Friday Q A Collapsed Lung

Front View of Heart and Lungs

Q: Got a friend (a smoker) who ended a camping trip in the mountains (probably around 6K feet) by getting a collapsed lung. His wife got him to the hospital and all is well--he is even back to enjoying his electronic cigarettes (says it is not really smoking!) Anyway, I was thinking of using this as an opportunity to (finally) get him to try breathing meditation, Yoga/Tai Chi—but the lung thing has me worried. This was spontaneous with no obvious indications of why it happened or if it will happen again. He does nothing half-way, this guy, so if I get him doing deep-breathing exercises he will be going for the max. Is there a danger of the collapse happening again or can we use deep breathing to strengthen his lungs?

A: Thanks for writing to us about your friend’s condition. As always, the information I will share is of a general nature and in no way a prescription for how you will want to work with your friend. But I hope the following discussion will give you more information to work with as you try to help your buddy. 

Let’s start with the condition that your friend developed. He has what is called a spontaneous pneumothorax (SP), when air gets in between the lungs and the space around the lungs—not a natural state of affairs—resulting in a change in air pressure inside the chest cavity, with the air pushing on the lung. The lung subsequently collapses a little or a lot and leads to chest pain and shortness of breath of varying degrees, depending on the size of the collapse. With a small, uncomplicated collapse, the person's lung may quickly heal on its own.

Although pneumothorax can occur for no obvious reason, as a cigarette smoker, your friend would be at higher risk for this right away. Known causes of SP include a chest injury, underlying lung disease or ruptured air blisters (blebs). According to the Mayo Clinic website, the following are risk factors for the development of SP:

• Gender. In general, men are far more likely to have a pneumothorax than are women.
• Smoking. The risk increases with the length of time and the number of cigarettes smoked, even without emphysema.
• Age. The type of pneumothorax caused by ruptured air blisters is most likely to occur in people between 20 and 40 years old, especially if the person is a very tall and underweight man.
• Genetics. Certain types of pneumothorax appear to run in families.
• Lung Disease. Having an underlying lung disease, especially emphysema, pulmonary fibrosis, sarcoidosis and cystic fibrosis, makes having a collapsed lung more likely.
• Mechanical Ventilation. People who need mechanical ventilation to breathe effectively are at higher risk of pneumothorax.
• History of Pneumothorax. Anyone who has had one pneumothorax is at increased risk of another, usually within one to two years of the first episode. This may occur in the same lung or the opposite lung.

Before I address the value of yogic breathing techniques for SP, I do want to mention a potential downside to yoga and SP. There is one report in the medical journal Chest about a pneumothorax arising in a yoga practitioner who had been doing the pranayama technique called the Bellow’s Breath, which is a fast breathing technique of inhaling and exhaling. Fortunately, this is a very rare occurrence; but you would likely want to avoid that and similar breathing techniques for quite some time after the person’s lungs re-inflate and they get the go-ahead from their doctor to return to normal activity. And in the case of our above SP person, they are at an increased risk of a recurrence of a pneumothorax, so you will need take care.

So what do I think would be a reasonable approach of yoga breath techniques for SP? We do know from a few studies done in India that yoga practices, including pranayama, can be helpful for other lung conditions like asthma and emphysema. That means yoga has been used safely in other people whose lungs that don’t work quite right. To me, this is very encouraging about the overall safety of yoga for lung diseases. One possible unwanted result of someone having a SP might be a reluctance to take even a normal inhalation due to fear of a recurrent collapse. However, practicing a gradual increase in the length of the inhalation and exhalation while monitoring for pain or shortness of breath could effectively re-establish a person’s pre-SP breathing ability. And if you encouraged the breathing to have a gentle quality on both the inhale and exhale portions of the breath cycle, you could also eventually improve the overall deep breathing capacity of your student.

It would likely be important if your student has a type-A personality to observe his breathing while you teach him the technique to verify that the breath is not aggressive in any way.  If you yourself do not do a lot of pranayama in your own practice, I’d really recommend that you find an experienced teacher to work with your student.

