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.

@pfists

@sueinoregon
Hello Sue and wellcome to this board my name is Shari.
I am so sorry for the health trials you have been going through. I know how really hard it is to deal with receiving news like that.
I believe it helps a lot to talk with others that are going through the same things or have been through some of the same trials. Also on this board you will learn so much about this disease, treatments and about how we can also be overcomers.
There are others on here on the board with RA I am one of them. I also had to go on SS disability for the RA a number of years ago. I was also on a biological immune suppressant drug 7 years ago but that wasn't when I was diagnosed with MAC but was diagnosed with Pseudomonas which had gone on for months before I got in to see a pulminologist.
The pulmonologist then took me off the immunological suppressing drug for RA immediately. I have been doing very well for 7 years with the RA while being on two different drugs to treat it that don't suppress my immune system. One is minocycline three times a week the other is plaquenil.
I also have been testing negative for Mycobacterium Abcessus for a year and a half now. I had tested positive for one year prior and did not do the antibiotics but a number of alternative treatments.
There is hope you can get through this. You need to get the best Doctors working for you. Some others here didn't take antibiotics some rotate one antibiotic for one week every month and some have or are taking the antibiotics.
Also there are some treatments coming on the scene that are easier like nebulized antibiotics or inhaled nitric oxide to name a couple.
Hang in there we are here for you!
Shari

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What are the laternative treatments you use? I was just diagnosed with MAC and don't want to do antibiotic treatment.

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@andyj

Hi, Terri M and thank you for your participation as a mentor. I've just joined this forum, and am considering the antibiotic "big 3" treatment for MAC which was diagnosed approx. 6 months ago. Have read so many posts which describe concerns which I identify with, and am somewhat comforted to know that others are coping in many positive ways. Just the other day my infectious disease Doc asked about hot tub use! I find that the jets/hot water to be so therapeutic for arthritic spine etc (I'm 73 and fairly active) I hate to give that up! I live in CA, Monterey Bay, where it's often foggy/rainy and really enjoy a morning or late evening soak. Have you discontinued using a hot tub?

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@andyj Hello, and welcome to our group. I know the heartbreak of thinking of giving up something that you love to do. I feel certain that I caught my mac infection from our hot tub. We were in it every night. Hot tubs are a notorious hot bed for mac. This bacteria has become resistant to heat and chlorine. If you cannot give it up; at least use it without turning the jets on. The bubble's effervescence (mist) are what makes the mac airborne and easily inhaled. Also, empty and clean it more than usual. Try Googling 'Hot Tub Lung'. There are many articles about it. You can have the water tested also if it would ease your mind. I have a site of a specialty laboratory that can test it. We got rid of the hot tub after learning more about mac. I also avoid them at any resorts.

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@ann0616

Hi everyone –
I have been reading your board since my diagnosis last Thursday. I went for a CT scan for a nodule that was possibly lung cancer. He told me good news was I didn’t have lung cancer, but I have bronchiectasis. I live in Madison, WI area and I am 63 years old. I have supposedly had adult onset asthma for last 15-20 years. I had a bad case of measles as a child. Also had whooping cough 15 years ago. I had a severe case of pneumonia two years ago. Since then I have just had shortness of breath and nagging cough mainly in the winter months. That is why I went to the doctor last week. I have an appointment with Pulmonary at UW Madison on January 30th. But after reading my CT results (which I had to Google to find out what things meant) I fell apart yesterday that MAI was mentioned. Notes from CT scan are:
IMPRESSION: Multiple small pulmonary nodules. Nodules abutting the pleura may
represent intrapulmonary lymph nodes. In addition, there are areas of mucous
plugging and bronchiectasis. The constellation of nodules and bronchiectasis can
be seen in patients with MAI infection. Focal area of groundglass nodules in a
bronchovascular distribution may also represent infectious etiology. Mediastinal
lymph nodes may be reactive. Pulmonary consultation could be considered.

Thanks for all the info.

