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In a message dated 12/6/00 11:29:04 AM Eastern Standard Time,

lizwizz2000@... writes:

<<

Donna, yes my breathing difficulties used to come on

very quickly, but not so much now I am on meth, imuran

& pred! If taking the pred does not relieve it GO TO

THE ER, you must always take breathing difficulties

seriously. Feel better, love Liz

>>

Hi Liz:

Thanks for responding. Like I said that was the first time I ever had a

" attack "

come on so quickly. I did take prednisone when it happened and like you said

it did help.

What do they do for you at the ER? The reason I ask is the ER by my house is

not the one that my doctor belongs to. I'm afraid that if I had to go to ER

I wouldn't be able to communicate as I am unable to speak when I get hit with

an attack like the one last week.

Hope to hear from you soon

DonnaCA

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In a message dated 12/6/00 6:21:06 PM Eastern Standard Time, kagor@...

writes:

<<

You mentioned a medic alert bracelet to Donna....do you wear one ? What

kind of information would you suggest? RP is so involved, that I find it

difficult to limit it to 50 letters in 3 lines...thanks...karen

>>

I dont have an id bracelet, but it does sound like a good idea to get one,

where do you get them from?

DonnaCA

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Carolyn,

You mentioned a medic alert bracelet to Donna....do you wear one ? What

kind of information would you suggest? RP is so involved, that I find it

difficult to limit it to 50 letters in 3 lines...thanks...karen

On Wed, 6 Dec 2000 10:49:29 -1000 " C. Pang " pangc002@...>

writes:

> > What do they do for you at the ER? The reason I ask is the ER by

> my house

> is

> > not the one that my doctor belongs to. I'm afraid that if I had

> to go to

> ER

> > I wouldn't be able to communicate as I am unable to speak when I

> get hit

> with

> > an attack like the one last week.

> >

> > Hope to hear from you soon

> > DonnaCA

> >

>

>

> Hi Donna! Don't worry, they'll know what to do. They'll do things

> like

> check you out (listen to your lungs etc) and then give you breathing

> treatments, hook you up to an IV and give you IV meds (which work

> faster),

> depending on your age may give you shots of certain medications that

> open up

> the airways even faster. They're used to having people not be able

> to talk.

> Don't forget to always wear your medic alert bracelet!!!

> Aloha

> Carolyn

>

>

> -------------------------- eGroups Sponsor

>

> DISCLAIMER!!

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> RECEIVED HERE IS FROM EXPERIENCE ONLY. PLEASE CONSULT WITH YOUR

> DOCTOR BEFORE TRYING ANYTHING THAT IS SUGGESTED. WE ARE NOT A

> SUBSTITUTE FOR YOUR PHYSICIAN AND ARE NOT TRYING TO BE. REMEMBER

> EVERYONE IS DIFFERENT AND TREATMENT MAYBE DIFFERENT FOR MANY OF US.

> THANK YOU

>

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> What do they do for you at the ER? The reason I ask is the ER by my house

is

> not the one that my doctor belongs to. I'm afraid that if I had to go to

ER

> I wouldn't be able to communicate as I am unable to speak when I get hit

with

> an attack like the one last week.

>

> Hope to hear from you soon

> DonnaCA

>

Hi Donna! Don't worry, they'll know what to do. They'll do things like

check you out (listen to your lungs etc) and then give you breathing

treatments, hook you up to an IV and give you IV meds (which work faster),

depending on your age may give you shots of certain medications that open up

the airways even faster. They're used to having people not be able to talk.

Don't forget to always wear your medic alert bracelet!!!

Aloha

Carolyn

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Hi !

Are you getting the emails from the RP group yet?

I didn't realize when I filled out the form that they only wrote the first

part on it. I'd suggest putting relapsing polychondritis and then anything

else that they would not do tests for routinely and would be important -- ex

would be chronic prednisone use, etc. first, then lkist your other dx's etc.

If you send me a list of your dx's and meds I could rank them for you.

You can order online -- medicalert.com or medialert.org, I forget which

Carolyn

Re: Breathing difficulties

> Carolyn,

>

> You mentioned a medic alert bracelet to Donna....do you wear one ? What

> kind of information would you suggest? RP is so involved, that I find it

> difficult to limit it to 50 letters in 3 lines...thanks...karen

>

>

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Tayna,

I have full tracheal collapse with a very swollen thyroid, lymph

involvement and an esophagus that has a backwards anroyism.So I am well

aware of this feeling.

With the involvement with the lymph glands in your throat, it does not

sound like tracheal involvement.But it should be thoroughly checked into.

There are many reasons for your shortness of breath ( SOB ).

If it is your glands they can be swelling and pressing against your trachea

causing that choking sensation. RP can effect the glands in your throat

region. The thyroid is the primary target. But the lymph, parathyroid and a

bunch of others also contribute to the problem. To have this checked it is

best to see an endocrinologist. Esp. one that understands immune disorders.

Carolyn's advise was good. But I would also have the doctor request that you

have the breathing maneuvers called valsalva and cine-loop done also. This

request has to come from the doctor or the radiologist ( usually the tech. )

won't run them. You can have perfect lung function and still be short of

breath.

Stenting is usually the last phase of treating tracheal collapse today. The

first line is to run a sleep study and place you on a c-pap or a bi-pap

machine. At least at night. They use air pressure to force open the trachea

giving your trachea a chance to " feel " . They are getting excellent results

from this method of treatment. But like all treatment programs it has to be

prescribed correctly and administered correctly. Usually it is an Thoracic

disease of the chest ) doctor that would handle this problems. And not a

pulimologist.( who spec. in the function of the lungs )

Are you using any inhalers that have a steroid in them? If so this can also

cause the choking feeling and are not recommended for persons with a

weakened trachea. Reason why is that there are several large blood vessels

that wrap around the trachea in the throat region. The steriodal inhalers

dilate the blood vessel compounding the problem.

Several medications that are used to treat RP and RA can also cause SOB.

There is also another anomaly that you may be experiencing. Do you have a

lot of bloating and burping? Or GERD? These can also cause the esophagus to

press against the back of your trachea causing SOB.

Since there are so many different reasons that you could be having this

problem I would highly recommend that you have a long talk with your PCP.

Give him/her a copy of Dr. Trentham's report on RP. And have the correct

tests do by the right specialists.

What ever is the cause or the multiple causes. Being SOB is serious and you

will need to have your doctor aggressively pursue this matter.

Wishing you the best

Love

R.

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