I met with my new ENT this week. I thought the visit went well. We talked about my history, surgery, antibiotics and maintenance. Prior to the visit, I was mixing pulmocourt into a saline mix and flushing the mixture through my sinuses with a Netti pot. In addition, I mix Tobramycin in the rinse, four weeks on, four weeks off. I also use Flonase. The new ENT liked my routine, but expressed concern that it is no longer effective. I would agree. So, the tobramycin is out. (Which is nice...no more sharp disposal!). He is replacing the Tobramycin with Mupirocin (Bactroban). He mentioned he had a few suggestions for me to try...before we needed to talk about having another surgery. I wasn't expecting that. My last surgery was only 2 years ago. But I guess in the back of my mind, I know it is inevitable.
I have been using the Mupirocin for a few days now. It is an ointment, so it is a little challenging to dispense. The directions call for a an 1/8 of the tube. There is no pre-measured amount, so I just have to guess what 1/8 is. That is hard for me. I am very analytical and I like exact measurements. So, I calculated how much product is in 1/8 of the tube and I found a way to measure out the amount in a tube. Its a little messy, but so far it is working out.