Your doctor or nurse will determine the cause of your hyperventilation. Rapid breathing may be a medical emergency -- unless you have have had this before and have been reassured by your health care provider that it can be self treated.. Often, panic and hyperventilation become a vicious cycle. Panic leads to rapid breathing, and breathing rapidly can make you feel panicked.. If you frequently overbreathe, you may have hyperventilation syndrome that is triggered by emotions of stress, anxiety, depression, or anger. Occasional hyperventilation from panic is generally related to a specific fear or phobia, such as a fear of heights, dying, or closed-in spaces (claustrophobia).. If you have hyperventilation syndrome, you might not be aware you are breathing fast. However, you will be aware of having many of the other symptoms, including:. ...
TY - JOUR. T1 - Effects of hyperventilation on conjunctival oxygen tension in humans. AU - Nisam, M.. AU - Albertson, Timothy E. AU - Panacek, Edward A. AU - Rutherford, W.. AU - Fisher, C. J.. PY - 1986. Y1 - 1986. N2 - A polarographic conjunctival oxygen sensor was used to measure oxygen tension in a tissue bed supplied by the internal carotid artery. The shared vascular source of the conjunctiva and brain suggests that conjunctival PO2 monitoring may provide an index of cerebral perfusion. We studied the effects of hyperventilation, a known stimulus of cerebral vasconstriction, on conjunctival oxygen tension (P(cj)O2) in six normal, healthy adults; arterial blood gases were simultaneously measured in four of these subjects. A 5-min period of hyperventilation to a PaCO2 near 20 torr resulted in a rapid and significant (p,.01) increase in systemic oxygen tension as measured by arterial blood gases and a transcutaneous oxygen monitor. These values gradually returned to baseline upon cessation of ...
All of these hyperventilation symptoms are typical in people who routinely overbreathe. So, why is chronic Hyperventilation Syndrome so seldom diagnosed and talked about? Especially since medical studies have estimated that up to 10% of the otherwise healthy population suffer from chronic hyperventilation to some degree. People with asthma and COPD are also prone to overbreathing. Thats a lot of people wandering around out there, breathing more than they need to be. Many of them are also wondering why they feel so bad as their doctors have found nothing wrong or told them they are suffering anxiety. Certainly the symptoms of Hyerperventilation Syndrome alone are enough to make one anxious, but in most cases the overbreathing precedes the panic and worry. Dr Claude Lum, a British chest physician who wrote extensively about chronic hyperventilation said that one of the diagnostic clues to this disorder was fat folder syndrome - anyone with a fat case file and no obvious organic disease but ...
This syndrome can also be a part of panic attack and these patients are not just acting but are really in a huge distressful feeling. When the carbon dioxide decreased and a high blood PH develops. The high blood PH is responsible for the changes in the way the patients nervous system works that leads to dizziness, sensation in the fingertips and mouth, also with the perceptual changes ...
Older research outputs will score higher simply because theyve had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 351,478 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 69% of its contemporaries ...
Hyperventilation is frequently used to prevent or postpone the development of cerebral edema and intracranial hypertension in patients with fulminant hepatic failure (FHF). The influence of such therapy on regional cerebral blood flow (rCBF) remains, however, unknown. In this study the CBF-distribution pattern was determined within the first 12 hours after development of hepatic encephalopathy (HE) stage 4 before and during hyperventilation. Ten consecutive patients (median age 48 [range 33-57] years) with FHF and 9 healthy controls (median age 54 [24-58] years) had rCBF determined by single photon emission computed tomography (SPECT) using intravenous injection of 133Xenon. For determination of high resolution CBF pattern, the patients were also studied with 99mTc-hexa-methylpropyleneamine oxime (HMPAO) in the hyperventilation condition. There was no significant difference in the rCBF distribution pattern during normoventilation as compared with hyperventilation. The anterior to posterior (AP) ...
SUMMARY. A group of 10 patients who complained of exertional dyspnea largely after exercise and who had normal physical examination and chest roentgenograms is described. Chronic obstructive lung disease, pulmonary vascular disease, and interstitial pneumonitis were excluded because mechanics of breathing and respiratory gas exchange were normal. Comparison with normal volunteers and with patients with diffuse lung disease showed that their symptoms were the result of inappropriate postexercise hyperventilation. Three minutes after completion of the exercise their PCO2 averaged 23 mm Hg compared with 37 mm Hg for normals and 31 mm Hg for patients with diffuse lung disease. The decreased PCO2 in the airways produced bronchospasm that could be reversed by adding carbon dioxide to the inspired gas. Dyspnea appeared to result from increased work of breathing, in part from hyperventilation and in part from increased resistance to air flow. In some, the postexercise hyperventilation could be related ...