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@ann0616 Hi Ann. Please don't freak out just yet. The report said 'the constellation of nodules CAN be seen in A patient with mai.' Meaning it is a possibility. It didn't say 'this patient' has it. Many of us, including myself have had nodules in the lungs, but not diagnosed with mai. Wait for the test results to come back. Wisconsin is one of the states that has the highest incidence of mac in our country. Have you read how to make changes at your home like raising the temperature on your hot water tank? The list of changes can help minimize the amount of mac you are exposed to at home. Your water pipes are the likely culprit. Plumbing pipes are a typical breeding ground where mac likes to colonize, especially in shower heads. The list is posted on the Discussion Board. Do you want me to go thete and retrieve it for you? Or have you already seen it?

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@ling123

@ann0616 Hi Ann, I also live in Madison. I have been diagnosed with bronchiectasis and MAC/MAI in the fall of 2014 after coughing up large amount of blood and an overnight ER stay due to MAC/MAI infection. The possibility of TB or lung cancer did cross my mind. But it turned out to be neither after the CT scan and sputum tests. It was suspected that I might have been exposed to TB as a child due to positive skin test although the disease never developed. Such an exposure was attributed to the development of my bronchiectasis, which in turn makes me susceptible to MAC/MAI infection. Although I do cough and have excessive mucus sometimes, especially in cold weather, I don't have other issues such as shortness of breath, fatigue, etc. I don't know which pulmonologist at UW hospital you will be seeing. I have been seeing Dr. Scott Ferguson for the past 4 years. I'm not on any meds for the time being. Dr. Ferguson and I agreed that we would take a wait-and-see approach and will only consider getting on the drug treatment when it becomes necessary. So far my CT scan and chest X-ray results show no worsening of my bronchial tubes. I am able to lead a normal and active life. For that reason, I'm probably not able to offer you much help in the direction of possible treatment for your case. But I do want to lend you emotional support and to let you know that there is no reason to panic at the mention of MAI. Until I came to this group, I had no idea bronchiectasis and MAC/MAI are such prevalent diseases. Although there is no cure for bronchiectasis, MAC/MAI is treatable. I don't even know if I'm still positive with MAC. Since there is no new development in the CT scans and chest X-rays for the past 4 years, I think it has either gone away on its own or has gone into remission. Either way, I'm happily living my life without worries. Please keep us posted of what is going on with you and let us know what you find out from your visit to the UW Pulmonary Clinic. There are plenty of people in this group who can offer experiences, suggestions, and support. One thing is for sure, you are not alone in this.

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@ling123 Thanks so much for your reply. I was so stressed two weeks ago because of the unknown but in a better place now. I have heard of Dr. Ferguson. Are you happy with him? I am seeing Dr. Anguiano. I know nothing about him. They wanted to get me in as quick as possible. I am not sure if he even has any knowledge of bronchiectasis. Like you, I don't have many symptoms right now. Again, thanks for the response. Means so much to me to hear from someone else with this diagnosis.

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@egayle187

@ann0616...Welcome to the group.We're glad to hear you will be seeing a pulmonologist and hope that s/he is familiar with bronchiectasis and MAC. Prepare for your visit with copies of your records. If your medical journey is like mine, you have an asthma dr. a PCP and have visited emergency clinics often.Try to make a comprehensive narrative out of it. Also, I've found that the records don't always agree, so check the diagnoses. My clinic doesn't have any info from my specialists.Good luck and please keep us up-to-date.

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@egayle187 Thanks so much for your reply. I am following your advice and getting copies of records together. I am so anxious to see a doctor so I know what is going on and to have a plan. Your response is greatly appreciated.

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@ethanmcconkey

Hi @ann0616 you may have noticed I moved your post to this existing thread so that you can learn more from others who have been diagnosed with MAC or MAI. Simply click VIEW & REPLY in your email notification and you can read more in this thread.

I wanted to thank @ling123 and @egayle187 for responding to your post.

Back to you @ann0616 how have you been feeling since your last doctor's appointment?

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@ethanmcconkey Thanks so much for your response. I have not had a doctor appointment yet. It is next week. Will keep you posted.

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@windwalker

@ann0616 Hi Ann. Please don't freak out just yet. The report said 'the constellation of nodules CAN be seen in A patient with mai.' Meaning it is a possibility. It didn't say 'this patient' has it. Many of us, including myself have had nodules in the lungs, but not diagnosed with mai. Wait for the test results to come back. Wisconsin is one of the states that has the highest incidence of mac in our country. Have you read how to make changes at your home like raising the temperature on your hot water tank? The list of changes can help minimize the amount of mac you are exposed to at home. Your water pipes are the likely culprit. Plumbing pipes are a typical breeding ground where mac likes to colonize, especially in shower heads. The list is posted on the Discussion Board. Do you want me to go thete and retrieve it for you? Or have you already seen it?

