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Medical Forum / Diseases and Disorders / Asthma / January 2005

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Peak Flow Meters

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Mary - 26 Jan 2005 21:20 GMT
Any asthmatics out there use these things? If so, tell me
about them. Is one brand or type better than another, etc.
Thanks!
Polly S. - 26 Jan 2005 23:09 GMT
> Any asthmatics out there use these things? If so, tell me
> about them. Is one brand or type better than another, etc.
> Thanks!

I have a few around here somewhere and used them when first diagnosed w/
COPD (now diagnosed as not copd!). Anyway... they pretty much work the
same way and are so basic that probably no one of them could be
considered 'better'. (Unless they make some hi-tech one I haven't seen!)

I don't use them unless I call into the doc for Prednisone or Pancof and
the nurse wants some numbers. What they tell me I already know... I am
not moving air! Early on, using one would give me an idea of when I was
simply wheezing and when I was in more serious trouble...

*** It is good to become familiar with 'your' numbers though... both
good and 'bad'. And the peak flow meter can give you that.

Polly
Mary - 27 Jan 2005 00:28 GMT
> > Any asthmatics out there use these things? If so, tell me
> > about them. Is one brand or type better than another, etc.
> > Thanks!
>
> I have a few around here somewhere and used them when first diagnosed w/
> COPD (now diagnosed as not copd!).

If you have covered this, I'm sorry but I missed it. How does your
doctor explain this reversal in diagnosis? When I took Advair and it
worked to open my lungs, my doctor told me that I could pretty
much forget about Emphysema because very few people with it
respond to Advair. I am not familiar with the other forms of
COPD, though. (I was worried about emphysema because
I smokes years back.)

[...] > Early on, using one would give me an idea of when I was
> simply wheezing and when I was in more serious trouble...

This is what appeals to me about using one, and my doctor
knows me well enough to know that it will help me because
it will keep me from worrying needlessly. I don't want to
be a worry wart, but on the other hand I don't want to be
like my father and have to be taken via ambulance to the hospital
every other year.

> *** It is good to become familiar with 'your' numbers though... both
> good and 'bad'. And the peak flow meter can give you that.

Thank you, Polly. My pharmacy ordered one this afternoon, and I
can pick it up tomorrow. As it turns out I don't have the option of
choosing what kind I want, anyway. I was surprised that the meter
was not covered by my health insurance. (Blue Cross.) But it only
costs $35, so it's not a big deal. I think another thing that might be
good about using a Peak Flow Meter is that if I increase my lung
volume and function by exercising, the meter should give me an
indication of that. When I can see progress, that is a definite
incentive!
Polly S. - 27 Jan 2005 01:07 GMT
> If you have covered this, I'm sorry but I missed it. How does your
> doctor explain this reversal in diagnosis? When I took Advair and it

I don't think I ever mentioned it because it has been undiagnosed! When
the asthma first got so bad in Tahoe there was a notation in one report
that I had COPD (but no one ever told me). Later, on another er visit, a
doctor mention "with your COPD" and I asked him what the heck is copd?
To make a long story short after, a lot of back and forth and a multiple
doctor pow-wow it was determined that the misdiagnoses was due to a lot
of old lung scarring that I have.

The old scarring was caused by nearly a dozen spontaneous pneumothorax
(collapsed lung) that I had in my teens and early 20's. The cause was
never identified but it is sometimes thought to be caused by rapid
growth in the teenage years. I went from under 5' to 5'8" in just over a
year when I was 16 yrs old. The pneumothporax were never too serious and
I only had to have a chest tube and hospitalization once.

Anyway... it was determined that what they thought were early signs of
emphysema were those old scars... but thank goodness that was not the case!

> was not covered by my health insurance. (Blue Cross.) But it only
> costs $35, so it's not a big deal. I think another thing that might be

THIRTY FIVE $ ???  but they are just so... just plastic and probably
cost 35 cents to make, except the ones with the nice cases, I'm sure
they cost maybe 50 cents more! Unless of course, like I said, there is a
hi tech one I have never seen!  If I had known I would have sent you
one!!!  :)

> good about using a Peak Flow Meter is that if I increase my lung
> volume and function by exercising, the meter should give me an
> indication of that. When I can see progress, that is a definite
> incentive!

Thats a good thought.  hmmm... Might be a good reason to find one of mine!

take care
Polly
ARoberts - 27 Jan 2005 02:23 GMT
> Any asthmatics out there use these things? If so, tell me
> about them. Is one brand or type better than another, etc.
> Thanks!

My favorite is a Healthscan "Assess".  It has the scale at a right angle to
the mouthpiece and large enough numerals for my failing vision to actually
see.  I've tried some of the in-line models, and don't care for them.  That
said, there are some really small in-line types that fit in the pocket or a
purse--great for travelling.

As I'm sure you already know, these are each individual's "personal best"
reading rather than an absolute scale, but it can be a valuable and
objective tool to keep track of trends.
ARoberts - 27 Jan 2005 02:27 GMT
> Any asthmatics out there use these things? If so, tell me
> about them. Is one brand or type better than another, etc.
> Thanks!

http://www.allergyasthmatech.com/allergyasthmatech/product-detail.asp?CategoryID=137
gumbo - 28 Jan 2005 22:11 GMT
> Any asthmatics out there use these things? If so, tell me
> about them. Is one brand or type better than another, etc.
> Thanks!

Mine's called a "mini-wright"; comes in a cardboard tube, it's about 8" long,
very reliable, quite cheap I think.  Had it for a least 5 years and it still
works fine.  Mechanically it's very simple.  I don't use it all that often, not
really unless the doc asks me to monitor myself for a few weeks.

I think PF meters are of some use in spotting when symptoms are worsening.  
But I wouldn't spend a lot of money on one - I don't think an expensive
one would do any more than a simple one.  Can also be useful if your doc
changes your treatment and wants to monitor effectiveness of the new
treatment.  The trouble is, this often falls down because it's very hard to
motivate yourself to take the reading every morning and evening, you tend to
do it for 2-3 days and then forget and end up "filling in" the readings to
show the doc.  We've all done it!  A bit like trying to stick to a diet ;-)

In my opinion it's well worth getting your doc to give you a lung
function test including spirometry, lung capacity measurement and
histamine challenge test.  This gives a lot more info than just the PF
meter.

-- gumbo
CARDARCH@AOL.COM - 29 Jan 2005 00:33 GMT
> Any asthmatics out there use these things? If so, tell me
> about them. Is one brand or type better than another, etc.
> Thanks!

I bought a cute little peak flow meter by Piko-1.  I noticed it on ebay
and then bought it on-line elsewhere for about $30.  It has a watch
battery and measures both how fast you can breathe out and also how
much your lungs can hold. I really like it.  An allergist told me I had
asthma and scared me by telling me that my lung functions were not up
to what they should be and insisted that I take 3 kinds of medicine
that I later discovered were steroids and also get a whole raft of
allergy shots.  After much searching on the internet for numbers for
someone my size and age, I found out that my numbers are just fine.  I
did make changes in my lifestyle especially in the bedroom to vanquish
the dreaded dustmites as much as possible.  I am back at the swimming
pool again and hope that his dire predictions of monster mold attacks
won't come take place.  Get that pico peakflow meter and protect
yourself against charlatans.
 
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