(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.

@contentandwell

@katemn Hi Kate. I do not regularly follow this thread because there are so many posts and I often do not have the time, but I am curious about one thing. I can remember reading or perhaps seeing on TV a story about a young girl who had something where once or twice a day she had to lay on her bed, face down with her face hanging off the bed and one of her parents would thump her back to help bring up mucus. Would that have been MAX/MAI?
JK

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@irene5 Thanks Irene, now that you say cystic fibrosis I am sure that is what this child had. It's all vague to me but I remember what they had to do and it just really hit me. I am so fortunate that my two never had health problems unless you consider ADD and ADHD to be health problems. They both had to deal with that.
JK

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@contentandwell

@katemn Hi Kate. I do not regularly follow this thread because there are so many posts and I often do not have the time, but I am curious about one thing. I can remember reading or perhaps seeing on TV a story about a young girl who had something where once or twice a day she had to lay on her bed, face down with her face hanging off the bed and one of her parents would thump her back to help bring up mucus. Would that have been MAX/MAI?
JK

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Yes, cystic fibrosis is sad for a child to deal with since it doesn't go away. On another note ADD and ADHD isn't easy either. I wrote a thirty page paper on that when I was doing my Masters in education. One of our ten has it. He was like six all rolled up into one - I used to tell my husband " one of us is leaving, and it's not me!" As an adult he is a wonderful husband and father (of seven) and head of special ed in a Connecticut school system. And I thank the good God every day for his sweet wife!

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@contentandwell

@katemn Hi Kate. I do not regularly follow this thread because there are so many posts and I often do not have the time, but I am curious about one thing. I can remember reading or perhaps seeing on TV a story about a young girl who had something where once or twice a day she had to lay on her bed, face down with her face hanging off the bed and one of her parents would thump her back to help bring up mucus. Would that have been MAX/MAI?
JK

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@irene5 It was difficult at times. My son had the typical impulsiveness and that was tough. He struggled in school despite being above average in intelligence. My husband was very opposed to medication so he never was on anything until his junior year in HS! At that point he himself was amazed. He told me he could never learn in class and had to try to at home in the evening but now he could pay attention and was able to learn. He went off the meds in college and once again struggled. I suspect he ceased them because he was drinking a bit and he is very cautious about that type of thing. We knew if we could push, pull, shove him through college he would do well and he is how a VP of a staffing firm.
My daughter is very bright and in school learned to compensate somewhat but still did not get the grades she should have gotten. She constantly walked out of places leaving clothes, her purse, and whatever behind. Her head was in the clouds which I understand is pretty typical for girls with ADD. She too is doing well now though, thankfully.
So many people think ADD is just something fake to make excuses but I knew it was not. I myself did not get the grades in HS and college that I should have, I used to fall asleep in lecture halls, but back then they said I was lazy or an underachiever which of course made me feel very inadequate.
JK

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@contentandwell

@katemn Hi Kate. I do not regularly follow this thread because there are so many posts and I often do not have the time, but I am curious about one thing. I can remember reading or perhaps seeing on TV a story about a young girl who had something where once or twice a day she had to lay on her bed, face down with her face hanging off the bed and one of her parents would thump her back to help bring up mucus. Would that have been MAX/MAI?
JK

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So glad things turned out well. School is a difficult environment for ADD/ADHD children. The good God blessed me with my son so I would be a better teacher for those "special" friends.

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@jula73

I am a 73-year-old female with a recent diagnosis of MAC along with a history of 34 years of severe rheumatoid arthritis. I also have osteoporosis, osteoarthritis, GERD and a neuromuscular disease called CMT (Charcot Marie Tooth Disease). I also live with scoliosis which can be one of the symptoms of CMT and for which I had corrective surgery 11 years ago. My MAC diagnosis came about a month ago. I am not on treatment yet except for an inhaler. I have been reading many of the messages posted here and am learning quite a bit. One thing I have not noticed is mention of loss of voice or raspy voice. My voice has gotten raspy in the past when I have had sinus infections. I do not believe I have sinus trouble presently but my voice has been getting worse since the beginning of this year. I am trying to drink extra fluids but I am beginning to worry about losing my voice totally. I'm looking for suggestions. I am going to be scheduled for a bronchoscopy sometimes soon. I am a former LPN who worked on a postop surgical floor, in nursing homes and for many years as an occupational health nurse.

