Thank you for your response and information. I don’t have a pulmonologist following me yet, but thinking I need to get one. I definitely will read these articles you shared. I actually lead a very healthy lifestyle and follow a mostly semi-vegetarian/Mediterranean diet, but have difficulties with swallowing due to a 50% functioning esophagus from a spinal cord injury and no gallbladder so I don’t break down fats and carbs. Diet is probably the most difficult for me and the dieticians in the integrative oncology department worked with me for quite a long time. I can’t seem to keep on weight, I’m 105 with a BMI of 17-18, so they’re always worried about my weight. I’m on a few meds that suppress hunger so I’m supposed to “remember” to eat. I walk a lot, about 1 hour each night with my dog and on weekends, 2-3 hours per day. I used to hike local mountains and trails (live in AZ), but as my spinal cord injury and my lung and breathing got worse, I’ve had to bring that down a notch. I do practice deep breathing exercises, I work in behavioral mental health and teach it to many of my own clients (children in state custody) as part of a meditation practice. I’m also back in acupuncture. I just feel the breathing is getting worse and now finding the heart condition 4 years out of treatment scares me. I don’t know if it was an underlying hidden defect never identified when I was younger or if radiation treatment caused it. The cardiologist is pretty sure radiation caused it. My cardiologist is not with Mayo Clinic but I think I want to get a second opinion with a Mayo Clinic cardiologist and pulmonologist.