I was recently diagnosed with Bronchiectasis.

Posted by mmteach @mmteach, May 10, 2016

I was recently diagnosed with Bronchiectasis. No symptoms yet just starting different tests- another CAT scan, pulminary function test, and possible bronchoscopy. Any advice/suggestions would be greaty appreciated. Thank you!

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

@gafica

Yes, I have monthly sputum analysis. The level of MAC seen is decreasing from 4+ to “ few”. I am stopping my Aerobika use to see if that has been causing the blurry vision ( ie the increased pressure when exhaling forcefully may cause some adverse effects on the retina.) Recently, I do not produce anything but small amounts of clear mucus no matter how hard I exhale. ( I have never done any of the Forced Expiration Capacity measurements because of risk to my eyes ). I would be interested to learn if others have had any such issues with the use of Aerobika. My eye situation is pretty tenuous ( I have very high myopia, corrected with eyeglasses, etc over the years but have had many of the associated troubles ie severe glaucoma with a central scoot a in one eye now, retinal detachments, cataracts, very dry and oedematous corneas, etc which my opthalmologists have managed over the years). I do not want to risk further vision loss but I realize using Aerobika for the MAC is important. I am sure many others with MAC have had to make risk benefit decisions as well.

Jump to this post

Since you are having side effects from the medication, and you have seen great improvement in the number of colonies in your cultures, maybe your doc would consider reducing the frequency of you medications to 3X/week? This could reduce the side effects you are experiencing.
Sue
Take a look at the treatment guidelines here: https://www.aboutntm.com/diagnosis/

REPLY
@katemn

Hello MM, so glad you found this forum. Personally what I do for myself and my husband is google the name of the doctor .. hopefully by looking at EVERYTHING that comes up I can find out where they went to school (the tougher the school they could get into I figure they must be pretty bright!) .. sometimes you can see what their "interests" are .. what publications they have written. Then you can hopefully see if they have any experience in Bronchiectasis. You might call your insurance network .. get the name of every Pulmonologist .. call every single one .. AND request to be told the NUMBER of Bronchiectasis patients they have worked with in the past two years. That would be VERY important .. if they do NOT have current/recent patients .. that means they aren't keeping current with the disease.

Meanwhile research .. BUT do NOT be so scared!! You MUST be your own best advocate! IF there is NOT a specialist within your network .. you may have to raise KAIN to be referred to someone outside who CAN help you. You may have to pay 80/20 .. that is what happens to me .. but it would be worth it to get straight answers. If that happens .. try to get referred to Dr. Timothy Aksamit at Mayo Clinic in Rochester, MN. He is an expert Pulmonologist.

MEANWHILE .. it is VERY important to keep your lungs clear. The mucus in the bronchial tubes can be a breeding ground for mycobacterium resulting in a disease called MAI/MAC which happened to me. Be SURE to exercise .. get enough sleep .. eat healthy .. AND NOT stress over this. Stress is terrible for our bodies. Remember .. our bodies CANNOT take care of us .. UNLESS we take good care of it! Be kind to yourself on this our shared journey. Don't be so afraid .. I was diagnosed in 2011 .. and all I do is cough .. BIG TIME which is a pain in the batooty .. but lots of people have a lot of bigger problems than I have. Go forward in joy .. AND peace! I am sending you positive energy and big hugs! Katherine

Jump to this post

Hi Katherine, I was diagnosed 3 years ago with Bronchiectasis. I am seeing a doctor this month at Mayo Clinic Rochester this month for a consult (second opinion). Do you know how many days I can expect to be at Mayo Clinic for a second opinion? They told me 4-5 days but I can imagine what they could do to me for that many days. Copies of my records and scans have already been sent to Mayo.

REPLY
@valerie613

Hi Katherine, I was diagnosed 3 years ago with Bronchiectasis. I am seeing a doctor this month at Mayo Clinic Rochester this month for a consult (second opinion). Do you know how many days I can expect to be at Mayo Clinic for a second opinion? They told me 4-5 days but I can imagine what they could do to me for that many days. Copies of my records and scans have already been sent to Mayo.

Jump to this post

Hi @valerie613, great to hear that you have an appointment at Mayo Clnic Rochester. I’m tagging fellow members who I believe are or have been bronchiectasis patients at Mayo Clinic, like
@windwalker @jenblalock @auntnanny @migizii @joan912 @linda272 @bluesplashgirl who can tell you more of what you might expect.

Will this be your first time to Rochester, MN?

REPLY
@colleenyoung

Hi @valerie613, great to hear that you have an appointment at Mayo Clnic Rochester. I’m tagging fellow members who I believe are or have been bronchiectasis patients at Mayo Clinic, like
@windwalker @jenblalock @auntnanny @migizii @joan912 @linda272 @bluesplashgirl who can tell you more of what you might expect.

