"improved coughing technique
I just got report from Dr. Warwick, and just copied and pasted the following directly from it - it is too long, so i'll put it in a couple posts. If you want me to e-mail it to you, PM me your e-mail address and I'd be happy to get it to you:
WHY, HOW AND WHEN TO USE HFCC
HFCC works most effectively when patients breathe normally. The best pressure is the highest pressure that the patient can tolerate and with which, he can breathe normally. How the chest pressures and the pulse pressures change in different ways with each HFCC system is discussed later. When the patient uses the highest pressure that he tolerates for each frequency, the chest compressions push the largest micro-coughs throughout all of the airways.
For all HFCC systems I recommend two therapy sessions every day for airway cleaning and preventive therapy. Each therapy to last 30 minutes. Each therapy to have six sessions five minutes long.
After every five minute HFCC treatment (frequency or cycle) the patient should stop to do three large coughs to remove the loosened sputum. Although each HFCC pulse is very small compared to the normal cough, the hundreds of HFCC pulses every minute loosen and start the sputum moving.
The large volume cough is needed after each frequency treatment. This large volume of air removes the loosened sputum from the airways.
The cough
Slowly inhale with your diaphragm (abdomen) until your lungs feel full of air.
Hold your breath for about 4 to 5 seconds.
Without exhaling air inhale use your chest muscles to see how much more air you can breathe in.
Hold your breath for 4, or 5 seconds
Cough all the air out of your lungs with ONE cough.
Spit into a Kleenex to observe the sputum.
Repeat this cough two more times
For patients having a worsening lung problem, I recommend trying more therapy: three HFCC therapy sessions a day or two therapies each for one hour. These treatments always include the cough after each five minutes of the HFCC treatment. Patients or parents may try three half hour treatments when their lungs are congested.
