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Message
re: Can't shake a cough
Posted on 9/11/14 at 7:13 am to ccdrlsu
Posted on 9/11/14 at 7:13 am to ccdrlsu
quote:
Did the inhaler help your cough on the previous occasion?
Haven't been prescribed an inhaler. At this point, I believe an inhaler would be beneficial for me.
quote:
Is your cough worst at night?
Varies. Last night, yes. Previous night, no. Can have violent coughing attacks through the day as well.
quote:
Did you have asthma or eczema as a child?
No.
quote:
Do any of your children have asthma or eczema?
No.
quote:
Did anyone in the house have a recent viral upper respiratory syndrome?
Both my children had a cough, but only after I had mine. Can't say for sure they caught it from me. There's has since gone away. Mine hasn't.
quote:
How old are you?
39. Don't smoke, don't hang around people that smoke.
appreciate your help. Do you have a practice in Baton Rouge? I'm flying in today and can meet you tomorrow or possibly late this afternoon. Give a fellow OT'er a schedule break to fit me in. 
This post was edited on 9/11/14 at 7:19 am
2
Posted on 9/11/14 at 9:33 am to Will Cover
Assume since you travel a lot for business, travel is via plane and you are having to stay in hotels. Airplane and hotel/motel = perfect environment for one to catch a cold. We traveled by plane and stayed in hotels twice a year for 30 years and for each trip except maybe 4, I either came home with a cold or one started within a day or two of return. Hope you are ok.
Posted on 9/11/14 at 1:31 pm to Will Cover
I am covering ICU's right now and not in clinic. Your PCP should be able to handle this. If not, I can get you in next week. I do not post or lurk often, just had some down time on call to check the OT this morning and came back to see if things were being handled. I will check back tomorrow in this thread to see if you got into the doc. If not, will send my nurses info for an appt on Wed with a CXR and PFT's. Looking at some of the other info in the thread, I would suggest in the meantime:
1. NO OTC crap for cough.
2. You do not need an immunologist at this point.
3. I do not care if you get another Zpack...yes it could be pertussis as your age group has waning immunity from the vaccine, but Zpacks are designed for a post-antibiotic effect and it should have handled it. Occasionally a longer duration is necessary.
4. Lots of other diagnoses mentioned (ALS, lung CA, etc)...very unlikely. Common things are common and as one post pointed out, the 3 most common causes of cough in a nonsmoker are asthma, GERD and post nasal drip (upper airway cough syndrome). And these are by far and away the most common.
1. NO OTC crap for cough.
2. You do not need an immunologist at this point.
3. I do not care if you get another Zpack...yes it could be pertussis as your age group has waning immunity from the vaccine, but Zpacks are designed for a post-antibiotic effect and it should have handled it. Occasionally a longer duration is necessary.
4. Lots of other diagnoses mentioned (ALS, lung CA, etc)...very unlikely. Common things are common and as one post pointed out, the 3 most common causes of cough in a nonsmoker are asthma, GERD and post nasal drip (upper airway cough syndrome). And these are by far and away the most common.
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