I had been experiencing shortness of breath from my sudden abdomen expansion in August 2016 together with extreme fatigue. I could not acquire Alberta Health supported Oxygen supply because of the affirmation by this Lung Test, which was highly compromised by my having to hyperventilate ... which only left me MORE fatigued immediately afterwards. I purchased an Oxygen Bar device in August, 2017, which increased air oxygen level by 43% to 30% and have used this DAILY until January 17, 2021, when it failed completely and was sent for repair. It became increasingly necessary for me to use it most of the time while I was sleeping so that I would not wake up every hour or more often, and then feel as if I was suffocating.

I am also seeking a resolution to a significant and long-term Skin Problem, endured since October, 2019. I mention this because it may have some relationship to whatever is influencing my lungs.

Significant, round, about the size of a dime or loonie (depending upon location) very RED blotches appeared over my abdominal lymph areas at the top of my inner thighs and on the adjacent scrotum surfaces, on my right forearm (6), on my left forearm and hand (3), and under my left breast. They were lichenized in surface texture and sometimes mildly itchy. Mostly, they never changed in size, redness or location. They were NOT either bacterial or fungal, the symptoms of which I was familiar with. They are indicative of a micro-tapeworm parasite known as Echinococcus multilocularis, which is mentioned on the Alberta Health website, yet I have not found an Alberta doctor who has heard of it or is interested in knowing anything about it. It has been identified as a growing problem in BC and Alberta since 2015.

Still, the Family physicians I first encountered for the RED spots prescribed antifungals, anti-bacterials, and then high strength anti-everything (CLOBETASOL) which delayed any sincere and relevant diagnosis for over 16 months while the symptoms worsened. During late December, 2020, the spots became unbearably ITCHY. No anti-itch medication I had had any benefit. I finally found that HIGH dose antihistamines, which I had been using with the Clobetasol, plus CBD (Cannabidiol) Cream would control the itching. I stopped using the Clobetasol as at best it was almost useless, other than turning off my immune system.

Also, for the low pelvic areas, maintaining a dry area helped but necessitated going half nude in the apartment. I began taking a strong anti-cancer herb tea at the beginning of January, 2021. Within 24 hours, the redness of ALL spots decreased by as much as half. Taking this TAHEEBO - Pau D'Arco combination tea has proven to be exacting as too little resulted in the redness of the spots deepening, and, too much resulted in a side effect of most of my skin becoming itchy.
L Index

Increasing Oxygen requirement, especially during sleep, December 2021

Gradually, during 2015 and 2016, I began to feel TIRED and exhausted more and more of the time.
By early 2017, this had become a chronic state with a feeling of shortness of breath and a feeling of non-panicked asphixiation. After moving to Lethbridge Alberta in late June, 2017, a local doctor had me tested for LUNG deficiency .. with NO benefit to diagnosis. At the same time, I ordered and began using an early form of oxygen concentrator (to a max of 35% O2) from September 26th. I often used it while sleeping and sometimes during the day.

I experienced SEVERE symptoms in late 2018 and October of 2020 which while extremely different in symptom, were both assessed by Emergency Department personnel as Blood Clots on the Lung. In each case, I was treated with Blood Thinner prescription medication to which I added supplements I was Guided to. I queried each time if some test could be taken which would more closely define a diagnose of what underlying condition was leading to this outcome. Within a period of 3 to 5 months I was able to discontinue the blood thinner use without a return of symptoms.

Both before, during and afterward to these incidents, I experienced an notable increase in fatigue, tiredness, weakness, decreased stamina, and a constant shortness of breath. These were simply investigated as to whether there were acute abnormalities WITHIN my lungs.

By December, 2020, It became definite to me, confirmed by Spiritual Guidance and symptoms, that I was going into a COMA state when I slept. This state would both enable me to "hibernate" and live on LESS oxygen, while enabling my Reptilian Structure to do more health enhancing activities unhindered by Ego and SuperEgo conscious and subconscious distractions. Immunity and detoxing would be optimized. The ratio of Normal to Coma-assisted sleep quickly increased in favor of the latter such that within several months, 99% of my sleep was of the Coma-Assisted form. Using the Oxygen Concentrator device during these periods now became MANDATORY, not just a pleasant option.

Most people including medical researchers and physicians are totally unaware of the differences in the states of Normal Sleep and Coma-Assisted Sleep. These are the ones I became aware of:

NORMAL Sleep
• Hair continues to grow.
• Eye dirt/Rheum continues to collect.
• Often wakens feeling refreshed.
• Able to be Active Quickly on awakening.
• NO body temperature change BEFORE sleeping.
• LOW volume and sudden sounds tend to waken.
• Some digestive activity.

COMA Assisted Sleep
• NO hair growth.
• NO Eye dirt/Rheum is produced.
• ALWAYS wakens in a weak and semi-paralyzed state.
• Delayed in getting up and up to an hour to "recover" from sleep.
• OFTEN a body temperature SWEAT just on going to sleep.
• Sound DEAF to most sounds, doorbells, phone ringing ....
• DIGESTION is Halted.

This condition of sleeping in a Coma-assisted state has been constant since.

L Index

The summary result of all this is that I MAY have one or more of Small Intestine Cancer, Echinococcus multilocularis, a lung infection, and Aspergillosis acute overgrowth, or something else. At this point I have lived with, for almost 5 years, a small intestine that would not release stool into the large one until this last month, January, 2021. It still will not release from the colon without an intensive enema. If this procedure is not done on a DAILY basis, my system slowly, over 36 hours, becomes autotoxic from the retained stool. There is no pain from the enlargement of my abdomen or the retained stool. As time without intestinal clearing builds, symptoms, almost imperceptible at first, very subtly and gradually increase. I lose physical energy and mental awareness, and, over the past year, my ability to carry on a conversation has decreased from many hours to 15 minutes or less.

If this symptom amplification is not stopped in time, I go into a coma.
I live alone. This has happened 5 times when I was not careful enough or aware enough to do the enemas in time. Each time, I collapsed, broke eyeglasses or other objects, awoke 20 minutes to an hour later. I eventually learned to monitor myself more closely and be more attentive to doing timely enemas. This inability to empty my stool normally may have been precipitated by a botched anal tag surgical removal, in late 2011, which severed anal nerves and precipitated much pain followed by minor fecal incontinence. My Reptilian Structure may have adapted to this and my high dislike of the result by using the rectum muscles to permanently close except during extensive enemas.

That does not explain why, until during January 2021, my small intestine did not pass stool into the colon until prompted by a large enema. With nothing happening in the colon, no normal gas and flatulence was produced for over 4 years, and, often on a daily basis, Aspergillosis plugs formed at the intestinal valves - sphincters which even a strong enema effort could not dislodge. I learned decades ago, for a most different intestinal problem connected to a HIGH Mercury toxicity that a drug called Manerix (Moclobemide), in the correct dosage (usually HIGH) could release these blockages in 30 to 60 minutes, consistently. So, I have had to increasingly use this drug more recently and at months long periods over the past 5 years ... if I am to successfully flush my intestines.

