My doctors have decided not to treat my MAC or Broncheostatis

Posted by doberdoo @doberdoo, 1 day ago

Due to a pre-existing heart condition I have called Long QT Prolongation Syndrome they cannot give me the “big 3” and the extra one they threw in there. QT is where your heart stops beating. Wearing a holter monitor they tracked the longest interval of my heart stopping at 18 seconds. Unfortunately, ALL of the big 3 drugs come with the side effect of causing QT. Which would make it very unlikely that my heart would start again since I am already at the danger level. So, after confirming that with the hospital clinical pharmacist, they told me there is nothing they can do for me.

I write this long saga to ask for advice on how I can help myself going forward since I am now flying in the wind so to speak. I have read comments about ACT and pulmonary rehab but know nothing about it or what else I should be doing as I move toward the inevitable. I asked for a prescription for a vest and they refused. I asked about learning ACT and the doctor said I already told you about it and what to do - which was a big lie. I asked about pulmonary rehab and got no reply. So, any recommendations on where to learn to do ACT, pulmonary rehab and anything else that will help me fight this beast on my own?

One of the things I never want to hear again is “well we all have to die.” Which two of them said to me. Changing doctors won’t help because they will all prescribe the big 3, which has been ruled lethal for me. I’m fighting this on my own now because of the QT.

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

@doberdoo

Thank you for your response. I watched the video which was excellent and will incorporate everything daily. I do have a question. Where do you get your saline? That is also something my pulmonologist refuses to prescribe so I ordered some from Amazon. However, the doctor in the video advised not to use any saline ordered online. Has anyone had success with online saline nebulizer treatments?

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@doberdoo. Did your Pulmonologist give a reason for not prescribing saline? Most all of us on this Mayo Clinic Site do nebulize and most all pulmonologists recognize it's importance for assisting in the clearance of sputum from your lungs. Was there a connection to your heart issue?
Funny....My first pulmo said no to saline when I asked for it so I asked my GP to write a prescription while I looked around for a new Pulmonologist. And I did make an apt with Mayo Clinic for a second opinion while searching for a new local Pulmo. I saw a terrific Dr at Mayo, who said that I most certainly should nebulize 2 times a day.
Not sure why Dr McShane does not like on-line saline but perhaps because it is not a pharmaceutical grade of saline that might have impurities. ?(only a guess). Without sounding too judgemental, you might look around for a new Pulmo who has expertise with Bronchiectasis and MAC.
There are also many great posts on this site. After my diagnosis, I first landed here, where I got good sound advice and guidance.
Again....wishing you good health going forward. Kate

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@alleycatkate

@doberdoo. Did your Pulmonologist give a reason for not prescribing saline? Most all of us on this Mayo Clinic Site do nebulize and most all pulmonologists recognize it's importance for assisting in the clearance of sputum from your lungs. Was there a connection to your heart issue?
Funny....My first pulmo said no to saline when I asked for it so I asked my GP to write a prescription while I looked around for a new Pulmonologist. And I did make an apt with Mayo Clinic for a second opinion while searching for a new local Pulmo. I saw a terrific Dr at Mayo, who said that I most certainly should nebulize 2 times a day.
Not sure why Dr McShane does not like on-line saline but perhaps because it is not a pharmaceutical grade of saline that might have impurities. ?(only a guess). Without sounding too judgemental, you might look around for a new Pulmo who has expertise with Bronchiectasis and MAC.
There are also many great posts on this site. After my diagnosis, I first landed here, where I got good sound advice and guidance.
Again....wishing you good health going forward. Kate

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Forgot...in answer to your question....7% saline from a pharmacy.

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