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@windwalker888 Hi Terri. I was very stressed at first, but have calmed down and waiting to see a doctor next week to see where to go from here. I noticed that several people that responded to me are also from Wisconsin. I did not know about water pipes. Where in the discussion can I find the list? I just assumed it was from having measles, whooping cough and being raised on a farm. I live in a home that is nearly 100 years old. Do age of pipes make a difference? Thanks so much for the info.

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@jkiemen

@ann0616 Kind of sounds like what I had happen. Generally healthy until a sudden case of pneumonia. Just completely out of the blue. It scars the heck out of you. I am the same age and also live in Wisconsin about 20 miles from Lake Geneva. I am seeing Pulmonary in Milwaukee at St Luke's and had another opinion at Froedert. I was diagnosed in 2015 and started treatment in 2017. My first dose was Nov 30, 2017. I have had several CT's along the way. Each time I have one I go into panic mode because I am scared. I have a CT scheduled for March to see if I can stop the meds. Now I developed a UTI so dealing with that. Nothing like being on and additional antibiotic and trying to find one that is not contraindicated with the BIG 3. (Azitromycin, Ethambutol and Rifampin) By the way I was thinking I may have been exposed when I went to a conference at the Monona Terrace as I was in the small closed room where they had the hot tub for a while.

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@jkiemen I am amazed how many people here are from Wisconsin. I have calmed down so much since writing my first post. I am very anxious to see the doctor though and have a plan. I know so little about all of this. Interesting about Monona Terrace. How long were you in the room with the hot tub? It just makes me wonder about so many possible ways that I could have gotten this.

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@windwalker

@ann0616 Hi Ann. Please don't freak out just yet. The report said 'the constellation of nodules CAN be seen in A patient with mai.' Meaning it is a possibility. It didn't say 'this patient' has it. Many of us, including myself have had nodules in the lungs, but not diagnosed with mai. Wait for the test results to come back. Wisconsin is one of the states that has the highest incidence of mac in our country. Have you read how to make changes at your home like raising the temperature on your hot water tank? The list of changes can help minimize the amount of mac you are exposed to at home. Your water pipes are the likely culprit. Plumbing pipes are a typical breeding ground where mac likes to colonize, especially in shower heads. The list is posted on the Discussion Board. Do you want me to go thete and retrieve it for you? Or have you already seen it?

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HI Teri. I'm not Ann but would be interested in seeing the list. Thanks, Tina

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@andyj

Hi, Terri M and thank you for your participation as a mentor. I've just joined this forum, and am considering the antibiotic "big 3" treatment for MAC which was diagnosed approx. 6 months ago. Have read so many posts which describe concerns which I identify with, and am somewhat comforted to know that others are coping in many positive ways. Just the other day my infectious disease Doc asked about hot tub use! I find that the jets/hot water to be so therapeutic for arthritic spine etc (I'm 73 and fairly active) I hate to give that up! I live in CA, Monterey Bay, where it's often foggy/rainy and really enjoy a morning or late evening soak. Have you discontinued using a hot tub?

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@andyj Hi, I see an NTM specialist in NYC at NYU. When I was first diagnosed in 2016, I asked him about going in the hot tub wearing a mask. He laughed, and said he “was never asked that question” and then said he wouldn’t recommend it, but, it’s up to me if I wanted to take the chance. I decided not to take the chance. Thankfully, I never had, and still don’t have, any symptoms of an active infection. I’ve never been on the antibiotics. I DO have lung nodules, which they watch with CT scans yearly, (or sooner if necessary depending on what shows up). I also have bronchiectasis so I use the Aerobika twice a day for lung clearance and I alternately nebulize .9% and 3% saline daily. I guess, ultimately, it’s up to you if you want to take that chance. I was also going to look into salt water hot tubs but never bothered. That might be something you could consider if you REALLY can’t give up the the hot tub. Good luck.

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