I had to quit my work within a few weeks, in mid-2016, although it felt at the time like a few days.
After a year with no medical resolution, I divorced my wife so she could have a life and not witness my daily challenge to stay alive. Because of the sudden changes in symptom severity, I quickly learned to never set social appointments or attend any gatherings. My work had centered on helping other people, both individuals and groups and I loved it and the persistent positive results. My work life ended. My intimate life ended. My physical life is challenged daily because I cannot do abdominal surgery on myself safely and I cannot find one or more doctors capable of DIAGNOSING my medical problems rather than just following a LOOK-SEE-GUESS-PRESCRIBE routine ... which has NEVER been a benefit, and sometimes has threatened my life even more.
L Index

Quality of the Images used in making a Scan Test Report. L Index
All IMAGES (X-Ray, CT, Ultrasound and Bili Hida Scans are NOT diagnostic quality unless they are viewed in Xeroviewer or Impax by an experienced diagnostician.

QUOTE from my 10 page November 26, 2020 Patient DI/Lab Results Report.
This quote was noted next to EVERY one of the results noted for the scans taken.
A Calgary Hospital Emergency Department doctor stated specifically when they refused to go ahead with a planned Gallbladder removal surgery, that Emergency Departments are not intended to diagnose, they only correct significant SINGULAR medical emergencies. I was presenting with multiple medical problems, had been on a blood thinner, and was elderly ... so they would not do the surgery, even though it was strongly indicated as a primary contributor to the belly pains I was having and the blackout which brought me to the Emergency Ward.

QUOTE:
All results performed dates from 2020 Nov 13 ..
"Images are not diagnostic.
Higher quality images are available in Xeroviewer and Impax"

Quality of the Scan Test Assessment. L Index
Previous scans (X-ray, Ultrasound) conducted by Radiology Associates in Lethbridge, from mid-2017, were interpreted and reported on in about 5 minutes. I know this because I requested a DVD copy of the scan after they were done and received a copy of them within 10 minutes after their completion. That had to include the writing of and inputting of the result into the report, the assembly of scan images and interpretation into a DVD original, the duplication of the DVD, and the invoicing for and receipt of payment for the duplication in that 10 minutes.

A doctor who had interpreted medical scans for almost 30 years published a medical instruction video on the Internet, about 5 or 6 years ago, in which he stated that in his experience it took a specialist 1 or 2 years of experience before they could do the minimum assessment, and that completing an assessment in less than 40 to 45 minutes was largely garbage. Has anyone, technician, doctor, or specialist in Lethbridge used either Xeroviewer or Impax viewer to make their assessment, or even know how to use this professional grade technology?

A Chest X-ray I had in my late teens or early 20's was assessed as showing a distinct LUNG SCAR which the doctor concluded was a healed tuberculosis infection. As my Lung Scar Monograph shows, lung scars almost never disappear and are considered both Permanent by the North American medical industry, as well as capable of concealing toxic bacteria which may later be released ... resulting in Lung disease. Yet, in the likely 6 chest x-rays I have had since 2005, 4 or more in Alberta (2017-2021) NONE have apparently been assessed as showing a lung scar. Did a medical miracle happen, or, are we witnessing a medical industry failing to read scans professionally?

Since I had an Intense intestinal parasitic infestation in my early teens, doctors have reminded me that I have Diverticulitis, UNTIL I came to Lethbridge, Alberta in 2017-06. Of particular interest is a recent scan assessment which concluded that I have "No Diverticulitis." I have never heard of someone who had extensive diverticulitis experiencing a full recovery leaving no evidence of the previous grossly changed physiology. Is this a miracle, is the assessment doctor simply rushing through their examination of the scan and missing most REALITIES, or, is the doctor making an assessment on a non-diagnostic scan which requires the use of a Xeroviewer program, or similar, in order to see much of anything?

Patient DI/Lab Results Report
2020-Nov-26-18:00 --- CT Abdomen & Pelvis, Enhanced
... The large bowel is nondistended with no focal mass, mural thickening or inflammatory change.
No evidence of diverticular disease. ..."

CT Scan w/ Contrast agent, Omnipaque350, 2021-02-26. L Index
On 2021-02-26 I went to Chinook Hospital for a second Chest X-Ray. I was informed after arriving and just before the procedure was to begin that I needed a blood test to confirm that my kidneys were healthy enough. This seemed odd for an x-ray but I shortly discovered that I was actually receiving a CT scan and I was to be injected with a contrast agent. Many years previous I had experienced a longer-term reaction to a contrast agent at that time named Gadolinium. I confirmed that his time a contrast agent named Omnipaqe350 was to be used. Shortly into the procedure, a PUSH intravenous administration, I experienced a Very SHARP pain in my right forearm at the injection site. It was soon explained to me that an amount of the agent had gone into my flesh rather than into the vein. There was now a raised bump in the area and a small bruise. I was given a Cold Pack and an Adult Outpatient Extravasation Letter page of instructions. I was then released.

Within a short time after returning home, I began to have significant symptoms unlike any I had been having recently. During the 30 hours after the test, I experienced shot, significant lower back pain, as well as increased stiffness and soreness in my neck and shoulders. I also felt nausea which had only recently occurred in connection with internal bleeding. I also had such a shortness of breath and weakness that on waking up from a sleep I felt as if I was suffocating. For several days, my head felt heavy (other people get a headache and my eyes frequently seemed to lose focus and my vision blurred. I had been increasingly experiencing more pronounced shortness of breath in the recent weeks such that now I could barely exert any physical energy without starting to pant.

Thankfully, a day after returning home, I researched Omnipaque350.
The added symptoms I had been having all related to side effects to the contrast agent.
It would have been much less distressing if I had been prepared for the possibility of them occurring.
According to online medical reports about this agent, "competent personnel and emergency facilities should be available for at least 30 to 60 minutes since severe delayed reactions have occurred." This was not the case here. I was at the hospital exit in 10 minutes or less. The advisory resources further advise that "The possibility of a reaction, including serious, life-threatening, fatal, anaphylactoid, cardiovascular or central nervous system reactions, should always be considered." This also was not taken into consideration even though I had a history of blackouts, was taking blood thinners, and was being tested to possibly diagnose multiple potentially serious health problems.

While the intent of the specialist may have been to obtain clarity regarding lung problems overlapping with heart problems by way of LOW blood oxygen levels, for which this test could provide significant benefits towards a diagnosis, the hospital staff seemed to be either unqualified, reckless, or lacking in empathy towards the patients they were responsible for. It is perhaps fortunate that as much as 1/2 or more of the contrast agent likely ended up in my arm and not my bloodstream. More dramatic symptoms might have been fatal.

AFTERTHOUGHTS following Phone Interview.
Responses to the doctor were often abbreviated as time seemed to be critical and he also did not seem to want more details.