Central neurogenic hyperventilation (CNH) is an abnormal pattern of breathing characterized by deep and rapid breaths at a rate of at least 25 breaths per minute. Increasing irregularity of this respiratory rate generally is a sign that the patient will enter into coma. CNH is unrelated to other forms of hyperventilation, like Kussmauls respirations. CNH is the human bodys response to reduced carbon dioxide levels in the blood. This reduction in carbon dioxide is caused by contraction of cranial arteries from damage caused by lesions in the brain stem. However, the mechanism by which CNH arises as a result from these lesions is still very poorly understood. Current research has yet to provide an effective means of treatment for the rare number of patients who are diagnosed with this condition. Central neurogenic hyperventilation (CNH) is an extremely rare neurological disorder that was initially reported by Fred Plum, MD and August G. Swanson, MD, in 1959. Plum and Swanson described the ...
Apnea and Hyperventilation Children with Pitt-Hopkins can have periods of very unusual breathing patterns, which has been reported by some parents may be due to anxiety issues. Treatment of anxiety could help reduce apnea and hyperventilation.
Hyperventilation is a difficult diagnosis to make clinically and that is why having an objective test of hyperventilation is so useful. People who hyperventilate deplete their levels of red cell carbonic anhydrase and the ratio between the activity and the protein gives us a good indication of whether or not hyperventilation is a problem. Hyperventilation is also difficult to treat and so this test tells us how much effort we have to put in to correcting this. Essentially, there is a two-pronged approach - firstly biochemical and secondly physical: Biochemically, red cell carbonic anhydrase is a zinc dependent enzyme and will be depleted simply by zinc deficiency. Furthermore, a low red cell carbonic anhydrase drives hyperventilation and so this is another example of one of the many vicious cycles seen in patients with chronic fatigue. Zinc is best absorbed at night and I recommend taking 30mg last thing at night on an empty stomach. This should be in addition to zinc taken in my physiological ...
Hyperventilation occurs when the rate and quantity of alveolar ventilation of carbon dioxide exceed the bodys production of carbon dioxide. Hyperventilation can be voluntary or involuntary.When breat
Quick, deep breathing can cause hyperventilation, which can cause health problems. Find out what causes hyperventilation, what the symptoms are, and how to treat it at home.
About two months ago I experienced a hyperventilation attack which has turned into what I think is a type of chronic hyperventilation. Because I have practiced yoga and learned to control my panic atta...
In all cases, bedside measurement of locCBF using a cranial bolt in patients with severe TBI resulted in correct placement in the white matter with a low rate of complications. Mean locCBF decreased substantially with hyperventilation challenge (−7 ± 8 ml/100 g/min, p = 0.0002) and increased slightly with MAP challenge (1 ± 7 ml/100 g/min, p = 0.17). Measurements of locCBF following MAP and hyperventilation challenges can be used to calculate locCVR. In 83% of cases, locCVR increased during a hyperventilation challenge (mean change +3.5 ± 3.8 mm Hg/ml/100 g/min, p = 0.0002), indicating preserved cerebral CO2 vasoreactivity. In contrast, we observed a more variable response of locCVR to MAP challenge, with increased locCVR in only 53% of cases during a MAP challenge (mean change −0.17 ± 3.9 mm Hg/ml/100 g/min, p = 0.64) indicating that in many cases autoregulation was impaired following severe TBI. ...
About 10% of the population are diagnosed with hyperventilation syndrome. This being said it is thought that far more people are suffering from a breathing
Hyperventilation syndrome. I was breathing heavily because the training was intense, then did the mistake of forcefully breathing when I felt like I wasnt getting any air. My blood became increasingly oversaturated with oxygen, making the pH of my blood alcalic which increased the afficity of Oxygen to haemoglobin. Thus, even with more oxygen in the blood, less was able to leave my blood to enter tissues. "Chest pain" from that and paresthesia due to altered fireing of the nervous system. Restored upon normalization of blood carbondioxide and pH. Sore calves due to high metabolic demand and lots of anaerobic glycolysis ...
