The state after removing the damage that happens to a person. Tuberculosis and lung cancer

If you want to know what sensations another person experiences in the body, what emotions are caused by these sensations, what thoughts they revolve around, to catch the internal state and holistic self-awareness of a person, then you need to tune in, for a while, as if to become one.

How can the customization ability be useful? You can tune in to develop love, clarity, lightness in yourself, explore the elevated states within yourself, in order to gradually, observing, develop these qualities in yourself.

Tuning technique

The most important thing is your sincere wish to feel the strengths of another person, and all the features of the technique given below are just a support for the mind. Technique is not as important as concentration, intention,peace, openness and sincere thanks to the person if his condition is lighter than yours, and he acts as a donor for you.

1. Calm down and recover.

Usually we are very deeply involved in our problems and surrounding events, we struggle with them, we overcome them, we pursue goals. Therefore, it can be difficult to arouse sensitivity to people by tearing your attention away from life's exciting unexpected turns or routine tasks that are ingrained in your habits. Especially if this sensitivity implies that you kind of feel the other person from the inside and become him for a while.

Therefore, firstly, you need to calm down yourself, find your natural peaceful state in which you feel safe and open to the outside world. To do this, you can watch your breathing for 15-20 minutes.

2. Tune in.

Look at the person carefully, and imagine how you would feel if you spoke with such intonation, made such movements with your hands, moved your eyes, straightened your hair, etc. That is, carefully observe facial expressions and gestures and gradually identify with your object until you dissolve in it.

In the language of physics, you change the frequency of your perception and switch to the frequency of this person. That's probably why it's called "tuning".

Naturally, you must have a deep trust and openness in this person, as you are actually letting him into your body. Therefore, it is not recommended to tune in to people who are obviously heavier than you, you will remove their blocks from them, and if you don’t clean up in time, you don’t return back to yourself, this will affect your real health and well-being.

Therefore, tune in better to those who have gone further than you in their development in order to benefit from this.

3. Track your condition.

Watch your own feelings. When you notice them, look, for example, what you want to do, what emotions you experience, what you think about. You can close your eyes, see some pictures or smell something. It all depends on what type of perception you are most inclined to.

The general emotional background of a person is quite easy to distinguish, it is difficult to read thoughts. In interpreting the sensations of the person you are examining, knowing the chakra system will greatly help you.

Naturally, the effectiveness of tuning directly depends on the degree of your inner silence: continuing to think about something extraneous, you will not be able to reveal your sensitivity enough, and your personal “interference” will not allow you to see a clear picture.

4. Return to yourself again.

People, even during everyday communication, energetically “mix” with each other, while experiencing different emotions, and forgetting themselves. Therefore, after a busy working day filled with active negotiations, many people want to go get drunk, that is, after relaxing, to relieve themselves of the burden of other people's problems.

At the same time, we propose to minimize the discharge of one’s own energy, that is, to “return to oneself”, do not get drunk, but use meditation, prayer, observation of breathing, or similar attunement to the images of saints or described above.

And one more warning: when people mix up like this, a more conscious person (and he is like this if he is specially attuned to a partner) has the opportunity, by directing his attention, to change the direction of the attention of another person. This can lead you to very deplorable consequences if, guided by your personal ideas, you try to forcefully break the will, make a person feel and do what he does not want. Be sure that for this you will receive a "kickback" on merit.

One of the basic principles of our world is "Freedom to love, free will", so be careful not to overdo it.

Practice

For practice, we suggest you take a video from an interview with a realized person, a Master, who conducts the quality of will in purity, and try to feel and reveal this quality in yourself.

Image copyright getty

The light at the end of the tunnel is a popular representation of how we feel when we enter another world. But as BBC Future correspondent Rachel Nieuwer says, the experiences of near-death survivors are much more varied.

The experience of people who have survived clinical death refutes the popular notion of our feelings on the verge of life and death.

In 2011, a 57-year-old social worker from England - let's call him Mr A - was taken to Southampton Central Hospital after he collapsed on the job. While doctors were trying to insert a catheter into the patient, his heart stopped. Without access to oxygen, the brain instantly ceased to function. Mr A. has died.

Despite this, he remembers what happened next. Medics took an automated external defibrillator (AED), a machine that activates the heart with an electric shock. Mr. A. heard a mechanical voice repeat twice: "Discharge." Between these two commands, he opened his eyes and saw a strange woman in the corner under the ceiling, who beckoned him with her hand.

Image copyright Thinkstock Image caption The light at the end of the tunnel is just one of many scenarios for the feeling of death.

“She seemed to know me, I felt trust in her, I thought she was here for a reason, but I didn’t know for what,” Mr. A later recalled. “The next second I was upstairs, looking down at himself, a nurse, and some bald man."

Researchers believe that it is quite possible to collect objective scientific data on potentially last moments of life. Over the course of four years, they analyzed more than 2,000 patients who survived cardiac arrest, that is, official clinical death.

Image copyright Thinkstock Image caption It felt like I was being pulled deep underwater

Of this group of patients, doctors were able to bring 16% back to life. Dr. Parnia and his colleagues interviewed a third of these patients - 101 people. “Our goal is to understand first of all what people feel at the time of death,” says Dr. Parnia. “And then to prove that what patients say they see and hear at the time of death is indeed an awareness of reality.”

Seven Shades of Death

Mr. A is not the only patient who had memories of his death. Nearly 50% of study participants could remember something. But unlike Mr. A and another woman whose account of being out of her own body cannot be objectively proven, the experiences of the other patients did not appear to be tied to real events that took place at the time of their death.

Their stories were more like dreams or hallucinations, which Dr. Parnia and his colleagues divided into seven main scenarios. "Most of them didn't fit with what used to be called 'near-death' experiences," says Parnia. "It appears that the psychological experience of death is much broader than we imagined in the past."

These seven scenarios include:

Fear
Images of animals or plants
Bright light
Violence and persecution
Deja vu or the feeling of "already seen"
The faces of family members
Memories of events after cardiac arrest

Mental experiences of patients range from eerie to blissful. Some patients report feelings of overwhelming terror or persecution. For example, like this. “I had to go through a burning ceremony,” recalls one participant in the study. “There were four people with me, and if one of them lied, he had to die ... I saw people in coffins who were buried in an upright position.”

Another person recalls being "dragged deep underwater" and another patient says that "I was told I was going to die and the quickest way to do that was to say the last little word I don't remember."

