Hi Becki and ymikale,
Thank you so much for asking about me. While I don't post anymore, I do check up on you guys because I care so much about all of you. If I can be of any help, please ask and I will be happy to answer as best as I can.
As for me, this year is a pretty decent one (knock wood). A year and a half ago, the swine flu set me back, bringing back PA and was hospitalized for the first time in 12 years for 5 days, then a month on Tobi. I suppose someone could look at that as an interesting prototype for treatment for a pretty bad exacerbation --one in which I couldn't breathe and was rushed to the ER. In fact --I do believe it would not have reached the point of hospitalization had it not been Christmas and my doctor was unavailable so I was winging it (badly) on my own.
But I worked myself back to baseline with the usual blips here and there anytime exposed to my usual triggers.
I wish I could say that I have found something new and exciting, or time-cutting in my CF experience. I still do believe that preventative care and a clean environment can cut down infections by reducing inflammation. But my preventative care protocol is very different from the usual, as you both know. And I know both of you believe in the same things that I do-- because it's hard to argue once you see results.
I suppose if I had to say if anything is different in the past few years -- when I have an exacerbation that is brought on by a cold or a trigger in the environment -- if my treatment protocol doesn't work within 4 or 5 days days and I get worse (and depending on certain other factors), I go on Zithromax for 2 to 4 weeks. This is why my doctor does not have me on it regularly -- so that it can be used for acute illness both as an antibiotic and anti-inflammatory.
After the swine flu -- PA has popped up once or twice -- and I've been on Tobi twice in a year and a half. Another reason why I don't use it preventively. Swine flu can trigger PA and did. For the first time in YEARS I even had 2 strains -- but the Tobi worked well -- avoiding IV other than those 5 days in the hospital (in the last 12 years).
It is disheartening to me still that IV antibiotics, while sometimes or often absolutely necessary -- in my opinion are overused. I used to be on them and became resistant to almost everything. At one point only one drug was sensitive to my bugs. Lifestyle changes and understanding how allergies, chemical sensitivities, and the asthma component of CF which is frequently overlooked --is the key to reducing inflammation and reducing exacerbations.
You know that I couldn't resist -- also for the sake of new people who have no idea who I am, lol.
Keep well, guys!