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Respiratory Therapist/Questions Answered by Expert Richard Manlove

Subject	Date Asked
lungs	1/16/2012
Q: i was wondering if you could interperate something for me from my chest x ray that i didnt ... A: Interesting wording for your chest x-ray (CXR) report. Generally, our reports would say something ...
upper respiratory infections	12/17/2011
Q: if one gets upper respiratory infections often is that a sign of something serious?I just dont ... A: Greetings, My apologies for the late reply. Internet issues at the workplace and the busyness ...
Problems breathing	10/20/2011
Q: Back in 2007 when I first joined the Air Force, I started having a breathing problem. It started in ... A: Tracy, Having problems breathing, whether physical or psychological, is a distressing condition ...
breathing problems	10/12/2011
Q: I hope that my question is not too far outside of your expertise, as I don't know where else to go. ... A: Joanna, I am sorry for the delay. You certainly have an unusual problem. Your inability to ...
Wheezing post procedures	10/8/2011
Q: Patient is two yrs.+ post surgical (now 80) for perforated ulcer, vagotomy (cut vagus nerve) ... A: Your mother certainly has been through it all. It is not at all surprising that she has had several ...
Smell of cigarette on person	9/25/2011
Q: I'm currently going to university and I have to sit next to a smoker. He is not a heavy smoker, but ... A: Johnny, Let me apologize for the late response. I am having e-mail issues. You have my ...
Respiration problems	9/14/2011
Q: From my childhood i am having a big problem. whenever i have an icecream or i play in rain in the ... A: Greetings, I apologize for the delay in answering. I am having e-mail issues. I would ...
Breathing in the morning	9/12/2011
Q: I'm 27 years old, no health problems. I am fairly healthy, I exercise regularly, and am trying to ... A: Nick, So sorry for the delay. E-mail is really screwed up. Congrats on the cutting down on ...
Lungs	8/23/2011
Q: If I have bleach in my toilet bowl(for cleaning purposes) and accidentally urinate in it before ... A: Oscar, Checked with some chemists and it seems possible that a reaction could occur (something ...
allergies & asthma?	8/7/2011
Q: before I ask the question, Ill give an overview first. -started July 18th -started with: a throat ... A: H- I will try to answer your letter in the order in which it was written. If you have the ...
allergies & asthma?	8/1/2011
Q: before I ask the question, Ill give an overview first. -started July 18th -started with: a throat ... A: , So sorry for the delay. Perhaps you have already gone in for the follow-up appointment. ...
allergic rhinitis	7/14/2011
Q: I am suffering from allergic rhinitis and want to ask that can i use perfume? can perfume create ... A: Perfume usually does not cause sinus problems. You can easily verify that by using some and see if ...
ABG quality controls	7/12/2011
Q: our dept. has a Opti-4 instrument, but i am having difficulty in laboratory taking over quality ... A: Diane, According to CLIA and JCOAHCO the same individuals that do the analyzing must do the ...
Determining ARDS	6/19/2011
Q: I just want to know whether we can determine ARDS without using ABG sampling in the case we do not ... A: A good question. I often teach nurses critical care and ventilators and I always remind them not to ...
M. Pneumoniae while pregnant	6/10/2011
Q: Dr. Manlove, I am writing today because I have just been diagnosed with Mycoplasma Pneumoniae and ... A: I apologize with the tardiness of this reply to your concern. I was busy last week assisting the ...
P/F Ratio	6/2/2011
Q: I know what this ratio is and what it indicates. Do other health care facilities usually include ... A: At first glance, one would think that the ratio of arterial oxygen concentration to the fractional ...
Hyperinflated lungs	5/31/2011
Q: My grandson aged 8 has severe asthma and had several bouts with pneumonia as a toddler. Requiring ... A: Asthma is a lung disease that is grouped with a couple of others under the heading of Obstructive ...
rehab after pleural effusion	5/28/2011
Q: My daughter is recovering from a TB caused, very painful pleural effusion and painful thorocotomy to ... A: I am certainly sorry your daughter is having to go through this trouble. There is no therapy that ...
mechanical ventilation with helios	5/23/2011
Q: can heliox therapy be safely used intermittently with treatments when patient is mechanically ... A: I have not had experience with the use of heliox. My thinking, however, is that it probably could be ...
hyperaerated lungs	5/19/2011
Q: Sir/Madam, I have a question about my chest x-ray,last February I applying to Saudi Arabia but I ... A: Active pulmonary tuberculosis is characterized by cough, fever and/or night sweats. A recent medical ...
COPD Medications	5/7/2011
Q: Im a 39 yr old that was diagnosed with COPD last year.My question is about medications.I just feel ... A: Without knowing your specific medications, it is hard to pass judgement on whether you are "on way ...
pulmonary hyperaeration	5/6/2011
Q: I've read earlier about your answer with regards to pulmonary hyperaeration, what if without COPD? ... A: Mary Grace, Here is a good website that will give you the info you seek on pursed lip ...
pulmonary hyperaeration	5/5/2011
Q: I've read earlier about your answer with regards to pulmonary hyperaeration, what if without COPD? ... A: Mary Grace, Pulmonary hyperaeration is the result of an obstructive pulmonary disease. There ...
