1. < MAC & Bronchiectasis

(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.

boomerexpert | @boomerexpert | Jun 23, 2017
In reply to @kathyg "Hello, Kate What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with..." + (show)
@kathyg

Hello, Kate

What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with MAC, found out via a phone call from my Mayo doctor last night. I have been coughing for over 14 months and I just kept trying to get someone to tell me why..... Now that I have the diagnosis, what do I do? My first reaction was to try to get more information and that is how I stumbled across your posting. My doctor, Dr. Mullen at Mayo in Rochester, is a very nice man and he explained that some of the side effects of the treatment can be worse than the disease. So, I rejected the idea. When I saw your post saying that the reality may not be as bad as the hype, it gives me a different perspective. Would you be willing to share more of your experience with me? The doctors can only tell you what the books tell them unless they have had a patient who has gone through the process. Even then, different folks can have differing reactions. I am a 58 year old, recently retired (in part due to the coughing with the embarrassing results), I am overweight so the shortness of breath was attributed to that.....

Thank you, Kathy

Jump to this post

The latter is why I questioned the RA dx...Rheumy too found that possibly significant so ordered the nodule biopsy - done by a Dermatologist - which apparently is a very conclusive method to ID RA...

REPLY
jentaylor | @jentaylor | Jun 23, 2017
In reply to @kathyg "Hello, Kate What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with..." + (show)
@kathyg

Hello, Kate

What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with MAC, found out via a phone call from my Mayo doctor last night. I have been coughing for over 14 months and I just kept trying to get someone to tell me why..... Now that I have the diagnosis, what do I do? My first reaction was to try to get more information and that is how I stumbled across your posting. My doctor, Dr. Mullen at Mayo in Rochester, is a very nice man and he explained that some of the side effects of the treatment can be worse than the disease. So, I rejected the idea. When I saw your post saying that the reality may not be as bad as the hype, it gives me a different perspective. Would you be willing to share more of your experience with me? The doctors can only tell you what the books tell them unless they have had a patient who has gone through the process. Even then, different folks can have differing reactions. I am a 58 year old, recently retired (in part due to the coughing with the embarrassing results), I am overweight so the shortness of breath was attributed to that.....

Thank you, Kathy

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@windwalker, Hi Terri M, thank you for taking the time to give me such positive feedback! That means a lot to me!!! This is something brand new to do in terms of re-shaping my mind, thinking regarding my many ailments. I'm going to try to put it outside of my mind for breaks in the constant worry. I can return to the worry anytime but I want to challenge myself to be "me, Jen" & not "Jen, sick".

It is hard to try something new when you have done it another way for 10 years! It's so hard being labeled as "terminal"! It has taken over as my identity & it's a sad, lonely & scary place to be. Thanks to you guys, maybe, just maybe, I can change my thinking & stop worrying about dying all of the time! It's an awesome challenge because so much could change in my life by thinking differently!!!!

Thanks, Terri so much for recognizing my determination & for being you to inspire others!!!

You are so incredibly inspiring to me & reading about you exercising & actually impacting your lung function by 4%, that's amazing!!!! If you can do it, I can at least try doing it & see what comes from it. It can only help!
Take care, Jen

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heathert | @heathert | Jun 23, 2017
In reply to @kathyg "Hello, Kate What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with..." + (show)
@kathyg

Hello, Kate

What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with MAC, found out via a phone call from my Mayo doctor last night. I have been coughing for over 14 months and I just kept trying to get someone to tell me why..... Now that I have the diagnosis, what do I do? My first reaction was to try to get more information and that is how I stumbled across your posting. My doctor, Dr. Mullen at Mayo in Rochester, is a very nice man and he explained that some of the side effects of the treatment can be worse than the disease. So, I rejected the idea. When I saw your post saying that the reality may not be as bad as the hype, it gives me a different perspective. Would you be willing to share more of your experience with me? The doctors can only tell you what the books tell them unless they have had a patient who has gone through the process. Even then, different folks can have differing reactions. I am a 58 year old, recently retired (in part due to the coughing with the embarrassing results), I am overweight so the shortness of breath was attributed to that.....

