Personally, I fired 2 doctors who didn't want to hear me at all and I am not a winer. After giving me half dose of symbicort and letting me be sick for 6 months which I turned into a questionable bitch. I went to visit one last time and he got all hot and bothered when I had a chest x-ray by another Dr. meanwhile he still claimed what he said was right and ran me out when I told him I had anxiety and was very week and depressed. He said it was because I was sick. Two days later my daughter picked up my scripts and when I saw the symbicort box I went this is not right. I looked at my old box and sure en.
ough it-the old box was half the dose I had in my hand. The next day I called the pharmacy and they asked me to bring it back-I lied and said I used it already. Then I called Dr Ass and told him, not that I hadn't before but this time the pharmacy also called. It was changed and haven't seen him since. So the moral is to find a Dr. you can communicate with

You actually have to treat both, in an ideal world. But first, you must know that both are the problem and the only way to specifically diagnose secondary pulmonary hypertension is doing a right heart catheter. Roland is right. In an ideal world, you'd have either one doc who was qualified, experienced and able to treat both conditions, or a cardio and a pulmo who would work together to develop a treatment plan. That's certainly something I would pursue. Your current situation is each one is saying it's the other guy's problem and neither is taking responsibility.

I would venture a guess that the first thing would be to get her COPD stable, then you can work on the PAH. But I'm no doc, I'm just a patient. You need to find a doc to work with here; ideally one who can deal with both problems. They certainly exist; you just have to find them. If there's a good research or university hospital close to you that's where I'd begin. Those places are often brimming with sharp young things who would be thrilled to have a puzzle to work on.