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David Tinkelman, M.D.  
Male
CO

Specialties: Pulmonary Disease, Asthma

My Posts
Jun 18, 2014 in the Respiratory Disorders Expert Forum - 1
You have provided a good description of your symptoms. Of most concern to me would be your finding it “hard to take a deep breath.” What you have experienced may be a transient trivial disorder but, it is conceivable that your symptoms may be related to the trauma and surgery you had a year and a half ago. That is to say, your symptoms may be a sign of ser...
Jun 18, 2014 in the Respiratory Disorders Expert Forum - 2
I can appreciate your doubt regarding the diagnosis of cough variant asthma but what you describe is consistent with that diagnosis and, in that circumstance, you might well benefit from anti-asthma drugs. That your Mom hears the wheezing suggests that it may be originating in your throat, rather than your lungs. What you describe suggests that your doc...
The PFT results you cite are within the range of predicted normal values but that does not rule out lung disease as a cause of your shortness of breath. A normal chest X-ray along with normal PFT’s is good news but does not rule out all serious lung diseases. Unless your physicians deem your shortness of breath to be on the basis of anxiety or other emotion...
Jun 18, 2014 in the Respiratory Disorders Expert Forum - 2
As you acknowledge the pulmonary function data is incomplete but the mildly reduced FEV1/FVC % and the increased RV would be more consistent with obstructive rather than restrictive lung impairment. I suggest that you ask your physician to elaborate on your PFT results. Good luck
What you describe suggests that, despite” normal blood tests and stool tests”, you may have some type of inflammatory bowel disease and this is a not uncommon cause of fatigue and low energy. This illness, that has lasted for months, truly is a serious problem that warrants further investigation by your physicians, in consultation with a gastroenterology spe...
Jun 18, 2014 in the Respiratory Disorders Expert Forum - 3
The abnormalities referred to in the official CT Scan interpretation are very likely inconsequential, most likely residual effects of some prior lung infection. That is to say, these changes are not suggestive of any serious lung disease. The overwhelming majority of instances of atelectasis (as described) is not a sign of lung cancer, especially in a perso...
Jun 18, 2014 in the Respiratory Disorders Expert Forum - 2
Briefly, your lungs may be chronically infected with mycoplasma and, given that possibility, long term therapy with macrolides would be reasonable. Biopsy and PCR would be required for confirmation. Much of what you cite suggest that your disease is progressive and the demonstration of bronchiectasis would be consistent with that premise. Yours is a very...
Jun 11, 2014 in the Respiratory Disorders Expert Forum - 1
What you nicely describe is indeed consistent with the diagnosis of “acid reflux or GERD”. “Heartburn” can present in a number of ways and not necessarily with the classic anterior chest pain. The belching may or may not be associated with GERD. In some instances it is associated with an individual swallowing excessive air and this in turn is often as...
Jun 11, 2014 in the Respiratory Disorders Expert Forum - 2
This rapid-onset dramatic change in your breathing capacity is worrisome and really should be investigated. Four possibilities come to mind (in no special order): 1) that you have developed exercise induced asthma, 2) That you have developed a heart condition (an abnormal heart rhythm or heart failure, secondary to a cardiomyopathy), 3) that you are havi...
Jun 11, 2014 in the Respiratory Disorders Expert Forum - 1
You have a right to the results of the test you took a couple of months ago. This was probably an oversight but I strongly suggest that you contact the physician who ordered them for the results and interpretation. There are diseases that can mimic asthma, one of these being a malfunction of the vocal cords called, Vocal Cord Dysfunction. Your descriptio...