It’s not uncommon for those of us with chronic obstructive pulmonary disease (COPD) to suffer from cachexia, or wasting disease. A 2019 study found that people with cachexia or pre-cachexia had a higher death rate than those who didn’t suffer this uncontrolled weight loss. The reason I’m…
Life Tethered to a Concentrator — Caroline Gainer

Caroline Gainer is from West Virginia, the state with the highest rate of COPD in the United States. She was diagnosed with moderate-to-severe COPD in 2013 after a pneumothorax (lung collapse). After two more lung collapses she was diagnosed as severe. She has been very active with the American Lung Association and the COPD Foundation as an advocate for people with lung disease. She hopes that her column, “Life Tethered to a Concentrator,” will inspire others to live their best life with COPD.
They say aging well after 70 can be measured in small victories, such as standing from a low chair without using your hands, remembering appointments without a calendar, or lifting a laundry basket without strain. I smiled as I recently read an article about 10 such signs, because I’m…

Those of us with chronic obstructive pulmonary disease need to be prepared for unexpected challenges like inclement weather or power outages. A few days ago, I was happy that I had an emergency preparedness plan for when the power goes out. We were experiencing high winds, which caused…
I’ve been struggling lately to maintain my normally positive focus on life and living. It’s been perplexing to try to figure out why I’ve been falling further off the gloom-and-doom cliff. I eventually realized that I haven’t been doing anything leisurely lately. As the saying goes, all work and no…
I recently posted in COPD360social, the COPD Foundation’s online community, that I’ve been requiring more sleep than usual. That represents a change in thinking for me. Normally, I would’ve told myself, “Get up. What’s wrong with you? Are you going to sleep your life away?” Or, “Get up and…
You know that Dolly Parton song where she tumbles out of bed, stumbles to the kitchen, and pours herself a cup of ambition? A recent day was one of those days when I need more than one cup of ambition. Days like that one make me almost wish…
I was scrolling through Facebook recently and found a friend’s post that shared his life philosophy. That philosophy? Forget yesterday, live for today, and hope for a better tomorrow. If yesterday was a bad day because of the weather, for example, we should forget about it. But those of us…
Many people with chronic obstructive pulmonary disease (COPD) live alone, and because we must exercise care not to get whatever bug might be going around, we often must limit our excursions away from home. Both factors can make the disease a very isolating one. People with COPD may not…
Note: This column describes the author’s own experiences with phenazopyridine hydrochloride and cranberry juice for urinary tract infections. Not everyone will have the same response to treatment. Consult your doctor before starting or stopping a therapy. As November ends here in West Virginia, the chilly weather is confining…
No matter how well I plan or how much I want to do something, I have to remember that my chronic obstructive pulmonary disease (COPD) is in control. One such reminder happened two weeks ago, as I was rounding up suitcases, securing a driver, and ensuring my house sitter…
Each year here in West Virginia, the Greenbrier Clinic, where I have my yearly physical, sends me a complete list of my vaccinations and when the boosters are due. I make every effort to stay current with them because having chronic obstructive pulmonary disease (COPD) makes me vulnerable…
About a year ago, I attended a conference that addressed the topic of cascades of care, which an editorial in American Family Physician defined as “a seemingly unstoppable succession of medical services often initiated by an unnecessary test or unexpected result and driven by the desire to avoid even…
A few weeks ago, I wrote about overcoming my fears about traveling from my home in West Virginia to Philadelphia, where I’ll be attending the Global Initiative for Chronic Obstructive Lung Disease (GOLD) conference on Nov. 13. I am now in the process of putting the finishing touches…
Recent Posts
- Living with COPD doesn’t mean you can’t age with grace December 9, 2025
- COPD experimental therapy moves into new phase after positive results December 3, 2025
- Having structure in my recovery routine helps me stay grounded November 25, 2025
- The comfort food that diagnosed my dangerous drift from health balance November 18, 2025
- I’m bringing my cheerleader’s pompoms to the long game of COPD November 11, 2025
- American Lung Association invests $22M in lung disease research November 5, 2025
- Weighty matters: Why 140 pounds no longer haunts me November 4, 2025
- The ache of limitation and the grace of persistence in life with COPD October 28, 2025
- Focusing on education, action for this year’s COPD Awareness Month October 27, 2025
- Learning firsthand about the risk of shingles with COPD October 21, 2025