However, other respondents report rather opposite feelings. 22% recall "feeling of peace and tranquility." Some saw living creatures: "Everything and everything around, in plants, but not flowers" or "lions and tigers." Others bathed in "bright light" or reunited with family. Some had a strong sense of déjà vu: "I felt like I knew exactly what people were going to do and they really did." Heightened senses, a distorted sense of time, and a feeling of separation from one's own body are common memories of near-death patients.

Image copyright Thinkstock Image caption Some patients felt that they were separated from their own body.

While "certainly people felt something at the time of death," Prof. Parnia says, how they would interpret those experiences depended entirely on their life experiences and beliefs. Hindus may have said they saw Krishna, while a Midwesterner in the United States claimed to have seen God. “If a person who is brought up in Western society is told that when you die, you will see Jesus Christ, and he will be full of love and compassion, then he will certainly see him,” says the professor. “She will return and say:“ Father, you are right, I really saw Jesus!" But how can any of us recognize Jesus or another God? You do not know what God is. I do not know what he is. Except for the images of a man with a white beard, although everyone understands that it's a fabulous show."

“All this talk about the soul, heaven and hell - I have no idea what they mean. There are probably thousands of interpretations, depending on where you were born and how you were raised,” the scientist says. “It is important to move these memories from the realm of religion into reality."

Common cases

So far, the team of scientists has not established what will determine the ability of patients to remember their feelings at the time of death. Explanations are also lacking as to why some people experience scary scenarios while others talk about euphoria. Dr. Parnia also notes that apparently more people have near-death memories than the statistics suggest. Most people lose these memories due to massive cerebral edema caused by cardiac arrest or heavy sedatives given to them in intensive care.

Even if people cannot remember their thoughts and feelings at the time of death, this experience will undoubtedly affect them on a subconscious level. The scientist suggests that this explains the very opposite reaction of patients who came back to life after cardiac arrest. Some no longer fear death at all and begin to relate to life more altruistically, others develop post-traumatic stress disorder.

Image copyright Thinkstock Image caption Some patients find themselves in terrible places, others see God

Professor Parnia and his colleagues are planning further research to find answers to these questions. They also hope that their work will help shed new light on ideas about death and free it from stereotypes associated with religion or skepticism.

Death may well be an object scientific research. "Any person with an objective mindset will agree that research should continue," says the scientist. "We have the capabilities and technologies. Right now is the time to do it."

In order to understand how people die from lung cancer, it is necessary to understand that the presented state, which has reached the last stage of development, is associated with many painful symptoms and manifestations. It can be choking, persistent coughing, and more. Most often, death in this situation is long and painful.

Painful states

The fatal outcome is preceded by the painful conditions that a person encounters. They may be different depending on other health problems of the patient, the absence or presence of chronic complications, as well as other threatening processes. Before death, the patient is faced with the following, the most characteristic symptoms:

dry cough, which forms during the night and systematically turns into a debilitating cough with attacks and active sputum production - many mistakenly associate the presented symptoms with a cold or inflammatory pathological process;

a change in the composition of the secreted sputum, which turns out to be much denser than it was before and gradually turns into purulent, bloody discharge may join it;

hoarseness in intonation, because the metastases that a person has encountered begin to damage the vocal cords;

germination of a neoplasm of the esophagus, which provokes violations in the implementation of swallowing.

Another painful condition that the patient faces is brain damage due to metastases.

This provokes, before the defeat of headaches, such physiological processes as aggravation of vision, loss of the normal degree of susceptibility in certain parts of the body.

More about states

Speaking about the additional painful conditions that a person encounters, it is necessary to note the formation of such painful sensations that are similar to the symptoms of intercostal neuralgia. Experts note that over time, the painful syndrome becomes more and more obvious, the sensations only intensify, becoming permanent.

Common conditions from which a person dies are manifested, namely weakness, aggravation of appetite or its absence. An equally likely complication of lung cancer is weight loss, a high degree fatigue, as well as the occurrence of depression and apathy. However, these conditions are far from the most dangerous and deadly when it comes to the presented disease.

Bleeding as one of the factors

One of the factors of death before or after a collision with lung cancer should be considered bleeding. When forming cancerous neoplasms, they are formed in 20-60% of patients. Oncologists pay attention to the fact that:

distant manifestations of the presented menacing symptom should be considered minor blood blotches that appear in the sputum;

systematically, the admixture of blood will increase, in connection with which significant discharges of blood of a pure type can be diagnosed;

the presented processes are due to the fact that the bronchial mucosa ulcerates, which means that the bronchial coverings are destroyed, an abscess or an inflammatory process is formed in the lung region, after which the treatment is problematic.

These processes are able to provoke damage to the bronchial vessels, which provokes profuse bleeding, which can lead to death. On the basis of complications of the pathological condition that a person has encountered, a hemorrhage in the brain area or intestinal bleeding may occur. The latter may also be a factor influencing the death of a patient with lung cancer.

Consequences of chemotherapy

In order to suppress the increase in the number of cancer cells, supertoxic drugs are used, which are characterized by a significant destructive effect. With the formation of lung cancer, the person himself and his body is much more weakened. This is due to the fact that due to the formation of cancerous tumors, the development of metastases in internal organs and systems in humans, the general immune state is aggravated.

During chemotherapy, malignant cells and neoplasms are destroyed, but at the same time, the already minimized protective functions of the body are aggravated.

Immediately after completion of the course of chemotherapy, there is a temporary relief, which will not last long. However, oncologists note that before this, the patient's condition may suddenly worsen not due to the subsequent development of the disease, but due to the extinction of vitality reserves. In this regard, the consequences of the chemotherapy carried out can lead the patient to death, which occurs quite quickly.

Asphyxiation is another cause of death

The defeat of lung tissues by cancer cells often provokes the accumulation of fluid, which begins to be released from cancerous infiltrates, as a result of which a person suffers. The presented physiological algorithm provokes the formation of suffocation, namely, such a feeling, in which the penetration of air into the lung region is aggravated. The patient develops aggravated shortness of breath, which is associated with a progressive nature of development.

The forced development of the presented process leads to noticeable suffocation, and then to death in the patient. At the same time, it is almost impossible to alleviate this painful condition of the patient even today.

In the advanced state of the disease, when the last stage is identified, the patient develops cachexia, which is a significant loss of body index and muscle mass. The symptoms of cachexia that the patient encounters include:

The development of the presented disease is associated with a violation of the digestive functions, secretions and respiration necessary for the body. As a result of the presented changes, weakness is formed and forced loss of weight, as well as vital energy, is identified.

