Thisis Pamela - I have a hot tub and I used it for years before I was diagnosedwith MAC.  I live alone so my tub was for the most part, just enjoyed byme.  I kept it immaculately clean, checked chemicals weekly and changedthe water once a year. It is outside, so the vapors were kept to a minimum. When I received my diagnosis of MAC, my doctor told me NOT to use itagain.  I followed his orders, very reluctantly ( I LOVED my hot tub!)That was in November of 2015, when I began the 3 times a week routine of themeds for MAC.  In December, my cough got worse and a sputum test revealed Pseudomonas. I went on Levofloxyn and that cleared it up right away.  I had thewater in the hot tub tested by a water lab and it did show Pseudomonas, butthey said there was no presence of MAC.  I emptied the tub and will notuse if for now.  I have had bronchiectasis for years; I used my hot tubweekly for years... yes, my cough did get worse, but not like what I had when Iwas diagnosed with Pseud. - did I get the Pseud from the hot tub?... maybe.. . hot tub companies are familiar with Pseud so I suggest you research thiswith them.  I was told just beforeemptying the water, to hit it hard with chlorine to kill the pseud – can onehave a hot tub without pseud?  I do notknow.  I want to do more research onthat.  The water tests are not cheap, butI do think one can test the water with a reputable lab and determine if yourwater does carry pseud and/or MAC.  If Ido decide to fill my tub up again after I complete my regimen of meds (April ofthis year), I plan to test the water on a regular basis.  But I have not decided yet if taking thatrisk is too high.  And how effective iswearing a mask when using a hot tub?  Ido not know, but my sense is that it may not be 100% effective – I would ratherknow that my water does not carry Pseud. or MAC.  And if I cannot find that out, I will  not use it.   Best to all of you, Pamela  

<br><br><br><br><br>Pamela, I feel certain I got my MAC from our hot tub. I do know one thing, <br>and that is that the mac can be resistant to the hot tub cleaning chemicals, and <br>chlorine, and heat! Our's was outside too, but when it evervieces (sp) it is at <br>nose level and you breathe it in. We got rid of the hot tub.  -Terri <br>M.<br><br>

<br><br><br><br><br>I became ill 2-3 weeks after being in a hot tub. I was on vacation at a <br>friend's house; we used the hot tub for a week. The water had a slight 'pond' <br>smell to it; kind of like algea, and I got itchy red bumps after I got <br>out. My friend claimed that he kept the chemicals balanced, but may have gone <br>several days past when it should have had more added. I went to the dr and they <br>just put me azithromax antibiotic. No sputem test or anything. I became sicker <br>and sicker, five months later, they finally did a sputem test and found MAC in <br>full bloom. I cannot prove I got it from the hot tub, but the circumstances are <br>there.<br> <br> <br> <br><br>