagnose and monitor certain lung conditions by measuring how much air one can breathe out in one forced breath.

A. It is carried out using a device called a spirometer, a small machine attached by a cable to a mouthpiece and is recommended to aid in diagnosis and management of Asthma.

Ref. 206. It is the single best test for Asthma.

Ref. 207. If the FEV1 measured by this technique improves more than 12% following administration of a bronchodilator such as salbutamol, this is supportive of the diagnosis.

Ref. 208. It however may be normal in those with a history of mild Asthma, not currently acting up.

Ref. 209. As caffeine is a bronchodilator - in People with Asthma, the use of caffeine before a lung function test may interfere with the results.

Ref. 210. Single-breath diffusing capacity can help differentiate Asthma from COPD.

Ref. 211. It is reasonable to perform spirometry every one or two years to follow how well a Person's Asthma is controlled.

Conclusion. Ref. 209: One would wonder just how many Children under the age of Six directly consume Caffeine.

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Other Asthma Causes.

Ref. 212. The methacholine challenge involves the inhalation of increasing concentrations of a substance that causes airway narrowing in those predisposed.

A. If the Patient has symptoms that suggest Asthma - either typical symptoms such as coughing, wheezing and dyspnoea = difficult or laboured breathing.

B. Or atypical symptoms; but shows normal results on regular spiro metric testing and no response to a bronchodilator...

C. ..Because the test has a high negative predictive value, it is more useful in ruling out Asthma - if the result is negative; than in ruling it in - if the result is positive.

Ref. 213. A negative methacholine challenge test nearly rules out Asthma.

A. However, a positive test result needs to be interpreted cautiously if the Patient is not experiencing symptoms.

B. If negative it means that a Person does not have Asthma; if positive.

C. However, it is not specific for the disease.

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Asthma Causes - Other supportive evidence includes.

Ref. 214. A 20% difference in peak expiratory flow rate on at least three days in a week for at least two weeks.

Ref. 215. A 20% improvement of peak flow following treatment with either salbutamol, inhaled corticosteroids or prednisone.

Ref. 216. Or a 20% decrease in peak flow following exposure to a trigger.

Ref. 217. Testing peak expiratory flow is more variable than spirometry, thus not recommended for routine diagnosis.

A. It may be useful for daily self-monitoring in those with moderate to severe disease and for checking the effectiveness of new medications.

B. It may also be helpful in guiding treatment in those with acute exacerbations.

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Asthma Causes - Clinical Classification up to 12 years old.

Ref. 218. Severity Symptom frequency.

1. Night time symptoms %FEV1 of predicted FEV1 Variability.

A. The FEV1/FVC ratio, also called Tiffeneau-Pinelli index, is a calculated ratio used in the diagnosis of obstructive and restrictive lung disease.

B. It represents the proportion of a Person's vital capacity that they are able to expire in the first second of forced expiration.

2. SABA medications use Intermittent ≤2/week ≤2/month ≥80% <20% ≤2 days/week.

3. Mild persistent >2/week 3–4/month ≥80% 20–30% >2 days/week.

4. Moderate persistent Daily >1/week 60–80% >30% daily.

Severe Persistent.

5. Continuously Frequent (7×/week) <60% >30% ≥twice/day.

6. Asthma is clinically classified according to the frequency of symptoms, forced expiratory volume in one second (FEV1) and peak expiratory flow rate.

7. Asthma may also be classified as atopic (extrinsic) or non-atopic (intrinsic), based on whether symptoms are precipitated by allergens (atopic) or not (non-atopic).

8. While Asthma is classified based on severity, at the moment there is no clear method for classifying different subgroups of Asthma beyond this system.

9. Finding ways to identify subgroups that respond well to different types of treatments is a current critical goal of Asthma research.

10. Although Asthma is a chronic obstructive condition, it is not considered as a part of chronic obstructive pulmonary disease as this term refers specifically to combinations of disease that are irreversible such as bronchiectasis, chronic bronchitis and emphysema.

11. Unlike these diseases, the airway obstruction in Asthma is usually reversible; however, if left untreated, the chronic inflammation from Asthma can lead the lungs to become irreversibly obstructed due to airway remodelling.

12. In contrast to emphysema, Asthma affects the bronchi, not the alveoli.

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Asthma Exacerbation.

Severity of an acute exacerbation Near-fatal High PaCO2 and/or requiring mechanical ventilation Life-threatening - any one of.

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Asthma Causes - Other supportive evidence includes.

Ref. 219.

Clinical signs and Measurements:

A. Altered level of consciousness Peak flow.

B. Less than 33% Exhaustion Oxygen saturation.

C. Less than 92% Arrhythmia PaO2.

D. Less than 8 kPa Low blood pressure.

E. "Normal."

F. PaCO2 Cyanosis Silent chest.

G. Poor respiratory effort Acute severe.

H. Any one of Peak flow 33–50%.

I. Respiratory rate.

J. Less or equal to; 25 breaths per minute.

K. Heart rate less or equal to 110 beats per minute Unable to complete sentences in one breath.

L. Moderate Worsening symptoms Peak flow 50–80% best or predicted.

M. No features of acute severe Asthma.

N. An acute Asthma exacerbation is commonly referred to as an Asthma attack.

O. The classic symptoms are shortness of breath, wheezing, and chest tightness.

P. The wheezing is most often when breathing out.

Q. While these are the primary symptoms of Asthma, some People present primarily with coughing and in severe cases, air motion may be significantly impaired such that no wheezing is heard.

R. In Children, chest pain is often present.

S. Signs which occur during an Asthma attack, include the use of accessory muscles of respiration - sternocleidomastoid and scalene muscles of the neck, there may be a paradoxical pulse - a pulse that is weaker during inhalation and stronger during exhalation and over-inflation of the chest.

T. A blue colour of the skin and nails may occur from lack of oxygen.

U. In a mild exacerbation the peak expiratory flow rate (PEFR) is Less than or equal to 200 L/min or.

V. Less than or equal to 50% of the predicted best.

W. Moderate is defined as between 80 and 200 L/min or 25% and 50% of the predicted best while severe is defined as less than or equal to 80 L/min or.

X. Less than or equal to 25% of the predicted best.

Y. Acute severe Asthma, previously known as Status Asthmaticus, is an acute exacerbation of Asthma that does not respond to standard treatments of bronchodilators and corticosteroids.

Z. Half of cases are due to infections with others caused by allergen, air pollution, or insufficient or inappropriate medication use.

Z. 1. Brittle Asthma is a kind of Asthma distinguishable by recurrent, severe attacks.

Z. 2. Type 1 Brittle Asthma is a disease with wide peak flow variability, despite intense medication.

Z. 3. Type 2 Brittle Asthma is background well-controlled Asthma with sudden severe exacerbations.

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Asthma Causes - Other supportive evidence includes.

Exercise-induced.

Ref. 220.

A. Exercise-induced bronchoconstriction Exercise can trigger bronchoconstriction both in People with or without Asthma.

B. It occurs in most People with Asthma and up to 20% of People without Asthma.

C. Exercise-induced bronchoconstriction is common in professional athletes.

D. The highest rates are among cyclists (up to 45%), swimmers and cross-country skiers.

E. While it may occur with any weather conditions it is more common when it is dry and cold.

F. Inhaled beta2-agonists do not appear to improve athletic performance among those without Asthma however oral doses may improve endurance and strength.

Conclusion. Ref 220: Why is it then so many Athletes have Asthma and become world- beaters in their chosen sport.

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Asthma Causes - Other supportive evidence includes.

Occupational.

Ref. 221.

A. Occupational Asthma as a result of - or worsened by workplace exposures, is a commonly reported occupational disease.

B. Many cases however are not reported or recognized as such.

C. It is estimated that 5–25% of Asthma cases in Adults are work–related.

D. A few hundred different agents have been implicated with the most common being: isocyanates, grain and wood dust, colophony, soldering flux, latex, animals and aldehydes.

E. The employment associated with the highest risk of problems include: those who spray paint, bakers and those who process food, nurses, chemical workers, those who work with animals, welders, hairdressers and timber workers.

Conclusion. Ref 221: Explains it quite nicely but not WHY.

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Asthma Causes - Other supportive evidence includes.

Aspirin-induced Asthma.

Ref 222.

A. Aspirin-induced Asthma.

B. Aspirin-exacerbated respiratory disease, also known as aspirin-induced Asthma, affects up to 9% of Asthmatics.

C. Reactions may also occur to other NSAIDs.

D. People affected often also have trouble with nasal polyps.

E. People who are affected - low doses paracetamol or COX-2 inhibitors are generally safe.

Conclusion. Ref 222: Further confirmation of Medical induced Asthma.

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Asthma Causes - Other supportive evidence includes.

