Bronchiectasis what are the stages and symptoms
I was diagnosed with bronchiectasis about the time that Covid hit the US and the pulmonologist are overworked, so I have lots of unanswered questions. I also am taking Bisoprolol Fumarate 2.5 mg (a beta blocker) for heart issues. This is the 3rd cardiac med that has been prescribed in hopes of finding something that works with heart and does not interact with pulmonary meds.
Is there away to shorten the time of treatment?
1. Will I have to spend 3 hours 2 X a day for the rest of my life with nebulizer treatments, smart vest, gargles and nasal washes?
2. Is there anyway to shorten the time of nebulizer. (I have been prescribed (a) Levalbuterol which I can not use because it makes breathing more difficult (b) Sodium Chloride 7% (c) Budesonide all by nebulizer.
I use Aerobika and Smart Vest at intervals during nebulizer treatment.
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What does the LA after the Mucinex mean?
Do you mix the 7% Saline with anything else? Does your Dr. prescribe this method of clearing your lungs?
@raney Sorry that your PCP was not on top of your illness. One other thing to mention that some Dr's gloss over but seems to be important... If you have acid reflux, you should take care of it. Fluids can aspirate into your lungs. I hope you get your mucous under control. Are you comfortable with your Dr now?
Does your regimen include using albuterol soln or an other soln to open your airways prior to nebbing the saline? Do you use an oscillating OPEP Device to help move the phlegm? I have wondered about the safety of using albuterol long term.
I do have GERD and have been on Pantoprazole for 3 years. I have the HOB elevated 6" and not eating for at least 2 hours before going to bed.
My present pulmonologist. The jury is still out. I selected this practice because and a particular doc because he specialized in broncho... and has done research studies. My 1st appointment with him. Something happened and I was seen by a NP. Then the next appointment was made with her. When I asked for the doctor that I wanted, I was told "You started with her and if you want to change providers you will have to request it in writing." I will request it in writing if necessary. I have only seen her for the past 9 months. I do like my new PCP!!
The pulmonologist at UNC CH ordered Albuterol 1st but I could not take it Tight chest and felt like I could not get air in. Then she ordered Levalbuterol. Could not take that either. Caused tachycardia for about 2 hours afterwards, shortness of breath and hands trembling. Now I do not have anything to open the airway before the saline. The problem is the beta blocker that I have to take for arrythmias and the bronchidilators interact. My cardiologist has me on the very lowest dose of beta blocker and also tired a calcium channel blocker, but the calcium channel blocker did not work. I am going to contact the pulmo specialty clinic in Chapel Hill NC and see if they ahve suggesions.
No. Each is neb separately, because of the severe reaction that I had to meds and not sure which one caused it. She started me on 7% NaCL; then added budesnide to be neb last and then added Albuterol which I could not use and then added Levalbuterol which I also could not use. Now I am just doing
7% NaCL followed bhy budesnide and in between the 2 I use the Smart Vest and the Aerobika and huff cough.
Last I gargle with warm salt water and do nasal wash for chronic sinusitis.
Long acting
My kids, nieces, nephews, brother and l have used albuterol for going on 50 years - no apparent lung, heart or circulatory damage...
Sue
Yikes..@raney ! You are being seen by just an NP and the Pulmo will not see you without a written request? If I were you I would be looking for a Pulmonologist that cared for his/her patients. Sorry to be so blunt and to put in my 2 cents ..but sounds as though you are just being shuffled around and not getting good care or even the attention from the Doc. I would be running, not walking from this.