New Diagnosis of MAC/MAI & I'm scared

Posted by sueinoregon @sueinoregon, Sep 10, 2018

Hi, I am new to this site. I just got the results of my broncoscopy a week ago. First I was told I had Staph Aureus in my lungs & was put on Levaquin X 10 days. OK, Now she tells me I had MAI & I think the other one is MAC. Anyway, My pulmonologist said we are waiting for the sensitivity test to see if the bacteria in my sputum are sensitive to the antibiotics....or not....since now some strains are resistant. My name is Sue from Oregon and I am 61 years old with Sjogren's Syndrome, Rheumatoid Arthritis, Bronchiectasis, and now THIS. My RA & bronchiectasis are extensive with a lot of coughing and I am on a biologic immunosuppressive drug, infusion, for the RA. I read several posts at this site, looked up the side effects of the 3 meds my pulmonologist said she will put me on, scheduled an eye and hearing exam. This is scarey!!!! I'm already weary of my life having been turned upsidown in the last 4 years with my health struggles. (On SS disability now) I talk with a clinical psychologist every other week & she is helpful. Is it really helpful to talk about it online? Or does it just make one ruminate about it all the more? I'm not sure which it is. Please let me know if it has helped you cope, or not. Thanks.

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

@irene5

@sueinoregon First let me say “welcome to this site.” Like you I was in an emotional place about this diagnosis, especially since I, like you, have other things going on as well. This site will give you so much good informative and support. I have been so grateful for that and for the friendships I have made through this empathetic and knowledgeable forum. Because of that I am in a stronger psychological place than I was before finding this site. Each of us have our own personal journey with MAC. Attitude is everything Sue. We are all here for you, and if you go back and read previous posts you will find lots of answers. Our previous and present mentor and many members have been extremely helpful in providing good and helpful information and support about this disease. Welcome! (Irene5 from Connecticut)

Jump to this post

Thank you Irene5. I will continue to read the posts. I deal with it OK sometimes, but .....it's like when you're sick you're not feeling well. I will look for more info about other treatments than the antibiotics. It is hard to reason that anything else could fully take the place of the antibiotics. On the other hand, if they help me fight this, I reason, perhaps I will feel better in the long run. Now I need to find out where the closest Mayo clinic is and if they accept Medicare assignment. I also made sure I got the best Medigap plan.
Another challenge is getting no empathy (not sympathy) from my husband. He doesn't say much about it except mention "I bet those antibiotics are going to be expensive" & complain I'm not "affectionate" just lately. Hope I didn't say too much. BUT, how it affects him seems to be his only concern. Anyone else made to feel this way???. I only bring it up because this seems to be what is upsetting me the most.
My sister died 3 years ago and her name was Irene. How ironic. I still miss her a great deal.
Thanks, SueinOregon

REPLY
@oldkarl

@sueinoregon Keep plugging Sue. I am also from Oregon, (Lincoln County) Sounds to me like you have enough diagnoses to push for a dX of some disorder that would trigger all these things, probably an autoimmune something or other. There are some things you can be pretty sure of. It is Systemic (whole body), Primary (not triggered by something else like radon, etc.), At your age, 61, you are just getting into the years when these diseases are typically catching up with you. Sjogren's Syndrome, Rheumatoid Arthritis, Bronchiectasis, and now THIS. My RA & bronchiectasis are extensive with a lot of coughing and I am on a biologic immunosuppressive drug, infusion, for the RA. Now, I am not sure but I could easily guess some form of Amyloidosis Light Chain such as Crohn's, Lupus, AL, Gelsolin (mine). (https://bit.Ly/1w7j4j8 under "Amyloid". There are a couple thousand in this category. Mayo-Rochester (Dr. Martha Grogan) or Stanford can help you most. Martha Grogan has done some wonderful videos on diagnosis of Amyloidosis, and they are free. Watch several of them, and you will surely get some great leads. Your doc will need to start with the SERUM FreeLightChain(c)Bindings and have ARUP in Salt Lake City analyze it. They are probably the best in the West. If your reading is >1.5 milligrams protein per deciliter of serum, you are seriously on the right track. if less than .5 mG/dL, protein is not the issue.

