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Abby's clinic/Zmax

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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

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