Alcohol-induced Asthma.

Ref. 223.

A. Alcohol-induced respiratory reactions Alcohol may worsen Asthmatic symptoms in up to a third of People.

B. This may be even more common in some ethnic groups such as the Japanese and those with aspirin-induced Asthma.

C. Other studies have found improvement in Asthmatic symptoms from alcohol.

Conclusion. Ref 223: The circulatory effect of too much medical research without the desire to find the real cause.

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Non-allergic Asthma.

Ref. 224.

A. Non allergic Asthma, also known as intrinsic or non-atopic Asthma makes up between 10 and 33% of cases.

B. There is negative skin test to common inhalant allergens and normal serum concentrations of IgE.

C. Often it starts latter and life and Women are more commonly affect than Men.

D. Usual treatments may not work as well.

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Asthma Causes - Other supportive evidence includes.

Differential diagnosis.

Ref. 225.

A. Many other conditions can cause symptoms similar to those of Asthma.

B. In Children, other upper airway diseases such as allergic rhinitis and sinusitis should be considered as well as other causes of airway obstruction including:

1. Foreign body aspiration.

2. Tracheal stenosis.

3. Laryngotracheomalacia.

4. Vascular rings.

5. Enlarged lymph nodes.

6. Neck masses.

C. Bronchiolitis and other viral infections may also produce wheezing.

D. In Adults:

1. COPD.

2. Congestive heart failure.

3. Airway masses.

4. Drug-induced coughing due to ACE inhibitors should be considered.

E. In both populations vocal cord dysfunction may present similarly.

F. Chronic obstructive pulmonary disease can coexist with Asthma and can occur as a complication of Chronic Asthma.

G. After the age of 65 most People with obstructive airway disease will have Asthma and COPD.

H. In this setting, COPD can be differentiated by increased airway neutrophils, abnormally increased wall thickness and increased smooth muscle in the bronchi.

I. However, this level of investigation is not performed due to COPD and Asthma sharing similar principles of management: corticosteroids, long acting beta agonists and smoking cessation.

J. It closely resembles Asthma in symptoms, is correlated with more exposure to cigarette smoke, an older age, less symptom reversibility after bronchodilator administration and decreased likelihood of family history of atopy.

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Asthma Causes - Other supportive evidence includes.

Prevention.

Ref. 226.

A. The evidence for the effectiveness of measures to prevent the development of Asthma is weak.

B. Some show promise including: limiting smoke exposure both in utero and after delivery, breast feeding and increased exposure to day care or large families but none are well supported enough to be recommended for this indication.

C. Early pet exposure may be useful.

D. Results from exposure to pets at other times are inconclusive and it is only recommended that pets be removed from the home if a Person has allergic symptoms to said pet.

E. Dietary restrictions during pregnancy or when breast-feeding has not been found to be effective and thus are not recommended.

F. Reducing or eliminating compounds known to sensitive People from the work place may be effective.

G. It is not clear if an annual influenza vaccinations affects the risk of exacerbations.

H. Immunization; however, is recommended by the World Health Organization.

I. Smoking bans are effective in decreasing exacerbations of Asthma.

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Asthma Causes - Other supportive evidence includes.

Management.

Ref. 227.

1. While there is no cure for Asthma, symptoms can typically be improved.

2. A specific, customized plan for proactively monitoring and managing symptoms should be created.

3. This plan should include the reduction of exposure to allergens, testing to assess the severity of symptoms and the usage of medications.

4. The treatment plan should be written down and advise adjustments to treatment according to changes in symptoms.

5. The most effective treatment for Asthma is identifying triggers and eliminating exposure to them, such as:

A. Cigarette smoke.

B. Pets.

C. Aspirin.

6. If trigger avoidance is insufficient, the use of medication is recommended.

7. Pharmaceutical drugs are selected based on, among other things, the severity of illness and the frequency of symptoms.

8. Specific medications for Asthma are broadly classified into fast-acting and long-acting categories.

9. Bronchodilators are recommended for short-term relief of symptoms.

10. In those with occasional attacks, no other medication is needed.

11. If mild persistent disease is present - more than two attacks a week, low-dose inhaled corticosteroids or alternatively, an oral leukotriene antagonist or a mast cell stabilizer is recommended.

12. For those who have daily attacks, a higher dose of inhaled corticosteroids is used.

13. In a moderate or severe exacerbation, oral corticosteroids are added to these treatments.

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Asthma Causes - Other supportive evidence includes...

...Lifestyle modification.

Ref. 228.

A. Avoidance of triggers is a key component of improving control and preventing attacks.

B. The most common triggers include allergens, smoke - tobacco and other, air pollution, non-selective beta-blockers and sulfite-containing foods.

C. Cigarette smoking and second-hand smoke - passive smoke may reduce the effectiveness of medications such as corticosteroids.

D. Laws that limit smoking decrease the number of People hospitalized for Asthma.

E. Dust mite control measures, including air filtration, chemicals to kill mites, vacuuming, mattress covers and others methods had no effect on Asthma symptoms.

F. Overall, exercise is beneficial in People with stable Asthma.

G. Yoga could provide small improvements in quality of life and symptoms in People with Asthma.

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Asthma Causes - Other supportive evidence includes...

...Medications.

Ref. 229.

Medications used to treat Asthma are divided into two general classes:

1. Quick-relief medications used to treat acute symptoms.

2. Long-term control medications used to prevent further exacerbation.

Ref. 230. A. Fast–acting:

1. A round canister above a blue plastic holder Salbutamol metered dose inhaler commonly used to treat Asthma attacks.

Ref. 231. B. Short-acting

1. Beta2-adrenoceptor agonists (SABA), such as salbutamol (albuterol USAN) are the first line treatment for Asthma symptoms.

2. They are recommended before exercise in those with exercise-induced symptoms.

3. Anticholinergic medications, such as ipratropium bromide, provide additional benefit when used in combination with SABA in those with moderate or severe symptoms.

4. Anticholinergic bronchodilators can also be used if a Person cannot tolerate a SABA.

5. If a Child requires admission to hospital additional ipratropium does not appear to help over a SABA.

6. Older, less selective adrenergic agonists, such as inhaled epinephrine, have similar efficacy to SABAs.

7. They are however not recommended due to concerns regarding excessive cardiac stimulation.

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Asthma Causes - Other supportive evidence includes...

...Long-term control.

Ref. 232.

1. A round canister above an orange plastic holder Fluticasone propionate metered dose inhaler commonly used for long-term control.

2. Corticosteroids are generally considered the most effective treatment available for long-term control.

3. Inhaled forms such as beclomethasone are usually used except in the case of severe persistent disease, in which oral corticosteroids may be needed.

4. It is usually recommended that inhaled formulations be used once or twice daily, depending on the severity of symptoms.

5. Long-acting beta-adrenoceptor agonists (LABA) such as salmeterol and formoterol can improve Asthma control, at least in Adults, when given in combination with inhaled corticosteroids.

6. In Children this benefit is uncertain.

7. When used without steroids they increase the risk of severe side effects and even with corticosteroids they may slightly increase the risk.

8. Leukotriene receptor antagonists - such as montelukast and zafirlukast may be used in addition to inhaled corticosteroids, typically also in conjunction with a LABA.

9. Evidence is insufficient to support use in acute exacerbations.

10. In Children they appear to be of little benefit when added to inhaled steroids and the same applies in Adolescents and Adults.

11. They are useful by themselves.

12. In those under five years of age, they were the preferred add-on therapy after inhaled corticosteroids by the British Thoracic Society in 2009.

13. A similar class of drugs, 5-LOX inhibitors, may be used as an alternative in the chronic treatment of mild to moderate Asthma among older Children and Adults.

14. As of 2013 there is one medication in this family known as zileuton.

15. Mast cell stabilizers - such as cromolyn sodium are another non-preferred alternative to corticosteroids.

16. Delivery methods Medications are typically provided as metered-dose inhalers (MDIs) in combination with an Asthma spacer or as a dry powder inhaler.

17. The spacer is a plastic cylinder that mixes the medication with air, making it easier to receive a full dose of the drug.

18. A nebulizer may also be used.

19. Nebulizer and spacers are equally effective in those with mild to moderate symptoms.

20. However, insufficient evidence is available to determine whether a difference exists in those with severe disease.

21. Adverse effects Long-term use of inhaled corticosteroids at conventional doses carries a minor risk of adverse effects.

22. Risks include the development of cataracts and a mild regression in stature.

Conclusion. Ref 232: Does not the evidence suggest there is no such thing as long-term control only the creation of more or new symptoms.

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Asthma Causes - Other supportive evidence includes...

...Others.

Ref. 233.

1. When Asthma is unresponsive to usual medications, other options are available for both emergency management and prevention of flare-ups.

