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Health Issue Mystery

tiel

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Normally I find it very difficult to discuss personal issues, but at this point, my doctors have no idea why I'm having an issue and my frustration is mounting. It is clear all of them are trying, but there are no indicators yet what the diagnosis might be. What I am hoping for is that one of you TUGgers has known someone with a similar issue and set of circumstances who has found an answer, or is at least hot on the trail. I will not go into all the nitty gritty details of my treatment so far, since that would be quite tedious, but I am a senior female, in good health (only typical aging problems).

Last March, I was hospitalized for 6 days with pneumonia. At discharge, I was given a pulseoximeter to monitor my oxygen saturation levels, to hopefully spot any issues early on. Right after getting home. I began using the oximeter, and regularly got lower than normal oxygen saturation readings but only after some kind of exertion (at rest, all was normal). Having had pneumonia several times in my life, I initially attributed those readings to just the difficulty of recovery following my illness. It didn't take long for me to realize the there was no improvement. I did, and still do, have home oxygen to use as needed.

About a month later, breathing issues returned, and I was directed to the ER. There, it was determined I had a pulmonary embolism, with additional clots my leg. So, it was back to the hospital for a couple of days, followed by blood thinners at home.

From the beginning of April until now, I have been under the care of a pulmonologist and a cardiologist. And starting in May, after the occurrence of the blood clots, a hematologist joined the team treating me. I have undergone all kinds of tests as prescribed by the different specialists. The results of all the testing have indicated everything is working normally! Heart, lungs, and blood. Which is very good news, except, I still have a problem. All the doctors have indicated they have no idea what is going on, why my oxygen levels drop with exertion.

So, in December, I was referred to a university hospital about an hour away to see if anyone there can figure out what's going on. The earliest appointment I could get is later this month. Meanwhile, I continue to have breathing issues with exertion. And by exertion, I mean doing things like personal hygiene (showers are a real challenge), walking into the grocery, just eating or talking sometimes. When I measure the levels, they seem to be getting lower, more fr3equently, for a given activity, as time passes. My frustration is increasing, though I do appreciate the doctors have worked hard to figure out what the problem is. It's just hard to be so inactive. What really hurts is I've been unable to fly anywhere for most of 2024, and still have that restriction. Only short driving trips are permitted, unless there are frequent stops, which i hate; I want to get there!

Does anyone have any ideas what might be going on? Know that I continue to seek medical care, and will continue to do so, but I'd also like to be able to contribute to my care if possible, even if that suggestion or thought proves to be wholly worthless ultimately.

Thank you!
 

jacknsara

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Best wishes for figuring this out. I have no medical credential or education above lay person but wonder if you should also consult with an endocrinologist.

FWIW, years ago as a result of an overnight stay following surgery I discovered that my baseline oxygen level was lower than standard (alarm bells were going off as I was standing and deliberately adjusting my breathing as a nurse came rushing in). I'll skip all the details how I know this stuff about myself, but my lung capacity is very large. I can increase my oxygen saturation by consciously taking deeper breaths (not faster). Recently, my stamina is noticeably diminishing. Subsequent to an annual medicare wellness check up, I was diagnosed with osteoporosis (caught early). It took about 6 months on a wait list to see the endocrinologist.
Probably unrelated, here's a book on breathing that might be of general interest
Jack
 

Passepartout

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I also have low blood-O2 saturation with exertion. I was given a pacemaker in 2018- which helped, but I still had to use supplemental O2 at night. Then my pulmonologist- who had diagnosed pulmonary fibrosis (from previous bouts with pneumonia- leaving scar tissue in my lungs). I asked him for the time frame on this prognosis. Back then, he said, 'Oh, you'll be on oxygen 24/7 within 3-4 years, then bed-bound within about 5 years, then just go to sleep and not wake up'. Now, 6 years later, I use a VPAP (partial ventilator) when sleeping, and no supplemental O2, but am still traveling and cruising, and timesharing. Going to Mexico tomorrow. We live at +- 4,000 feet. WE DO fly 1st or business class, so I can plug in my VPAP, and I am not running any marathons, but can walk through a grocery shopping trip and light sightseeing. As long as I 'take it easy' and no long staircases, I am good to go. I am the chief cooker and bottle washer for my handicapped wife, but so far- so good.

Jim
 

Patri

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Keep it up, Jim!
 

geekette

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I also have low blood-O2 saturation with exertion. I was given a pacemaker in 2018- which helped, but I still had to use supplemental O2 at night. Then my pulmonologist- who had diagnosed pulmonary fibrosis (from previous bouts with pneumonia- leaving scar tissue in my lungs). I asked him for the time frame on this prognosis. Back then, he said, 'Oh, you'll be on oxygen 24/7 within 3-4 years, then bed-bound within about 5 years, then just go to sleep and not wake up'. Now, 6 years later, I use a VPAP (partial ventilator) when sleeping, and no supplemental O2, but am still traveling and cruising, and timesharing. Going to Mexico tomorrow. We live at +- 4,000 feet. WE DO fly 1st or business class, so I can plug in my VPAP, and I am not running any marathons, but can walk through a grocery shopping trip and light sightseeing. As long as I 'take it easy' and no long staircases, I am good to go. I am the chief cooker and bottle washer for my handicapped wife, but so far- so good.

Jim
There ya go, prove em wrong!
 

