PF - Nonspecific Interstitial Pneumonia related to autoimmune
Hi. I’m 36yo Asian female diagnosed with NSIP 2 years ago related to my autoimmune disorder, which my doctors still unable to find out which type of disorder as they think it hasn’t fully blown out yet. It’s a condition under Interstitial Lung Disease / Pulmonary Fibrosis. I was on 40mg prednisone for about 10 months in 2016 and stopped for about 9 months in 2017 when my condition was stabilized. Then I had an episode of pneumonia during winter in Dec 2017 that got me hospitalized twice, and has made my condition worse with mild pulmonary hypertension. I became more breathless even short walks to the bathroom and during showers.
I’m now back in my own home country where the weather is warm but since the pneumonia, I have started back on 40mg prednisone in Feb and last month, I was also given 500mg Cellcept daily (2 tabs a day) as a steroid sparing agent so I could reduce my prednisone sooner. I’ve been advised by my docs not to travel for work, so I can now only work from home. So I’m now on these two main medication along with my other vitamins.
And I’m also on 24/7 oxygen now too. But it doesn’t really help when I’m moving because of my limited lung capacity that I can’t inhale very deep. What makes me breathless is when I cough really hard from my itchiness of my throat and whenever I needed to expel my mucus. And when I get breathless, my nails turn purple. Both my lower limbs occasionally get numb too and turn pale, which my doc tells me that it’s because I dont have enough oxygen in my body that can cause that to happen.
What scares me now are showers and toilet breaks. There are always risks of getting choked up and out of breaths if I couldn’t hold my coughs. I’ve been reading from researches and posts from others that mild exercise and breathing exercise helps. As much as I want to do so, I don’t like the feeling of coughing and seeing my SpO gets to as low as 80% while doing just slow walks of treadmill and deep inhalation makes me cough.
My question is - is there anyone out there with similar diagnosis (NSIP with autoimmune) and how do you guys cope with your daily activities? Especially in showers, exercises, any kind of life hacks of people like us?
I’m also trying to get onto the transplant’s waiting list and will be meeting my new lung team soon in a few weeks’ time to get the transplant conversation started. In just two years, my condition has deteriorated pretty fast and it’s worrying. Hope to hear from anyone!
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@bleo Omg! You are the only other person I know of that has said that. I mentioned it to my Mayo doctor and he said he'd never heard of such. I have a feeling that some people might be doing it but are unaware, or just don't mention it to their doctors. My husband says he knows when I fall asleep because I toot my horn. LOL.
Betty, i am happy to hear you found the Ultimate Pulmonary Wellness helpful! May it give you some ideas to help you on this tough journey. I have not had the involuntary breathing difficulties you mention several posts ago. Sometimes I do have wheezing in the morning. Take care.
@bleo Come to think of it, mine hadn't tooted much recently either. Probably because much of my infection has been cleared up. You mentioned your sister. Does she help you with things?
@bleo Thank you again for the book recommendation. Good to know that it can be read online. I will check it out. BTW do you have an appointment yet for your transplant consult or pre-qualifying tests?
@bleo Hi Betty. I don't think I ever answered you when you asked if I had my lung transplant yet. No, I have not. I got put on the back burner for now, thank God. I am on the referred list. That means I am healthy enough (no cancer or other bad organs) and cleared for a transplant if my lungs take a nose-dive. I have known lung diseases and unknown genetic lung disease. My doctors say that they cannot pinpoint exactly why my lung function keeps dropping a little more each year because my other lung issues aren't so bad that I should have such low function. So, I have to be at the ready just in case. I wanted to share with you that I went to a lung transplant support group for awhile. Those survivors were very inspiring. They are enjoyiing the new lease on life and said they'de do all over again if they had to. Actually, two of the patients are on their second transplant due to rejection. You know, these transplants have come a long way and they are constantly improving the technique. Have faith and courage that things will work out. XOXOOX -Terri
@bleo Hi Betty. Just want you to know that you are in my thoughts and prayers. Big hug!
@bleo Betty, are there good medical centers there in Malasia that have good reputations for lung transplants and good outcomes?
@windwalker Hi Terri! Always nice to get your messages! Thanks for thinking of me, Terri. 🙂
To be honest, in Malaysia there aren't many transplant procedures done before especially lung transplants. Liver and kidney transplants are probably more. Also because we don't have many organ donors. I sure hope in the future, more people will be aware of this.
Yes! I managed to get an appointment with my new lung doctor next Friday (referred by one of my lung doctors) at a National Respiratory Unit. It's also a National Transplant Centre. So blessed! I really hope to be eligible for the pre-qualifying tests and fingers crossed I can get on the waiting list too during this visit. Not sure what the procedures are.... and I'm also trying not to get my hopes up too high. But I'm hopeful! At least I'm one step closer...
How are you doing there? Have a great day ahead Terri! xx
@bleo It is important to be very picky about who does a lung transplant. It is the most delicate of surgeries there is. Some peope don't survive the operation, some die within a year after. Where you have one done matters. Do you want me to look into international patient transplant for you at Mayo?
@bleo I will keep you in my prayers that your visit next Friday is a positive one. Sending you many hugs. -Terri