2. For emergency management other options include: Oxygen to alleviate hypoxia if saturations fall below 92%.

3. Oral corticosteroid is recommended with five days of prednisone being the same as Two days of dexamethasone.

4. Magnesium sulfate intravenous treatment increases bronchodilation when used in addition to other treatment in severe Acute Asthma attacks.

5. In Adults it results in a reduction of hospital admissions.

6. Heliox, a mixture of helium and oxygen, may also be considered in severe unresponsive cases.

7. Intravenous salbutamol is not supported by available evidence and is thus used only in extreme cases.

8. Methylxanthines - such as theophylline were once widely used, but do not add significantly to the effects of inhaled beta-agonists.

9. Their use in acute exacerbations is controversial.

10. The dissociative anaesthetic ketamine is theoretically useful if intubation and mechanical ventilation is needed in People who are approaching respiratory arrest; however, there is no evidence from clinical trials to support this.

11. For those with severe persistent Asthma not controlled by inhaled corticosteroids and LABAs, bronchial thermoplasty may be an option.

12. It involves the delivery of controlled thermal energy to the airway wall during a series of bronchoscopies.

13. While it may increase exacerbation frequency in the first few months it appears to decrease the subsequent rate.

14. Effects beyond one year are unknown.

15. Evidence suggests that sublingual immunotherapy in those with both allergic rhinitis and Asthma improves outcomes.

A. Sublingual Immunotherapy involves putting drops or tablets of allergen extracts under the tongue of a Patient with allergic reactions and then swallowing the extracts.

B. It allows the organism to become tolerant to the allergen by absorbing the allergen through the stomach lining.

Conclusion Ref 233: Item 14 appears to confirm studies are limited to one year in order to hide up the long-term negative outcomes.

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Asthma Causes - Other supportive evidence includes...

...Alternative/Complimentary Medicine.

Ref. 234.

1. Many People with Asthma, like those with other chronic disorders, use alternative treatments; surveys show that roughly 50% use some form of unconventional therapy.

2. There is little data to support the effectiveness of most of these therapies.

3. Evidence is insufficient to support the usage of Vitamin C.

4. There is tentative support for its use in exercise-induced bronchospasm.

5. Acupuncture is not recommended for the treatment, as there is insufficient evidence to support its use.

6. Air ionisers show no evidence that they improve Asthma symptoms or benefit lung function; this applied equally to positive and negative ion generators.

7. Manual therapies, including:

A. Osteopathic.

B. Chiropractic.

C. Physiotherapeutic and respiratory therapeutic manoeuvres.

D. Have insufficient evidence to support their use in treating Asthma.

8. The Buteyko breathing technique for controlling hyperventilation may result in a reduction in medication use; however, the technique does not have any effect on lung function.

A. Thus an expert panel felt that evidence was insufficient to support its use.

Conclusion. Ref 234: This is clearly - with the use of the term unconventional therapy; of the Pot (Medical Profession) calling the Kettle (Complimentary Alternative therapies) Black - only effective if the pot - Medical Profession with the Scientific Evidence, is not creating the smoke.

A. Or is not recognised - in the absence of knowing the true cause and having a cure; any form of management techniques that affords at least some degree of comfort for a life-time sufferer of Asthma; has to be acceptable for all clinical practitioners.

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Ref. 235: However as the management of Asthma for all forms of Medically qualified practitioners is so fraught let us review the available Complimentary-Alternative therapies.

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Complementary Therapies.

Ref. 236: Complementary therapies include the Buteyko breathing technique, yoga, acupuncture and hypnotherapy.

A. Having used a complementary treatment for Asthma; and by joining a growing number of People who have an interest in this area - there can only be an overall improvement in the understanding of this long-term seriously lacking in quality management or outcomes of this highly emotive subject of Asthma.

Ref. 237: Having perhaps in pursuit of better understanding of Asthma, read about various remedies on the internet or know of someone - who swears by a treatment they have tried...

Ref. 238: How does one know what is worth trying for Asthma and what is not.

A. Here as a guide is the latest information... Treatments such as the Buteyko Breathing Technique, yoga, acupuncture, homeopathy and hypnotherapy - are usually referred to as complementary therapies not alternative therapies.

B. This is because it is always best to use them alongside - to complement prescribed medicines - not instead of them, as an alternative.

C. The trouble with complementary therapies they have not been studied as much as conventional medicines, so there is not very much scientific evidence to show they work or that they are even safe.

D. Always check with a GP or Asthma nurse before trying a new complementary therapy.

E. Never stop taking prescribed Asthma medicines unless a GP or Asthma nurse advises it is safe to do so.

F. This is because stopping Asthma medicines can cause Asthma symptoms to get worse and increase the risk of having an Asthma attack.

Conclusion. Ref. 238: Surely there is only one Person with the knowledge and qualifications to know whether a particular treatment works or not and that is the Patient themselves.

A. Sadly and this includes Talking Cures - all treatments for any illness are a business and difficult it may be - it is always the responsibility of the therapist to ensure. ALL treatments are for the absolute benefit of the Patient and never driven by the size of the bank account funds or to boost a sagging, ego self-worth.

C. Failing to recognise this will only result in failure of any treatments.

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Breathing Techniques.

Ref. 239: The latest guidelines used by many healthcare professionals for the management of Asthma suggest that using a breathing exercise programmes, such as the Buteyko Method or the Papworth Method, alongside the usual prescribed medicine may help to reduce Asthma symptoms, reduce the amount of medicines needed and improve quality of life for some People.

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The Buteyko Breathing Technique.

Ref 240: The Buteyko Breathing Technique (BBT), named after the Russian professor who developed it, is a system of breathing exercises and lifestyle recommendations about exercise, nutrition and sleeping.

A. The Buteyko Breathing Association says BBT aims to reduce Asthma symptoms by teaching People how to breathe slowly and gently through the nose rather than the mouth, which can dry out the airways and make them more sensitive.

B. Some Buteyko teachers believe BBT works by raising carbon dioxide levels, which they believe can be low in People with Asthma.

C. There is no conclusive evidence to support this idea. "The biggest difference may be seen in getting fewer respiratory infections and they are usually less severe."

D. The Buteyko Breathing Association is a non-profit organisation committed to improving the health of People with Asthma and other breathing related problems.

Conclusion. Ref 240: With due regards to item B, I would like to see at least in the absence of any Scientific Research that is suggestive of why the Carbon Dioxide is low and fewer respiratory infections - someone offering an opinion that may influence research instead of what one may consider as a dismissal as described in item C.

B. Where it is abundantly clear of the 2000>4000 Body chemicals - the lowered value of one just one body chemical cannot possibly be a correct evaluation of the available information or evidence.

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The Papworth Method.

Ref. 241: Taught by physiotherapists to Patients with Asthma since the 1960s,

A. The Papworth Method is a breathing and relaxation technique.

B. It involves learning to breathe in a certain way using the nose and diaphragm - the main muscle used to breathe, it can be felt under the rib cage when taking breaths in and out and in so doing developing breathing patterns to suit whatever activity one is involved in.

C. The teaching includes relaxation training and suggestions to help fit the exercises into everyday life.

D. At least five hours of training are recommended.

E. Ask a GP or Asthma nurse for details of what is available in the local area.

Conclusion Ref 241: As discussed earlier - all treatments are a business - therefore it is hoped all GP's and Nurses would ensure any advice they give is for the Patient only and not just to ensure their profit element.

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Holistic Therapies.

Ref. 242. There are lots of different holistic therapies around - in leisure centres, gyms, health clubs, wellbeing centres and spas.

A. In planning to try any of them, speak to a GP or Asthma nurse first.

Conclusion. Ref 242: Is it not fair to suggest - none of the different styles of therapy; even if they were in existence thousands of years before Allopathic or Conventional Medicine would still exits; if the Medical Science was just that and Proven to cure instead of only short-term manage.

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Yoga.

Ref. 243: Yoga uses a variety of postures and breathing techniques to help increase flexibility and fitness and to aid relaxation.

A. An ancient Hindu practice, yoga is now popular with many Hollywood stars as well as millions of People all over the world.

B. Many yoga teachers teach breathing exercises.

C. The latest guidelines on the management of Asthma say there is currently not enough evidence on yoga breathing techniques to recommend them.

D. Some studies have found that these exercises help People with Asthma have fewer Asthma attacks and to react less to certain triggers.

E. It is also thought that practicing yoga helps People with Asthma by reducing stress - which can be a trigger for asthma symptoms. However it is also suggested - more research is needed to confirm this.

Conclusion. Ref 243: Leaving one to consider if Yoga aids relaxation, how long is it before the process has to be repeated.