As I had also noted in the beginning, a symptom I now have restricts my conversations past 15 minutes, and we did exceed that.

• Stamina. L Index
  One area of questioning by the doctor was in regard to effort-stamina.
  He asked how far I could go before being out of breath? How far I could walk before having to stop.

  I replied that I could walk perhaps 100 feet before being out of breath and having to breath faster.
  By hyperventilating I could walk another perhaps 100 yards/meters before having to stop because I was then so weak. Failing to stop would endanger me with a blackout. I had experienced blackouts previously, In one, I was crossing an intersection when I had a blackout. A witness said that I fell like a pole with my body remaining straight. My head hit the pavement with such force that it broke one of my plastic eyeglass lenses, twisted the eyeglass frame beyond repair, and left a gash over my left eye that had to be stitched close at the hospital. Now, particularly in the past year, since February or 2020, I removed my glasses and carried them with me in case I had another similar blackout. While this left me with fuzzy vision, I judged it safer than risking losing my last pair of glasses and risking eye injury.

  By a week after the interview I could not walk ANY distance without going into Panting,
  and I began using a Cane again to steady me in my increasingly WEAK situation.
  
  

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• A better description of THIS Shortness of Breath. ** L Index
  The symptom of "Shortness of Breath" is commonly believed to be a direct indication of lung health, and, is commonly so. Without further testing and a wider perspective on lung FUNCTION, other possible causes remain excluded from consideration, believability, or, confirmation.

  The lungs are like 2 balloons in the chest cavity.
  Chest muscles and the diaphragm squeeze and expand these balloons to exchange air supply for the blood refreshing by taking away spent CO2 ladden air and bring in fresh Oxygen rich air. Various activities, such as Breath Yoga and Breath Holding can increase the efficiency of the tissues and enable a HIGH density of oxygen to be gathered from even a decreased Supply, or, in the company of CO2 ladden used air. Breath holding and chest exercises can also increase the volume of the lungs. That means that a person who has practiced these enhancement exercises during the usual pre-teen and teen growth spurts, as I did, partly in preparation for skin and SCUBA diving, can breathe much SLOWER than the average person and still have a HIGH percentage of oxygen in their blood.

  External mass/pressure applied to ANY part of a balloon will increase the INTERNAL pressure and provide RESISTANCE to the balloon expanding. With lungs acting in the same way, if I lie down and someone sits on my chest, even if I have PRISTINE lung tissues I will find it difficult to expand my lungs. A normal or average person in such a position with a regular degree of Efficiency in their lungs could suffocate if their chest muscles were not strong enough to counter the added RESISTANCE. They are being forced to experience "Shortness of Breath", and, insufficient oxygen (hypoxia). As I have both ellevated EFFICIENCY of Oxygen uptake, and, increased lung size ... I can maintain a cell level of oxygen which technically reads "normal" while having my chest muscles constantly WORKING hard to provide ANY movement of lung contraction or expansion. This activation of chest muscles is automatic nerve action and is not consciously controlled.
  
  

  If a person, or myself, has an ABNORMAL belly MASS of size and weight, it will displace belly organs yet will be contained by the limits of torso physical size and compressibility. While the mass may be the result of an intestinal or other abdominal cancer, parasite-filled tumor or cysts, intestinal gas, restrained bulk of stool, or other source ... its presence will exert an OUTWARD pressure. When it cannot push the liver, stomach and intestines no further aside it could take the less restrictive direction and exert a PRESSURE upwards. Besides deforming the diaphragm, it could compress the lungs, like it would a balloon. This would engage the chest muscles, continuously, with RESISTANCE pressure. This produces a constant, and tiring, activation of muscles which are normally cycled through a tense-and-relax cycle a number of times per minute. If the belly mass remains present, and, depending upon its size, side effects of fatigue (from the constant muscle activation) and Shortness of Breath (from a highly restricted ability to expand one's lungs) will come to dominate.

  This possible REALITY may be further complicated if the diaphragm, lung, intestines, and liver tissues are compromised and weakened by the presence and continually expanding pathology of the parasite, Echinococcus multilocularis, which was demonstrated during the surgury on Albertan Cassidy Armstrong in the Fall of 2019. In this manner, lung PERFORMANCE can be HIGHLY compromised by EXTERNAL sources ... in a continual and potentially INCREASING dynamic.

  It has been the question to physicans and specialists since early 2020 by the patient John R. Sennett that a combination of small intestine (external) cancer, and/or, Echinococcus multilocularis tumors or cysts could be the cause of his SUDDEN and Significant belly expansion and weight gain in August 2016, and his since constant and growing symptom of Shortness of Breath. Many other symptoms he has and which have been expanding in number expecially since December 01, 2020, seldom support any other diagnoses. TESTS are available to confirm or deny each of these pathologies, before death, yet NEITHER of these ailments has been found in Albertans before a surgery was being conducted for totally other reasons, or, an autopsy revealed their presence AFTER death.
  
  

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• Family History of lung or heart problems. L Index
  This appeared to me to be an unnecessary question as it had been answered in the Lung Function Test a few days previously and I would have expected it to be recorded there, as it had been in a 2017 Lung Function Report, and that he would have read it. Perhaps he was simply going through a routine list of questions asked of all his clients, or, had not read the report closely, or, was asking to confirm these details.

  My father had experienced significant heart problems from about age 35.
  He died about age 55 from health complications including circulatory and breathing problems.
  He had a stroke, in a hospital bed.

  My mother had experienced tuberculosis before I was born and had been required at that time, in the late 1930's or early 1940s, to spend some months in a rest sanitarium for tuberculosis patients.

  I myself had been born 3 months premature, and as extensive medical research in the early 2000s had clearly demonstrated from hundreds of thousands of subjects, such persons typically demonstrate lifelong health weakness having to do with digestion, lungs, and perhaps other organ areas, depending upon which organs were still quite undeveloped at the time of the earlier-than-development birth. Until I left the farm in my late teens, and then afterwards when I had lived longer than 3 years in an urban location, I experienced severe hayfever symptoms for all of the summers. The only remedies available or suggested during those times were the taking of high doses of antihistamines. After reaching my late 30s, I found a therapy that resolved the reactions and have not experienced such since.
  
  

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• Associated diseases that could impact the lungs. L Index
  There has been good and continuous evidence, by symptoms, for almost 4-1/2 years that I may have acquired either or both of a Echinococcus multilocularis parasite infestation, a small intestine cancer, or an Aspergillosis persistent overgrowth. While the major area of presence and attack of these is not the lungs, it is medically reported that Echinococcus multilocularis infects the lungs at least 15% of the time. It is also MEDICALLY noted that both the Echinococcus multilocularis and the Aspergillosis can circulate through the body by the bloodstream and take up residence in any and more than one organ, in addition to their primary organ attacks of the Liver and intestines. Aspergillosis presence in the lungs has been noted in some forms of pneumonia and pulmonary embolism. Most cases of Echinococcus multilocularis remain undiagnosed until an autopsy even when the patient has raised concerns years earlier and when multiple medical scans have been done.

