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Navy89

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Can anyone make anything out of these... Is this Auto 10% in PFT?  What does dorcel de change come with?  Results:. Pulmonary hyperinflation is demonstrated.  Mild degenerative change is seen involving the dorcel spine. Uric acid 9.3 Pft: pre bronc:. Fvc71,fev1 71,fev1/fvc 99

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1 hour ago, Navy89 said:

Can anyone make anything out of these... Is this Auto 10% in PFT?  What does dorcel de change come with?  Results:. Pulmonary hyperinflation is demonstrated.  Mild degenerative change is seen involving the dorcel spine. Uric acid 9.3 Pft: pre bronc:. Fvc71,fev1 71,fev1/fvc 99

I'll try to answer your questions as best I can.

It appears you may have tested positive for COPD or some other pulmonary condition. Your pft results are closest to a 10% rating if you claim it and the condition is granted. 

I imagine they did an X-ray where mild degenerative changes were present with your spine. 

What I find interesting is your elevated Uric Acid (Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male)  could be a sign of a kidney issue that should be followed up on. Do you have problems with Gout or kidney stones?

Hope this helps you out.

IF you are diagnosed with COPD or another pulmonary condition here is how it is rated: 

 

 

Obstructive Lung Diseases

Obstructive lung diseases cause the airway to the lungs to become blocked. Often there is significant swelling of the tissues and the airways collapse easily. Most of these conditions are rated on the Respiratory Rating System, but some have some small differences.

Code 6600: Chronic bronchitis is the swelling of the bronchi in the lungs. The swelling causes them to narrow and block the passage of air.

Code 6603: Pulmonary emphysema is a disease that gets worse over time and is normally caused by smoking or being exposed to pollution for a long time. It causes the tissues that hold the shape of the lungs to die, thus causing the lungs to collapse and loose their shape.

Code 6604: Chronic obstructive pulmonary disease (COPD) is simply the presence of chronic bronchitis and/or emphysema. It is rated exactly the same as both bronchitis and emphysema, and the code can be used interchangeably. If both are present, then only one rating can be given under this code.

Code 6601: Bronchiectasis is a condition where part of the bronchial tree becomes enlarged and causes obstruction of the airflow. This is a permanent condition that cannot be reversed.

It is either rated on the Respiratory Rating System or on incapacitating episodes below, whichever provides the highest rating. The definition of an “incapacitating episode” for rating this condition is a period where there is an active infection in the lungs, and it requires bed rest and treatment by a physician.

If there are a total of at least 6 weeks of incapacitating episodes each year, it is rated 100%.

If there are a total of 4 to 6 weeks of incapacitating episodes each year, or if there is constant coughing of mucous mixed with puss or blood that requires near-constant antibiotic treatment with anorexia and weight loss, it is rated 60%.

If there are a total of 2 to 4 weeks of incapacitating episodes each year, or if there is daily coughing occasionally of muscous mixed with puss or blood that requires between 4 to 6 weeks of antibiotic treatment 3 or more times a year, it is rated 30%.

If there is occasional coughing with infections requiring antibiotics 2 or more times a year, it is rated 10%.

Code 6602: Asthma is a condition where the airways and bronchi swell, causing them to close up.

This condition has slightly different rating requirements than the Respiratory Rating System. These are outlined in the table below.

It is important to note that it is difficult to get a proper test for asthma since the tests must be run while an attack is happening. An FEV-1 test done when there is not an attack will give normal results that will not properly define the condition. A methacoline challenge test is often done instead since the methacoline triggers an asthma attack. Once the methacoline is inhaled and an asthma attack begins, the spirometry tests are performed. After the tests are done, medications are given to treat the asthma attack. If spirometry is done with and without methacoline, the condition is rated on the methacoline results.

If FEV-1 and FVC tests with methacoline are not performed, then asthma can be rated based on the kind of medication that is used to treat the condition or on the severity of the condition based on the number of ER visits. In these cases, however, the physician must clearly record a thorough history of asthma attacks.

Test

Result/Condition

Rating

FEV-1

Less than 40%

100%

FEV-1

40-55%

60%

FEV-1

56-70%

30%

FEV-1

71-80%

10%

FEV-1/FVC

Less than 40%

100%

FEV-1/FVC

40-55%

60%

FEV-1/FVC

56-70%

30%

FEV-1/FVC

71-80%

10%

ER visits

2 or more attacks per week with respiratory failure that requires ER visits to save life

100%

ER visits

Requires monthly ER visits to save life

60%

Medication

Requires daily high doses of steroids or immunosuppressive medications taken by mouth or by injection*

100%

Medication

Requires the use of steroids or immunosuppressive medications taken by mouth or by injection 3 or more times a year*

60%

Medication

Requires occasional use of inhaled anti-inflammatory medication*

30%

Medication

Requires daily bronchodilator therapy taken by mouth or inhaled*

30%

Medication

Requires occasional bronchodilator therapy taken by mouth or inhaled*

10%

*A definition of these medications is listed below.

Swelling is the biggest problem with asthma, and so the majority of medications that treat asthma are for controlling swelling.

Swelling is often a reaction of the immune system to things it doesn’t like. Immunosuppressive medications suppress this response, allowing the airways to remain open in an asthma attack. Similarly, steroids taken by mouth or injection are able to greatly reduce swelling. Both of these treatments are only used for the most severe cases of asthma and only when all the other medications listed below do not satisfactorily treat the condition. Some of the most common medications in these categories are Prednisone, Prednisolone, Decadron, Deltasone, Dexamethasone, Medrol, Orasone, Pediapred, and Prelone.

Inhaled anti-inflammatory medications are steroids, but a smaller dose than oral or injected steroids. These reduce swelling and mucus production. They are used to prevent asthma attacks. Some of the most common medications in this category are Aerobid (Flunisolide), Flovent HFA (Flutocasone HFA), Azmacort (triamcinolone), Ipratropium Bromide (Atrovent), Asmanex, Pulmicort, and Qvar. The following are a combination of an anti-inflammatory medication and a bronchodilator (discussed next), but they are rated as anti-inflammatory medication: Advair (Fluticasone and Salmeterol), Duleva, and Symbicort.

Bronchodilators are used by pretty much anyone with asthma. These keep the bronchi from swelling and blocking the airway. They are all inhaled, and there are short-acting and long-acting bronchodilators. Short-acting ones are the rescue inhalers that work very quickly and last between 1 hour and 4 hours. Common short-acting bronchodilators include Proventil, Albuterol, Ventolin, Salbutamol, AccuNeb, Levosalbutamol, Levalbuteral, Xopenex, Terbutaline, Bricanyl, Pirbuteral, Maxair, Procaterol, Metaproterenol, Alupent, Fenoterol, Bitolterol mesylate, and Ritodrine.

Long-acting bronchodilators are used to control asthma and prevent attacks. Common long-acting bronchodilators include Sereveut, Salmeterol, Formoterol, Foradil, Symbicort, Bambuterol, Clenbuterol, and Indacaterol.

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