Vest Users

[rockingdog]

Why wasn't your CF doc a fan of the vest?

 

[rockingdog]

Why wasn't your CF doc a fan of the vest?

 

[mom2lillian]

oh you guys will love this one, he didnt tell me this the respiratory therapist told me (she was the one conspiring with me to get one). Anyway he thinks it is too passive, you dont have to work hard enough at it or be involved in it like you do the pep which is his standard or the acapella now. He refers to studies which show it to be just as effective as the vest. I think where he is going with that is that alot cf'ers dont excercise and the pep causes a bit more of that type effect I dotn really know though.

 

[mom2lillian]

oh you guys will love this one, he didnt tell me this the respiratory therapist told me (she was the one conspiring with me to get one). Anyway he thinks it is too passive, you dont have to work hard enough at it or be involved in it like you do the pep which is his standard or the acapella now. He refers to studies which show it to be just as effective as the vest. I think where he is going with that is that alot cf'ers dont excercise and the pep causes a bit more of that type effect I dotn really know though.

 

[mom2lillian]

oh you guys will love this one, he didnt tell me this the respiratory therapist told me (she was the one conspiring with me to get one). Anyway he thinks it is too passive, you dont have to work hard enough at it or be involved in it like you do the pep which is his standard or the acapella now. He refers to studies which show it to be just as effective as the vest. I think where he is going with that is that alot cf'ers dont excercise and the pep causes a bit more of that type effect I dotn really know though.

 

[LouLou]

There's one thing for sure...
The Vest loosens mucus but does not clear mucus.

If a patient won't be compliant about coughing and spitting between frequency intervals, then acapella or the like is probably a better choice. My doctor believes the Vest can actually do harm to the patient if they are not being good about clearance as well. His arguement is that in CFers most of us are more upper lobe effected. The Vest loosens the mucus and gravity shifts it into our healthier lower lobes. If we don't get it out, we've gone and moved bacteria to an area of our lungs that was doing better pre-Vest treatment.

In terms of what this post was originally about, I do them together if I am inhaling as deeply as I do at baseline and if my neb times are the same as without Vest. If the neb takes longer during vest it's a sign for me that I'm not deeply inhaling or my lungs are mucus coated and not sucking up the med. Then for me, I do them seperate. While I've been prego, I've been doing them more and more seperate. I'm coughing more and seems more effective to do them seperate. Not to mention that too much going on orally can send me puking when coughing...not fun.

 

[LouLou]

There's one thing for sure...
The Vest loosens mucus but does not clear mucus.

If a patient won't be compliant about coughing and spitting between frequency intervals, then acapella or the like is probably a better choice. My doctor believes the Vest can actually do harm to the patient if they are not being good about clearance as well. His arguement is that in CFers most of us are more upper lobe effected. The Vest loosens the mucus and gravity shifts it into our healthier lower lobes. If we don't get it out, we've gone and moved bacteria to an area of our lungs that was doing better pre-Vest treatment.

In terms of what this post was originally about, I do them together if I am inhaling as deeply as I do at baseline and if my neb times are the same as without Vest. If the neb takes longer during vest it's a sign for me that I'm not deeply inhaling or my lungs are mucus coated and not sucking up the med. Then for me, I do them seperate. While I've been prego, I've been doing them more and more seperate. I'm coughing more and seems more effective to do them seperate. Not to mention that too much going on orally can send me puking when coughing...not fun.

 

[LouLou]

There's one thing for sure...
The Vest loosens mucus but does not clear mucus.

If a patient won't be compliant about coughing and spitting between frequency intervals, then acapella or the like is probably a better choice. My doctor believes the Vest can actually do harm to the patient if they are not being good about clearance as well. His arguement is that in CFers most of us are more upper lobe effected. The Vest loosens the mucus and gravity shifts it into our healthier lower lobes. If we don't get it out, we've gone and moved bacteria to an area of our lungs that was doing better pre-Vest treatment.

In terms of what this post was originally about, I do them together if I am inhaling as deeply as I do at baseline and if my neb times are the same as without Vest. If the neb takes longer during vest it's a sign for me that I'm not deeply inhaling or my lungs are mucus coated and not sucking up the med. Then for me, I do them seperate. While I've been prego, I've been doing them more and more seperate. I'm coughing more and seems more effective to do them seperate. Not to mention that too much going on orally can send me puking when coughing...not fun.

 

[donnadee]

I usually do the Pulmozyme and HS while doing the vest. The only thing my doc said was not to do the vest with aqntibiotic. Is it not OK to do pulmozyme with vest?

 

[donnadee]

I usually do the Pulmozyme and HS while doing the vest. The only thing my doc said was not to do the vest with aqntibiotic. Is it not OK to do pulmozyme with vest?

 

[donnadee]

I usually do the Pulmozyme and HS while doing the vest. The only thing my doc said was not to do the vest with aqntibiotic. Is it not OK to do pulmozyme with vest?

 

[ladybug]

Hello.

I do my albuterol, then pulmozyme, then H.S. while doing the vest. The H.S. always takes way longer than the vest treatment, so by the time I'm done with it, I'm off the vest and then finish with my colistyn.

Just wanted to mention something since it sounds like many people do pulmozyme and H.S. in a different order than I was instructed to by my CF doc and respiratoryt therapist....

