The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
This is Dr. D.J., experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
This is likely the abbreviation of the word ' Prescriber'.
This is not a degree.
i believe the Rx was ordered by the doctor's PA
As I never saw the Dr himself
ok --that is allowed.
His PAs are very good for what it's worth
ok that is good
that may be why it says PBR
and not MD
on an unrelated note
do you have experience with neurologically-based breathing issues
Yes I do
Because about a month ago I was experiencing heavy difficulty breathing
And constantly felt like i was having trouble getting a deep breath
And I was put on a variety of things
Including Xanax, Prednisone, Etc
The albuterol inhaler i had didnt produce any effect
made things a tad worse
so i saw this specialist after my physician ordered a CXR which came back normal
and the specialist (his PA) basically did a bunch of tests and said i didnt really have wheezing or asthma
but put me on advair 100/50
i was better for a few weeks and now ive noticed the issues slowly coming back
and im wondering if these are neurological/psychological
i.e. always feeling the need to take a deep breath
did you have pulmonary function test?
2 of them
first was months ago and my doc put me on QVAR and the albuterol
then specialist did one
first one was poor
second one was fine
then this is likely psychological.
Neurological problem will worsen gradually and symptoms worsen over time.
what type of doc would you recommend i see
regarding that type of an issue
because the specialist im seeing now is a top allergist
but probably cannot help with this cross between psychology and pulmonology
I will suggest a pulmonologist first.
it is not bad really now
but i have noticed it slightly over the past few days
and i'm frankly pissed
that this has come back because it is really quite disruptive
But that does suggest likely relation with the psychological cause.
have you ever dealt with a case similar to this?
yes I did
this improves usually over time if lungs are clear.
do you exercise daily?
not recently because of the asthma (supposed) and because i have been very busy
but i want to
and have a personal training appt for next week
that is important to improve your respiratory muscle strength.
Respiratory physical therapy is a good option
do you say that because you believe there to be an anatomical abnormality
or because it helps psychologically
it helps psychologically, keeps you distracted, also makes the muscles stronger.
ok well i very much appreciate your help