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About Richard Manlove
(Top Expert on this page)

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

Experience
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

Education/Credentials
RRT, CRT, ACLS, BS, AS (nursing)

Awards and Honors
Invited speaker: 51st International Respiratory Care Congress

   

You are here:  Experts > Health/Fitness > Asthma > Respiratory Therapist

Questions Answered By Expert  Richard Manlove 
In Category  Respiratory Therapist

SubjectDate Asked

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 ...
asthma11/18/2009
  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 pain11/10/2009
  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 ...
bronchitis11/5/2009
  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 nose11/5/2009
  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 cold10/31/2009
  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 concerns10/30/2009
  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 ratio10/24/2009
  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 ...
H1N110/23/2009
  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 breath9/26/2009
  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 pain9/21/2009
  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 fevers9/19/2009
  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 COPD9/9/2009
  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 embolism9/3/2009
  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 sternum8/29/2009
  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 sternum8/27/2009
  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 help8/27/2009
  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 ...
sneezing8/24/2009
  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 Diaprham8/14/2009
  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 question7/29/2009
  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-Related7/28/2009
  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 infection7/25/2009
  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 throat7/16/2009
  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 swelling7/13/2009
  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 sputum7/12/2009
  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 saturation7/10/2009
  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 levels7/10/2009
  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 levels7/9/2009
  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 levels7/9/2009
  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 chest7/6/2009
  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 respirator7/2/2009
  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 nose6/27/2009
  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 nose6/26/2009
  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 boy6/22/2009
  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 lungs6/20/2009
  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 lungs6/17/2009
  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 levels6/16/2009
  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 COPD6/15/2009
  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 LEVEL6/12/2009
  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 problems6/2/2009
  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 problems6/2/2009
  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 understand5/30/2009
  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 lungs5/19/2009
  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 problems5/18/2009
  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 problems5/16/2009
  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 & BiPap5/7/2009
  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 24/20/2009
  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 Asthma4/19/2009
  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 Syndrome4/3/2009
  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 level3/14/2009
  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 service3/8/2009
  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 crt3/7/2009
  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 fumes2/24/2009
  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 ...
coughing2/14/2009
  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 Problems2/8/2009
  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/s2/5/2009
  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 ...
Stethoscopes2/5/2009
  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 ...
pneumonia1/25/2009
  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 mouth1/17/2009
  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 pain1/13/2009
  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 pain1/13/2009
  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 Stoves1/7/2009
  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 help1/3/2009
  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 question1/2/2009
  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 / alternative12/15/2008
  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 oxygen12/14/2008
  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 ...
hi12/9/2008
  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 congestion11/13/2008
  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 anathesia11/12/2008
  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 anathesia11/11/2008
  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 congestion11/8/2008
  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 capacity11/1/2008
  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 gas10/27/2008
  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 lung10/23/2008
  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 Vent10/7/2008
  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 Congestion10/6/2008
  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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