The below information are for my 68 years old father regarding his COPD condition during May this year. The condition is severe but would like to listen for 2nd opinion from doctor in this forum.
FEV1 = Base : 0.88, %Pred : 33%, Zscr : -4.1
FVC = Base : 2.18, %Pred : 60%, Zscr : -2.8
PEF = Base 140 l/min, %Pred : 29%, Zscr : -4.3
FEV1/FVC = Base : 40%, %Pred : 55%, Zscr : -5.7
FEF25-75 = Base : 0.40 l/s, %Pred : 17%, Zscr : -2.1
FEF25-75/FVC = 18/s
Just started using oxygen concentrator abou 1-2 weeks ago. Now, he is on portable oxygen concentration to ease his oxygen intake, about 2 Liter. And patient encounter several problems such as cold sweat and strengthless as compared to previous month. Sometimes his hands are shaking while his performing activities such as writing as so. And he is feeling less strength on the feet as well.
He is on nebulizer with Combivent about 1-2 times a day, Spiriva, and Seretide medication. Recent CT scan indicate TRO bronchiectasis & confirms Chronic emphysematous lung disease with no significant bronchiectasis.
With the oxymeter that we have at home, patient mentioned the oxygen level at rest is 90-93 and when at exertion even with the oxygen supply it is at 85-88. Patient is concerned that the oxygen level drops consistently everyday.
What can be done to improve and prevent further deterioration and what is the worse outcome and what other stage that he will be going through that we as family should expect in future ?
Is there any way to relief his condition with a surgery or anything which can prevent him from using wheelchair and enable him to perform daily activities in future ? Right now even bathing also the patient cannot do own his own already.
Thanks in advance.