Conversation: The conversation between human and AI assistant.
[|Human|] After 8 years of taking Methotrexate I suddenly developed shortage of breath.The specialist diagnosed Pulmonary Fibrosis.I have lost 35% pf my lung capacity. The hospital never once checked me for breathlessness despite it being a noted side effect in some people. Do you think the hospital should have advised me before it became a big problem? I am taking a steroid and having Pulmonary Rehabilitation exercises. I still suffer from breathlessness, tight chest and gulping air from time to time. Any other suggestions you can give me? Thank you for your help. Martin Oliver (Age 75)
[|AI|]  You suffer from breathlessness, tight chest gulping for air from time to time.  The clinical consequence of lung fibrosis is diminished lung compliance which presents as restrictive lung disease.  It has insidious onset of exertional dyspnea and cough. You have developed sudden breathless, gulping for air from time to time. Here in lung fibrosis onset is insidious and your breathlessness started suddenly. If I have to decide such a patient I will diagnose such problem as asthma not lung fibrosis. Please go for investigations to confirm it.