1. If it is practised by many Hollywood Stars as it appears they all follow each other. "Why is it so many die well before their time."

2. And just who is saying; "there is currently not enough evidence on yoga breathing techniques to recommend them." More importantly - why.

3. Is it because there is far too much Thought goes into research and not enough recognition of the failure to produce a satisfactory outcome confirmed by, "more research is needed to confirm this."

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Hypnotherapy.

Ref. 244: Hypnotherapy, also known as hypnosis, works by helping someone reach a very relaxed state where they are open to positive suggestions about how to think, feel or behave differently.

A. Two trials have shown that hypnotherapy may help muscle relaxation, which could help People with Asthma.

B. The latest guidelines on the management of Asthma with Hypnosis conclude that more research is needed.

Conclusion. Ref 244: Sadly, it is a misconception that Hypnosis places a Person into a relaxed position; thus open to positive suggestions about how to think, feel or behave differently.

A. The reality is - This could not be further from the truth, although it may well appear so in the short to medium term. The Mind will always in the longer-term - show just who is boss, but will be patient by waiting until the success spotlight or excitement, has long since faded.

1. Confirmed once again by the requirement more research is needed.

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Mindfulness.

Ref. 245: Mindfulness is a form of meditation, or mental training in focusing on what is happening inside the Mind and Body in the present moment.

A. In theory it can be practised anywhere.

B. And at any time - but the simplest way is to find a quiet place and sit with eyes shut in order to pay full attention to thoughts, feelings and the sensations in the Mind and Body, including the breathing.

C. By taking time out to focus on oneself, regular mindfulness is thought to calm the Mind and improve concentration.

D. In addition it has been found that regular practice may be good for People with Asthma because of the stress-relieving benefits.

E. Choosing to try mindfulness to complement Asthma care, there are offers of an online learning course - one can do at an individual pace.

Conclusion. Ref 245: Whilst it is necessary to recognise there are serious benefits to this way of thinking and treating mysterious no known cause and no known cure symptoms.

A. Is it not fair to say - once again the medical profession is attempting to steal this treatment modality as their own creation as history demonstrates they have so many times in the past.

B. Is the medical profession by long-term convention of their thinking - profit first, or is it just medical blindness, in order to ensure long-term profits they have failed to observe they are sliding down a very slippery no return slope into oblivion as demonstrated in items Ref 245 A. B. C. D and E; highlighted in red.

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Acupuncture.

Ref. 246: Based on ancient Chinese theories, acupuncture involves putting very fine needles into specific points on the Body.

A. This aims to encourage a healthy flow of the Person's natural energy or 'life force,' around pathways in the Body.

B. The latest guidelines on the management of Asthma say that no long-term benefits have been proven and that more research is needed before acupuncture can be recommended.

C. In choosing to have acupuncture, it is essential to ensure the acupuncturist is properly qualified and practises the treatment under safe and hygienic conditions.

D. You can also check that they are registered with the British Acupuncture Council.

Conclusion. Ref 246:To my way of thinking; still today after some 7000 years of use, even the Chinese experts are not really sure how or why Acupuncture works and why it is reported to only have approximately 40-60% efficacy.

Question. 4: Is it possible - although having never studied Acupuncture you are able to answer this aged question, bearing in mind as you say "All illness is created and sustained by the Mind and its negative memories?"

Answer. 4: Yes of course.

A. Leading up to 1978 whilst I was able to run what was a semblance of life it was far from perfect and not at all comfortable. In many Mind and Body related ways.

B. Having somewhat exhausted the ability of the medical profession of the day. I sought out Acupuncture treatment. Thus I was able to through experience of the process and the practitioner's manner, able to judge if only from my own perspective - the application and outcome of the process.

C. The practitioner set the scene for failure having told me "I will not cure you but you will not go back." A self-defeating prophecy that came true and still today has a degree of negative effect.

D. In late 1982 I trained to be a Hypnotherapist and late in 1993 in conjunction with my tutor. Mr Steven Quinn we created a style of Acupuncture using talk via Hypnosis and the Mind.

E. This gave to me an understanding as to how or why Acupuncture - did or did not work as intended or desired.

F. Like all of Modern Medical Science and indeed even ancient medicine - is back to front thinking. IE: The symptoms always are the cause and thus must be treated.

G. Thus it figured then as indeed it is confirmed today - Acupuncture - whilst giving a lot of People serious relief from long-term symptoms, is back to front thinking.

H. Meaning; if one inserts a needle at the site of Pain or even in an area of the Body deemed through study of the Body meridians to be connected with Positive rather than negative convictions - then it must be considered one is actually helping, rather than all one is doing in thinking the Pain is at the site described by the Patient, is short circuiting the Pain signals away from the site - back to the Mind where they are created. Thus one is both a deluder and being deluded into believing; this is working.

I. Surely, from an Acupuncture point of view - if one accepts the Pain is at the site and instead of short-circuiting or isolating the area, accepts one was opening up the Pain site that is blocked by the Minds activity thereby allowing the Minds immune systems to work in a more natural thus efficient manner.

J. In a manner of speaking the above is how (item D) works but from the Mind down to the site of Pain - yet opens up the immune system channels - one could call these meridians if one so desired, thereby allowing not only the possibility of a long-term repair, it is not seen by the Mind as Management. Thus will not so readily seek to create new symptoms or by moving the same symptoms from cause to a new site.

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Salt rooms (speleotherapy) and salt pipes.

Ref. 247: Speleotherapy involves spending time in a salt mine or specially built salt room.

A. Salt pipes are gadgets that can be used at home.

B. Various claims have been made to explain why using these therapies to breathe in tiny salt particles can improve the symptoms of Asthma.

C. The latest guidelines on the management of Asthma does not mention salt pipes or speleotherapy as there is no scientific evidence to show that either may help Asthma.

Conclusion Ref 247: Is no one able to see the simplicity of this and indeed why (item c) clearly demonstrates - medical science will not research this - as salt is a serious contender in how the entire Body works and too little or too much - the same outcome, means the Mind has instructed the entire Body chemistry following emotional and or physical traumas early in life or pre-birth.

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Homeopathy.

Ref 248: Homeopathy aims to trigger the Body's self-healing response using very small doses of chemicals that cause symptoms.

A. Two studies have shown that homeopathy can be helpful for People with Asthma.

B. However the latest guidelines on the management of Asthma say there is not enough evidence to recommend homeopathy for People with Asthma.

Conclusion. Ref 248: One often wonders what university Medical Science went to in making remarks as Item B and then balances the remark against. "The Royal London Hospital for Integrated Medicine (RLHIM) is the largest public-sector provider of integrated medicine in Europe. 

A. Formerly known as the Royal London Homeopathic Hospital, the RLHIM offers an innovative, Patient-centred service integrating the best of conventional and complementary treatments for a wide range of conditions.

B. All clinics are led by consultants, doctors and other registered healthcare professionals who have received additional training in complementary medicine.

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Dietary supplements.

Ref. 249: There are various small studies and theories to show that taking extra dietary supplements can help to reduce Asthma symptoms.

A. Vitamin C, vitamin E, selenium, magnesium and omega-3 fatty acids have all been under the spotlight.

B. However - the latest guidelines on the management of Asthma says there is not enough evidence to recommend any of them for People with Asthma.

Conclusion. 249: Thus a Scientifically Proven - all illness is of Biological cause and must therefore be medicated.

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Herbal Medicine.

Ref. 250: In herbal medicine, plants or parts of plants that contain active ingredients or chemicals are used to treat illness.

A. Some studies have found that some herbal medicines can help reduce Asthma symptoms.

B. Although some herbs may be worth further investigation, the latest guidelines on the management of Asthma says their effects are not yet fully understood and cannot be recommended for People with Asthma.

C. If planning to try herbal medicine, it is very important to seek advice from a GP or Asthma nurse first - because some herbs have been shown to have serious side effects.

D. The herbal medicine St John's Wort, for example, must not be used by anyone taking theophylline - a long-acting reliever treatment prescribed for some People with Asthma as it can reduce the effectiveness of the medicine and cause Asthma symptoms to get worse.

Conclusion. Ref 250: There is a saying. "Those that can, do. Those that cannot, teach and those that cannot teach - teach teachers. As defined rather well within Ref. 250.

A. One may if so inspired - add. Those that cannot teach teachers - become medical researchers and or scientists.

B. If medical science were to endorse Herbal Medicines - they would have to own up to the most serious and well published fact - using their own Scientifically Proven Treatments there are very few if any illness. Medical Science truly does understand.

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Royal Jelly and Propolis are made by Bees.

Ref. 251: A word of caution about royal jelly...

A. There is evidence that taking royal jelly has caused very serious side effects in some People with Asthma who have allergies.

