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MAC & Bronchiectasis | Last Active: Jun 12 10:13am | Replies (13)
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I started taking all meds at the same time taking them 3 times per week. We will now start to reintroduce one at a time starting with the rifampin then ethanbutol then either azithromycin or replacement. We are going by what dermatologist said the rash indicated to be the azithromycin.
Being an ex-smoker, i have low dose cts yearly. I had a
bronchoscopy 2 yrs ago for mac but test came back negative. This time positive. I do not have congestion or cough. Therefore I do not do any airway clearance.
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Regardless of whether you have a cough or congestion, airway clearance is one of the pillars of managing MAC and Bronchiectasis. There are many discussions in this group about airway clearance, and why it is vital, but I most frequently suggest that you watch the video by Dr Pamela McShane, one of the foremost experts in managing MAC. You can find it here:
It is possible, if you are asymptomatic, that you can manage your MAC with airway clearance using 7% saline nebs, WITHOUT the antibiotics. A pulmonologist who doesn't suggest airway clearance may not be experienced at managing and treating this rare infection. At our most recent appointment last week, my pulmonologist said she has a number of patients who have kept their MAC controlled for years with saline & airway clearance and no antibiotics.