Over the last month, month and a half I’ve been having some serious breathing problems. I’ve been THIS CLOSE (-) to trying to get a cab to take me into the emergency room at Hospital Chiriqui, but that’s questionable at 3 a.m. But I’d do my deep breathing exercises and take a couple of hits off my inhaler and thing would eventually settle down.
But it made me wonder if there was anything else that could be done to alleviate the problem. Supplemental oxygen perhaps?
After a rough start to Monday morning I went into the hospital and set up an appointment to see Dr. Rodriguez who I’d seen before. I could have seen him yesterday if I hung around for four hours or so but decided to wait until this morning (Tuesday).
The appointment was for 10 a.m. The doctor showed up at !!:15. I was second on the list. I went through their routine quickie physical. My blood pressure was normal. ( I take lisinopril and Atenolol and it works fine.) One good note was that the last time I was there I weighted in at a hefty 173 lbs. A lot for me. Today I logged in at 155!
I was shocked when to doctor said it had been three years since I’d seen him. I would have guessed a year and a half, TOPS. I asked him about supplemental oxygen and he said that the little gizmo they put on your finger to read your heartbeat also registers blood/oxygen levels and mine supposedly is normal. He had the girl bring in another one and it read the same.
Okay, so supplemental oxygen isn’t needed.
Next I went in to breathe into a doo dad that measures lung capacity and some other stuff. Went through that and then was given three shots from some kind inhaler. After 20 minutes I went back and did the whole thing again.
Here’s where the good news comes in. The first time I did the tests three years ago the results were that my lung capacity was only 34% of normal. The doc said, today, that people with lungs like mine are usually dead by now.
The new results show a lung capacity of 48.69%. Certainly not great, but a 15% improvement over three years and shows response to treatment. I have to admit I’ve been slacking off on the meds a bit over the last few months. Since COPD, the initial diagnosis, is irreversible the diagnosis has been changed to “Chronic Bronchitis.” That’s nice even if it doesn’t make the breathing any easier. He wrote me a couple of new prescriptions. I’m continuing the Spiriva and adding addint Simbicort.
There was no reason given for the increase in phlegm, but it could possibly be the result of slacking off on the meds recently.
The visit, including the breathing tests clocked in at $110. Through my Hospital Chiriqui health plan I’ll get reimbursed 75% but, of course like all healthcare here it’s pay up front.
So I hied myself down to the pharmacy at the Romero supermarket. The Spririva costs $90.22 and the Simbicort is $83.15. However, with Panama’s generous discounts for seniors they knocked $34.67 off the $173.37 tab and I ended up paying $138.70.
So, I shelled out $248.70 today.