Hi there. Im a 32 year old female from new Zealand. Almost 5 years ago I fell pregnant with my third and last child. About 8 weeks in I started suffering from hyperventilation syndrome and anxiety. The doctors kept saying it would go away on its own once baby came. Then my baby was born with a rare skin condition that was a huge shock as even the specialists hadnt seen it before. It was a very trying time and stepped my anxiety up another notch. Within her first year, we also planned a wedding. After the wedding, everything came to a head and I spiraled into depression. I lost friends, confidence and stayed at home more often than not. Eventually I saw the GP and she put me on antidepressants and I started cognitive behavior therapy. It really helped. I am still on the antidepressants now (venlafaxine) and suspect I will be for some time because whenever I try to come off them my breathing issues and anxiety come back ...
According to Professor Buteyko, chronic hyperventilation syndrome (CHVS) is a root cause of the most common chronic diseases - therefore the emphasis of treatment is always to reverse the CHVS. Even so, different disease types and varying severity require different strategies for effective reversal.. In addition, cleansing reactions which are a part of the process wherein toxins and infections are discharged and the body heals itself, require special attention and vary from condition to condition.. Please note:. 1.We have categorized diseases by the general degree of skill, attention and time to treat.. 2.Naturally the degree of the condition and medications have a significant influence on treatment. Several conditions are in more than one category to reflect this variance.. 3.Rapid improvement of symptoms often occurs before the underlying condition is optimally treated.. 4.An assessment consultation will provide the best estimate of realistic outcome of treatment - which is often different ...
Researchers are developing a new therapy for panic attacks by turning the current treatment for one of the most uncomfortable symptoms - hyperventilation - on its head.. Instead of urging sufferers to take long, deep breaths when they feel they cant breathe, as many were taught for years, researchers from Southern Methodist University say a more effective strategy is to take slower, shallow breaths.. In the throes of a panic attack, sufferers experience symptoms like heart racing, profuse sweating and feelings of suffocation. They may think they are having a heart attack or believe they will faint or die. Its unclear if hyperventilation is a cause or a consequence of panic attacks.. Some 10% to 15% of the U.S. population experience occasional panic attacks, usually during a stressful situation, but about 2% develop panic disorder, in which people become so anxious about having attacks that they begin avoiding situations for fear for having one, according to anxiety expert David Barlow, a ...
Physiological and pathological respiratory responses are triggered by various conditions of exposure to cold climates. Beside airway smooth muscle, both the pulmonary and the tracheobronchial vasculatures are major effectors of respiratory responses to cold. General exposure to cold causes pulmonary vasoconstriction known as Raynauds phenomenon of the lung in subjects with primary Raynaud syndrome and favors acute pulmonary oedema in subjects with congestive heart failure. In healthy subjects acute hyperventilation of very cold air has led to acute respiratory failure closely similar to hypoxic pulmonary oedema. In outdoor exercising people years long repetition of hyperventilation of subfreezing air causes eskimo lung made of obstructive lung disease and increased wall thickness of pulmonary arteries. At a lesser degree hyperventilation of dry air cools the central airways and triggers subclinical bronchial obstruction in healthy subjects. In asthmatic subjects hyperventilation of dry air causes
The use of laparoscopic techniques has become common in clinical practice. Absorption of carbon dioxide (CO2) from the peritoneal cavity is the potential mechanism for hypercapnia and a rise in the end-tidal carbon dioxide (EtCO2). Mild hypercarbia causes sympathetic stimulation which results in a fivefold increase in arginine vasopressin (AVP), tachycardia, increased systemic vascular resistance, systemic arterial pressure, central venous pressure and cardiac output.1 Severe hypercarbia exerts a negative inotropic effect on the heart and reduces left ventricular function.2 Hemodynamic alterations occur only when the PaCO2 is increased by 30 per cent above the normal levels.. Clearance of CO2 is a function of the adequacy of alveolar ventilation with respect to pulmonary perfusion. Controlled hyperventilation has proved to be superior over spontaneous respiration or controlled normo-ventilation for maintaining normal PCO2 during laparoscopy. During pelvic laparoscopy there was a rapid rise of ...
George, D. T., Nutt, D. J., Walker, W. V., Porges, S., Adinoff, B., & Linnoila, M. (1989). Lactate and Hyperventilation Substantially Attenuate Vagal Tone in Normal Volunteers - A Possible Mechanism of Panic Provocation. Archives of General Psychiatry, 46(2), 153-156 ...
