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Hi I'm new here, my name is Brooks and I am petrified I am going to die soon. Please read and help me.
First off I am a SEVERE hypochondriac with SEVERE anxiety panic issues and always feel like I can't breath. I am a 39 male 6' 189lbs
and a heavy smoker for 20 years (1-2 packs a day). I recently (4 months) ago quit drinking and I am an alcoholic.
I had a chest CT scan (no contrast) last week and below is the radiologists remarks:
"The central airways are patent. There is mild centrilobular emphysema. There is no consolidation, effusion or pneumothorax.
No pulmonary nodule or mass is seen"
So went to my pulmonologist who ordered a PFT. Here are the results:
SPIROMETRY ACTUAL PRED %PRED
FVC (L) 6.51 5.73 113%
FEV1 (L) 5.27 4.55 115%
FEV1/FVC (%) 81 80 101%
FEF 25-75% (L/sec) 5.12 4.23 120%
FEF Max (L/sec) 10.78 10.75 100%
FIVC (L) 6.14
FIF 25-75% (L/sec) 7.44
FIF 50% (L/sec) 7.84 5.25 149%
FIF Max (L/sec) 7.90
FIV1/FIVC (%) 99.17
MVV (L/min) 198 174 113%
LUNG VOLUMES ACTUAL PRED %PRED
TLC (Pleth)(L) 8.94 7.43 120%
SVC (L) 6.62 5.73 115%
ERV (L) 1.97 2.06 95%
RV (Pleth)(L) 2.32 1.96 118%
RV/TLC (Pleth)(%) 26 26 99%
TGV (L) 4.30 3.76 114%
AIRWAYS RESISTANCE ACTUAL PRED %PRED
Raw (cmH2O/L/s) 0.73 1.45 50%
sGaw (1/cmH20*s) 0.34 0.20 167%
DIFFUSION ACTUAL PRED %PRED
DLCOunc (ml/min/mmHg) 30.65 35.70 85%
DLCOcor (ml/min/mmHg) 35.70
DL/VA (ml/min/mmHg/L) 3.85 4.80 80%
VA (L) 7.97 7.43 107%
So after the PFT I spoke with her and she said not to worry the test is normal.
I said what about the CT scan radiologist saying mild emphysema?
"It is not emphysema but mild emphysematous changes and that emphysema is diagnosed
clinically with a PFT and according to my PFT there is no emphysema"
So I'm totally freaked out....how can the radiologist say mild emphysema and she say its not?
14 months ago I had a PFT that was also normal, except my DLCO was at 99%, how can it drop to 85% in one year?
She said its that one extra year of smoking. Does that seem right?
Can smoking right before a PFT alter the DLCO test?
I was chain smoking all day right up to the test...can't that make a difference in the values since cigarettes have carbon monoxide?
Scared to death DLCO will continue to drop and this time next year I will be below 70%!!!!!
I am quitting smoking Monday (already bought the patch). Can that help raise my DLCO?
HOW LONG DO I HAVE TO LIVE???????
Please, someone, read my PFT and questions and help me understand whats going on.
Thank you so so much!
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