Will this be your first time to Rochester, MN?

Jump to this post

I'll just share my experience at Rochester. I had an appt without any testing being sent there. My pulmonologist is Dr Teng Moua (and I like him very much). They did a cat scan, diagnosed bronchiectasis and Dr Moua had sputum tests done --then he set me up with a nebulizer, meds, antibiotics, etc. And I was there only overnight in a Hotel. It wasn't at all a long session and I'll be really interested in how they treat your problem -- if you would share after you've been there. It's a fabulous place and I think you will be greatly impressed.

REPLY

Thank you for your reply. I am thinking one day there should be enough, unless I hear otherwise from fellow Mayo Clinic patients. I will share my experience after I have been there as it is not until the end of October.

REPLY
@valerie613

Hi Katherine, I was diagnosed 3 years ago with Bronchiectasis. I am seeing a doctor this month at Mayo Clinic Rochester this month for a consult (second opinion). Do you know how many days I can expect to be at Mayo Clinic for a second opinion? They told me 4-5 days but I can imagine what they could do to me for that many days. Copies of my records and scans have already been sent to Mayo.

Jump to this post

I was at Mayo recently for a second opinion, as well. The intake person/doctor spent about an hour with me and then sent me on my way, with several pieces of literature. She agreed with the first diagnosis of "mild bronchiectasis.'

REPLY
@colleenyoung

Hi @valerie613, great to hear that you have an appointment at Mayo Clnic Rochester. I’m tagging fellow members who I believe are or have been bronchiectasis patients at Mayo Clinic, like
@windwalker @jenblalock @auntnanny @migizii @joan912 @linda272 @bluesplashgirl who can tell you more of what you might expect.

Will this be your first time to Rochester, MN?

Jump to this post

Hi Valerie, this is migizii….when I had my first appointment at Mayo, Rochester it lasted one day. It included time with an infectious disease doctor, a CT scan, pulmonologist appointment, and meeting with a respirologist to teach me how to nebulize, etc….I did not know I had bronchiectasis when I went there, but was seeking a second opinion as our local clinic could not figure out what was happening. It turned out I had bronchiectasis for two years (as the pulmonologist reviewed old bronchoscopies) but the local doctors had no idea. The pulmonologist at Mayo did not realize I was unaware of the diagnosis as the discussion started in a manner that assumed I had known. When he realized I had no idea, he was very kind and walked me through everything. I hope you will have an excellent experience. They were very helpful, kind and compassionate.

REPLY
@patsolstad

I was at Mayo recently for a second opinion, as well. The intake person/doctor spent about an hour with me and then sent me on my way, with several pieces of literature. She agreed with the first diagnosis of "mild bronchiectasis.'

Jump to this post

Thanks for your reply. I am seeing Dr. Chalmers and I know they have me scheduled for blood tests first. Did you have blood tests as well? Now I know how I can schedule my flight home. Thank you.

REPLY

I didn't have a blood test. You might want to call them directly to see how long your appointments might be. They had access to all my health records, which might be one reason why I did not need additional tests. Good luck! Dr. Chalmers is very personable and helpful.

REPLY

@kaykuz posted a message about the progression of her bronchiectais in hopes of finding support from others in the group. Here is her message, shared with her permission:

Hi Sue...I have been on the site for a while. For some reason I can't find how to post and this would be too long I think....Anyway I wanted to ask you a few questions...I was diagnosed with Bronchiectisis and MAC 6 years ago....I took the big 3 for a year and did well...But now MAC has returned....Just had a cat scan and sputum cultures....My scan a year ago Oct 22 nd had no change and I was so happy....I have had 5 flare ups since Nov of last year.. and I think that caused damage to my lungs as the scan showed the source of infection was the right middle lobe....bronchial wall thickening, bronchiolitis in both lungs. complete chronic atelectais of the right middle lobe with a few new clusters of bronchiolitis in bilateral lower lobes... Just did a sputum culture and he wants to see if MAC still there....I am sure it is....Then he wants me to see the the ID Doc....which I have seen twice...last two years...not this year.
He also has suggested the vest.....I do not cough up mucus or cough unless I have a flare up....Did you ever do the vest? I have done the 7% for two years along with albuterol. I think I'd rather go on the meds than the vest.....
My doctor is at Cleveland Clinic and I also have a pulmonary doc in Fl where we winter for 7 months...
Thank you for your time and I hope to hear from you...
Kaye

If anyone (especially long-time bronchiectasis people and vest users) are willing to reach out, I am sure she would appreciate it. Please tag Kaye by including @kaykuz in your post so she will be sure to see it.
Sue

REPLY
Please sign in or register to post a reply.