Another update on my journey

Posted by Kristi H. @ldylouis, Dec 29, 2024

I have an appointment with an infectious disease doctor on Jan. 15th. I have also taken steps toward getting a real specialist.

My secondary infection seems to have cleared, but my chest tightness has not improved. My pulmonologist wants me off prednisone entirely and depends on the Breztri inhaled steroid. I can't handle it mentally right now, though.

When I can't talk without being out of breath, I can't do anything to take my mind off of the tightness. All my fears of a lifetime as an asthmatic come back. I begin thinking about my will and accepting that I will be dying soon.

It is the holidays, and my doctors will want me to go to the ER again. They are already doing everything they can with what they know, which will not change if I go to the ER again. So, I have taken a few more steps.

First, I am taking 5 to 7 mg of prednisone daily. I also contacted the premiere lung medical center in at least California, if not a larger area of the USA. UCSD, the University of California, San Diego, is considering my case. They specialize in lung transplants and are the only place with a Bronchiectasis specialist. He also comes up as a MAC specialist, but it is not listed as a specialty in their shortlist.

They could see my records from Loma Linda Community Hospital, where all the diagnostics are from. They send the records to their board, which decides which doctors are the best to treat me. I will be contacted within 3 to 6 days. I called them on Thursday and hope to hear from them soon.

If you haven't lived with asthma, you might not realize that it can be psychologically affected. If I know I don't have my inhaler, I can feel the need to use it coming on. So, when I can't breathe clearly, it is not good. I go to bad places. One way to keep this from happening is taking control. I know what I need in the short term until someone can figure out what needs to be done. I hope my MAC, having spread from the lower to the upper lobes since Oct., might get me into UCSD quickly.

For those who have gone to specialists, what was the process of starting with them? Would they want me to stay a few days for tests? The office is over 70 miles from my home. It is drivable but can be considered too far of a distance in some situations. (My husband was evaluated for a lung transplant, and we would have to be closer to the hospital if he were to need one.)

Thank you for all of your support. I wish you all a happy new year, and for the first time in decades, I am hoping for a significant change for the better.

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

You live in one of the blue zones in the world, which still didn't prevent you from being sick. (sigh)
I think the inhaler will help to ease the airway tightness. But you mentioned that you can't handle it right now, I guess you have to listen to your body. I hope you are doing better soon.

Ling

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How do you know what lobes the MAC is in?

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@ldylouis Kristi, you asked "For those who have gone to specialists, what was the process of starting with them? Would they want me to stay a few days for tests?"
Each facility has their own protocol, so you need to ask them when making your appointments. You can also ask which tests they will accept from your current provider and which they might want to repeat to get a better idea of the time involved.
Good luck getting to see a new doc!

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@idylouis Kristi, Hoping you are having better days in all ways. You sure have much to think about and do for yourself/yourselves. Wishing you and your husband much help and needed answers in the New Year.
Barbara

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@reneemc

How do you know what lobes the MAC is in?

Jump to this post

It was from my latest x-ray. They said the patches had spread to the upper lobes. It is not official, but it is not good no matter what spread. Originally,
the patches and holes, as they called them, were all in the bottom of the lower lobes.

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I agree with Sue that facilities vary and ask them how long they’d want you to be easily available for scheduling.

I went to Mayo to get a diagnosis and plan and since they are set up for travelers, they schedule appointments on Monday or Tuesday and schedule all needed tests in the next 3-4 days. That’s far different than the local pulmonologist I first saw whose ordered test were based on availability and scattered over 2-3 weeks.
I wish you the best of luck in getting the help you need.

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