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Is it worth buying an OPEP device for sputum clearance for COPD?

COPD: Chronic obstructive pulmonary disease | Last Active: Jul 7, 2022 | Replies (8)
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@sueinmn

I use both the Aerobika and the Acapella devices. I haven't tried the AirPhysio. To me, it is a matter of personal preference, and I like the feel of the Aerobika better. But I keep the Acapella in my car (clean & bagged) for those times when I am on the run and have a few minutes to do clearance.
I feel that the vibration helps break loose stubborn mucus when I am producing a lot, but huff coughing plus 7% saline nebs are as effective for me most of the time. My routine - move around (house chores that involve bending, stretches, brisk walk and/or yoga/chair yoga) then neb and do airway clearance. Bending from the waist also helps bring up mucus for me.
This has worked for me both during MAC and after, I add more rigorous nebs & clearance if my asthma is bad or I have a virus/cough/cold. My devices are due for replacement after getting good use for 4 years now... In 2 1/2 years, I have only had 2 short exacerbations that required extra meds for a short time.

Can you tell me a bit about your diagnosis & history? Do you have MAC and Bronchiectasis?
Sue

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Replies to "I use both the Aerobika and the Acapella devices. I haven't tried the AirPhysio. To me,..."
melissaf | @melissaf | Jul 5, 2022

Hi Sue,
Thank you for sharing your experience. And thank you for asking about my history.
I was diagnosed with MAC in 2005 at the age of 43. I have been on antibiotic treatment 3 times for MAC, stopping when sputum cultures were negative and starting again when cultures were positive. I am currently on holiday and would like to stay clear for an extended period of time. I did not hear the diagnosis "bronchiectasis" until (about) 3 years ago, although I certainly had it all along. I use a Smart Vest once per day, with huff coughing, and most days nebulize 3% saline twice. As with most patients, some days are very productive and other days not so much.
I work full time at a desk job and find all the activities to manage the disease and the sterilization of the nebulizer parts very time consuming. I understand the importance of exercise and try to work it in each day along with meal prep and other household chores. It is challenging to prioritize my health over some of the other demands and difficult to get buy-in since I don't look sick. Again, likely very typical of MAC/Bronch patients.
Thank you,
Melissa

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