In shock after MAC diagnosis

Posted by sylvermoon8 @sylvermoon8, Aug 17, 2019

I was being followed for a lung problem for 2 years and finally was to have my last CT in June. But it showed pneumonia. I had had a bad cough a month before, they thought I had pneumonia but chest X-rays indicated no, so I wasn’t treated. So after the CT I had 7 days of an antibiotic. 6 weeks later my next CT showed it had gotten a bit worse and now they mentioned something called MAI. That was last Monday. Tuesday I am getting a bronchoscope and biopsy. I am scared. Especially now that I have read so much about this. I don’t have symptoms except maybe if I talk fast I feel like I had to stop and breath. I don’t know what I am in for. Gosh I am scared just about getting the bronchoscope. My doctor said I could have gotten this from gardening, I did a lot...have been doing it for years. This year we had a new mulch supplier...... I could use a pep talk, if anyone has that for this!!

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@auntnanny

I tried toby more than once -- could take it for maybe two weeks and then breathing problems happened for me. It was scary. I went up to Mayo's before starting it because that's what Dr Moua wanted me to do so they could try it and be sure I would not have that problem. I did fine up there but of course it was only one time for about 20 minutes. Yes, I did saline and albuterol prior to using it each day (that's what I was told to do also) but eventually, it was just too scary. They had me stop it and I've had no replacement. Would love to find something else that might kill pseudomonas. That's my big problem.

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Thank you for responding. Dr Moua is your Pulmonologist, right? Did you ever see an Infectious Disease Dr? I was thinking of trying an ID doc.

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I believe Dr Moua does both -- they have him in the critical care unit a good deal of the time. He didn't ever mention sending me to someone else if I did need MAC treated. However, they meet and consult with one another all the time. It's never just one person's opinion. He refers to his colleagues when he speaks.

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@sueinmn

@sylvermoon8 Your reaction is totally normal! Especially after you read some of the issues people are having with both the illness and the treatment. That said, read what you can to educate yourself. Make sure you are seeing a pulmonologist and/or infectious disease (ID) doctor who specialize in treating MAI and bronchiectasis. If yours is not, ask for a referral to someone else - this is not an easy thing to treat. My pulmonologist just "handed me off" to an ID doc because he had used all his usual protocols and they weren't enough.
As to the source of your infection, it COULD have come from gardening, OR your mulch, OR your soil, OR your tap water, OR a hot tub or swimming pool, OR from any of the above encountered as you travel. NTM (non-tubercular mycobacteria) are EVERYWHERE. You cannot completely avoid NTM without living in a bubble. The key is to take sensible precautions about exposure, eat a healthy diet, get proper rest, practice good lung hygiene as recommended by your docs based on the extent of your disease and symptoms, take prescribed antibiotics...and continue to live your life.
For example, I am and always have been an avid gardener. I am pretty sure the origin of my infection is exposure to soil contaminated by feral chickens scratching, nesting & pooping under my fruit trees in South Texas (winter home.) Therefore I no longer garden there, and have only a few potted plants. In addition, I close up my house & stay way while yard work is done, and the gardener washes down the patio afterward. At my summer residence, I continue to garden, wearing gloves always and an N-95 mask when it is dry, dusty or windy. I pay a young man to do the Spring cleanup and mulching and stay away while it is underway. I shower and launder garden clothes and gloves at the end of each workday, and replace the mask after 6-8 hours of use or if it gets wet (OSHA recommendation.)
In addition, I continue to volunteer, travel, hang out with my kids, grandkids and friends, and generally enjoy life - stopping to rest when my body demands. I try to eat well (a struggle on the Big 3 antibiotics taken daily), avoid being out on dusty, windy days (no more desert hikes) or wear a mask, stay out of hot tubs, take quick, non-steamy showers, neb and use my meds as prescribed.
One key I really believe helps me stay well - I, and everyone around me, practice excellent hand-washing & food/living space hygiene. This is easy at home, both my daughters are practicing nurses in high-risk environments, so they are relentless. Away from home, I try to be cautious, and if I'm going to be around new people, I try to do a little low-key, gentle education. I couch it in these terms "I have a compromised immune system. Getting a cold or the flu is devastating - it turns into bronchitis and then pneumonia and it puts me in the hospital. There are others in our little community with the same problem due to other illnesses. Please help us by thoroughly washing your hands, and by making sure all surfaces are thoroughly sanitized before every event. And please don't bring or handle food here if you are ill. Even better, stay home if you are ill, to avoid spreading germs..." Last year, after our first full season of this approach, we saw a noticeable decline in the number of illnesses that "went around" the community.

