Opinion on severity/alignment with mental health and "fight/flight" nervous system?
Have my first ABG and PFT next week ... have had a lot of confusion lately, red face, left side gait issues, balance, left chest pain, pain in left arm/shoulder. Recent EKG has no issues. Also have been on disability for anxiety with depression, and I think in the last 2-3 months or so, I may have started to retain CO2 to a high degree - there is increased internal chatter, less access to memory, presence without internal narrative severe headaches, etc. I have not done my self any real favors over the past while in regards to the overall health, but now this seems to be getting progressively worse quickly, which prompted me to arrange a private chest CT and brain MRI. Brain MRI showed some white matter hyperintensities which the radiologist flagged as unalarming, however they do not know about the overall picture. Was thinking could be autoimmune encephalitis, paraneoplastic ballpark or similar. Just wondering what the community thinks of these results from the chest CT:
The aorta is within normal limits. A 3 mm focus of calcification is seen at the proximal aspect of the left
anterior descending coronary artery which can be correlated with cardiac risk profile. There is significant
heterogeneity of the enhancement of the pulmonary arterial system making evaluation nondiagnostic as this exam
has not been targeted for pulmonary arterial evaluation. Small mediastinal and hilar lymph nodes are evident
Advanced changes of centrilobular and paraseptal emphysema are seen with an upper zone predominance with
prominent bullae identified. One of the largest bullae is towards the right apex measuring 6.3 cm transverse.
Mild to moderate retained secretion within the trachea. mild multifocal bronchial wall thickening compatible
with sequela of inflammation. Mild bilateral apical pleural scarring. Some scattered areas of mild parenchymal
scarring are also visualized in the upper and lower lobes predominantly. A 6 mm subsolid appearing nodule is
seen in the apicoposterior segment of the left upper lobe on axial image 77 . This could relate to a
conglomerate combination of bronchovascular markings and scarring rather than a nodule however as the latter is
not completely excluded short-term CT follow-up can be obtained.. No other significant pulmonary or pleural
abnormalities are seen.
Limited upper abdominal assessment demonstrates no gross abnormality.
No acute osseous abnormality is seen.
Thanks for looking - if anyone knows of a residential center or similar in Canada one could go to in order to ... accept all of this, try to rewire the brain and nervous system, that would be much appreciated. I have been sleeping so poorly (using zopiclone) and been isolating, suppressing emotion, etc. which has likely exacerbated everything.
Muchlove.