Dr. Advised Hypertonic THEN Pulmozyme

[Lizbeth]

I don't have the study so please do ask at your next appointments.

I think that the new thought is that you want the pulmozyme to get to the hard to get to gunk in your lungs. So you clear out everything that comes out easily with the HS and THEN get the pulmozyme on what remains. If you do the reverse order then you are just going to cough out all of the pulmozyme as soon as you start the HS.

I am not saying either way is right or wrong. Just want to let everyone know that this is the "new" thought process with the order of medications...at least according to my CF doctor at The Baylor Clinic in Houston.

 

[BaylorCrew07]

Lizbeth...do you see Dr. Katz??? I go to the Baylor Clinic in Houston & she's my doc...that's cool!! <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[BaylorCrew07]

Lizbeth...do you see Dr. Katz??? I go to the Baylor Clinic in Houston & she's my doc...that's cool!! <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[BaylorCrew07]

Lizbeth...do you see Dr. Katz??? I go to the Baylor Clinic in Houston & she's my doc...that's cool!! <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[NoExcuses]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Lizbeth</b></i>



I saw the study but the sample size was fairly small.


</end quote></div>


I would love to see the study. Can you post it?

If you don't have it, I'm sure your doctor can tell you what journal it was published in or could fax/email you the study.

 

[NoExcuses]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Lizbeth</b></i>



I saw the study but the sample size was fairly small.


</end quote></div>


I would love to see the study. Can you post it?

If you don't have it, I'm sure your doctor can tell you what journal it was published in or could fax/email you the study.

 

[NoExcuses]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Lizbeth</b></i>



I saw the study but the sample size was fairly small.


</end quote></div>


I would love to see the study. Can you post it?

If you don't have it, I'm sure your doctor can tell you what journal it was published in or could fax/email you the study.

 

[tara]

They key to HS is to wait AT LEAST 15 minutes after your bronchodilator. Many CFers have bronchospasms during HS and the theory is to let the bronchodilator do it's job before starting HS. If 15 minutes isn't enough, then wait longer.

Personally, my routine is: Xopenex, Pulmozyme, HS, Tobi then Advair.

Tara

 

[tara]

They key to HS is to wait AT LEAST 15 minutes after your bronchodilator. Many CFers have bronchospasms during HS and the theory is to let the bronchodilator do it's job before starting HS. If 15 minutes isn't enough, then wait longer.

Personally, my routine is: Xopenex, Pulmozyme, HS, Tobi then Advair.

Tara

 

[tara]

They key to HS is to wait AT LEAST 15 minutes after your bronchodilator. Many CFers have bronchospasms during HS and the theory is to let the bronchodilator do it's job before starting HS. If 15 minutes isn't enough, then wait longer.

Personally, my routine is: Xopenex, Pulmozyme, HS, Tobi then Advair.

Tara

 

[Lizbeth]

Unfortunately I can't recall where I saw the study.

Debra, I do see Dr. Katz! I'm sure she will share this info with you tomorrow. If you get the chance please ask her for more specific information on this study and let us know where we can find the info. Thanks - have a good check up!

 

[Lizbeth]

Unfortunately I can't recall where I saw the study.

Debra, I do see Dr. Katz! I'm sure she will share this info with you tomorrow. If you get the chance please ask her for more specific information on this study and let us know where we can find the info. Thanks - have a good check up!

 

[Lizbeth]

Unfortunately I can't recall where I saw the study.

Debra, I do see Dr. Katz! I'm sure she will share this info with you tomorrow. If you get the chance please ask her for more specific information on this study and let us know where we can find the info. Thanks - have a good check up!

 

[NoExcuses]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Lizbeth</b></i>

Unfortunately I can't recall where I saw the study.
</end quote></div>



Would your doctor know where the study is? He was the one that advised you to change your routine, correct?

A lot of us could learn from this if we could get a hold of it. Thanks in advance for your help!

 

[NoExcuses]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Lizbeth</b></i>

Unfortunately I can't recall where I saw the study.
</end quote></div>



Would your doctor know where the study is? He was the one that advised you to change your routine, correct?

A lot of us could learn from this if we could get a hold of it. Thanks in advance for your help!

 

[NoExcuses]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Lizbeth</b></i>

Unfortunately I can't recall where I saw the study.
</end quote></div>



Would your doctor know where the study is? He was the one that advised you to change your routine, correct?

A lot of us could learn from this if we could get a hold of it. Thanks in advance for your help!

 

[cf4life]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Lizbeth</b></i>

I don't have the study so please do ask at your next appointments.



I think that the new thought is that you want the pulmozyme to get to the hard to get to gunk in your lungs. So you clear out everything that comes out easily with the HS and THEN get the pulmozyme on what remains. If you do the reverse order then you are just going to cough out all of the pulmozyme as soon as you start the HS.
</end quote></div>


The other way to look at it is if you do the HS first then you cough out most of the junk so that the pulmozyme can get deeper into your lungs to work to work on the tougher mucus. If you are worried about coughing the pulmo up, make sure you wait 15-20 minutes before you do the HS, that should be enough to do its job. I guess if you want to be extra thorough, do HS then pulmo then waith, then do more HS.

 

[cf4life]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Lizbeth</b></i>

I don't have the study so please do ask at your next appointments.



I think that the new thought is that you want the pulmozyme to get to the hard to get to gunk in your lungs. So you clear out everything that comes out easily with the HS and THEN get the pulmozyme on what remains. If you do the reverse order then you are just going to cough out all of the pulmozyme as soon as you start the HS.
</end quote></div>


The other way to look at it is if you do the HS first then you cough out most of the junk so that the pulmozyme can get deeper into your lungs to work to work on the tougher mucus. If you are worried about coughing the pulmo up, make sure you wait 15-20 minutes before you do the HS, that should be enough to do its job. I guess if you want to be extra thorough, do HS then pulmo then waith, then do more HS.

 

[cf4life]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Lizbeth</b></i>

I don't have the study so please do ask at your next appointments.



I think that the new thought is that you want the pulmozyme to get to the hard to get to gunk in your lungs. So you clear out everything that comes out easily with the HS and THEN get the pulmozyme on what remains. If you do the reverse order then you are just going to cough out all of the pulmozyme as soon as you start the HS.
</end quote></div>


The other way to look at it is if you do the HS first then you cough out most of the junk so that the pulmozyme can get deeper into your lungs to work to work on the tougher mucus. If you are worried about coughing the pulmo up, make sure you wait 15-20 minutes before you do the HS, that should be enough to do its job. I guess if you want to be extra thorough, do HS then pulmo then waith, then do more HS.

 

[cf4life]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>cf4life</b></i>

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Lizbeth</b></i>



I don't have the study so please do ask at your next appointments.







I think that the new thought is that you want the pulmozyme to get to the hard to get to gunk in your lungs. So you clear out everything that comes out easily with the HS and THEN get the pulmozyme on what remains. If you do the reverse order then you are just going to cough out all of the pulmozyme as soon as you start the HS.

</end quote></div>





The other way to look at it is if you do the HS first then you cough out most of the junk so that the pulmozyme can get deeper into your lungs to work to work on the tougher mucus. If you are worried about coughing the pulmo up, make sure you wait 15-20 minutes before you do the HS, that should be enough to do its job. I guess if you want to be extra thorough, do HS then pulmo then waith, then do more HS. </end quote></div>


I realized we are saying the same thing. I guess after reading the posts I got confused on who was saying what. HS than Pulmo is what I do and my doctor supports. I think this makes sense as stated above.