(MAC/MAI) Mycobacterium Avium Complex Pulmonary Disease: Join us

Posted by Katherine, Alumni Mentor @katemn, Nov 21, 2011

I am new to Mayo online .. I was hoping to find others with .. MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) and/or BRONCHIECTASIS. I found only 1 thread on mycobacterium accidently under the catagory "Lungs". I'm hoping by starting a subject matter directly related to MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) I may find others out there!

I was diagnosed by a sputum culture August 2007 (but the culture result was accidentally misfiled until 2008!) with MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) and BRONCHIECTASIS. I am now on 5 antibiotics. Working with Dr. Timothy Aksamit at Rochester Mayo Clinic .. he is a saint to have put up with me this long! I was terrified of the treatment . started the first antibiotic September 3, 2011 ... am now on all 5 antibiotics for 18 mos to 2 years. Am delighted at the very bearable side effects!

I wrote on the 1 thread I found: If you google NON-TUBERCULOUS MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) you will learn a LOT about the disease. But PLEASE do NOT get scared about all the things you read .. that is what I did and nearly refused to do the treatment until after a 2nd Micomacterium was discovered! Educate yourself for "due diligence" .. but take it all with a grain of salt .. you are NOT necessarily going to have all the terrible side effects of the antibiotics! Good luck to you!

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January 2017 Update

One of our great Connect Members .. @Paula_MAC2007  .. had a wonderfully helpful idea that I wanted to share! Her idea .. as you read through the pages to gather information on our shared disease of MAC you can develop a personal "file cabinet" for future reference without the necessity of reading all the pages again!

If you have the "MS Word" program on your computer:
- Document Title Example:  Mayo Clinic Connect MAI/MAC Information
- Then develop different categories that make sense to you such as:  Heath Aids .. Videos .. Healthy Living .. Positive Thinking .. Baseline Testing and Regular Testing .. Antibiotics ..
Tips for
- As you read the pages .. copy/paste/save things of interest into that MS Word document under your preferred categories for future reference.

Then as you want to refer back to something in the future .. YEAH!  You have now created your own personal "file cabinet" on MAC/MAI!  Go to it!

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

@windwalker

@joan912, Hello Joan. I'd like to commend you for being such a good advocate for your husband. I feel like your husband shouldn't worry too much about Dr. Scrodin's age/experience, because the Mayo only takes on the best to work there. Sometimes 'older, more experienced' isn't always the best thing. Sometimes the older ones get complacent and do not keep up with current trends in medicine. Your doctor will have a team working with her in the way of radiologists, etc. Your husband is going to the best place for what he has going on. On my first initial visit to the Mayo, I had to hand carry in all of my medical records and films and they scanned them into my file there. Your husband needs to bring his test results for the mac, and his Ct scan, and anything else he had done recently. (if you have not already sent his records over) The tests they are likely to do are: bloodwork labs, sputem test, chest x-ray, and breathing tests, and final doctor office visit to sum up what the tests reveal and a plan for treatment. The doctor will compare results to that of his past doctor. Since his other tests are so recent, you may be able to get away with her just looking over what he has had done already and get opinion on treatment. You will be receiving an itinerary in the mail soon that will tell what tests are being scheduled. Your husband being a doctor himself can determine if he really needs re-testing and ask about that. They probably will definitely want to do a sputem test along with a suseptibility test unless they are confident that the lab that did his last one at diagnosis was a competent one. If his last tests were done well, maybe ask for them to be reviewed for a second opinion on a treatment plan and not have to repeat the tests. I hope you will let us know what you find out. Please tell your husband best of luck to him from his friends on connect.

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@ling123, Well said Ling, my sentiments exactly.

