Consultation was positive. Attention was spotlighted upon the upcoming operation for bronchial stent/dilation. If another infection occurs in the meantime I will be admitted to hospital but the procedure will be carried out anyway.... it will not be put off. On the medication side it is possible I will be continuing with Rituximab AND Cyclophosphamide. This to be discussed in depth with Rheumatology. Although inflammation is present in the lungs it is recommended that there should be no increase in steroid dose so as not to compromise procedure.
I asked about the cough, which is a bugbear, but no relief from antibiotics is allowed. After the wide range of antibiotics I have had, they are hesitant about introducing another one..... so three weeks of coughing is in line, unless I can find some natural, non invasive way of controlling it. Basically the phlegm produced is too large/lumpy to get past the reduced diameter of the bronchial tube. it gets discharged in small pieces only. After the distress caused the last time with coughing too forcefully (burst blood vessel) I am taking this very carefully.