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Hello Sue,
How would I know if I have developed Bronchiectasis? I may have it after a bad illness. I am waiting on some drs appointments but they can’t get here quick enough. Is it hard to sleep through the night for this condition? I’m experiencing burning, pain, and tingling in my chest. I don’t have much of a productive cough right now but it seems that I can’t get congestion to rise upwards like I use to be able to do. I am using albuteral along with the breathing flute you recommend for me. It’s the green one I’m using now, I forgot the name of it. I have the white 4 piece one on the way also. The green one works ok....it seems like it’s doing something and it’s better then normal breathing exercises without one I imagine.

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@eric211

Hello Sue,
How would I know if I have developed Bronchiectasis? I may have it after a bad illness. I am waiting on some drs appointments but they can’t get here quick enough. Is it hard to sleep through the night for this condition? I’m experiencing burning, pain, and tingling in my chest. I don’t have much of a productive cough right now but it seems that I can’t get congestion to rise upwards like I use to be able to do. I am using albuteral along with the breathing flute you recommend for me. It’s the green one I’m using now, I forgot the name of it. I have the white 4 piece one on the way also. The green one works ok....it seems like it’s doing something and it’s better then normal breathing exercises without one I imagine.

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Hello Eric, It takes at least an x-ray, if not a CT scan, to diagnose bronchiectasis. This is not a condition that comes on suddenly in most cases - it is a progression from other long-term conditions like asthma, coupled a trigger like a severe infection or bout of pneumonia.

Can you tell us a little bit about the bad illness that brought you to this point? Also about whether you have had any chest xrays?
Sue

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@sueinmn

Hello Eric, It takes at least an x-ray, if not a CT scan, to diagnose bronchiectasis. This is not a condition that comes on suddenly in most cases - it is a progression from other long-term conditions like asthma, coupled a trigger like a severe infection or bout of pneumonia.

Can you tell us a little bit about the bad illness that brought you to this point? Also about whether you have had any chest xrays?
Sue

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Yes I had covid19 and was basically suffering through it at home because the pulse oxygen sensor was reading good numbers. But I had shortness of breath for a long time. I recovered after about 2 months. Then I got a Pfizer vaccine, a few days later I had the same conditions and they have not really gone away. It’s been 2 months since that.

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@eric211

Yes I had covid19 and was basically suffering through it at home because the pulse oxygen sensor was reading good numbers. But I had shortness of breath for a long time. I recovered after about 2 months. Then I got a Pfizer vaccine, a few days later I had the same conditions and they have not really gone away. It’s been 2 months since that.

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So 4 months all together. I am on a bunch of medication now plus inhalers.

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I can’t sleep at night also. It’s really hard to deal with the chest discomfort and congestion that I can’t move in there. The ct and xray after my covid infection was fine but I haven’t had one since the second sickness. I am seeing a pulmonologist soon.

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My nose is stuffy with just swelling most of the time and my breathing is labored. I also notice my voice is really raspy and I hear a whistle sometimes or a wheeze from my windpipe. When I make an effort to clear my throat it seems like it’s not doing anything now and feels like a flat tire in there.

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Any of this sound familiar? What should I do?

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@eric211

Any of this sound familiar? What should I do?

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It sounds like you have been seen by a doctor, who has confirmed that there are lingering effects, but nothing of an emergency nature. As long as your oxygen levels stay up and you don't have a high fever, you can probably safely wait to see the pulmonologist.

Here are some things you can do while you wait, to help you feel better:
Drink a lot of water or herbal tea, but limit or eliminate caffeine, alcohol and sugary drinks.
Eat a healthy diet - fruits, vegetables, non-fried foods. Limit chips, frozen pizza, and other high salt, high fat foods. If you feel to ill or tired to fix your own, buy healthy frozen meals and even low-sugar protein shakes.
Don't smoke or vape.
Move - even if you feel tired, it is important to keep moving to help clear your lungs. Try to walk for at least 5 minutes every hour, even if it is just around your house or apartment. Get out in the fresh air as much as you can.
Sleep propped up on pillows if it helps your breathing.
Try some deep breathing exercises - here is one example: https://www.youtube.com/watch?v=acUZdGd_3Dg

When is your pulmonology appointment? Have you tried deep breathing and exercise to help your lungs?

Sue

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