As a doctor with this same disease, if you have had 10 or more flu shots in the past. I would not recommend flu shots. The flu shot may very well precipitate a secondary auto-immune complex that will cause a relapse of the condition, with further demylination of the diaphragmatic nerve [ i.e. if you recovered to some degree ]. I have had maybe 50% reinnervation, and the diaphragm is about 30 to 40 to 50% of the original strength.
For all of you that make it to this site. THE ONLY TREATMENT IS "IV-IG" you must get this as soon as possible to help reverse the offending inflammatory response causing and creating the demylination of the phrenic nerve. This medication helped me tremendously.
If you had no recovery and you had your diaphragm plycated, then it is reasonable to obtain a flu shot. Your gravest danger is pneumonia or the flu. I have had about 30 to 35 flu shots thus I should recognize most any flu strain. When H1N1 swept thru the area, I had it, and never even got sick. This was prior to P-T Syndrome. In the last 18 months I have had the flu about 5 times and got nothing more than a stuffy head and nose. So all of those flu shots really paid off. Yes, this is a tuff disease. It is horrible. It is now found that many people just die. Think of a 350 pound guy, 50 - 60 years old. They will simply de-sat, become hypoxic, cyanotic, and then die.
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A Dr. took my Thyroid out and cut my phrenic nerve , my right diaphragm does not work.. Breathing, speaking, really my entire right side is "defective" . When I had the surgery(2012) I could not walk 100 foot with out being out of breathe and could not speak for 10 wks..it got better now it is worse.. Please help me or tell me where to go to get the diaphragm fixed so I can live my life. I am 58 yrs. old and widow and trying to raise 2 grandsons ... P lease help
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Sorry you are having these difficulties. If your Doctor told you the problem...was this diagnosed via a "sniff" test? Did your Doctor not offer to refer you to a specialist Doctor?
There are several options with varying degrees of success (optimally). There is a physician (Dr Kaufman in NJ) who specializes in nerve graft repair of phrenic nerve, You first need a workup including neck ct, sniff test and others. Even if you aren't a good candidate for nerve repair...there are other options including breathing pacemaker.
Another option frowned on by some... is a diaphragm plication which can give an improvement but less so.
Lose weight if overweight and exercise up to what you can tolerate. Use supplemental oxygen if your PO2 is low and many if not most sufferers also have sleep apnea so a sleep study is needed.
It's problematic and will impact your life considerably...but improvements can occur. I moved from the mountains of NM to the Oregon coast to improve my breathlessness.
The discussions relating to inflammation don't really apply to someone with a well defined surgical cause.
Good luck to you,
Jamis
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I use a Resmed S9 VPAP now. Speak with your local sleep clinic they normally deal with folks with sleep apnea, they should be able to help. Hope this helps
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