  I have yet to find a physician or medical specialist in Alberta who is willing to CONSIDER the medical information presented on the Alberta Health website, other sources, or, my referenced digital monograph on the parasite.
  
  

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• The taking of blood thinners following Blood Clots on the Lungs diagnoses. L Index
  I mentioned SEVERE complications with the blood thinners I was prescribed following my first diagnosis of Blood clots on the Lungs, January 1st, 2019 and that after taking them for 2 months, I stopped for almost immediate health threatening symptoms. More recently, I noted that I had again been diagnosed, with entirely different symptoms, with Blood clots on the lungs as of October 1st, 2020, and been prescribed Eliquis .. a HIGH dose for 10 days followed by a lower dose. The Eliquis had not given me any significant negative reactions like the former blood thinners. I had found in the interim 3-1/2 months that it was necessary for me to continue with the HIGH dose 99% of the time if I were to avoid a reoccurrence of the symptoms that resulted in my going to the Emergency Department.

  On questioning, I confirmed that I had NOT experienced any repetitive incidents of nosebleeds, no difficulty in cuts, scrapes, on injection points being difficult to stop bleeding, no easy bruising.

  What has come to me attention since, is that a significant (for me) increase in body mass has been detected as near permanent and near universal since I began taking blood thinners October 1, 2020. While sudden increases in belly region mass had been experienced at some specific times earlier, especially August, 2016, these were different. My abdomen (belly and chest), legs, feet, and arms had increased in size. This was not likely due to increased muscle mass as I had been actually restricted to the least movement and exercise in my life during this period. Nor was it expressed as fat. Clothing that had previously been amply LARGE, or even sloppy, became so tight that they now require replacement: underwear briefs and T-shirts, dress shirts, socks, shoes, trousers. In particular, my legs, feet, and arms appear to be what others have described as showing EDEMA. This seems directly related to the blood thinner high dose use.
  
  

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• Restricted Lung - Oxygen Capacity. L Index
  During much of 2018 and 2019, I DAILY walked from my then home address to the downtown Library and back, a distance of 1 km each way. Initially, I experienced breath restrictions after 1/3, 1/2, or 3/4 of the way, and had to pause temporarily. I persisted and expanded this to no need to stop. I had an accidental injury in November of 2018 which initially made walking any distance impossible without 2 canes. I eventually discovered that I could learn to walk with different nerve pathways and prior to mid-2019 could walk 1/2 km without canes or pausing.

  During 2020, and particularly after March, I began to experience increasing Shortness of Breath, feeling as though I was always suffocating. I learned the skill of remaining Calm and never panicking during this or other normally alerting instances during my teens when I was learning to SCUBA dive. This was also benefited, as I was for most of my life, by my learning to NORMALLY breath slowly and shallowly by doing intense breath Yoga during my early teens. These new changes resulting in my running out of breath in shorter and shorter periods of exertion, as noted above.

  What may be related to this is the restriction in brain availability for conversations over the past year.
  In early 2016, I could communicate verbally with others for many hours at a time without ever becoming tired or experiencing mental decline. By the beginning of 2020 this had diminished to an hour. Since about October 2020, this has been reduced to 15 minutes! That means that after that period of time, I begin to be unable to put words and sentences together. In the symptoms for Echinococcus multilocularis infestation, this is referenced as "Trouble Talking." I have never had this condition earlier in life. After a few minutes, perhaps an hour, away from speaking with others, I am fully able to engage again. This may be reduced lung volume by means of some form of infection or damage, or, the presence of the parasite in the lungs or the brain.

Overview. L Index
It seems straightforward, to me, that a restriction of lung capacity due to parasite infection or due to ABNORMAL abdominal masses pushing up on the diaphragm might be valid and relevant considerations to explore and rule out or define. Doctors, in my experience, seem to think otherwise, and potentially endanger my life, reduce my ability to pay taxes, and increase the Provincial healthcare budget.

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Lung: Heart Echo Ultrasound results, 2021-02-17. L Index
This showed NO elevated pressures.



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Lung: CT Chest Scan Results, from 2021-02-26. L Index
All Blood Vessels were shown to be in "pristine" condition.
There was old scaring at the bottom of the Right Lung, of no concern.
Previous indications of blood clots had all healed; no longer present.



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Lung: CPET (CardioPulmonary Exercise Test), 2021-06-04 L Index
This test will monitor a number of variables together dynamically.

Cardiopulmonary exercise testing (CPET) is an exercise test for analyzing both diagnostic and prognostic assessment by evaluating both submaximal and peak exercise response involving the pulmonary, cardiovascular, hematopoietic, neuropsychological, and skeletal muscle systems. CPET is aimed at the evaluation of exercise performance, functional capacity, and impairment by assessing undiagnosed exercise intolerance and exercise-related symptoms.

ASSESSMENT to Family Physician & Medical Record, June 11, 2021. L Index

"John is still having issues with exercise intolerance and a wide variety of other symptoms, He, as previous, is fixated on the idea that he must have some intra-abdominal parasite to explain his poor functional status. It has been my impression all along that John is simply overweight and deconditioned, but he is unwilling to accept this premise and is looking for some alternative explanation based on highly unusual diagnostic possibilities.

I brought John for a cardiopulmonary exercise test (CPE) on June 4, 2021. Unfortunately, John was not able to exercise long before he began developing stiffness and pain in his right leg. Exercise was terminated long before any cardiopulmonary stress could be encountered. All I can say from this test is that the early stages of exercise were normal and his heart and lung function with very mild exertion are normal. Regrettably, this does not give us any further insight into what possible limitation to exercise he might experience. ...

I explained to John that deconditioning and obesity are still my explanations for his poor exercise intolerance. I suggested that he engage in a program of graded physical activity where he starts with something easy and consistently engage with an activity that might raise his heart rate at least a little bit. Over time, he should increase the amount of activity as his endurance improves. ... "

PATIENT FEEDBACK.

1. Superstition:
   To ASSUME, on sight, that a person has a specific problem without ANY test confirmation is a Guess based on previous training and limited experience. NEVER was a body fat pinch test, or caliper test, taken. This is a simple test that many persons can learn and do in minutes with minimal expense, and even without technical apparatus. I have suggested this to about 8 doctors. NONE have made any effort to perform this test which would IMMEDIATELY confirm if Obesity is my problem.

2. Misinterpretation.
   We often see and hear what we want to, especially if we do not have any confidence or trust in others who may be contributing essential feedback to us. I did NOT develop "pain and stiffness" in my right leg. I developed sudden PARALYSIS, and it was quickly spreading to the left leg.

