I saw a pulmonologist today. He gave me another PFT in his clinic. The breathing test showed some decreased airflow compared to the 2011 PFT. Although, the doctor said that the result is still within the normal level.(I guess I mentioned in my earlier post that my 2011 PFT had also a reduction from 2010 PFT.) So, it seems there is a trend in the decrease of airflow.

He also saw in my 2011 CT scan two small scars in my lower right lung which may have been caused by t.b. I had in 2000 (ileocecal T.B.). Just to make sure --- he requested a follow up CT scan.

He gave me some tests which may have some effects on the lungs:

1. IGA
2. SPE
3. ANA
4. Anti-DNA
5. RA
6. ANCA -P+C
7. Anti-GBM
8. Sjorgren's
9.Anti-JO Antibody

I already had some of these tests, but it will not hurt to take them again.

This is the thing I was trying to avoid - inhaler! He put me on Symbicort due to a mild asthma. He said the usual "script" on the inhalers - "just localized unlike oral steroid".

Just like most posters, I have been trying mightily to avoid anything to aggravate the nerves, especially now that I think my symptoms are progressing.

I guess I just have to bite the bullet this time.

I will appreciate though any special precautions/ideas.

Thank you.