The patient gradually loses the ability to resist the disease, because he feels the close approach of the end of life and gradually fades away - in some cases this happens within a matter of days. A patient in a state of cachexia outwardly resembles people who are ill with anorexia or are prisoners of a concentration camp. If we add to the presented state the suffering of a patient of a physical nature, then it is not difficult to imagine how a patient with lung cancer dies and what horrific torments he experiences.

Death from lung cancer occurs equally frequently in males and females.

This is due to the development of critical complications and other pathological conditions that cannot be completely stopped even after or before treatment. That is why it is necessary to carry out diagnostics and a recovery cycle as early as possible in order to keep the likelihood of developing lung cancer under constant control.

Collection of answers to your questions

Nobody wants to think what will be beyond a certain "limit", but the problem is that no one else in the world has escaped death. So for general development it is worth knowing what a person feels when he dies and says goodbye to life. Perhaps such knowledge will help facilitate someone's care.

Awareness of mortality

People are aware of their mortality even in childhood, for many this fact becomes a real shock:

Each of us is mortal, without any exceptions.

Limb life path equalizes, in a sense, representatives of all social groups.

A person has only a not very long period of time to realize his ambitions.

Real talents leave behind a memory that lives for centuries, and sometimes for millennia.

But no one can say with 100% certainty what awaits a person after the death of the physical body. Is there an afterlife, is the transmigration of souls possible? There are a lot of beliefs in the world, each of which defends its own point of view. But everyone cannot be right at the same time, someone is definitely wrong.

Awareness of one's own mortality can cause panic attacks at any age. An unstable psyche, combined with a huge psychological load, will not give the most pleasant result.

Fortunately, with the help of therapy, including medication, such disorders have been successfully treated for more than a decade.

What if a person dies at home?

At home, the whole range of emergency care cannot be provided to a person, but it is still worth trying. If a person is on the verge of life and death:

Get rid of the threatening factor if present. This should be clear enough, but still - during a fire, you should first remove a person from the affected area, and only then provide medical assistance.
Remove all strangers from the premises, ensure that the room is well ventilated, and remove clothing that may make it difficult to breathe.
try perform cardiopulmonary resuscitation. Cross your palms and place them on the sternum, perform intense pressure without bending your arms at the elbow joints. After every 3 compressions, inhale air into his lungs through your mouth or nose. First, it is worth clearing the airways and making sure they are passable. It is better to put a pillow under the neck.
If there is bleeding, it should be done as soon as possible. stop. If a limb is damaged, pull it with a tourniquet above the damage. If the wound is on the body - clamp it with your hand, cloth or napkins.

From the point of view of the law, no problems should arise if the death was not violent. The called ambulance team will arrive and record the fact of death, and they will also take the body.

What does a person feel before death?

In many ways, the last sensations depend on what caused death:

When drowning in the last seconds, a person feels a bursting pain in the lungs and an irresistible desire to take a breath. This is due to a lack of oxygen and excitation of the respiratory center in the brain. That's just the breath will not bring relief, but only fill the lungs with water and cause agony. However, many drowned people die from shock and cardiac arrest even before they hit the water.
In case of fires victims most often die from the effects of carbon monoxide. Gradually, with each breath, consciousness becomes more and more confused and the person simply loses consciousness. Further, breathing slows down, becomes superficial, and then completely disappears.
Somewhat similar mechanism with bleeding. The victim quickly loses orientation in space, feels an insurmountable weakness and loses consciousness. Death occurs due to insufficiency of the cardiovascular system.
For injuries sensations vary depending on their number, severity and localization. In not the most successful cases, extreme pain leads to the development of shock and cardiac arrest. But most often, the lungs gradually fail, it becomes harder to breathe, the heart slows down its work.

At what temperature does a person die?

The world knows cases when even at extremely low or high body temperatures people survived. But this is a rarity, not all are so hardy lucky ones. More often than not, the story ends a little sadder:

High fever is usually associated with poisoning and infections. However, it can also be caused by injuries or burns.
The danger to humans lies in the fact that after exceeding a certain temperature threshold, the destruction of proteins in the body occurs. Blood proteins are the first to suffer.
If the temperature exceeded 42.5°C, this is a sure sign that without medical care a person may die in the next few hours. Death in this case does not occur instantly and there is still a small margin of time to provide assistance.
Low temperatures are no less dangerous for the body. But a sharp drop in temperature is less common. It mainly develops due to hypothermia.
At certain temperatures, the cardiovascular system cannot function normally, blood flow slows down, peripheral tissues die, and the brain simply “turns off” due to a lack of blood and oxygen.
All this happens when body temperature drops. below 26.5°С.
In such a small range of 16 degrees, a person can live and feel relatively comfortable.

What happens to the soul when a person dies?

All religious teachings say that:

Death affects only the physical shell.
The human soul is immortal and is no longer connected with the earthly body.
After death, all the deeds of the deceased are weighed at the “court”, and his future fate is determined.
Paradise is prepared for the righteous, in the Garden of Eden their souls sing in the most beautiful choir and glorify life itself and God.
Hell is the end point of the path for sinners, where they are subjected to eternal torment.
The subsequent incarnation of the soul, according to Buddhists, also depends on the actions committed during life.
According to atheists, death is a “terminus”, there is no soul, and after a person only oblivion awaits.

Whom to believe and whose side to take is everyone's business. In this regard, it is better to come to some answers on your own, without outside help.

In most cases, death occurs due to acute heart or lung failure. The mechanism of dying itself is not very different, despite the many reasons that can lead to the final result.

The person experiences overwhelming fear. Panic at the realization that the end is near.
There are pains behind the sternum, the chest is constrained by some kind of heaviness.
The heartbeat becomes more frequent, you can already feel it without even putting your hand on it.
Every second it becomes harder to breathe, you need to make an effort to take another breath.
Consciousness becomes confused, the whole world starts to float.
Oblivion comes.

Thanks to reanimated people, we can know exactly how a person feels when they die. But we still do not know what awaits there after death.

Video about the feelings of the dying of hunger

In this video, Dr. Petrenko will tell you what a person feels in the last minutes of his life, dying of hunger:

What does a person feel when he dies: interesting facts about the last minutes of life

What does a person feel when he dies? This question is of interest to many people. They want to know what the dying person feels in the last seconds of life. Now there are many assumptions on this topic. We will talk about them.

First, let's note at what temperature a person dies. If the body temperature is below 26.5 degrees, then the body dies.

