I was diagnosis in 2019 (after double pneumonia) "Bronchiectasis in all five lobes". Obviously, this had been going on long before diagnosis. I've been a very dedicated walker for 40 years. I think whatever mucus I was producing then was coming up on its own through the effort of walking. I chalked the fatigue I was feeling to age, but this fatigue did impact my energy level. In the last two years, I began to develop more infections. Even these infections were manageable - if I had fever, I'd go to the doc and be treated; if no fever, I'd work my way through it - even pleurisy - just kept walking and it would subside. I always look good to the clinician - good sat rate and vitals, so in other words asymptomatic to the doc. But asymptomatic wasn't really true. At home, for some time I began to have increased mucus to deal with. I did airway clearance, took Mucinex, ate well, but was becoming more fatigued and losing weight. I still could walk, but the weather and smoke impeded my efforts. This spring I caught something, was hospitalized with sepsis and productive heavy pneumonia. Discharged, relapsed, hospitalized, etc. With follow up, MAC Intracellular plus a Haemophilus infection were discovered. Big 3 treatment and Brinsupri are slowly helping, and I mean slow as in baby steps. I was told the MAC infection had progressed to the stage where it "bloomed", so my (now immunocompromised) system couldn't fight off the Haemophilus (opportunistic) infection. Should I have been treated while I was asymptomatic? I sure wish I would have pushed for it, but I didn't understand the significance of fatigue and increasing sputum as symptoms. Here it was the insidious MAC, gaining a firmer grip on me for months. Docs say I will never be rid of this, and as sick as I have been, I know considerably more damage has occurred. If anyone out there is wondering whether or not to treat, remember, MAC grows slowly at first, but then it can bloom, kind of like cancer does.