(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.

@suttonmac2009

I started with 500 mg (each) of Clarithromycin twice a day and 400 mg(each) of Ethembutol twice a day. Then when I was tested negative for MAC after about 5 yrs, they reduced meds to 3 days a week for a year

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@nick52, I believe you that it works. I have my old stand-by too. I drink 'Breathe Easy Tea' by 'Traditional Medicines' found at some grocery stores like Kroger and Fry's. Whenever my chest feel very tight, it opens my airways. Also, calms a cough. I haven't had to drink it the past year because my lungs have cleared up totally after I was treated for pseudomonas.

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@suttonmac2009

I started with 500 mg (each) of Clarithromycin twice a day and 400 mg(each) of Ethembutol twice a day. Then when I was tested negative for MAC after about 5 yrs, they reduced meds to 3 days a week for a year

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@windwalker Hi Terri, welcome back and glad to know that you were OK during the hurricane. Good suggestion about using the nebulizer. I have an appointment to see my pulmonary doctor on Oct. 5. Will inquire about that. I'm also seriously considering giving Clear Lung a try as @nick52 has suggested. Thanks for asking, Terri. I'm doing great. Just came back from a 8-day trip to the Grand Teton National Park and did some hiking there when the weather was suitable. The longest I did was about 14 miles with an elevation gain of over 4,000 feet. Had to trudge through some snow that had fallen on top of the mountain the night before. Not bad for someone with lung issues. Never had breathing problems during the hikes. But my feet and leg muscles were a different story.

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@suttonmac2009

I started with 500 mg (each) of Clarithromycin twice a day and 400 mg(each) of Ethembutol twice a day. Then when I was tested negative for MAC after about 5 yrs, they reduced meds to 3 days a week for a year

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@jkiemen, I went to the conference in D.C. last spring. It was put on by NTM Info & Research. They are trying to get more funding for research. At the moment, mac/bronchiecstasis is considered an 'orphan disease' because the reported numbers of us are low. NTM is the only ones I know of right now trying to put together a data-base of those of us who have it. They asked at the seminar that the patients who attended please sign up on their registry. They need real numbers to show when they apply for grant money to do the research. I have signed in myself. You can visit their website at http://www.ntminfo.org to learn more about it. They also have a support group at http://www.BronchandNTM360social.org I signed onto that also, but did not find the community there as helpful and supportive as this one. It may have changed since I last looked at it though. I also think that it is not going to be an 'orphan disease' for long either as more and more people are getting this. Even healthy people are catching mac. I would suggest going to your municipal water company and ask for the REAL water test results at their facility, not the simple ones they post on their websites. I plan to go to ours in person because they have not returned my e-mails. WE MUST ALL BECOME ADVOCATES! Contact the CDC and complain and demand answers. I have called them several times in the past, they are good about communication.

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@suttonmac2009

I started with 500 mg (each) of Clarithromycin twice a day and 400 mg(each) of Ethembutol twice a day. Then when I was tested negative for MAC after about 5 yrs, they reduced meds to 3 days a week for a year

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@nick52, I did a food elimination test on myself about 15 years ago and narrowed down which foods aggravated my lungs. I found that gluten and sugar were the biggest culprits. Food dyes also messed me up. Yellow and blue were the worst, for example: I cannot drink a Mountain Dew or I will cough incessantly from the yellow dye. I cannot eat Peanut M&M's except the brown ones or I will cough my head off. I have been on a whole foods diet ever since and do so much better.

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@suttonmac2009

I started with 500 mg (each) of Clarithromycin twice a day and 400 mg(each) of Ethembutol twice a day. Then when I was tested negative for MAC after about 5 yrs, they reduced meds to 3 days a week for a year

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@jkiemen I used to have the mucous at the back of my throat, in fact, since the age of 13; I am 58 now. a lot of it went away when I eliminated certain things from my diet. I was treated last year for pseudomonas with tobramycin and and all of that drip and phlegm went away. I still have a little post nasal drip from time to time. I found that doing a Netti rince with distilled water with added salt clears that up pretty well.

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@suttonmac2009

I started with 500 mg (each) of Clarithromycin twice a day and 400 mg(each) of Ethembutol twice a day. Then when I was tested negative for MAC after about 5 yrs, they reduced meds to 3 days a week for a year

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@128128terry11t, I too am wondering if @suttonmac2009 has ever tested negative after on the meds 7 yrs also.

