Thanks to you,Terri and others for following up. Since I posted this, I talked to my doctor. She has been chasing bacteria like pseudomonas since she first became interested in bacteria in 2008. She said that after a course of antibiotics the numbers would go way down but, after stopping, eventually they would come up again. The symptoms I describe are consistent with my severe copd and not the pseudomonas. If I develop symptoms and/or the pseudomonas grows much more we will treat.

I had mixed feelings about treating because the copd is chronic and progressive and I am already taking all the treatments. Having something that can actually be treated rather than managed appeals to me. However I am only now having some relief from the digestive issues caused by the MAC antibiotics which were stopped at the end of May 2020. Taking an inhaled antibiotic is bad for my fragile copd lungs.

So no treatment now.