That was all well and good when it was just one small (2.5mL) treatment, once a day. But, adding two additional treatments at 4mL each and we could see that all this nebulizing was going to dramatically increase our daily treatment time. And we don't have more time in the day, as previously discussed. I sent a message to our clinic explaining that our treatments were still taking too long, and asking for their suggestions. The message I got back said that the respiratory therapist forgot that we were doing our treatments at home (where did she imagine we were doing them, I wonder?), and had quoted us the time it would take with the equipment that they have at the hospital. Their proposed solution was to just run the nebulizer for 20 minutes each time, knowing that the full treatment wouldn't be delivered. But, they reasoned, Lemon is small and probably 2/3 of the dose would be enough.
I didn't find this answer very satisfying. First of all, Lemon won't always be small, and he will be doing nebulized treatments for the rest of his life. So we need a solution that will work both now and when he's bigger. Second, why not give him the full dose of each medication? If we're going to go to all the trouble of doing the treatments, I feel like we should do them right. Finally, the number of nebulized treatments that he has to do will only go up, so we need to solve this problem now, not later. It seemed like our clinic didn't have the answer I was looking for, so I took to the internet, and consulted some sources of unknown veracity, like, you know, blogs. And, I discovered that there is a whole category of compressors out there that for some reason our clinic never told us about, ones that can generate similar amounts of pressure to what they showed us at the hospital. Yes, they may not be covered by insurance. But we found one for $270 and thought it was worth a try, so we ordered it. Happy Hannukah, Lemon!
Here's a demonstration of the difference between the compressor the clinic gave us and the one we bought. In the video, the nebulizer connected to the new compressor (Mobileaire) is on the left, and the old (Innospire) on the right. My assistant's arm can be seen in the lower right. Look at the difference in output (mist) coming out of each one. Night and day, right? Now, we can get all our treatments done in about half the time as with the old compressor.