Yes, that's definitely how I feel about it.

@dstella & @wsbme74 As a person with Asthma and Bronchiectasis, who has also been treated for MAC & Pseudomonas, I too have found it necessary to weigh the choice between steroids and the possibility of more infection.

Here is what I decided with the help of my pulmonologist - unrelenting asthma further restricts my already damaged airways. It also leads to air hunger, chest discomfort, rapid heartbeat (especially when I need to neb repeatedly)- all of which are in the "here and now" when I have an exacerbation. So comparing the actual problem of not being able to breathe with the possibility of infection, steroids win.

Remember, you can die of uncontrolled asthma, or from the strain on your heart and circulatory system from long-term lack of control. It actually happened a few years ago to my 50-something neighbor.

Every treatment has a downside - just think of the side effects some of us tolerate for the Big 3 antibiotics, or what people experience with chemo - you need to weigh the risks and benefits in making your own decision.

What did you decide about steroids?

Sue

I agree that caution is warranted. I’ve been steroid dependent for years and am now suffering the health impacts from that.