Gardening with Bronch and MAC

Posted by cate123456 @cate123456, Sep 2, 2022

I’ve been an organic gardener for decades. We grow most of our veggies, fruits, and flowers via our garden. Ironically I thought this kept us so healthy, but was probably a strong source of MAC for my lungs via all the composting, watering, manures, and messing w the soil.

I now try to wear an N95 mask when I garden. And my husband deals w the compost and most of the watering. I really hate the thought of having to give up our gardens and orchard.

Have you given up gardening, if not, what steps have you taken for MAC safety?

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

@cate123456

Thanks Saint Sue!
Nice to know about the watering, as I thought the mist from watering might be full of MAC. We are in VA and don’t need to water often as lots of rain and humidity here. I also do “no till” gardening so the soil rarely gets disturbed in the raised beds.
We also have chickens, but my husband now deals w them, and I make him wear an N95 mask even though his lungs are good.

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Thanks .. for this information. When I was at my second appoiment for possible lung transplant candidate - drs mentioned gardening and I cried. I love gardening.

I have few house plants but tried to turn one into hydroponics today - I taught hydroponics when I taught third grade. When I got Covid / RSV/ pneumonia / Flu in 22 that began my downward spiral and more pneumonia hospital vists. Hard to climb out of the hole this time and am on oxygen 24/7. 🙁
I do not have MAC .. but an being treated for a posible fungal infection… bybID doc - that my ENT found with sinus infection.

I was diagnosed in 2012. If I knew then what I know now - lots I would have done differently.

Thanks again…
Judy

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I wear a N95 mask if I work out in the yard and doing anything that stirs up soil or dust. I may not be right but the way I see it, MAC is everywhere. Whether you are out taking a walk or even in our houses. There is no getting away from it entirely. So, I just try to minimize "big" exposures and hope for the best. It's all I know that is practical to do and still live.

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@sueinmn

Hello, I can see you have been with us on Mayo Connect for a while, and this is your first post - Welcome!

When considering risk in any situation concerning airborne pathogens, unless it is something extremely toxic, the elements to assess are LENGTH of exposure, NEARNESS to the source, and CONCENTRATION of the toxin.

So digging in the dirt, with your face near it, for a relatively long time, exposes you to a higher level of the toxin. Staying in a closed building next to the source, not handling or interacting with the birds, where the airborne contaminant is highly diluted & becoming more so as it travels away from the birds, exposes you to a lower level.

It is a situation that I would be comfortable in - it pretty well describes my long term proximity to the feral chickens where I live. We took one more step to protect ourselves, we bought a well-rated HEPA air filter, sized for our home, and run it full time. One additional advantage - it protects my silly lungs from mold spores, dust mites & other things that inhabit seasonal dwellings, no matter how careful we are.

Do you have MAC or bronchiectasis?
Sue

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Are the filter connected to the furnace or a separate unit?

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@lorrainewenn

Are the filter connected to the furnace or a separate unit?

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I have both. There is a house filter attached to the HVAC and maintained to schedule by my husband, and room units in the most occupied rooms in pur home, each sized for that space. I Chang those filters twice as often as recommended.
Sue

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@kwi

Thanks for your response Sue. Now I won’t start feeling paranoid staying with our friends. Yes, I have bronchiectasis and MAC, specifically MAI diagnosed after a CT and bronchoscopy last Oct. The CT was for something else but ended up showing the bronchiectasis. Of course I wonder if I may have other MAC bacteria because I was unaware of the precautions needed to take to prevent further infection other than told to change my shower head by my pulmonologist. However, she did start me on airway clearance (albuterol & 7% saline) but didn’t explain the importance of it other than to get the mucus out which is a difficult concept when you don’t feel like you have any. I have learned many of the things to do or don’t do (and how important airway clearance is now) through support forums and watching webinars. I didn’t cough up sputum until a month ago and then it’s not every time. Otherwise I have no symptoms other than just feeling low energy but not fatigued. I have not agreed to go on the antibiotics yet even though the pulmonologist and ID doctors want me to do so.