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@mariposa .. Andree, Welcome! So glad you found us .. you are in the right place! BUT I am absolutely shocked beyond disbelief .. what has happened to you has to be considered malpractice! If you spend some time reading the past pages of our Main Forum you will find that UNFORTUNATELY MANY of our members have had poor medical care .. some have had wonderful care .. BUT you will learn that YOU must be your OWN best advocate! That "Knowledge is Power" .. and that YOU must take charge of your health care. That NO ONE else is going to care as much about your body as you do .. so read and LEARN!! Since you are in such a tough situation .. right now .. I have attempted to answer as many of your concerns as I can .. please feel free to come back with any further questions you have after reading past pages .. we will be here for you in this tough time. Sending you a hug! Katherine
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Some thoughts: you said " Respiratory specialist who gave me a prescription to analyze my sputum, unfortunately I can no longer bring even a tiny amount for a test." Andree, when this happens you can request what is called a Bronchoscopy. After what you have been through .. I would ABSOLUTELY request this WITH "MYCOBACTERIUM SUSCEPTIBILITY PANEL TESTING" to make DARN sure your doctor prescribes the proper antibiotics that WILL work against the mycobacterium you are diagnosed with!

From My File Cabinet:
BRONCHOSCOPY .. BRONCH WASHINGS EXPLAINATION: The significance of bronchoscopy for the diagnosis of Mycobacterium avium complex (MAC) pulmonary disease. https://www.ncbi.nlm.nih.gov/pubmed/11402614

From Member windwalker, Terri Bronch Washings are done by a procedure called a 'bronchioscope'. You will be sedated, hopefully with a twilight anesthesia, a tube inserted down your throat and into your lungs. The Dr will squirt a small amount of saline into the lungs. They remove the liquid and send it to a lab. The liquid they bring up from your lungs contains all kinds of info. They will lab test it for various organisms, inflammation cells, and other abnormal things. They may snip a tiny piece of your lung while down there to biopsy it. They did mine that way.

ANTIBIOTIC .. MYCOBACTERIUM SUSCEPTIBILITY PANEL TESTING *testing and therefore should provide—or should ensure—access to susceptibility testing of MTBC against the full panel of primary antituberculous drugs, as well as against secondary drugs, when indicated. * Currently, universally accepted guidelines concerning the indications for susceptibility testing of MAC do not exist. However, investigators who have extensive experience with MAC have recommended that the following isolates be tested

Susceptibility Testing for Mycobacteria http://www.mayomedicallaboratories.com/interpretive-guide/?alpha=A&unit_code=34805 http://cid.oxfordjournals.org/content/31/5/1209.full http://www.mmmig.nl/static/filebank/d073522b5602729078139d641a4cf987/antimicrobial-susceptibility-testing-drug-resistance-mechanisms-and-therapy-of-infections-with-nontuberculous-mycobacteria.pdf

SOME GOOD RESOURCES ON BRONCHIECTASIS:
BRONCHIETASIS-SYMPTOMS OF Symptoms of bronchiectasis http://www.nhs.uk/Conditions/Bronchiectasis/Pages/Symptoms.aspx
BRONCHIETASIS-BREATHING VIDEO WONDERFUL INFO FROM M.D. Dr. William Girard of University of Texas Health
https://www.youtube.com/watch?v=bOFfckWv7Js
AND GOOD RESOURCES
https://www.chss.org.uk/documents/2013/08/c4_bronchiectasis-pdf.pdf http://bronchiectasis.com.au/bronchiectasis

You said " he is mentioning previous hemoptysis which I have no idea what that is. I will have to check Dr Google!"
From my File Cabinet:
BLOOD/BLEEDING- BRONCHIECTASIS Coughing up of blood (hemoptysis) is common because the damaged airway walls are fragile and have increased numbers of blood vessels. Hemoptysis may be the first or only symptom of Bronchiectasis. you said "I noticed a blood in my sputum I got alarmed again" .. I can only tell you .. the first time I spoke with my Mayo doctor about coughing up blood .. he REALLY did not react much at all .. his response "What was the quantity .. a quarter cup .. a tablespoon .. a teaspoon?" Hmmm! Mine was merely at different times a blood clot perhaps the size of less than a dime .. and/or the sputum MIXED with blood .. NEVER the quantity he was speaking of! So my question to you is judge by the quantity of blood and the frequency. Then evaluate from some of the information I am going to give you below from my File Cabinet. Keep us posted .. let us know what your thoughts are after you have evaluated. Hope you find this helpful! Hugs to you! Katherine From Member @colapyrus, Jan I have also had hemoptysis (Hemoptysis is the coughing up of blood or blood-stained mucus from the bronchi, larynx, trachea, or lungs) – several times this past year. It usually lasts about 15 minutes and then stops on its own. When I was at NJH in May they said it will stop about 80% of the time on its own and 20% of the time you need some help. In my case I was told to lie on my right side (because my bronchiectasis is in my right middle lobe)

