Question: Looking for your thoughts. I believe I know the answer but will see what you think.

In our prior conversations I have mentioned my upper lungs SEEM TO BE NOT WORKING ORLETTING MUCH AIR IN We have said that that is my perception of it not working
I notice that my lower lungs are Seeming to do the breathing. But it too does not fully expand.
Please notice that I said it seems. As you said, I am thinking this.

Ok with that understood l am wondering if this the inflammation of the small airways hitting entire lung equally but I am sensing an area only. That the small airways are all inflamed and that it's not just one part. Do you agree??

Oh I've been meaning to pass along that our conversations are occasionally read by other dr's at hcm. Not sure if you knew this. It is not oversight but another looking to keep up with my issues

First of all, I did not mean for you to repeat what you have said before regarding where I perceive the lung issue. I was mentioning I understand your thoughts. I was saying that I think it's happening in both areas but yes, I see it more in upper lobe area.
I find both areas tight but that I am feeling expansion in lower but it also presses on stomach and abdomen.

I have fretted so much all weekend that I am having inflammation more noticeable than usual. Not sure why other than I am always looking to see that breathing has improved only to stress when I find it has not.

I suppose it is tightness in lower, I know that I can inhale so much and then it feels tight and restricted from taking in any more. I am assuming that both upper and lower are "attacked", but that i am pushing more out of lower and that causes abdominal push up into the lungs FEELING. Note that I said feeling.

Had, Kids
Still working on project for job,
Had a appointment to have job interview that I could not accept because it would leave me here in the State of Nebraska USA. And I need to get Back to South XXXXXXX USA if I ever wish to feel better.
Had band practice.
I wanted so much to follow Dr Bhavsars recommendation to Rest and relax but had to be on the go for doing this and that.
Missed an appointment in South XXXXXXX for a friends graduation.
Making plans for trip this weekend.

The biggest stressor was not feeling improvement and ended up feeling worse in my breathing. The things I believe are the following
From Your expanation, I do not have Emphysema
From my physical understanding, I do not have accute or Chronic Bronchitis.
From 4 pulmonologists (your included), I have anxiety and stress and its affecting my lungs.
From 3 Pulmonologists ( you included) I have inflammation of the airways.
1 says Bronchial Asthma
1 says Very Mild Asthma
You say Inflammation.
I tend to appreciate your choice. Inflammation affecting the small airways which affect fef25/75 and if that airway is what is inflammed in upper and lower airway that is causing tighness

I just cant seem to get the stress and anxiety to go down enough to get a foothold on the inflammation just to then reduce it.

This all began 3 years ago. 4 years ago, i was doing one of my daily walks and for some strange reason, I noticed and noted that my breathing had not been a problem for a very long time. 6 months later It becomes an ongoing issue that has been with me since. In that 6 month time, I watched mom die from COPD, My apartment building was becoming a problem with repairs and problems, my old girl friend and her family was getting on my nerves, the band i was in was going no where and my employer was getting more and more demanding to work and was never in a happy mood. I was on edge with him.

Do you know that I need a support group to talk to out side of Psychiatrist, I want others around to listen to and to talk to.

My Psychiatrist on HCM is the one who has kept tabs on me by checking in on the conversations we have. I have not talked to him in a while so during my absence he checks in to see if i am still talking and to whom I am talking with and about what ever we are talking about.

Woke up at 2:30. Couldn't return to sleep state. Mind started to worry. Then it released a lot of stress hormones. It had to have went straight to lungs and inflamed airways. Then released more. Finally had to get out of bed at 5 to take a Xanax.

I thought yesterday was on its way to be an improved day then this has caused setback.

No sweating no rapid heart rate. Just the feeling of fright sensation

As I hav said I let my mind worry on breathing then it triggers. I went to bed feeling fine. Then I woke and went into fright mode.

Sometimes I think it is a fear of having to get up to go to work and the desire to get more sleep is lost by the thoughts of another day of work. I can say that because I notice that after workday ends I am much more relaxed. Not completely relaxe, probably because of the excessive stress I have.

Positive. I had a holster monitor test a few years ago. Did it for a week. Tests were fine.

When we talk of the inflammation in airways is it just small or all airways. I get a great start on a inhale butt words the end it is more constricted or labored. This has been this was from the start. I am guessing it has to do with the inflammation in small airways

Positive was answering your question that I am certain about the tachcardia.
I have no large airways problems.

What do you mean "Interested airways" The interested part confuses me.

My last question or statement was that I take a deep inhale or lets say try to take a deep inhale and I get a good amount in but then its like I hit a stubborn airway at the end, and that i am wondering if its inflamed airway that is really small and has more constriction or more.

I am assuming that airways start large and get smaller as they go father until they hit aveoli. if the smallest of airways are at the end, and if they are inflamed and tightened from inflammation, would they have harder time getting air out and air in?

I also believe our thread will end soon. Keep an eye out for a new one if so.