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242587?1217037524
David Tinkelman, M.D.  
Male
CO

Specialties: Respiratory Disorder


National Jewish Health
Denver - CO
Treatment of Sarcodois
Dec 08, 2009 03:30PM in the Respiratory Disorders Expert Forum
That the Sarcoid is limited to your lungs and does not involve your heart, eyes or central nervous system, is great news. Equally, a reason for you to be optimistic is the report of normal pulmonary function and normal blood gases. Other diseases, most notably Berryliosis (but also Hypersensitivity Pneumonitis) can mimic Sarcoid and should be ruled out. ...
Three-year old X-ray
Dec 08, 2009 01:49PM in the Respiratory Disorders Expert Forum
Such “densities” on X-ray, at age 27 are almost always benign. A 12 year history of smoking would reduce the odds somewhat, but even so the odds are in your favor that this shadow is either a benign lesion (usually the scar from a healed infection; one that you were most likely unaware of) or what is called an artifact or a phantom shadow, a shadow rela...
Exposure to asbestos: I cannot breath. What can I do to?
Dec 07, 2009 08:43AM in the Respiratory Disorders Expert Forum
The way your symptoms developed, over time, suggests a definite relationship between your ongoing symptoms and your workplace exposure. The causative agent might well be the chrysotile asbestos but it is entirely possible that other toxic inhalants were present with the asbestos and are the cause of your symptoms. Shortness of breath is often the first sign...
B.C.G. Interdurmal test
Nov 30, 2009 01:03PM in the Respiratory Disorders Expert Forum
The BCG your daughter received is a vaccine, administered to newborns, for the prevention of TB in geographical areas where there is a high incidence of this disease. It is not uncommon for there to be some swelling at the injection site and this usually subsides within a few days. If the lump you describe is a small, firm nodule, roughly the size of a BB a...
Early COPD?
Nov 18, 2009 01:51PM in the Respiratory Disorders Expert Forum
The lung specialist is right. Your pulmonary function tests are within normal limits, and effectively rule-out COPD as a cause of “SOB everyday”. Your cough might be a reflection of chronic bronchitis or asthma, the seasonal (winter) nature of it related to cold and/or dry air or to the increased incidence of respiratory infections in the general popula...
Pneumothorax-best treatment (no recurrence)
Nov 18, 2009 01:42PM in the Respiratory Disorders Expert Forum
The following assessment is based on the assumption that this is your first episode of pneumothorax. If that is correct and especially since this is a quite small (10%) pneumothorax, no therapy, especially any type of surgical therapy, is warranted. You should be followed closely by your doctor, with periodic chest X-rays, until complete spontaneous resoluti...