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Why don’t

you get a second opinion from an asthma doctor? Do you take your peak flows? I

have a friend who switched from a pulmonologist to an asthma/allergy specialist

and he was finally able to get her asthma under control.

I don’t

think that meds clear up gunk do they? Sometimes, when I take my peak flows, the

third blow is really high. the nurse said that the gunk is probably clearing

the first 2 times and that’s just fine. she didn’t use the word

gunk LOL.

sonia

From: asthma

[mailto:asthma ] On Behalf Of Aureolesia

Sent: Friday, November 10, 2006

9:32 PM

To: asthma

Subject: Feeling but not

Hearing and docs

Hi everyone,

I've noticed recently that whenever I have an asthma flair-up, I can feel the gunk in my lungs long before

anyone (i.e. my pulmonologist) could ever hear anything. He's told me my lungs

sound good and clear even when i can feel stuff upon inhaling. I like my pulmo

a lot but he's not hearing what I can feel. IMHO my meds need to be upped

again, or at least one does. But since my lungs are " clear " he

doesn't see the need to up the dose of any of them. I'm a little frustrated.

What do you all think? Should I push upping one of them?

FYI i'm on

Qvar 80mg 4 puffs 2x day

Xopenex hfa 2 puffs minimum 1x day (supposed to be rescue only)

Singulair 10mg 1x day

Thanks for the thoughts.

Aureolesia

's Second Law: Everything takes longer than you think.

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Do you see an allergist or a regular family doctor? That might make

the difference in what he's hearing. I don't think any of us can

tell you whether you should up your medication. That's up to a

doctor but maybe you should see a allergist if you aren't already.

>

> Hi everyone,

>

> I've noticed recently that whenever I have an asthma flair-up, I

can feel the gunk in my lungs long before anyone (i.e. my

pulmonologist) could ever hear anything. He's told me my lungs sound

good and clear even when i can feel stuff upon inhaling. I like my

pulmo a lot but he's not hearing what I can feel. IMHO my meds need

to be upped again, or at least one does. But since my lungs

are " clear " he doesn't see the need to up the dose of any of them.

I'm a little frustrated.

>

> What do you all think? Should I push upping one of them?

>

> FYI i'm on

> Qvar 80mg 4 puffs 2x day

> Xopenex hfa 2 puffs minimum 1x day (supposed to be rescue only)

> Singulair 10mg 1x day

>

> Thanks for the thoughts.

>

> Aureolesia

> 's Second Law: Everything takes longer than you think.

>

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Aureolesia~

I get frustrated also when I go into the ER and they can't hear anything, but I know it is there. Usually, and please correct me if I'm wrong, when they can't hear it it is because your lungs are so tight. About twice a year I end up in the ER or in the hospital with asthma exacerbation, and it progresses rapidly; but it is very rare that they can hear anything, mainly because I can't take a big enough breath. But as I stay in the hospital, it starts to break up and they can hear it. My doctor has notice, this last time, that each time this happens, the top half of my back really hurts; so that is one sign we have begun to watch for. Usually once things flare up, whether my doctor can hear anything or not, he will start me on steroids; and then if nothing else works, and I continue to get worse, I end up in the hospital. Does the top

part of your back ever hurt so bad you can't take a deep breath? I have yet to find people where their asthma does this. I hope this helps. Sorry if it doesn't.

Feeling but not Hearing and docs

Hi everyone,

I've noticed recently that whenever I have an asthma flair-up, I can feel the gunk in my lungs long before anyone (i.e. my pulmonologist) could ever hear anything. He's told me my lungs sound good and clear even when i can feel stuff upon inhaling. I like my pulmo a lot but he's not hearing what I can feel. IMHO my meds need to be upped again, or at least one does. But since my lungs are "clear" he doesn't see the need to up the dose of any of them. I'm a little frustrated.What do you all think? Should I push upping one of them?FYI i'm onQvar 80mg 4 puffs 2x dayXopenex hfa 2 puffs minimum 1x day (supposed to be rescue only)Singulair 10mg 1x dayThanks for the thoughts.Aureolesia's Second Law: Everything takes longer than you think.

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I do that sometimes too. I feel tight and congested but my doctor says it's not too bad, except this last time. He put me on an antibiotic and then had to change it because the first one wasn't clearing the clutter and infection out. This one seems to be helping more. I go back in three weeks and I'll know what's going on then. Aureolesia wrote: Hi everyone, I've noticed recently that whenever I have an asthma flair-up, I can feel the gunk in

my lungs long before anyone (i.e. my pulmonologist) could ever hear anything. He's told me my lungs sound good and clear even when i can feel stuff upon inhaling. I like my pulmo a lot but he's not hearing what I can feel. IMHO my meds need to be upped again, or at least one does. But since my lungs are "clear" he doesn't see the need to up the dose of any of them. I'm a little frustrated.What do you all think? Should I push upping one of them?FYI i'm onQvar 80mg 4 puffs 2x dayXopenex hfa 2 puffs minimum 1x day (supposed to be rescue only)Singulair 10mg 1x dayThanks for the thoughts.Aureolesia's Second Law: Everything takes longer than you think. God bless you!