3. Faulty Observation.
   Before I stopped the cycling, I was breathing as fast as possible.
   For many people, this would be a sign of MAXIMUM Effort, NOT "mild exertion".
   It is Very contradictory of the test results, or, skeptical of the value of the test ... if I am breathing as fast as possible and peddling as fast as possible to maintain the required speed, and the test indicates "normal"!

4. Irrelevancy.
   Engaging in an exercise program when I am Very Weak after taking as few as 10 steps seems somewhat ridiculous.

5. Lack of Focus.
   I was to be going to him for an explanation of my Shortness of Breath, which I had experienced SUDDENLY 5 years earlier, and consistently since. I had also added 30 pounds of weight and significant size to my belly within a 2 week period at that time ... WITHOUT any changes in diet or lifestyle. "Exercise Intolerance had become a more recent and defined extension of the earlier and continuous symptoms. Less than 18 months previously, when the library had been open, I had walked DAILY from my then home address, 1 kilometer to the library and back while carrying a knapsack, and without any stops. Little had changed since in my weight or girth until the beginning of December, 2020. From then, my weight and girth had continued to increase in SUDDEN steps, and, my PHYSICAL WEAKNESS had become prominent. During this period, my feet, legs, chest, hips, and head had ALL increased in size beyond my more stable clothing sizes. These symptoms suggested some disregulation of my Growth Factor and NOT Obesity.

   I had attempted to explain to several doctors, that if a mass was PUSHING up against my lungs and forcing them to be SMALLER, then I would have to breath AGAINST the added pressure, and, reduced size of the lungs. This could result in greater Shortness of Breath, and, reduced Oxygenation and greater sense of weakness.

CONCLUSIONS from second Phone Interview, 2021-06-11.

• Insufficient test time. L Index
  

  After about 3 minutes my Right Leg seized up as if paralyzed and the Left was similar with Extreme Fatigue ... while I was breathing as fast as possible.

  A CPET (CardioPulmonary Exercise Test) time duration is often considered to be more relevant and definitive if it is undertaken for at least 6 minutes and better at 9 minutes.
  
  

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• Nothing much added to previous test results. L Index
  
  • exercise time much reduced by leg failure
  • only 30% of lung capacity used
  • only similar amount of heart function tested
  • chest wall showed normal
  • Blood flow showed normal
  • nothing much added to previous test results
  
  
  

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• Superstitious conclusion of Obesity. L Index
  

  Did mention that I have felt a RESTRICTED lung ability from the beginning (2016).

  Believes that I may have an obesity problem.
  Does NOT want to hear about other possible abdomen masses.
  Will recommend to Dr. Waheed that I use a progressive exercise program to build fitness.

Did question obesity as a problem.

1. Putting on 30 pounds in less than 2 weeks with no change in diet or lifestyle.
2. No change by more than a pound or two during rest of adult life (age 20 to 70).
3. Very little fat in a pinch test of abdomen ... which NO medical doctor has tested.



Did mention about the Alberta woman who was found to have a large cyst-like formation in the middle of her liver in late 2018 when a surgeon was operating for something else. NOTHING had been found or reported in her earlier scan reports, especially in the Liver. -- Not of interest to him.

In MY experience, MOST medical doctors and specialists will ONLY consider the most obvious and frequent health problems that are reported and treated WITHIN their field or organ of specialty. There may be other factors which are causing or contributing to the lack of healthful activity by their organ of specialty which impinge on or influence the organ from OUTSIDE the organ. I have seldom found ANYONE who would consider these factors, which are well documented in the MEDICAL research findings published in noted Medical journals, or, sometimes, in the mass media. This is NOT a PHYSICIAN problem. This is an Alberta Health Services problem in how they train, restrict, and support their doctors.

Medical misdiagnoses have been considered, according to MEDICAL reports, to have resulted in over 10,000 DEATHS annually and hundreds of thousands of unnecessary patient disappointments, confusion, suffering, LOSS of activity, and additional health damages to Canadians, regardless of province or territory.

Consider the environment from the perspective of physicians trained, employed by, regulated by, and equipped by a Provincial Health Authority that is POLITICALLY funded to MINIMIZE expenditures, together with Medical Associations which are charged with interpreting minimization of services, equipment upgrades and adequacy, and, ongoing physician opportunities for skill improvements.

• Academic Idealism smothers Practical Experience.
  Learning only from textbooks, reports, instruction texts, reports, and classrooms frequently must focus on simple, direct, examples devoid of personalizations and multiplicity variations. This results in a FIXED, Generalized, legalistic, one-size-fits-all expression which makes the Reality appear to be mechanistic rather than human, living, and interacting. This can become reinforced and proud Ignorance in which Relevancy has been lost to fantasy. Practitioners have a tendency in such situations to diagnose according to their projected assumptions tied to whatever SYMPTOM attracts their attention. Impressed upon them that patients with BIG bellies are simply victims of Obesity,, they Automatically diagnose everyone with an enlarged belly as Obese, BEFORE any physical exam, medical history, laboratory tests, or concerns expressed by the patient. Other procedures may be undertaken with foregone conclusions and denials of fact. The diagnosis was made in the first 20 seconds of glance.

• Technical Competency supercedes Operational Relevancy.
  Where devices and machines are involved in the provision of services, in the operation of tests, and in the mandating of results ... there are tendencies that include assuming that the machine judgement is correct, expectations that the machine will be sensitive to all possible solutions, and, that it is given all of the details that will be required to provide a beneficial solution. Often, in my engineering and machine maintenance, testing, and repair experience, machines will be designed and programmed to provide ACCEPTABLE responses to what the originators, financiers, and authorities have decided they can afford the monies and time to provide. In an effort to REDUCE needless costs, a SERIES of sequentially defined technical operations are mandated such that one begins with lower cost tests and graduates to higher cost ones as the earlier tests Fail. In actual reality, the lower cost test may be irrelevant for the purposes of accurate diagnostics and utilizing a series approach may result in much time and monies being needlessly wasted. The academic or bureaucrat BELIEVE, in their technical ignorance, that ALL tests are Relevant equally and that Most problems can be found with simple, cheap technology. Each test FAILURE is used to confirm that the person is medically OK, or, that the patient has a mental health problem masking a display or voicing of symptoms that do not exist.

• Routine, Popularity, Bureaucratization, Tradition, Endemics.
  The larger a population, the greater will be a necessity for them to have a foundation of politics, religion, currency, municipal services, law, and, agriculture. With the introduction of an urban and city concentration of people there has always been an increasing demand for services and co-dependency and a fleeting departure from self-sufficiency and ecological awareness and respect. Urban SURVIVAL demands an ever increasing exploitation of Resources. Food, wood, metal, water, energy materials must all be harvested in excessive amounts and transported into the city. Agriculture, increasingly industrialized and commercialized, tends to become focused more on excessive production than on Balance and this results in the predicable periodic crop failures, failure to pay expenses, poverty and servitude-slavery for a growing minority. The opulence of another minority, built upon the gathered resources and services required by the urbanites, attracts the attention and greed of foreigners traded with. A military grows into view for purposes of conquest (stealing from other communities) or protection (not allowing others to steal from oneself).

