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Hi Joy,

Thanks for your response regarding probiotics and glad to hear you're feeling better. Sounds like your new specialist is pretty good -- I'm also taking a mucus clearnace device like the Flutter (Acapella) and azithromycin (Zithromax) which is supposed to help reduce inflammation. Both seem to help quite a bit and I hope they do the same for you.

Since a week or two, however, I've been having an exacerbation of my sputum (although other than feeling a little tired, no other symptoms). The sputum culture shows a heavy growth of strep pneumoniae and fungus but the sensitivity report isn't due for a couple of days so I've been holding off on the abx until the report comes. Do you usually wait for the sputum culture results before taking abx or do you immediately take abx once your sputum changes? On the one hand, I don't want to breed resistance by taking abx (especially broad spectrum ones) every time I feel an exacerbation coming on. On the other, I don't want to have things get worse especially when it takes a while for the culture to show something! Just wondering what you do in these situations . . .

Have you ever taken abx solely because your sputum characteristics and/or volume have changed (even though you don't feel any physical symptoms)?

Thanks,

Cassie

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