Alpha 1 anti trypsin deficiencey
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Hi, yesterday I was told that I had tested positive for Alpha 1 Anti trypsin Deficiency. I must admit It came as a bit of a surprise as I am awaiting various scans to check for lung / heart embolisms, so hadn't given much thought to anything else. The good news, ironically, is that so far it looks like I have a very healthy heart!
The Doc is arranging genetic counseling for myself, my son and my daughter. I was also told to contact my siblings and advise them to get tested, and to ensure that their children are warned not to risk smoking.
Alpha 1 can cause emphysema even in non smokers. In ex smoking copd'ers like myself it can mean a faster than usual lung deterioration. The main thing now is for me to avoid even catching a cold to minimize any inflammatory processes.
The dear of a doctor who has been treating me has been so helpful and encouraging. He is a great believer in educating the patient so as to equip them with the knowledge to manage and fight their disease to the best of their ability. He also believes that the level of exercise someone does and the amount of muscle tissue they can hold onto / build plays as big a part in survival and quality of life as does FEV1 scores. He was saying how someone with a relatively high score of say 40 to 50% can be in worse shape and have a poorer outlook than someone at 20% who has seriously built up their muscle power, stamina and general fitness levels. SOB is also strongly related to lack of regular exercise.
I was a bit upset to learn that I had only lost four pounds in four weeks, as I have stuck to a 1.200 calories a day and worked up from two minute sessions on my treadmill to a minimum of a mile a day! I have also been doing upper body exercises including weights to strengthen my breathing accessory muscles and diaphragm as I had read that a weakened diaphragm played a major part in breathing difficulties. While I already feel some physical improvement, I am vain enough to care as much about getting my figure back. The Doc despairs of me! He is pleased that I am only losing a pound a week as he feels losing more would mean not gaining any new muscle, and he sees that as the major priority. I know he's right, but that means no sylph- like figure for at least a year or two. :cry:
Well, that brings me up to date on the medical front for a week or two. I have another hospital date for an ultrasound chest exam of some sort in two weeks time, but we now expect that to be OK as it looks like we have found the fly in the ointment with the Alpha 1. Sadly I will no longer be under the lovely Doc Rupert as he is putting me under some other thoracic guy from now on. I cannot thank Doc Rupert enough, he has done more , found more and explained more in two visits than all the others put together over the past year. What a Doc! And in spite of the pretty damming bad news of the Alpha 1, he has left me feeling more optimistic and in charge of my own destiny than ever.
Hope to bring you more details re Alpha 1, genetic counseling etc as and when it all unfolds. In the meantime, love to all my fellow copd'ers, wishing you all 'easy breathing' and many blessings, Vanessa xx :wink:
0 likes, 14 replies
Van
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Van
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Jacee
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However, that is no excuse for giving up lady!! In fact I think it is enough to bring you out fighting. Who will win - the Alpha 1 Anti trypsin Deficiency or Vanessa? I don't know the prognosis but I bet you last longer if you stay positive, eat healthily and exercise. And you can set a good example for your children who have a better chance as they now know to avoid cigarettes. Also, I think this can be improved by lung transplant? Try the website Alpha 1 org which may have more info. Don't you dare give up Van or I promise I will come to Cornwall and slap you!!
PS Congrats on the DLA stuff.
Jacee
xx :cuddle:
Van
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Sorry about getting the miseries, I'm still a bit blue but I guess it is a natural reaction to the news sinking in. I do know it will pass and I will come out fighting again. Last night I found myself wishing I had a partner and feeling sorry for myself about that too! This morning I am glad I don't have one as I can plan my life pretty much however I like, and besides, it wouldn't be fair to put some chap through my misery moods!
Isn't it lovely to hear from cats and dogs again, and also to find new friends like Flossie and Knitty - It's really helped to cheer me up already! I hope they keep in touch.
Must go and either do some cycling or walk a mile on the 'Dreadmill' (think it will be the bike, it's definitely the easy option and I can watch TV at the same time!) talk to you again son, lots of love Vanessa xx
Jacee
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Yes, a natural reaction and we are all entitled to the blues sometimes.
Lovely to hear you talking of fighting back though and your level of exercise is truly awesome - I feel like a sloth but keep putting off getting started, using SOB as an excuse though I know its a vicious circle, the less we do the less we are able to do. I did pulmonary rehab early last year (before going on oxygen) and have really let things slide recently. However, although you usually only get one shot around here, I have been re-referred and will start again next Monday, so I hope to be able to report doing better soon.
Jacee
xx
Knitty
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I have been checking out about A1AD & have just read this:-
“In A1AT deficiency, neutrophil elastase cannot be neutralised efficiently, so it's able to destroy healthy tissue. The common result is emphysema of the lungs. It's thought that abnormal A1AT also collects in the liver and can contribute to liver cirrhosis, although many people with AAT deficiency don't develop liver disease.
In the liver, damaged liver cells become scarred and fibrosed as a result of inflammation. This damage, known as cirrhosis, is irreversible and leaves the liver functioning poorly. Loss of weight, abdominal fluid collection (ascites), jaundice and easy bleeding may all result from this liver damage.
To protect the liver from further unnecessary damage, people with AAT deficiency are advised to [u:32929252d7]avoid alcohol [/u:32929252d7]and, if possible, medicines that may harm the liver. It's also important to eat a healthy diet packed with fresh fruit and vegetables.”
I think I will seriously talk to my sons about getting tested as they both “binge drink” at weekends despite my lecturing!
Thankfully I was never a big drinker myself & now just a glass of wine gives me a headache.
cats_and_dogs
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cats_and_dogs
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Jacee
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Jacee
xx
Van
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Thanks for your message of support, and for persevering with posting it after your big fight with the computer! Don't worry, you are not the only one who can get in a pickle with it either! This was the first site I ever posted on - I joined and then just used to read everybody else's 'till I eventually plucked up courage and had a go - since then no one's been able to shut me up! :lol:
I'm a two finger typist too, I just wish I could go faster to keep up with the thoughts running through my mind - but then I'd probably end up writing a book! So keep those posts coming Carole - you are a wealth of info when it comes to the meds etc - compared to you the rest of us are a bunch of amateurs! Hope you and your cats and dogs are all well and happy, lots of love Vanessa xx
cats_and_dogs
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Jacee
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Glad you are with us and hope you keep popping up to offer help and advice from your vast experiences.
Jacee
xx
Van
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GORS - thats a new one on me and I thought I'd heard it all - this thing is endless isn't it! Do explain please someone, thanks. Vanessa
PS off to hospital again today, the bigger one in Plymouth so thats a 60 mile round trip. I have been dreading this Ultrasound Scan, not for any medical reason but because since putting all this weight on I find It embarrassing to undress my top half - I could cry, I feel so humiliated and desolate. To say my former 'assets' are now of matronly proportions is an understatement and I've lain awake the past few nights worrying about it. Daft I know, it sounds laughable. I should have had my routine breast x ray tomorrow too but I couldn't face the humiliation two days on the trot so have canceled it. :cry:
Jacee
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Jacee
xx