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Dr. D.J.
Dr. D.J., Board Certified Physician
Category: Medical
Satisfied Customers: 19834
Experience:  MD
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What does ", PBR" mean after a doctors name? This is printed

Resolved Question:

What does ", PBR" mean after a doctors name? This is printed on my prescription and Im wondering what it means, the previous Rx I got from this doc had ", MD"
Submitted: 5 months ago.
Category: Medical
Expert:  Dr. D.J. replied 5 months ago.

Dr. D.J. :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Dr. D.J. :

Hi there,


This is Dr. D.J., experienced Internal Medicine Specialist.


I am here to address your concerns and provide great service.

Dr. D.J. :

This is likely the abbreviation of the word ' Prescriber'.

Dr. D.J. :

This is not a degree.

Customer:

oh ok

Dr. D.J. :

welcome

Customer:

i believe the Rx was ordered by the doctor's PA

Customer:

As I never saw the Dr himself

Dr. D.J. :

ok --that is allowed.

Customer:

His PAs are very good for what it's worth

Dr. D.J. :

ok that is good

Customer:

that may be why it says PBR

Customer:

and not MD

Dr. D.J. :

yes correct

Customer:

ok

Customer:

on an unrelated note

Customer:

do you have experience with neurologically-based breathing issues

Dr. D.J. :

Yes I do

Customer:

Because about a month ago I was experiencing heavy difficulty breathing

Customer:

And constantly felt like i was having trouble getting a deep breath

Dr. D.J. :

ok

Customer:

And I was put on a variety of things

Customer:

Including Xanax, Prednisone, Etc

Customer:

The albuterol inhaler i had didnt produce any effect

Customer:

made things a tad worse

Customer:

so i saw this specialist after my physician ordered a CXR which came back normal

Customer:

and the specialist (his PA) basically did a bunch of tests and said i didnt really have wheezing or asthma

Customer:

but put me on advair 100/50

Customer:

and dexilant

Customer:

i was better for a few weeks and now ive noticed the issues slowly coming back

Customer:

and im wondering if these are neurological/psychological

Customer:

i.e. always feeling the need to take a deep breath

Dr. D.J. :

did you have pulmonary function test?

Customer:

yes

Customer:

2 of them

Customer:

first was months ago and my doc put me on QVAR and the albuterol

Customer:

then specialist did one

Customer:

first one was poor

Customer:

second one was fine

Dr. D.J. :

ok

Dr. D.J. :

then this is likely psychological.

Dr. D.J. :

Neurological problem will worsen gradually and symptoms worsen over time.

Customer:

what type of doc would you recommend i see

Customer:

regarding that type of an issue

Customer:

because the specialist im seeing now is a top allergist

Customer:

but probably cannot help with this cross between psychology and pulmonology

Dr. D.J. :

I will suggest a pulmonologist first.

Customer:

ok

Customer:

it is not bad really now

Customer:

but i have noticed it slightly over the past few days

Customer:

and i'm frankly pissed

Customer:

that this has come back because it is really quite disruptive

Dr. D.J. :

yes understandable.

Dr. D.J. :

But that does suggest likely relation with the psychological cause.

Customer:

correct

Customer:

have you ever dealt with a case similar to this?

Dr. D.J. :

yes I did

Dr. D.J. :

this improves usually over time if lungs are clear.

Dr. D.J. :

do you exercise daily?

Customer:

not recently because of the asthma (supposed) and because i have been very busy

Customer:

but i want to

Customer:

and have a personal training appt for next week

Dr. D.J. :

that is important to improve your respiratory muscle strength.

Dr. D.J. :

Respiratory physical therapy is a good option

Customer:

do you say that because you believe there to be an anatomical abnormality

Customer:

or because it helps psychologically

Dr. D.J. :

it helps psychologically, keeps you distracted, also makes the muscles stronger.

Customer:

true

Customer:

ok well i very much appreciate your help

Customer:

honestly

Dr. D.J. :

very welcome

Dr. D.J. :

best wishes

Dr. D.J., Board Certified Physician
Category: Medical
Satisfied Customers: 19834
Experience: MD
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