Drowning: what does a person feel before death

In the first seconds, panic sets in from the understanding that it is no longer possible to swim out. A person begins to randomly move his limbs, trying to inhale more air. Of course, in this state, he can not call anyone for help.

When the muscles finally get tired, the person gives up and goes under water, after which he remains conscious for no more than a minute. Next, the victim instinctively tries to take a breath of air, but eventually swallows water, coughs, which leads to even more water being drawn in. This is followed by spasm of the larynx (laryngospasm).

In a few seconds, water fills the airways and there is a sensation similar to burning, followed by rupture of the lungs. Due to the fact that a drowning person does not have enough oxygen, he loses his creation and dies.

How does a person feel when he dies during a heart attack

About 5 hours before a heart attack, there is severe chest pain. This is due to a lack of oxygen. A similar sensation extends to the lower jaw, back, larynx and arms. At this time, cold sweat appears, and then shortness of breath, nausea. After a while, there is a peak of chest pain, which leads to loss of consciousness, then the heart can not stand it and stops.

What does a person feel when he dies from a fall from a height

In 75 out of 100 cases, a fall from a height of 145 meters ends in the death of a person in the first minute after hitting the ground. The reasons that led to death depend on each case individually. As a rule, the cause of death is damage to internal organs (massive bruising of the lungs, rupture of the heart, etc.) and internal bleeding. If a person fell on his head from a height, then he has zero chances to survive, unlike a person who fell on his back or legs (he will remain disabled, but will live). By the way, falling from a height is the most “sure” and fastest way to die.

A man dies from fire and smoke: what does he feel in the last seconds

Hot smoke burns the delicate mucous membranes of the face and eyes, and the flame of fire causes terrible pain, damaging the skin. At some point, the person stops feeling pain, but the skin is still smoldering. This happens because of the large release of adrenaline into the blood.

Then comes the shock, which leads to the fact that the person loses consciousness. As a rule, he does not have time to feel the pain of burns and loses creation due to lack of oxygen. During this period, carbon monoxide fills the airways. Next comes their spasm.

What does a person feel when he dies from bleeding

If the aorta is damaged (for example, after an accident or a bullet wound), a person dies very quickly, literally in one minute. If arterial or venous bleeding is not stopped at the right time, then the person will die in a few hours.

At this time, a person experiences thirst, weakness and panic. He literally feels that life flows out of him. In a dying person, blood pressure begins to fall. After the body loses two liters of blood, loss of consciousness occurs. Next comes death.

How does the customer feel after removing the spoilage

Victims of sorcerers and black magicians are offended. They suffered, suffered all sorts of losses, and the one responsible for their misfortunes rejoiced in life. Not fair. But retribution comes sooner or later. Let's see how the customer feels after removing the damage. This is useful to know for those who solve their problems through black magic. And the question is not idle. After all, many talk about the return. You have probably already read that the black ritual will be followed by retribution. And not everyone can handle it.

The relationship between the energetics of the victim and the customer

It should be understood that it is impossible in our world to be isolated from other people. On the subtle plane, we constantly interact without feeling it. Only the fields overlap in different ways. A stranger does not cause a special reaction in the aura. And the one that affects our emotions necessarily transfers part of its own field to ours and vice versa. This principle will help to understand how the customer feels after removing the damage.

The fact is that for the time being his evil was kept and worked in the field of the victim. When a successful rite of reprimand has passed, this blackness is forced to return to its progenitor. Some magicians say that they send the negative into the Universe or annihilate. In fact, all the same, part of it falls on the head of the customer. And how to behave so as not to take back the damage will be considered below. By the way, by raising the level of one's own energy, the former victim repels the customer from himself. To do this, it is recommended to use the influence of the moon to your advantage.

How does the customer feel after removing the damage?

It is important to understand that the customer will definitely try to return the damage to the victim back after it has been removed. You need to protect yourself. For example, to acquire a strong amulet - a red thread from the evil eye from Jerusalem. This thing, if used correctly, will prevent the witch from implanting a negative agenda back into an innocent person's field.

How does the customer feel after removing the spoilage

Let's go directly to the person who brought evil to the victim. He will definitely feel that it has returned back. You know, real witches understand exactly what happened. And ordinary evil people feel it at the subconscious level. Anxiety descends on them. The victim may come in a dream. All sorts of thoughts run through my head.

The customer's legs themselves lead to the one to whom he wished trouble. Sometimes he doesn't understand why. But that's not all. His luck is turning aside. What used to be simple and easy, now falls out of hand. The mood is spoiled. Within three days - a week, the customer receives a real damage. But she's not exactly normal. It is called self-guided. That is, his own malice begins to gnaw at this person.

To understand how the customer feels after removing the damage, imagine the state of a person who cut off his own hand. And the point here is not in the loss of a limb, but in the realization of the fact that life will no longer be the same through its own fault. This thought (unconscious in most cases) gnaws at a person like a ferocious wolf. Constantly torments, forcing to make mistakes and blunders. The nervous system suffers the most. Then the person gets sick at best.

The return depends on what kind of damage the customer caused. Often his sin falls on loved ones. What he wished for the victim himself receives. To remove this negative is both difficult and simple at the same time. You need to repent. And the one who tried to kill (damage - the destruction of fate) another, is he capable of this? Infrequently.

The second way is to return the damage. To do this, the sorcerer (customer) comes back to the victim and asks for something in debt. Doesn't matter. The main thing is to take clean energy, and return damage. Some pretend that they have repented, asking for forgiveness. But this is also a trick. If the victim says "I'm sorry", there is an exchange of energy. The pure one leaves the victim, the damage returns to its place.

How does the customer feel after removing the damage consequences

How to protect yourself from the sorcerer?

Everything is simple. Do not give anything to anyone after the cleansing ritual. The rule must be strictly observed for three days. It is even recommended to put money on the counter in the store. Do not hand over anything. And if the customer comes to repent, say: "God will forgive." And send it home. By the way, in order not to fall under the influence of damage again, it is necessary to constantly increase the level of one's own energy. Cleansing and filling practices are suitable for this (the link is a free practice, catch it while it's available).

Not everyone knows how to behave properly. Share recommendations with your friends (social media icons below). Let them be warned.

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Symptoms, signs, stages and forms of pulmonary tuberculosis in adults

What is pulmonary tuberculosis?