Jump to this post

oldcarl, thank you for your reply. I've never heard of Amyloidosis. Interesting. It said 70% are men, but 30% is still a possibility. Everyone in my family has autoimmune diseases. I have 3 and we have a son with advanced primary progressive multiple schlerosis. Thanks for the info and I will look at your dx more closely.
It looks like all the Mayo hospitals are far away from me I'm at the south end of the Pacific coast of Oregon. Where do you go? Are they good? Are they specialists with the Mayo clinic? ....I have a lot to learn.

REPLY
@sueinoregon

Thank you Irene5. I will continue to read the posts. I deal with it OK sometimes, but .....it's like when you're sick you're not feeling well. I will look for more info about other treatments than the antibiotics. It is hard to reason that anything else could fully take the place of the antibiotics. On the other hand, if they help me fight this, I reason, perhaps I will feel better in the long run. Now I need to find out where the closest Mayo clinic is and if they accept Medicare assignment. I also made sure I got the best Medigap plan.
Another challenge is getting no empathy (not sympathy) from my husband. He doesn't say much about it except mention "I bet those antibiotics are going to be expensive" & complain I'm not "affectionate" just lately. Hope I didn't say too much. BUT, how it affects him seems to be his only concern. Anyone else made to feel this way???. I only bring it up because this seems to be what is upsetting me the most.
My sister died 3 years ago and her name was Irene. How ironic. I still miss her a great deal.
Thanks, SueinOregon

Jump to this post

@sueinoregon I am so sorry about your sister. Irene is an old name that means Peace (maker). I’d smack that husband of yours upside the head! Not that that’s a very peaceful thing to do, but it might make him take notice! My husband has sarcoid and is quite sick himself so we lean on each other. It wasn’t always like that so I understand how you feel about his insensitivity to your illness. I will pray he figures it out soon. That’s the thing with MAC - we literally can’t perform activities of daily living which may be frustrating for a spouse, but is way more frustrating for us!! I haven’t paid for the meds with Medicare and secondary insurance (retired teachers). Hopefully they won’t cost much for you. Big hug and know I keep you close in thought and prayer. (irene5)

REPLY

@sueinoregon Hi, Sue. Yes, the Mayo hospitals are a long way from Oregon. Even it you choose to go to Mayo, you still have to make hard choices about which one to work with. I chose Arizona, which was a big mistake. They seemed angry because I had bought an expensive book on Amyloidosis edited by Morie Gertz at Minnesota. They never bothered to seriously look at even the lab results they took, or perhaps they did not know what they meant. Minnesota is the Mayo Amy Queen shop, I guess, but it is nearly impossible to get in. As far as locals, I have to go to the Clinics in the area, and I would not recommend them for Gelsolin. I am down to looking at a few directions. One more try and Mayo-MN. Stanford (they have a good looking clinical trial) MD Anderson (Houston or Arizona) or just wait to die. The ARCI.org clinical research app for Android says that I have less than two years to live. No doctor wants to look at my Gelsolin because it is such a slow grower. It seems to be right on the line between hereditary-Chronic and hereditary-progressive. Anyway, my contact at Stanford has been extremely helpful, especially if I can get into the CT. In my family, in three generations, so far, 11 of us apparently have Gelsolin or something similar. Thank God for the favor of letting us get as old as Methuselah's grandfather before the big pains hit. The diagnosis rate is low because it does not show up until the 70-80s or so, when most of us are gone anyway.

REPLY
@sueinoregon

Thank you Irene5. I will continue to read the posts. I deal with it OK sometimes, but .....it's like when you're sick you're not feeling well. I will look for more info about other treatments than the antibiotics. It is hard to reason that anything else could fully take the place of the antibiotics. On the other hand, if they help me fight this, I reason, perhaps I will feel better in the long run. Now I need to find out where the closest Mayo clinic is and if they accept Medicare assignment. I also made sure I got the best Medigap plan.
Another challenge is getting no empathy (not sympathy) from my husband. He doesn't say much about it except mention "I bet those antibiotics are going to be expensive" & complain I'm not "affectionate" just lately. Hope I didn't say too much. BUT, how it affects him seems to be his only concern. Anyone else made to feel this way???. I only bring it up because this seems to be what is upsetting me the most.
My sister died 3 years ago and her name was Irene. How ironic. I still miss her a great deal.
Thanks, SueinOregon

