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.

@lilianna

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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In a matter of a couple months I was set to go. They did not make me wait very long.......it gives you time to make lodging and flight arrangements/if you are out of state...etc......so it worked out well. The waiting time went quickly.

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@rstel7272

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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How are you feeling these days?

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@extracare808

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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All my tests were normal too....but I get heartburn from many foods for some reason. Unfortunately the Gastro dr I saw at NJH was as I have previously stated, very arrogant, intimidating and nasty to me. I was taken aback by his demeanor . He was aggresive..to say the least in his manner of speaking to me. He never once discussed reflux, my barium test results or anything else. He never discussed gastro issues, suggestions for diet, you name it. They really should oust him from his position at the hospital, because he is a bad seed. It's not a good reflection on the hospital. I wonder if they know what a S.O.B. he is. I went a long way, spent a lot of money, and emotions and energy..... only to see a doctor like this , and it really makes me mad. Sorry, I guess I'm venting AGAIN. If you go there, be careful if you are gonna see a gastro dr. Private message me and I'll tell you his name so you won't go through what I went through. I was thinking about writing a letter to the CEO of the hospital, but that kind of action always seems to bite me in the butt, so I think I will restrain myself. If you believe in Karma, he'll get his eventually. thanks for listening...this blog ...you guys taught me everything I know about Mac and bronchiestasis, and I will be forever grateful. love you all.

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That's wonderful..congrats on being negative. I'm happy for you!

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@healthybon

How are you feeling these days?

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Best in 10 years. That is one reason I am perplexed by Dr E's decision to remove the lung. I went back to my old ID Dr.

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Oh, so good you are negative. IT is always such a long way with bumps but you made it.

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@rstel7272

Best in 10 years. That is one reason I am perplexed by Dr E's decision to remove the lung. I went back to my old ID Dr.

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I’m so happy for you… I always say it’s good to get a second opinion, right?

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Why shouldn't you nebulize before bed? Are there any best times to nebulize?

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