As things progress, your friend may be able to do the modern three-part breath that is very commonly taught in all levels of yoga classes in the US (you start by imagining you are filling the belly first, then the lower chest second, and finally the upper chest last, but in one continuous breath without a pause). It is also possible that once a good three-part breath is established, teaching a very mild form of ujjayi breathing could be helpful. Ujjayi mimics the effect of using a device called a spirometer that is used in a different lung condition called atelectasis, which is more a problem inside the lung’s tiny air sacs the alveoli, not a result of a collapsed lung specifically. Again, I’d have the student create a very quite ujjayi sound as you monitor  his work for a while to ensure he is keeping it on a more gentle level.

So, to recap, you could gradually reintroduce the three-part breath. Once that is safely accomplished, you might add in some gentle ujjayi to the three-part breath. And with all beginning breath teaching, I’d recommend starting off with the student lying supine to learn these techniques. To be on the safe side, avoid holding the breath at the top of the inhale, and also the bastrika and kapalabhati forms of pranayama.

 —Baxter

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The Advantages Of Taking Online Massage Therapy Training

By Edna Booker

Massage therapists are important professionals who can help everyone to ease tensions and reduce stress levels. They help to keep you relax by manipulating your soft tissues and other external muscles to release stress and tensions in the body. Nowadays, there are many types of massage therapy courses available online for students who have no time to attend classroom instructions.

Massage therapy classes and training programs offered through the web can be very difficult on your part due to the hands on and practical nature of the work. Instead, programs and courses combined with on campus and online training may be very available for you. Actually, online massage therapy training schools are alternative schooling options for students with family obligations, adult students and those with other commitments.

Online schooling is increasingly becoming popular in the society because everyone learns different things. Basically, this is is true in many cases, but in terms of hands on training, you are still required to attend hands on training in the campus. Students can easily learn from the chat portals and do better than attending in a classroom instruction.

The reasons of its success is usually because of the increasing introduction of courses to individuals learning habits. These programs also become more interactive than the past since they already have chat systems, notice boards and even video tutorials and other collaboration of systems. Unlike before, students are forced to go to school and others are forced to stop due to some reasons. Good thing that web learning is not quite popular.

These things alone can give better opportunities to learn in the most effective ways while reviewing the materials as easy as possible. Furthermore, when they are in need of explanations about the lesson and need help, with their programs, they can simply get face to face instruction through chat and message portals. Or even video conferencing.

One advantage you can get from this online education is its flexibility This is because, everyone easily choose the right program depending on your schedule. Moreover, you may also the access to the teachers through instant messaging, email and community forums than traditional schools. Additionally, it gives exciting contents.

Learning through the web gives you different formats of learning from many surveys, questions and quizzes to video tutorials. These days, there is an increasing rate of students who tale these programs . Web studying is rising today and the benefits have already been proven. There are also challenges that will occur particularly in the massage therapy courses.

In order to practice massage therapy to earn, you need to be certified, licensed and registered in your state. There is also a continuing education required by most states for licensure certification and a lot of these programs fulfill these requirements to practice their profession.

Once you understand the benefits of taking these courses, you will also gain idea whether you will pursue the course or not. You have to consider things which makes you decide to take these programs than traditional classes. This way, you can make better options base don your time. As you can see, more and more people have considered this education, not only because of its flexibility, but also it is convenient and comfortable.

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The Major Gains Of Duracoat Tactical Colors

By Kathrine Franks

There are many ways to achieve authentic gun engraving. It is vital for it to look different and great in its design that needs to be achieved by various means. The method has been practiced for many years and it can be used these days. Some also take time to learn the traditional way to make the process meaningful.

The traditional procedures have various ways when dealing with its design. It must suit the kind of firearm that you have. You should also select the right duracoat tactical colors that will work best for you. There are certain guidelines that must be followed to assure that the process is done well. The first thing is to hire a skill gunsmith that can do the tasks needed.

If the weapon is restocked, its maker must perform the work needed for assurance. It can avoid damages and scratches on its part. There is also a need to apply the needed method without doing or employing those buffing wheels.

