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DrRussMD
DrRussMD, Board Certified Physician
Category: Medical
Satisfied Customers: 65329
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.
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My dad is 60 yrs old, been smoking since he was 13, and has

Customer Question

Hi. My dad is 60 yrs old , been smoking since he was 13, and has smoked 2 packs a day in the past. Never less than a pack a day. He has COPD, sats are 92-95% (increased with bronchodilaters to 95) and hes on 80 mcg of Qvar 2x per day, home nebulizers with albuterol TID, ventolin inhaler PRN...he gets short of breath walking sometimes. No exercise and still smokes. No PFTs have been done or chest xrays. No pneumonias yet and no severe chest colds or bronvhitis recently. What would you APPROXIMATE his life span at this COPD stage? Just lookimg for an estimation, nothing concrete ..for my own preparations...thank you
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Abid replied 1 year ago.

Hi there ...

Thank you for the question ...

As you have had no Chest X ray , PFT or Echocardiography and based on symptoms and oxygen sats which are quite good , he may have survival rate more than 50 percent in next 5 years .

When sats falls this indicates poor prognosis .

Right now no active threat to life .

Regards .

But it would be ideal to have his PFT.

Please rate my answer as good service .

Thanks .

Expert:  Dr. Abid replied 1 year ago.

Echocardiography will tell us about right heart chamber size that is indirectly effected with COPD .

While PFT will tell us about lungs reservoir .

So please also get test as I mentioned .

Good luck .

Positive feedback will be appreciated .

Thanks .

Expert:  DrRussMD replied 1 year ago.

Hello

I am doctor Thomas, a double board certified US doctor, and I will give you an exact answer here.

Life expectancy is much higher than 50% over the next 5 years, based on your description.

Please see the following definitive study article.

I will quote the conclusion

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672796/

"As we have seen, COPD is associated with increased mortality and, thus, with reduced life expectancy. Those with stage 1 or 2 COPD lose at most a few years of life expectancy at age 65 compared with persons with no lung disease, in addition to any years lost due to smoking. But current smokers with stage 3 or 4 COPD lose about six years of life expectancy, in addition to the almost four years lost due to smoking."

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