Jump to this post

@sueinoregon, I am so sorry about your sister, I lost my sister 3 years ago also and I know how that hurt. Sometimes family don’t understand this disease and they often think we’re just always sick. I have 5 kids and at first they won’t even try to understand what I was going through. I would feel so hurt because I wanted them to know it was so difficult for me. But they would often get upset and say mom why are you always sick and that hurt so bad. But it took about 3 years for them to understand it’s not me it’s the disease, and they know now I am going through a lot and they now support me all the way. They wanted me to just go out and enjoy life and I was always tired. But it took a long time but they do now. As for my husband he is one of the most wonderful man and he’s with me in everything I go through. Every doctor’s appointment and really supports me. It will get easier as you go. I wish you were close to Florida Jacksonville Mayo Clinic, it’s the best experience I had with doctors since I got Mac and all the other bacterial infections I’m fighting. The doctors are really great. But I’m sure there’s a Mayo that’s closer to you. I wish you all the best and hope that you will find the best doctor to work with you. Rita

REPLY

@sueinoregon ....to share thoughts on where to go for second opinion.....I opted to go to National Jewish Health in Denver. It alternates with Mayo as #1 respiratory facility in USA. It is thorough. Check it out under national jewish.org. As important as everything else, They take Traditional Medicare/supplement. I did not see a bill when I underwent 2 weeks of testing etc.Mayo accepts traditional Medicare but tacks on a 15% addition to what Medicare determines is the charge. Your Medicare/supplement/ medigap policy may have the rider for the 15%. NJH prior to arrival will evaluate financial costs....if any.tdrell

REPLY

tdrell…..…. just for the record if it might help anyone, I have medicare and blue cross\ blue shield I've been to Rochester three times and have continued contact with my pulmonologist through their portal for the entire three years and have never seen a bill.

REPLY
@auntnanny

tdrell…..…. just for the record if it might help anyone, I have medicare and blue cross\ blue shield I've been to Rochester three times and have continued contact with my pulmonologist through their portal for the entire three years and have never seen a bill.

Jump to this post

@auntnanny....great to hear your supplement covered the 15% at Mayo....had I opted to go there I am sure the rider to my supplement (WPS) would have also paid the surcharge.
I opted for NJH for a variety of other reasons...one of which was a direct flight ...Milwaukee to Denver. Another was that my daughter and grandson live in Denver.
As a variable in planning to go for second or third or any # opinion, , unless we are of the finanancial 1%, I think we should check out the cost in advance so we are aware of it..tdrell

REPLY

@sueinoregon Hello Sue! Welcome to our Connect group. I have to apologize for this late welcome. I was prepping for and then running from that big hurricane. As you can see, there is no shortage of caring souls here. I see that many members have responded to you. Have you had a chance to read over some of the older posts? There is also a Discussion Board with topics you can check out also. It is located on the Home page of the Mac and Bronchiectasis group. When you get to it; you will have to scroll down a lot to see all of the topics. Sue, I am very glad that you found us. This disease can be scary, but the more you know about it, the better armed you will be to fight it. It requires taking good care of yourself (using all of our tips) and most importantly, finding a good doctor who knows how to treat this. You can go to http://www.ntminfo.org and find a specialist in your area. The drs on there are registered by state. I go to Mayo Clinic in Florida. They are the best in my book. The nearest Mayo to you is in Rochester, Mn. Please feel free to ask me questions. Do you have confidence in the doctor you currently have?

REPLY
@auntnanny

tdrell…..…. just for the record if it might help anyone, I have medicare and blue cross\ blue shield I've been to Rochester three times and have continued contact with my pulmonologist through their portal for the entire three years and have never seen a bill.

Jump to this post

@auntnanny Jan, I suspect your secondary insurance has been picking up that last 15%.

REPLY
Please sign in or register to post a reply.