Mild ground glass opacities and blood markers for autoimmune disease
Hello, I am wondering if I am over reacting to some tests results I have just seen. I have been having an ongoing extremely loud dry cough and shortness of breath. I do have asthma and in the past I have always had it very well controlled with Advair once a day and Albuterol as needed. But something has changed and my inhalers are not getting rid of the cough or getting rid of this tight feeling I have. I feel like I can not breath in deeply and take a full breath. I also have lots of achiness and joint pain. So my PCP ran a bunch of blood work. I have positive ANA titer 1:640. Speckled. High ESR. High inflammation markers, and a low positive scl-70. Everything else seems to be in normal range. I did a pulmonary function test which was normal. I had a cat scan that shows a linear scar in medial r lobe that has not changed since 2017 and mild ground -glass opacities in lower lobes. It also said probable small airway disease. My rheumatologist has not called me back about my cat scan results. I saw him at an appointment a couple weeks ago before the cat scan and all he said was he thinks I probably have a connected tissue disease and he wants to monitor me and see me again in December. So is this a good plan? I'm just supposed to go around not feeling good and see if I get better or worse? I feel like I am lost in the shuffle. I called to ask about my test results but the nurse said my doctor is out of town and that he would have to be the one to talk to me. I am wondering if someone can give me a professional opinion of what should happen next.