Hyperventilation means breathing faster than normal. It feels like one cant get enough air. This makes the carbon dioxide level in your blood and brain tissue fall. Usually caused by psychic and/or social stress.
Authors of a comparative effectiveness review issued by the Agency for Healthcare Research and Quality conclude that hyperventilation reduction techniques "may be a useful tool in the larger asthma management toolbox, which also includes medication and other components as needed, such as environmental controls, symptom monitoring, and a plan for handling exacerbations." However, given that none of the studies included in the review were conducted in the United States, available evidence is limited in its strength and applicability to the US population, they add. The authors searched MEDLINE; PsycInfo; Embase; Cumulative Index to Nursing and Allied Health Literature; Physiotherapy Evidence Database; Cochrane Central Register of Controlled Trials; AltHealthWatch; Allied and Complementary Medicine; Manual, Alternative and Natural Therapy Index System; and Indian Medical Journals from 1990 through December 2011. They supplemented searches with manual searching of reference lists and grey literature, ...
Authors of a comparative effectiveness review issued by the Agency for Healthcare Research and Quality conclude that hyperventilation reduction techniques "may be a useful tool in the larger asthma management toolbox, which also includes medication and other components as needed, such as environmental controls, symptom monitoring, and a plan for handling exacerbations." However, given that none of the studies included in the review were conducted in the United States, available evidence is limited in its strength and applicability to the US population, they add. The authors searched MEDLINE; PsycInfo; Embase; Cumulative Index to Nursing and Allied Health Literature; Physiotherapy Evidence Database; Cochrane Central Register of Controlled Trials; AltHealthWatch; Allied and Complementary Medicine; Manual, Alternative and Natural Therapy Index System; and Indian Medical Journals from 1990 through December 2011. They supplemented searches with manual searching of reference lists and grey literature, ...
K Fujii, H Kohrogi, S Hirosako, O Kawano, N Hirata, E Goto, M Ando. Dyspnoea and hyperventilation induced by synthetic progesterone chlorpromadinone acetate for the treatment of prostatic hypertrophy. Respirology (Carlton, Vic.). 2001 Sep;6(3):265-7 ...
List of causes of Chest symptoms and Hyperventilation and Palpitations, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
To assess the use of hyperventilation and the adherence to Brain Trauma Foundation-Guidelines (BTF-G) after traumatic brain injury (TBI). Twenty-two European centers are participating in the BrainIT i
Narimanbekov I.O.; Rozycki H.J., 1992: Hyperoxic hyperventilation induced lung damage manifested within eight hours in a rabbit model
Looking for simple explanations to difficult medical terms that tend to puzzle you? This glossary can help you to easily understand medical terms related to the article on Hyperventilation
Giving breaths too fast and too forcefully forces air down the esophagus and contributes to stomach inflation and regurgitation, making the job of CPR harder. This is the simple book answer, and it is true. What is also important to know is that hyperventilation increases the amount of positive pressure in the chest. As discussed previously, in order for CPR to be effective, there needs to be negative pressure (a vacuum) in the chest when allowing chest recoil in order to bring blood back into the heart. Hyperventilation creates positive pressure in the chest ALL the TIME, decreasing venous return and rendering CPR less effective. My personal opinion is that this is the single biggest thing that Healthcare Providers do on a regular basis that contributes to poor outcomes! The patient is getting at best 30 percent of their normal cardiac output during CPR, they do not need extra air in the chest. (They cant use it!) Just enough to see the chest rise is enough air in the lungs. Hyperventilation ...
不同的醫學資料對於呼吸相關的名詞,也有不同的定義。 有些來源認為呼吸急促就是指呼吸率較高的情形。过度换气(Hyperventilation)是指肺泡通氣量增加(可能因為呼吸加快或是深呼吸而造成,也有可能二者都是),而代謝產生二氧代碳量的增加幅度比呼吸率的增加要少。呼吸深快(英语:Hyperpnea)則是呼吸的速度及呼吸深度都比靜息時的呼吸要高[2]。 也有些來源有不同的定義:呼吸急促就是指呼吸率較高,过度换气是指靜息時的呼吸率較高,呼吸深快是指呼吸率的增加大致和體內代謝率的增加成正比[3], ...