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Even when I'm feeling really clogged and I'm actually wheezing, my peak flows are usually in my normal range. I don't understand that. wrote: Why don’t you get a second opinion from an asthma doctor? Do you take your peak flows? I have a friend who switched from a

pulmonologist to an asthma/allergy specialist and he was finally able to get her asthma under control. I don’t think that meds clear up gunk do they? Sometimes, when I take my peak flows, the third blow is really high. the nurse said that the gunk is probably clearing the first 2 times and that’s just fine. she didn’t use the word gunk LOL. sonia From: asthma [mailto:asthma ] On Behalf Of AureolesiaSent: Friday, November 10, 2006 9:32 PMTo: asthma Subject: Feeling but not Hearing and docs Hi everyone, I've noticed recently

that whenever I have an asthma flair-up, I can feel the gunk in my lungs long before anyone (i.e. my pulmonologist) could ever hear anything. He's told me my lungs sound good and clear even when i can feel stuff upon inhaling. I like my pulmo a lot but he's not hearing what I can feel. IMHO my meds need to be upped again, or at least one does. But since my lungs are "clear" he doesn't see the need to up the dose of any of them. I'm a little frustrated.What do you all think? Should I push upping one of them?FYI i'm onQvar 80mg 4 puffs 2x dayXopenex hfa 2 puffs minimum 1x day (supposed to be rescue only)Singulair 10mg 1x dayThanks for the thoughts.Aureolesia's Second Law: Everything takes longer than you think. God bless you!

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My back doesn't hurt, but I just thought of this from reading your

post. My doctor can hear the clutter when he has me cough. I get so

tight I don't wheeze but he can hear the rattle when I cough.

>

> Aureolesia~

> I get frustrated also when I go into the ER and they can't

hear anything, but I know it is there. Usually, and please correct

me if I'm wrong, when they can't hear it it is because your lungs

are so tight. About twice a year I end up in the ER or in the

hospital with asthma exacerbation, and it progresses rapidly; but it

is very rare that they can hear anything, mainly because I can't

take a big enough breath. But as I stay in the hospital, it starts

to break up and they can hear it. My doctor has notice, this last

time, that each time this happens, the top half of my back really

hurts; so that is one sign we have begun to watch for. Usually once

things flare up, whether my doctor can hear anything or not, he will

start me on steroids; and then if nothing else works, and I continue

to get worse, I end up in the hospital. Does the top part of your

back ever hurt so bad you can't take a deep breath? I have yet to

find people where their asthma does this. I hope

> this helps. Sorry if it doesn't.

>

>

> Feeling but not Hearing and docs

>

> Hi everyone,

>

> I've noticed recently that whenever I have an asthma flair-up, I

can feel the gunk in my lungs long before anyone (i.e. my

pulmonologist) could ever hear anything. He's told me my lungs sound

good and clear even when i can feel stuff upon inhaling. I like my

pulmo a lot but he's not hearing what I can feel. IMHO my meds need

to be upped again, or at least one does. But since my lungs

are " clear " he doesn't see the need to up the dose of any of them.

I'm a little frustrated.

>

> What do you all think? Should I push upping one of them?

>

> FYI i'm on

> Qvar 80mg 4 puffs 2x day

> Xopenex hfa 2 puffs minimum 1x day (supposed to be rescue only)

> Singulair 10mg 1x day

>

> Thanks for the thoughts.

>

> Aureolesia

> 's Second Law: Everything takes longer than you think.

>

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My middle and upper back start hurting, along with my chest, but

only after I've been short of breath and gasping for a while. I

think it is from straining muscles. It might help to pay some

attention to breathing from the diaphragm rather than doing shallow

breathing (besides taking the hint that your asthma is getting out

of control and needs attention).

>

> Rhonda,

> Yeah actually my mid to lower back hurts when i know i'm tight as

does my chest. I just thought it was a muscle thing.

> Thanks for the thoughts.

>

> Aureolesia

> Success seems to be largely a matter of hanging on after others

have let go.

> Feather

> E-Mail: aureolesia@...

> Weblog: http://breathingwell.livejournal.com

>

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The other thing i forgot to mention is that i do take my peak flows three times a day. I've made improvements from not being medicated to now, but not enough for me to be happy. My Pulmo just goes "mmm" when i show him my charts.

Aureolesia : Can I ask you something personal? Tina Trac: Sure... : Where's the bathroom?E-Mail: aureolesia@... Weblog: http://breathingwell.livejournal.com

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I'm a singer. So you better believe the first thing i think is diaphragm breathing rather than what i call shoulder breathing. Course then that is more uncomfortable. *smile* Ahh can't win. *smiles*

AureolesiaAsk five economists and you'll get five different answers (six if one went to Harvard)..Edgar R. FiedlerE-Mail: aureolesia@... Weblog: http://breathingwell.livejournal.com

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If I remember correctly peak flow only measures one type of airway movement,

either small or large airway. If this is the case you could have

mucous/blockage in the small airway, while peak flow measures large airway

flow as normal -- the the other way around. Matt, where are you?

-----Original Message-----

Even when I'm feeling really clogged and I'm actually wheezing, my peak

flows are usually in my normal range. I don't understand that.

wrote:

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Peak flow is a measurement of flow. It measures the most amount of

air you can blow out in one fast exhalation. It can be reduced by

small airways being clogged and further blocked by larger airways

blocked. Keep in mind that if large airway are blocked then all the

small airways further down will be blocked too.

>

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Yeah my peak flows will drop when i'm feeling all gunky and "wet" as I call it. But that's the only sign I have. Like this morning my peak flow was 280 and I'd been averaging morning readings up around 330-350 before I started feeling this gunky stuff. Unlike some around here though i have no signs of infection, fever, the like. I just attribute it to my wacky respiratory system.

Aureolesia"Every man who knows how to read has it in his power to magnify, to multiply the ways in which he exists, to make his life feel free, significant and interesting." -Aldous HuxleyE-Mail: aureolesia@... Weblog: http://breathingwell.livejournal.com

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