right heres a puzzler for all those who are wise in this department.
I went to see new cons today and we did some tests.
Basicly for 6 mins i had to wear a sats meter on my wrist. nurse recorded my rest sats at 98%. By the end of the test this had dropped to 94%, bearing in mind that i was wheezing and she even recorded that in the notes and was somewhat concerned as i was just walking.
it took 5 mins for me to return to rest point and had to use my inhaler afterwards.
she then took some blood for an ABG, from my ear lobe of all places which i was a little bemused from. this showed that my blood oxygen was 95% at this point.
then heres the confusing part, i went in to the consultant, heres how the conversation went:
C: so how have thinge been since we last saw you?
W: in all honesty not so good, i had another attendance at A and E back in stafford, ended up havin 2 nebs, a steriod jab and pred for a week
C: well i'll have to take your word on that one, as it was in another hospital and i wasn't there
W: ok fair enough, so whats going on from here then?
C: well, i really dont think your asthmatic at all, (looks through notes) but theres a confirmed diagnosis from your previous consultant so as the medications arent doing you any harm, we'll keep them going as you may have asthma underlying but its not causing the problems at the moment, your spiros are staying at 82% and i dont think theres any obstruction
W: so what is wrong then?
C: your just hypoventilating and overbreathing is all, its a mental thing, but its easier to get out of situations when you can say oh i have a medical condidtion, look how uni students drop out using ME as an excuse. to differentiate between your hypoventilation and asthma, id suggest trying to ignore it at first, see if it goes away on its own, THEN medicate as needed.
am i wrong in thinking that theres something a little off here? or am i really going completely loco