This is of special interest to me. As well as Jims response. She was nearly angelic until the final approach where she was upset by having to put the tray up. Then she started crying, which may have changed her respirations into the mode mentioned below and it got worse from there--I mean LOTS worse. Does this make sense. She did not have a seizure, she just got totally out of control and as soon as we hit the ground she was fine. : If this is not just a coincidence, the trigger is likely to be : hyperventilation associated with the drop in cabin pressure. This results : in a reduction in blood pCO2, and a decrease in H+ which, in turn, causes : cerebral vasoconstriction. That can activate epileptic foci. I would : watch for and try to prevent hyperventilation, with oxygen if necessary. : Eric Wassermann Thanks to Eric & Jim both for your responses. Trudy -- Meeting the needs of children with special needs through Parents Helping Parents..... PHP--The Family Resource Center 3041 Olcott Street, ...
First, CO2 (carbon dioxide), the gas we exhale, is crucial for dilation of blood vessels. Check it yourself. Start to breathe very heavy in and out just for 1-2 minutes, and you can lose consciousness (faint or pass out) due to low blood supply for the brain. There is another simple test to see the effects of breathing on blood flow. When you get a small accidental bleeding cut, hold your breath and accumulate CO2. Your blood losses can increase 2-5 times! But in real life, pain and sight of blood make breathing heavier preventing large blood losses and providing valuable time for blood to coagulate. It is a mechanism useful for our survival likely based on natural selection ...
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The absolute best way to treat this problem is to treat the anxiety itself and its subsequent panic attacks as these are the heart of the reason why p
Bayliss DA, Millhorn DE, Gallman EA, Bayliss DA, Millhorn DE, Gallman EA, Cidlowski JA, et al. Progesterone stimulates respiration through a central nervous system steroid receptor-mediated mechanism in cat. Proc Natl Acad Sci U S A 1987; 84: 7788-7792 ...
This study shows that Da, the only E-protein in Drosophila with highly conserved bHLH domain, functions as human TCF4 orthologue. As the overall identity of a protein sequence between Drosophila and mammals is usually around 40% between homologues and 80-90% within conserved functional domains, Da can be considered the orthologue for all three human E-proteins. In all experiments conducted in this study, TCF4 was found to act very similarly as Da, proving the possibility of modelling PTHS in the fruit fly. The two human TCF4 isoforms, TCF4-A and TCF4-B, were able to activate E-box dependent lacZ expression in Drosophila, and more importantly, to induce ectopic bristle formation in the adult thorax, to rescue embryonic nervous system development in da null embryos, and to induce the rough eye phenotype when overexpressed in the nervous system identically to Da. Altogether these results show that TCF4 has comparable activity in the fruit fly as Da (Tamberg, 2015).. To further study the ...
Two days ago I came home from work to have lunch. When I got out of my truck I started to feel ill. I figured it was cause I hadnt eaten a lot. I went inside had a sandwich and water. I still wasnt feeling good. I tried to drive back to work but was feeling a bit off and my vision seemed wonky. I turned around came home. I tried again in about 15 minutes to drive back to work. I made it to the end of my street and had to get it of my truck because I felt like I was going to pass out. I came back home got out of my truck and while walking back to my house both of my arms and face went numb and tingly. I went to get phone to call my husband and my vision went and then I was having problems breathing. I called 911 and ambulance came. I was taken to hospital. The er dr said my vitals were fine and didnt check me but sent me home saying that I hyperventilated and thats why I went numb. I went numb before anything else happened. I came home and went to bed slept all day yesterday feeling very weak ...
There are two steps to successful oxygenation.. The first step is the oxygenation of the lungs and blood.. We all successfully complete this first step (except in case of serious illness) because we all have maximum oxygen saturation in the blood. If in doubt, you can measure it now with an oximeter.. Whether its a sick person close to death or an overpowered yogi hidden in a cave in the Himalayas, our oxygen saturation in the blood is always maximal (96 -100%)!. The second step is oxygenation of our cells.. They are the ones who need it to produce energy. And we have seen that the key to oxygenating your cells is the CO2 (carbon dioxide) produced inside your cells.. This concentration of CO2 is what differentiates us all, not only our level of energy but also our level of stress.. Just as for your energy level, your stress level is dependent on a single physiological variable: your CO2 tolerance threshold and your associated breathing rate (hyperventilation or calm breathing).. As you now ...