Pulmonary tuberculosis is a disease of an infectious nature, characterized by the appearance in the lungs of specific inflammatory changes. This disease is caused by Mycobacterium tuberculosis, also called tubercle bacillus. It is transmitted through the air, when coughing, talking, sneezing.

According to WHO, there are up to 2 billion infected people in the world. Medical sources indicate that 18 people out of 100,000 people in Russia die from the disease per year, it would seem that this is not a big figure. However, based on the total number of people in the country, it turns out that tuberculosis will kill 25,000 people in just one calendar year. Although over the past 13 years, the mortality of this disease has decreased by almost 45%.

Incubation period of pulmonary tuberculosis

From the moment Koch's wand enters the body, and until a person develops the first symptoms of the disease, a certain period passes, which is called the incubation period. For each person, it makes up different time periods, but lasts at least 3 months and no more than a year. Although the moment when the bacterium leaves the incubation stage can often be mistaken for the symptoms of a common ARVI.

During the incubation period, the following happens: all mycobacteria that enter the respiratory tract are attacked by the immune system. If he copes well with his own functions, then they die. In this case, the disease does not develop. If for some reason the immune system fails, the mycobacterium continues its journey through the respiratory tract, is absorbed into the bloodstream and enters the lungs, starting to cause inflammation in them. At the end of the incubation period, the initial symptoms of the disease appear.

It is important that during this stage the person is not contagious to the people around him. Moreover, the Mantoux test gives negative results, which significantly complicates the diagnosis of the disease in the early stages.

Early signs of pulmonary tuberculosis

It is necessary to be attentive to your own health and pay attention to the slightest changes in your own body so as not to miss the early signs of pulmonary tuberculosis. This is important because the disease often does not manifest itself in any way, and can only be detected after undergoing a fluorography.

The following symptoms should alert a person:

Frequent and unmotivated dizziness.

Apathy and lethargy.

Sleep disturbances and excessive sweating during night rest.

Paleness of the skin.

Blush on cheeks.

Unexplained weight loss.

Lack of appetite, not associated with gastrointestinal disease.

Subfebrile body temperature, not exceeding 37 ° C.

If one or more signs are found, it makes sense to consult a doctor and undergo not only fluorography, but also an x-ray of the lungs.

Other symptoms of pulmonary tuberculosis

At a late stage in the development of the disease, tuberculosis manifests itself more pronouncedly. It is characterized by the following features:

Persistent cough with or without sputum.

Shortness of breath, in which a person feels an acute shortage of air even after a slight physical exertion.

Wheezing, which the doctor may pay attention to when listening. Their intensity and characteristics do not lend themselves to a specific description, since they can be varied: dry and wet.

Shine in the eyes, pallor of the skin.

Sudden weight loss, up to 15 kg or more.

The appearance of blood in the sputum.

The occurrence of pain in the sternum, both during a deep breath, and at rest. This symptom appears if the process has moved to the pleura.

If the last two signs were found, then this means that the person is sick with a complex form of tuberculosis and prompt hospitalization is indicated for him. Often, it happens that the disease, originating in the lungs, passes through the blood to the intestines, bones and other organs.

Hyperthermia is one of the leading signs of infection of the body with Mycobacterium tuberculosis. It is this reaction of the body that often outstrips all the main manifestations of the disease and is a clinical sign of lung damage. This disease is characterized by both constantly high thermometer readings (in acute form of tuberculosis and caseous pneumonia) and subfebrile values (in focal, infiltrative and disseminated forms).

Rarely, but the following type of fever occurs: the temperature rises to low values in the morning and declines in the evening. With active, progressive forms of the disease, the temperature can reach 41 ° C.

Cough with pulmonary tuberculosis

Cough with pulmonary tuberculosis has the following features:

The cough is wet. The person feels that there is a lump in the chest, and constantly tries to cough it up. This is due to the fact that mucus accumulates in the bronchi, as a result of the ongoing inflammatory process. It interferes with normal air circulation, disrupts gas exchange in the alveoli. Therefore, a person has a protective reflex - a constant cough, which is designed to clear the lumen for the normal passage of air. But due to the fact that the mucus is constantly arriving, the cough occurs again and again.

The nature of the attacks is most often protracted. This is due to the fact that when trying to cough up mucus, the patient strains the pleura and diaphragm, which causes pressure on the lungs and a violation of their ventilation. This leads to the spread of inflammation and causes difficulty in breathing, and hence new coughing fits.

Cough with tuberculosis is most often with sputum. It is a mixture of pus and mucus. It has a huge number of pathogens, which explains the prevalence of tuberculosis. At the initial stages of the development of tuberculosis, the mucus is transparent and light, later it becomes rusty due to blood impurities. At the final stage, a person begins to cough up blood alone, with impurities of pus. The discharge has an unpleasant putrid odor.

Increased coughing most often occurs when a person is in a prone position. Therefore, seizures often overtake the patient during a night's rest. This is due to the excessive production of mucus and its stagnation, when a person remains motionless for a long time. There may also be pain in the chest and a constant urge to cough. Rest on high pillows can alleviate the patient's condition.

Is pulmonary tuberculosis contagious or not?

This disease is very dangerous and contagious, especially considering how many people suffer from tuberculosis. The method of transmission is airborne. Not a single person can insure against a meeting with a dangerous mycobacterium. In addition, not only people can become carriers of the disease, but also insects, for example, flies and cockroaches.

There is a belief that a person is contagious if he is a carrier of an open form of the disease. It really is. Tuberculosis is not transmitted in a closed form. But the whole danger lies in the fact that the transition of the disease from a closed form to an open one cannot always be noticed in time. Symptoms can easily be confused with a common cold, while the person is already a danger to others. And in a year, a person suffering from an open form infects at least 15 people. That is why the disease is so common on the planet.

Stages of pulmonary tuberculosis

There are three stages of pulmonary tuberculosis:

primary infection. Inflammation develops locally, in the area where the infection has entered. In this case, the bacteria enter the lymph nodes and the primary complex is formed. As a rule, a person feels well, sometimes primary signs of infection are observed.

stage of latent infection. If the immune system is weakened, then mycobacteria begin to multiply and spread throughout the body. Tuberculosis foci are formed, localized in various organs.

Recurrent tuberculosis of the adult type. Formed foci of the disease begin to affect the organs. The lungs are most often affected. If the cavities formed inside them break into the bronchi, the person becomes contagious to others and we can talk about an open form of the disease.

Forms of pulmonary tuberculosis

The forms of the disease can be different. It is on what form tuberculosis has that the prognosis and method of treatment largely depend, as well as how dangerous the disease will be for others and for the carrier of the Koch wand itself.