Thank you, Kathy

Jump to this post

@windwalker
fantastic Terri, I bet alot of others will now try cardio, great to know it is possible at 40%, Thanks for all your posts, I have learnt so much.
Hugs Heather

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Jo Ann K | @jkiemen | Jun 23, 2017
In reply to @kathyg "Hello, Kate What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with..." + (show)
@kathyg

Hello, Kate

What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with MAC, found out via a phone call from my Mayo doctor last night. I have been coughing for over 14 months and I just kept trying to get someone to tell me why..... Now that I have the diagnosis, what do I do? My first reaction was to try to get more information and that is how I stumbled across your posting. My doctor, Dr. Mullen at Mayo in Rochester, is a very nice man and he explained that some of the side effects of the treatment can be worse than the disease. So, I rejected the idea. When I saw your post saying that the reality may not be as bad as the hype, it gives me a different perspective. Would you be willing to share more of your experience with me? The doctors can only tell you what the books tell them unless they have had a patient who has gone through the process. Even then, different folks can have differing reactions. I am a 58 year old, recently retired (in part due to the coughing with the embarrassing results), I am overweight so the shortness of breath was attributed to that.....

Thank you, Kathy

Jump to this post

That is interesting. I was diagnosed 2 years ago after having pneumonia and currently they are telling me to hold off on treatment. I too am from Wisconsin and have been wondering about the reflux thing. My throat is irritated and scratchy most of the time and feel like there is always something back there. So what did you do about the GERD and the Water. Did you go to bottled water?

REPLY
Jo Ann K | @jkiemen | Jun 23, 2017
In reply to @kathyg "Hello, Kate What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with..." + (show)
@kathyg

Hello, Kate

What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with MAC, found out via a phone call from my Mayo doctor last night. I have been coughing for over 14 months and I just kept trying to get someone to tell me why..... Now that I have the diagnosis, what do I do? My first reaction was to try to get more information and that is how I stumbled across your posting. My doctor, Dr. Mullen at Mayo in Rochester, is a very nice man and he explained that some of the side effects of the treatment can be worse than the disease. So, I rejected the idea. When I saw your post saying that the reality may not be as bad as the hype, it gives me a different perspective. Would you be willing to share more of your experience with me? The doctors can only tell you what the books tell them unless they have had a patient who has gone through the process. Even then, different folks can have differing reactions. I am a 58 year old, recently retired (in part due to the coughing with the embarrassing results), I am overweight so the shortness of breath was attributed to that.....

Thank you, Kathy

Jump to this post

That is interesting. My sister has RA but I do not. Maybe I have the genetic predisposition to it? Most of my life everyone always said you are never sick, everyone around you gets sick but you never contract what is being passed around. So now I have MAI, not sure how, when or why. But the RA thought may be something to look at.

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Katherine, Alumni Mentor | @katemn | Jun 23, 2017
In reply to @katemn "@windwalker, Terri I am answering you on the Main Forum because the info on your salt..." + (show)
@katemn

@windwalker, Terri I am answering you on the Main Forum because the info on your salt treatment is REALLY good info to have on our Main Page .. PLUS I am just SOOOO excited for you!! YEAH!! You are SUCH a trooper .. one of my personal heros with your oxygen tank at the gym etc!! You absolutely deserve every single good thing that happens for you!! I am so very proud of you!! You go girl!! I am sending you one BIG hug! Katherine

++++++++++++++++++++++++++++++++++++++++++++

update on my recent Mayo visit.
Posted by @windwalker, 5 minutes ago
Hello! I left my Mayo visit on Tuesday on cloud nine. I found out that I had raised my lung function to 44%, up from 40%. My Dr was totally AMAZED since I suffer from a progressive disease. We figured it was due to the antibiotic and salt treatment regimen and my cardio classes. He said that 4% doesn’t sound like much, but 4% in the other direction (down) starts to put me in the lung transplant category. Mainly because it would mean I am still steadily progressing downward. I cannot tell you how disheartening it has been; to go to my check-ups every six months and be told that I am consistently losing lung function. I had said to my husband when I joined the gym six months ago that I was going to amaze my doctor, and I DID!

I asked about the new drugs that are in trials right now, and he said he expects them to be approved and out within six months to a year Hooray!!! I do know that the inhaled Cipro is one of them. I forgot the name of the other, but it is one that was mentioned at the NTM convention. He said that staying on the salt treatments is critical to keep good lung hygiene. Those of you doing this, stay with it. Those of you who are not, ask your dr to prescribe it. Hope everybody is doing well. Hugs – Terri M.

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Dear All, I have a confession to make. I "preach" Due Diligence to all of you .. but in truth I have taken the easy way out in my own life since 2014 when I was told I was "stable" from thirty months of 4-5 antibiotics taken for MAC. I was just plain tired of it all after 30 months of it! Not checking into what I should/should not continue to do was partly my own doing .. but MOSTLY because NO doctor/Pulmonologist EDUCATED me to the importance of daily saline inhalation after my MAC treatment! ZERO .. not ONE doctor .. ONE TIME! It is MY opinion THIS is the reason my lungs became a breeding ground for NOT ONE but THREE bacteria and I became SO sick February 2017. My lungs had become a perfect breeding ground for further bacteria "infestation" since 2014.

