@soflo, I honestly thinl you should bite the bullet and make the drive to Mayo and see Dr. Leventhal. I will still poke around your area for a dr closer to you. This is a serious illness and it takes an expert to treat it. Mayo is a much smoother and less expensive experience than going to a private practice dr. At Mayo, all tests are done in the same day and all results are back by the end of that day. Then you meet with your dr at the end of the day and discuss results and a treatment plan. In private practice tests are book on various days resulting in many trips out for appointments. You wait weeks for results.....you know what I am saying.

@soflo ...I decided that I liked Terri's Dr., Dr Levanthal's approach of making a hostile environment for the MAC with saline.(like salt miners that usually do not get lung issues) It seems smart even though my pulmonologist said no moisture/nebulizing. (it is pehaps the only thing he said to me) There seems to be many opinions and approaches to this disease...and I think in the end you need a good Dr and your common sense. Yes...I am thinking of going to Mayo if there is no Dr that is terrific in our neck of the woods. Quite frankly, from what I hear from Terri, Dr. Levanthal is my ideal. I am currently taking Astragalus to boost the immune system...d3k2, NAC for my lungs, my list goes on but it is for other things...Just did start taking SAMe for my attitude and feel so much better about approaching this stuff...truly a different mindset. Also have added Echenacea and Zinc that supports the immune system...and both supposedly will help cut a cold 's time down by half. (?) Also started back to the gym for a cardio workout regularly. I want to get well!! I have ordered Clear Lung (blue) by Ridgecrest as many on the Mayo site recommend it. Not sure if all this is right for you but read up on it to see what you think. My husband brought home a cold to me and I am now taking an expectorant, Guaifensin, that loosens mucus and rids chest congestion. Hey maybe we could journey north to Mayo together which would be great...I have to look into my insurance as I have an awful HMO to see what it takes to get out of network Dr's. Oh...I went to my GP today...told her of my pulmonoligist's comment not to nebulize then told her about this site and the recommended nebulizing from Mayo and she prescribed my nebulizer and the saline. Love my GP!! I think you said you were asymptomatic...??? Good for you. Me too and hope we can stay that way. Please don't fret...I think it becomes easier to cope with when we have good information. And good support which is HERE!!

@soflo I  am not so sure about moisture/nebulizer if your doctor didn’t recommend it. Some people on this discussion site have more than bronchiectasis and MAC. The MAC is not necessary the cause for coughing blood it can be the bronchiectasis the cause. Those

who has COPD may need it more.  As I said one good thing to do with any infectious disease is probiotic to get more good bacteria to fight the bad one.  What is good for one person may not be good for another one.  Good luck in making wise choices. Nick

@alleycatkate Good morning! I am glad that you got your nebulizer and saline. If it is too harsh for you at first, approach it slower. Just do the amount that you can tolerate. Eventually, you get totally used to it. It is supposed to make you cough so that you bring up phlegm. I got used to it and no longer cough from it, but, I know that it is still doing it's job by thinning the mucous. (Mac likes thick mucous to colonize on) Your text indicates that you are on the right track in taking care of yourself and I love your attitude. Stay strong!

@nick52 Hi Nicole. Like every other aspect of this lung disease; there are conflicting opinions on how to treat it. The use of saline can be especially helpful for mac/bronchiectasis to inhibit live organisms from growing. My mom had severe COPD and her dr had her move to Arizona from Virginia to help keep her lungs dry. Breathing air is easier when there is less humidity in it with that condition. There are many uncertainties with MAc/nrochiectasis disease. One thing I AM certain of is that Mayo doctors thoroughly investigate everything about your health and custom treat. They do not do cookie-cutter therapy like everyone else. That is what makes them the best.