CAT SCAN - how often?

Posted by meadows @meadows, Nov 15, 2023

When you were first diagnosed, did you need another cat scan before starting the antibiotics? I had a cat scan done last July prior to the formal diagnosis, and now they want another cat scan prior to antibiotics. Was that your experience? It seems so soon esp. since MAC is slow growing. Thanks

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@meadows I had to look back to see because it has been 5 years. At first, I had CT scans every 3 months because I was quite ill and the lungs were getting worse. During treatment, it was every 6 months. Since I stopped, once roughly each year. My pulmo wants to skip this year unless I have a problem in the next 6 weeks because I have gone the entire year without an exacerbation or a serious asthma attack. (I hope I don't jinx myself by saying this!)

I feel very fortunate that airway clearance and controlling my asthma has kept me pretty healthy.
Sue

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@sueinmn

@meadows I had to look back to see because it has been 5 years. At first, I had CT scans every 3 months because I was quite ill and the lungs were getting worse. During treatment, it was every 6 months. Since I stopped, once roughly each year. My pulmo wants to skip this year unless I have a problem in the next 6 weeks because I have gone the entire year without an exacerbation or a serious asthma attack. (I hope I don't jinx myself by saying this!)

I feel very fortunate that airway clearance and controlling my asthma has kept me pretty healthy.
Sue

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Do they always get a regular chest CT or do they order an HRCT each time? Which is the recommended "standard" for follow up with MAC?

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@sueinmn

@meadows I had to look back to see because it has been 5 years. At first, I had CT scans every 3 months because I was quite ill and the lungs were getting worse. During treatment, it was every 6 months. Since I stopped, once roughly each year. My pulmo wants to skip this year unless I have a problem in the next 6 weeks because I have gone the entire year without an exacerbation or a serious asthma attack. (I hope I don't jinx myself by saying this!)

I feel very fortunate that airway clearance and controlling my asthma has kept me pretty healthy.
Sue

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Sue, I just got back from NJH and I will be getting off the Big 3 along with Amikacin Feb 1st if I continue to test Negative for MAC. I will continue with Sodium Chloride and Levalbuterol Pump along with airway clearance. Since you are at the 5 year mark I was curious as to which airway clearance you are doing (it is obviously working very well for you).

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@tconz

Sue, I just got back from NJH and I will be getting off the Big 3 along with Amikacin Feb 1st if I continue to test Negative for MAC. I will continue with Sodium Chloride and Levalbuterol Pump along with airway clearance. Since you are at the 5 year mark I was curious as to which airway clearance you are doing (it is obviously working very well for you).

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I use NAC and Mucinex to keep the mucus thin, Symbicort inhaler twice a day (also have asthma) the Aerobika daily plus random huff coughing whenever I feel anything in my lungs. 3 times a week I use 7% saline.

For two years, I used the saline daily but last year I cut back gradually. If I feel any twinge of congestion, any sign of a respiratory illness or my shortness of breath worsens, I begin daily saline nebs again. This is the strategy agreed on with my pulmonologist, and it seems to work wonderfully for me - a year now without an exacerbation.

To everyone - I was stable for two years before I attempted this - you need to do what your lungs dictate.
Good luck getting off the meds - it has been a long haul for you!
Sue

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Thank You and Great Advice!

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@sueinmn

I use NAC and Mucinex to keep the mucus thin, Symbicort inhaler twice a day (also have asthma) the Aerobika daily plus random huff coughing whenever I feel anything in my lungs. 3 times a week I use 7% saline.

For two years, I used the saline daily but last year I cut back gradually. If I feel any twinge of congestion, any sign of a respiratory illness or my shortness of breath worsens, I begin daily saline nebs again. This is the strategy agreed on with my pulmonologist, and it seems to work wonderfully for me - a year now without an exacerbation.

To everyone - I was stable for two years before I attempted this - you need to do what your lungs dictate.
Good luck getting off the meds - it has been a long haul for you!
Sue

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Sue, do you take NAC in capsule form? My pulmonologist mentioned Mucomyst which I believe is an inhaled form of NAC. Thanks!

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I've had many ct scans, sometimes every 3 months. Most were concerns with the multiple nodules I have. With infections like ours, these nodules flare up & down in size. If any get over 1cm, then the issue gets elevated. The Dr's will be looking for 2 back to back scans that show stability. Stable has become one of my favorite words the last 5 years.

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@oaktree

Sue, do you take NAC in capsule form? My pulmonologist mentioned Mucomyst which I believe is an inhaled form of NAC. Thanks!

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I take NAC in capsules. There is all kinds of speculation about effectiveness, but here are my observations:
I ran out when I couldn't get Jarrow brand - my muscles ached more, my hands were more swollen (arthritis) and my mucus got "stringy" again.
Then I found "NOW" brand and restarted - all of these settled down.
Just to check if it was still effective, I stopped for 10 days this past spring - same result.
I have also thought "do I need both" and stopped Mucinex - no effect on aches and pains, but my mucus got thicker and I got fluid behind the eardrum in my chronically bad ear.

So, for me the capsules work, and it's not one more thing I have to inhale.
Sue

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@sueinmn

I use NAC and Mucinex to keep the mucus thin, Symbicort inhaler twice a day (also have asthma) the Aerobika daily plus random huff coughing whenever I feel anything in my lungs. 3 times a week I use 7% saline.

For two years, I used the saline daily but last year I cut back gradually. If I feel any twinge of congestion, any sign of a respiratory illness or my shortness of breath worsens, I begin daily saline nebs again. This is the strategy agreed on with my pulmonologist, and it seems to work wonderfully for me - a year now without an exacerbation.

To everyone - I was stable for two years before I attempted this - you need to do what your lungs dictate.
Good luck getting off the meds - it has been a long haul for you!
Sue

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Sue,
Were you ever on arikayce nebulizer?

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@sueinmn

I take NAC in capsules. There is all kinds of speculation about effectiveness, but here are my observations:
I ran out when I couldn't get Jarrow brand - my muscles ached more, my hands were more swollen (arthritis) and my mucus got "stringy" again.
Then I found "NOW" brand and restarted - all of these settled down.
Just to check if it was still effective, I stopped for 10 days this past spring - same result.
I have also thought "do I need both" and stopped Mucinex - no effect on aches and pains, but my mucus got thicker and I got fluid behind the eardrum in my chronically bad ear.

So, for me the capsules work, and it's not one more thing I have to inhale.
Sue

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Thank you, Sue. And one more question…do you take the mucinex and NAC right before you use the Aerobika? Once or twice daily? I appreciate your willingness to share your experiences!

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