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Readers Respond: What Was the Cause of Your Most Recent COPD Exacerbation?

Responses: 54

By , About.com Guide

Updated April 08, 2009

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The most common causes of a COPD exacerbation are airway or lung infections and air pollution. But, there are others. What was the cause of your most recent COPD exacerbation? Share Your Story

Exacerbation - Again and Again and Again

Starting in Feb of 2011, calling 911, went to ER with respiratory arrest due to COPD. Not breathing and was intubated for about 20 days. Transferred to another hospital for a total of 86 days. Again with 911 in July and again in Oct. both for 4-5 days. Last just after Christmas and have been in a nursing home ever since - 5 months now. Was a heavy smoker but quit too late for help. Am 65 and may have to spend the rest of my life in this nursing home, great staff but the usual feeling of helplessness and why bother. Had a DNR on file but the 1st hospital couldn't find my contacts. So quit smoking, drugs and anything else that the doctors tell you to quit or you might end up as my roommate. My advise is to get a DNR as living like this isn't worth the trouble.
—Guest Jon

Lung Infections

I have had 4 chest infections since December 2011. Now, my consultant sent me for blood test. Why?
—Guest georgina johnson

Exposure to Cedar Particles

I build furniture and exposure to cedar particles from cutting or planing seems to be an irritant, even when wearing a good quality particle mask.
—Guest Dick

Frequent Exacerbations Cause Death

It's hard to put into words just how horrible emphysema is. It's a monster that never sleeps and slowly, oh so slowly, consumes it's victims. My mother was diagnosed in 1988 at age 55 and she put up a heroic fight for years. She exercised like a demon was chasing her. It was. She even went to Duke University Hospital & had an experimental lung reduction surgery with some relief. But, in 2004, the exacerbations became frequent. Towards the end, she would go into the hospital, be intubated for about 10 days, sent home, only to repeat this every month. In June 2006, this brave woman went to the hospital ED, but refused to be intubated anymore. She had enough. The Dr. asked "you know what that means, don't you?" Tears streamed down her cheeks and she said in a trembling voice "my death". We stayed at her bedside over the next several days. They kept her slightly sedated. We held her hand as she died on June 25, 2006. She was 73 but emphysema robbed her of 18 years.
—Guest Larry D

Delay in Treatment

As a result of not responding to my condition, I recently spent 9 days in the hospital for exacerbation. I tried to treat myself at home and finally after a week of worsening, I was forced to drive to the hospital emergency room. A nebulizer treatment sent me into even worse distress and I faced the possibility of having to be intubated. Thankfully that did not happen and I was admitted to the hospital where I remained for 9 days. I was choking on sputum that was like thick glue. After a week of IV steroids, I finally expelled a small amount and began to feel as though I could breathe again. This was the worst it has ever been and a wake-up call to respond to any changes immediately. I am still not back at what my baseline was, but I feel better each day.
—VABilly

Smoke From Burning Brush

About a month ago, someone who had cleared several acres, burned the trees and brush. The wind brought the thick smoke to my home. The house was open and the smoke was so thick, I thought my house was on fire. When I looked outside, I realized it was from outside. The smoke was so thick, I could not see the road. Within a few days, I could not breathe and was admitted to the hospital for massive IV steroids, antibiotics, and rigorous respiratory therapy. I was discharged a week later. Now am still having trouble breathing. I am coughing so much, I feel that every muscle has been shot. It is difficult to get a "good" breath. My pulse oximetry ranges from 80 to 97%. Prior to this, had been going to our local fitness center and was at 2.6 miles/day on the treadmill, and worked diligently on the bike, elipical, and "nu-step" as well as the specialized machines. My body was in as good a shape as it had been in years. Now I have trouble walking from my bedroom to the restroom.
—Guest Deb Coughlan

Surgery Caused Exacerbation of COPD

I had to have a portacath installed for chemotherapy for non-Hodgkin lymphoma. I was given a general anesthesia and the tube in my throat aggravated my lungs, I guess. Spent six days in hospital. Uncertain when - or if - I will be able to do chemo. Scary stuff, COPD.
—Guest Audrey Hobbs

Wildfires

The wildfires have been as close as 15 miles away. The weatherman has told us about air quality health alerts, but I didn't pay attention.
—Guest DeeDee

Exacerbation Killed My Mother

On July 6, 2011 my mom was going about her day as usual. She was laughing with a friend 15 min before she passed away. She suddenly felt short of breath and thought she may be having a heart attack. Her friend did not perform CPR and by the time the paramedics arrived and were working on her she passed away before she reached the hospital. She was treated for a chest infection a month prior. Stay away from second hand smoke. Make sure your doctor listens to you when you are not feeling well. I am so lost without my mom and just had a baby 3 weeks prior to her passing who will never know my beautiful mother. She was such a wonderful woman who is going to be missed so much. Take care of yourself and do everything you can to improve your quality of life. You just don't know when the COPD can take your life. It is supposed to be a progressive disease. My mom didn't require oxygen yet so if you think you are no so bad, think again. COPD exacerbation can happen at any stage of COPD.
—Breatheasy1day

