Has anyone ever been cured of MAC?
Has anyone ever been cured of MAC? Or even for at least 20 plus years?
Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.
Has anyone ever been cured of MAC? Or even for at least 20 plus years?
Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.
Twice daily, Ina.
Very informative National Jewish Health presentation by Dr Huitt about managing medication side effects.
Hi Ina,
Are your doctors MAC experts? The reason I ask is that treatment guidelines state that meds should continue until 12 months post initial sputum conversion, so a year would be the very minimum.
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1 ReactionIna, sadly, even pulmonologists with many years of pulmo experience are not well informed about treatment and maintenance guidelines for bronchiectasis and MAC. These are both very rare conditions (according to some studies, as rare as 1 in 2,000 people and 1 in 3,300, respectively), so the average community doctor doesn't see a large volume of patients with such 'orphan diseases. I ended having to go to National Jewish and, believe me, it was a real eye opener.
Airway clearance is recommended for management of bronchiectasis by the American Thoracic Society, so I find it bewildering that so many pulmonologists are oblivious to guidelines set by their *own* professional organizations. I had never heard of it until I went to NJH and when I subsequently asked my community pulmonologist for a refill script, he looked at me with puzzlement as though I'd asked him for ride on a unicorn. He had literally never heard of 7% saline nebulization for management of bronch. and I had to explain the concept to HIM! Prior to NJH, I had also gone to Mayo and no one there had mentioned it either.
I recommend that you watch all the NTM videos on the NJH youtube channel. You will come out being orders of magnitude more informed about NTM than your average community pulmonologist, guaranteed. Also, if you can manage a trip up to NJH, I highly recommend it. It's best to go to a national center that deals with thousands of NTM cases per year, than a community pulmonologist who has perhaps seen less than half a dozen cases in his/her entire medical career.
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1 ReactionThis.
Mycobacteria can't survive conditions higher than 3% salinity. That's why sea/ocean water (which is 3% saline) is 'safe' from a re-infection risk perspective. Swimming pools, spas, etc. are high risk due to low salinity of the water.
At NJH, they go from 3% all the way up to 10%. I use 7%, which took some getting used to, but I'm convinced it's what dramatically reduced my colony count from over 200 to 3. 17% of people who neb with saline are able to convert to negative.
Very interesting extracare808. Thanks for posting. Don
The table on page 4 of this article: efaidnbmnnnibpcajpcglclefindmkaj/viewer.html shows a variety of saline levels which eliminate Mycobacteria in culture medium. The most common infectious agents required greater than 5% to eliminate colonies. Those were M. avium, M, intracellulare, M. chimaera and M. abscessus.
Interestingly, TB was eliminated above 3%.
Sue
@extracare808 I couldn't open the link that Sue posted. I believe it's https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850692/. See especially tables 2 and 3. Another good article is https://erj.ersjournals.com/content/54/1/1802143.long
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1 ReactionHow do fermented foods help MAC, bronchiectasis?
Ina, somewhere along the way I read a bit about the pivotal role of our "gut" in our overall health. It reminds me of the old quip "if Mama ain't happy ain't nobody happy." More to the point, I came across something called the "gut brain axis" and the "gut lung axis." Apparently it's to our benefit to keep our gut "microbiota" healthy, as there is some sort of interaction between the gut and the lungs. And somewhere else along the way I came across something suggesting that our gut just relishes fermented food. So, "happy gut, happy lungs." Now I'll wait, full of anxiety, anticipating a post informing me that all this is a bunch of balderdash that has long-since been debunked. Grins, Don
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