National Jewish Health Helpful Tips and my recent experience

Posted by healthybon @healthybon, Jul 9, 2023

I just returned from two weeks at NJH. IN A NUTSHELL…LOTS OF TESTS…..saw Infectious Disease Dr ..Dr Eddy….saw. Pulmonary Dr Daley….
****saw Gastro Dr who I wouldn’t recommend to a dog. He was harsh, arrogant, condescending, and I didn’t like one thing about him, his demeanor, attitude etc. If you want to know his name private message me…….I couldn’t wait to get away from him. They ought to unload him..he’s a bad apple and doesn’t reflect what NJH is all about, in my opinion.
I learned that my reflux could have caused the Mac. Aspiration into the lungs! Recommendations..get a bed where the head of the bed is at least 30 degrees on an incline, otherwise the stomach contents can aspirate into the lungs.

If you nebulize first, then eat. If you eat first, wait three hours before you nebulize. Don’t nebulize too close to bed time. Don’t eat three hours before bed time. I use 7% saline. I use Aerobika, I then use Ombra with aero eclipse xl cup by itself….all while I have the vest thing going….., I then use autogenic app for four to six minutes.
I purchased a Hill Rom. “THE VEST AIRWAY CLEARANCE SYSTEM.” I opted for the wrap, …the vest exacerbated my fibromyalgia. I use that with the nebulizing. It’s supposed to shake loose the stuff in the lower part of my lungs, Per NJH. $15,000.00. From what they tell me insurance will pay for most of it. I’m glad I got it. The company comes to your home to deliver it, and shows you how to use it.
THIS IS ALL SUGGESTED BY NJH because I am not doing the Big 3., which helps many people, but….there is no way my system could tolerate such strong meds…God bless those who are able to tolerate the meds and get rid of the Mac………it can come back from what I am told. In my case it would annihilate me….I can’t even take penicillin for a few days without getting deathly sick.
It is suggested I start aerobic walking daily……very important for lungs they said.
I have to avoid foods that exacerbate the reflux. Very important.
They told me I also have Bronchiestasis, which my local pulmonary said I did not have. I was devastated when they first told me about it,..it was a shock. Come to find out a lot of people with MAC have that too. This is all a process of adjustment, having a lung illness. I’m going to take all suggestions to help myself……religiously……..
I was given two sputum kits to send in every two months for analysis by NJH. Then I can request more in the portal when I need them. They consider me a patient now and I can communicate with concerns through the portal which is a comfort.
There were many other tests I had done. It was worth the trip, but I was exhausted. Grueling, but worth it!
The altitude in Denver got to me immediately, and I was extremely out of breath. I had to use oxygen the entire time I was there. It scared me, big time, but now that I am home in Georgia it is much better. Some people adjust and others have this experience there.
I see my new Mac Dr, Dr. Swenson, in Atlanta on July 20th, and will be in his care. He is friendly with Dr Daley……..and is thought highly of by Him. Dr Daley said he will be seeing him and he is going to discuss me with him, so I was grateful for that.
Overall, the experience was good……..worth the trip..learned a lot, they ruled out a lot……

I highly suggest that if you find an employee who is not treating you correctly you report them to the nurses immediately. The first respiratory girl sucked….she had her nose in her cell phone and was very rude to me. It was appalling how she spoke to me….I reported her and never saw her again. ALWAYS ADVOCATE FOR YOURSELF, NO MATTER WHERE YOU GO. There’s always at least one rotten apple in the batch…don’t let ‘em get away with it. It’s YOUR LIFE, YOUR HEALTH…..stand up for yourself.
I’m glad I went, but more glad I can see Dr Swenson from now on in my own neck of the woods. In my opinion, most pulmonaries are ignorant when it comes to Mac and Bronchiestasis..at least my local drs are…so find someone who is knowledgeable.
I hope this was helpful to you and would be happy to share any of my experience with you if you have questions. I’m sure every persons perceptions are a little different, but I hope this will somehow be helpful in some way. Bon

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

I was told I had GERD from the CT scan that was done at Mayo. I know that I have a hiatal hernia from an endoscopy with my GI Doc.

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@liz440

also I too would like to know how Denver diagnoses GERD.

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Ph Probe, Esophageal Manometry, Esophagram, Barium Swallow test. All uncomfortable.

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@rstel7272

Ph Probe, Esophageal Manometry, Esophagram, Barium Swallow test. All uncomfortable.

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Rick,
Do you think all those tests are necessary to diagnose it. I know I have it from symptoms.

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Dear healthybone,
thank you for your thoughts and updates about your NJ visit. I wonder how long you waited for your appointment there. I have just started the registration process and I am expecting a call from the nurse next Monday.

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i believe only a couple months and then I was there....best of luck. You will learn a lot for sure.!

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@sallyb827

Rick,
Do you think all those tests are necessary to diagnose it. I know I have it from symptoms.

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For me, it was not. All were negative for me. I don't have gerd, no family history of gerd, I had MAC 4 years ago that was aggressively treated. NJH ordered all these expensive tests and I went along while they ignored my real issue of lung cavitation and a fungal infection.

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@rstel7272

For me, it was not. All were negative for me. I don't have gerd, no family history of gerd, I had MAC 4 years ago that was aggressively treated. NJH ordered all these expensive tests and I went along while they ignored my real issue of lung cavitation and a fungal infection.

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Hi there... are u now Mac free? What treatment did you get? What did you do for the cavities? Fungal?

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@rstel7272

Ph Probe, Esophageal Manometry, Esophagram, Barium Swallow test. All uncomfortable.

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I did barium swallow at NJH. For me it wasn’t bad. The chalky drink wasn’t as intense as I anticipated.

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@healthybon

Hi there... are u now Mac free? What treatment did you get? What did you do for the cavities? Fungal?

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Sputum and bronchosopy are currently negative. Radiographical is debatable. Fungal/aspergillus in being treated with voriconazole. Cavities are probably permanent. Surgery is an option.

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I'm an NJH patient, and wrapping up almost 2 years on the Big 3. The last 11 months, I've also been on Arikayce. Been consistently negative since adding Arikayce and have had zero side effects (except intermittent hoarseness) With respect to nebbing, I've never been told to not do it late at night, and that's when I typically do it.

I also have bronchiectasis that is considered to be idiopathic, meaning, they have no idea what caused it. I believe it was cause by reflux, although all my NJH tests were normal.

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