Pulmozyme should come BEFORE H.S. One of pulmozyme's processes is to break down the mucus so it can be coughed out more eaisily. So, you do it before H.S., since H.S. is supposed to make you cough and if its "watered down" by the pulmozyme, it stands to reason it would be a bit easier to get it out. So, that is the theory behind that. My clinic even printed up cards for the proper order of doing nebs. Although I had posted it in a previous link, here it is again:

1. Bronchodialator (albuterol or xopenex)

2. Mucolytics (pulmozyme THEN H.S.)

3. Inhaled Antibiotics (TOBI or coli)

4. Long acting Bronchodilator (serevent or foradil)

5. Inhaled Steroids (flovent, advair, pulmicort)

When I was originally shown how to use the vest 10+ years ago, they encouraged me to do my nebs with it as it pushes the meds further into your lungs. I have done it both ways, and never found much difference, so sometimes I do just my albuterol with it and then my other meds seperately (if I have lots of extra time). But, that is what I was told many years ago. The pressure really "forces" the med into lobes it wouldn't usually get to just by regualar breathing. <img src="">

 

[ladybug]

Hello.

I do my albuterol, then pulmozyme, then H.S. while doing the vest. The H.S. always takes way longer than the vest treatment, so by the time I'm done with it, I'm off the vest and then finish with my colistyn.

Just wanted to mention something since it sounds like many people do pulmozyme and H.S. in a different order than I was instructed to by my CF doc and respiratoryt therapist....

Pulmozyme should come BEFORE H.S. One of pulmozyme's processes is to break down the mucus so it can be coughed out more eaisily. So, you do it before H.S., since H.S. is supposed to make you cough and if its "watered down" by the pulmozyme, it stands to reason it would be a bit easier to get it out. So, that is the theory behind that. My clinic even printed up cards for the proper order of doing nebs. Although I had posted it in a previous link, here it is again:

1. Bronchodialator (albuterol or xopenex)

2. Mucolytics (pulmozyme THEN H.S.)

3. Inhaled Antibiotics (TOBI or coli)

4. Long acting Bronchodilator (serevent or foradil)

5. Inhaled Steroids (flovent, advair, pulmicort)

When I was originally shown how to use the vest 10+ years ago, they encouraged me to do my nebs with it as it pushes the meds further into your lungs. I have done it both ways, and never found much difference, so sometimes I do just my albuterol with it and then my other meds seperately (if I have lots of extra time). But, that is what I was told many years ago. The pressure really "forces" the med into lobes it wouldn't usually get to just by regualar breathing. <img src="">

 

[ladybug]

Hello.

I do my albuterol, then pulmozyme, then H.S. while doing the vest. The H.S. always takes way longer than the vest treatment, so by the time I'm done with it, I'm off the vest and then finish with my colistyn.

Just wanted to mention something since it sounds like many people do pulmozyme and H.S. in a different order than I was instructed to by my CF doc and respiratoryt therapist....

Pulmozyme should come BEFORE H.S. One of pulmozyme's processes is to break down the mucus so it can be coughed out more eaisily. So, you do it before H.S., since H.S. is supposed to make you cough and if its "watered down" by the pulmozyme, it stands to reason it would be a bit easier to get it out. So, that is the theory behind that. My clinic even printed up cards for the proper order of doing nebs. Although I had posted it in a previous link, here it is again:

1. Bronchodialator (albuterol or xopenex)

2. Mucolytics (pulmozyme THEN H.S.)

3. Inhaled Antibiotics (TOBI or coli)

4. Long acting Bronchodilator (serevent or foradil)

5. Inhaled Steroids (flovent, advair, pulmicort)

When I was originally shown how to use the vest 10+ years ago, they encouraged me to do my nebs with it as it pushes the meds further into your lungs. I have done it both ways, and never found much difference, so sometimes I do just my albuterol with it and then my other meds seperately (if I have lots of extra time). But, that is what I was told many years ago. The pressure really "forces" the med into lobes it wouldn't usually get to just by regualar breathing. <img src="">

 

[AnD]

Thanks. Now I'm really confused. (Just kidding! <img src="i/expressions/face-icon-small-wink.gif" border="0"> ) Well, that sounds like good reasoning too...And of course I do my Advair before my Tobi (but that is so the Tobi doesn't cause constriction- otherwise, I have a hard time taking it for any length of time, if at all).

 

[AnD]

Thanks. Now I'm really confused. (Just kidding! <img src="i/expressions/face-icon-small-wink.gif" border="0"> ) Well, that sounds like good reasoning too...And of course I do my Advair before my Tobi (but that is so the Tobi doesn't cause constriction- otherwise, I have a hard time taking it for any length of time, if at all).

 

[AnD]

Thanks. Now I'm really confused. (Just kidding! <img src="i/expressions/face-icon-small-wink.gif" border="0"> ) Well, that sounds like good reasoning too...And of course I do my Advair before my Tobi (but that is so the Tobi doesn't cause constriction- otherwise, I have a hard time taking it for any length of time, if at all).

 

[ladybug]

PLEASE NOTE: I found my list and posted the correct order of ALL meds according to my CF center and RTs in my post above. Hope this helps. <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[ladybug]

PLEASE NOTE: I found my list and posted the correct order of ALL meds according to my CF center and RTs in my post above. Hope this helps. <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[ladybug]

PLEASE NOTE: I found my list and posted the correct order of ALL meds according to my CF center and RTs in my post above. Hope this helps. <img src="i/expressions/face-icon-small-smile.gif" border="0">