ARDS recovery detail	5/5/2011
Q: Good day, Mr Manlove. I was curious about what real life comas are like, in relation to TV, so I ... A: Sara, I'm sorry I wasn't of more help. I do not know of any sites that might be of help. You ...
ARDS recovery detail	4/30/2011
Q: Good day, Mr Manlove. I was curious about what real life comas are like, in relation to TV, so I ... A: Sara, Sorry to be so tardy with an answer. I am having some trouble with my e-mails. As far as ...
pneumonia and emphysema complications	4/22/2011
Q: My mother in law was going in for a stenth procedure in an artery in her heart then 1 week before ... A: I am sorry you and your family are going through these hard times with your mother-in-law. It is ...
PT for pts on BIPAP in ICU	4/19/2011
Q: in my acute care hospital, we often treat patients on ventilators in the ICU. We also get orders on ... A: I am so sorry. I initially answered your question within 24 hours, however, for some reason it never ...
post nasal drip	4/11/2011
Q: i have problem of post nasal drip, i have visited many ENT doctors who said is due to nasal ... A: Zafar, The nose and the nasal passages are part of the respiratory system. They connect to the ...
FiO2 Parameters off vent	4/4/2011
Q: I am a Physical Therapist working in an acute hospital. I understand the FiO2 settings on a ... A: All patients are better off up and out of bed. There is no written rule regarding ...
strange chest pain - not heart related	3/28/2011
Q: i went to emergency to the hospital last night for what i was sure was a vice like feeling in my ... A: Peter, Your physician has got you covered with the antibiotics and the anti-inflammatory. I ...
strange chest pain - not heart related	3/26/2011
Q: i went to emergency to the hospital last night for what i was sure was a vice like feeling in my ... A: Since you sought medical treatment and testing revealed a normal EKG and chest x-ray I am left to ...
Should asthma be this bad?	3/20/2011
Q: I really hope you can help me, I am completely at a wits end with my health. Since the summer of ... A: I am sorry that your health has seemed to have taken such a dramatic turn. You certainly have a lot ...
coughing when breathing out	3/19/2011
Q: My 8 yr old son has asthma. He is overweight at 130 lbs and has recently been diagnosed with sleep ... A: You know your child and since you are concerned then I am, too. What is good is that there are no ...
Possible PE?	3/16/2011
Q: Mr. Manlove, Hello. Let me give you some background. I am 42 years old, 5'-9" and weigh 184. No ... A: You have a lot going on. I would suggest that you go to the nearest medical center that is attached ...
Sarcoidosis	3/15/2011
Q: I am suffering from sarcoidosis from past 6 years , I have a Persian cat in my house , what do you ... A: but I am a respiratory therapist and not an MD. I would think that if you did not have any allergic ...
License	3/15/2011
Q: I got my license as an RCP by the resp care board here in california,is that the same as a CRT ? My ... A: RCP means respiratory care practitioner. Most states have licensure laws that designate you have to ...
oxygenator	3/12/2011
Q: My mother has been on an oxygenator at night for years. She goes upstairs to rest during the day and ... A: You certainly have my sympathy. Having dealt with end-stage chronic obstructive disease patients for ...
Low saturation	3/2/2011
Q: I have a rare lung condition;carcinoid tumorlets and DIPNECH. I desat with exertion and sleep. When ... A: I am so sorry you have to deal with this debilitating condition. It appears you are coping well and ...
Pulmonary Embolism	2/23/2011
Q: I have been recently diagnosed late Jan 2011 of having Mutiple PE's to both lungs. I have for the ... A: I assume you are on heparin or another anticoagulant. I also assume that you may have been given a ...
Paralyzed diaphragm on left side	2/11/2011
Q: My father is 77 years old in excellent health. Went in for a triple bypass & valve replacement & ... A: I would be seeing a pulmonologist and, then, go from there. I might add that when I answered your ...
Paralyzed diaphragm on left side	2/11/2011
Q: My father is 77 years old in excellent health. Went in for a triple bypass & valve replacement & ... A: I am very sorry that your father is having this trouble. The diaphragm is the primary muscle ...
breathing difficulties and depression	2/1/2011
Q: I have problems of difficult breathing and panic attacks from 15 years. i have no wheezing, no ... A: Zafar, Do the following when you have these panic attacks: 1. Purse lip breathe - breathe in ...
Allergic rhinitis	1/31/2011
Q: Can asthma be diagnose with stethoscope. and second question that there are difficult in inhaling or ... A: Expiratory wheezing is heard with a stethoscope in acute asthma, so there is difficulty in exhaling. ...
Whooping Cough	1/28/2011
Q: I was recently diagnosed with whooping cough and am currently in the second stage of the infection ... A: As you are probably aware the 2nd phase (paroxysmal) of whooping cough (pertussis) lasts from 2-4 ...
