“Sounding Asthma” by Fayiz Faruk

Abstract

It was a piercing shriek. A distress call alerting its inhabitant of an incoming struggle, a struggle so inevitable that it seems to return again and again, with no end in sight. Asthma is a chronic disease that hundreds of millions of people across the world suffer from. It is chronic, meaning that it can only be managed and controlled, never cured, and is a lifelong condition in those who are affected by it.

Is the sensation of asthma expressible? How can those who are not afflicted with the condition experience similar sensations and emotions to those suffering from an asthma attack? In “Developments in the Understanding of Bronchial Asthma and Contribution of Greeco-Arab Physicians”, Mohammad Saad A. Khan explores historical attempts to define the sensation of asthma. In doing so, he details how Hippocrates, in the period of 400 B.C., described asthma simply as panting, and how the Roman encyclopaedist Aulus Cornelius Celsus, in the first century BC, described asthma more specifically as the “inability to breathe without making noise and gasping”. (Khan 23)

According to Elaine Scarry, the sensation of physical pain is inexpressible, and thus, in extension, the pain felt by those who are having an asthma attack is difficult and problematic to represent simply through language. Why not express the pain and sensation of asthma via a medium other than language? How can the experience of asthma be described and defined to those who may be unable to perceive it visually – as described by Leona Godin?

Expressly, in my project, I aim to represent pain and sensation via the medium of sound and haptics, as asthma has its own special cacophony of chimes and whistles. And though the representation of sensation through sound may be atypical, the medium of audio allows for the portrayal of a vast array of frequencies and vibrations that elicit strikingly different emotions – all of which can be used to describe the rollercoaster of feelings associated with an asthma attack.

Asthma often feels like a set of chains and rope tied up all around your lungs, preventing you from being able to breathe, exercise, and do the everyday things that we take for granted when healthy. This particular image is inspired by Craig Kiefer’s Illustration of Asthma in Street Anatomy – though this image seeks to establish that people of all types of color, gender, and ethnicity are afflicted by asthma.

 

Audio Soundtrack:

Through audio and visual means, I aim to illustrate and translate the experience and progression of an asthma attack – a sudden inflammation of the airways that makes it more and more difficult for the one experiencing the flare-up to breathe as the attack progresses. The audio soundtrack begins with the experience of healthy breathing – but several shrill, piercing shrieks soon enter the auditory realm – a warning of the dangerous and panic-filled road that lies ahead. As the audio advances, so does the experience of the asthma attack, as we start to hear chains (a metaphor for the restrictions placed on someone by the health implications of an asthma attack) rattling, strangely out of tune wind chimes, and a persistent discordant mixture of various coughing sounds – the asthma attack is well underway, and it is beginning to affect the day to day life of the affected individual significantly. The individual coughs and coughs, trying to get some phlegm out of their inflamed airways, yet these attempts to do so have little benefit, and the situation seems direr as the seconds pass by. The inherent chaos of the audio piece crescendoes and eventually, the piece culminates in a series of alarm sounds. We hear that the individual can barely breathe and starting to feel faint and light-headed – a clear sign that they are reaching dangerous levels of oxygen in their body. At this point, we hear the individual grab their asthma inhaler, shake it, and take a quick puff. Immediately, the clash of sounds and chimes in the soundtrack comes to a standstill. Feelings of relaxation and zen surround the individual, and we hear birds chirping and ocean waves calmly crashing onto a beach shore, and they take a gasp of relief, grateful that they can finally breathe and think freely once again.

Visual Compilation (scroll through as you listen to the audio):

The Progression of an Asthma Attack:

When healthy, the lungs of an asthmatic (symbolized by the two glasses) typically feel clear – no burdens or restraints are preventing the individual from being able to breathe freely.

 

During the initial stages of an asthma attack, an asthmatic can feel an unusual scratchiness in their airways, a sense that something is keeping them from being able to breathe completely. This feeling is not unlike the abrasiveness of rocks and pebbles in a clean, clear glass – at this stage, your body urges you to cough and expel the excess material and phlegm from your airways so that you can breathe normally again. It is important to note that at this stage, the individual can still breathe to some extent (hence why the two glasses/lungs are not completely full of pebbles).

 

The final stages of an asthma attack can feel like your lungs and airways are being blocked completely and restricted by something almost impossible to expel out. Here, the two glasses are almost completely full of pebbles – these airways are in fact now extremely inflamed and narrow in diameter, making it take an individual a great deal of effort and exertion to breathe. At this point, the severe lack of oxygen can also lead to an asthmatic feeling faint and lightheaded. Without any medical intervention, this situation is life-threatening and incredibly dangerous for an asthmatic to be in.

 

The most common medical intervention for an asthma attack in Western medicine is an asthma inhaler. These inhalers contain a steroid that quickly relaxes the airways of someone having an asthma attack, meaning that they will feel immediate relief and relaxation from the panic that they were feeling just seconds ago. The relief felt upon taking a puff of your inhaler is incredibly soothing – I would personally liken this immense sense of relief to the calm feeling felt when listening to waves slowly crash at the shore, or listening to songbirds melodically chirping outside your window.

References:

  1. Asthma Treatments. (2020). WebMD. Retrieved May 5, 2022, from https://www.webmd.com/asthma/asthma-treatments
  2. Craig Kiefer’s Unconventional Artwork for a Conservative Genre. (2013). STREET ANATOMY. Retrieved April 6, 2022, from https://streetanatomy.com/blog/2013/03/16/craig-kiefer-unconventional-artwork-for-a-conservative-genre
  3. Godin, M. L. (2021) There Plant Eyes: A Personal and Cultural History of Blindness
  4. Khan, M. S. A., Khan, A. A., & Latafat, T. (2020). Developments in the Understanding of Bronchial Asthma and Contribution of Greeco-Arab Physicians. Journal of Integrated Community Health (ISSN 2319-9113), 9(2), 22–27.
  5. Lambrecht, B. N., & Hammad, H. (2015). The immunology of asthma. Nature Immunology, 16(1), 45–56. https://doi.org/10.1038/ni.3049
  6. Scarry, E. (1987). The body in pain: The making and unmaking of the world.
  7. 104. sounding pain – metaphors. Cargo. (2018). Retrieved April 13, 2022, from https://cargocollective.com/mind-metaphors/104-SOUNDING-PAIN

Audio attributed to:

freesound.org

zapsplat.com

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