B. These have included Asthma attacks, breathing difficulties, anaphylactic shock - a life-threatening allergic reaction and even death.

C. Although serious side effects from propolis have not been documented in the same way as for royal jelly, caution is advised because they are both from bees.

D. Asthma UK recommends that People with Asthma and allergies - should not take Royal Jelly or Propolis.

E. If thinking about taking them - it is strongly suggested to discuss it with a GP or Asthma nurse first.

Conclusion. Ref 251: There is a saying. "Those that can, do. Those that cannot, teach and those that cannot teach - teach teachers. As defined rather well with Ref. 251.

A. One may if so inspired - add. And those that cannot teach teachers become medical researchers and or scientists.

B. If medical science were to endorse Royal Jelly and Propolis - they would have to own up to the most serious side effects their own Scientifically Proven Treatments cause.

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Air Ionisers.

Ref. 252: The latest guidelines on the management of Asthma states very clearly - that air ionisers are not recommended for the treatment of asthma.

Conclusion. Ref 252: No profit in a Patient being able to self-treat at home for free - is there.

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Asthma Causes - Other supportive evidence includes...

...Prognosis.

Ref. 253.

1. The prognosis for Asthma is generally good, especially for Children with mild disease.

2. Mortality has decreased over the last few decades due to better recognition and improvement in care.

3. Globally it causes moderate or severe disability in 19.4 million People as of 2004.

A. 16 million of which are in low and middle-income countries.

4. Of Asthma diagnosed during Childhood, half of cases will no longer carry the diagnosis after a decade.

5. Airway remodelling is observed, but it is unknown whether these represent harmful or beneficial changes.

6. Early treatment with corticosteroids seems to prevent or ameliorates - make something bad or unsatisfactory better, a decline in lung function.

Conclusion. Ref 253: How can there be a long-term improvement if Medical Science still will not recognise the implications of this much used statement; "but it is unknown whether these represent harmful or beneficial changes."

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Asthma Causes - Other supportive evidence includes...

...Epidemiology of Asthma.

Ref. 254.

1. Many countries of the world with Europe, North America, Australia and much of South America, Asia and most of Africa have rates of Asthma - as of the 2004 data.

2. As of 2011, 235-330 million People worldwide are affected by Asthma.

3. Approximately 250,000-345,000 People die per year from the disease.

4. Rates vary between countries with prevalence's between 1 and 18%.

5. It is more common in developed than developing countries.

6. One thus sees lower rates in Asia, Eastern Europe and Africa.

7. Within developed countries it is more common in those who are economically disadvantaged while in contrast in developing countries it is more common in the affluent.

8. The reason for these differences is not well known.

9. Low and middle-income countries make up more than 80% of the mortality.

10. While Asthma is twice as common in boys as girls, severe Asthma occurs at equal rates.

11. In contrast adult Women have a higher rate of Asthma than Men and it is more common in the young than the old.

12. In Children, Asthma was the most common reason for admission to the hospital following an emergency department visit in the US in 2011.

13. Global rates of Asthma have increased significantly between the 1960s and 2008 with it being recognized as a major public health problem since the 1970s.

14. Rates of Asthma have plateaued in the developed world since the mid-1990s with recent increases primarily in the developing world.

15. Asthma affects approximately 7% of the population of the United States and 5% of People in the United Kingdom. Canada, Australia and New Zealand have rates of about 14–15%.

16. Economics From 2000 to 2010, the average cost per Asthma-related hospital stay in the United States for Children remained relatively stable at about $3,600.

A. Whereas the average cost per Asthma-related hospital stay for Adults increased from $5,200 to $6,600.

17. In 2010, Medicaid was the most frequent primary payer among Children and Adults aged 18-44 years in the United States.

A. Private Insurance was the second most frequent payer.

18. Among both Children and Adults in the lowest income communities in the United States there is a higher rates of hospital stays for Asthma in 2010 than those in the highest income communities.

Conclusion. 254: It is clear just from item 13 the question of WHY global rates have increased is never on the agenda to be answered. As this will interfere with the global profits.

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Talking Cures and Asthma.

Question. 5. It is clear you have in the main just laid out the collective of evidence relating to Asthma and not offered much by way of a critique or been very critical - why is this?

Answer. 5. Whilst I have tried not to be too critical there are occasions where it may well be concluded I have.

A. However there are so many illnesses of Mind and Body that are distressing and surely the inability to breath must rate at the very highest - if not the top.

B. Thus; My pursuit is not to further traumatise People with Asthma; but to allow them to see there are other ways of looking at and understanding the illness and in so doing it is hoped find a degree of relief - if only through what is commonly referred to as, tough love bringing fresh Understandings of this - most life changing disorder.

Question. 6. At the beginning of this document you stated. "You make no apologies for repeating - this I understand, but this critique is surely so much more than repeating?

Answer. 6. Sure is - I also said it was a collective of a number of papers available in the public domain brought together in one page (with the exception of links to other Talking Cures pages that endorse a point made) of information numbered to enable instant re call to read again and comprehend in Mind and Body helpful ways rather than confusing with so many Medically Educated words as this much information so often is.

A. Moreover is a clear demonstration of the facts - when a Person is so disposed with Asthma and its related disorders; contrary to the medical professions advise not to search the internet for miracle cures that do not exist - that is exactly what People have no option to do.

B. Only to find as this collection of information document demonstrates; the revolving door approach in the understanding and treatment of Asthma or as I would prefer to say - The back door to the Street approach.

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Alternative/Complimentary Medicine.

Question. 7. Do you have a view of the many forms of Alternative/Complimentary Medicine that are available?

Answer. 7. It is clear on reading this collection of information - a lot of self-management is involved, this appears to be because, nothing is known about or researched as to the real cause of any illness and how to resolve the real cause, let alone Asthma.

A. Moreover; it also appears none of the treatments available today are of long-term duration in their ability to control the Asthma Attacks.

B. May we accept therefore every Person with a treatment modality is doing their very best to alleviate the suffering of the millions of People with the disorder and that includes - Medical Science whether it likes it or not.

C. All forms of Alternative and or Complimentary treatments and let us not forget; none of them would be required if allopathic medicine actually said what is supposed to happen with Scientifically Proven treatments. The ailment is cured or even well managed long-term.

D. Thus we can consider yes. Alternative and Complimentary methods of treatment are in many ways affective and like any of the allopathic treatments mentioned in this document, have a part to play until Medical Science for the very first time in history accepts the Mind is the creator of all illnesses and sets about giving some form of Scientific Validation to this much maligned by the medical profession themselves - way of observing illness, instead the aged modality recognised in the factious story of. Dr Jekyll & Mr Hyde

E. If we are to consider the viewpoint of the Mind is the creator of all illness, based on - if the Mind does not remember illness, then can be no illness as the immune systems would have automatically created the necessary repair.

1. From which point the Mind has no requirement to remember the originating Pain - whether it is Emotional or Physical.

F. However it is imperative to consider - within this Twenty First century understanding of illness.

1. As the Mind is the creator of Asthma; quicker than the speed of light, it will, before any medication has fully entered the system or any alternative/complimentary treatment starts to be effective, move from sub-clinical to diagnosable - having created a new and more mysterious aspect to this already mysterious as to its true cause and still in 2016; has no disease modifying cure.

Question. 8. Within your answer to question 6 is it fair to say what you are saying is the days of laughing at New and Innovative Understandings regarding how illness is caused and sustained by the Body has had its day and only today exposes the Person or Institutional Body for their thousands of years of failure to long-term improve a Person health and well being?

Answer. 8. Sadly yes - any Person or Institutional Medical Body today that makes any form of criticism relating to any illness or makes the suggestion to an innovator; "You are being very controversial," is clearly demonstrating the long-held desire of superiority by attempting to gather strength in numbers to hide the fact - no one ever becomes truly well from any treatments - and that sometimes includes Talking Cures.

Question. 9. Why are you being derogatory to Talking Cures?

Answer. 9. I am not - I am being truthful; working on the secure understanding, if one cannot accept harsh criticism of the modality one doth profess, is there not something wrong with not only oneself but the very modality I demand so much personal and therapeutic trust from.

A. Moreover it is the truth; so often the more successful Talking Cures is - the more not only the ill Person, but also all of the People surrounding them; will seek to ensure the Protective wall illness appears to offer - is never removed.

Question 10. Are you suggesting it is possible even for Talking Cures to fail?

Answer. 10. Sadly yes. However - although this sounds rather like a self-protection I can say If Talking Cures takes on a Person with Multiple long-term symptoms with no set asides.

A. By - Explaining to the Patient on the first appointment." We do not know what we can do with those symptoms but let that not stop us working towards a resolution of the presenting symptoms."