Wheezing with Bronchitis	1/23/2011
Q: I recently went to the doctor and was told that I have bronchitis, along with wheezing while taking ... A: Acute bronchitis typically lasts 2-3 weeks accompanied with a cough and, sometimes, copious sputum ...
Effects from Amiodarone	1/16/2011
Q: I took amiodarone for about a year for an arrythmia called PVCs. I know that amiodarone can affect ... A: Amiodarone can cause pulmonary fibrosis which is a diffuse inflammatory disease of the lung. ...
breathing help	1/10/2011
Q: I'm 39 yrs old and was diagnosed with COPD a little over a yr ago and I'm a nebulizer treatment ... A: You need consult with your pulmonologist about the need for the middle of the night treatment. When ...
allergic rhinitis and post nasal drip	1/10/2011
Q: i am suffering from allergic rhinitis and post nasal drip from four years. from few months i feel ... A: What you have each morning could very well be the result of your chronic rhinitis. It depends if it ...
histoplasmy	12/31/2010
Q: My uncle was diagnosed with histoplasmy (unsure of the spelling). He was treated with meds, had a ... A: Your uncle has histoplasmosis which is a fungal disease of the lungs. It is treated with powerful ...
Clicking in chest	12/28/2010
Q: I had Bronchitis several weeks ago and because my asthma tends to act up during such illnesses, I ... A: The ribs are attached to the sternum by cartilage. Perhaps this cartilage stretched or became torn ...
Information about Sheesha(hookah) smoke	12/21/2010
Q: I usually smoke flavored hookah.I have hear that the water present in hookah filter the smoke so its ... A: Smoking any substance is harmful to you regardless of what filtering you do. Water filters merely ...
FIO2	12/1/2010
Q: I'm still having a hard time understanding FIO2. What factors change the FIO2 and when will I know ... A: FIO2 is defined as the fractional inspired oxygen amount or content beomg delivered to the patient. ...
diagnosed with asthma	11/24/2010
Q: I am 35 years old and have an extensive cardiac history LQT3 and borderline left atrial enlargement, ... A: Stella, I would not think that any commonly prescribed asthma medications would adversely ...
Respiratory therapy	11/12/2010
Q: What will be the Pao2 of a normal adult person who is on 100% oxygen A: The easiest way to do it, all things being equal, would be simply to take the barometric pressure - ...
A Career in Respiratory	11/10/2010
Q: I am extremely interested in being a respiratory therapist. I already have my bachelors, and I have ... A: It is a difficult one to answer. Obviously, since I have been in respiratory therapy for over 40 ...
spirometry results	11/1/2010
Q: I wonder if you could give me an idea of what test you would suggest after this spirometry test and ... A: The reason for not being able to complete the pulmonary function testing, I suspect, was one of ...
short of breath	10/27/2010
Q: I will try to keep this short. I am a 47 year old female with a 3 year history of progressive ... A: Well, you have certainly been through it. You don't mention a Pulmonary Function Test (PFT) that ...
lung pain	9/28/2010
Q: In May 2010 I heard a strange sound coming from my right side around my lung area. One doctor told ... A: One of the drawbacks of this form of questions and answers is the fact that we cannot examine the ...
unpleasent sensations in chest	9/4/2010
Q: when i stretch or turn my body with my arms raised chest high or higher i feel this itchy quivery ... A: If you have had these feelings of chest discomfort for any length of time you should see your ...
spirometry results	8/20/2010
Q: I am wondering if you could kindly offer your opinion on spirometry results for my husband (40 yo) ... A: The value of pulmonary function testing (spirometry) is found mostly when done serially, as a ...
oxygen level at night	8/2/2010
Q: I have mild COPD and take Spriva and Qvar as maintenance and was wondering if oxygen therapy at ... A: COPD patients mostly have problems with the mechanical part of breathing, the in's and out's of air ...
cigar smoke	8/1/2010
Q: Yesterday, I was in a house where 1 or 2 cigars were smoked. I was downstairs and they were smoking ... A: I believe that cigar smoke is not worse than cigarette smoke, just smells worse. I have answered ...
Becoming breathless when speaking	7/22/2010
Q: I'm a 58 year old woman who went to see my doctor about a problem I developed after having a mild ... A: I am so sorry. I answered this question several days ago via my Blackberry and it apparently did not ...
Second hand smoke as a child	7/8/2010
Q: I was wondering if being exposed as a child to second-hand smoke ( less than a pack a day, so light ... A: Mark, Sorry to be quite tardy in answering this. I didn't receive notice of this question to my ...
Second hand smoke as a child	7/7/2010
Q: I was wondering if being exposed as a child to second-hand smoke ( less than a pack a day, so light ... A: Secondhand smoke is very insidious in the fact that we come across it everywhere and we inhale it ...
end stage COPD	7/3/2010
Q: My Mom has had COPD for years. She has been on O2 3-4 liters 24/7 for about 4-5 years. She has had ... A: My sincere sympathy for what is going on in your mom's life as well as yours. End-stage COPD is very ...
second-hand smoke	6/17/2010
Q: Where I work, other employees smoke. In a shift,if I pass by them when they do smoke, I may inhale ... A: John, I believe with your limited exposure you have little to fear regarding damage to your ...