Infiltrative pulmonary tuberculosis

This form of the disease is characterized by the fact that inflammatory changes are formed in the lungs, which are exudative in nature (that is, the processes occur directly in the area of inflammation). Caseous necrosis is formed in the center - the tissue becomes similar to a protein mass consisting of cottage cheese. The decay process is quite dynamic. Caseous pneumonia is also referred to this form of tuberculosis, but with it necrosis is more pronounced.

Sometimes the infiltrative form proceeds inapperceptively (that is, imperceptibly for the person himself) and is detected only when a person undergoes an x-ray examination. A clear symptom of this form of the disease is early hemoptysis, with a fairly satisfactory condition of the person. Often the disease develops under the cover of pneumonia, bronchitis, prolonged flu, etc.

Disseminated pulmonary tuberculosis

This form of the disease occurs when mycobacteria are dispersed throughout the body through the blood or the lymphatic system, or sometimes both. If the spread occurs through the bloodstream, then the foci form in the upper sections of the lungs. If the lymphatic system, then in the lower sections there is a large number of foci. While the generalized variant of the disseminated form is quite rare, it is with a predominant lesion of the lungs in almost 90% of cases.

There are many variants of the course of this form of the disease, as well as clinical manifestations. The onset of tuberculosis can be either subacute or chronic. In the first case, the disease begins sluggishly, the increase in symptoms occurs gradually, but the intoxication is quite pronounced. Lesions outside the lungs are often observed. This form is characteristic of both the first stage of the development of the disease and the second.

Cavernous pulmonary tuberculosis

The cavernous form has a number of features and is primarily characterized by the presence of a thin-walled cavity that appears on the lung tissue. Cavities begin to develop more actively when tuberculomas begin to disintegrate or with the progression of other forms of tuberculosis, more often infiltrative.

Primary infection is always latent. Bacteria most often enter the body through the aerogenic route. Catarrhal phenomena begin to appear later, when the walls around the cavity become thicker. The x-ray image shows a cavity that has the shape of a circle. Treatment occurs with several types of medications, in combination with physiotherapy and immunostimulating drugs.

Fibrous pulmonary tuberculosis

A distinctive feature of the fibrous form is the presence of a fibrous cavity, the appearance of corresponding changes in the lung tissue. In this case, the bronchi adjacent to the cavity are affected, emphysema, bronchiectasis, and pneumosclerosis often appear in the lungs.

The processes preceding the appearance of a fibrous cavity are infiltrative, tricky or disseminated forms of the disease. The number of foci can be both multiple and single, cavities appear both in one and in both lungs. There are several options for the development of the disease:

Thanks to chemotherapy, the disease subsides, exacerbation appears after a few years.

Periods of calm are often replaced by periods of exacerbation.

Sometimes, against the background of fibrous tuberculosis, complications begin to develop, more often with a progressive nature of the disease.

Focal pulmonary tuberculosis

This form is most often secondary. With it, a few foci appear, the place of their localization is different - both one and both lungs can be affected. The symptoms are not obvious. This form includes both fresh foci and old ones that have a fibrous nature of the lesion. They differ in density, composition, size.

A pronounced intoxication of the body with a cough, high body temperature and other symptoms in the focal form of the disease occurs during the exacerbation phase. If changes in the focal nature in the lungs do not show active signs, as can be seen from the X-ray examination, then tuberculosis is considered cured.

Open pulmonary tuberculosis

This form is the most dangerous. The lungs are most commonly affected, but other organs may be involved. Infection occurs by inhalation of the infectious agent. A patient with an open form must be isolated.

This term should be understood as the fact that a person is contagious to others, as he releases active mycobacteria into the environment. The presence of an open form can be determined by examining a sputum smear.

Healing an open form is possible, although it is a rather complicated process. The difficulty lies in the fact that bacteria become resistant to many types of drugs. In addition, such people should be in long-term isolation from others.

Closed pulmonary tuberculosis

The closed form of the disease is the opposite of the open form. With it, there is no release into the external environment of mycobacteria that are infectious for people around.

This type of disease is much less common and may not manifest itself for a long time. Only the Mantoux test will be positive. According to some reports, a third of the world's population is infected with this form of tuberculosis.

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Complications and consequences of pulmonary tuberculosis

Complications of tuberculosis are pathological processes caused by the underlying disease. If the disease is not treated, then the most formidable consequence is the death of a person.

You can also highlight the following complications:

Other internal organs may be affected. Most often this happens when treatment is not started on time. In most cases, the liver suffers, its functioning is disrupted.

Joints can be affected, and tuberculosis of the bones develops, leading to severe pain, swelling, arthritis, and sometimes abscesses.

Pulmonary bleeding is one of the formidable complications of the underlying disease. In this case, the person needs urgent medical attention.

Weakens the immune system, which leads to the vulnerability of the body to a variety of infections. The patient begins to suffer more often from flu, colds, etc.

Broncholitis, in which a calcified formation is observed in the lumen of the bronchi.

Aspergilloma is a fungal infection of the lung tissue that can damage the wall of the blood vessel that is adjacent to the formation and cause pulmonary bleeding.

Tuberculoma is a growth resembling a tumor.

Reactivation of the tuberculosis process.

Bronchiectasis, in which a person develops nonspecific inflammation.

A person who once had tuberculosis is not immune from its consequences in the future. So, there are no guarantees that a woman will be able to give birth to an absolutely healthy child. He may have both physical and mental disabilities. Often there is a frozen pregnancy and the death of a child during childbirth.

Sometimes, after an illness, a person may suffer from headaches, discomfort in the muscles and joints for some time. Most often, such a reaction is the result of treatment with potent drugs. Often, restoration of the work of the intestines and stomach is required, and stool disorder is observed.

Tuberculosis and lung cancer

The combination of tuberculosis and lung cancer in recent times is not uncommon. Recent studies show that TB survivors are 10 times more likely to develop lung cancer. Therefore, all people suffering from tuberculosis and overstepping the age limit of 40 years are considered to be at risk for oncology.

The most susceptible to lung cancer are long-term smokers, persons with metatuberculous syndrome and those people who have been exposed to various carcinogenic factors for a long time.

Most often, the diagnosis of lung cancer is established in people with chronic forms of tuberculosis and fibrous formations in the tissues. Another problem of such people is the difficulty of diagnosis. X-ray examination may not give a complete picture and additional methods are required - cytological and histological. When lung cancer is detected, surgery is required.

