COPD

Last week I received confirmation of a diagnosis of chronic obstructive pulmonary disease (COPD) based on results of spirometry tests back in August (it took that long for my GP surgery to get the results from the test centre, and only after my own intervention after their repeated failures).

My GP helpfully seemed very keen to blame my twenty-odd year history of smoking.

I first smoked at about age 20. My parents were smokers (wasn’t everyone back then?). I was never a heavy smoker. The most I ever smoked was ten a day. It’s also true I smoked a number of other substances that didn’t come with filters. And then there was some vaping. I suspect that might have been the worst of the lot, but who knows? I haven’t smoked for ten years.

In my childhood, I remember several episodes of severe shortness of breath, e.g., when running around the sports field at primary school I collapsed gasping for breath, and unable to continue. I was never diagnosed with asthma. I was told to get up and stop being so weak.

As I got older, whenever the football season started, I could never get through a full game. I put it down to lack of fitness and stamina at the time, but whatever it was, the symptom was breathlessness. I was told to get fit and sent off on cross-country runs.

I had regular episodes of shortness of breath throughout young adulthood that were not triggered by exercise (I’d more or less given up by then, helped by a dodgy ankle). I thought it might be hayfever or a dust allergy.

Fourteen years ago, I needed a thoracotomy on my right lung after a chest infection went wrong. I developed pleurisy, a collapsed lung and an empyema. In the post-op, my surgeon said my lung was “as good as new”.

In the years before covid, I had frequent chest infections requiring antibiotics and time off work to recover. Then and now, I wonder if that was triggered by the Southall Gasworks remediation and air pollution?

I now see that studies show that exposure to volatile organic compounds (including benzene, naphthalene and toluene) is related to COPD.

The good news is that I had no symptoms of COPD, so it’s been diagnosed at an early stage. I’ve started with my new inhaler, and my wife reports that I’ve stopped snoring.