Family, Internal Medicine, General Medical Questions/Pulmonary Nodules

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Question
Dr. Cipriano,

My boyfriend has been seeing a Pulmonologist for awhile now. His symptoms started out as difficulty breathing, fatigue, there's been some weight loss....etc.

He first went to his cardiologist. Cardiologist sent him to a pulmonologist. Testing found that his lung capacity is severely affected. CT Scan showed multiple nodules within his lungs measuring up to 6mm. The most recent shows a nodule in his kidney. The Pulmonologist does not seem worried about this. He's pretty much contributing those to being on Humira. He went off the Humira for a few months and is now back on it. This Pulmonologist has also sent him to an ENT...thinking this is all sinus related. He has an upcoming appointment in March for a second opinion with a Rhuematologist and Pulmonologist. I have his CT Scans but see there is no way to get that to you.

Any insight you may have would be very appreciated. The length of time this has been going on has us very concerned.

Thank You,

Angie

Answer
Dear Angie,

In medicine, everything is looked at: blood work, pulmonary function tests, imaging, consultations, etc. His symptoms can be caused by a number of things. Without lab work or CT reports, it's impossible for me to give you any kind of an opinion. In the recent past, people have scanned the CT, lab, and pulmonary function reports to me. If you have access to this type of computer equipment, I can be better able to look at his tests and give you my insight.  

Family, Internal Medicine, General Medical Questions

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Dr. Pamela M. Cipriano, DNP, APRN

Expertise

My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.

Experience

I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

Organizations
Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

Awards and Honors
Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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