@blm1007blm1007 My time at NJH gets very mixed reviews . ( sorry for the long explanation, complicated ) BTW I’m 64.
I was sent to NJH due to continuous lung infections . Antibiotics& steroids , a few weeks of improvement , then the symptoms world sky rocket again , repeat . I was hopping around specialists , looking for answers for around 1 1/2 yrs. I was house bound . My last pulmonologist referred me to NJH. I was there over 1 week , tested for everything . Nothing was coming up. The very last day during an endoscopy , the GI doctor found an Inlet Patch in my upper esophagus . An Inlet Patch is an area of gastric tissue - should be in your stomach , not high up in your esophagus . Due to the location , whenever I would eat , acids were coming from the Inlet Patch into my airways . The GI Dr & the pulmonologist overseeing my team of doctors were thrilled to discover this finding , believing if I had it removed , my symptoms would dramatically improve. They also informed me damage had been done from all the infections and it would leave me with a permanent lung disease . . Regardless of the lung disease diagnosis , I left NJH with all the excitement of this Inlet Patch discovery . When home, I had the Inlet patch removed & it was life changing . My chronic infections were gone .
2 years ago ( about 4 yrs after NJH) , I had a pneumonia follow up chest CT and saw that it noted Bronchiectasis . I had never heard of this before , so I started looking at all of my prior CT’s. When I first started having the initial inlet patch infections , the chest CT did not show BE. However , every CT after that first one , including the NJH CT, all indicated mild BE in the findings .
I looked back at my all of my paper work from NJH ( you know how you come home with a book) and I found the letter from the lead NJH doctor to my local pulmonologist . The NJH Dr stated amongst other things , the Inlet Patch finding, BE noted in my NJH CT , and no NTMs found from bronchoscopy testing.
*****Here’s the kicker - no time at NJH did anyone ever mention Bronchiectasis to me or my husband . When I came home , my local pulmonologist never used that diagnosis . She always just said I have “ small airway disease “.
So I went for several years not even knowing I had BE! I didn’t even know what it was!
I don’t know what to make of this with NJH…how they didn’t discuss BE with me. The only thing I can determine is we were all getting very frustrated to keep hitting walls with no answers from all the testing . They had me stay an extra 2 days , and it was that last morning the inlet patch was found . I think at that point the inlet patch became the big focus . Maybe they thought I already knew I had BE..? Idk. I met with that NJH pulmonologist after the scope , she gave her recommendations on the inlet patch removal , and we headed to the airport . It was a fast day.
On a side note , I asked my pulmonologist 2 yrs ago after seeing the BE CT finding , and she basically indicated she knew I had it but was using other wording to describe Bronchiectasis to me .
Long answer , but it’s all been very complicated . The entire thing honestly angers me .
NJH & my local pulmonologist all knew I had BE, yet I didn’t .
However , I will be eternally thankful to NJH for turning all the stones & finding the Inlet Patch .
@cholash Are you saying they did not tell you about nebulizing, air way clearance, huff coughing before you left NJH??
So much can get lost, forgotten and missed due to many factors no matter it be with those close to us, or with medical personnel/doctors etc. etc....and that is always going to cause problems and disturbance. I have a couple of those instances related to my wanting answers and knowing what to do due to the BE, Bronchiectasis ,before my visit to NJH and after the NJH visit due to all the information being overwhelming and all at once.
At this juncture I hope you have more of the answers and understandings that we need to have.
In the big picture for many of us who went to NJH, as I did and you, find that even if there was a omission in the big picture of things it was mostly helpful and mostly worthwhile.
I'm glad I went to NJH and overall you are also, Your learning about the inlet patch that changed things for the better for you was one of those good things.!
Oh your just a kid and then much younger than I when you were diagnosed....when I was diagnosed, I was 80, so here I am at nearly 84. My heart goes out to all those, that have to deal with all we have to do, at a young age. That makes it such a long haul going forward.
We just have to talk positive to ourselves and be determined.
Barbara