Any subsequent lack of success will prevail if:

B. I had not sustained the feeling within the Patient and myself - this is what we are working towards but make no promises - only fools do that.

C. The Persons history is too painful for them to revisit and resolve.

D. All Family members and friends and often including medical practitioners deem - because they see change in their loved one they do not or will not recognise or accept as the Person they knew, loved or who they used to be - will become extremely destructive of Talking Cures and their loved one - as they know they are losing control of them.

E. This includes the Person themselves as the closer they get to achieving well-health of Mind and Body the harder the subconscious Mind will instruct them to dismiss Talking Cures as not being liked or trusted anymore - in order to ensure the Protective wall of illness is sustained - thereby protecting the Person and creators from the true cause of the illness.

Question. 11. Well that leaves not much to discuss apart from perhaps the most important subject if you are not to be labelled a Plagiarist of others work.

A. Have you ever experienced anything like Asthma or even had an attack?

B. More importantly, have you ever in your Thirty-Four years career treated a Person with Asthma?

C. In addition, the most important piece of information in the face of overwhelming Scientific Proof - the cause is not known and there is no known cure - have you ever cured a Person with Asthma?

Answer. 11. May I answer your questions in order:

Answer. A. Although one has to consider this is my truth - my intense knowledge of my own pre-birth and life history tells me in the last month before my birth; breathing among other considerations was as close to being impossible and taking my life as one could possibly get.

1. To the best of my post-birth recollection apart from high impact rock and roll dancing and exercise whilst playing squash and getting out of breath, which soon returned to normal; I have with two exceptions - never had any breathing concerns that may have felt like an Asthma attack.

2. As a result of ongoing treatments I give myself:

Answer. B. In May-June 2015 so extreme were the feelings - even with my knowledge of such events I could not: Lay, Sit or Stand in any way shape or form for more than a minute or two; turning round and round in circles - until I was able to gather my professional side and talk myself through it.

1. In May/June 2016 I experienced a difficulty of breathing that felt like my very hard and bloated stomach was in my throat and although extremely difficult and indeed frightening, more than I have ever experienced - what breathing I had was coming from the lower part of my stomach.

2. So extreme were the feelings - even with my knowledge of such events I could not: Sleep, Lay, Sit or Stand in any way shape or form for more than a minute or two - until I was able to gather my professional side and talk myself through it, taking some days.

3. The month May 10-June 11th of 2016 was perhaps the worst moments of my entire life.

4. Much worse than the Heart attack I experienced in 1992.

5. All wrapped around breathing difficulties.

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Answer. C. It was in July 1982 when I started offering Hypnotherapy for Mind Body related concerns.

1. One of my earliest Patients was a twenty-year-old Man with a range of symptoms.

2. During his first appointment - as I only requested a complete list of Mind/Body symptoms and not diagnosed names.

3. From this was created the tools I would use in order to work with him to resolve the symptom list he presented.

4. There was an obvious struggle within him and combined with my lack of experience - leading me to say to him. "You have to make a decision. You may leave now and there is no fee to pay.

5. Continue to work - even though we may fail.

6. He then confirmed. "I have Asthma and it is bad, what do I do with it."

7. I again requested an answer to my question.

8. Leave now or Work with me and perhaps Fail.

9. He made the decision to work with me.

10. Following subsequent visits and further treatment he confirmed he no longer had Asthma.

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11. My next involvement was with a young Person with extreme Agoraphobia and Asthma; both symptoms presented me by the Patient on the first appointment.

12. Some months later - the Person was once again able to get out in their car and go shopping.

13. A chance meeting with their Doctor who requested. "How are you able to be out shopping." They explained I am having Hypnotherapy treatment."

14. The Doctor with all the medical wisdom he could muster replied. "Very good but do not expect Hypnotherapy to cure everything."

15. Our joint Patent never moved any further forward in the improvement in Health of Mind and Body.

16. Until some years had passed I had long-been dismissed and the spotlight was off them.

17. Then they became a counselor working in the surgery of a Doctor friend of their own Doctor.

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Conclusion. Answer. C. Thirty Three years on from this and there are numerous occasions following successful treatment People have recovered from Asthma.

1. No documentation exists, as their recovery is unique to them and of no value to others.

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Question. 12. Surely that can only lead to requesting you explain the true cause of Asthma irrespective of the many names or descriptions it has.

Answer. 12. Thank you. During the collection and collation of this information; I have to say I am astounded at the amount of information there is available from so many agencies that still use such complicated words and language to explain to People with Asthma, they know all about the disorder and if you do as we say you will be ok.

A. I have done my best to explain the words used in plain English without destroying the apparent misinformation of so much said about the disorder - yet if one reads and comprehends the enormity and thousands of years of duration of the disorder, the entire medical profession knows so very little in real terms that is of real value - as this paper in their own words admirably demonstrates.

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Asthma the real cause.

Question. 13. The realism behind this question is - there are as many causes for Asthma as there are People with the disorder - however we can make a general understanding that will fit all cases - no exceptions, as we all fit in the same organ no matter what shape size or colour it may be...

A. ...The Skin. We are all contained within the largest organ of the Body, which is driven by the same engine - the Mind and have the same fuel source...

B. ...Food. No matter how we may name it or what our likes and dislikes relating to it are - it is still Food - thus Fuel.

C. To complete this part of making us all the same, we must surely consider perhaps the least studied of all Human and Indeed Animal attributes that despite its expression it is always perfectly balanced making study difficult to impossible - is the entire Body Chemistry, as an entity in itself.

1. As the food we consume is derived from the Earth it would seem reasonable to proffer - the Body, albeit in such trace small values as to be undetectable, is made up of every chemical the world has ever created. Thus the result is unique to every living organism.

D. One has to also consider - if there was but one reason the Body Chemistry is not studied, it is unique to each of us and can totally change its expression in a Heart Beat as instructed by the Mind, based on information received through the numerous senses.

1. Moreover will not change back to the original expression - ever.

2. Made more complex if the instructions following emotional and or physical traumas from the Mind, so instructs.

E. In addition - any attempt to interfere with this balance by adding further chemicals will only result in making the entire Body Chemistry alter its expression and in real terms become more toxic and caustic and in so doing in the medium to long-term create more mysterious symptoms.

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Question. 14. May we now explore the true cause...

Fear from start to Asthma.

A. Imposed Traumatic Fear.

B. Cell constriction.

C. Personal expression of Body Chemistry .

D. Asthma.

Answer. 14. May we now explore the pathway Fear takes with individual Biological Presentations - in order to achieve this we must first surely realise; illness causing Fear is not real Fear - it is a product of our negative thoughts we create as a result of emotional traumas - under these circumstances Fear is a real danger, causing illness - thus is not a choice.

There are but three types of Fear:

1. Natural Protective Fear. Creates a natural Fear response. No unpleasant consequences.

2. Incident Fear. Can create a natural or an Un natural Fear response.

A. Depends on the circumstances or who created the incident and why the incident took place.

3. Accident. Can create a natural or an Un natural Fear response.

A. Depending on the circumstances.

4. One could also suggest there is another type Fear - Free Floating, there may as a description be a value in this, however if one is unable to explain and resolve why it appears free floating; is there a value in its description.

A. FREE-FLOATING FEAR. Is a term for a generalized sense of fear that is not directed toward a particular object or situation.

Conclusion. Question. 14. 4. A: Free Floating Fear is no more or less than an Anxiety - that following a trauma or set of traumas perceived at origination by the subconscious Mind - to be beyond understanding.

1. Thus the only way it can be dealt with is to attempt to erase from the memory of the Person - the initiating events. Sadly this cannot be achieved, although there may be no image of the event(s) the Person is able to recall, following much and extremely detailed personal or therapeutic searching.

2. In addition the entire Body Chemistry will always remain on high alert and be demonstrated as Anxiety that cannot be relieved - therefore if the attending clinician is unable to make sense of this themselves or for the Person; the Anxiety will constantly move around the Mind and or Body, as the Pain by remaining static will be unbearable.

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Fear and the consequences.

3. Fear is a natural and healthy response to a threat - in order to protect ourselves.

A. Not a Gift for being a good Boy or Girl... embrace it, know it, use it as a strength... do not attempt to "ignore" it!

B. Nor impose it on another Person.

4. Incident Fear lowers the Body Temperature - the Body goes cold, shivers where the Hairs on the Body stand erect. Most times. Will self-repair - leaving no long-term effects.

A. When Incident Fear does not self-repair it will cause Anxiety that is as near to or is permanent, thus is difficult or near impossible to self-relieve.

B. Anxiety is a natural short-term response utilised to warm the Body temperature up, lowered as a result of the Fear in order to protect in flight or fight.

