(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.

@sueinmn

Address your suggestions to the NTM specialists at NJH?
Sue

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Good idea Sue. I'm not in North America (I'm in Australia), But I will start doing it in the next couple of months anyway. We'll see
First I just need to get a bit more over the latest side effects making me sick and tired - laugh. Then I will definitely do it
Annie

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@spencersok

My wife's doctor just prescribed a nebulizer and the vest for my wife. I am wondering what has been the experience of anyone in the group...Did it help you with your cough?

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Yes, I would highly recommend using both and also including the Aerobika at the same time, 2x daily. I was diagnosed a year ago, and have been able to get rid of most of the bacteria without any antibiotics . I went to National Jewish last November and Dr Huitt told me it was possible to get rid of the bacteria (for some people) with really good airway clearance. My last culture results from February show that I only have 10 colonies and it had been as high as 200. National Jewish said they do not usually treat if the colony count is under 100. I would be very diligent in doing airway clearance.

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@pop55

Yes, I would highly recommend using both and also including the Aerobika at the same time, 2x daily. I was diagnosed a year ago, and have been able to get rid of most of the bacteria without any antibiotics . I went to National Jewish last November and Dr Huitt told me it was possible to get rid of the bacteria (for some people) with really good airway clearance. My last culture results from February show that I only have 10 colonies and it had been as high as 200. National Jewish said they do not usually treat if the colony count is under 100. I would be very diligent in doing airway clearance.

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also like and inspired. what do you do for airway clearance? How often .
Are you using a saline solution with a nebulizer? Thank you

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@hauoli

also like and inspired. what do you do for airway clearance? How often .
Are you using a saline solution with a nebulizer? Thank you

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I use a nebulizer with 7% 2x daily. When I nebulize I also use the vest and the Aerobika (takes about 30 minutes each time). Then usually one other time (late morning) I use just the Aerobika for 10/15 minutes. I do have bronchiectasis but the Dr at National Jewish thought maybe I got NTM from reflux so I also follow that diet best I can...along with sleeping on just my left side and not drinking/eating 3 hours before I go to bed. What are you currently doing.

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I also use the vest twice daily (30 minurtes each, per pulmonologist's instructions) for bronchiectasis and pseudomonas colonization, along with the Aerobika and nebulized 3% saline solution. Since I have been doing this diligently, I have avoided any exacerbations. Before I had been on PICC line and home health care with various antibiotics for numerous successive treatments. The doctor says we are keeping the pseudomonas at bay. Ironic, since I am doing all the work :), and it is a lot, as using the vest is tiring for me. I have become a believer, however.

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My pulmonologist said that I have bronchiectasis and MAC. So for 4 months he has me on a nebulizer two times a day. One is a saline solution 3% and budesonide .5%. I also have the aerobika that I use when I feel a cough. What my schedule is to walk for an hr in the morning around 6am, then do an hr of yoga. I find the poses that are inverted to release the most phlegm. Then I have some breakfast. Then I begin the nebulizers that takes close to an hr. Its all around 11-11.30 before I do anything else. Then towards evening I try to have dinner at 6pm and then being the second round of my nebulizers. I try like you to stop eating and drinking 3 hrs before going to sleep. I probably have that threat of acid reflux. The Dr. did recommend going to National Jewish Health for the best treatment. Did you go to National Jewish Health?
You are so helpful. Thank you.

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@thumperguy

Hauoli, if you were a student of Sue and Spencerwok I’d bet they’d be proud as punch of you. You set the learning curve. If you’ve not already done it, you will likely find it rewarding to track down posts that emphasize the merit(s) of the High Octane 7% saline solution which is reputed to be lethal to MAC invaders seeking to colonize your lungs. Finally, tell your doc her or his treatment plan triggered some applause, but don’t reveal it was from a psychologist. We’re widely regarded as bozos. Don

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thanks for your encouragement. Im just using a 3% saline solution but I will see my pulmonologist in a month and see where my lungs are.

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@hauoli

My pulmonologist said that I have bronchiectasis and MAC. So for 4 months he has me on a nebulizer two times a day. One is a saline solution 3% and budesonide .5%. I also have the aerobika that I use when I feel a cough. What my schedule is to walk for an hr in the morning around 6am, then do an hr of yoga. I find the poses that are inverted to release the most phlegm. Then I have some breakfast. Then I begin the nebulizers that takes close to an hr. Its all around 11-11.30 before I do anything else. Then towards evening I try to have dinner at 6pm and then being the second round of my nebulizers. I try like you to stop eating and drinking 3 hrs before going to sleep. I probably have that threat of acid reflux. The Dr. did recommend going to National Jewish Health for the best treatment. Did you go to National Jewish Health?
You are so helpful. Thank you.

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Have you tried saline 7%? for me it was a huge difference from the 3%. Also using the Aerobika when you use the saline is very helpful. I get up at 6 and am totally done by 6:30-6:45AM. I work full time so I try to get the second treatment done between 2-4.

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Thanks Pop55, I am learning a lot from the Mayo Clinic Connect and members like you. I will see the pulmonologist in June and will ask about the 7% solution. I really am being self taught in that he didn't give me much information. I seem to be doing ok for now but cant really compare treatments here in Hawaii. Thank you

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@pop55

Have you tried saline 7%? for me it was a huge difference from the 3%. Also using the Aerobika when you use the saline is very helpful. I get up at 6 and am totally done by 6:30-6:45AM. I work full time so I try to get the second treatment done between 2-4.

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I started doing this after hearing about it on this forum and got instructions on YouTube.

Are others doing this as well?

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