Re: Question for the group...

[Guest guest]

Tool of PFT's. Most of us look at our FVC, FEV1, TLC and DLCO and

especially the percentages. One thing often not mentioned is FEV1/FVC.

In a healthy person that number is around 80%. In a person with

obstructive lung disease it tends to be lower. So, while by no means

definitive, if a doctor did your PFT's and your FEV1/FVC was 60%, then

at the least he'd look for some obstructive disease, whether in addition

to your restrictive disease or instead of.

Mine has always been from 89-98%. I suspect we have many here where that

number exceeds 100% as I do know I have considerable sinus blockage

interfering too.

> > > >

> > > > Hi everyone, I read all the posting but don't normally post, but

I

> > > have a few questions after seeing my pulmodude yesterday and I'm

> hoping

> > > you can help me. I have been seeing my lung dr. for about 10 years

> now

> > > for asthma and about the last 8 months I've been getting worse. He

> > > started running test and noticed my 02 was dropping, so now I'm on

> > > oxygen 24/7. He also did ekg and said that was not normal, so he

> sent me

> > > to a cardio dr. because he thought I had pulmonary hypertension.

> After

> > > many tests and a heart cath. later, cardio said I had pulmonary

> fibrosis

> > > and that I was hypoxic. My pulmodude does not believe I have

> fibrosis

> > > because he has done several CT's and x-rays and has not seen

> anything.

> > > So he called the cardio. she repeated what she saw again and also

> she

> > > put it into a report. Anyhow, now my lung dr. is scheduling me for

a

> V/Q

> > > scan and a couple of blood test because he doesn't believe I don't

> have

> > > PH....does this sound normal to you....Also, they did three ABG's

in

> the

> > > same day and they started at 87 and ended with 82. Lung dr. said

he

> has

> > > never seen someone's blood gases doing that...I would appreciate

any

> > > thoughts you have...I'm trying to understand what is going on and

if

> any

> > > of you have gone through this.

> > > >

> > > > Hope to talk with you all.

> > > > Annette

> > > >

> > >

> > >

> >

>

[Guest guest]

Hi Bruce,

When my lung doctor does the PFT's on me, he never says anything other than your

numbers are about the same as the last time...but he has said there appears to

be no obstruction...I never thought to ask about any numbers due to thinking my

only problem was asthma...but now that fibrosis and hypertension are becoming

part of this dx. if I was to have another PFT done, I would ask to see the

numbers you have mentioned.

The CT I had done a couple of months ago was with contrast and it did not show

any clots at that time. I guess I'm questioning why he would want to test for

them again, plus, the cardio would have seen them when she was doing the heart

and lung cath.

Does it surprise you at all the Lung doctor is questioning what the heart doctor

told him....and it doesn't sound like the VQ is going to help with findings of

fibrosis....

Thanks for giving me some insight....

Annette

---- brucemoreland wrote:

> Tool of PFT's. Most of us look at our FVC, FEV1, TLC and DLCO and

> especially the percentages. One thing often not mentioned is FEV1/FVC.

> In a healthy person that number is around 80%. In a person with

> obstructive lung disease it tends to be lower. So, while by no means

> definitive, if a doctor did your PFT's and your FEV1/FVC was 60%, then

> at the least he'd look for some obstructive disease, whether in addition

> to your restrictive disease or instead of.

> Mine has always been from 89-98%. I suspect we have many here where that

> number exceeds 100% as I do know I have considerable sinus blockage

> interfering too.

>

>

> > > > >

> > > > > Hi everyone, I read all the posting but don't normally post, but

> I

> > > > have a few questions after seeing my pulmodude yesterday and I'm

> > hoping

> > > > you can help me. I have been seeing my lung dr. for about 10 years

> > now

> > > > for asthma and about the last 8 months I've been getting worse. He

> > > > started running test and noticed my 02 was dropping, so now I'm on

> > > > oxygen 24/7. He also did ekg and said that was not normal, so he

> > sent me

> > > > to a cardio dr. because he thought I had pulmonary hypertension.

> > After

> > > > many tests and a heart cath. later, cardio said I had pulmonary

> > fibrosis

> > > > and that I was hypoxic. My pulmodude does not believe I have

> > fibrosis

> > > > because he has done several CT's and x-rays and has not seen

> > anything.

> > > > So he called the cardio. she repeated what she saw again and also

> > she

> > > > put it into a report. Anyhow, now my lung dr. is scheduling me for

> a

> > V/Q

> > > > scan and a couple of blood test because he doesn't believe I don't

> > have

> > > > PH....does this sound normal to you....Also, they did three ABG's

> in

> > the

> > > > same day and they started at 87 and ended with 82. Lung dr. said

> he

> > has

> > > > never seen someone's blood gases doing that...I would appreciate

> any

> > > > thoughts you have...I'm trying to understand what is going on and

> if

> > any

> > > > of you have gone through this.

> > > > >

> > > > > Hope to talk with you all.

> > > > > Annette

> > > > >

> > > >

> > > >

> > >

> >

>

>