What is the average life expectancy of untreated mac?

Posted by carolweinberg @carolweinberg, Mar 29, 2023

What is the average life expectancy of untreated mac? I am 76 years old and have decided not to take the antibiotics. I am 5’4” and weigh 100 pounds.
Thanks. Am I going to suffocate to death? What is dying like with this disease? Thank you. Carol Weinberg

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Profile picture for Sue, Volunteer Mentor @sueinmn

Thank you so much for your concern. I am aware of the risks, and cautious about minimizing use, but...in addition to hyper-reactive airways and asthma, I have a hyperinflammatory systemic reaction at times. A course of prednisone is the on.y thing that allows me to keep moving. I take every precaution to keep my bones strong with diet, exercise and supplements. I have a DEXA faithfully every 2 years, wand so far, so good!
Sue

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I have seen several post where people refer to bone health. I have been waiting for the opportunity to share this with everyone. Since I have learned about this I share this with everyone that I can. These are youtube links that will help you understand about K2, D3, and calcium. Dr. Berg also has a couple of videos you can search for. This is not new research but it was new to me when I learned about it. Now the K2 supplement is hard to find locally so I get it on line, the brand name nutricost Vit. K2 I get the one that also says MK-7 on the bottle. Please please take the time to learn of this and share it with others.
/https://youtu.be/D_UJaEZe9gg

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Profile picture for BlueSplashGirl/ Carolyn @bluesplashgirl

Hello, I am certain every body reacts differently to every disease it is presented with. The way we care for our bodies is important in the food we eat, the way we move our muscles, the rest we get. Everything is connected in our bodies and relies symbiotically on the other. I stopped the big 3 because it made my life worse. Although the drugs were affecting my hearing, my doctor thought I should continue with them even though 3 years later nothing had changed and I was still infected. I will try to be vigilant as time goes on and do what I feel is best for my body. Will MAC kill me? Who knows? It may cause other problems but I am a firm believer in Quality over Quantity. I wish you all the very best!

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I look at things much as you do. I can understand why you stopped meds after taking them for three years with no improvement. I had CT in February showing Mac had progressed. At that time I refused medication. Now I am considering taking big three. The nurse at ID dr suggested I try them for one week. She said there was a chance they would stop progression. I I thought the idea stop in progression sounded pretty good. But when I read some posts about side effects, I get cold feet. I will be 90 in June. To add to my confusion about the big three, another nurse at same doctors office told me if I were her mother, she would tell me not to take them. May I ask how old you are, and would I be presumptuous asking any other thoughts you may have about taking the big three? How are you now? Thank you.

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Profile picture for lauraadam2425 @lauraadam2425

I am 76 years old and it took 3 years and a loss of 100 lbs before they diagnosed me with mac and Bronchiectasis. I started the big 3 last Aug and last month was taken off ethambutol by my eye specialist after failing my second eye field test. My immune Dr did concur with taking me off the med. But I did get good news that my second series of cultures have come back negative. This is after cultures coming back in the beginning positive for 3 different varieties of mac. Like they say everyone is different, but I think the meds did their job, but I have to admit I was very reluctant in taking them at first and had several side effects. Good luck in whatever decision you decide on.

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@lauraadam2425 where were you treated?

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I was 79 years old in March ,weighing 84=lbs ,when I learned that I had an NTM Cavitary mass .I tried taking 5 antibiotics and one I.V for just one week and was so sick that I was losing more weight.I knew that I couldn’t tolerate antibiotics because I have many G.I. issues. I went to a pulmonologist after my biopsies who said I must take antibiotics for two years, and I knew that was something that I could never do. I did look into having surgery for my mass and I did have a Robotic Lung Resection. I never presented with symptoms to begin with and still do not have any.
Before the surgery, when I thought antibiotics were my only choice, I decided not to treat, and just live whatever quality of life I had left.
As I read, you don’t die from this disease,but rather complications of it, i.e. heart failure, etc. Surgery saved my life, but I did make a decision prior to surgery that I would not treat and just have the best life I can for whatever time I can have it….. My surgeon said that antibiotics wouldn’t of worked anyway, and although most doctors go by the book, I would suggest if you’re not going to treat with antibiotics ,look for alternative ways to treat your bacteria ……Just live the best life that you can ,and be confident with your decision!!

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Profile picture for georgesav @georgesav

My wife has MAC and Bronchiectasis. She is on the big three… however… both her pulmonologist and ID doctor have told her several times… she may die WITH these two diseases… but will almost certainly not die OF IT if untreated.

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@georgesav then what does it mean when you read someone lost their battle with MAC?

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Don’t google that question

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Profile picture for reneemc @reneemc

@georgesav then what does it mean when you read someone lost their battle with MAC?

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@reneemc
It most likely means they didn't lose their battle with MAC, that they had a comorbidity or two along with it, perhaps not getting vaccinated against the flu or Covid, which our lungs wouldn't enjoy and could mean trouble. You don't die from MAC itself -- you live with it and focus on what is positive in your life, living it the best you can. I haven't been on meds for 2.5 years now and am stable -- and I'm 81 years old. I go by the usual protocols, like airway clearance, etc. My sputum samples have come back from NJH as "no AFB" for the past 9 months in spite of them showing MAC/MAI for the 2 years before that. My samples consistently show my fungus happily growing in my lungs and I do have Bronchiectasis too. I also have frequent bouts of major hemoptysis and am still alive!

I do not read in depth the journeys of others (on search engines especially) because they may or may not be true and definitely don't reflect everyone else's journeys. Here I am 3 years after the diagnoses of 3 separate lung issues and living my life and, although not ideal, at least living and working around the effects of the diseases as best I can. We have no idea what our future will be health wise, whether we are healthy or not. Wishing you less stress and the best!

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