New breathing problems in aging polio survivors can be insidious and often not recognized by either polio survivors or health care professionals. Individuals who used an iron lung, or barely escaped one, during the acute phase should be aware of potential problems to avoid underventilation and possible respiratory failure. Those survivors who did not need ventilatory assistance during the acute phase, especially those who had high spinal polio and who have upper body weakness and/or diaphragm weakness, may also be at risk.
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Pulmonary function testing can be done in a pulmonary function laboratory. Simpler tests can also be done in a physician's office or in the home. Testing most often is used to identify airflow abnormality, reduced lung volume (restrictive abnormality), diffusing capacity changes (as in interstitial disease), and blood gas abnormality (too much carbon dioxide, too little oxygenation). The following tests are commonly performed.
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GENERAL INFORMATION LETTER FOR POLIO SURVIVORS
Why are "old polios" who were stable for years now losing function? What should they do about it?
Jacquelin Perry, MD, DSc (Hon), Rancho Los Amigos National Rehabilitation Center, Downey, California
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Due to recent advances in medical rehabilitation, emergency medicine, and consumer education, for the first time in history persons with significant disabilities, like their nondisabled counterparts before them, are surviving long enough to experience both the rewards and challenges of mid- to later-life (Ansello & Eustis, 1992).
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Roberta Simon, RN, Illinois
Research is an important aspect for the medical community in dealing with any health difficulty that has no previous history of known causes or treatments. Unfortunately, as we are all aware, post-polio syndrome falls into this category. Since many of us have been or will in the future be asked to participate in research, I think it is wise for us to consider a few questions and options.
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