May 23, 2025
I never thought that something as simple as taking a breath would be a struggle, until the day my lung collapsed.
In my early childhood during the early 2000s, autumn was synonymous with grey skies and a thick, choking smog that seemed to coat everything it touched. The rapid industrialization of China meant factories never stopped running, belching clouds of pollution into the already burdened air. The days felt shorter, and not because of the sun, but because it struggled to pierce the relentless haze.
The first time I had pneumonia, I was barely three years old. The second time, I was four. The third, not long after. I don’t remember much of my life before I was first hospitalized, but what felt more familiar than playgrounds or sports were crowded hospital hallways, stark fluorescent lights, and the coughing and crying that plagued Chinese children’s hospitals. In the pediatric wards, I vividly remember the terrified look of children and the worried look of parents desperate for a doctor’s attention. My parents were one of them. Their anxieties were hidden behind encouraging smiles and tight grips on my hand, as if their strength could flow directly into me.
Despite everything, I held onto a complacent sense of normalcy, as if it was a rite of passage that every child should go through to experience what one “normal breath” feels like, hidden behind five gasps of air. After all, many of my friends were in the same position as me, either hospitalized or undergoing intensive respiratory treatments at even greater frequencies than I was. Pollution was invisible yet ever-present, affecting us all, embedding itself into our lives and our childhood.
At seven years old, my family moved to a new city in North America. As my last bout with pneumonia ended with a pessimistic outlook on my childhood in a suffocating city, a new city meant a literal fresh start.
Over the years, it seemed like I outgrew my swaddling medical history. I grew taller, stronger, and more active. Running became a passion, and I joined my high school’s track and field and cross-country teams. Running with every breath filling my lungs, I gradually forgot what it meant to struggle to breathe. By the time I entered university, the sickly child I once was had faded into a distant memory. Each mile I ran empowered me, building confidence.
Yet, even as I grew stronger and more confident, a quiet part of me never fully forgot what it felt like to be vulnerable. The body remembers even when the mind tries to forget, and mine was about to remind me in a way I’d never anticipated.
It was autumn again, 2024, but this time on a clear day on the other side of the globe. Stepping out of the car, a sudden, sharp pain spread through the left side of my chest. Every breath intensified the pain, but I shrugged it off as a muscle cramp and went to shower. The mist of the shower and the growing pain made me return to a strange yet familiar routine of gasping for air. By evening, exhaustion took over, and I hoped sleep would heal my discomfort.
It didn’t.
I was awoken in the morning to the unnerving sound of my own heartbeat, as if someone was knocking on the door. The feeling was ever so familiar, a nostalgia of coughing and gasping that little by little took my breath away again.
Within hours, I was back in the familiar world of hospital rooms and medical interventions. A spontaneous pneumothorax, which meant my lung had collapsed, air escaping where it shouldn’t, leaving me gasping for breath. I was in bed with a tube in my chest straight into my lungs, pumping out both blood and air. 30% of my left lung had collapsed, likely caused by previous scar tissue left over from my three previous trials with pneumonia.
The pump was designed to help my lung re-inflate, allowing my lung to reattach to my chest wall. While there was a 20% chance of reoccurring, a certain relief was there that this technique might help me regain my lost capacity.
It didn’t.
My lung collapsed again as soon as the vacuum was removed. Once more, I faced a harsh reminder of my vulnerability. A wave of helplessness hit me as the doctors explained that even after reinflating, my lung collapsed again the moment the vacuum was removed. Once again, my body had betrayed me, reminding me of the vulnerabilities I had forgotten.
Days passed with my chest tube, but my lung refused to recover. Doctors explained that I’d need surgery. A pleurectomy and wedge resection to prevent this from happening again. Lying there, facing surgery, I felt deeply shaken. The beeps on the cardiac monitor next to me felt more real than the people around me and more real than the situation I was in. This was different from the illness of my childhood. Back then, I was too young to understand what was at stake. Now, fully aware, I felt an overwhelming helplessness that I would have to live with a continuous fear that I might relapse with another pneumothorax.
The doctors explained I would need a pleurectomy and a wedge resection to prevent another collapse, which meant going into my lungs and removing the potential blisters on my lungs and irritating my lungs to allow it to reattach to my chest wall.
As I was wheeled into surgery, staring at ceiling tiles rushing by, I was acutely aware of my vulnerability. Before this moment, I’d always taken my health for granted, believing I could endlessly push my body. Before this moment, I had always assumed my body would bounce back, that I could push it harder, run farther, study longer. But now, I was a patient. No amount of mental discipline or ambition could change the fact that a third of my lung had caved in and that I was about to be cut open to prevent it from happening again.
As the surgical team prepared the anesthesia, one of the nurses told me gently, “Try going to your happy place.” Instead, I was still thinking about the medical school exam; I’d been studying for it every day that summer. The reality is, I’ve always wanted to be a pediatric pulmonologist. Ever since those early episodes as a kid, I knew there had to be a better way to make sure children didn’t grow up thinking gasping for air was normal. I work with a research team studying pneumonia in children at increased risk of severe illness. Our project focused on understanding how well vaccines protected vulnerable children who, like me, once gasped for air and waited too long for relief. I spent hours processing samples, analyzing data, and contributing to a manuscript we hope will guide better prevention for families.
Today, I run regularly. Last year I ran a race in the city I am in, not with a great time but one I felt proud of 8 months post-surgery. Near the finish line, pain and fatigue set in, and I was worried a replase was going to happen.
It didn’t.
My lung held steady, and I crossed the finish line stronger for having faced that fear. I continue to run on a weekly basis, with less stress and anxiety every time. My pneumothorax no longer defines me. My journey isn’t finished, but that’s exactly the point: each breath is an opportunity. I aim to help others breathe easier.
Because now, more than ever, I understand how much every breath counts.
-Linkai