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CT scan safety

MAC & Bronchiectasis | Last Active: 21 hours ago | Replies (16)

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@blm1007blm1007

Sue
If I remember correctly you had a CScan recently and were working on getting a good acceptable sputum for testing. Did you get an acceptable notification?
Was your CScan showing plugging?
I know you had to remove yourself from taking the antibiotics early on and yet cleared yourself of the infection???? had better CScan results eventually????
My new local pulmonologist, who I believe may turn out to be the right one after two other local "try outs"; so to speak; said that the CScan has greater determination of whether or not one is placed on the antibiotics vs the sputum results that show MAI. That was a surprise for me.
I wonder if different doctors differ on what to use as an indication for putting a person on antibiotics or is it the amount of plugging showing up on the CScan and knowing the person has an infection?????
Hope you are out of, or closer to, being out of the 'sling'. Such fun....dealing with muscles, organs, bones, systems and doctor visits for one health concern or another which gives us more things to work around and then be ingenious about in solving the problem of how to work around it. Need 10 laughing emoji's here and now.
Barbara

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Replies to "Sue If I remember correctly you had a CScan recently and were working on getting a..."

Barbara, sorry for the late reply, my typing time is very limited and will be so for another 4+ weeks while I am in a sling full-time. Only then can I start PT - let me say that I am not a patient person and this enforced inactivity is driving me bonkers.

Back to your question - The answer is BOTH are important - watch the YouTube video below, one of the latest from NJH. In addition, symptoms and progression are taken into account. That's the purpose of "watchful waiting."

There are guidelines for deciding, like these:
https://ntminfo.org/wp-content/uploads/2020/07/NTMguidelines2020.pdf
This is the treatment guideline for physicians.

Or in an easier to follow format:


My own CT is stable, with some scarring from long-term infection. My radiology reports don't include descriptions of "mucus plugs" - I know I had them in early days - I haven't seen one in my sputum in years. Right now, we have decided not to do a sputum culture unless I have an exacerbation, so I have a standing order.