(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.

@windwalker

Got great news today! Got my sputem test results back today; NO significant presence of any mycobacterium or fungal things growing.

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@windwalker...Terri....are you the person who was told you would need a lung transplant before you were stabilized???l might be recalling the wrong person. Tdrell terri

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@windwalker

Got great news today! Got my sputem test results back today; NO significant presence of any mycobacterium or fungal things growing.

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@windwalker...terri where is the video from the NTM World Conference posted? Was this the May conference held in San Diego?tdrell terri

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@windwalker

Got great news today! Got my sputem test results back today; NO significant presence of any mycobacterium or fungal things growing.

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@tdrell Terri, I was just asking if anyone had seen it yet. I have not, but will look inro it. It was the one held at Georgetown University in D.C.

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@windwalker

Got great news today! Got my sputem test results back today; NO significant presence of any mycobacterium or fungal things growing.

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@tdrell Yes, that was me. I was in pretty bad shape.

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@boomerexpert

Good news for those who have failed with standard treatment...will not be used for all else, however. And...NTM's ARE NOT RARE!!

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It's better, but chest xray easier and cheaper for many, and gets the preliminary results needed...

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@windwalker

@heathert, Hi Heather. I have re-posted this article. I think the chart is in the second to last paragraph. If you can, print this and show it to your doctor. The saline is not pnly about the mucous.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850692/

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Thank you for the link to the saline article! I recently started nebulizing with 7% saline. I found out at a NYC NTM support group that practically everyone was told to nebulize except me. Initially I thought I would wait until I was more symptomatic but then I thought Why? Why not do everything possible now so that I don’t get symptoms. I find that I am able to clear better after using the nebulizer and Aerobika. I started off using them attached to each other but am now using the nebulizer and then the Aerobika. I’m playing with it. I think I do better with the separate approach as I focus on my inhalation with the nebulizer and my exhalation with the Aerobika. More zen. Less frenetic.

By the way, I asked my doctor to call in a prescription for the 7% saline 4 mil vials. He is the head of pulmonary at a large health system in New York City and did NOT prescribe it. In fact, he wanted to prescribe a large bottle of 3 % saline that I would have to carefully pour into the nebulizer. He said his computer system did NOT give him the option of the 7% saline in 4 milliliter vials. I did not want that so I called the pharmacy and had them contact him for approval. I was able to buy the little portable (walkman size) nebulizer without a prescription.I listened to the support group and advocated for myself!

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@vestafit you go girl! Get what you know you need...do not depend on the medical community to do it for you.

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@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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I am new on this website. I was diagnosed with MAC earlier this year. I too had a lung nodule biopsied and sent to CO for confirmation. I have nodules in both lower lungs. (It was accidentally found in a CT I had for another issue.) I had a series of sputum tests and a few months later I had another CT scan that indicated it was no worse and slightly better so no antibiotics at this time. I will have another CT in January to see if there's any change in the nodules. The doctors here had no idea where it comes from because their info indicated could be from air, soil or water but I doubted that so after much research looking at websites like yours, I made the conclusion that it has to be from my GERD. When I had last visit to lung dr, I expressed my thoughts to him and he readily agreed it was probably from aspirations due to GERD. I recalled many times where I coughed a lot at night almost choking at times. Not realizing it was from GERD. I even have trouble with choking when I eat. Have to keep chin straight. Wondering if that's because I have a damaged esophagus?? The big problem is these lung drs are not educated enough on preventing future issues with MAC disease. For instance, I found a website that said: (1) Do not eat 3 hrs before bedtime; (2) Do not drink more than 6 oz at a time; (3) Do not sleep on right side and I'll add another which I think is extremely important - sleep elevated. My lung dr gave me "0" advice on preventing my disease from accelerating. I think it's very sad that lung physicians are not being educated on what and how to treat their patients. The only advise from the two lung drs I saw was I had MAC disease and how to treat it. Nothing on further preventive measures. Very sad.

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@windwalker

@heathert, Hi Heather. I have re-posted this article. I think the chart is in the second to last paragraph. If you can, print this and show it to your doctor. The saline is not pnly about the mucous.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850692/

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Good for you, @vestafit. Advocating for yourself has become the unofficial mantra of this MAC group. So glad that you shared this and how the group gave you the support to call the pharmacy.
We look forward to getting to know you. When were you diagnosed with MAC? How are you doing?

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@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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Barbara, I have a damaged esophagus, perhaps from a large pill that got stuck in my throat. A couple of times a year I have a procedure to stretch my esophagus and that helps with eating and coughing. It sounds awful but it isn't. You get quite a nice drug that last for just a little while after the procedure and I have never experienced pain. You will want a doctor with a lot of experience. A small balloon is put down your throat and opened slowly and then left for a bit.to expand the esophagus. It's worth looking into because it does make a difference. I had gerd but eliminated the recommended foods, including coffee and I don't eat after six. I sleep on two pillows in comfort. Hope things get better for you.

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