Since you are intolerant to that MAC med, and I am so very sorry about that eye complication, see if you can get inhaled Arikayce. Your MAC is coming from the dirt. You have apparently the genetic makeup to get MAC. You should (no matter how hard it may be), wear an N95 mask. Your MAC will unfortunately keep increasing which will ultimately cause serious respiratory disease. Arikayce will kill the MAC , but you will have to continue to avoid getting it again- hence the N95’s. If you don’t care then don’t worry about it. You may be a lucky one and just die with MAC but not from MAC. Clearly I have no crystal ball, but your wonderful annd noble occupation of farming ( which I have a huge amount of respect for) is where you got MAC. That was the first question asked of me years ago- Did I live or work on a farm or have contact with birds? If you do nothing medically at all at least start wearing a mask. Irene5