The buffing wheels are used applied to change the overall qualities of the gun itself. It must be applied well to clean the areas that concern you the best. It can be applied as well to clean the screw holes and remove the steel from the barrel to get the breaches and perform the work within the schedule.

A lot of people own guns these days and they engrave it to create some dedications for them to enhance their whole collection. They also sometimes wish to witness the skills of those artists that are doing the task. Art investment is indeed vital but it may not be necessary all the time.

If you want to apply your initial on the tool then have it on the trigger or any part of it. The patterns can also be found on its original style to be recognized. It will surely be appreciated when you customize it to fit the gun structure. There are also many styles that you can consider today.

The work also includes choosing the best company that can implement the required tasks. There must be a chance to exchange your ideas and knowledge about everything. A better network must be present as well to aid you develop this kind of skill. This is indeed a good kind of process that must be developed well by the experts.

The company must also perform the needed works with the workers who have common goal. They must appreciate every task that has to be done. They have to hand grave those regardless of their metal and so on. There are indeed many types of them and you need to determine which one is the best.

You should strive hard to get the right quality outcome that you wish to have when it comes to engraving. Be mindful when selecting the design. The thing is to surprise yourself after everything is done or after the work is delivered. It includes great work to ensure that everything will be successful.

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How To Optimize Your Diet To Build Lean Muscle

By Arnold Sylvester

Do you neglect your diet? Are you one of the many gym users guilty of eating junk food under the guise of trying to bulk up? Today you'll learn how to build muscle the right way with a solid diet and why it's just as important as learning how to deadlift or squat.

Given that the majority of the hypertrophy process occurs while your body recovers at home, it really makes sense to learn how to structure your food intake to match your fitness goals.

But even though it makes sense to watch what you eat, many men fall into the deadly trap of presuming they can gorge on whatever food they like then justify it by claiming they are trying to bulk up. A dirty bulk results in dirty weight being added.

The fact is your diet represents the toughest challenge to your fitness goals. After a while, even the most gruelling of training programs becomes fun. It becomes a challenge you'll enjoy. The diet part, however, remains a constant test to most people.

Many people simply neglect their diet because they just don't know where to start with it all. They get lost in the mountains of different opinions on what you should eat, what you should avoid, what you need and what you don't need.

But there is a simple system you can use to get your gains on the right track. It is as follows:

1. 1.5 grams of protein per lb of your current body weight.

2. Consume around 2g carbohydrates per pound of body weight

3. 0.5 grams of fat per lb of your current body weight.

But before you look at this like a set of rules, remember the most important factor here is that no diet fits everyone. This merely gives you a starting point, from which you can experiment by raising or lowering certain nutrients until you find an optimal intake to give your body results. I:8:T

In a shocking twist to what you may expect, most men do not actually eat enough protein to build muscle. That may sound very strange, given that every man and his dog seems to buy the latest whey protein drinks. But apart from those drinks, they often don't eat any other sources of lean protein.

Another area of misunderstanding is fat intake. Just because it's called fat, doesn't mean you will get fat from eating it. A tank is a military vehicle as well as an item of clothing - fat refers to both food and body fat. They are totally different things and shouldn't be confused together.

Now comes the interesting part. When you have your protein and fat intake set correctly, carbohydrates will determine what type of physique your body can achieve. Start with the recommended amount and note your results, before increasing the amount if you want to add more size or decreasing it if you feel you are adding body fat.

The importance of diet is just one of the five rules touched upon in the video guide on how to build muscle accompanying today's article.

To teach somebody how to build muscle which creates a noticeably different physique, you must first start in the kitchen. Sure, learning your biggest lifts and the correct rep range certainly plays a very important role in your progress, but if you neglect your diet you run the very real danger of kissing goodbye to your hard toil on the gym floor.

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Next step: You can see the exact technique demonstrating how to deadlift alongside crucial, simple tips showing you how to build muscle straight from Russ Howe PTI, the UK's most watched source of personal training information online.