@sueinmn
Hi, I'll be happy to share more.
Bronchoscopy in 8/2024 found pseudomonas, MAI (Mycobacterium avium-intracellulare), aspergillus, and staph. The MAI was in the BAL sample only, not in the RML sample. We've been watching since then, since I didn't feel sick (and I still don't.) Unfortunately, things have progressed-- more inflammation, tree-in-buds, etc. especially in the RML and LL. And now there's (probably) cavitation. We're watching 4 possible cavities-- they are very small right now-- the largest one is 1.4 cm. Since the bronchoscopy I've submitted 3 sputum samples and they all have shown pseudomonas and staph, but MAI and fungus are negative. The theory is that I just am not getting the samples from the infected areas, because everyone seems to agree that my CT scans show MAC progression. I found a specialist in my area 8/2025 and I recently did the work-up at NJH. (Waiting on 3 sputum culture results submitted while there.)
I'm no longer in my phase of denial, and it looks like MAC drugs in about 6 months, when I do my next CT scan. Boo.
Regarding AC, I nebulize 7% saline (17 minutes) and do my variation of autogenic drainage while laying almost flat in a recliner (30 minutes). I get out maybe about 1/8 of a cup of sputum each day. I'm in the process of ordering a vest. When that arrives the plan is to do 7% saline, Aerobika, and vest all at the same time, with intermittent huffing. I'm also supposed to do this routine twice a day.
Oh, I also have bronchiectasis.
If there's anything I left out, feel free to ask!
@letsjustbreathe All helpful to know - I'm guessing you are headed for antibiotics, maybe for Pseudomonas first, then MAC.
If you do start the antibiotics, NJH will advise you well on the exact protocol to follow, ut those who have been "in the trenches" will add thrit own advice.
Here is mine - get eye and hearing exams as a baseline, and as often as recommended by your doc to catch any side effects early. If you experience nausea (common), ask if it okay to take the meds at bedtime to minimize discomfort. To keep your intestinal flora functioning, eat live culture yogurt, fresh sauerkraut, kombucha or take a wide-spectrum probiotic. At the first hint of weight loss, get on a high calorie eating plan. (There are lots of discussions about it in this group.)
Above all, know that you can do this, and with good docs backing you, the journey will be much easier.