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I, too, thank Gordon MacDonald for providing us with the opportunity to recognise the Cheyne Gang singing group.
Let me say that, as other members have said of themselves, I am usually paid to remain silent when singing is taking place. However, I suggest that I could do a bit of whistling and humming as background to the singing, because that is equally good for the lungs. Perhaps a puirt à beul session, with me humming in the background, might be the answer.
As Elaine Smith mentioned, singing is a very inexpensive way of helping people with pulmonary rehabilitation, so I expect the national health service to sign up for it with great enthusiasm. However, there are practical issues around its use. In the 1940s I was diagnosed as suffering from what was then described as “broncho spasm”. I was treated with a horrible little M & B tablet, which was delivered to me, wrapped in tomato jam, on a spoon. To this day, I am a little averse to having tomato jam. It was not clear whether the condition that I was suffering from was bronchitis, asthma or something else. It continued into my adult life, but I no longer suffer from it. My father, who was a GP, taught me a form of hypnotism, which we might now call mindfulness, so that I am able to use my psychological skills to prevent an attack from happening. The doctors at my medical practice think that I should have an inhaler with me at all times. I have not had one for 30 years, so that is too bad.
The bottom line is that singing helps us to avoid the rapid breath-stacking pattern of breathing—a dynamic hyperventilation of the lungs that reduces inspiration of air. When sufferers have an attack they think that they cannot breathe in, whereas the reality is that they cannot breathe out properly. Our lungs can hold 3 litres of air, but our breathing uses about 500 millilitres each time. Because of my lifetime condition I am usually down at the 380ml mark. However, I know that since I have stopped using the lifts to reach the fifth floor of the Parliament my lung capacity has gone up by 15 per cent—I have a device for measuring it.
There are many ways of doing things cheaply, but the bottom line is that asthma, and lung conditions in general, prevent people from being active and cut them off from social occasions. They also have psychological negatives such as anxiety, depression and hospitalisation. Therefore, communities such as the Cheyne Gang have wider effects that are beyond the purely medical: they also have social benefits, which we should encourage.
In the UK, 8 million people have been diagnosed with asthma, which I find slightly puzzling. I went to what was probably the biggest secondary school in Scotland. In my year, which consisted of more than 400 pupils, only three of us—Roger, Teddy and me—had asthma, whereas now the statistic is one person in 17. Therefore, something about the modern world means that asthma is a more pressing concern than it formerly was.