Husband Died From COPD Exacerbation

My husband passed away Dec. 24, 2011 from COPD exacerbation. He was in critical care for 9 days. The doctors did all they could for him, but he was just too sick to pull through. So please, anyone with COPD, take care of yourself, your family needs you!
—Guest Pat

Culprit, UNKOWN

In 08/'10 I had my annual check up with my MD & told him I was experiencing shortness of breath more than usual w/my COPD. He suggested I increase my ulcer medication to 2x a day. What??? It continued to get worse. Now mind you, I had never heard of "exacerbation" in 10 yrs. Oct. of '10 I had my usual check-up with my Pulmonary Dr.'s P.A. I told her what I had been experiencing & she flew into action. Checked for blood clot in the lungs--X-rays of my stomach-- Injected stress test of my heart-- Negatives! Then on Feb. 28,'11 I awoke early because I was fighting to breathe. Son called 911. In ambulance my heart stopped, got it going, in ER my heart stopped, got it going. That was a Mon. morn. & when I came to on Tue. late afternoon, I was intubated, my clothes had been cut off had IV's, O2 & no idea what had happened & no Mon. & Tue. memories. ICU 3 days-private care 2 days-double ward 2 days-recovery 6wks. Now Great! Your stories break my heart. GOD Bless & heal U All. Holy Hugs kisses
—Guest Marj

Pneumonia

I was diagnosed with COPD about 20 years ago and had no idea how bad it could become. I started having exacerbations about 3 years ago - approximately 6-8 months apart. I was just released from the hospital yesterday from an exacerbation and pneumonia. I was given prednisone and antibiotic IVs, plus oxygen and nebulizer. I was given pill form of meds to come home with. I am on oxygen when needed and nebulizer, Advair and Spiriva. When I went into the hospital although I used the nebulizer and oxygen, I couldn't breath. I was in for 4 days. I can breath now, but not well. I have severe emphysema and COPD. At this point in my life with what's going on, I'm scared. I wish I had listened to my doctor 20 years ago and quit smoking. I had no idea COPD could be this bad.
—Guest guestnancy

Raspy Cough and Pneumonia

I was diagnosed with COPD about 5 years ago. My doctor prescribed Spiriva, Symbicort and ProAir HPA. He would add antibiotics and steroids whenever I was seen for symptoms he diagnosed as bronchitis. He never mentioned anything remotely similar to "an excacerbation". I changed physicians a few months ago because I just didn't feel he had my best interest at heart. On 3/21/11 I had called off from work due to a continuous raspy cough that had started over the week end. By that evening, I felt like I was suffocating and went to a Medical Aid Unit. I was sent to a nearby hospital via ambulance. My diagnosis was COPD exacerbation pneumonia. I was hospitalized for 9 days receiving IV steroids/antibiotics and around the clock respiratory therapy. I was discharged w/24/7 O2, oral steroids/antibiotics and self administered resp therapy. A home health nurse comes in every couple days to check pulse ox, lung sounds and blood pressure. Return to work date unknown.
—Guest Beaunana

Don't Know What Brought It On

Have had COPD for 30 years now. I am over 80, but this last trip to ER was the worst. Do not remember much of the first week. Got there and someone asked if I wanted to be recussitated! I said no and thought this is it for sure. Next thing I was fighting some sort of mask on my face. My nose itched and could not reach it. Then off I went again. I have been on oxygen for almost 13 years. Now at level 2. They had me on level 11 at the hospital, gradually getting me down to 7. My feet and legs were swollen quite large. I have worn "support hose" for several years and they had not removed the one I went to ER in. Told them they should not be worn 24/7, but they left them on. After two weeks in hospital, it was suggested I go to "rehab" in an Advanced Care hospital. This was great and I did the exercises and managed to graduate to come home in a week. I still was on prednisolone and felt good. I still do not know what brought this spell on as it happen within minutes.
—Guest Lois

Flu From My Work Mates

Why can't work mates realize they are putting you at risk when they insist on struggling into work with colds or the flu. They would only lose a bit of money if they stayed at home, but what have I got to lose? I was diagnosed 2 months ago with mild COPD. I had an exacerbation 2 weeks ago after catching my work mates flu, and now doctors say I am in the moderate stage. All my boss said when I mentioned the possible effects of me getting colds and flu was to try and keep out of his way. How is that possible in an air conditioned, open plan office? Pardon me for feeling bitter -- I'm still reeling from my initial diagnosis. How fast does this disease progress? Or don't I want to know?
—Guest ghearn

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What Was the Cause of Your Most Recent COPD Exacerbation?

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