And all I get is medical jumbo. Yesterday I took momma for her 4 month check up with the lung Dr. (We have had to go several times before this visit, but this one was scheduled.) The last few times we have gone they have not handed us the form that you get to take up front to pay your bill and has your diagnoses on it. I just thought at 1st it was because momma has already paid her out of pocket. I would ask questions and would get; she looks good, or she is going to die! No real answers and I was getting a little ticked! (Frustrated) Even yesterday I would ask and they would beat around the bush. They could tell I was getting ill! Even when I asked about the wheel chair they tried to blow me off about talking about it, but said they was going to order it. Okay! What kind? Is it for just going places or all the time? And a 100 more I couldn't’t get an answer for. What even makes this more frustrating is momma has a lady through her insurance that talks to us and to the Dr to make sure she gets the best care. The Dr tells her way more than us. Momma kept telling me that the lady had the Dr wanted her to get a wheel chair to reserve her air and for she can get out more. I finally called the lady myself and made her all kind of uncomfortable! I guess she told the Dr because yesterday they gave me the sheet of paper that tells what the Dr’s diagnoses is. It had Chronic Respiratory failure and COPD. So, I came home and looked up Chronic Respiratory failure on the computer. All I got was all this medical JUMBO. (The article is below along with a website, which is more medical jumbo. What I have highlighted in red is what I understand the most and is what I have heard them say before.
All I ask is for the Dr to be a little more honest and explain to the family on their level!
Respiratory failure is a syndrome in which the respiratory system fails in one or both of its gas exchange functions: oxygenation and carbon dioxide elimination. In practice, respiratory failure is defined as a PaO2 value of less than 60 mm Hg while breathing air or a PaCO2 of more than 50 mm Hg. Furthermore, respiratory failure may be acute or chronic. While acute respiratory failure is characterized by life-threatening derangements in arterial blood gases and acid-base status, the manifestations of chronic respiratory failure are less dramatic and may not be as readily apparent.
Classification of respiratory failure
Respiratory failure may be classified as hypoxemic or hypercapnic and may be either acute or chronic.
Hypoxemic respiratory failure (type I) is characterized by a PaO2 of less than 60 mm Hg with a normal or low PaCO2. This is the most common form of respiratory failure, and it can be associated with virtually all acute diseases of the lung, which generally involve fluid filling or collapse of alveolar units. Some examples of type I respiratory failures are cardiogenic or noncardiogenic pulmonary edema, pneumonia, and pulmonary hemorrhage.
Respiratory failure occurs when the respiratory system fails in oxygenation and/or carbon dioxide elimination. Respiratory failure may be:1
Hypoxaemic respiratory failure (type I): PaO2 is less than 60 mmHg (8kPa) with a normal or low PaCO2. This is caused by ventilation-perfusion mismatch with either/both:
Under-ventilated alveoli (e.g. pulmonary oedema, pneumonia or acute asthma).
Venous blood bypasses ventilated alveoli (e.g. right to left cardiac shunts). Hyperventilation increases CO2 removal but does not increase oxygenation as blood leaving unaffected alveoli is almost fully saturated.
Hypercapnic respiratory failure (type II): PaCO2 is more than 50 mmHg (6.5kPa) and indicates inadequate alveolar ventilation. Any ventilation-perfusion mismatch will affect PaO2 and therefore hypoxaemia is also common.
Okay, if I have any medical people out there that can help explain this, I would be so ever grateful! Then again, I may already now and just not wanting to see.
What you think? I still think that Drs should be a little more honest and help the family understand what they are dealing with.