Well 3 months post endobronchial valve procedure it was time to brave the M60 in the baby smart car and head off to Wythenshawe,the M60 is our northern equivalent of the M25 only less posh being oop north we only have 3 lanes and it floods a lot in places,so much for the much proclaimed Northern power house.
i had hoped to see my consultant Dr B,the man with the brown shoes and sense of humour defficiency,unfortuantely he was otherwise busy in a meeting so i saw Dr C one of his registrars who examined the results of my recent PFT's ,shuttle walk test and CT scan,i was allowed to look at the Bling insitu and all appeared to still be in position only one had moved slightly and one appeared to have gone AWOL perhaps cunningly it still resides in Dr B's cupboard and he is £2000 richer for his sleight of hand.
The PFT's indicate nil change in FVC1 which is still measured at 22% though there has been a minimal reduction in residual volume,which is good but not good enough to indicate anywhere near the reduction and partial collapse of my upper left lobe that the valves are intended to achieve so the general consensus of opinion is that the valves have done nothing.The saving grace is that even though i feel i have declined the PFT's do not confirm it.
i then broached the question of being a potential candidate for lung transplant and it was explained that i was far too old.it would appear that the criteria these days is to transplant younger persons with life threatening lung conditions,exacerbations and periods of respiratory failure also although i already new it transplants are rigorous procedures with lengthy recovery times and the need for an immunotherapy regime that would leave me in greater peril should i have an infection than my present situation.i suppose i was clutching at straws but i can't really complain at what i think was a logical and honest answer to my question.This is not age related discrimination but more a realistic view of survivability of such a procedure.We shall see if Dr B agrees.
Then the fun started as i produced confirmation of my allergy to Nickel.i could spot the rapidly growing frown on the young mans brow and he decided it was time for a coffee break for me and a mad dash for him to find DR B for consultation,the friends of the hospital cafeteria was cheaply obliging and far more deserving than Costa and on his return he explained that a multi disciplinary team meeting would have to be convened and further PFT's performed in 6 weeks time,i am assuming that Dr B want's to cover his back and i imagine that the removal of the Bling is weighing heavily on their minds.
So my dodgy lung friends,not really the results i had hoped for but very much what i predicted some time ago and given the probable lack of further surgical intervention i shall just have to plod along and try to stay as healthy as possible with what remains of my dodgy appendages which is pretty much what the young man indicated.
Love to all
Ski's and Scruff's xx