I recently posed a question about seretide 250 which I was prescribed with 6 months ago, bad side effects with tearing skin, bruising, weight gain etc ( it was also affecting my sex life ) and actually received 51 replies and I would like to thank everyone who replied. A number of you questioned why I was on such a high dose as I am supposedly mild copd with a fev of 72%. One of you kindly sent me a link to a medical paper ( which i printed out) which stated that seretide 250 is prescribed to patients with a fev of 60% or less. showed that to my Dr. and he completely ignored it
Yesterday I had a follow up with him since being diagnosed and I questioned as to why I am on a steroid and why such a high dosage and asked if I could try 50-100 instead. To which I received the reply “Thailand no have”. I then mentioned Ventolin which a number of you suggested, again “ Thailand no have”. He then asked me if I was a trained doctor, to which I replied no, so he then said….so listen to me then, not other people.
Whilst I agree with his diagnosis of asthma which is not copd, I am not sure about the chronic bronchitis as I have no cough, no mucus and no phlegm, but he has diagnosed me with copd stage 1.
I am supposedly at around 72% but this is not conclusive as I am unable to put the spirometry tube in my mouth…I am a gagger and have to be sedated even for dental treatment, but from the reading I was able to give and listening to my lungs I was diagnosed as stage 1.
Unfortunately it ended with a bit of a confrontation as he wanted me to carry on with seretide, but I wanted to try a non steroid. In the end we agreed on a trial of Spiriva ( double the cost) and would be interested in hearing from those who are using this as I know there are some side effects, but not as bad as seretide.
Hopefully the Spiriva will work, first dose this morning, otherwise I am going to end up with egg on my face.
As I am unable to give a 100% spirometry test we have also agreed to a CT scan which is scheduled for next Friday.
Is a CT scan more accurate than a spirometry test?
He did start to tell me that my bronchial COPD will keep progressing even though i have not smoked for 6 months, so i reminded him that in 3-5 years hopefully medication will be released which will halt the progression to which his reply was rubbish, stop reading the internet. So i ended the conversation by by telling him that i know of a senior pulmonary nurse who is going to a conference in New York later this year, the basis of this conference being this new medication and reminded him that in his profession he should keep up to date. Not looking forward to our next meeting.