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DiscussionMy new pulmonologist told me Bronchoiectasis causes MAC
MAC & Bronchiectasis | Last Active: 5 days ago | Replies (10)Comment receiving replies
Replies to "Thank you for your response. I am very sorry to hear your own story and all..."
No, I don't think a complaint is warranted. I think you are right that the pulmonologist may be inexperienced with MAC, but many are.
I used this example yesterday, but it still feels right. An auto mechanic may be really good at working on Chevys, Toyotas and Jeeps, but he might not have a clue how to repair a Maybach (very rare) or a Saab (rare.)
And so a pulmonologist may be very good at treating and managing asthma or COPD (50 million people or more in the US have these) but not know about Bronchiectasis (somewhat rare - under a million people) or MAC (pretty rare - less than 500,000.) These conditions may have been mentioned in school, but not rally taught.
As I said in my reply above, we don't really know which came first for any one person - it's kind of the "chicken and egg" situation. If your new pulmonologist has only ever seen people with both MAC and Bronchiectasis, he may never have teased out which came first. And honestly, since they most often occur together, it doesn't really make a difference in how it will be treated or managed.
Would I look for a new doctor? Probably - unless I could go back to the previous one.