too many antibiotics.....
Posted , 6 users are following.
bonjour, (my scottish is getting better huh?) sputum sample handed in Tuesday so called by gps for results, no, not in yet, beside which you can't have any more antibiotics as you've had too many recently, pardon me? yes 3 weeks worth which did b*gger all, so obviously they were the wrong ones? so I'm left suffering all weekend with no medication to help at all, apart from inhalers............ I could cry, but my mascara would only run 
(just kidding, I'm a male of the species, honest!) 
1 like, 19 replies
marion49836 david_25160
Posted
nothing to physical.
Let the Scottish come out in you and insist your doctor does something to help
you stand your ground (if you can get enough breath)
marion49836 david_25160
Posted
If you do not clear the mucas regularly you will get more chest infections and then the bronchiactisis will progress.
cofalot david_25160
Posted
It seems to me that very few GPs, along with nurses (even respiratory nurses) are aware of the guidelines for non cf bronchiectasis. Please take a look at page i5 Anti biotic therapy. A sample should be taken but a broad spectrum ab eg Amoxil should be commenced until the results come back. Anti biotic therapy for non cf bronch should be for 14 days and is usually a high dose.
I always do my own samples and fill in my own MC&S forms, then I can fill in what day I am on of nebbed Tobramycin. Then taking a educated guess, tninking what would my con do now, bearing in mind the bugs I usually grow i.e. HI, strep p and also morax and what they are usually sensitive to. I 'phone up later in the week to check it's the right one, or not.
I don't know how you manage to wait until the sample comes back - you must feel absolute rubbish. I know if I had to wait with a high temp I would end up in hospital.
One thing I learnt quite early on in my life is you have to be your own advocate having bronchiectasis.
There has been a lot in the news, quite rightly about the overuse of abs, but this should really apply to the usually fit and well. We don't want them - we need them. We have a love/hate relationship.
Good luck everyone.
love cofalot
sam90709 david_25160
Posted
The BTS guidelines should be put in front of his nose. Also may be useful is http://cks.nice.org.uk/bronchiectasis. These show the NICE guidelines for Bx including dealing with an exacerbation.
Note the key point: do not wait for result of sputum test but prescribe antibiotics promptly.
Explain to him the simple point that Bx is a progressive illness characterised as a vicious circle of infection and inflammation and injury. If he doesn't get this, insist again and point out that he appears to be too ignorant to manage your condition.
Insist on him following a consultants guidelines, if still unsuccessful complain to the BMA. He's dangerous and shouldn't be practicing.
Good luck pal
S