(MAC/MAI) Mycobacterium Avium Complex Pulmonary Disease: Join us

Posted by Katherine, Alumni Mentor @katemn, Nov 21, 2011

I am new to Mayo online .. I was hoping to find others with .. MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) and/or BRONCHIECTASIS. I found only 1 thread on mycobacterium accidently under the catagory "Lungs". I'm hoping by starting a subject matter directly related to MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) I may find others out there!

I was diagnosed by a sputum culture August 2007 (but the culture result was accidentally misfiled until 2008!) with MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) and BRONCHIECTASIS. I am now on 5 antibiotics. Working with Dr. Timothy Aksamit at Rochester Mayo Clinic .. he is a saint to have put up with me this long! I was terrified of the treatment . started the first antibiotic September 3, 2011 ... am now on all 5 antibiotics for 18 mos to 2 years. Am delighted at the very bearable side effects!

I wrote on the 1 thread I found: If you google NON-TUBERCULOUS MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) you will learn a LOT about the disease. But PLEASE do NOT get scared about all the things you read .. that is what I did and nearly refused to do the treatment until after a 2nd Micomacterium was discovered! Educate yourself for "due diligence" .. but take it all with a grain of salt .. you are NOT necessarily going to have all the terrible side effects of the antibiotics! Good luck to you!

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January 2017 Update

One of our great Connect Members .. @Paula_MAC2007  .. had a wonderfully helpful idea that I wanted to share! Her idea .. as you read through the pages to gather information on our shared disease of MAC you can develop a personal "file cabinet" for future reference without the necessity of reading all the pages again!

If you have the "MS Word" program on your computer:
- Document Title Example:  Mayo Clinic Connect MAI/MAC Information
- Then develop different categories that make sense to you such as:  Heath Aids .. Videos .. Healthy Living .. Positive Thinking .. Baseline Testing and Regular Testing .. Antibiotics ..
Tips for
- As you read the pages .. copy/paste/save things of interest into that MS Word document under your preferred categories for future reference.

Then as you want to refer back to something in the future .. YEAH!  You have now created your own personal "file cabinet" on MAC/MAI!  Go to it!

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

@katemn

Imee, you need to hear me! This is VERY important .. now I do NOT want to alarm you .. MANY people do just fine on Ethambutol .. BUT ASAP .. I want you to make an appointment with a GOOD Ophthalmologist. I want you to tell them: I am on an antibiotic call Ethambutol. I want to get a BASELINE Vision Test.

THEN request a COPY of that Baseline Vision Test .. FOR YOUR OWN MEDICAL FILES!!

What I have read for recommended testing:
RECOMMENDED TESTING:
1. Ethambutol – color vision and visual acuity: GET BASELINE PRIOR TO STARTING .. THEN QUARTERLY
2. Azithromycin – hearing and balance: GET BASELINE PRIOR TO STARTING .. THEN QUARTERLY
3. Rifampin - CBD (blood counts), liver and kidney function tests: GET BASELINE PRIOR TO STARTING .. THEN MONTHLY

Then as you know .. I am BIG on Due Diligence. I don't mean to alarm you since many people do just fine on Ethambutol .. but after four months on Ethambutol I was in a car .. noticed I could not read the green road interstate signs the same way my husband could .. timing etc. I immediately got an emergency appointment with a Cleveland Clinic Ophthalmologist who did incredibly detailed testing of my eyes. Took me off Ethambutol .. within a year my long distance and color vision return 100% .. BUT I caught it very early. NOW .. Ethambutol is a VERY good antibiotic that is tolerated just fine by MANY people .. so do NOT get weirded out!! Just be watchful of any changes in your eye sight .. get that baseline eye report .. AND be aware of any vision changes. That is a part of our Due Diligence .. not to get crazy .. but to just be watchful. Sending you a hug! Katherine

Ethambutol 800mg (vision loss 02/12)

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Thanks katherine, I did an eye examination during the time that im taking ethambutol my doctor prescribed eye supplements. I already had blurry vision before taking ethambutol. I also requested for labtest to check if my liver is ok. So far the results were ok. Im taking 1 gloves of garlic with honey while waiting for my culture test. I read it online that garlic has an antibacterial compound called allicin and honey has antiba terial and anti inflammatory. I make sure drink enough water and green tea everyday. Im not sure if this will help. I also take multivitamins to strenghten my immune system. I will request for the lab test which you mentioned on my next appoinmeng. Thanks again.

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@katemn

Hello Kathryn, GREAT that you are feeling a bit better! I have been thinking about your post .. this is just me .. but because of my incessant coughing .. I decided to get another opinion a while back .. went to an excellent Allergist to have allergy tests done to figure out just what I was allergic to.. maybe another reason why I was coughing so much.

I already knew from previous allergy testing that I was allergic to mold. I was absolutely POSITIVE I was allergic to dust mites and had done a bunch of things to alleviate dust mites in my home. I was tested for various things including dust mites by the allergist.

