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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have DM2, CAD, On Glucovance, Diet And Exercise, Started Lantus. Chest Pains, Increases On Cough, Weakness. TB ?

Hi doc, I have DM2 for the last30 years. I also have CAD. Hx of cabgx2, and L3 to L5 fusion, s/p fall. In the beginning I was on glucovance, diet and exercise. Now for almost a year I m using lantus at night . For the last four weeks I am feeling chest pain on the right side. I m afraid of COX dz. I work as resp. Therapist at larg teaching hospital in Chicago. There is suspicion of exposure to R/O TB pt. the pain increases on cough and sneeze . Today the pain was extreme 9/10 on pain scale . Weight has not changed. 206 lbs. Feel DOE. Weakness . Lower Hgb =12.8, A1c6.8. No other symptom. Pain and spontaneous pneumothorax . But no SOB. Thanks
Mon, 8 Oct 2012
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Pulmonologist,  's  Response
Since you are a diabetic and also have CAD, you fall in the category of immunocompromised patient and since you are a health care worker you are also exposed to various health hazards , TB being one of them. Thus you are at double risk of getting TB as compared to a normal person. I suggest you get yourself thoroughly checked up with various tests for TB which will be of great help. You should consult a pulmonologist at the earliest, who can guide you further regarding various tests.
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Have DM2, CAD, On Glucovance, Diet And Exercise, Started Lantus. Chest Pains, Increases On Cough, Weakness. TB ?

Since you are a diabetic and also have CAD, you fall in the category of immunocompromised patient and since you are a health care worker you are also exposed to various health hazards , TB being one of them. Thus you are at double risk of getting TB as compared to a normal person. I suggest you get yourself thoroughly checked up with various tests for TB which will be of great help. You should consult a pulmonologist at the earliest, who can guide you further regarding various tests.