Why am I telling you this? BECAUSE of our wonderful Forum posts below which I have pasted In my current File Cabinet:

SALINE NEBULIZED TREATMENTS Member @windwalker Terri: Told my Dr that the saline treatment wasn't bringing anything up. It is because my lungs are crystal clear at the moment. He said it is STILL important to continue the saline inhalation anyway. WHY? Because it acts as a preventative, it thins the mucous. When the mucous is thin, there is less thick, sticky stuff for the MAC and other bugs to breed in. From @windwalker Terri .. First, I use my Inhaler, (to OPEN my lungs, then I use the saline to cleanse out the lungs. The saline moistens your lungs to help thin out the mucous, making it easier to cough up. Plus, it irritates the lungs a little to make you cough, it also makes for a salty environment which germs do not like to set up house in.

WHY AM POSTING THIS? I am posting this to ALSO ALERT YOU .. do NOT whine to your doctor as I did after my 1st Tobramycin cycle .. NOT wanting to do the saline inhalation I whined to my doctor! Below is the EXACT reply I received. I am posting it because I want EVERYONE to realize WE ON THIS FORUM are each other's BEST source of information .. based on EXPERIENCE and from the opinions of doctors all over the NATION! (as in @windwalker Terri)

Replied - 05/26/2017 11:10 AM
Hi Katherine,

Question 1: Inhaled saline can make people feel better but does not necessarily prevent exacerbations. If you are not feeling that it helps clear mucus or reduce your coughing (after treatment), then you can use it as needed. I understand that this is a lot of time with your nebulizer so you can certainly see how you feel with a break from the treatment. You can always add it back.

Please DO CONTINUE WITH THE SALINE 2X A DAY SALINE INHALATION! I personally have seen the light .. I will be doing my 2x a day saline inhalation for the rest of my life! Thank you @windwalker Terri .. you are indeed an inspiration with your 44% lung function and tremendous spirit! Hugs to all! Katherine

REPLY
Katherine, Alumni Mentor | @katemn | Jun 23, 2017

Dear All, I am finding my Aerobika really works great hooked up to my saline solution as instructed by my Pulmonologist .. PLUS I also use it after using my inhalers .. PLUS I use it immediately after I exercise .. I find right after I exercise I am really able to bring up some "nasty" stuff with the Aerobika. THEN when reading " Member advice from 2017 Conference: "They stressed the importance of keeping your nebulizing equipment clean by use of boiling or using bottle sterilizers." .. it made sense to me that it would OBVIOUSLY also apply to my Aerobika. Since I do NOT sterilize my nebs daily .. and I have become SO conscious of sterilizing since being diagnosed with 3 MORE bacteria .. I decided to NOT stick with just ONE Aerobika .. but since they are expensive .. I did some research and decided to share my research. I am NOT recommending this to ANYONE .. just saying it worked for me .. AND if you decide to purchase from Ebay .. ONLY purchase from the SAME vendor on Ebay that I did .. I purchased from him twice (purchased from-100% rating: ravenator123 ) and the product was EXACTLY the same as the one I purchased from the Medical Supply Co.

AEROBIKA-EBAY http://www.ebay.com/itm/Aerobika-Oscillating-Positive-Expiratory-Pressure-Therapy-PEP-Device/222365799192?_trksid=p2047675.c100005.m1851&_trkparms=aid%3D222007%26algo%3DSIC.MBE%26ao%3D2%26asc%3D38530%26meid%3D770f957ccb25404b97e7b52a01662bde%26pid%3D100005%26rk%3D1%26rkt%3D6%26sd%3D162365627793 purchased from-100% rating: ravenator123 ( 1146 ) $54 w.shipping 6/19/17 $64. w/shipping

AEROBIKA-MEDICAL SUPPLY http://www.aerobika-therapy.com/order-today/ ordered 2/25/17 $90.00

Hugs to all! Katherine

REPLY
33 replies
JK | @contentandwell | Jun 23, 2017
In reply to @kathyg "Hello, Kate What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with..." + (show)
@kathyg

Hello, Kate

What a coincidence that my first name is Katherine/Kathy. I was just diagnosed with MAC, found out via a phone call from my Mayo doctor last night. I have been coughing for over 14 months and I just kept trying to get someone to tell me why..... Now that I have the diagnosis, what do I do? My first reaction was to try to get more information and that is how I stumbled across your posting. My doctor, Dr. Mullen at Mayo in Rochester, is a very nice man and he explained that some of the side effects of the treatment can be worse than the disease. So, I rejected the idea. When I saw your post saying that the reality may not be as bad as the hype, it gives me a different perspective. Would you be willing to share more of your experience with me? The doctors can only tell you what the books tell them unless they have had a patient who has gone through the process. Even then, different folks can have differing reactions. I am a 58 year old, recently retired (in part due to the coughing with the embarrassing results), I am overweight so the shortness of breath was attributed to that.....

