I have Bronchiectasis and Pseudomonas. I am treated at National Jewish Health in Denver since November 2023.
My pulmonologist said it is difficult to get rid of Pseudomonas, and even if the medication works (inhaled tobramycin), the Pseudomonas may come back.
I chose not to take the medication, which is a lengthy and expensive process.
I follow her treatment plan which is to do airway clearance faithfully twice a day to keep the Pseudomonas knocked back.
Her protocol for me is this:
Levalbuterol inhaler, nebulized 7% saline, Symbicort inhaler low dose 85mcg/45mcg (2 puffs morning, 2 puffs evening)
I do the above twice daily. And mid-day I do manual airway clearance with supine exercises, deep breathing, huff coughing, Aerobika.
I was using a compression vest until I sustained 2 spinal compression fractures. I will switch to a wrap which will take the place of the vest while I am healing.
My doctor is now prescribing the Volara System by Hillrom. I had a demonstration with Respiratory Therapy at NJH, and it seems this system will be extremely helpful.
Let me know if you have any questions.
Beat wishes