Author: Anurag Agarwal (---.clmntn01.nj.comcast.net)
Date: 11-25-03 19:13
I am 60 year old person of Indian origin. I lived for first 27 years
of my life in India. During my stay in India iI had several attacks
of esonophilia, the most severe ones were at the age of 17 and 25.
My uncle had TB and father had Pleuracy around 1948. My father is
still living well at the age of 85. I spent considerable time in
San Jose area from 1992- 1997 staying in hotel with lot of pine
trees.
Around 1992 I began to feel breating discomfort and the chest
>>X-Rays revealed faint markings indicating subtle infiltrate. I had
>>PFT done in 1992 as a requirement befor I could be hired by GE. The
>>test results indicated they were in 95% range( FEV1, FVC,and TLC).
>>The symptoms of wheezing coughing would occur frequently though I
>>went to the doctor when it became unbearble.This went on till 1996
>>and reached to a point where I could not undergo the physical
>>strain of my job and was advised by my doctor to rest. I felt lot
>>better and the time passed.
>>
>>In April 2000, I had acquired pneumonia and persistent markings on
>>the X-ray had me refrred to a pulmonogist and the disease
>>sarcoidosis was diagnosed based on biopsy in August of 2000( age
>>56.5 years).
>>
>>I have developed labile blood pressure as well. I do remeber the
>>fluctuation in my blood pressure even in 1990. It was once
>>recoreded at 190/108 but was under control in few hours. The doctor
>>at the nuclear plant site said it was due to over exhaustion.
>>
>>My PFT since April 2000 have stabilized in the range of 50% +/- 10%.
>>from 1992 Values. DLCO is around 40% and the chest CT scans show
>>stable condition. The pulmonary specialist has presented an option
>>for treatment but in light of stable condition he is agreeable with
>>my decision of not taking any medication except the BP control
>>medication. I also have a fear of TB bacteria in dormant stage
>>which might flare up. Though the biopsy done in June 2000 ruked out TB and fungus.
>>I am interested in finding out as to when the onset of Sarcoidosis
>>might have occured. Could it be in early child hood, or in 1990's
>>or in April 2000. I read in literature that stage II and Stage III
>>patients with stable infiltrate could experince severe dysfunction
>>and in cases of Pulmonary sarcoidosis the interval between onset
>>and severe disability was 108 months. I am in stage II since April
>>2000 that we know. But I feel that since the stability is exhibited
>>from the time the medical survellence was instituted, it might have
>>stabilised much earlier may be in 1996/997.
>>
>>I have been over weight all my life around 190 lb, height 5'-4.5".
>>At the crest of my obisity my weight was 212 lb on September 21,
>>1996, My total proteins have trended up since 1992 with gloublin
>>level moving up and albumin level trending down.
>>
>>I have all medical test results plotted on graphs which I can fax
>>if you direct so.
>>
>>In essence since I experienced extreeme physical limitations since
>>1996, an onset estimate and your opinion regarding the level of
>>dysfunction would put me at rest as I would know if the level will
>>be the same as it has been since 1996 or further degradation is to
>>come in future.
>>
>>Once again I thank you for reviewing my case
>>
>>
>>Anurag Agarwal
>>
>
I started with cough problem in 1992
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