Scheduled C & P

[Old 5311]

Please Help..Anyone have experience or tips for a C&P for ASBRSTOS related lung disease. I was a Machinist Mate working with AB nearly every day with no warning or caution of its DANGER. CV-38 1963-1967. Had my Pulmonary Test last week. Thanks, james.work@comcast.com

Edited October 3, 2005 by Old 5311

[Guest jstacy]

can you please explain this further,I would like to know what these readings should be for normal.as opposed to restricted.

Lung volume is 100 pecent. Each measurement is 100 or less for FVC ( Forced VItal Capacity) Total Volume should also be 100 percent. If the FVC is lower than th e FEV1 / FVC for example 60 percent FVC AND 90 FVC FEV1 This should be interpeted as restrivtive. But most importantly the DLCO. 100 percent is max for 2 lungs per person. The Lower the percentage the more serious the illness or disease. For example, Mine is less than 40.

It is difficult to understand.

[Old 5311]

Lung volume is 100 pecent. Each measurement is 100 or less for FVC ( Forced VItal Capacity) Total Volume should also be 100 percent. If the FVC is lower than th e FEV1 / FVC for example 60 percent FVC AND 90 FVC FEV1 This should be interpeted as restrivtive. But most importantly the DLCO. 100 percent is max for 2 lungs per person. The Lower the percentage the more serious the illness or disease. For example, Mine is less than 40.

It is difficult to understand.

RESULTS ARE IN:

FEC: PREDICTED-4.95. PRE DRUG REPORTED% 3.90. PRE DRUG PREDICTED 79 <. POST DRUG PREDICTED 95. %CHANGE 20.

FE1: PREDICTED 3.42 PRE DRUG REPORTED% 3.24 PRE DRUG PREDICTED 95 POST DRUG REPORTED % 3.71. POST DRUG PREDICTED 108. %CHANGE 14.

DOES THIS MEAN ANYTHING TO ANYONE OUT THERE? I have a C&P comming up soon!

Thanks, James

When you get the results, Look at the FEV and FEV/Fev1. Then look at the DLCO percentage. You can cross reference this information to the 38.CFR under the diagnostic codes for restrictive Lung disease.

The most important reading is the DLCO reading, the lungs ability to exchange 02 into C02.

Good Luck

Thanks to all,

You may reply to:

James

Carrie, may I FAX my PFT to you for review?

James

Edited October 12, 2005 by Old 5311

[Guest jstacy]

RESULTS ARE IN:

FEC: PREDICTED-4.95. PRE DRUG REPORTED% 3.90. PRE DRUG PREDICTED 79 <. POST DRUG PREDICTED 95. %CHANGE 20.

FE1: PREDICTED 3.42 PRE DRUG REPORTED% 3.24 PRE DRUG PREDICTED 95 POST DRUG REPORTED % 3.71. POST DRUG PREDICTED 108. %CHANGE 14.

DOES THIS MEAN ANYTHING TO ANYONE OUT THERE? I have a C&P comming up soon!

Thanks, James

Carrie, may I FAX my PFT to you for review?

James

This may be interpeted as a restriction, However, Why did The VA not test the GAS exchange ( DLCO)

If you are short of breath they should have. Here are the ratings for asbestosis.

FEV 1 108 and FVC of 79. 6833 Asbestosis.

General Rating Formula for Interstitial Lung Disease (diagnostic

codes 6825 through 6833):

Forced Vital Capacity (FVC) less than 50-percent predicted,

or; Diffusion Capacity of the Lung for Carbon Monoxide by the

Single Breath Method (DLCO (SB)) less than 40-percent predicted,

or; maximum exercise capacity less than 15 ml/kg/min oxygen

consumption with cardiorespiratory limitation, or; cor pulmonale

or pulmonary hypertension, or; requires outpatient oxygen

therapy 100

FVC of 50- to 64-percent predicted, or; DLCO (SB) of 40- to

55-percent predicted, or; maximum exercise capacity of 15 to

20 ml/kg/min oxygen consumption with cardiorespiratory

limitation 60

FVC of 65- to 74-percent predicted, or; DLCO (SB) of 56- to

65-percent predicted 30

FVC of 75- to 80-percent predicted, or; DLCO (SB) of 66- to

80-percent predicted 10

[Old 5311]

This may be interpeted as a restriction, However, Why did The VA not test the GAS exchange ( DLCO)

If you are short of breath they should have. Here are the ratings for asbestosis.

FEV 1 108 and FVC of 79. 6833 Asbestosis.

General Rating Formula for Interstitial Lung Disease (diagnostic

codes 6825 through 6833):

Forced Vital Capacity (FVC) less than 50-percent predicted,

or; Diffusion Capacity of the Lung for Carbon Monoxide by the

Single Breath Method (DLCO (SB)) less than 40-percent predicted,

or; maximum exercise capacity less than 15 ml/kg/min oxygen

consumption with cardiorespiratory limitation, or; cor pulmonale

or pulmonary hypertension, or; requires outpatient oxygen

therapy 100

FVC of 50- to 64-percent predicted, or; DLCO (SB) of 40- to

55-percent predicted, or; maximum exercise capacity of 15 to

20 ml/kg/min oxygen consumption with cardiorespiratory

limitation 60

FVC of 65- to 74-percent predicted, or; DLCO (SB) of 56- to

65-percent predicted 30

FVC of 75- to 80-percent predicted, or; DLCO (SB) of 66- to

80-percent predicted 10

*The report noted the difusing capacity for carbon monoxide (DLCO) corrected for hemoglobin is within normal limits. Any impression on this? Thanks for your help, James

Edited October 13, 2005 by Old 5311

[Old 5311]

*The report noted the difusing capacity for carbon monoxide (DLCO) corrected for hemoglobin is within normal limits. Any impression on this? Thanks for your help, James

Edited October 13, 2005 by Old 5311

[Guest jstacy]

Your case depends on how the C and P examiner looks at the PFT. With a 79 for a FVC being a compensable number I think the Doctor should agree, But knowing VA doctors anything is possible. If you have Insurance you may want to get an ouitside opinion from a good pulmonary doctor who will administer his own test. Good Luck and let us know it goes.