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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Asthma, COPD, Chronic Bronchitis By A Pulmonologist, Which Is Ruled Out And Diagnosed Scar Tissue In Lower Lung Lobe By Other Pulmonologist. Advice

hi , I'm very confussed about my lung health ! i seen one pulmonologist for 4 yrs or more and he diagnosed me with asthma, copd, chronic bronchitis, and sometimes pnamonia . Well i was told by my other docters my breathing should be getting better to get a second opinion so i did and this docter says i don't have any of it except bronchitis, pnamonia, and some scar tissue in the lower lobes of lungs . the ER doc . prior to that said i had pnamonia and fibrosis. So how can two pulmonalogists have two very differant oppinions ? i would think with all the testing it would be one or the other .
posted on Sun, 1 Sep 2013
Twitter Sun, 1 Sep 2013 Answered on
Twitter Mon, 2 Sep 2013 Last reviewed on
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General & Family Physician,  's  Response
Hi and thanks for the query,

I think the diagnosis of pulmonary fibrosis is a hisologial/pathologc diagnosis. This means that before making such statement, a fibroscopy with removal of tissue from the lung for histologic diagnosis is required.

It is not unusual that one physician makes a diagnosis at a point in time and the other a different. Presenting symptoms and treatments received over time, and available paraclinical tests could explain these differences. A complete review is however needed. Your clinical state, response to the drugs you have taken over time with a good record of these drugs shall be very useful in the reevaluation process by your physician. Thanks and kind regards.

Bain LE,MD

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Diagnosed Asthma, COPD, Chronic Bronchitis By A Pulmonologist, Which Is Ruled Out And Diagnosed Scar Tissue In Lower Lung Lobe By Other Pulmonologist. Advice

Hi and thanks for the query, I think the diagnosis of pulmonary fibrosis is a hisologial/pathologc diagnosis. This means that before making such statement, a fibroscopy with removal of tissue from the lung for histologic diagnosis is required. It is not unusual that one physician makes a diagnosis at a point in time and the other a different. Presenting symptoms and treatments received over time, and available paraclinical tests could explain these differences. A complete review is however needed. Your clinical state, response to the drugs you have taken over time with a good record of these drugs shall be very useful in the reevaluation process by your physician. Thanks and kind regards. Bain LE,MD