Whats Your Recommendation For A Patient With Pulmonary Fibrosis? Treatment

Posted on Fri, 14 Jun 2019

Question: Whats your recommendation for a patient with Pulmonary Fibrosis? treatment , specific meds, frequencies and interval and duration?

Answered by Dr. Dr. Jolanda (37 minutes later)

Brief Answer:
Please provide some more information

Detailed Answer:
Hello and welcome in HCM

I am sorry for your situation and I can do your concern.

First what kind of pulmonary fibrosis you are asking for??Because if you have post inflammatory pulmonary fibrosis is one thing and if you have idiopathic pulmonary fibrosis is another one.

The first is not such a serious one meanwhile the second is a chronic serious lung disease.Both have different treatments follow up and expectations

Please provide me some more information as above and especially if you have already done a chest CT and a Spirometry test a Dlco test and an arterial blood gases test which are the most important lab tests and examinations in evaluating lung function of yours related to pulmonary fibrosis.Attach them to me and I will try to help you more specifically about your concern

Hope to have been helpful

Regards

Dr.Jolanda

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Jolanda (1 hour later)

Patient is asymphomatic,
CT of the Thorax reveals PULMONARY FIBROSIS, RIGHT...
specific findings on the lungs says, Thin linear opacities are seen in the right middle lobe. Rest are are clear......
CXR was normal
EKG was normal
CBC was normal
CMP was normal
HBV DNA pressumed positive
Left Breast Mastectomy
Biopsy revealed ERPR negative, HER2 positive

Another concern is Patient is due for initiation of Chemotherapy, Can she start chemo with this findings. Pulmo point of view....?

Answered by Dr. Dr. Jolanda (1 hour later)

Brief Answer:
Continue discussion

Detailed Answer:
Hi again

According to your prescription I don't think this is a problem.It is a localised pulmonary fibrosis which probably has not compromise lung function.However before starting chemotherapy discuss with her doctor to do arterial blood gases and a Spirometry test.If they are normal than no worries she can continue the other treatment.And her follow up for the lungs will be with chest X ray every year.

Regards

Dr.Jolanda

Above answer was peer-reviewed by : Dr. Nagamani Ng