Fiberglass exposure	6/5/2010
Q: my question concerns fiberglass inhalation and its health risks. I have recently noticed that my ... A: Greetings, I am not at all clear about the source of the fiberglass. Your exposure would be ...
lung rumbling after waking	6/2/2010
Q: I am a relatively healthy non smoking 37 y.o. 135 lb female. I've had a new sensation the past ... A: Rachele, It is interesting to me that your adventitious breath sounds occur at the end of ...
Fire smoke	6/1/2010
Q: There are currently forest fires burning in the northern part of the province where I live. You ... A: Ben, The situation you describe does not fit any of the criteria I listed in my previous answer ...
Fire smoke	5/31/2010
Q: There are currently forest fires burning in the northern part of the province where I live. You ... A: Ben, I would think that for a healthy person there would be little, if any, health hazard from ...
white spots on lungs	5/25/2010
Q: i've had several catscans and have several white spots on lungs - some have gotten smaller and some ... A: I am surprised your physicians have not given you more information, but we, in the States, have all ...
Collapse lung	5/17/2010
Q: I went to the hospital last week very sick and it hurt to breath. long story short they thought i ... A: Stacy, There are different kinds of collapsed lungs. There are the pneumothorax type which means ...
SpO2/FiO2	5/6/2010
Q: A physician has asked me to do some research about comparing SpO2 and PaO2. Recently had a patient ... A: Kent, Took me a while but here it is. Realize that pulse oximetery has inherent limitations and ...
converting % O2 to liters	4/29/2010
Q: I take care of many trach pts who are on high humidity to trach collar. Most pts are on 30-40% O2. ... A: Elizabeth, My apologies for the tardiness of this reply. Your question got lost somehow. The ...
second hand smoke	4/11/2010
Q: I am not a smoker but last Thursday, I was at a house where 2 or 3 cigarettes were lit. I stayed ... A: Ben, Once again, the rule is dosage (amount) x time. I know of no definitive studies that ...
post nasal drip and throat dryness	4/11/2010
Q: i am having common cold since childhood ,but 5 years back i went to a place where there was dry ... A: Slightly out of my area of expertise - we deal with everything below tracheal level. I would see ...
second hand smoke	4/9/2010
Q: I am not a smoker but last Thursday, I was at a house where 2 or 3 cigarettes were lit. I stayed ... A: The rule for exposure is dose x time. In both scenarios you did not have large dosages or long ...
pulmonary	3/30/2010
Q: Which pulmonary test is more accurate, static or dynamic? And, if one is more accurate, why isn't ... A: Nerol, Sorry to be late answering this but my son is having surgery even as I answer this. Not ...
Bloody sputum	3/22/2010
Q: I've had a chronic cough for about 4 years. I went to a lung specialist who told me I had asthma. ... A: Carola, If the lung specialist did a pulmonary function test pre/post bronchodilator then he ...
breathing problem	3/20/2010
Q: I'm not sure what catagory to post this but I will try here. Hello, I don't have asthma or any ... A: Phyllis, I would not consider your problem serious due to its infrequency. However, that does ...
inhaler use for race	3/12/2010
Q: My 18 year old son most likely has a bad cold. The doctor gave him an inhaler to use before a ... A: Well, not much to add since an MD prescribed the inhaler. I am wondering if the cold, dry air is ...
PaO2 and oxygen content of blood	2/19/2010
Q: I have been trying to figure out how to determine the oxygen content of arterial blood with a PaO2 ... A: Sorry to be late in anwering this question. This is my week away from the office and both my desktop ...
ARDS	2/1/2010
Q: Could you please explain ARDS. What is the recovery rate for someone who was healthy before being ... A: Sheryl, Acute Respiratory Distress Syndrome is characterized by stiff lungs. At the end of the ...
Blood Oxygen During Sleep	1/25/2010
Q: How much does blood-oxygen saturation drop during sleep in a normal healthy person, please? A: MJ, Sorry to be a bit tardy in answering this as my home computer is on the fritz and I had to ...
Normal Blood-Oxygen Above Sea Level	1/25/2010
Q: What are normal blood-oxygen ranges at altitudes above sea level, please, for a patient breathing ... A: MJ, I suspect you are working on some sort of research paper. You need to do your own research. ...
Coal Inhalation	1/20/2010
Q: I just today had a problem with coal. Every time my heat would kick on, i would smell smoke. There ... A: I am sorry to be so long answering this but my computer is not acting right. You certainly have a ...
chronic cold	1/3/2010
Q: I'm a 5o yr.old female in almost perfect health. I've had a "cold" & cough for the past 6 weeks. ... A: Kristi, This has seemed a particularly bad winter for lingering colds, etc. Allergies seem also ...
Acute bronchitis	12/23/2009
Q: Would you please advise me on what to do I am at the end of my teather..... I have been to 2 doctors ... A: First, a disclaimer - I am no doctor, physician. I am a respiratory therapist. It would appear that ...
