Lung problems

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Riggor37 - 30 Dec 2007 06:36 GMT

In Nov 05, I had by-pass surgery - (three grafts were done). During the
proceedure, the nerve controling the left diaphragm sustained enough damage
that a "sniff test" revealed that the diaphragm did not move when it should
have done. A sleep study revealed that I had periods of low oxygen levels in
my blood and I was placed on oxygen for sleeping. A complete pulmonary test
showed I had lost roughly 20% of my breathing capacity. In late 2006, I
moved from Prescott, AZ (5200 ft) to Santaquin, UT (5,000 ft). My last Dr.
in Prescott recommended that I move to a lower elevation. Santaquin isn't
much lower. My new Dr. recently had me redo the full pulmonary test which
has revealed a further reduction, about 10-15% depending on which set of
figures you read, of my breathing capacity. I am scheduled for a
consultation with my Dr. at the end of January to review the new test results.
I am expecting another recommendation to move to a lower elevation.

I have been sucking on a DHD Healthcare, Coach 2, but have not seen any
improvement. I've used a couple of different inhalers with disappointing
results. Is there anything else I can do to reverse this breathing capacity
loss?

What is the name of the condition I have? I see so many different lung
diseases and conditions in the various web sites, but I don't know the
medical term for my situation and don't know what I ought to be reading. Can
someone help?

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Andrew B. Chung, MD/PhD - 30 Dec 2007 12:16 GMT

> In Nov 05, I had by-pass surgery - (three grafts were done). During the
> proceedure, the nerve controling the left diaphragm sustained enough damage
[quoted text clipped - 14 lines]
> results. Is there anything else I can do to reverse this breathing capacity
> loss?

Ask GOD to heal you through prayer:

http://TruthRUS.org/KnowingGOD

> What is the name of the condition I have?

Paralyzed left hemi-diaphragm secondary to iatrogenic phrenic nerve
injury.

> I see so many different lung
> diseases and conditions in the various web sites, but I don't know the
> medical term for my situation and don't know what I ought to be reading. Can
> someone help?

See above.

Be hungry... be healthy... be hungrier... be blessed:

http://TheWellnessFoundation.com/BeHealthy

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.

Reply to this Message

yamantaka@aol.com - 30 Dec 2007 17:38 GMT

<snip Chung crap>

Hey Chung, Do you think you'll pass your cardiology or internal
medicine board exam next time with this sort of a ridiculous answer to
a medical question, "Ask GOD to heal you through prayer: ?" Do you
think the Georgia Medical Board considers that sound medical advice
for the poster's paralyzed diaphragm which is a known complication of
open heart surgery?

Reply to this Message

J666 - 30 Dec 2007 17:54 GMT

On Dec 30, 11:38 am, yamant...@aol.com wrote:

> <snip Chung crap>
>
[quoted text clipped - 4 lines]
> for the poster's paralyzed diaphragm which is a known complication of
> open heart surgery?

Have to remember all that is irrelevant to Andrew BotBrainedBabel
Chung.

You are asking an illogical and irrational person to think logically
and rationally.

Reply to this Message

Andrew B. Chung, MD/PhD - 31 Dec 2007 07:28 GMT

http://HeartMDPhD.com/Convicts/Rebukesatan

<><

May dear neighbors, friends, and brethren have a blessedly wonderful
New Years ...

... by being hungrier:

http://TruthRUS.org/KnowingGOD

Hunger is wonderful :-)

It's how we know what GOD wants, which is what is good.

Yes, hunger is our knowledge of good versus evil that Adam and Eve
paid for with their and our immortal lives.

Those who suffer from the powerful delusion predicted by the prophecy
of 2 Thessalonians 2:9-11 would deny this and perish however:

http://HeartMDPhD.com/Convicts/CrazyOne

Be hungry... be healthy... be hungrier... be blessed:

http://HeartMDPhD.com/HolySpirit/BeBlessed

"Blessed are you who hunger NOW...

... for you will be satisfied." -- LORD Jesus Christ (Luke 6:21)

Amen.

:-)))

Reply to this Message

Bill - 30 Dec 2007 12:35 GMT

> In Nov 05, I had by-pass surgery - (three grafts were done). During the
> proceedure, the nerve controling the left diaphragm sustained enough damage
[quoted text clipped - 19 lines]
> medical term for my situation and don't know what I ought to be reading. Can
> someone help?

