Question: You have not heard from me in a few days because HCM has blocked all of my accounts. I have sent you one on each account and no answers. Today I got an email from them saying that I have excessive usage. Dr XXXXXXX Sheppe, a psychiatrist on HCM in New York has a thread open and mentioned that he complained to them about how they keep blocking me from talking to you and him. I too wrote a nasty note back.

Anyway, I still am working at believing that the analysis and conclusion to my PFTs is no COPD. The local Pulmonologist mentioned possible mild asthma, You have indicated that I may have inflammation in airways aggrevated by Stress and Anxiety. I have read on WEBMD about Stress and Asthma and they indicate that they are not a good mix.
I have a mild obstruction to taking a full breath,not sure if inflamed airways can limit exhale leaving some air trapped causing that, if so, is that why I run short of breath when talking.
I have now been put on FLOVENT, I now must be patient while waiting for it to take effect. I dont know all of what it can treat in regards to airways and breathing.
Hope I can get back to normal. I keep telling myself that Dr B says that I have no COPD so I need to rationalize why I have the actual obstructions I get. Today I am going to look for a massage therapist to help lower stress and tension.
Any good words, since I am paying for this as a one time-3 question thread. get as much in as possible.

Yes, you should definitely go to massage therapist for stress relief.
Going there after work

About your though on inflammation and limiting exhalation, this is true.
But not sure with stress induced inflammatory changes.
But yes, smoking induced inflammatory reaction can cause bronchospasm, limiting exhalation and air trapping. Is this smoking induced for a smoker or are we talking something that can appear years after quitting smoking.

Not actually sure if I have air trapping, you have seen the PFT and from what I lave learned is the only issue is the FEF25/75 and you said something to it having a possible stress and anxiety behind it.

Do you still have pft near, do you recall anythiing that would signal trapping.

What type of airway inflammation do think i am dealing with then

I have a stress question for you, that I hope you can answer /explain The stress-inflammation you speak of regarding my issues, is it or can it mimic airway constriction sort of like asthma. Can it cause upper chest tightness too making a good breath more difficult to take.

So when stress is high, inflammation makes breathing more difficult and when it's low, it is less difficult.

If the answer has a possibility of yes, then that may sort of explain my belly breathing more than upper chest that is tight and harder to take.

Oh. Hcm has left a message that I over use the system and has a specified limit to questions. They would prefer I pay for each thread That I will not do. Which means I will be texting less often each month but each question will have more info to talk about.

I seem to have difficulty getting a message through. I think that messages can only be so long. Lets see.
I will be repeating some things I have already said but it fits in this text.
I once smoked
Quit 16 years ago
Had 7 PFT tests with little variation other than FEF 25/75
I want to think that i should see little change from the first one 15 years ago to the most recent but I need to to tell me what FEF 25/75 small airways does in my case. Should I notice any difference from my first pft?
Dr care has different ideas of the PFTS. One said "Asthmatic Bronchitis", another said Very Mild Asthma, You are more open with inflammation in airways exacerbated, affected by GAD.
I have anxiety, stress and panic. this we will just say GAD.
GAD creates worry, and causes me tension and other health issues.
Three years ago an event triggered a breathing obstruction that I took notice of. It has raised panic and anxiety causing thoughts to disrupt my life and make me take notice and to worry on my breathing.
Ok, i can see the psychological part, I need to know what physiological conditions can take place or to occur because of the GAD. Explain the relationship of Stress and airway inflammation. Help me to understand how reducing stress can lower inflammation. Is the Corticosteroid use to get the inflammation of the airways to go down a good idea so that when the airways open the stress can go down.

I need an answer to this, it is the most complicated issue to explain and have you understand. This is not a psychological thing but a physiological issue. I do not have copd. this is stated by too many doctors. If a PFT is a gold standard for testing lund problems, than the results of my 7 are good to accept. I would hope that pft errors do not exist or that some people can get good results when they really are not. Anyway back to the issue. I have an airway obstruction, i believe it to be considered mild. It is a blockage when i inhale i can only inhale so much then I hit this obstruction. It began when the stress began three years ago. I am hoping that it is the inflammation that i am dealing with today from the stress back then. So if you do not understand this, I am saying i have a obstruction that is mild and I think it is caused by inflammation. Is this possible?

Lastly for this thread, I was diagnosed 15 years ago with sleep apnea, I was given a cpap. I used it for 8 years. then it slowly stopped. when the issue began 3 years ago with the obstruction, I noticed that at night when the cpap was on, the obstruction did not happen. I happened to mention the word cpap to my psychiatrist and he questioned if I should use it or not. He mentioned something with the Cpap forcing air into the lungs and expanding the aveoli and causing possible irreparable damage. Is this actually happening to some people.

Do not fear, I will talk soon, I must be patient and wait for HCM to open up my account

Take care and as always I look forward to your reply