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@happy2023

I am 76 years old and a new patient at National Jewish Health in Denver since November of 2023.. My culture in Sept of 2023 revealed Pseudomas A.
Levaquin did not knock it out in September nor 14 days of Ciproflaxacin in October.
I am active and no signs of any sickness since being diagnosed, even had Covid in December of 2023 and recovered.
As per doctor's order I have a SmartVest as of January 2024 and do airway clearance 2x daily.
My regimen is Levalbuterol inhaler (I have arrythmia so do not use albuterol),
then SmartVest for 20 minutes in the morning (10 minutes in the evening),
and while using the vest, I use nebulized saline 7%, morning, (sometimes 3% in the evening or no neb saline) and Aerobika device
then after vest, a low dose steroid inhaler.
I discussed nebulized Tobramycin at my first doctor's visit. I understand Pseudomas can be difficult to clear and can be hard on the kidneys. The drug is also very expensive.
I am still learning and researching.
I see that your post came in 2020.
As for your question to push for treatment, it is the same question I had. After a second visit with my doctor who explained the ramifications of using Tobramycin, I chose not to do treatment for the time being.
Wishing for you a good outcome with whatever treatments you are doing.
Pamela

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Replies to "I am 76 years old and a new patient at National Jewish Health in Denver since..."

Hello I am a patient at NJH and my sputum culture has been showing pseudomonas a since September. I was told by dr Griffith they do not treat it unless you have symptoms. So I understand it was another doctor who tried to treat you in September or you had symptoms. It is frustrating to see pseudomonas on every sputum culture but I decided to follow their advice because you must trust somebody. When pseudomonas a. Was found first time my local pulmo asked me if I wanted to start the treatment- I did not know how I could make that decision not being a doctor myself. So trust what the doctors at NJH say or you will go insane speculating what to do and who listen to. Good luck