What do you do when the predicted is zero?
A very strange spirometry report came across my desk a couple of days ago. Observed: Predicted: %Predicted: FVC: 3.07 0 29767 FEV1: 2.15 0 37586 FEV1/FVC: 70 71 101% My first thought was that some …
A very strange spirometry report came across my desk a couple of days ago. Observed: Predicted: %Predicted: FVC: 3.07 0 29767 FEV1: 2.15 0 37586 FEV1/FVC: 70 71 101% My first thought was that some …
Last week I was reviewing the exercise test results from a patient that appeared to have a relatively straightforward cardiovascular limitation when I noticed the patient also had severe anemia (Hg…
I’ve mentioned before that my lab’s database goes back to 1990, so we now have 27 years of test results available for trending. At least a couple times a week we have a patient who was last seen 10…
Inspiration and expiration usually take different lengths of time, with inspiration almost always being shorter than exhalation. This is due to both to the physiology of breathing and to the pathop…

After a couple years of waiting for the new methacholine standards to be released “any day now”, they were finally published in this month’s issue of the European Respiratory Journal. The standard …
Inspiratory and expiratory flow rates are a function of driving pressure (i.e. the pressure difference between the alveoli and the atmosphere) and airway resistance. For this reason it would seem t…
I was contacted recently by an individual with some questions about the pulmonary function testing needed for a Social Security Disability evaluation. With a small amount of research I was able to …
About a month or so ago I was corresponding with the manager of a small PFT lab and in response to one of their questions I had mentioned that there were no CPT codes for MIP/MEP. They responded wi…
Okay, this may be wrong but at the moment I’m can’t seem to find a reason why it should be. A report like this came across my desk a couple of days ago. Observed: %Predicted: Post-BD: %Predicted: %…