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@joan912

My husband was diagnosed with MAC and subsequently bronchiectasis. His doctor at first prescribed the big 3, but later told him not to take any, if he won't take all 3. He had a bad reaction to Rifabutin, which caused chest pains. He asked if there was a substitute for that, but apparently not.

He had 2 CT Scans, one in March, the second in May. The second did show some improvement, but also diagnosed bronchiectasis, which the first Scan did not. He asked for another one this month. Now his doctor told him that he doesn't need another CT Scan at all, and, if anything, he could have a Chest X-ray. A chest X-ray cannot diagnose bronchiectasis so, to me, her response is outrageous. His doctor seems to be very ineffective and doesn't seem to care about his well-being. She never asks how he is, nor offer any solutions to his constant sputum. I'm afraid to ask for another pulmonologist at Kaiser, because I'm afraid they will back each other up, or at least not contradict each other.

Does anyone have experience with Kaiser? My husband wants to see numerous other pulmonologists in other cities and wants me to take time off from work (let alone spending a lot of money since it will all be out of pocket), to make appointments for him (he doesn't work). I simply cannot do so, since I have no backup for my job. I'm willing to travel to one place, maybe Mayo Clinic in Rochester, MN.

If I can stay local, does anyone have a recommendation for a well-respected, knowledgeable MAC doctor in the Bay Area of California?

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@joan912 You have an excellent medical center in San Francisco at the University. They are also #1 in the nation for lung transplant survivals. Mayo used to be #1, but lowered because they take even the most desperate of patients. CT scans are very strong and it is not recommended to have one but every two yrs (I think). They can do damage to your DNA. That is one reason they are frowning on him having another one. You can have that CT scan transferred to a different doctor, even if it is to a different institution or clinic. Then it can be read by a different set of eyes. There is another member on our forum who saw a very GOOD pulmonologist there at the University. I will look back on her thread and find the name of her doctor and share her @ with you so that you can converse with her about her experience. - Terri

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@joan912

My husband was diagnosed with MAC and subsequently bronchiectasis. His doctor at first prescribed the big 3, but later told him not to take any, if he won't take all 3. He had a bad reaction to Rifabutin, which caused chest pains. He asked if there was a substitute for that, but apparently not.

He had 2 CT Scans, one in March, the second in May. The second did show some improvement, but also diagnosed bronchiectasis, which the first Scan did not. He asked for another one this month. Now his doctor told him that he doesn't need another CT Scan at all, and, if anything, he could have a Chest X-ray. A chest X-ray cannot diagnose bronchiectasis so, to me, her response is outrageous. His doctor seems to be very ineffective and doesn't seem to care about his well-being. She never asks how he is, nor offer any solutions to his constant sputum. I'm afraid to ask for another pulmonologist at Kaiser, because I'm afraid they will back each other up, or at least not contradict each other.

Does anyone have experience with Kaiser? My husband wants to see numerous other pulmonologists in other cities and wants me to take time off from work (let alone spending a lot of money since it will all be out of pocket), to make appointments for him (he doesn't work). I simply cannot do so, since I have no backup for my job. I'm willing to travel to one place, maybe Mayo Clinic in Rochester, MN.

If I can stay local, does anyone have a recommendation for a well-respected, knowledgeable MAC doctor in the Bay Area of California?

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@sophie1019 So glad to hear that you are feeling good Sophie!

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@suttonmac2009

I started with 500 mg (each) of Clarithromycin twice a day and 400 mg(each) of Ethembutol twice a day. Then when I was tested negative for MAC after about 5 yrs, they reduced meds to 3 days a week for a year

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@nick52, These are not stupid questions. I think many of us have the 'tree-in-bud' thing going on. My pulmonologist at the Mayo was SHOCKED to hear how many people are put on the BIG 3 meds. He thinks the same as your doctor, to medicate at the first sign of MAC is over-kill. I was diagnosed in 2005 and have not taken the BIG 3, I have taken two antibiotics on alternating months, and that seems to keep the infection away.

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@suttonmac2009

I started with 500 mg (each) of Clarithromycin twice a day and 400 mg(each) of Ethembutol twice a day. Then when I was tested negative for MAC after about 5 yrs, they reduced meds to 3 days a week for a year

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@irene5, although my dr agrees with nick52's dr, I still wonder if I shouldn't have gone on the BIG 3 in 2005 when I was first diagnosed? That dr at the time wanted me to, but two other pulmonologists said they would not recommend it. I sometimes think of getting another opinion from a diff medical institution, but I think one could get differing opinions on treatment everywhere. That is the maddening thing about this.

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