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  • Inhalers are necessary?? Cat scan for asthma??

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    Old 01-23-2018, 02:20 PM   #1
    Hannah1492
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    Inhalers are necessary?? Cat scan for asthma??

    I saw a pulmonoligist the the first time. His office is in an older part of town and I was super turned off by the 3rd world look of the tiny building. His office was crammed with patients, like restaurants at lunch crowds are always a good sign.

    I tried not using inhalers but it made me feel tired. So I flipped to once a day. The Dr explained he could hear a small wheeze and that over time the inflammation would make it harder and harder to breath- like in 10 years. He didn't do any breathing tests. I told him about the sweats I get so he said to use the inhaler at 5pm instead of before bed.

    Have you guys ever been treated like this? No computer or blowing test? He recommended all his patients get a lung cat scan, including me. You guys get cat scans for asthma?

    He wasn't impressed with my anti inflammatory diet either- no gluten, lots of blueberries and walnuts. He said poor people in China don't get access to inhalers they get 2 colds then they die.

     
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    Old 01-23-2018, 04:36 PM   #2
    Harri3t
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    Re: Inhalers are necessary?? Cat scan for asthma??

    What inhaler are you using now? I know you've been reluctant to take them but I don't know an asthmatic that isn't helped by them when prescribed for them. Depending on what you've been prescribed, a maintenance inhaler like the advair I take needs to be taken regularly to keep symptoms in check. You can't just take it willy nilly and expect good results.

    I can see how a CT scan might be helpful but I would also expect pulmonary function studies done, too, if not first. In fact, I will be seeing a pulmonologist for the first time next week. PFT's and a chest xray were ordered to be done before my visit.

    I don't know what you meant by computer tests.

     
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    Old 01-23-2018, 08:51 PM   #3
    Hannah1492
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    Re: Inhalers are necessary?? Cat scan for asthma??

    I wrote a post, its orobably someplace strange like back pain. I take advair 250. The asthma specialist did pulmonary test and make overlapping graphs on the computer from multiple visits and told my what % improvement my lungs had healed. She said I had the potential to get off inhalers.

    This doctor just listened with the scope to his ear. Lower tech than expected.

    I first starting experimenting with inhaler dosage when I had an unexpected asthma attack. I realized mine had been on empty for 8 days and I'd noticed no difference. Now I use once a day. I just have symptoms in response to fragrance and smoke.

    I couldn't get QNasl paid for with insurance.

    I see no reason to expose my poor lungs to radiation. What would it change?

    If I wasn't getting a sleep study out of the guy I wouldn't go back. His office is super far from my house.

     
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    Old 01-23-2018, 09:35 PM   #4
    Harri3t
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    Re: Inhalers are necessary?? Cat scan for asthma??

    Your advair use aside, didn't the asthma specialist also order a rescue inhaler? Most people with asthma have a fast acting one ordered for acute attacks, usually albuterol. I've never heard of asthma "healing". It may wane at times but there is always the potential for a future episode which is why it's a good idea to keep a rescue inhaler handy.

    Don't discount low tech especially a stethescope in the hands of an experienced doctor.

    If you've had pulmonary function tests done several times already there is really no need to do them again at this point. You new doc can review your old results.

    CT scan won't change anything but it would give your doctor a better look at what's going on with your lungs and maybe help with your treatment. The decision to have one or not is yours. But I have to ask what you were expecting from seeing a new specialist?

    Flonase is comparable to qnasl and is available OTC as a brand name or generic and costs a lot less than qnasl by a few hundred dollars. The major difference is between a liquid and a dry powder steroid. Their actions and side effects are the same.

     
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    Old 01-24-2018, 09:02 AM   #5
    Hannah1492
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    Re: Inhalers are necessary?? Cat scan for asthma??

    I used to use the rescue inhaler a lot, then I realized I just have to get away from the trigger. The new doctor said he didn't think I needed it.

    I read up on the ct scan and it actually can show if you really have asthma or sensitivity or gerd. Since every single patient was leaving a slip for a CT I guess that's just how he treats. If I hadn't just had 40 xrays at the dentist I would do it.

    I've had sleep issues for a while so I guess my primary care thought it was a 2 fer getting me to see a pulmonologist/sleep specialist.

    Thanks for reading, it helped me think things thru having someone to talk it out with.

     
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    Old 01-24-2018, 09:25 AM   #6
    Harri3t
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    Re: Inhalers are necessary?? Cat scan for asthma??

    Again, the decision to have a CT scan is yours but I'd also think about the risk involved in other ways to see what's going on, namely bronchoscopy. It seems to me that the noninvasive approach is safer than an invasive one that requires sedation.

    The one question I have is where will the CT scan be done? If it's CT equipment owned by this particular doctor I might be a little suspicious of the motives behind the order especially if everyone is leaving with the same orders. You should be free to choose where to have the study done.

    I'm still not so sure you shouldn't keep a rescue inhaler handy in case of an acute attack. That might be something you should speak to the lung doctor about. Like I said before, I've never heard of asthma "healing" and reading through your previous posts it's sounds like you've had more than a few attacks of wheezing. You are lucky not to have experienced bronchospasm when immediate action is critical.

    Wishing you all the best and good luck to you.

    Last edited by Harri3t; 01-24-2018 at 09:26 AM.

     
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