I was diagnosed with Pseudomonas 7 months ago. After changing pulmonologists 5 months ago from a group in the Denver Metroplex to National Jewish Health in Denver, I have received the care I had been needing since my Bronchiectasis had been progressing.
National Jewish has a team of excellent therapists who teach you what you need to know to manage BE. I use vest therapy (the SmartVest by Electromed). Before therapy my pulmonologist set out this plan: use levalbuterol inhaler, then use vest for 20 minutes (five minutes at 10hz, 40%, then 5 min at 11hz, 5 min at 12 hz, and 5 min at 13 hz, all of these minutes at 40%). And while using the vest I nebulize 7% saline solution, and use the Arobika device. After the vest, I use the lowest dose of Symbicort, a steroid inhaler.
It seems that National Jewish does not treat asymptomatic colonized Pseudomonas. I did take a course of Cipro seven months ago which did not eliminate the Pseudomonas. Pulmonologists at National Jewish prefer to just keep the Pseudo knocked back with the above therapy.
This has been my experience since joining National Jewish Health in November of 2023. They are the leading Pulmonary Hospital in the US. And I believe because they treat Cystic Fibrosis patients, their guidance in managing Bronchiectasis is excellent.
It is not easy to find a pulmonogist with the expertise to treat Bronchiectasis.
Please let me know if I can answer any questions for you and your husband.