  Tradition supports a form of indoctrination of PAST successful patterns of behavior and attitude while religion, law, and education struggle to imprint and traumatically implant a commonality of attitudes, beliefs, and shared prejudices toward "outsiders." So much orderliness and subjugation of personal identity to social membership increasingly fosters depression, rebellion, and the spread of adversarial subgroups and social and economic castes. ALL of these developments encourage both an increasing complexity of necessary tasks, obligations, technologies, together with an increasing rigidity of interactions with the justification of freedom and fairness through intended SAME treatment for each member .. with leaders and executives and the wealthy receiving prestigious exceptional forms of grace, gratitude, and graft. Avoidance of anarchy and conflict is met with mass media and mass involvement DISTRACTIONS. The Fantasies promoted by newspapers, unscientific studies and reports, drama seeking news reporting, slanted view documentaries, the "clean" portrayal of action, mystery, science fiction, and romantic movies ... each contributes to the hypnotic induced sociopathic attitude that patients are like passing electronic games .. to be "played" to reveal HOW one can make an ailment into a powerful rescue-by-prescription.
  
  

• A Cost Obsession demands minimal options, FAST assessments, projections based on expectations.
  Politically (so-called "Democratic") supported health education, medical services, and, publicity encourages citizens, as potential patients, to avoid supporting services dependent upon personal payments (for quality personal services). In fact, through most of Canadian provinces, the politically sanctioned courts make it ILLEGAL to offer such alternatives.Thus, with mass media constantly imprinting that ENOUGH healthcare will be provided for the potential patient, there may be little sincere interest in options like going to another country for medical tests or treatment not available locally, provincially, or even nationally. After a century of politically dominated and media promoting the FANTASY of GOOD healthcare in Canada, the number of instances in which government "authorities and Experts" have mandated drugs, procedures, and attitudes .. that have eventually FAILED is overwhelming. A few of the HUNDREDS of examples include ..
  • Chronic Disease weakens the health of 1 in 5 Canadians, and, is usually untreated,
  • Waiting lists for physician Access and medical treatment are so long, patients DIE waiting,
  • Drugs are sanctioned and promoted which decades later are revealed to cause illness and death,
  • Surgeries and other RECOVERY treatments available in other countries for 20 years or longer are unavailable,
  • Doctors and nurses trained in Canada flock elsewhere where they will have the support to be true Professionals,
  • Pharmaceuticals are prescribed without ANY advice, instructions, or cautions on how to use them SAFELY,
  • NO educational upgrading is provided or financially supported for the improved practice of Physicians, surgeons, ...
  • Technology is provided with the most Basic, crude, often misunderstood results that deny timely diagnoses.
  
  

  Politicians focus on being re-elected and leaving failing institutions alone, rather than focusing on how Best to provide Relevant services to help, assist, and encourage their citizens. After a century of non-medical bureaucrats deciding how best to provide services-by-cost, inertia dominates every consideration for improvement. TIME relates to Cost, so, physicians are REWARDED for NOT spending Tine with patients, making snap prejudiced diagnoses, and providing instant prescriptions .. with NO followups, ever. With over 60% of North Americans being casually and widely reported as being OBESE, it is a safe and confident GUESS to assess any patient with an enlarged belly as Obese, unless they are known to be pregnant. If they DIE of something else, who will know? And if they live the rest of their lives in recoverable states of misery .. who cares! Physicians are paid to be Technicians and follow Procedures, NOT to Care. If not yet Sociopathic, you will become one, or, leave the country.
  
  

• Authoritarian PRIDE of Expertise BLOCKS the awareness of the physician
  to HEARING and Recording the EXPERIENCES of the Patient.
  Authoritarian communication and interactions derive from the realities of Desperation, Urgency, Hatred, Membership, and the threat of Death. When Band groups grew too large for shared, respectful, and calm considerations of few options into larger associations we call Tribes, significant changes were introduced for the Conflicts with other similar groups which would arise. Increasing population numbers following a period of perhaps almost 2 million years of steady state smaller communities altered a Respect for all life, a stewardship of food sources, and, a constant revelation of a multiplicity of colors, sounds, smells, and familiarities into an environment of constant challenges from an unknown. Thrust out onto and seeking ENOUGH resources in the savannas, plains and new climate variations, the Excluded, Rejected, and Abandoned surplus of humanity grew into communities seeking surplus resources and fixed and protective habitations. Soon enough, life and survival without agriculture, the forced disrespect for and control of plants would threaten starvation.

  With increasing numbers and densities of human communities there would develop means of sustaining oneself through seasonal changes and crop cycles of growth and harvest to enable Surpluses to be produced. Yet, for many and predictable reasons, the saving and safeguarding of surpluses to bridge both crop growing and crop failure realities eventually faltered. Awareness of the opulent Resources of others eventually resulted in group against group thievery, violence, war. Successful embattlements came to demand subservience of the many to a leader including a commitment to accepting the morality and commands of that leader. Competition between participants was used in games and other facets of training to heighten skills of aggressiveness intended to stop (kill) attackers and defenders. The development of technologies in support of an amplification of the killing and a reduction of the threat of personal injury have been encouraged and heightened to this day. Winning, although often by variances other than those of human strategies, were quickly used to promote the godlike abilities of leaders, communities, tribes, and genetics.
  
  

  In concert with the industrialization of the food supply came leadership expanded into bureaucracies, tools expanded into technologies and tactics, resource acquisition specialization exchanged with specialized services through use of currencies, and, mental harmonization through the educational, imprinting, and hypnotic ritualization of Values, Expectations, Assumptions, Morals, and, an obsession with the Material fractured from the spiritual. Employed in a sanctioned, recognized, respected, and service of specialized skills would become known as a Profession. While skill was an early requirement of such, experiential and academic knowledge became harmonized (service clones). The devotion, energy, persistence, sacrifice, and eventually that of privilege .. created a personal sense of Accomplishment and Pride (I am superior to others; I am Special; I am a god). As demands for greater numbers of a profession increased, membership requirements were slackened and the Quality of one's qualifications became influenced by an increasing quantity of Distractions.

  Soon enough, professionals (providing the Best skills, awareness, and talents possible) transitioned into technicians (following orders and principles and procedures defined by others to provide "Just enough" of what their employers expected. The PRIDE remained, yet the service Quality diminished, and, the Personal contact with the purchaser-client-patient dirminished to just-another-problem to be resolved. Restrictions on the expenditure of Time-Money rewarded the technician for the use of FAST diagnosing and prescribing. Protection of the technician against conflicts with clients, against a realization of errors, and against legal challenges .. by the Medical Associations, the local and federal governments, and the political and media influenced courts would shelter serial torturers and murders from restraint, improvement, and discipline. After DECADES of exposure to physicians across 3 provinces in Canada, the overwhelming approach followed has very seldom been a concern for a patient's wellbeing and recovery, and, an easily revealed behavior of "How quickly can I get you out of here!"

