I am so angry and upset on your behalf. You are not moaning. Your gut feeling is telling you you are not getting the treatment you deserve and that is my gut feeling also. I assume you had a ct scan for them to dx bronchiectasis - how long ago was this and was the scan ordered by a consultant. If so what reason did cons give for discharging you and was the cons a general respiratory consultant? Sorry so many questions - just trying to glean how this came about.
In all my years of having bronchiectasis I have met so many GPs who are not up to speed with bronch and there is no way they can be as knowledgeable as a respiratory consultant who specialises in cystic fibrosis/bronchiectasis.
If you have bronchiectasis it is so important that you are monitored by a respiratory consultant, especially as I say one who has a special interest in cf/bronch. I may be able to help you with finding one if you pm me. They will also be very clued up on your copd.
Firstly you have to work out what to do about your GP. Do you belong to a practice where there are a number of docs. If so I would defo try and see another. If you live in an area where there are other surgeries and you get no joy from yours, you might want to change gps.
This is what you can expect from a proactive cf/bronch consultant.
As well as the usual history, examination, bloods and lung function tests cons may send you for a sweat test (nothing to worry about - just iliminates cf). Would also refer you to a respiratory physiotherapist to learn techniques and show you gadgets to enable to do your own physio and get rid of all the mucus which builds up constantly in your lungs. Between you you will find the best technique which works for you. It is the most important thing you can do for yourself.
Cons would discuss inhalers and may feel a mucus thinner medication or nebulising saline may be of benefit to you.
You should have access to a specialist respiratory cf/bronch nursing team.
Cons will defo take a sputum sample. Will also decide after having all results on the best treatment regime and will inform your GP of his recommendations for treatment.
Many cf cons can arrange home IVs if necessary. This is good because it can keep you out of hospital.
Apart from the fact you should be seeing a cons for bronch anyway, I think your request is justified as by your own figures you have had many more exacerbations in 2012 than in 2011 and you had too many in 2011 anyway. I'm trying to work out if you had 15 how long were your ab courses for.
Good luck with this. Stay strong and assertive - it is your health at stake here and you deserve the best treatment. pm if you need a chat.
Love C xxx