You said " very dry mouth" .. these item may or may not help you .. but
From my File Cabinet:
DRY MOUTH Due to dry mouth I use Biotene toothpaste, Dry Mouth Oral Rinse and Oral Health Xylimelts at night https://smile.amazon.com/Orahealth-Xylimelts-Mints-80-Count-Boxes/dp/B001A40M1M/ref=sr_1_2_s_it?s=hpc&ie=UTF8&qid=1484006212&sr=1-2&keywords=Oral+Health+Xylimelts

If you chose to come to Mayo Clinic: Canadian Citizen As a Canadian citizen, here are some frequently asked questions for patients from Canada, including what to bring and how Mayo would work with your provincial plan http://www.mayoclinic.org/canada/faq http://www.catie.ca/fact-sheets/infections/mycobacterium-avium-complex-mac

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@contentandwell

@katemn Hi Kate. I do not regularly follow this thread because there are so many posts and I often do not have the time, but I am curious about one thing. I can remember reading or perhaps seeing on TV a story about a young girl who had something where once or twice a day she had to lay on her bed, face down with her face hanging off the bed and one of her parents would thump her back to help bring up mucus. Would that have been MAX/MAI?
JK

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@contentandwell, hope all is well, what you saw is postural drainage with percussion. In nursing school we were taught to do that to patents after surgery to prevent pneumonia. There is a young couple on utube called "the frey life", she has cystic fibrosis and they document their life. She has cf bronchiectasis, we have non-cf bronciectasis. Her cf affects her other organs too so she has a lot of problems but she is so upbeat and full of life and hope and faith. They're a joy to watch and you will be hooked. Shes in the hospital alot and he is right there by her side helping. They were waiting on her lab results to find out what kind of NTM she had on top of her psuedomonis and fungal infection. She was loosing so much wait they put a feeding tub in her nose but her constant coughing wouldnt alow it to stay in. She was also meeing with a transplant team for her lungs. She is so upbeat and happy inspite of her situation. Everyone should go to utube and search for "the frey life". I have learned alot from them. Warning, you might get hooked.
Stay stong!
Becky

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@irene5 My son and daughter were never diagnosed because my husband was opposed so they both did the best they could. My son had a teacher in first grade who was not like you at all. She had two very bright sons, then had two more about 7 or 8 years later. She had just come back from leave when she had my son in 1st grade. She could not deal with him at all and his confidence really took a hit. She would send "sad grams" to me almost every day with inane things like saying he spoke in the hallway! He always had more trouble on days when they had no outdoor recess.
JK

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I was diagnosed at Mayo's almost 3 years ago with bronchiectasis. Would like to join the group. Please tell me where to go to do this. My doctor is Dr. Teng Moua in Rochester Thank you -- Jan Todd, Havana, Ks

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@contentandwell

@irene5 My son and daughter were never diagnosed because my husband was opposed so they both did the best they could. My son had a teacher in first grade who was not like you at all. She had two very bright sons, then had two more about 7 or 8 years later. She had just come back from leave when she had my son in 1st grade. She could not deal with him at all and his confidence really took a hit. She would send "sad grams" to me almost every day with inane things like saying he spoke in the hallway! He always had more trouble on days when they had no outdoor recess.
JK

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I am truly sorry!

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I'm Jan Todd, Havana, Ks -- and I was diagnosed at Mayo's almost three years ago with bronchiectasis. I'm 76 years old -- never smoked. Had coughed for 2 years and sat up at night because I could not lie down. Had seen 7 doctors -- many specialists -- no diagnosis -- lost a lot of weight -- thought I was going to die. My doctor is Teng Moua in Rochester and he's helped me tremendously. Would love to join the group. Initially there was MAC bacteria in sputum testing done in Rochester but after following his suggestions, there has been none show up for over a year. Crossing my fingers. Don't know why not, but I sure hope it continues. Please tell me how and where I can join this group? Thank you -- Jan

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