Jerry has active exhaling at rest. This is called forced breathing or hyperpnea or laboured breathing. It is normal when exercising but is not normal at rest. Jerry has probably had it all his life, just like Paula. And like Paula, Jerry is not aware that his breathing is abnormal and sometimes problematic when he becomes ill, especially with a respiratory virus. Jerry is only aware of the effects of his unknown and unseen laboured breathing, symptoms such as feeling tired, having trouble sleeping, loss of appetite, chronic anxiety, periods of depression and despair, etc…Jerry is not aware of his difficulty breathing. This makes for a scary scenario in that everyone, including Jerry, will not realize that his depressive symptoms come from his inability to feel or be aware of his impaired breathing- Jerry is only aware of how terrible and scary and depressing it is not to be able to breathe normally.
So when asked, Jerry will talk about his depression because he is not aware of his active exhaling. And as a result, Jerry will not get modern day help for people who have active exhaling. Instead he get a hodgepodge of treatments, including possibly psychotherapy. The consequences of hidden impaired and laboured breathing can be minimal, allowing a person to work and to function normally [albeit with more effort] but a in illness, the same person may experience long episodes of delirium related to his pattern of active exhaling.
The pattern of abnormal vital signs are important in understanding what is affecting the brain in delirium or dementia.
Active exhaling with too slow breathing leads to quiet delirium. Active exhaling with fast, chaotic breathing will lead to a wild delirium with periods of insane irritability, insane aggression and an insane wild intoxication-like euphoria recognized a mania.
……..to be continued after I buy fruit at the store before it gets too busy…..
https://www.healthline.com/health/labored-breathing#takeaway What You Need to Know About Labored Breathing
What does laboured breathing mean?
Unless you’re running a marathon, breathing may not be something you usually think about. When you experience labored breathing, you can’t breathe easily and may even struggle to breathe.
Labored breathing can be alarming and cause you to feel tired or worn out. It can sometimes represent a medical emergency.
Other names for labored breathing include:
- difficulty breathing
- trouble breathing
- uncomfortable breathing
- working hard to breathe
The severity of labored breathing depends on its circumstances. For example, when exercising, you may temporarily experience labored breathing as a part of exerting yourself. Labored breathing lasts longer, and you can’t expect it to subside within a certain amount of time.
There are numerous causes of labored breathing. Not all of them are specifically related to the lungs.
Just because labored breathing is a symptom of a chronic condition doesn’t mean it’s fine or normal.
Sometimes laboured breathing is not obvious. Sometimes one has to look for laboured breathing in order to detect it. Jerry considers it normal. Remember it is not. A doctor would immediately be alarmed because it is not normal and needs to be treated. The treatment will depend on the cause.
Breathing is vital to your body’s functioning, particularly your brain. For this reason, labored breathing is often considered a medical emergency.
People are advised to “seek immediate medical attention if you experience a labored breathing episode unrelated to physical activity that doesn’t go away after a few minutes.“
Even if you can attribute the labored breathing to an underlying disease, seeking immediate attention before your condition worsens can protect your health and your airways.
Other symptoms associated with labored breathing that need medical attention include:
- difficulty lying flat
- feeling disoriented or confused
- wheezing when breathing
How is laboured breathing treated?
Treatment for labored breathing depends upon the underlying cause and the severity of the symptoms. Examples include:
- administering breathing treatments or medications to open up closed airways
- applying oxygen therapy to increase the amount of available oxygen in the air
- taking certain medications if you’re experiencing labored breathing due to anxiety
- using a ventilator to help you breath
If an underlying infection, such as pneumonia, is the cause, you’ll also be given antibiotics. In rare instances, surgery may be required to remove a tumor or other obstruction that may be affecting your ability to breathe.
Labored breathing has many causes. If you’re experiencing labored breathing, talk with your doctor. They will work with you to identify a cause and recommend a treatment plan so you can get back to breathing normally.
Unless you cannot breath normally due to unlooked for and/or puzzling nervous system damage or musculoskeletal factors………like in the case of Jerry…and Paula…and who knows how many others…..
In the 21st century, doctors can provide help and medical support and….IF MADE AWARE OF THIS PROBLEM……new treatments and medications can be developed.