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@windwalker

@joan912, Hello Joan. I'd like to commend you for being such a good advocate for your husband. I feel like your husband shouldn't worry too much about Dr. Scrodin's age/experience, because the Mayo only takes on the best to work there. Sometimes 'older, more experienced' isn't always the best thing. Sometimes the older ones get complacent and do not keep up with current trends in medicine. Your doctor will have a team working with her in the way of radiologists, etc. Your husband is going to the best place for what he has going on. On my first initial visit to the Mayo, I had to hand carry in all of my medical records and films and they scanned them into my file there. Your husband needs to bring his test results for the mac, and his Ct scan, and anything else he had done recently. (if you have not already sent his records over) The tests they are likely to do are: bloodwork labs, sputem test, chest x-ray, and breathing tests, and final doctor office visit to sum up what the tests reveal and a plan for treatment. The doctor will compare results to that of his past doctor. Since his other tests are so recent, you may be able to get away with her just looking over what he has had done already and get opinion on treatment. You will be receiving an itinerary in the mail soon that will tell what tests are being scheduled. Your husband being a doctor himself can determine if he really needs re-testing and ask about that. They probably will definitely want to do a sputem test along with a suseptibility test unless they are confident that the lab that did his last one at diagnosis was a competent one. If his last tests were done well, maybe ask for them to be reviewed for a second opinion on a treatment plan and not have to repeat the tests. I hope you will let us know what you find out. Please tell your husband best of luck to him from his friends on connect.

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@joan912, Again, Joan, you are a dear to help your husband. Please do keep us in the loop.

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@windwalker

@joan912, Hello Joan. I'd like to commend you for being such a good advocate for your husband. I feel like your husband shouldn't worry too much about Dr. Scrodin's age/experience, because the Mayo only takes on the best to work there. Sometimes 'older, more experienced' isn't always the best thing. Sometimes the older ones get complacent and do not keep up with current trends in medicine. Your doctor will have a team working with her in the way of radiologists, etc. Your husband is going to the best place for what he has going on. On my first initial visit to the Mayo, I had to hand carry in all of my medical records and films and they scanned them into my file there. Your husband needs to bring his test results for the mac, and his Ct scan, and anything else he had done recently. (if you have not already sent his records over) The tests they are likely to do are: bloodwork labs, sputem test, chest x-ray, and breathing tests, and final doctor office visit to sum up what the tests reveal and a plan for treatment. The doctor will compare results to that of his past doctor. Since his other tests are so recent, you may be able to get away with her just looking over what he has had done already and get opinion on treatment. You will be receiving an itinerary in the mail soon that will tell what tests are being scheduled. Your husband being a doctor himself can determine if he really needs re-testing and ask about that. They probably will definitely want to do a sputem test along with a suseptibility test unless they are confident that the lab that did his last one at diagnosis was a competent one. If his last tests were done well, maybe ask for them to be reviewed for a second opinion on a treatment plan and not have to repeat the tests. I hope you will let us know what you find out. Please tell your husband best of luck to him from his friends on connect.

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@boomerexpert , I hate to say this, but I live in a small town with very few pulmonologists, all but one is up there in age. They all tell all of their patients that they have either COPD or asthma. That's it, everyone is thrown into one big lung basket. No sputem tests are ever done and their equipment is old as the hills. I was told the same thing, but, no, I actually had MAC/bronchiectasis. That is why I travel 2 1/2 to the Mayo Clinic.

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@windwalker

@joan912, Hello Joan. I'd like to commend you for being such a good advocate for your husband. I feel like your husband shouldn't worry too much about Dr. Scrodin's age/experience, because the Mayo only takes on the best to work there. Sometimes 'older, more experienced' isn't always the best thing. Sometimes the older ones get complacent and do not keep up with current trends in medicine. Your doctor will have a team working with her in the way of radiologists, etc. Your husband is going to the best place for what he has going on. On my first initial visit to the Mayo, I had to hand carry in all of my medical records and films and they scanned them into my file there. Your husband needs to bring his test results for the mac, and his Ct scan, and anything else he had done recently. (if you have not already sent his records over) The tests they are likely to do are: bloodwork labs, sputem test, chest x-ray, and breathing tests, and final doctor office visit to sum up what the tests reveal and a plan for treatment. The doctor will compare results to that of his past doctor. Since his other tests are so recent, you may be able to get away with her just looking over what he has had done already and get opinion on treatment. You will be receiving an itinerary in the mail soon that will tell what tests are being scheduled. Your husband being a doctor himself can determine if he really needs re-testing and ask about that. They probably will definitely want to do a sputem test along with a suseptibility test unless they are confident that the lab that did his last one at diagnosis was a competent one. If his last tests were done well, maybe ask for them to be reviewed for a second opinion on a treatment plan and not have to repeat the tests. I hope you will let us know what you find out. Please tell your husband best of luck to him from his friends on connect.

