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I have had asthma for around 25 years (I am 60) and 5 years ago I was diagnosed with mild COPD which has now just gone into the moderate range. My COPD is stable with a couple of exacerbations a year which don't need hospitalisation.
I have an annual COPD review with a COPD nurse. My questions are:
1) My blood gasses are done
2) I have a peak and flow test to determine my FVC and FEV1
Neither the nurse or the doctor will tell me whether I have chronic bronchitis or emphysema. Should they do this and is it important I know even though the treatment is the same? I know that damage is done to different parts of the lungs depending which one I have. Or is it more likely to be a mixture of both?
What does blood gasses measure apart from the oxygen in the blood? Does it indicate the severity of my condition and the damage done?
Is a peak and flow meter reading sufficient for an accurate result of my COPD re FVC and FEV1 bearing in mind it is usually used for asthma results? Will it show the severity of my lung damage?
I was refused a chest x-ray on diagnosis and only had one done at my insistence a few months ago. Is that correct?
I have never had a CT scan - do I need one?
I only had a spirometry test for diagnosis - is this a more accurate result for copd severity and should one of those be done every year?
I have asked to see a consultant and was told there is no need as the surgery can handle my care. Is this correct?
Is there anything else that should be done or not done at my review please?
I have looked online but find the information confusing and conflicting.
Many thanks. xx
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