Chances of developing asbestos related ailments	12/3/2009
Q: Richard. I am a male in my late 20s and have lived in my family's house at least 25 years. It is ... A: Al, Lived in a house somewhat like that with asbestos siding. I don't believe you have any ...
steroid use in 9 month old	12/2/2009
Q: would you recommend steroid use for a 9month old with wheezing. if so, can you tell me side effects A: I would first question why is the child in need of steroid administration? What is causing the ...
Asthma or COPD?	11/20/2009
Q: Eight years ago I woke up in the morning unable to breathe. There was no wheezing and I hadn't been ... A: I would tend toward the diagnosis your second physician offered, for several reasons. One, you are ...
asthma	11/18/2009
Q: Mary is in hospital right now in cardiac floor. She got bronchitis real bad and has been sick and ... A: Amy, Sorry to hear about your Mary. Unfortunately, I don't have access to the patient nor ...
chest pain	11/10/2009
Q: I have been having ongoing chest pain down the centre of my chest for a few months now. I remember ... A: Women, in general, have atypical symptoms with cardiac problems. I assume your physician has had ...
Allergy	11/6/2009
Q: I am living in kuwait.I have asthma problem. Whenever climate changes i am very much affected with ... A: My sincere apologies for the tardiness of this reply. It got lost somehow in my all experts file. I ...
bronchitis	11/5/2009
Q: "Hello Dr. I suffering from bronchitis disease. doctor prescribed me medicines ... A: Raj, First, you want to eliminate anything that aggrevates your breathing. Perhaps, it is dust, ...
trouble breathing through the nose	11/5/2009
Q: I have been around saw dust,insulation and dust most of my life. My pop was a carpentar. Now I have ... A: There are surgical interventions for your problem. We call them a roto-rooter surgery. You might try ...
Severe cold	10/31/2009
Q: I dont know much about my cold problem but I get it everyday and I have eye strain during these ... A: If it is something you "get" everyday I am tempted to say that it is probably allergies. I would see ...
Breathing concerns	10/30/2009
Q: Good evening - I am a happy, healthy, active, 32 year old married mother of two. I have began to ... A: Indeed, the feeling of not getting enough breath is very alarming. However, it seems as if you have ...
a/A ratio	10/24/2009
Q: What is the a/A ratio equation? Is it the same as the a/A gradient equation? Thanks! A: Appendix Derivation of equation (1): Z (= Qs/Qt) = (C602 - CaO2)/(C~02 - C~'O2) Jim, The a/A ...
H1N1	10/23/2009
Q: I know that difficulty breathing is one of the symptoms of H1 N1 that they tell you to go to the ER ... A: Perhaps, by now, you may be feeling better or worse for that manner. I do not know what you mean by ...
trouble with getting a deep enough breath	9/26/2009
Q: I really need some help or advice. For the last 3 weeks I have been have some difficulties ... A: The feeling of not getting your breath or enough oxygen will, indeed, leave you feeling panicked and ...
Chest pain	9/21/2009
Q: I am a 16 years old boy from Delhi,India.I've been facing certain abrupt chest pains around ... A: I am so sorry you are having this problem. I am glad you have seen a physician and he has said you ...
Baby with respirtory problems and fevers	9/19/2009
Q: My daughter is 11 months old and since she was 3 months she has been in and out of the doctors ... A: I am certainly sorry that your child is so frequently ill and is such a cause for concern. As much ...
Mother with COPD	9/9/2009
Q: I hope you can help me. My mum is 72 and has COPD, for about 18 months she has had to use oxygen at ... A: I am sorry about your mother's condition. It does appear she is in what we call "end-stage." You ...
Heart hurting after pulmonary embolism	9/3/2009
Q: "Thank you very much for providing this service. My 20 year old daughter (now on Coumadin) 5'11" 187 ... A: I am not sure when you posted this but it is likely already the next day. I am sorry that I did not ...
upper lung pain under sternum	8/29/2009
Q: Richard, just to let you know, 3 days later, I feel fine. I think it was indeed a respiratory virus ... A: I am glad you are feeling better. I don't know of any respiratory virus with your symptomology and ...
upper lung pain under sternum	8/27/2009
Q: I am otherwise very healthy. For about one week, I have had some sinus pain and a slight dry cough ... A: I am not sure what to make of your symptomology. You do not relate the pain to shortness of breath, ...
Please help	8/27/2009
Q: I wonder if you could assist. I have two symptoms, possibly inter-related. I know it is not easy to ... A: A nagging cough is, indeed, quite bothersome. You have had yours for quite sometime. It does seem to ...
sneezing	8/24/2009
Q: "Hi Richard, sorry to bother you. I have a question on sneezing. Everytime i sneeze, my throat ... A: This question is a bit out of my area of expertise. My thinking, however, is that probably your ...