5. When an Incident is deemed by a Person as traumatic - the resulting Fear becomes the foundation ALL illness stands on thus - is a weapon of Self-Destruction.

6. Fear evoked by Emotional and or Physical Traumas based on the Minds perceptive value irrevocably and permanently alters - yet is always maintains perfectly balanced, the entire Body Chemistry.

7. At the same time places a constriction on every cell, Muscle, Vein and Arteries in the entire Body.

8. Traumatic Fear lowers the Body Temperature - which goes cold and/or shivers where the Hairs on our Body stand erect.

A. If this Fear remains it ONLY has long-term and unchangeable effects on both Mind and Body.

9. Anxiety as a result of Fear being evoked is a SHORT-TERM measure to warm the Body, take flight or fight in order for ultimate and ongoing Protection.

10. If the Fearsome experience is not resolved in order for the Anxiety to stop - the Hypothalamus is altered to a new higher temperature rating.

11. The Fear and Anxiety as well as all of the other activity alter the entire Body Chemistry, making it somewhat toxic and or caustic - acidic.

12. Anxiety being a short-term Body activity - most painful physically and emotionally, if permanently running.

A. Insidiously gives over control to other organs of the Body in order to maintain the core and Body temperature. Heart, Liver, Pancreas. Etc.

B. The reality is - no organ is exempt.

13. If the Fear remains unresolved - the Mind responds by permanently altering the Hypothalamus - body thermostat.

A. Like turning up the Heating or Air Conditioning at the same time. Both require more Fuel to drive the temperature Up or Down.

B. Under these circumstances an affected Person can be and often is - both Hot and Cold at the same time and cannot resolve either comfortably.

14. The core temperature of the Body is now in conflict, the internal organs demand more Fuel the skin is now sacrificed in order to protect the internal organs the waste disposal systems go into overdrive and either over produce - Urine-Sweating or under produce - constipation.

A. Under these circumstances Management of Fear will NEVER return the nutrients to the Skin.

15. Which in turn causes other heat creating organs. E.G. heart, liver, Pancreas of the Body to further increase chemical-secretions/activity in order to maintain the Body heat.

A. At this time the exterior of the Body may well feel cold or hot. it is the internal core temperature - unrecognizable by measurement, which has to be maintained.

16. Constriction activity of the entire Body makes delivery of nutrients from food to the Mind/and Body - difficult to impossible.

A. Resulting in the Body being both Toxic and Caustic.

B. This depletes the Body not only of the very fuel required to run the Body - Oxygen, but more important the cell space in the respiring tissues to store Oxygen and at the same time not only increase the carbon dioxide waste, but denies the Body the ability to transport this waste for disposal.

C. Recent finding appear to suggest - the respiratory cycle is actually a three-gas system.

D. Suggesting the third gas - nitric oxide, controls the release of oxygen from red blood cells into the body tissues.

E. The study has shown that haemoglobin - the protein in red blood cells that picks up oxygen from the lungs - also needs to carry nitric oxide to enable blood vessels to open and supply oxygen to the tissues.

F. In addition. "Blood flow to tissues is more important in most circumstances than how much oxygen is carried by haemoglobin.

Conclusion. F. Of course one may argue this is too simple and of course they would be correct for the process from Fear affects every one of our Body chemicals (circa 2000-4000) in a Pyramid Style.

A. Moreover every one of the chemicals are implicit in the running of the Human Body and every illness symptom - including Asthma.

B. One affects two, two affect four, four affect eight and in just forty-eight or so changes there has been enough chemical cell activity to build another Body - trillions of chemical adaptations - all from Fear.

18. Thus our emotions are implicated in illness but only if in the case of illness they are seen as Symptoms and never the Cause.

19. Fear being as the creation of every illness known to mankind and the reason why there is not one cure for any of the approximately 100,000 illness in the world and Modern Medicine does not have a clue as to the true cause of one of them and more importantly does not have a single disease modifying treatment.

20. Thus all illnesses are mysteries - no exceptions.

21. It is not me now or ever being Vexatious - it is information as supplied and well published on a worldwide bases by the Medical Profession themselves.

22. It is just because no one has the courage to say it we have to continue to accept the failures as scientifically proven.

23. Fear under these circumstance becomes a chest restriction - thus affects the Lungs and respiratory systems, including the heart by restricting its evacuation value - the amount pumped during any given heart beat.

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Question. 15: I have selected just two items I would like further information on?

1. Item Ref 13: Why is it more People are getting Asthma these days.

2. Item Ref 27: It is reported - Some Adults develop it after a viral infection.

Answer. 15. 1: One must not do as I am about to; as it opens up to discussion-distracting views, as the content would be labelled as Confrontational or without evidence to demonstrate the points raised.

A. Of course this would be true as there are many historical incidents one could set a datum point too.

B. However we must start somewhere in order to answer this intriguing question.

C. On September 11th 2001 an incident occurred in the United States of America that had such implications as to change the world forever.

D. Of course many People would agree with this and many would not.

E. Based on their own personal Emotional Phenotype reaction to the News that covered the world's television radio and other News Medias and still as a result of the belief by many - this was a self-inflicted wound on the American People.

F. My interest and view is only with Health Concerns.

G. I feel fairly comfortable in saying there for a time and still it exists today, made worse by so many other factors - a FEAR of enormous intensity instilled in People of all colours, race and creed that is at the center of the increase in Asthma in so many People.

H. Recognised by this disorder is caused by Fear, which in turn causes Anxiety and if this Fear is not resolved - will cause illness of the Chest-Lungs of a Person so disposed.

2. Answer. 15.2. Ref 27: It is reported - Some Adults develop it after a viral infection.

A. Response. It is not my desire to be patronising on People with illness or any Person in the medical profession seeking to assist a Person during their suffering - sadly; and I have heard the comment (Ref 27) so many times it as laughable as is the comment "If you have never had the disorder you cannot possibly understand."

B. May I set the record straight - No one ever becomes ill following a viral infection.

C. Although we accept so many People never appear to recover from what is commonly and somewhat mistakenly labelled as A Viral Infection.

D. The real truth is whatever symptoms that persist are no more than that and more importantly no more than a continuum from the earlier Mind related cause still unresolved and seeking understanding through ever changing and mysterious out of nowhere symptoms.

Conclusion. Question 15. Ref 27: A Viral Infection is not an infection at all it is an expression of the entire Body Chemistry Medical Science cannot possibly makes sense of as it is not only unique to each and every one of us we only have to look at an object whether we like it or not and our Entire Body Chemistry will alter and if this item we look at is somehow of a traumatic nature - then it will be set for life in a heartbeat.

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Question. 16: One item contained within this compilation item - Ref. 73 - of what one may consider as worldwide information - yet I hear it so often from People and indeed Therapists as a therapeutic application or a revelation a Person makes as to how their life will be run from a life changing point with - Grateful?

A. Do you have a view on this and does it fit within Talking Cures therapeutic remit?

Answer. 16: Nice observation, yes it is something that I hear quite a lot of...

...Grateful as a Personal or therapeutic response...

1. Feeling or showing an appreciation for something done or received.

2. Warmly or deeply appreciative of kindness or benefits received.

3. Being grateful to another for their help.

4. Expressing or actuated by gratitude: a grateful letter.

5. Pleasing to the mind or senses; agreeable or welcome; refreshing: a grateful breeze.

Question. 17: Does Grateful fit into your therapeutic remit and if not why?

Answer. 17: Following and even during treatment at no point is a Person expected to be Grateful for anything.

A. Even if by a stroke of good fortune - they are not paying for treatment.

B. It is clear on reading this collection of information relating to Asthma and one could add any other illness whether it has a name or not - the only approach currently available as there are no disease modifying (Cures) currently available as the cause is not known or accepted - for any illness; is Symptom Management.

C. Thus one has to include being Grateful is no more than a management tool in the absence of a cure.

D. Thus when therapeutically applied - is mainly for the practitioner's anxiety relief and never the Patient.

C. Symptom management is never in Talking Cures therapeutic remit.

Question. 18: May we explore this interesting concept?

Answer. 18: Yes of course. More than ever today - Facebook and the many other Social Media forums are being seen as almost a first-line source of information supply and a somewhat secure manner of asking questions and receiving answers from online friends - or not so readily available from practitioners.

A. May we accept this as an example to which I may respond too.

Consider a Person nominated online to post three things to be Grateful for:

1. Being grateful to be alive and in good health.

2. Being grateful for family and friends.

3. Being grateful for the inner gifts to have been blessed with, in particular a positive mental attitude, which has allowed overcoming the many challenges faced in life so far.

Conclusion. Question 18: Are they not Fundamental Rights of Life not gifts for being a good Boy or Girl to be forever Grateful.