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I just found this thread and read your post.
As of Sept 3. 2022 you did not start the antibiotics.
I am preparing to start Azithromycin and Ethambutol by getting my 'gut" ready vis probiotics a couple of times a day and will also take the probiotics once I start in a week or so.
My question: My concern is if one does not take the antibiotics do we allow ourselves to develop more serious lung problems?
My sputum to date from 10/23 on has continually shown MAI per the readings of the test results. I am fortunate, or unfortunate. I have to clear my throat of mucus almost all day long and a great many times I am able to clear out the mucus plugs with seeing the plugs in the clear cup I remove it to as I bring it up and out. Per the Oct. CScan I have less inflammation and plugging in two areas and a new area of plugging in my lower left lobe of which I hope to clear up in the next month or so due to my learnings this month. I feel well overall and am sleeping better than I was before having started the airway clearance methods.
How did you do with not starting the antibiotics when told you had MAI?
Did you eventually go on the antibiotics?
Did your mucus plugging clear up and therefore not have to go on the antibiotics?
I am interested in knowing your journey these last two years with MAI etc. if you have time and comfortable sharing that info.
Thanks'
Barbara

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My doctor said my MAI was directly related to my gardening and i have since not exposed myself to those soil microbes. I hope it makes a difference, my yard looks like crap. LOL !

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@circleup

My doctor said my MAI was directly related to my gardening and i have since not exposed myself to those soil microbes. I hope it makes a difference, my yard looks like crap. LOL !

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My ID doc told me 6 years ago that it was not necessary to stop gardening - just be smarter.
Here are the adjustments I made -
Gloves while gardening, thrown in the laundry frequently with my garden clothes. Garden clothes, gloves and shoes stay in the garage until laundered so I don't bring anything into the house.
No more peat moss, anywhere in my gardens or pots.
No more playing in dry soil - always wet it before working.
No more dumping dry soil, compost or mulch - I pay a helper to do it if my husband cannot, and stay away until it has been watered down.
No using the mower, leaf blower, or rake and staying away while it is in use. If I must do it, wear a KN-95 mask (the one where when you breathe out, a one-way valve opens to expel the moisture - much more comfortable than the N-95.)

With these precautions I have stayed NTM free in spite of hundreds of hours in the garden and working with plants.

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Thank you, Sue, for that advice. We had just finished building a greenhouse when I was diagnosed with bronchiectasis. I’ve been wearing a mask but have worried that I’m harming myself. Thanks for the reassurance!!

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I can give up pretty much everything and feel as though I already have. I WILL NOT stop gardening, housework or yard work, walking pets and doing things outdoors. I’m only 55 and I will try and wear a mask when at all possible but I draw the line.
I stopped taking Tamoxifen only last year for breast cancer after my bilateral mastectomy in January 2023 and said ENOUGH IS ENOUGH —I want to live the life I have not prolong something I don’t want. The sides of that drug were NOT this bad. It had been less than a month off it before I developed MAI/MAC and less than six til I started the Big 3.
Am I the only one that sees things this way? @circleup —I feel you have given up your job, your husband left? When will it stop? I’d say gardening might be the only way you can try and get grounded with all this crap we deal with.
I for one will be putting my gloved hands into the wet soil as soon as the snow and frost have done their thing. I’m looking forward to pruning my fruit trees in February. Unless I can’t physically do something because of the fatigue, and side effects, screw it.

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There is no way I would consider giving up gardening. I will garden for as long as I am able. I start as soon as the weather permits it. I LOVE it so much. I considered it my life saver after my spouse suddenly died. Last summer the garden got extended a bit. Very anxious for spring to come so I can get outside. I do feel the effects on my poor lungs, but my heart and soul needs to hear the birds sing, feel the sun and wind, and just enjoy the wonders of nature. Gardening makes life a joy.

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