(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.

@heathert

@america that is fantastic news!! I am in the same boat after around 5 years, stop the meds in a month and a half, scary but exciting!

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@heathert Fastastic news for you too! Yes I know it must be a bit scary for the future -- maybe you could try things like intermittent high vitamin D or other things to help protect you in future after tyhe meds stop.
You've been a wonderful help to me Heather. i hope you can stay in contact with us in future. Hugs and thanks from Annie

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@alleycatkate

Thanks @anniepie. I hope you can find a good solution.

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Thanks Kate @alleycatkate -- I'm still getting more results from the cardiologist. Apparently there are other things that might help get the very high cholesterol down when the meds knock everything out -- eg. antibody therapy, but it's expensive and hard to get. We'll see what happens in the next few weeks. Hugs, Annie

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@anniepie

@heathert Fastastic news for you too! Yes I know it must be a bit scary for the future -- maybe you could try things like intermittent high vitamin D or other things to help protect you in future after tyhe meds stop.
You've been a wonderful help to me Heather. i hope you can stay in contact with us in future. Hugs and thanks from Annie

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@anniepie Thank you so much. I will be trying some vitamins, I wish there was some sort of protocol to follow tho. I will definitely stay on mayo and help where I can. Hugs to you too Annie

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@anniepie

Thanks Kate @alleycatkate -- I'm still getting more results from the cardiologist. Apparently there are other things that might help get the very high cholesterol down when the meds knock everything out -- eg. antibody therapy, but it's expensive and hard to get. We'll see what happens in the next few weeks. Hugs, Annie

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@anniepie Good luck. I hope the cardiologist will be helpful to you. Please update us.
🤗 Kate

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@anniepie

Thanks Kate @alleycatkate -- I'm still getting more results from the cardiologist. Apparently there are other things that might help get the very high cholesterol down when the meds knock everything out -- eg. antibody therapy, but it's expensive and hard to get. We'll see what happens in the next few weeks. Hugs, Annie

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What is the connection between the Big 3 and high cholesterol? I hadn’t heard of that.
Thanks,

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@kathyh The only connection I know of is the effects of both on the liver. One of the big three is of particular concern for the liver, and since most cholesterol meds increase liver enzymes, it can be problematic to take both. I was given the choice of being on cholesterol meds or off while on the Big 3. I chose off. (Irene5)

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@kathyhg

What is the connection between the Big 3 and high cholesterol? I hadn’t heard of that.
Thanks,

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Hi Kathy @kathyhg. The Big 3 don't cause high cholesterol. The problem is that Rifampicin can, for some people, interact with anti-cholesterol drugs, making those drugs stop working. As a result, because the anti-cholesterol drugs stop working, people with a cholesterol problem before they took the Big 3, can find they have high cholesterol again. That's what happened for me. I hope this expalantion helps, Annie

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Hi All, just some info I read about for anyone suffering from the chronic cough that comes with MAC. Not talking about the productive cough to rid the lungs of excess mucus, but the annoying, constant cough that sometimes even leads to gagging. I just read an article in the ASHA Leader. (That’s the professional magazine for Speech Language Pathologists.) When The Coughing Won’t Stop, November 2019. It talks about receiving Behavioral Cough Suppressant Therapy, (BCST), from a Speech Language Pathologist, (SLP), that specializes in voice and upper airway disorders and has received additional training in BCST. I AM an SLP and have never heard about this before. I found it very interesting. 80% of patient’s benefit from BCST therapy to learn how to control and minimize the coughing that interferes with everyday life. They talk about the cause being hypersensitivity to outside stimuli; perfume, smoke, dust, change in air temps, talking, laughing, etc., and can also occur in certain areas of the brain. Hypersensitivity can also be caused by coughing! So coughing makes us cough more! Only problem is physicians are not aware of this therapy, (surprise), so they don’t know to recommend it, AND there aren’t many SLPs trained or educated in it. I thought everyone would find it interesting and there may be some who would really benefit from this type of therapy.
Gina K

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@ginak

Hi All, just some info I read about for anyone suffering from the chronic cough that comes with MAC. Not talking about the productive cough to rid the lungs of excess mucus, but the annoying, constant cough that sometimes even leads to gagging. I just read an article in the ASHA Leader. (That’s the professional magazine for Speech Language Pathologists.) When The Coughing Won’t Stop, November 2019. It talks about receiving Behavioral Cough Suppressant Therapy, (BCST), from a Speech Language Pathologist, (SLP), that specializes in voice and upper airway disorders and has received additional training in BCST. I AM an SLP and have never heard about this before. I found it very interesting. 80% of patient’s benefit from BCST therapy to learn how to control and minimize the coughing that interferes with everyday life. They talk about the cause being hypersensitivity to outside stimuli; perfume, smoke, dust, change in air temps, talking, laughing, etc., and can also occur in certain areas of the brain. Hypersensitivity can also be caused by coughing! So coughing makes us cough more! Only problem is physicians are not aware of this therapy, (surprise), so they don’t know to recommend it, AND there aren’t many SLPs trained or educated in it. I thought everyone would find it interesting and there may be some who would really benefit from this type of therapy.
Gina K

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@ginak Wow thanks for that info, very informative, so maby it is not from the MAC but just our sensitivities, which I have had all my life and maby notice it more when I know I have a lung problem.

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