Thank you, Kathy

Jump to this post

@ling123 Thanks Ling, I've been doing well, this MAC sounds so serious though and to know now that I am susceptible to it. Just one more thing, but as I often say it's better to have these restrictions and effects than to not being here at all.
JK

REPLY
JK | @contentandwell | Jun 23, 2017
In reply to @katemn "@maryjo2sell, Maryjo, 1st post I've seen also .. I'll check with Colleen as to maybe why!..." + (show)
@katemn

@maryjo2sell, Maryjo, 1st post I've seen also .. I'll check with Colleen as to maybe why! She is our Guru! Hugs! Katherine

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Thanks @windwalker I will have to make a note of Maxalt and mention it to my daughter. I hate it so much when she is suffering and wish I could be there with her but she is about 4 - 5 hours away.
JK

REPLY
terryb1 | @128128terry11t | Jun 24, 2017
In reply to @katemn "Dear All, I am finding my Aerobika really works great hooked up to my saline solution..." + (show)
@katemn

Dear All, I am finding my Aerobika really works great hooked up to my saline solution as instructed by my Pulmonologist .. PLUS I also use it after using my inhalers .. PLUS I use it immediately after I exercise .. I find right after I exercise I am really able to bring up some "nasty" stuff with the Aerobika. THEN when reading " Member advice from 2017 Conference: "They stressed the importance of keeping your nebulizing equipment clean by use of boiling or using bottle sterilizers." .. it made sense to me that it would OBVIOUSLY also apply to my Aerobika. Since I do NOT sterilize my nebs daily .. and I have become SO conscious of sterilizing since being diagnosed with 3 MORE bacteria .. I decided to NOT stick with just ONE Aerobika .. but since they are expensive .. I did some research and decided to share my research. I am NOT recommending this to ANYONE .. just saying it worked for me .. AND if you decide to purchase from Ebay .. ONLY purchase from the SAME vendor on Ebay that I did .. I purchased from him twice (purchased from-100% rating: ravenator123 ) and the product was EXACTLY the same as the one I purchased from the Medical Supply Co.

AEROBIKA-EBAY http://www.ebay.com/itm/Aerobika-Oscillating-Positive-Expiratory-Pressure-Therapy-PEP-Device/222365799192?_trksid=p2047675.c100005.m1851&_trkparms=aid%3D222007%26algo%3DSIC.MBE%26ao%3D2%26asc%3D38530%26meid%3D770f957ccb25404b97e7b52a01662bde%26pid%3D100005%26rk%3D1%26rkt%3D6%26sd%3D162365627793 purchased from-100% rating: ravenator123 ( 1146 ) $54 w.shipping 6/19/17 $64. w/shipping

AEROBIKA-MEDICAL SUPPLY http://www.aerobika-therapy.com/order-today/ ordered 2/25/17 $90.00

Hugs to all! Katherine

Jump to this post

Just wondering do you sterilize after each use of the aerobika? Do you always clean in regular warm sudsy water and rinse preferably in distilled or boiled water before you sterilize? So if you use aerobika twice a day you would clean/rinse, sterilize twice a day? I have been negligent in only doing the aerobika and saline once a day ... and I am just beginning my journey. The posts and your guidance have set me straight. Now for something else: I went to National Jewish in January and they gave me a MEDfacts sheet on using the aerobika. I noticed that under "recommended disinfecting method- electronic steam sterilizer for baby bottles" -- THAT METHOD WAS CROSSED OUT. Didn't pay much attention to it when I went in January (so overwhelmed with all the info and instruction) but will ask them why it appears that that method is no longer acceptable as I hope to go to National Jewish in July. Will try to get to the bottom of that if I can. By the way, it still listed: boiling, microwave steam bag, and isopropyl alcohol as acceptable methods to disinfect. Never want to miss an opportunity to thank you, Katherine. Your knowledge, comfort, and wisdom have kept many of us sane ... or as sane as we can be. Terry

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