Question: That all makes sense. I meant to say hypersensitivity pneumonitis, not pulmonary pneumonitis, sorry. I've suggested while working he needs to wear a mask to keep any bird dust or other allergan out of his lungs. also when he walks out into the cold, it only takes one breath before he's coughing so hard he throws up. Again. i suggested wearing a facial mask will keep the majority of cold from seeping in. I thought what was causing this was the shock of cold, dry air entering his lungs caused a spasm of sorts provoking the cough. i told him a mask would keep his moisture he would exhale, it would keep some of that it AND if it's a good enough mask, it will function as a warmer of sorts breathing in the cold air. So even if we get his coughing under control, we have the heart issues.

the bp, pulse and 02 fluctuating as much as it does such a short time, he needs to rest between bouts. when his bp drops below the normal mark and down to 80/40, his 02 sats drop into the upper 70th percentile! His pulse will drop into the 40bpm and when his bp sky rockets again, his 02 is now back in the 90th percentile on room air, however that's because his pulse will jump asp the way up to like 140bpm! Whenever his pulse gets super high (250+ bpm, my pulse ox machine doesn't go any higher), he becomes unresponsive, pale, cold, diaphoretic...all signs of a heart attack. The ER will give him like 4 doses of morphine to lower it then send him home without trying to figure out the cause! Yet they don't provide him with morphine to control this at home. this has been going on for over a year. his cardiologist says it's not her problem, we are in the middle of getting a second opinion referral done. Yet it scares me because he flips from being okay to full blown cardiac/pulmonary emergency. he does where 02 all the time. i do have to titrate him occasionally by bumping his 02 all the way up to 4L. I'm tired of the finger pointing going on between the doctors/specialists! i need a strong team that will work together. He's only 46! he shouldn't be having these sort of life issues! is there any place, besides the mayo clinic. that you know of who will be willing to make this a team effort since it obviously involves multiple organs? his dad passed away at the age of 52 due to heart valve failure. His mom passed away in her early 70s from complications of west Nile. it basically destroyed both kidneys. both parents were diabetic. when he has had the chest pain, I've checked his glucose levels using my dad's glucose meter and at fasting it's around 150ish. oh, one last symptom i forgot about. he has horrendous leg cramps at night that will wake him from a deep sleep and cause to have to get up and walk around or kick his legs around, bit nothing helps So i usually find him standing up and asleep while slumped over our livingroom chair. can these massive legs cramps have anything to do with anything listed here? thank you so much for your help so far. i respect a physician who doesn't get upset when either a patient or patient's family has medical knowledge. i may be retired now, however i did graduate with honors and as #1 in my class of over 500+ people. so i thank you for taking me seriously.