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Should 4+ Pseudomonas be treated?

MAC & Bronchiectasis | Last Active: May 22, 2023 | Replies (112)

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@rits

I understand not checking everything. I don't check every condition either. For example, following the advice of my doctor, I no longer have mammograms. I have a neoplasm on my pancreas and I've decided to no longer have the annual specialized mri to see if it's growing and therefore cancerous although my oncologist thinks I should (pcp and gastroenterologist agree with me).

I haven't seen the opthomolgist, dermatologist or even the dentist in a couple of years. But that's due more to the pandemic and the state of my health.

My sputum samples have been negative for MAC since June 2020 following 14 months of antibiotics. I have, however, had pseudomonas, klibsiella and fungus. I had short term antibiotic treatment for the bacteria last year but could not tolerate anything longer than two weeks. Imagine my surprise when my most recent sample, in May, showed only "few pseudomonas" and nothing else. Previously my samples had "many" pseudomonas and have always had fungus which we never treated. When I asked Dr McShane what happened to the fungus, she just said that it wasn't in the sample.

In your situation. I would want to know. Because you are doing so well maybe it's gone!

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Replies to "I understand not checking everything. I don't check every condition either. For example, following the advice..."

But it would make no difference in how I live to know it is "gone" - I still have asthma & bronchiectasis, so it could come back at any time. Just as it would make no difference to know if it is "still there" I am not going to treat it with antibiotics until I become symptomatic after my using my current exacerbation treatment routine.

In any event - I need to take the same precautions & do my routine whether the bacteria is there or not. And submitting sputum cultures repeatedly, when it won't change how my doctors and I manage my health, is a waste of health care resources, my time & theirs.

Just our different ways of looking at life, I guess.
Sue