Don't know, and the docs don't seem to care to find out, though they are supposed to. I know that my pulmonologist years ago said that I had COPD and asthma from scarring to my lungs and bronchial tubes from repeated bouts of pneumonia. I know that hashimotos hypothyroid, liver disease, neck(spine) problems, and diabetes can all make asthma worse. Also, sleep apnea can be a problem because you deprive yourself of oxygen because of that. I have an irregular heartbeat as well and anticardiolipin antibodies and have had atrophy to my heart that healed up after my flare was over. I think that the scarring and my inability to take in as much air, I don't breathe deeply enough, but even when I do, I don't get adequate oxygen, so maybe just a problem with the blood vessels and stuff in my lungs. I also had active TB when I was young. I know that treatment for the diabetes, hypothyroid, and neck surgery all improved my breathing ability. I would ask them why your lungs look so bad. Cigarette smokers usually have "dirty lungs" and unless you're a coal miner or something, I don't see how your lungs would be dirty. Do they mean fluid or scarring or paralysis of the cilia (the little fingers in your lungs that help you breathe)? I would ask what they mean by that and what they want you to do. I've been trying to get oxygen for years and a nebulizer. Those things really help. I don't like advair, I was on it for a year, it took six months to work and only worked for a few months, then started making my lungs worse. I have heard this is not atypical. I'm assuming you have an inhaler? Ask what your diagnosis is, COPD from chronic bronchitis or emphysema? There are two different types. The second type is usually what smokers get, my boyfriend has it. The first type is what I have, from repeated lung and bronchial infections and all. Let me know.
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments