Asthma and how it will affect my Med. School Education

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Angel252

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Hello everyone,

I have Asthma. It has been under control for some years but after studying for the MCAT, school, and during the application process (stress) some of my symptoms came back. I have my inhalers and medication, which they do help, but the psychological impact is still there. I feel like I will never be able to study once med school starts or practice in a specialty that is full of stressful situations without the need of an inhaler. I do live a healthy lifestyle and maintain an exercise routine which helps me handle my stress. Does anyone have any tips or past experiences on how they dealt with it?

Thank you
 
If your asthma is poorly controlled then go see your allergist. If you're having anxiety profound enough that it's effecting your health (inducing asthma attacks) then go see a psychiatrist. No shame in that, plenty of med students and doctors deal with serious anxiety. What you shouldn't do is ask for medical advice on an online forum from people that don't know you or your history, and you don't know their qualifications. Plenty of doctors and medical students have asthma and have it well under control by following the advice of their allergists. You should do the same, I (for one) am in no position to hand out medical advice on an anonymous board. See a doctor.

Edit: on another note/non-medical advice side of things, it does sound like you're psyching yourself out because of your asthma. Like I said above, see a doctor. But having said that, there are plenty of profoundly disabled doctors that are very successful. I know docs that have serious disabilities that have either found specialties that allow them to live up to their full potential or work with their institutions to put accommodations in place that assist them in their duties. Medical problems like this are protected under the Americans with Disabilities Act, and institutions are required to make reasonable accommodations for those with disabilities. Would they ensure that you are never exposed to stressful situations? Of course not, as that wouldn't be reasonable. But would they work with you (along with you following your doctor's advice/treatment) to find good solutions to your issue? Definitely. But this does sound like an issue that could be best handled by your doctor along with you learning some strategies for coping with stress better.
 
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If your asthma is poorly controlled then go see your allergist. If you're having anxiety profound enough that it's effecting your health (inducing asthma attacks) then go see a psychiatrist. No shame in that, plenty of med students and doctors deal with serious anxiety. What you shouldn't do is ask for medical advice on an online forum from people that don't know you or your history, and you don't know their qualifications. Plenty of doctors and medical students have asthma and have it well under control by following the advice of their allergists. You should do the same, I (for one) am in no position to hand out medical advice on an anonymous board. See a doctor.

Edit: on another note/non-medical advice side of things, it does sound like you're psyching yourself out because of your asthma. Like I said above, see a doctor. But having said that, there are plenty of profoundly disabled doctors that are very successful. I know docs that have serious disabilities that have either found specialties that allow them to live up to their full potential or work with their institutions to put accommodations in place that assist them in their duties. Medical problems like this are protected under the Americans with Disabilities Act, and institutions are required to make reasonable accommodations for those with disabilities. Would they ensure that you are never exposed to stressful situations? Of course not, as that wouldn't be reasonable. But would they work with you (along with you following your doctor's advice/treatment) to find good solutions to your issue? Definitely. But this does sound like an issue that could be best handled by your doctor along with you learning some strategies for coping with stress better.

That is the word. Anxiety. I would have trouble breathing then I just could not focus completely on studying and I know medical school will be a lot more rigorous. But THANK YOU for the advice, I will do just that before I start.
 
That is the word. Anxiety. I would have trouble breathing then I just could not focus completely on studying and I know medical school will be a lot more rigorous. But THANK YOU for the advice, I will do just that before I start.
Glad to hear it! Don't get discouraged by medical problems, anything you deal with and resolve are experiences that you can draw on in order to help patients down the road. Medical school will be extremely rigorous, but I know you can do it because others have gone before you, having to deal with medical problems as serious or much more serious than yours. Definitely sounds as though it stems from anxiety, and while you should certainly talk to your allergist a psychiatrist (and psychologist) may be immensely helpful to you.

Also, I get the impression that you are worrying about hypothetical emergency situations, having not had much experience in the field. You will be trained extensively before confronting medical emergencies. When you first do so, you will fall back on your training. It kicks in and you do what is needed of you. When you see documentaries of doctors, nurses, paramedics, and EMTs working under highly stressful situations, they are utilizing their training. You may very well going into a specialty that is stressful once you get control of your anxiety. I know doctors and nurses that were afraid of/extremely stressed out by blood when they started out and ended up in EM or surgical specialities. You get used to things and the stuff that used to induce terror soon becomes routine. And that's the whole point of medical training, so that not only can you fall back on your extensive training and experience, but also go beyond it in oder to think creatively in novel situations.

Another thing that may be of use to you is talking to a psychologist. There are plenty of cognitive strategies that are great for helping people deal with anxiety, from meditation to cognitive behavioral therapy, that a competent psychologist can teach you. For me, having worked in emergency services, focusing on the moment that I'm in and the specific tasks that need to be accomplished is vital. Furthermore, I work to disconnect myself emotionally from serious situations; sure, a patient might be in pain, but it's ultimately selfish of me to freak out because that won't help them. Instead, I focus on calming them down, encouraging them to focus on their breathing, and treating any specific medical problem (that is within my scope of practice to treat). Again, it's all about focus on the tasks and the problem solving that it takes to fix the situation. Should I be doing compressions? If I am doing compressions, are they effective? If not, why not? Can I fix the reason for my ineffective compressions or do I need to call for someone else to jump in because I'm too exhausted? It's certainly a stressful scenario but I'm not thinking about the emotionally serious facts of the situation while I'm working on the patient. I'm just doing my job. I may have aftereffects from some of the more serious calls I've been on where patients didn't make it, but I talk those out calmly with my significant other, which allows me to emotionally process the gravity of what I've been through. Studying can be trickier for me in some ways (ha, I get more nervous about huge tests that I do about CPR), but again it's about not worrying about the future and doing the best you can. Medical school, unlike undergrad, is not designed to flunk you out--it's designed to train you to be the best doctor you can be. There are plenty of resources, from peers to professors, who will help guide you through the process. If you got into a medical school, it's because the adcoms believe you have what it takes to be a doctors. That's awesome! Trust their judgement, they know better than you. Keep on truckin', you'll do great!
 
Are you sure that it's actually asthma (i.e. had formal testing done: spirometry or methacholine challenge)? A lot of patients I see think they have asthma but it turns out that they actually have vocal chord dysfunction which is anxiety related... (especially when these patients are type A, perfectionist types!). Or perhaps you have both? Either way, I agree, head to your local Allergy clinic and they can steer you in the right direction!

- your resident respiratory therapist.
 
Ok, I've seen too many of these questions recently. I have X problem, will I succeed in med school. The short answer is yes you will be fine as long as your medical problem does not inhibit your ability to provide patient care. You may be limited to certain specialties but it doesn't make it impossible to be a doctor. Hell I know of a resident in my hospital that has a muscular disorder, is in a wheelchair and has a permanent caretaker at her side at all times. This person's obviously not in a surgical field but it doesn't seem like it's holding her back from her being a doctor. Challenging? Yes. Impossible? no.
 
Are you sure that it's actually asthma (i.e. had formal testing done: spirometry or methacholine challenge)? A lot of patients I see think they have asthma but it turns out that they actually have vocal chord dysfunction which is anxiety related... (especially when these patients are type A, perfectionist types!). Or perhaps you have both? Either way, I agree, head to your local Allergy clinic and they can steer you in the right direction!

- your resident respiratory therapist.

Yes, it is Asthma. I visited an allergists around 3 years ago where he prescribed corticosteriods and the albuterol medication. Like I mentioned, it was under control until very recently it started getting worse than before. Similar to when I was young. But I agree, I have already scheduled an appointment. Thank you for your concern and advice!
 
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