Give me a fucking break. turd-spewing robots in a narrow corridor so that its virtually impossible to avoid one without suiciding yourself on the others, so how did they somehow miss how fucking annoying it is? When the final boss takes someone who is pretty good at these games over twenty minutes to beat while cheating, you have a problem. Well, I guess if youre hardcore" and you want a painful-as-fuck challenge, Ninja Crusaders is as close as youre going to get to tabasco sauce in the urethra. But I, personally, dont, and I doubt little Joshie Hyperventilate down the street did either.. Defining Moment: While the final boss was awful, the third from the last was an ominous hint of Bad to Come. Like many of the previous bosses, the UFO Boss is a large blob of illustration that zooms from the edges of the screen and fires projectiles at you. Unlike previous bosses, though, it seems to have rudimentary AI. It knows where you are, and it knows where you have to jump to attack it. Therefore, ...
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Back and Biceps-holy bayou batman-it was hotter than it has ever been! I almost hyperventilated at one point. Going outside hardly helped as it was muggy and still. Using the new weights were good except for one thing: the handles collected the moisture and EVERYTHING felt slippery. I still did the same on some exercises- sometimes with a struggle and then I did improve on many too. Thank you, body ...
Fourteen cases of inadvertent iatrogenic embolization of cerebral vessels occurring in a consecutive series of 3,731 angiographies in infants and children were studies. The incidence of embolization(0.9% of all patients ond 0.4% of all angiographic examinations) was about the same as has been reported in adults, but the clinical consequences were much milder, only one patient having documented transient neurologic symptoms. Also the angiographic appearance of the emboli differed from those described in adults. These differences may in part be due to the technique (general anesthesia with hyperventilation) but also to different reactions towards ischemia and to different types of emboli in children. ...
The boy had apparently asked other dentists in the area to remove his braces before visiting Carstens Mack Avenue office on Feb 8, "probably because he lives three or four blocks from my office," Carstens said. "He (came) in to see me and said he wanted them off. I said he wasnt finished with his treatment and I couldnt take them off without a letter from his parents and his regular orthodontist ...
I asked for a paper bag to stop the hyperventilation but was denied. Ms. Abrams came down a few minutes later and asked me how long I had had these attacks. I explained that my baby had recently died a SIDS death and that I had only been released from the hospital for treatment for shock, PTSD and severe depression a couple of weeks prior to this. She asked me if we had the money to pay the fine or anyone we could call to get it and I told her no. My husband was driving a truck long distance and it took everything we made just to stay afloat. She said she had tried to talk to the judge but he refused to show any mercy. She told me that my husband had also tried to talk to him and explain that I was a stay-at-home mother and he was a long distance truck driver and that he would lose his job, our only source of income right then if I couldnt be home to take care of the kids. The judge said to him, "So, youre telling me that you need the government to take care of your children for you?" My ...
I cried every single day, I stared at nothing unable to blink not able to concentrate. They had me come back for an US to make sure the medication was working. It didnt take, in fact the baby was thriving and even grew. This time they forgot to lower the volume on the US and we heard my babys heart beat for the first time. What a beautiful sound and so tragic to hear it all at the same time, knowing that they wanted my baby to die because she was "not in the right spot." I couldnt believe the carelessness and my husband snapped at the US tech for this (were from NY) The doctor sent me immediately to the ER said that my life was being threatened and surgery was imperative. the rest of the day was a nightmare that just replays in my head: crying dizziness hyperventilation. I had to be sedated before they took me into the OR. Thank God for my family and my wonderful husband, he really had to take care of everything all by himself because I just couldnt do anything. Afterwards I tried so hard ...
Some pain we can justify. (I am dysfunctional at the moment because X has occurred.) In these cases, fallout from X is universally understood, even expected. Other times we are broken by things we cannot name. Prayers taste like cardboard in our mouths. Silent tears choke in our throats . What we can name seems small and pathetic. And then to be brought down by such insignificant troubles is itself a trial.. Six or so months ago, Girl one was on our porch weeping madly. Control long gone, she gasped for air. I wasnt sure whether to get a paper bag and treat for hyperventilation, or just to wait. I ran my fingers through her hair, wiped her tears, held her, and wished that I believed in sedatives enough to have some on hand.. For what seemed like a very long time, she was unable to tell me what was wrong. Either she was crying too hard to speak or she was insistent that she couldnt say it. Any tiny attempts to explain the problem restarted the cascade of emotion, air shortage and tears.. My ...