Guest guest Posted November 8, 2003 Report Share Posted November 8, 2003 Great idea! I just thought I wouldn't understand the lab results, but they can teach me how to interpret them. I should learn how to do this. I will start getting copies of everything. I keep records of visits, meds, test dates, etc. I just have never asked for the copies. Silly me. Regarding the sugar shell around the bacteria, ususally I am in favor of all things with a sugar coating, but this PA seems to really take the cake! Sara > > > Our clinic visit went fine. We were given a room that had not > > been > > > used yet that morning. Squeaky wheel.... Abby is 97th percentile > > > for wt. and 90th for ht. Got a good throat swab and hopefully > > won't > > > grow anything. In the event the intermittent Pa is back I talked > > to > > > Dr. Spencer about Zithromax. From what I've read it's usually > > given > > > to those with chronic Pa and is very effective in suppressing it. > > It > > > is not anti-pseudomonal but has some anti-inflammatory properties > > > that keep the Pa thrown off balance and make it harder for it to > > make > > > biofilm. We know that most of the time the Pa will be > > intermittant > > > and non-mucoid for awhile at first. The study I looked at said > > that > > > statistically on avg. it turns mucoid within a couple of years. > > That > > > may have been an old study but never the less it seems to me that > > if > > > we started her on a Z-max regimen now (if the Pa is back) then > > > possibly it could postpone the mucoid Pa from colonizing. Spencer > > > acted like he would definitely be interested in trying it and > > would > > > talk to the team. Of course this all depends on her culture > > > results. He said " she would probably be the youngest person in > > the > > > country on it. " Which surprised me. Are any of your little ones > > on > > > azithromycin? Abby is 15 mos. What do y'all think about this? > > > > > > Joe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2003 Report Share Posted November 8, 2003 I sent an article on PA and mucoid from the web to ;pretty well goes over it. Of course, genius that I am, I did not send it to cfparents. Love, n Rojas mucoid vs non-mucoid Pa > , > > Mucoid Pa has formed a sugar shell around the bacteria that makes it impermeable to antibiotics. Not only is > this a problem for people that culture Pa in their lungs or open wounds, but it's also a problem for businesses > that use water for processing or production, such as water pipes in dentists' offices, bottled water dispensers in > grocery stores, fisheries, etc. > > Labs identify what they find in sputum, referring to them as isolates. So your lab print-outs will say something > like " Isolate 1: Pseudomonas. Isolate 2: Staph, " etc. > > There are different strains of Pa with PAO1 the most common. The lab report should state whether it's mucoid. > If it doesn't say mucoid, then generally it is assumed to be non-mucoid. > > If you don't request copies of all lab reports (sputum, blood, PFT print-out's and radiologist report) after each > visit, then you should. Believe me, someday you'll wish you had them to refer to. Even when the doctor or nurse > calls you with a lab result, we often forget down the road. > > We put all copies of medical work into a large 3-ring binder. It's divided into years so I can refer to all lab work > and PFTs by any given year. > > > > --- " dwson2 " <sara@d...> wrote: > > Zach's only been on Zmax for ear infections. I have heard great > > things about taking Zmax three times a week. Maybe this will work > > for Abby. > > Could you explain the difference between the mucoid and non-mucoid > > PA? My clinic didn't mention which one Zach had and I didn't know > > to ask. > > Sara > > > > > > > Our clinic visit went fine. We were given a room that had not > > been > > > used yet that morning. Squeaky wheel.... Abby is 97th percentile > > > for wt. and 90th for ht. Got a good throat swab and hopefully > > won't > > > grow anything. In the event the intermittent Pa is back I talked > > to > > > Dr. Spencer about Zithromax. From what I've read it's usually > > given > > > to those with chronic Pa and is very effective in suppressing it. > > It > > > is not anti-pseudomonal but has some anti-inflammatory properties > > > that keep the Pa thrown off balance and make it harder for it to > > make > > > biofilm. We know that most of the time the Pa will be > > intermittant > > > and non-mucoid for awhile at first. The study I looked at said > > that > > > statistically on avg. it turns mucoid within a couple of years. > > That > > > may have been an old study but never the less it seems to me that > > if > > > we started her on a Z-max regimen now (if the Pa is back) then > > > possibly it could postpone the mucoid Pa from colonizing. Spencer > > > acted like he would definitely be interested in trying it and > > would > > > talk to the team. Of course this all depends on her culture > > > results. He said " she would probably be the youngest person in > > the > > > country on it. " Which surprised me. Are any of your little ones > > on > > > azithromycin? Abby is 15 mos. What do y'all think about this? > > > > > > Joe > > > > ------------------------------------------- > The opinions and information exchanged on this list should IN NO WAY > be construed as medical advice. > > PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR TREATMENTS. > > ------------------------------------ > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2003 Report Share Posted November 8, 2003 The one by Todar? Yes - you sent it to CFparents. I read it today and saved a copy - very useful. Thanks. M Re: mucoid vs non-mucoid Pa > I sent an article on PA and mucoid from the web to > ;pretty well goes over it. Of course, genius that I > am, I did not send it to cfparents. > Love, n Rojas Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2003 Report Share Posted November 8, 2003 Whew! n Rojas Re: mucoid vs non-mucoid Pa > > > > I sent an article on PA and mucoid from the web to > > ;pretty well goes over it. Of course, genius that I > > am, I did not send it to cfparents. > > Love, n Rojas > > > > > ------------------------------------------- > The opinions and information exchanged on this list should IN NO WAY > be construed as medical advice. > > PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR TREATMENTS. > > ------------------------------------ > > > Quote Link to comment Share on other sites More sharing options...
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