To my shock .. NOT allergic to anything much including dust mites! BUT this doctor FINALLY explained to me for the first time just what my diagnosis of “Reactive Airway Disease” meant. His explanation: If someone hits me on the head .. I am NOT allergic to being hit on the head! I am REACTING to being hit on the head! IE .. my bronchial tubes are REACTING .. being irritating .. REACTING to various irritants that I am exposed to! I am NOT allergic to those irritants .. just reacting to them!

Yesterday I asked Dr. Aksamit about this .. WHY I cough so much in enclosed spaces ie automobiles .. sitting in a theatre close to people .. a restaurant booth etc. He said the bronchial tubes can REACT to MANY things .. MANY changes .. even changes in temperature .. humidity ..etc. That my bronchial tubes were REACTING to those changes as I entered a new environment. Ok .. explained.

So, what I am thinking is: first step get an appointment with a GOOD allergist to confirm/deny any allergies you might have. If the doctor cannot come up with any allergies. Then I wonder if you are just like me .. REACTING to various irritants to the bronchial tubes? Sorry .. a real pain in the batooty but things could be worse .. LOTS of worse illnesses we could have .. right?! Hugs to you! Katherine

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Great practical advice. I am on AARP and Angie's list is the way to go. I am on a fixed income but this is a must.

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@katemn

Hi Terri! SO glad you got that appointment at NJH! In terms of questions .. if I was you .. I'd just go back on the Forum pages .. read and write down anything that comes to mind that you think applies to your situation. That is what I did in preparation for my appt with Dr. Aksamit today .. just numbered my qustions .. leaving spaces for the answers. Now that I'm home .. I;m going to type up the answers while they are fresh in my mind. Personally I keep all these type things in Word documents .. my "memory" file .. since my memory is not that great! Happy for you .. This your GREAT opportunity for good answers .. prepare for it .. I know you'll do a great job! Hugs! Katherine

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I have not reported in lately. My last dr. Visit was 1 mo after discontinuing the meds. I'm feeling well. I will see dr. in dec for 3 month check up. Praying I'm still clear. I, too, lost weight after diagnosis and implementation of the 3 antibiotics. I have gained back over 50% back as my appetite has improved. After a while I think my body adjusted to the meds. and I did not feel as tired. As I understand the eye issue, if the Ethambutol does affect vision, it will be a dramatic change. This info was from my Opthmologist during a routine visit. Good to hear from others and feel blessed that I have done as well as I have. My treatment began in June 2015, Negative sputum in August. Took meds. for 12 months after negative sputum. I had a large appearing infiltrate. Each x-ray showed resolution. Last one was completely clear. After reading others stories, I hope I don't have a false sense of security and it will not come back.

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@kwilbur

I haven't been contributing as much to this forum as I am in limbo about my lung condition. I spent half a day in the hospital expecting to have a biopsy of a nodule 9 mm - only to be sent home because the radiologist was afraid of hitting the wall of my lung and my having a collapsed lung. While at the hospital, I had another cscan done and the nodule had gotten small 7 mm , the size it was in June.

Oddly enough, I have stopped coughing up phlegm too - or very little. I was getting sick alot at the beginning of the school year which was treated with antiobiotics. Then I had the flu shot and I really don't know what is going on other than I do know I have bronchiecticus which is a constant.

I am able to keep up with a long school day, but don't do any work once I am home - about 6 p.m. Today I pressure washed my house - well with a light weight Home Depot system and a hose - and was able to keep up a strong pace for six hours. I only pray I stay on this path.

I know I have to remain vigilant but spending every day worrying is a waste of quality life. I was already in a mindset that I had lung cancer which now I truly doubt. It's not worth worrying about possible outcomes until they are a fact. I wish you all good health and stamina as we head into the holiday season. Kathryn

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Thank you for this practical information - Gleason scoring. O.K. I really shouldn't work on my house as hard as I do - I was feeling strong and want to take advantage of every day I am like that. But this weekend I was much slower I promise you! Thanks for caring and the question to ask my doctor.

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@katemn

Hi Terri! SO glad you got that appointment at NJH! In terms of questions .. if I was you .. I'd just go back on the Forum pages .. read and write down anything that comes to mind that you think applies to your situation. That is what I did in preparation for my appt with Dr. Aksamit today .. just numbered my qustions .. leaving spaces for the answers. Now that I'm home .. I;m going to type up the answers while they are fresh in my mind. Personally I keep all these type things in Word documents .. my "memory" file .. since my memory is not that great! Happy for you .. This your GREAT opportunity for good answers .. prepare for it .. I know you'll do a great job! Hugs! Katherine

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Hello Elaine, good to hear from you! It is good for new people to hear that your body DID adjust to the antibiotics .. it gives them hope! For me the Ethambutol vision change was caught EARLY luckily .. so it was not a "dramatic change" in my opinion. But I guess I didn't actually ask the Ophthalmologist that particular question .. for me it was checking my vision against my husband's as we were driving .. noting that he could accurately read road signs before I could. The color vision change knowledge came when the Ophthalmologist checked my color vision .. I don't think I actually was aware of it prior to that. That is why I would tell people to be very aware .. because for me it was not "dramatic" .. yet it took me a year to fully regain my distance and color vision.