Glynda

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Brewster Green (two weeks).
I spent a lot of time with a friend as she struggled to find a diagnosis for, and live with, her lung condition. After several years finding no answers, she finally traveled from SC to Denver, CO, to National Jewish Hospital which has been around a very long time and is considered a, if not the, top respiratory hospital in the country and also specializes in cardiac and immune disorders. At that time( (mid to late 1990's) my friend's disease was not really known of in mainstream medicine. National Jewish diagnosed it as a form of Nontuberculous Mycobacteria (NTM) known as MAC (Mycobacterium Avium.) In 2019, I had an instructor who also had recently struggled to find a diagnosis for her breathing difficulties. She was finally diagnosed with MAC at the Medical University of SC. Apparently it was still not on the radar of her previous doctors, including specialists. So I always think of it when I hear/read of someone who is having trouble with finding a diagnosis. You did not mention a cough, loss of appetite or weight loss which are common symptoms of NTM but it can take various forms. It would not hurt to ask your doctors, or check your records to see if, along with your testing for pneumonia, they have also tested you for a NTM.

 

GrayFal

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I hope you find the cause soon.
 
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Tia

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Try a major medical center like Mayo Clinic
 

tiel

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Try a major medical center like Mayo
That was identified as the next step, if the university hospital couldn't figure this out. The university is about an hour away, which is why I decided to try it first. The FL campus of the MayoClinic is about 3 hours away, but I am willing to go there.
 

tiel

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I want to extend a big thank you to everyone who has posted here. But I am also sorry to hear about what others have gone or are going through. It's not easy. I am noting the suggestions made, and plan to mention them with the doctor at my next appointment. My hopes are not high for that appointment, but am going to give it a chance. Then, we'll see.

Again, I am most appreciative.
 

Tia

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That was identified as the next step, if the university hospital couldn't figure this out. The university is about an hour away, which is why I decided to try it first. The FL campus of the MayoClinic is about 3 hours away, but I am willing to go there.
I hope you have someone to go with you to your appointments, 2 sets of ears and one take notes. Maybe think about how long are you going to give the university before making an appt at Mayo, probably have a waiting time with that system also.

I have a friend who is not yet 60 and been having low 02 saturation issues and doctoring locally and National Jewish in Denver, for over a year with no answers yet. It's concerning.
 

tiel

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I hope you have someone to go with you to your appointments, 2 sets of ears and one take notes. Maybe think about how long are you going to give the university before making an appt at Mayo, probably have a waiting time with that system also.

I have a friend who is not yet 60 and been having low 02 saturation issues and doctoring locally and National Jewish in Denver, for over a year with no answers yet. It's concerning.
Thanks for the suggestion. My DH has been going to all the appointments and tests, and he plans to continue to do so. But you're right. It is concerning, and a bit difficult to deal with on a daily basis. I hope your friend has support to help keep her positive. I will look at the Mayo Clinic to see what kind of wait times there appear to be, and possibly the National Jewish Hospital.
 

davidvel

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Curious, when you say low O2 levels what % are they?
 

DrQ

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Have they done a Holter Monitor or an Event Monitor? (Heart)

[I'm NOT an MD]
 
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Tia

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Curious, when you say low O2 levels what % are they?
If your talking to me. My friends 02 saturations have dropped well below 90 and on a hike several months ago she was below 60. We live at 4500 elevation, she carries a pulse oximeter. Friend talked about a test where they monitored how low she'd go , her system didn't increase her resp rate/efforts and set off alarm bells bringing more people. She's gone back and forth to Cardiac and Pulmonary w/o determination of the cause.
 

CalGalTraveler

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Thank you for sharing @tiel. Although I have no way to assist some of the responses have been very helpful with a friend's condition.
 

tiel

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Although I don't constantly monitor my O2 saturation rate, I periodically check it throughout the day and more often when there's exertion of some sort. At rest, when I'm just sitting somewhere, I get readings between 92 and 99. When active, or immediately following activity (like a shower), I've had a reading as low as 46, and a few in the 50s and 60s, with most in the 70s and and 80s. If I stop whatever I'm doing when I get a low level, and just rest, more often than not, the level will rise into the 90s again. If I'm out and about when I get a low reading, I put on oxygen, and normally that takes me back to the 90s. However, as time has passed, the use of O2 is having less impact, meaning the level doesn't get back to 90+. So that's been increasingly concerning to me.
 
  • hugz
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AnnaS

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My mom - very previous medical issues - breast cancer treatment/right into quadruple bypass, heart valve repaired and one replaced/diabetic/sleep apnea patient - developed Pulmonary Hypertension. Not sure if it was brought on from any of these prior medical issues. It was very tough to watch her struggle each day as it got worse and worse. Not sure if it's similar to what has been mentioned by previous posters.

I hope they can figure out what is causing this and it can be treated. Wishing you the best and a good diagnosis :hug
 

EZ-ED

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Mayo Clinic Connect may be a resource for you.
My wife also has breathing issues that requires overnight O2 due to low hemoglobin levels. While that is her only similarity to your condition it took her Doctors many months to figure out what this issue was and where she was bleeding internally to cause the low hemoglobin condition. After 32 days in the hospital, 7 endoscopy's, weekly blood draws to monitor and weekly to semi-weekly blood transfusions we now know the chronic condition she suffers. Our days of travel, like you, are limited to five or six days max. Here's hoping your Doctors find a solution to your mystery.
 

tiel

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It's becoming apparent to me that finding the cause of low oxygen saturation levels and/or shortness of breath is very difficult. And unfortunately the people with the issues endure a lot in the process of finding the cause, at a minimum. And then there's the treatment which can also be tough.

I truly appreciate everyone who has shared their stories and suggestions. And best wishes to those who are having to deal with this.
 
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