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The Wages of a missed Neb session.

MAC & Bronchiectasis | Last Active: Feb 3, 2022 | Replies (66)

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@gej53

I wondered myself about the detriment of skipping nebulizing. I am supposed to do it twice daily with a percussion vest and Volara machine at the same time. I really try to do it twice daily but when traveling usually just do once daily with my Pari nebulizer which I think works well. And if I have an appointment I won't nebulize first as I don't want to cough all during the appt. I have gone a day a two with just nebuliizing once. So far my MD at my appointments has said my chest it stable so guess it is ok so far.

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Replies to "I wondered myself about the detriment of skipping nebulizing. I am supposed to do it twice..."

Well, I guess like all other practices related to MAC and Bronchiectasis, it depends...for a year I nebbed 7% saline twice a day after I quit antibiotics but still had a positive culture. When having issues with asthma and allergies I switched from levalbuterol inhaler to neb, then back when better.

Over a year ago, I changed to: once a day saline nebs, daily flovent inhaler, levalbuterol only as needed, added1200 mg daily Nacetyl-cysteine and 1200 mg daily Ulimate Omega, saline neb daily (once) . If allergies or asthma kick up, I add levalbuterol as needed and increase saline neb. I have also taken Mucinex and Singulair daily for many years.
In 14 months I have had one exacerbation that required short courses of steroids and antibiotics.

In December 2021 my followup CT showed no change for 2 years, neither did my O2 seats or spirometry. My airway clearance is Aerobika or just huff coughing depending on how much crud I have and how I feel. My docs are happy with my health.

This works for me, but may not be nearly enough for someone else. Each of us needs to do enough to stay healthy, while still living our best life.

Do you find you feel better with more frequent with neb?
Sue