Diagnosis of pulmonary tuberculosis

Diagnosis of the disease includes instrumental, immunological and laboratory research methods and consists of several successive stages:

Listening to the patient's complaints, doctors pay attention to the presence of shortness of breath, general weakness, weight loss, cough, as well as the nature of sputum.

Collecting the history of the development of the disease. At the same time, it is necessary to find out whether the person had contacts with patients with tuberculosis, about how the disease began and how it proceeds.

If a possible presence of the disease is suspected, a Mantoux test is performed. At the same time, the antigen of the causative agent of the disease is injected under the human skin, after a few days the injection site and the body's immune response are studied. If an infection has occurred, then the reaction will be quite pronounced: the stain is large. However, it should be understood that only with the help of this technique it is impossible to make a diagnosis, since the tuberculin test often gives false results.

A person suspected of having tuberculosis is sent for a lung x-ray. This study allows you to see some changes in them and suspect the presence of the disease. However, X-rays are not able to fully confirm the diagnosis or refute it.

Next, the patient will need to pass sputum for analysis. At least three smears are subject to examination. If causative agents of the disease are found in the sputum, and characteristic changes are visible on the x-ray, then repeated analyzes are carried out to confirm the diagnosis. With a positive result, they determine the form of the disease and prescribe the appropriate treatment.

Additional research methods are the following:

Bronchoscopy, which allows using a special device to examine the lungs from the inside. Also during this study, flushing is performed from the alveoli and bronchi, then their cellular composition is studied and the presence of the pathogen is detected. If required, during bronchoscopy, the affected area is taken.

Puncture of the pleural region is done in the presence of tuberculous pleurisy in the lung. After its sampling, a study of the composition and the presence of the corresponding mycobacteria in it is carried out.

A biopsy of the affected area is performed to study its cellular composition. If a granuloma is found, the diagnosis is no longer in doubt.

If diagnosis using the above methods is difficult, then PCR is used. For this, blood is taken for analysis.

How is the treatment?

Treatment of the disease has specific goals:

Elimination of clinical manifestations, as well as laboratory signs of the disease.

Restoration of human performance. Bringing him back to normal life.

Sustained cessation of bacterial excretion, which must be confirmed by special studies.

Elimination of destructive, focal and infiltrative manifestations of the disease, the absence of active signs of the disease in x-ray examination.

Treatment is carried out in a tuberculosis dispensary. The leading method is the impact on mycobacteria with the help of drugs. In this case, one drug is not enough, they are usually used in combination, according to a specific scheme.

Active against mycobacteria that cause disease are rifamycins, aminoglycazides, polypeptides, isonicotinic acid hydroside, pyrazinamide, cycloserine, thiamides, fluoroquinolones, etc. All of them have antibacterial and bacteriostatic properties.

If resistance of mycobacteria to drugs is observed and the treatment does not give the desired effect, then highly effective agents such as streptomycin, rifampicin, pyrazinamide, ethambutol and some others are used.

The funds that are in the reserve stock of doctors include amikacin, kanamycin, cyclolserine, PASK, etc. When conducting pharmacotherapy, it is important to adhere to certain principles:

Treatment should be started immediately after the diagnosis is made.

Medicines are not used individually, but in combination.

The therapy is carried out for a long time.

At each stage of treatment, medical supervision is mandatory.

Sometimes the disease requires surgical intervention, but there are strict indications for this:

Chemotherapy did not have the desired effect, the person shows multiple drug resistance.

The disease caused irreversible changes in the pleura, lungs, bronchi and lymph nodes.

There are life-threatening complications caused by the disease.

Most often, surgical intervention is required when establishing cavernous, fibrous tuberculosis, as well as in case of tuberculoma. Although the operation is performed in other forms of the disease, but somewhat less frequently.

In most cases, operations for tuberculosis are planned, but sometimes emergency intervention is required. This occurs in conditions that threaten a person’s life, such as tension pneumothorax, profuse pulmonary bleeding, etc.

Contraindications are the high prevalence of the process, serious violations of respiratory function, kidney and liver diseases.

Prevention of pulmonary tuberculosis

The importance of preventive measures cannot be underestimated, given the prevalence of the disease in the population. The specific method includes, first of all, vaccination. The well-known BCG vaccine, which is given to children in the hospital. It is derived from a weakened strain of the disease-causing mycobacterium. The introduction is made to develop specific immunity. This vaccine does not give a 100% guarantee that a person will not get sick, but most likely he will have a mild form of tuberculosis. Immunity is maintained for 5 years, and then a person is revaccinated (at 7 and at 14 years). If there is evidence, then the vaccine should be administered before the person reaches 30 years of age, with a break of 5 years.

The fact that the Mantoux test after the introduction of the vaccine will be positive for 7 years is the norm. This indicates good immunity.

Such a screening method of examination as fluorography should be carried out annually. In addition to tuberculosis, it will allow you to identify other pathologies of the lungs at an early stage.

An important method of prevention is the exclusion of contact with patients. Naturally, it will not be possible to completely protect yourself from infection in this way, however, if there is information that a person is infected with an open form, then it is important to avoid contact with him.

Good nutrition, a healthy lifestyle, giving up bad habits - all this will support the immune system and help it resist Mycobacterium tuberculosis when it is possible to meet it.

What is the temperature with pulmonary tuberculosis

The temperature in tuberculosis differs from generally accepted norms. This is a common and characteristic symptom of the disease. However, depending on the stage of development of the disease, complications and other factors, it can change and indicate significant transformations in the body. So, this may mean the transition of a closed type of disease to an open one, or the development of a chronic course of pathology.

Temperature in pulmonary tuberculosis

Thermometer readings can vary from high temperatures to low temperatures in pulmonary tuberculosis. For a healthy body, a temperature of 36.6 degrees is considered the norm. Moreover, its fluctuations during the day are noted. Lower in the morning, higher in the evening.

With tuberculosis, other numbers are the norm. Some doctors believe that 37-37.5 degrees; others - 36.9-37.1. In any case, there is no need to reduce it. In addition, there is a high risk that drug resistance will develop over time. And this is seriously detrimental to the situation.

With additional complications in conjunction with tuberculosis, the temperature is constant. But the indicators themselves can be both lower and higher.

Tuberculin infection is a blow to the immune system.

In the case when the body cannot fight on its own, the defense systems are weakened, which manifests itself:

a decrease in temperature below 36.9;
apathy;
weakness and drowsiness.

