Hello,

I wonder if I could ask for some advice?

I am a 39 year old UK male with Kartageners Syndrome,
which includes amongst many other things chronic asthma
and bronchiectasis. I have regular chest infections.

I am also a wheelchair user due to chronic arthritis.

Until recently I was having my chest tapped during my
twice daily postural drainage sessions by my mother
who has since died.

I have been referred by my doctor to the physiotherapy
clinic at my local NHS hospital.

The clinic were prepared to teach a personal care assistant
how to tap my chest during postural drainage.

However, none of the care agencies are prepared to do this
due to insurance considerations.

I was then referred back to the physio clinic, where I was then
told that tapping (patting) during postural drainage was no longer
done as it was not considered effective. They then proceeded to tell
me about breathing exercises which I have already been doing since
childhood.

I am becoming rather worried as I have already had more chest infections
than usual.

What I would like to know is it true that tapping of the chest, side
and back is now considered unnecessary, or are the physio department
trying to buck their duty of care?

Many thanks in advance for your replies

Mark