Pain In Diaprham	8/14/2009
Q: I am 54 and 5'11 inches tall and weight is 180 . Im in moderately good health. My question is to you ... A: This question is really not a respiratory question. It has more to do with muscles and the like. ...
total flow question	7/29/2009
Q: My preceptor asked me today about total flow calculations, the question was what would the total ... A: Gee, it has been a long time since I worried about total flow and that was back in the days before ...
Multiple Pains, Breath-Related	7/28/2009
Q: I am having pains while breathing (in + out). It is moving more to the left now but had been on my ... A: Several questions remain to be answered. When did the pains first occur and what were you doing when ...
antibiotic-resistant infection	7/25/2009
Q: A little over 6 weeks ago, I came down with a really bad sore throat that developed into a ... A: Just a note to add after reading your reply. Mold reproduces by spores which can lay dormant for ...
Persistent dry cough and sore throat	7/16/2009
Q: I'll describe my situation and then ask my questions. My situation: I went to a BBQ on the 4th of ... A: I will try to live up to your expectations. There does seem to be a strong link between the ...
respiratory mucosa swelling	7/13/2009
Q: In March I had a sinus infection that took two antibiotics to get rid of it. Afterward it left me ... A: First, quit worrying about the cancer. You have been adequately cleared it seems of that. Does your ...
Green sputum	7/12/2009
Q: I have been coughing up green sputum for seven months. I have seen a general practictioner 4 times ... A: I really don't know what I can add that hasn't already been investigated, prescribed or tried. I ...
low oxygen saturation	7/10/2009
Q: My daughter is 4 years old can not walt or talk.All test normal from scans to dna tests.O2 levels on ... A: You have my profound sympathy concerning the condition of your daughter. Children are one of life's ...
O2 levels	7/10/2009
Q: During a recent sleep test my O2 level dropped to 71%. Is this severe? ANSWER: Dear William, ... A: William, The question is: Did the mask not stay on because of the high pressure or was the fit ...
O2 levels	7/9/2009
Q: During a recent sleep test my O2 level dropped to 71%. Is this severe? ANSWER: Dear William, ... A: I sent a stock "your welcome" note. This is the first time I used it and I thought it would give ...
O2 levels	7/9/2009
Q: During a recent sleep test my O2 level dropped to 71%. Is this severe? A: Yes, a SPO2 level of 71% is severe. Normal levels are 98-100%. Most clinicians will accept a low of ...
pain in middle of chest	7/6/2009
Q: I was in the hospital last Wednesday due to severe abdominal pain. I was put on buscopan ... A: I was not familiar with Buscopan as it is not prescribed here in the U.S. but in Germany and the ...
blood oxygen saturation wearing respirator	7/2/2009
Q: I was wondering if wearing a half mask industrial respirator (covers mouth and nose), which ... A: Dave, Thank you for submitting a question. I would think that if the respirator has been ...
breathing deep and stuffy nose	6/27/2009
Q: I've had a constant stuffy nose for years. I went to an ENT and they really didn't say anything so ... A: It sounds like you are on the right track. You would probably benefit from medications that are ...
breathing deep and stuffy nose	6/26/2009
Q: I've had a constant stuffy nose for years. I went to an ENT and they really didn't say anything so ... A: The nose is not really in my area of expertise but I will give what I can. The fact that your nasal ...
10 year old boy	6/22/2009
Q: My son is 10 years old,he has been fine all along and in 2007 he started developing an allergy ... A: Your son seems to have allergies but is questionable based on what you have told me whether he is ...
Decreased function of lower nodes in lungs	6/20/2009
Q: On respiratory testing recently it was found that my larger nodes are operating above 95 percent, ... A: From what I can gather from what you have written you had a Pulmonary Function Test (PFT). I gather ...
hyperaerated lungs	6/17/2009
Q: I recently got over a cold/ cough/ bronchitis. I do not have a history of asthma or emphysema. I ... A: The findings of "hyperaerated lungs" on chest x-ray MAY be indicative of COPD if it includes a ...
COP - oxygen levels	6/16/2009
Q: My dad is 64 and has had a multitude of illness over the years. Over Christmas he was tentatively ... A: COPD is properly diagnosed by means of a Pulmonary Function Test (PFT) which measures various lung ...
Bloating feeling alot with COPD	6/15/2009
Q: I am being treated for COPD as of 2 years with Q-var and Spriva , I have issues of feeling bloated ... A: It seems a lot of COPD patients also suffer from bloating, in fact, those with chronic bronchitis ...
OXYGEN LEVEL	6/12/2009
Q: I took an overnight oxymeter test and it said that my level dropped to 84 and i had some sessation ... A: Normal blood oxygen saturation level is usually around 95 to 99% so 84% is quite low. In our ...
breathing and back problems	6/2/2009
Q: Over the last 5 to 6 months, i have been experiencing back pain especially along my spine and upper ... A: You certainly have a lot of things going on. If we could separate ourselves from our body I would ...
breathing and back problems	6/2/2009
Q: Over the last 5 to 6 months, i have been experiencing back pain especially along my spine and upper ... A: Sorry about all the problems you are having. Breathing problems on top of your back problems must be ...
just wanting to understand	5/30/2009
Q: I am now in my early 60s, so my competitive athletic days are pretty much behind me. But there's ... A: Well, as a fellow oldster (early 60's) I certainly can sympathize with the demise of certain skills ...
