(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.

@debbiec

Local South Florida pulmonologist has confirmed MAC. Treatment to be discussed at next doctor's visit. Internet research has me worried about possible side effects affecting my ablity to get through work week & be care giver to sick husband. Am wondering if I should seek top notch specialist in local medical/university centers. A penny for your thoughts... Have Rheumatoid Arthritis & have been taken off 9 yr. treatment of Humira which is suspected of having compromised my already weak immune system. Any R.A./MAC patients out there?

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I too have rheumatoid arthritis and was on Humira for 13 years. Had to stop it in 2019 when I was infected with haemophilus in my lung. Now I am infected with something else, mac so far is negative. They are still testing. I stopped the methotrexate now too. Make sure you have a pulmonologist who understands BE. No need for a visit to a special facility if you have that.

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@ginnysc

I was diagnosed with MAC a year ago. Other than shortness of breath I have no symptoms, but 3 CT scans by my pulmonologist have shown the MAC worsening. He's referred me to an ID doctor to start treatment, but I'm uncertain that's the right thing to do. I'm 83, live in a Continuing care community where my husband is in a nursing home and I have much responsibility for his care. I'm not sure what to do. Any thoughts?

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I am 70 years old and diagnosed with MAC 6 months ago. Started Azithromycin, Ethambutol and Rifampin 4 months ago. I wanted to take the antibiotics and clear out the infection, since I had pneumonia twice. It hasn't been too bad. Diarrhea in the morning, which I take psyllium seed capsules (20 throughout the day.) Please place your own needs and desires front and center during this decision.

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@ginnysc

I was diagnosed with MAC a year ago. Other than shortness of breath I have no symptoms, but 3 CT scans by my pulmonologist have shown the MAC worsening. He's referred me to an ID doctor to start treatment, but I'm uncertain that's the right thing to do. I'm 83, live in a Continuing care community where my husband is in a nursing home and I have much responsibility for his care. I'm not sure what to do. Any thoughts?

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I am 77 and was diagnosed with the same 2 years ago. I was put on the big 3 (Azithromycin, Rifampin and Ethambutol). I had the nausea, diahrea and loss of appetite but it didn't last more than a few months. I was lucky I never got fatigue. I was taken off Ethambutol because of eye problems which corrected itself after off the med for 3 months. I was put on Arikacye for 8 months buy taken off because of terrible cough and shortness of breath. They are now trying Nuzyra which I start in 2 days. Everyone is different in reactions to the medications but It is definetly worth going on the medications. I wish you the best in whatever decision you make.

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@lauraadam2425

I am on Azthromycin, Rifamkin and now Arikace with a nebulizer. I am going to Europe next July and there is no way on a small river cruise that I can sterilize the items ect when I have a strict 50 lb weight limit and no way to get distilled water ect. Has anyone been on this medication and stopped it for a few weeks and then picked it up again?

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I travel with a drizzle pot. Foldable silicone pot with a heating element built in. Boils quickly. Super compact. Just enough capacity for pari or ombra nebulizer cup, aerobika and salbutamol puffer sleeve. Source distilled water from ship or first store you can get to. Drizzle pot comes with different plugs so works in Europe and NA. Travel with multiple sets equipment if you can. So important to keep clearing every day. Suspect your Respirologist would highly reco staying on your medication. It’s a pain but might be best for you in the long run. Sorry just replying now. I learned about drizzle pots here and have been eternally grateful for the advice. So many great tips from our community here. All the best! D

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Has anyone tried mullein leaf extract for MAC and bronchiectasis? I recently read that it can clear all the mucus from your lungs.

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@jw87

Has anyone tried mullein leaf extract for MAC and bronchiectasis? I recently read that it can clear all the mucus from your lungs.

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She also mentioned here.

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@jw87

Has anyone tried mullein leaf extract for MAC and bronchiectasis? I recently read that it can clear all the mucus from your lungs.

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@katemn

@windwalker, Terri I am answering you on the Main Forum because the info on your salt treatment is REALLY good info to have on our Main Page .. PLUS I am just SOOOO excited for you!! YEAH!! You are SUCH a trooper .. one of my personal heros with your oxygen tank at the gym etc!! You absolutely deserve every single good thing that happens for you!! I am so very proud of you!! You go girl!! I am sending you one BIG hug! Katherine

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update on my recent Mayo visit.
Posted by @windwalker, 5 minutes ago
Hello! I left my Mayo visit on Tuesday on cloud nine. I found out that I had raised my lung function to 44%, up from 40%. My Dr was totally AMAZED since I suffer from a progressive disease. We figured it was due to the antibiotic and salt treatment regimen and my cardio classes. He said that 4% doesn’t sound like much, but 4% in the other direction (down) starts to put me in the lung transplant category. Mainly because it would mean I am still steadily progressing downward. I cannot tell you how disheartening it has been; to go to my check-ups every six months and be told that I am consistently losing lung function. I had said to my husband when I joined the gym six months ago that I was going to amaze my doctor, and I DID!

I asked about the new drugs that are in trials right now, and he said he expects them to be approved and out within six months to a year Hooray!!! I do know that the inhaled Cipro is one of them. I forgot the name of the other, but it is one that was mentioned at the NTM convention. He said that staying on the salt treatments is critical to keep good lung hygiene. Those of you doing this, stay with it. Those of you who are not, ask your dr to prescribe it. Hope everybody is doing well. Hugs – Terri M.

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Congratulations on your 4% improvement! So my big question is: how did you psyche yourself up to do the cardio when you felt so bad? And did you do it every day or ? I can’t imagine joining a cardio class where I would be the one having to stop e wry two minutes to catch my breath. You inspire me!

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@windwalker

Kathy, I would drink one cup a day, two if having a very bad day. I would drink it when my chest felt tight or I was coughing excessively.

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I just saw this comment about drinking tea. I've perhaps missed an earlier conversation about tea, but would really like to know what kind of tea and where to get it. I'm short on sleep due to the whistling and wheezing sounds when I lie down to sleep and am wondering if the tea would be helpful for that?
Thank you for any suggestions you may have.
Jan Skallerud

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