For those sincerely involved in scientifically supported findings, assessments, conclusions, and observations ... there is no DIAGNOSIS that is accurate and relevant for ALL persons experiencing one SAME Symptom amongst a package of feelings, sensations, and life restrictions and health conflicts. Almost always, symptoms of a disease, injury, sensitivity, or health concern are multiple. A focus on any ONE symptom, especially without relevant test results, can lead to a prescription of drugs for an entirely different ailment with possible fatal results from its side effects.

Often, in North American cultures, SPECIFIC additional symptoms are expressed with AGE, or, with the longer-term use of toxins, and accepted socially promoted substance abuses. Anyone who has a sincere interest in health is fully aware of these indicators. SMOKERS almost always, depending on their degree and longevity of smoking, present pronounced skin WRINKLES on the back of their neck and on their face, and sometimes hands. OBESE Persons, particularly with age, present supplemental skin FOLDS, Double Chins, FLABBINESS of neck, face, upper arms, chest, belly, and legs, and, cellulite on the thighs and elsewhere. This may, in part, be the loss of previously carried excess fat without the tightening of the skin.

Is there a practice, lifestyle, attitude, or training which can encourage lifelong health enhancement including a minimization of Obesity? In September, 2023, Ari Whitten published a 59 page pdf report, "Energy Breathwork, ..." from http://www.theenergyblueprint.com/, which I received during November, 2023. His decade long intensive research had demonstrated to him the benefits of Slow Breathing rate together with a raised Co2 hypoxia resistance. These included ...

1. Physiological changes can be produced by Breath-holding.

2. The body can LEARN to maintain cellular energy production even with a deficit in oxygen supply. (p06)

3. With a repetition of Breath-holding, intermittent hypoxic training (IHT), one's lung size-capacity
   can expand enabling greater Oxygen intake and exchange. (p07)

4. Challenging one's physiology often increases its STRENGTH and DURATION (p10).

5. RELAXED, repetitive breath-holding can reduce Anxiety, Fear, Panic, and Stress (p11)

6. Red Blood Cells are Increased in number in adaptation to Decreased Oxygen availability (p13).

7. Sympathetic nerve tone can be REDUCED through breath-holding leading to lesser and more gradual
   variations in heart rate, blood pressure, and perceived exertion .. leading to LESS hyperventilation and LOWERED Breathing Rate (p15).

8. Systemic inflammation is strongly REDUCED by hypoxic training (p16)

9. Mitochondrial density can be INCREASED by hypoxia training to for GREATER Energy production from the same resources (p18).

10. A Revised Oxygen-Hypoxia Balance can encourage a LESS Reactive, more Patient expression of thought and feelings (p21).

11. A RESPONSIVE Oxygen-CO2 Balance can moderate Insulin Sensitivity, IMPROVE metabolism, and, protect cardiac processes. (p25)

12. Aging dynamics can be REDUCED with Breath-Holding techniques
    by Increasing Oxygen Efficiency and availability, and, Energy Efficiency (p29)

13. Pranayama breathing Yoga techniques replicate all of the benefits of IHT techniques (p47).

Some BACKGROUND, for me, is Relevant here in that it is likely to have contributed to my longevity, and, minimized Obesity.
I am alive at age 78, partially due to choices, access, and responses which I made on my own in my pre-teen mid-1950s environment.
Socially rejected and condemned for a morally damning crime I came to realize I was incapable of committing, I was focused on physical survival against a background sense of constant Attack. I lived on a Mixed use farm in a rural area making access to alternatives few. Through the mid-1950s to the early 1960s, I intensely studied a do-it-yourself course in Ju Jitsu, paperback outlines of Karate and Aikido, and paper sheet guidelines of Savate and self-defense tips. As a free extra provided with one magazine ad self-defense mail delivered package, I received an outline of Pranayama Yoga Breathwork exercises. I daily practiced these Yoga movements including breath-holding for likely as long as 2 years. There was NO suggestion in the directions of any form of benefits other than enhanced Awareness, stamina, and CONTROL of my body functions.

In later 1950s, I expanded my focus to a home-study course on Commercial Diving, plus, intensive study of the Bible.
I would later add the study of The Koran, Egyptian, Tibetan, Buddhist, and Confucian spiritual writings. Perhaps inevitably, I began developing physical skills in anticipation of Skin Diving .. that included the use of a snorkel and Breath-Holding. Taking a breath of air at the surface and extending the benefits of that air with Breath Holding would allow for a longer and deeper dive downward. Myself and a two classmates made a contest of who could hold their breath the longest, during Grade 9 classes. Eventually, I could hold my breath for 3 minutes whereas most other persons could not make it to ONE minute. Forceful holding exerted Great pressure on my lungs and heart,exaggerated my CO2 toxic reaction response and led to a sudden, noisy exhalation at the end. NOT good in a classroom. Eventually, I learned to hold my breath, and, RELAX my lungs and chest ... which extended my holding time, and, allowed for a much more even and quieter exhalation at the end. And, you may be wondering "What has all of this to do with a diagnosis of OBESITY?"

If one is capable of integrating their exposure to REALITY with their academic imprinting (education), they will broaden their AWARENESS and Perception such that irregularities in conflict with their Expected and Projected ASSUMPTIONS become highlighted. Such differences can challenge what APPEARS, in 5 seconds to be an obvious judgement, against one of opening one's mind to some new variations in TRUTH and Accuracy ... a more revealing Awareness and Relevant diagnosis. Such a transition can result in a medical improvement or health recovery .. rather than a dangerous, even fatal prescription of behavior or drugs more suited to an entirely different Reality. Breath Holding exercises do INCREASE one's capacity for Patience, Awareness, Confidence, Stamina.

For many years I have marvelled at how my Reptilian Structure (Body) has been able to cope with the various health challenges I have experienced until I could find recovery means. With the detailed explanation available in the article noted above, it is a direct extension of my early life Breath-Holding practices that provided key benefits. I often noted that I breathed so silently and slowly that I was unaware of my breathing. Many people, beginning in my 20's up to today, remark at how I look much YOUNGER than my age. During computer systems and devices trainings outside of Canada, I shared a room with another attendee who remarked that he had never seen a person who could fall deeply asleep in an instant regardless of stress .. except for me. I acquired ALL of the health benefits noted in the article on Breath-Holding from my practice of Pranayama Breath yoga, breath-holding in preparation for diving, and mediation and spiritual routines.

