Do You Have a HFCWO Vest in Your Airway Clearance Toolkit?

In June 2021, I began using a vibration vest to manage my bronchiectasis.  A month later, I got COVID.  Despite only experiencing a headache and fever, I diligently performed airway clearance 3 times a day.  This period became an opportunity to get familiar with my vest and I came to view it as a powerful tool in my bronchiectasis toolkit.

Recently, I’ve heard concerns from others about the vest.  Some have expectations of expelling large amounts of mucus and feel discouraged when that doesn’t happen.  The high cost can also lead to frustration and a desire to return the vest.

I understand this sentiment.  I faced a hefty co-pay for my vest as well.  Initially, I too hoped to see a dramatic increase in mucus clearance. While that wasn’t the case, I remained committed to using the vest twice daily.  Six months later, I was thrilled to finally test negative for a chronic MAC infection.

It’s important to note that I also made other lifestyle changes during this time.  I increased my protein and calorie intake, exercise and focused on stress reduction. Therefore, I can’t solely attribute my improvement to the vest.  However, I believe it played a significant role in maintaining my health.

Be wary of advice suggesting the vest can replace other airway clearance methods.  I’ve heard some trainers tell their clients they no longer need to use an Acapella or Aerobika and there’s no need to nebulize. This is concerning.  To my knowledge, no bronchiectasis center advocates this approach.

My doctor, a specialist in BE and NTM-LD, emphasizes the importance of using all three techniques. Similarly, National Jewish Health often recommends a three-pronged approach for their patients.

The key takeaway is patience.  I believe in the vest’s effectiveness as part of a comprehensive management plan.  Stick with your treatment regimen, but don’t abandon your other tools.

Think of it like protection in a terrible storm: you wouldn’t leave home without a raincoat and boots just because you got an umbrella. All three work best together.

BE CLEAR with Bronchiectasis has a consulting relationship with Monaghan Medical

#Hfcwo #hfcwovests #airwayclearance #sputum #phlegm