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Tell us what you think about this series, about health care in the state, or how to improve the quality of life in Appalachia. Send us your comments now to weku@eku.edu, or to Simple Changes, WEKU, 102 Perkins Building, 521 Lancaster Avenue, Richmond, KY 40475.

Simple Changes is a year-long exploration of chronic illness in Appalachian Kentucky produced by public radio station WEKU and Pattie A. Clay Regional Medical Center in Richmond, Kentucky. The project is funded by Sound Partners for Community Health.

   
Chronic Diseases

According to the Centers for Disease Control, chronic illness is among the most common and costly health problems. They are also among the most preventable.

So what is a chronic disease? Medical experts define it as a condition that lasts a year or longer, limits what a person can do, and won't go away on its own.

If you live in the Appalachian counties of southeastern Kentucky, your chance of having a chronic health problem is generally far greater than if you live in other parts of the United States.

While many chronic diseases are present in the region, here is some information to help you understand some of the most prominent conditions.




COPD  
 
  Chronic Obstructive Pulmonary Disease (COPD) is a term used to define chronic lung disorders that restrict airways and cause breathing-related problems. The most common types of COPD are emphysema and chronic bronchitis. Emphysema restricts the lungs' air sacs, making breathing difficult. Bronchitis causes the lungs' airways to narrow and become congested with mucus. The primary causes of COPD are tobacco use, exposure to air pollution and respiratory infections.    

Are you at risk for developing a chronic lung disease? Take our quick quiz now.

Patient Profile
Janet Costilow
Costilow, 58, of Berea, had emphysema for 14 years. After her lung capacity decreased to 10-percent, she had a lung transplant in 1999. Costilow calls her COPD "pure hell. It's like if you would close off your nose and maybe put a cocktail straw in your mouth and try to breathe through that straw and at the same time run a race. You can imagine how short of breath you would get." She attributes her emphysema to smoking for 35 years. Listen to her story.

 

Risk Factors    
  If you smoke; inhale chemicals and pollutions over prolonged periods; have asthma, chronic lung infections or lack the genetic protien alpha1-antitrypsin; have a family history of COPD    
Signs of COPD    
  Chronic cough, wheezing or shortness of breath, swelling of the legs and feet    
COPD in Kentucky    
  Each day, 178 Kentuckians are hospitalized for respiratory diseases including COPD. In 1997, the state's age-adjusted COPD death rate was fifth highest in the nation. COPD disproportionately affects older and female Kentuckians. See county by county statistics for lung diseases in the state.    
Learn More About COPD    
Listen as a panel of medical experts discusses COPD    
Printable Brochure about COPD (requires Adobe Acrobat Reader)    
       
American Lung Association COPD Facts    
Interactive Tutorial about COPD    
Living with COPD    
Caring for a Family Member with COPD    
Dietary Tips for COPD Patients    
Take the ALA's Lung Profiler    

 

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