Blood vessels in lungs	5/19/2009
Q: My mother is a COPD patient, since 1999 and her last visit to her pulmonologist, her X-ray showed ... A: Your mother sounds like a typical COPD patient - non-compliant. I showed your question to my ...
Breathing problems	5/18/2009
Q: About 3 years ago I started having breathing difficulties. A pulmonologist had me have a CT scan, ... A: Ana, I am glad my suggestion for pursed lip breathing was of help. Here is what I would do ...
Breathing problems	5/16/2009
Q: About 3 years ago I started having breathing difficulties. A pulmonologist had me have a CT scan, ... A: Ana, I am sorry that you are having breathing problems. It is a problem that makes everything ...
COPD & BiPap	5/7/2009
Q: My mother is in the advanced stages of COPD disease, this last week she was intubated (sp?) and in ... A: My heart goes out to you and your family during this trying time. Your mother is in the end stage of ...
Swine Flu?	5/3/2009
Q: The internet says that the swine flu symptons are: Fever Cough Sore throat Body aches ... A: Corrina, You either have it or you don't. Once you have had it and have recovered you won't ...
Swine Flu?	5/3/2009
Q: The internet says that the swine flu symptons are: Fever Cough Sore throat Body aches ... A: Corrina, There are only, at latest count, 787 confirmed cases of the "swine flu" the world ...
Swine Flu?	5/3/2009
Q: The internet says that the swine flu symptons are: Fever Cough Sore throat Body aches ... A: Corrina, By now you are either better or worse. Unless you live where there are confirmed cases ...
Chronic Sinusitis -- treatment options?	4/25/2009
Q: Wondering if there is anything, short of sinus surgery, that I might try. I have been on pills and ... A: Chronic sinusitis is no fun. My recent move to a different local has me thinking I might becoming a ...
Exercise Induced Asthma 2	4/20/2009
Q: a couple more questions... 1. What exercises provoke an attack? 2. How should a person train or ... A: In answer to your first question each individual is different and there is not any one or type of ...
Exercise Induced Asthma	4/19/2009
Q: I am a Natural Science major and in an Exercise Physiology Class right now! I am doing a project ... A: Reese, Because I do things different at times I answered your last set of questions first and ...
Bronchitis?	4/15/2009
Q: Last night (4/13/09) I had bad insomnia because I was feeling weird. All of a sudden in the middle ... A: If you haven't been forced by your condition to go to the doctor yet, please go. You have a ...
Precordial Catch Syndrome	4/3/2009
Q: I am a 48 year old healthy female. I've experienced what I now believe to be PCS from time to time ... A: Kim, Thank you for writing. I am sorry it took a while for me to answer, but there is a reason ...
oxygen level	3/14/2009
Q: i have a aunt who is 86 and she fell and broken 2 ribs and is sleeping a lot. i was wondering if she ... A: Greetings, At 86 y/o and with additional health issues, to boot, your aunt has had quite a ...
community service	3/8/2009
Q: Do you have any suggestions for community service in Respiratory? I live in Orlando Florida. Thanks A: The American Lung Association has/had a program called "Open Airways for Schools" if I remember ...
rrt and crt	3/7/2009
Q: What is the difference between cert. rt and registered rt? thanks ... A: David, The difference between CRT (Certified Respiratory Therapist) and RRT (Registered ...
Coal Fire and effects of breathing fumes	2/24/2009
Q: we live in rented accommodation, there is an open fire in the sitting room and we light it every ... A: Greetings, I would certainly believe that the breathing symptoms you outline come from the ...
ALBUTEROL IN FORM OF 0.83%	2/16/2009
Q: I'm asking this question because of a discussion at work about a Dr. order albuterol 0.83% nebulized ... A: Greetings, I am assuming that you are in some type of healthcare setting. We use unit dosage in ...
coughing	2/14/2009
Q: This is the second time in the last six years that this has happened to me and I am wondering if ... A: Al, It is normal for coughs to linger. I have had a lingering cough for about three weeks now. ...
Getting Tired of all these Breathing Problems	2/8/2009
Q: OK. I have suffered from sinus problems, but generally never had respiratory problems. Four years ... A: Brandy, I am sorry you have been having breathing problems for so long. It gets to be a real ...
abg pCO2 result/s	2/5/2009
Q: we have an abg machine which passes its self calibration, that's with-in the standard limits ... but ... A: Greetings, Not knowing which ABG analyzer you are using makes answering this question in ...
Stethoscopes	2/5/2009
Q: Richard, I am also a volunteer expert in the baseball instruction category and I am currently in my ... A: Hey, Well, welcome to the profession. I've been a therapist since 1969 and have, for the most ...
pneumonia	1/25/2009
Q: She is like a great grandmother to me. She is active and so is her husband. She was hospitalized ... A: Lynn You are fortunate to have such a friend. The older generation has so much to share if we ...