Don't be concerned about a "false sense of security" of it coming back. I have been "stable" since May 2014 .. just had my most recent check up last week! NO ONE knows what the future holds .. all we have control of is to take good care of ourselves .. be happy and live our lives as fully as we can! SO glad you are doing well .. put a big smile on my face! Keep us posted! Sending you a hug! Katherine

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Imee, you didn't say what your eye issue was but my husband has Macular Degeneration and his doctor told him to take over the counter:
PreserVision AREDS 2 Vitamin & Mineral Supplement $26 for 120 caps
https://smile.amazon.com/PreserVision-AREDS-Vitamin-Mineral-Supplement/dp/B00DJUK8HS/ref=cm_cr_arp_d_product_top?ie=UTF8&th=1

I understand it is also helpful for cataracts. I don't know anything about garlic or honey other than what I've read a bit .. don't think it can hurt. I know I drink green tea each day myself. Hope the above helps a bit. Keep us posted! Katherine

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@kwilbur

I haven't been contributing as much to this forum as I am in limbo about my lung condition. I spent half a day in the hospital expecting to have a biopsy of a nodule 9 mm - only to be sent home because the radiologist was afraid of hitting the wall of my lung and my having a collapsed lung. While at the hospital, I had another cscan done and the nodule had gotten small 7 mm , the size it was in June.

Oddly enough, I have stopped coughing up phlegm too - or very little. I was getting sick alot at the beginning of the school year which was treated with antiobiotics. Then I had the flu shot and I really don't know what is going on other than I do know I have bronchiecticus which is a constant.

I am able to keep up with a long school day, but don't do any work once I am home - about 6 p.m. Today I pressure washed my house - well with a light weight Home Depot system and a hose - and was able to keep up a strong pace for six hours. I only pray I stay on this path.

I know I have to remain vigilant but spending every day worrying is a waste of quality life. I was already in a mindset that I had lung cancer which now I truly doubt. It's not worth worrying about possible outcomes until they are a fact. I wish you all good health and stamina as we head into the holiday season. Kathryn

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Hi @tdrell and @kwilbur - just a quick note - Gleason is a scoring system used in the diagnosis and treatment prostate cancer, something I suspect neither of you need for yourself 🙂

Tdrell, let us know if you find out the scale used for lung nodule monitoring. Nodules can be evaluated by size, border, calcification, density etc.

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@tdrell

boomerexpert....awesome news....and bronchoscopy is not bad....especially if he/she does alot of them...keep us posted ...good for you !!!tdrell

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Cila, I put your question in my NJH notebook. I wont be back til after Jan 15th .....see Katemn's great answer! Tdrell

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@kwilbur

I haven't been contributing as much to this forum as I am in limbo about my lung condition. I spent half a day in the hospital expecting to have a biopsy of a nodule 9 mm - only to be sent home because the radiologist was afraid of hitting the wall of my lung and my having a collapsed lung. While at the hospital, I had another cscan done and the nodule had gotten small 7 mm , the size it was in June.

Oddly enough, I have stopped coughing up phlegm too - or very little. I was getting sick alot at the beginning of the school year which was treated with antiobiotics. Then I had the flu shot and I really don't know what is going on other than I do know I have bronchiecticus which is a constant.

I am able to keep up with a long school day, but don't do any work once I am home - about 6 p.m. Today I pressure washed my house - well with a light weight Home Depot system and a hose - and was able to keep up a strong pace for six hours. I only pray I stay on this path.

I know I have to remain vigilant but spending every day worrying is a waste of quality life. I was already in a mindset that I had lung cancer which now I truly doubt. It's not worth worrying about possible outcomes until they are a fact. I wish you all good health and stamina as we head into the holiday season. Kathryn

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Colleenyoung,kwilbur....re Gleason ERROR....the scale is called the Fleischner Society....reccomendations for use with lung nodules.
7 years ago when I had a chest CAT scan that showed nodules...there was a paragraph at the bottom that Listed the Fleischner Society guidelines dependent on size of nodules as to what type...if any...follow up was needed.....i believe this tool is mostly used to externally help to see if there might be a cancer and if follow up needed.....such as biopsy or repeat CAT scan in future.Tdrell

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@tdrell

boomerexpert....awesome news....and bronchoscopy is not bad....especially if he/she does alot of them...keep us posted ...good for you !!!tdrell

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Terri and Cila, please read my reply to Cila above. I quoted directly from the NTM website. It should be accurate. Katherine

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