From what the temperature is with pulmonary tuberculosis, it depends on how a person feels. A low temperature, combined with a cough and later chest pain, can bring discomfort for several months.

However, it is not as dangerous, according to experts, as a sustained high temperature. In this context, these mean an increase of more than 37.5 degrees.

In the presence of tuberculosis, several factors can provoke this:

Incorrect treatment.
Failure to follow doctor's instructions.
Drinking alcohol, smoking and other bad habits.
As a consequence of the previous two factors - an aggravated inflammatory process in the body.
Complications that have arisen in the body in other systems and organs.
The transition of tuberculosis to new form or to a new stage.
Opening of new centers.
The origin of the comorbidity.
The development of a cold.
Existing diseases, such as HIV, and their exacerbations.

Temporary changes and coughing are more likely to indicate a developing cold. As a rule, symptoms disappear after anti-cold therapy. A systemic and persistent increase in temperature with a cough (dry and prolonged - a sign of an increase in the area of lesion in the organs) - about a progressive complication and further development of the pathology.

One of the forms of complications is bronchial dysfunction, accumulation of water in the respiratory organs. It is manifested by specific temperature changes: an increase in temperature in the morning and a decrease in the evening.

To prevent changes in temperature and the occurrence of complications will allow compliance with the doctor's orders and the rules of a healthy lifestyle. Any fluctuations in tuberculosis are abnormal. But in some cases, high temperature - idiosyncrasy organism.

A number of phthisiatricians, pediatricians, pulmonologists are of the opinion about the likelihood of the presence of forms of tuberculosis that occur without temperature. Explaining this by the fact that temperature is a symbol of struggle. If the immune system has ceased to fight, then the temperature should not be. That is, we are talking about advanced stages of the disease or severe forms.

I sometimes feel uncomfortable for no apparent reason. However, I no longer think there is anything wrong with me.

In my teenage years, starting at the age of thirteen, I attended many family dinners and in doing so tried to pretend that I felt great. It's not that I felt unhappy with my family, not at all. But during all these years, I have been terribly weighed down by the feeling that I cannot conduct myself at family gatherings with the same ease with which I act in the company of my friends. This feeling was characterized by weakness in the stomach, awkwardness and a strong desire to escape away from people and return home. It wasn't exactly desperation, but rather the feeling of inadequacy that comes after a bad performance or being reprimanded by a boss.

Feeling unhappy is normal

Looking back, I can't believe I ever felt this way. Each time I thought only that if I don't feel good, then I should understand the reason for my depression (I went to bed late and didn't get enough sleep, or something like that).

Inwardly, I most often explained this by my ineptitude in comparison with adults - I didn’t do something well enough, I wasn’t organized enough, I hadn’t done anything important yet. Once the worst was behind me, I tried to figure out the problem and how I could solve it. Often I would make a list of new tasks or goals for myself that I thought would help me gain confidence in myself. I made hundreds of such lists.

I don't have clinical depression. I did the tests and I didn't find any relevant symptoms. The same was true of bipolar disorder and all other forms of neuropsychiatric conditions.

In general, I am a happy person. I feel that my life is wonderful. Most of the time I feel better than "excellent" - I genuinely enjoy the world.

But even now, I sometimes feel uneasy for no apparent reason. However, I no longer think there is anything wrong with me. This feeling is not necessarily related to mental illness, poor life choices, or insufficient fluid intake.

I grew up believing that if a person feels bad, then there must be an explanation for this. Something had to happen. You watched a scary movie. Someone hurt you. You didn't do something. You don't take good care of yourself. I thought that in general people should always feel great, and only grief of some sort, short-term or long-term, can explain why someone feels bad.

But we know that human moods can fluctuate regardless of circumstances. We've all experienced it: life can seem bright in the morning and gloomy in the evening of the same day, even if nothing significant has happened. Some of us experience these fluctuations more often than others, and I think that this often explains the confusion in this matter.

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AT last years I've finally started talking more openly about this with some of my friends and family, and it seems to me that there is a very wide range of what is considered normal. When I shared with these people my years of experience of dying quietly at family dinners or at department meetings, some said that they had the same thing, only much worse, while others had no idea what I was talking about. speech.

You probably know which group you belong to. It's hard to know what counts as "normal" because most people don't want to talk or hear about it. I'm not a psychologist, so don't take my opinion as a scientific statement, but now I'm sure that even optimists in life can sometimes feel very bad for no reason.

However, we keep thinking that there is always a reason for this, so it snowballs and can be devastating.

My mood swings were probably quite natural, but they dragged on for several days because I thought it was abnormal to feel bad and not be able to explain why.

When you believe that your bad mood necessarily means that something is wrong either with you or with the world around you, you feel that you must correct either one of the two, or both. But you don't know how to do it, and that makes it worse for you.

When you start looking for flaws in the world around you or in yourself, you always find a lot to feed your endless thoughts. However, all these considerations in 100% of cases lead to the same list:

- I'm not doing enough
- I can't change some vital things
- The world is mediocre and dangerous
- Something is wrong with my brain

But this whole list of explanations for bad mood is absolutely unnecessary if no one (including you) requires any explanation.

It's not that moods and mental states don't have causes. There are probably some genetic, neurochemical, and situational factors behind every feeling and sensation. But these hidden mechanisms do not always provide a clear, expressive explanation for bad moods. However, others are waiting for an explanation. If someone asks you how you're doing and you say, "Not great," you'll be asked why. And you have to look for the answer, whether you like it or not.

But you can just say you're fine, and you know there won't be any further questioning - because everyone thinks it's natural.

Sometimes there are quite understandable reasons for a bad mood, and then you can fight them. There are also serious conditions that cause mood disorders, and they require treatment.

But we are all subject to the full range of human emotions, and this in itself is not a problem that needs to be corrected. See how many times a day you meet with various clerks, cashiers, colleagues and friends who at this moment are trying their best to show that everything is fine with them.

Now I treat my mood like the weather. Daily swings of emotions arise in the same way as rain, from somewhere in the universe. All of us have long adapted to the climate around us, its specific norms and extremes. Some of us live in the south and some in the north. Each climate has its advantages and disadvantages, but none of them is "wrong". We no longer believe that the rains are sent to us by the gods as a punishment. And we do not shake our fists at the sky in protest.

We accept climatic conditions as they are and make our own adjustments. Put on a sweater, postpone the party, watch a movie. Feeling unhappy is normal. published .

David Kane