242588?1224275300
National Jewish Health  
Male
CO

Sep 10, 2009 01:44PM in the Respiratory Disorders Expert Forum
Greetings, I am confused by the data you have sent. In your E-mail of August 31, you referred to the PFT data as “Last week I had a spirometry test and obtained a copy of results.” Here it is: August 31, 2009 My FVC was 73%....2.52 FEV1 58% 1.66 FEF 25%/75% was 32% 1.04 FIVC 2.94 85% PEF 4.37 69% FEV3 2.33 7...
Sep 03, 2009 04:11PM in the Respiratory Disorders Expert Forum
Let me, first, address your question and then follow that with information from Dr. Robert Mason’s Textbook of Pulmonary Disease. Information that you can read and discuss with your pulmonary specialist, providing a basis for him/her to elaborate on the text. “Given that the lesion increased they ordered another CT. It will be done in the next 10 days...
Sep 03, 2009 02:59PM in the Respiratory Disorders Expert Forum
I assume that, with the diagnosis of ADD, your son is receiving Aderall, Ritalin, or a similar drug. Many of the symptoms he “exhibits” may be attributable to the adverse side effects of these drugs, especially the “low appetite” and “lack of weight gain”. There are, however, other causes of failure to gain weight, some serious and many treatabl...
Sep 01, 2009 03:52PM in the Respiratory Disorders Expert Forum
First the PFT’s. The FEV1 is definitely reduced but there is an increase of approximately 20% in the post-med FEV1. This, with the baseline reduction in FEV1 to 1.66 L. (58%) indicates significant, reversible obstruction to airflow, consistent with the diagnosis of asthma. The FVC, while reduced is 80% of predicted, post-med, a borderline low predicted v...
First, to my knowledge, there is no relationship between thyroid hormone and airway inflammation or obstruction. The excess doses you took could easily result in a hyper-metabolic state that would increase oxygen consumption and, secondarily, increase the work of breathing to provide the oxygen, that would result in increased shortness of breath. That might...
Aug 31, 2009 02:05PM in the Respiratory Disorders Expert Forum
Impaired function of the phrenic nerve following cardiac bypass surgery, resulting in diaphragmatic paralysis, is not uncommon; observed in 5-15% of patients undergoing such surgery. Definitive studies have shown this complication to be related to cold-induced injury (cooling of the heart) during myocardial protection strategies and possibly to mechanical in...