Hope this concern goes away.

Bill
................

: Harefuah. 2007 Nov;146(11):826-8, 912.

[Pleural effusion following coronary bypass surgery]
[Article in Hebrew]

Merin O, Maher D, Silberman S, Oren A, Hadas I, Bitran D.
Shaare Zedek Medical Center, Jerusalem, Israel. merin@szmc.org.il
BACKGROUND: Pleural effusion is a common finding after coronary artery
bypass surgery (CABG). We sought to determine the incidence and patient
characteristics predictive of its appearance, in addition to the effect
of post-operative treatment with enoxaparin. METHODS: We retrospectively
examined 893 patients undergoing CABG: 520 consecutive patients did not
receive enoxaparin, and 373 patients received it. All early (up to 10
days) peri-operative chest radiograms were examined and graded by the
amount of pleural effusion: (i) small--obliteration of the costophrenic
angle; (ii) moderate-- < 50% of lung field; (iii) large-- > 50% of lung
field. Patient characteristics as well as operative and post-operative
parameters were analyzed in order to identify predictors for pleural
effusion. RESULTS: Pleural effusion was small in 415 patients (46%),
moderate in 346 (39%) and large in 132 (15%). Older age, female gender
and congestive heart failure were found to be predictors for pleural
effusion by multi-variate analysis (p <0.05). Routine use of enoxaparin
was not found to be associated with pleural effusion after CABG.
CONCLUSIONS: Over 50% of patients will develop a significant pleural
effusion following CABG. Prophylactic treatment with enoxaparin does not
increase the risk for pleural effusion.
PMID: 18087824 [PubMed - in process]

.......................

1: Heart Vessels. 2007 Jan;22(1):16-20. Epub 2007 Jan 26.

Persistent symptomatic pleural effusion following coronary bypass
surgery: clinical and histologic features, and treatment.

Charniot JC, Zerhouni K, Kambouchner M, Martinod E, Vignat N, Azorin J,
Gandjbakhch I, Artigou JY.
Department of Cardiology, Hôpital Avicenne, 125 rue de Stalingrad,
93009, Bobigny, France. jean-christophe.charniot@avc.ap-hop-paris.fr
Pleural effusions following coronary artery bypass grafting (CABG) have
been reported in 65%-89% of the cases. The majority of pleural effusions
are left-sided, of little significance, and resolve spontaneously.
However, a few pleural effusions require specific therapeutics. We
report clinical and pleural histologic features of three patients who
had persistent post-CABG pleural effusions and underwent video-assisted
thoracic surgery (VATS). These patients were studied because they had a
persistent pleural effusion within the first 2 months after CABG without
other identifiable causes. All patients underwent VATS for investigation
and management of persistent pleural effusions. Three patients with a
mean age of 63.6 +/- 8.5 years were studied. The pleural effusion
developed 38 +/- 11.3 days after CABG (range: 22-46). The median period
from CABG to VATS was 80 +/- 21.6 days (range: 50-100). In all cases,
the pleural effusion was large, and predominated on the left side.
Pleural effusions were characterized by an exudative (n = 2) or
transudative (n = 1) fluid with lymphocytosis. Histologic examination of
pleural biopsies showed a follicular lymphoid hyperplasia involving the
pleural serosa and a non-necrotizing granulomatous reaction with a mild
inflammatory infiltrate. All patients underwent VATS with intrapleural
injection of sclerosing agents. Video-assisted thoracic surgery talc
pleurodesis led to symptomatic and radiologic improvement in all
patients with a mean follow-up of 16.7 +/- 4.5 months. No recurrence of
pleural effusion has been observed in any patient. Large pleural
effusions can develop in a small proportion of patients after CABG. The
mechanism of pleural effusion remains unclear. Video-assisted thoracic
surgery could play a significant role in the management of pleural
effusion developing after CABG.
PMID: 17285440 [PubMed - indexed for MEDLINE]

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J666 - 30 Dec 2007 15:38 GMT

On Dec 30, 6:35 am, Bill

> Hope this concern goes away.

Along with the bot brained responses of Andrew Bot Chung.

Nice to see article from legitimate peer-reviewed medical journals
posted - that is what good doctors use.

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