Research: Effects of Hypertonic Saline on Bronchiectasis

Posted by kathyjjb @kathyjjb, May 29 11:53am

I am posting a study "The Long-Term Effects of Hypertonic Saline on Bronchiectasis" for those interested. I learned of this study from one of Dr Pamela McShane's ACT videos about a year ago and just reread it yesterday. I would be interested learning of other studies. I have seen a few, but studies sizes were very small. I would also like to see the Portland Study once it's published-though they didn't meet their study population goal, I believe they still had about 50 participants?

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Longtermeffectofhypertonicsalineonbronchiectasis (Longtermeffectofhypertonicsalineonbronchiectasis-1.pdf)

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When I first started nebulizing saline, my Pulmo told me that the studies for 3% vs 7% showed no difference. I tried the 7% anyway and DID notice a significant difference. Now days he encourages the use of 7%. I think based on many patients experience he has changed his advise. But if you find 7% too harsh then that is a different story and 3% is there thankfully and should still help.

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Profile picture for kathyjjb @kathyjjb

@paxmundi Can you get the 0.9%? Have you tried 3%? Do you have an NTM? The author mentioned a previous study which found the IS not as effective as HS. Or wasn't effective? Regardless, I would definitely be nebulizing with 3% (and 0.9% if 3% was too harsh), if I could not tolerate 7%. Just the quality-of-life graphs showed positive results for the 0.9%.

Yes, more studies are definitely needed. There was a study on inhaled ascorbic glucoside? Or something like that, very mild compared to vitamin C but don't know if it's milder than saline. I vaguely remember Dr Daly (NJG) mentioning it on one of his Brinsupri videos. Apparently, the participants that had the real stuff (not the control group), knew they had the real stuff as the effects/results were amazing. I sure would like to try that!!

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@kathyjjb Thank you for the info on ascorbic glucoside and for your response in general. Right now even 3% is making me bleed unfortunately.

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And I do have MAC. Finally going to see a specialist, Dr. Zha, tomorrow!

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Profile picture for bernadene24 @bernadene24

@kathyjjb Yes, thanks. I will get in touch with my doc, although that is proving to be a real challenge. I changed back from kaiser to original medicare at the beginning of the year. (Long story, plan was cancelled). Went to one pulmo close to home and that was no good. Finally got an appt. at Georgetown Hospital Bronchiectasis Clinic on April 30. I liked the doctor very much. She went over all my scans with me and explained that I have “traction bronchiectasis” due to scarring of the lungs from something else. She did blood testing to explore possibility of autoimmune disease and said she wanted to confer with some of her colleagues who were expert in fibrous lung issues & she would call me the following week. I heard nothing, so after two weeks, I called her assistant who was out of town (doc had told me if I need anything, to call the assistant), so I emailed the doc. After a week she answered saying she would call me the following day, but I didn’t hear anything. I plan to call her assistant on Monday. I don’t know if my expectations are too high and they are just very busy, but it doesn’t seem like they are very organized. At Kaiser emails were always answered within 2-3 days. Doc were available for calls if you needed them. Sorry for all the grousing. Since the beginning of the year I have been trying to find new docs for everything, get appts., and deal with a new portal for each one—madness! It’s scary not to have my pulmonary services in place.

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@bernadene24 I think you were wise to leave Kaiser. They are not specialists and after several decades with them I was happy to leave when I had the chance to do so without medical underwriting. I am now finally going to see a specialist at UCSF tomorrow, and slowly organizing my care team. I wish you all the best and pray you can find a specialist in BE and NTM close to your area.

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Profile picture for paxmundi @paxmundi

And I do have MAC. Finally going to see a specialist, Dr. Zha, tomorrow!

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@paxmundi You're welcome. I sure hope you can get 0.9%, which the above study showed positive results, especially quality of life. One thing I have noticed from reading random studies is that clearance is not obtained without antibiotics for those with cavities-at least not in what I've read-but still nebulizing is recommended. Is Dr Zha a BE an NTM specialist? ID doctors don't necessarily focus on NTMs. Things you want to monitor include CT's and if any progression, MAC Counts, and symptoms. I had very low counts and no CT progression, so NJH suggested watch and wait. Good luck with your appointment and keep us posted.

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Profile picture for kathyjjb @kathyjjb

@blm1007blm1007 It can be exhausting. I have reduced my boiling days to every 5 days. I only boil the aeroclipse tops and put the cups and mouth pieces in my BOLOLO. That has really helped. I now use the aerobika after nebulizing like a flutter valve. My goal is to order more of the aeroclipse and boil just 1/week. I'm also considering getting up earlier:).

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@kathyjjb Can I ask why you boil the aeroclipse tops? I put everything in my BOLOLO every day after I soak in very hot water with Dawn Free and Clear. Is the BOLOLO not good enough? I wonder if I should also be boiling like you? I run the BOLOLO once at night with all aeroclipse and Aerobika parts. I have two sets of each. I found that two sets fit in perfectly using just the top tray over the boiling plate below.

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Hi Linda, I'm just leery about anything that hasn't been tested. The BOLOLO tests (that I've seen) for killing NTMs were conducted with test tubes or similar. The aeroclipse has some hiding places in comparison to test tubes. It's probably okay but I test positive for M. Abscessus and not taking any chances. Dr Jennifer Honda has mentioned that future testing may include the aeroclipse. When I boiling the aeroclipse, I use prongs to purge out any water and resubmerge to fill with boiling water.

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Profile picture for paxmundi @paxmundi

@bernadene24 I think you were wise to leave Kaiser. They are not specialists and after several decades with them I was happy to leave when I had the chance to do so without medical underwriting. I am now finally going to see a specialist at UCSF tomorrow, and slowly organizing my care team. I wish you all the best and pray you can find a specialist in BE and NTM close to your area.

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@paxmundi Looked up Dr Zha-she sounds amazing for B/NTM!

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Profile picture for kathyjjb @kathyjjb

@paxmundi Looked up Dr Zha-she sounds amazing for B/NTM!

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@kathyjjb I know. I can’t wait to meet her and to finally be in expert hands!

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Profile picture for paxmundi @paxmundi

@kathyjjb I know. I can’t wait to meet her and to finally be in expert hands!

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@paxmundi Let us know what she has suggested for you and how your first visit went.
I so hope you walk out of the building on an emotional high and relief with being able to see Dr. Zha.
It's been a difficult journey for you and so glad you had the opportunity to change insurance.
Barbara

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