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Using the Smartvest

MAC & Bronchiectasis | Last Active: Sep 25, 2023 | Replies (81)

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@scoop

@lvalenti Are you taking NAC or mucinex and hydrating, then using albuterol to open up airways before using 7% saline in your nebulizer? It takes some time to master the whole clearance routine, along the way figuring out what works for you. If you are doing all these things, perhaps you have "dry" bronchiectasis, which is something I don't know much about as mine is quite the opposite.

FWIW, the vest did nothing for me. Hill-Rom was nice enough to give me an extended loan and in that time I determined it was not as effective as autogenic drainage and/active cycle of breathing. Another brand vest I tried (Afflovest) seemed promising but it gave me rib pain. Not using the vest was a big time saver.

https://bronchiectasis.com.au/physiotherapy

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Replies to "@lvalenti Are you taking NAC or mucinex and hydrating, then using albuterol to open up airways..."

Sorry! I didn’t mean that I wash the vest, I meant all the other equipment.

Thanks, Scoop. You are always so helpful. I have two different routines for my wet cough. I neb with 7% saline + Aerobika. Or, I do nebbing with the HillRom vest. The neb/Aerobika combo seems to bring up a lot more mucus as I am coughing throughout the session. And, I have to work at getting the mucus to come up. When doing the vest/neb, I stop it periodically during my session and do some brief huff coughing which helps brings some mucus up. I am now debating whether to d/c the vest and just go with neb/Aerobika combo. I am a bit paranoid about letting the vest go. I wish I could find a respiratory therapist to help me decide. Kaiser does not employ any and I've searched in the L.A. area for a RT with BE experience with no success. If anyone has suggestions in finding one, please let me know.