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Oct 28, 2020 07:23AM
Oct 28, 2020 12:26PM
Hi LaughingGull, wow what a crummy experience :-( Not stupid at all! This is my understanding ...
Pleural effusions happen when fluid builds up between the lining (pleura) of the lung and lining (pleura) of the chest cavity. Normally there's a little fluid there, but when things go awry you can get more (much more apparently, I was reading up to 2L plus, yikes). Anyway this presses on the lungs and leads to shortness of breath and a dry cough. There are lots of things that can cause them, primarily bacterial infection in exudates (which are effusions high in protein; the other kind, transudates, are primarily caused by congestive heart failure, also, yikes and sometimes pulmonary embolism). I think this could still be a bacterial infection- some don't respond to first round drugs, like you said TB. Waiting on those cultures now. Sometimes viral infections like sars-cov-2 can cause this, but I had a panel done and negative for all including sars-cov-2.
Another major cause of pulmonary effusions is maligancy, either a primary lung cancer or a metastasis from breast (or a few other main types). So they're checking the pleural fluid for atypical/malignant cells too. And like yours, some are never solved but resolve. Heck, I'd be happy for that result. X-ray today, pulmonologist televisit tomorrow, and hopefully pathology before Friday!
2/2017, DCIS/IDC, Right, 1cm, Stage IB, Grade 2, 0/8 nodes, ER+/PR+, HER2-
3/21/2017 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel)
6/13/2017 Mastectomy: Right; Prophylactic mastectomy: Left
Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)