Symptoms of OBESITY usually include not only an expansion of girth and an increase in unhealthy weight but also an obvious FLABBINESS of skin on many parts of the body, a dramatic wrinkling of the skin, and, a soft fluidity of the gross folds of skin and tissue. I do NOT have, at age 78, more wrinkling of my skin than a 20-year-old. Neither do I have the wrinkling of skin on my neck, face, or upper arms than a non-smoking 20-year-old. My belly skin is TIGHT and poking my belly reveals that it is firm, not the mushy softness of excess fat, without it being tensed. And, if one were to ask about HISTORY, they would hear that these Present health indicators have been constant with me throughout my adult life. Thus, in a matter of SECONDS, the true Health Professional would KNOW that my added girth, constant fatigue, sudden increases in weight, LOW calorie diet, and breathing difficulties are NOT related to OBESITY. Perhaps LISTENING to the patient's AWARENESS of their health might be constructive. Perhaps considering a Health History might be revealing.

In my experience, in the Province of Alberta, physicians, and specialists .. DISCOUNT, minimize, and discard any comments offered by a patient regardless of the degree of health and medical awareness of the patient. In my opinion, I consider my talents in these areas HIGH above those of the general population. I was not expected to survive my premature birth. I coped, with some difficulty, with early life chronic health problems. Like many premature birthed persons, according to extensive post-2000 scientific studies, I acquired a list of often chronic and fatal illnesses through my adult years and was repeatedly counseled by medical and health personnel that I would either NEVER recover, or, would die shortly. I researched, prayed and followed the Spiritual Guidance, did NOT panic, found unique new strategies and techniques that encouraged coping, and, often, full RECOVERY. A few of these Challenges include these:

• Severe hay fever,
• Severe depression,
• Severe migraines,
• Three severe whiplash injuries,
• Chronic Fatigue Syndrome,
• Significant heart disease symptoms,
• Severe multiple Hypersensitivities,
• Severe heavy metal poisonings,
• Leprosy, Hansen's Disease,
• Others.

I have AWARENESS by research, experience, and success ... yet Canadian medical and health services are DEAF, by Choice.

Thus, I am NOT Obese, yet likely have had an abdominal tumor of 30 pounds or heavier located external to my intestines and obstructing my intestines, lungs, heart, and other organs since 2016.

The SINGULAR Authority (in this small city, there are few or no alternatives sanctioned by the government) placed in charge of my potential RECOVERY of health, return to work helping others, paying taxes on more-than-minimal income, supporting both close and social relationships, and providing positive political contributions ... only cares about possessing his god-title, receiving his high above average income, following procedures and money saving practices, and, proudly, defining life directing diagnoses with a GLANCE.

Blood Clots on the Lung(s) may not be simply remedied. L Index

Royal Papworth Hospital is the only centre in the UK offering pulmonary endarterectomy (PEA, historically known as PTE) surgery and has performed more than 2,000 operations since 1996. They are one of the most active centres in the world, carrying out 170-190 PEA operations per year, with some of the best long-term outcomes internationally.

Pulmonary endarterectomy is a surgical operation in which the blood vessels of the lungs are cleared of clot and scar material. In a large proportion of patients who undergo this operation, their level of activity, quality of life and life expectancy are significantly improved and pulmonary endarterectomy surgery can be thought of as a cure for most patients.

In many if not most Provinces in Canada, including the province of Alberta, blood thinners are prescribed by physicians when and if blood clots on the lungs are diagnosed. In my health condition, this was the diagnosis for TWO episodes of blood clots. Each had ENTIRELY different SYMPTOMS. In January, 2019, with persistent, constant, violent coughing, I was prescribed blood thinners for the first instance. For the first kind of blood thinner prescribed, it gave me life threatening side effects. A physician and specialists, early on, told me I would need to continue to take the prescription life long or I would die in 24 hours. With a second type of blood thinner, the major symptom went away in less than 2 months. After several months, the blood clot symptoms were long gone. Reducing and stopping the blood thinners removed the remaining alarming side effects.

In early October, 2020, more than 18 months later, I again experienced SEVERE Symptoms, PAIN in the Back of my Right Lung. I was again diagnosed as having blood clots on the lung and again prescribed a blood thinner, more recently introduced than the former two. It had less side effects. Due to other continuing health problems it was best that I remain on the blood thinners. The cost of these were assisted by the Blue Cross Health coverage I had. After 6 months, Alberta Health declined authorizing further financial support for this, making access much more difficult. The medical system seemed to have DRAMATICALLY changed its policy of supporting blood thinner use.

A health symptom I had acquired in 2016, along with other Significant symptoms, was one of growing FATIGUE, breathlessness, and, an inability to work. Going through the above noted TWO instances resulted in these symptoms intensifying each time, and, NOT improving in ANY way as I appeared to recover from the blood clots. While any clots that were present IN the LUNGS may have dissolved away, a more deep seated associated problem could have been present and would not have been helped in any way. Blood clots and fibrous tissue can form in the pulmonary arteries and increasingly block blood flow.

Over time, the blood clots build up in the blood vessels of the lungs which become permanently scarred with narrowing and decreased blood flow. This results over time in increased pressure and resistance to blood flow in the lungs leading to pulmonary hypertension and right heart failure. When severe, this situation leads to increasing breathlessness, exercise limitation and reduced life expectancy.

These CANNOT be removed without surgery ... pulmonary endarterectomy surgery.
This is NOT performed in many or most Canadian provinces and hospitals. You are just supposed to die.

In early September, 2021, I learned about pulmonary endarterectomy (PEA, historically known as PTE) surgery from a MEDICAL documentary.

LINK 1: Trust Me, I'm a Doctor, episode.
https://www.bbc.co.uk/programmes/articles/2fp7d5ldppZgr7JnQWdNdL4/
surgery-in-which-a-patients-blood-is-completely-drained-from-their-body

LINK 2: Royal Papworth hospital PEA Department.
https://royalpapworth.nhs.uk/our-services/
surgery/pulmonary-endarterectomy-service

LINK 3: Patient Application for Surgery.
https://royalpapworth.nhs.uk/application/files/7615/4774/2147/
PI_131_Pulmonary_Endarterectomy_with_consent-v1.5.pdf

I contacted the hospital department for more information and the head surgeon of the PEA Department sent me the below reply:

From: JENKINS, David (ROYAL PAPWORTH HOSPITAL NHS FOUNDATION TRUST)
---david.jenkins1@nhs.net---

Thank you for your enquiry. I am sorry to hear you still have symptoms. To answer in order.

1. Yes, there are tests that can be done to determine if you have CTEPH and if PTE surgery would be an option to help you. The basic tests would be an echocardiogram, and CTPA.
Following these, if there was suspicion, a right heart catheter would be required to measure pressures.

2. Yes, we can admit international patients for this surgery on a private patient basis at Papworth hospital.

3. The overall cost for the whole package of surgery is in the order of £60,000.
It can be arranged within a few months pending travel restrictions lifted. ...

David P Jenkins
Consultant Cardiothoracic and Transplant Surgeon
Divisional Director for Surgery and Transplantation
Director UK Pulmonary Endarterectomy Service

It would seem to be clear enough that the PEA surgery would likely resolve SOME of the SIGNIFICANT health problems I have been DAILY coping with for more than 5 years, but, it will NOT be considered or done in Canada.