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@windwalker I thought the Tampa Bay area was bad....where do you live?!

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@bschaper2

Wow, I have been gone too long from this site. Nicole, love your video above.

Question 1 - for those of you that use the saline inhalation 7% twice daily -- how the heck to you get the whole vial inhaled without coughing to death? I usually only make it 1/4 to 1/3 through it before I am coughing so bad that I just cannot finish. Is this normal?

Question 2- do you all believe that certain foods cause more mucus and if so, what foods, please?

Thanks - Barb

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Dear Cila,

Like you I do not have problem breathing but like you I have that problem hurt in my chest when I eat or drink. I haven’t explore that aspect yet. I will ask my lung Dr tomorrow because my appointment was postponed tomorrow. Thank for sharing.  

If you take medication it could be a secondary effect from one pill . Check the secondary effects of the medication you take if anything for whizzing and being tired. 

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@windwalker

@joan912, Hello Joan. I'd like to commend you for being such a good advocate for your husband. I feel like your husband shouldn't worry too much about Dr. Scrodin's age/experience, because the Mayo only takes on the best to work there. Sometimes 'older, more experienced' isn't always the best thing. Sometimes the older ones get complacent and do not keep up with current trends in medicine. Your doctor will have a team working with her in the way of radiologists, etc. Your husband is going to the best place for what he has going on. On my first initial visit to the Mayo, I had to hand carry in all of my medical records and films and they scanned them into my file there. Your husband needs to bring his test results for the mac, and his Ct scan, and anything else he had done recently. (if you have not already sent his records over) The tests they are likely to do are: bloodwork labs, sputem test, chest x-ray, and breathing tests, and final doctor office visit to sum up what the tests reveal and a plan for treatment. The doctor will compare results to that of his past doctor. Since his other tests are so recent, you may be able to get away with her just looking over what he has had done already and get opinion on treatment. You will be receiving an itinerary in the mail soon that will tell what tests are being scheduled. Your husband being a doctor himself can determine if he really needs re-testing and ask about that. They probably will definitely want to do a sputem test along with a suseptibility test unless they are confident that the lab that did his last one at diagnosis was a competent one. If his last tests were done well, maybe ask for them to be reviewed for a second opinion on a treatment plan and not have to repeat the tests. I hope you will let us know what you find out. Please tell your husband best of luck to him from his friends on connect.

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@boomerexpert , I live in Hilton Head, S.C. All of the drs here stink in my opinion. It isn't just the pulmonologists here, it is all of them. For example, I have a heart condition and went for my annual checkup at the cardiologist and he didn't even put a stethoscope to my chest and take a listen! He just asked if my meds were still working. I have not been back to him or any other dr here, and I won't ever again.

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@joan912

Therapy question: is anyone getting injections of amikacin? This antibiotic is supposed to be good for NTM and bronchiectasis. If so, how often?

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@joan912, Joan, I don't know anything about this.Has anybody else here? Have you tried 'Google' to see if there is any info there? I like to go to medical institution sites like Mayo Clinic, NIH, Cleveland, NJH, etc. for info sources because they are legitimate. Their sites allow you to look up diseases and treatments. You could enter in 'Amakacin Injections' and something should come up. Sometimes articles from the residing physicians will also come up. I like to read their publications because then you can get a firsthand account of how effective their treatment are or are not.

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@joan912

Therapy question: is anyone getting injections of amikacin? This antibiotic is supposed to be good for NTM and bronchiectasis. If so, how often?

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Thank you, Terri. I read several instances on this blog of folks who are on inhaled amikacin. My husband wants to add this to his regimen. I'm pretty sure the doctors at Kaiser won't be willing to do this, since they've already suggested he not take any drugs, though bronchiectasis has now been found in his other lobe, and he has fevers and night sweats again.

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I have another question. Someone here said don't drink tap water, drink spring water. Why not purified water? And I use distilled water in my Keurig - is that ok? Thanks you - Barb

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@joan912

Therapy question: is anyone getting injections of amikacin? This antibiotic is supposed to be good for NTM and bronchiectasis. If so, how often?

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My pulmonologist put me on the inhaled amikacin ALONG WITH the meds as I have not cultured negative. I am pretty sure that this was from a recommendation from National Jewish to do so. Terry

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