A. Would this reply not rightfully so - leave a Person quite unsure what this means..?

B. Whilst I agree with the dictionary explanation of Grateful, Is it not fair we put it into perspective.

Surely - as discussed in item: Ref. 73:

1. It is a Fundamental Right to be Alive and in good Health, does not traumatic Childhood events, attempt and so often with ill health - take away this right.

2. When it comes to family and friends, they surely are not Heaven sent gifts.

A. They are often part of an ongoing process of enjoying one another's company and debates.

B. Thus, they are a joint effort having been worked for - over perhaps many years.

3. Surely it is confirmation enough - the inner gifts one has been blessed with, in particular a positive mental attitude has allowed an ability to overcome the many challenges faced in life so far.

A. Is it not a clear demonstration of answer 1 and 2 as well as being a demonstration of an Integrity and Wisdom possessed, way before the many challenges and obstacle's placed in the way, in the light of the negative aspects of such traumas demonstrated with Creativity being the Brakes on Madness as a, or the way - to deal with them.

This should leave a Person in an unassailable position.

B. Surely this is not something to be Grateful for it is a well-earned right returned as a result of overcoming serious life style removing or threatening obstacles.

Question. 19: Interesting observation, which one would not seek to disagree with.

notwithstanding...

A. The Right for a Parson to be grateful for their life...

B. The Right to be Grateful for People that have come and gone in life...

C. The Right for the experiences - good, challenging or difficult which have enriched a Person...

Answer. 19: That is what I like to hear - well done is in order, may many others follow such a fine example.

A. Failing this - being Grateful rather like always saying Sorry for no apparent reason; thus is a weapon of self-destruction; that is only effective as long as one keeps up the pressure of feeling and being Grateful.

Yet not have the integrity and wisdom required when stating in such a profound manner...

"Asthma is caused by inflammation in the airways."

Followed by. "It is not known why the inflammation occurs."

To ask themselves or even suggest. "Why we say this we do not know, but we are Change and are going to research this important question.

In addition - have the audacity to have a Shop Link to products for it appears a Person or Family Member to purchase in the vein hope the symptoms will be eased by self-management.

Thereby confirming there is no intention of ever finding a cure.

Question. 20: Understanding that treating Asthma with Talking Cures is not available to everyone, no more than People would be able to accept it is caused by a Process of their Mind - is there information that you have found in your research and writing that may be of interest to others?

Answer. 20: Interesting question. I have to say in all of my now Thirty Five years of treating People with multiple and mysterious no known cause and no known cure symptoms - never once has it come to my attention a Person has been cured of Asthma.

A. Following your asking the question; I did a simple internet search with. "Has Person ever been cured of Asthma." One response came to my attention.

B. It appears some years ago new research was published in medical journals about the relationship between the bacteria Chlamydia Pneumoniae and Asthma.

Question. 21: Were you able to make any conclusions from the findings?

Answer. 21: Yes there is - however; first I am obliged to say I support any intervention that shows promise.

A. Scientifically Proven or not - for surely we must all keep an open mind if medical science and the pharmaceutical companies say with Scientifically Proven Certainty. "There is no cure;" after all the years they have been telling the world they have been searching.

B. The conclusions I was able to make lead me to ask. "What is Chlamydia Pneumoniae."

C. It is suggested; Chlamydia Pneumoniae is a complex infectious bacterium that is a major cause of Pneumonia.

My findings are...

D. It has a complex life cycle which must infect another cell to reproduce.

E. It travels from an infected Person to the lungs of an uninfected Person in small droplets.

F. It is also suggested; Eradicating the Chlamydia Pneumoniae will cure Asthma in most People including Adults and Children.

G. Especially those that can strengthen their immune systems while undergoing treatment.

H. Many People - can fight off the infection.

I. There is a select group that develop chronic severe Asthma.

J. The bacteria can also live in other tissues within the Body and is a strong suspect in causing other chronic ailments like Multiple sclerosis (MS), Als (Lou Gherigs disease), CFS, meningoencephatitis, arthritis, myocarditis, atheosclerosis and coronary heart disease.

K. It is also suggested. This bacteria may hold the clue to many chronic diseases.

J. There is currently no vaccine to protect against Chlamydophila Pneumoniae.

M. Identification of immunogenic antigens is critical for the construction of an efficacious subunit vaccine against C. pneumoniae infections.

N. Additionally, there is a general shortage worldwide of facilities which can identify/diagnose Chlamydia Pneumoniae.

Question. 22: Where does that leave us?

Answer. 22: Within my findings it was reported as far back as 2005 People having been treated with Antibiotics (No mention was made of which ones) over a Three Months to a year period and as a result - became Asthma free.

A. This is a revelation and I feel is worthy of the respect it deserves.

B. However as it is a medication; surely one must look at the outcome with Eyes and Mind wide open.

Question. 23: What have you been able to extract from this seemingly revelation?

Answer. 23: A number of things seemingly contradicting each other.

A. I find it strange there is currently no vaccine to protect against Chlamydophila Pneumoniae.

B. Identification of immunogenic antigens is critical for the construction of an efficacious subunit vaccine against C. Pneumoniae infections.

C. Additionally, there is a general shortage worldwide of facilities which can identify/diagnose Chlamydia Pneumoniae.

Conclusion. Answer. 23. A. B. C: When one takes into consideration the recent information so many Doctors are losing their lives over by suggesting Vaccines Cause more illness than they ever prevent - A position I am not qualified to really comment on.

1. However it does leave one to question - why in this case no vaccine has ever been created.

Question. 24: So if we resolve the possibility these mysterious symptoms that appear to cause so many illnesses is not created by the very medicines we take to cure the illness - what do you feel is the answer?

Answer. 24: All illness no matter what name it is given has but one purpose.

A. Following Childhood and even in the womb Emotional and or Physical Traumas a Child's Mind as a Protection - creates illness.

B. Give all symptom presentation whatever name appears to fit and this illness has a purpose.

C. Firstly we have to accept all illness is a Protection a Person displays to ensure the same traumas cannot or do not ever happen again.

D. Thus the resulting illness is an advantage not a disadvantage.

F. The purpose of any illness is for the People that created the Traumas to Understand what they have done and make amends. (See Link) Understanding

G. When such times as this Understanding is not received the requirement simply takes another pathway.

H. Therefore the symptoms named as Chlamydia Pneumoniae are no more than an expression of the entire Body Chemistry (link) Illness or Toxic Shock demonstrating their negative effect in the Lungs caused by Fear that is never resolved or Understood.

I. To enhance the understanding sought - the affected Person covers everyone in the breathed or coughed out mist in order to ensure the power or requirement of Understanding - when they become ill is met.

A. A perfect example of illness is part of evolutionary change.

Question. 25: How would you explain a course extended or not of Antibiotics appeared to cure the Asthma in some 50% of cases.

Answer. 25: The clue to this is in the comment 50% of cases.

A. This works on the well known 80/20 rule.

B. You can kid 20% of the People some of the time and 80% of the People all of the Time but you cannot kid all of the People all of the Time.

C. This means some of the People say 50% will feel if only temporally they have been cured and the other say 50% will not be. Demonstrated by; if any other symptoms related or not exist there has been no cure.

D. A complete demonstration - Illness is an advantage not a disadvantage - and do not take my illness away from me I will not know what to do with the time.

E. Resolve the fear to the minds satisfaction and it will alter the entire body chemistry

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The truth hurts and so it should that is why it is the truth - mistruths never truly show the damage it causes

Kindest regards and best wishes.

Peter Smith Talking Cures

We all have a lot to teach and a lot to learn and learn we must.

This is my truth now tell me yours - change someone's Mind.

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...In illness - The Mind/Brain/Body is not in the slightest doing something wrong, it is desperately trying to right a serious and terrible wrong?

"No apologies are made if this paper is seen as repeating or simplistic, for too long Scientific Medical Papers have been written in a manner no one truly understands, if this were not so, cures would have long since been found making this paper and Talking Cures unnecessary or redundant.

Whilst it must be recognised, the framework - part of the content, for this paper is in the public domain and credit given to the authors;

Peter Smith Talking Cures asserts the right to be recognised as author and Intellectual ©Copyright holder of his contribution to this document."

"Asthma Explored Understood Explained." Author Peter Smith Talking Cures Copyright 29th April 2016.

Thus, in keeping with the generosity of many contributors - this document is free to use as an Education or Patient led assistance - in its entirety.

Talking Cures is a Twenty First Century Medicine...

...able to treat multiple symptoms of Mind and Body in a Person.

Via Telephone 01702 603030 or Skype. Talking.Cures

Criticisms and comments however harsh are welcomed and warmly responded too and seen as an accolade far greater than a United Kingdom Knighthood or Noble Prize.

Please feel invited to mail with questions or comments about this web site

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