Doctor Q&A for Dr. Ivan Ackerman

A 40-year-old member asked:
Dr. Ivan Ackerman
41 years experience Pulmonary Critical Care
Depends on severity: It depends on the COPD severity as Soma (carisoprodol) as is muscle relaxer and could cause shallow breathing in susceptible patients.
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A 62-year-old female asked:
Dr. Ivan Ackerman
41 years experience Pulmonary Critical Care
Need cxr and eval: You need to have health care proffessional eval you either office or er setting and chest x-ray needed also further recommendations ... Read More
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A 49-year-old member asked:
Dr. Ivan Ackerman
41 years experience Pulmonary Critical Care
Steroids antibiotic: Patients needs steroids ie Prednisone for 5- 14 days and course of antibiotics for 5-10 days.
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A member asked:
Dr. Ivan Ackerman
41 years experience Pulmonary Critical Care
This is stage 3 copd: There are 4 stages of cops stage 3 has fev1 30-50%, stage 4 or very severe COPD has fev1 less than 30% or signs of cor pulmonary or r ... Read More
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A 60-year-old female asked:
Dr. Ivan Ackerman
41 years experience Pulmonary Critical Care
Pos heart attack : Could be heart related would check it out with professional also GI related ie esophageal reflux possible also.
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A 48-year-old member asked:
Dr. Ivan Ackerman
41 years experience Pulmonary Critical Care
No Coumadin (warfarin) allowed: No pills such as Coumadin (warfarin) can be used for treatment also pulm emboli inc risk bleeding with treatment.
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A 31-year-old member asked:
Dr. Ivan Ackerman
41 years experience Pulmonary Critical Care
Yes wait 3 months: If you quit smoking your lung capacity may improve and retesting oxygen need after 2 to 3 months is recommended.
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A 24-year-old member asked:
Dr. Ivan Ackerman
41 years experience Pulmonary Critical Care
No : Can however help breathelessness b/c anxiety can increase minute ventilation.
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A member asked:
Dr. Ivan Ackerman
41 years experience Pulmonary Critical Care
If allergies also: If allergic criteria can inpact lung function and this med can help.
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A 64-year-old female asked:
Dr. Ivan Ackerman
41 years experience Pulmonary Critical Care
Fair need to follow: Needs to follow pft every 6 months/6 minwalk test/ct chest as needed//echocadiogram as well to guide prognosis.
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