the first visit went fine. my last visit not to well. besides copd i also have PAH. I was always at 5 liters 24/7 he told me i only needed 3L. I gasp for air all the time so I put myself back on 5L. Also I have anxiety and was on ativan as needed maybe 3x a week not everyday. He gave me a script the first visit which lasted me 3 months. and when I asked for a refill said flat out "no". I cannot figure out his reasoning for lowering my liter intake to 3L when for 2 yrs I was on 5L. His answer was I do not need it that high. Any input would be good. I am now looking for a new dr.
5 L is pretty high with COPD. Your oxygen and carbon dioxide levels have to stay balanced, and if you have the oxygen too high, the carbon dioxide can get low. Carbon dioxide is needed in your lungs to trigger your brain to make you breathe. I hope you can understand what I'm saying, its a little convoluted I know. I truly don't understand why he won't give you ativan. COPD patients have a high anxiety level usually and there is no reason you should have to suffer that. Did he offer anything else for the anxiety? I don't know if buspar would help when the anxiety is from COPD but it may be worth a try if he's going to be a jerk about it. Any chance of finding a dr who will work with you?
I agree with lowering your supplemental O2. COPD patients should NEVER be on more than 3L. To go higher can actually suppress breathing. and this is detrimental to COPDers! As KM said, it is the CO2 (carbon dioxide) levels that stimulate you to breathe. If your oxygen is set too high, you can get oxygen toxicity. I'm not sure why he is denying your refill on Ativan however. Those that have breathing problems like COPD often have high levels of anxiety. I think maybe you should see a different pulmonologist. He is right about the oxygen, you shouldnt be on more than 3L but I cant understand why he is refusing the Ativan. The Ativan would help you adjust back down to the lower O2 level where you should be.
First of all Where do you live? Plus can you get hold of your prior dr and see who he might suggest. If not ask around there is always someone who will give you a name of a good dr. I would ask if they ran any labs to say why he lowered it. A doctor should not feel threaten if you ask questions, and if he or she does than go to another doctor.
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