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Pulmonologist versus Infectious Disease Dr
MAC & Bronchiectasis | Last Active: Mar 12 10:15am | Replies (65)Comment receiving replies
My experience is most ID docs don’t know much about Bronch. I was treated for MAC for 4 years by ID who never suggested airway clearance. I had bronch and he didn’t even tell me. I immediately went to a pulmonary who put me on mandatory 2x day nebulizing and PEP. Bronch had worsened significantly during that time. I have severe bronch now and always wonder if I wouldn’t be so bad if I was being treated by a pulm instead on just an ID. Good luck!
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The lack of extensive knowledge of lungs by the ID doc is why we need a team - pulmonologist, ID doc, PCP, radiologist (for scans), specialty lab, pharmacist, maybe a counsellor - each works best in their own "playpen" - then communicates their knowledge back to the team.
To expect otherwise is like expecting one person to have the expertise to build a whole house from foundation to wallpaper - there is the rare craftsman who can do it all well, but most rely on a team to bring it all together.
Sue