Breathing through the mouth	1/17/2009
Q: Ever since I was young, when I started swimming, I developed a habit of breathing through my mouth. ... A: Shawn, When we are first born we are obligate nose breathers, that is, we must breathe through ...
Pleurisy vs cardic origin chest pain	1/13/2009
Q: a little history regarding myself: I'm a 31yr female, non-smoker with a history of ... A: Carrie, Well, modern healthcare at it's finest. I am concerned, as I stated earlier, with your ...
Pleurisy vs cardic origin chest pain	1/13/2009
Q: a little history regarding myself: I'm a 31yr female, non-smoker with a history of ... A: Carrie My, you are having quite a time with your health. You have too many doctors who are not ...
Wood Stoves	1/7/2009
Q: I'm considering getting a wood burning stove for my living room to help w/ heating in the winter, ... A: Greetings, All the years of my childhood we would go out to the family farm to visit two maiden ...
Asthma help	1/3/2009
Q: I had to go to the ER because of extreme shortness of breathe about Feb./Mar. 08' and ever since ... A: Greetings, One of the disadvantages of answering medical questions online is the fact that we ...
house fire plastic smoke inhaltion clean up question	1/2/2009
Q: Please advise if you can. My house had a small fire Sunday nite. I suffered plastic smoke inhalation ... A: Greetings, I am sorry for you fire and the resulting health issues that resulted. We had a ...
Does this mean that you have AIDS too?	12/16/2008
Q: What if you drink out of a cup that someone with AIDS drunk out of but it was washed before you ... A: Greetings, Your chances of getting aids with the scenario outlined is slim to none. Since you ...
to trac or not / alternative	12/15/2008
Q: my mom is 77 yrs old she had gone into hosp. for stress test on 10/16 ended up with corrated artery ... A: Greetings, Well, you, your mother and family sure have been through a lot. You have my ...
petroleum dangers when used with oxygen	12/14/2008
Q: why is it dangerous to use petrolium with oxygen A: Greetings, I suspect that maybe you are oxygen at home and in spite of the use of a humidifier ...
hi	12/9/2008
Q: im 28 and i suffer from bad asthma i now have bronchitis and my doctor gave me antibiotics last week ... A: Greetings, Right now, without delay, get yourself to an emergency facility - do not pass go - ...
chest congestion	11/13/2008
Q: Robert, I am hoping that this is a question that you can help me out with. I am in between health ... A: Greetings, We, who answer these medical questions, do so at a disadvantage as we can neither ...
reaction to anathesia	11/12/2008
Q: I just had an operation to remove a large mass(benign) from my abdomen and also my uterus and ... A: Greetings, I believe that you should do as your surgeon suggests and continue your life without ...
Chest pain due to lung disease or costochondritis?	11/11/2008
Q: I am 29 years old female and a recent ex smoker. ( used to smoke about 6 cigarettes a day for about ... A: Greetings, I would think that the time to heal would bear directly on the amount of activity ...
reaction to anathesia	11/11/2008
Q: I just had an operation to remove a large mass(benign) from my abdomen and also my uterus and ... A: Greetings, The answers those of us who answer medical questions give are given with the ...
Chest pain due to lung disease or costochondritis?	11/10/2008
Q: I am 29 years old female and a recent ex smoker. ( used to smoke about 6 cigarettes a day for about ... A: Greetings, We, who answer these medical questions, do so at a decided disadvantage. We cannot ...
Severe nasal & chest congestion	11/8/2008
Q: My husband has had a chronic cough for several months and always is very congested (nasal and ... A: Greetings, We, who answer these medical questions, do so under a disadvantage as we do not have ...
Lung capacity	11/1/2008
Q: I am a 19 year old male. I got a wilms tumor in the kidney at the age of 6 and spent a year under ... A: Greetings, Let me offer an apology for the tardy response. I was away from my computer out of ...
blood gas	10/27/2008
Q: How do i get a blood gas certificate. Do i need the whole Respiratory therapy course. A: Greetings, There is no separate certification for blood gases at this time in the respiratory ...
regarding pain in right side near lung	10/23/2008
Q: ...i wan say u tht from last one month i affected by virul at same time i get this pain but after ... A: Greetings, One of the challenges of answering medical questions online is the fact that we, who ...
Patient on Vent	10/7/2008
Q: My question has to do with the practice of making chest x-rays to check position of the breathing ... A: Greetings, The hazard of answering medical questions over the internet is that those of us who ...
Chest Congestion	10/6/2008
Q: about three weeks ago I developed a sore throat, after a few days it progressed to chest and nasal ... A: Greetings, The hazard of answering medical questions over the internet is that those of us who ...

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Richard Manlove

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All questions regarding the cardiopulmonary system, respiratory care, critical care.

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Practicing registered respiratory therapist since 1969 in all respiratory care settings. Educator - co-owner Texoma Healthcare Educators. Lecturer at Oklahoma State University School of Nursing

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RRT, CRT, ACLS, BS, AS (nursing)

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Invited speaker: 51st International Respiratory Care Congress

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