How do you enjoy the Holiday Season while living with Bronchiectasis?

Posted by Sue, Volunteer Mentor @sueinmn, Dec 19, 2023

It's that Time of the Year - some of us love it, a few of us may detest it, the rest just "go along for the ride."

Questions always arise on how to stay safe, but still manage to gather with family or friends, attend worship services, maybe even do a little shopping.

And of course, it is cold and flu season, and there's always that d$%&*# airway clearance time to factor in.

What are your tips and tricks for this time of year?
Sue

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

@isabellad

How do you deal with a husband who “doesn’t get it”? I have one of those.

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My wife does, but 3 of 4 grown kids do not

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@rstel7272

My wife does, but 3 of 4 grown kids do not

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Aah, Rick - that's sad.
Then, on the other hand, my two daughters "get it" to the extent that they would like to wrap me in bubble wrap and put me on a shelf to keep me safe...not sure which one is more annoying
Besides, I'd probably fall off the shelf and bump my head!🤷‍♀️
Sue

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@isabellad

How do you deal with a husband who “doesn’t get it”? I have one of those.

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Hi, my husband didn't get it either.
I began to ask if I could share an occasional post or webinar from this site and asked him if he thought I should follow the recommendations I learned.
He became more understanding and a part of the process. Good luck to you in your journey!

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@sueinmn

Hi, can we talk a little about your situation, and why you feel you cannot travel and dine out? I am an active, retired senior and grandma of two little "germ factories" six plus years into my journey with Bronchiectasis and having fought both Pseudomonas and MAC. I also have lifelong asthma, hyperreactive airways and chronic pain.

At first I was very wary too - wore a lot of N95 masks even before Covid. Then the pandemic lockdown hit, and we isolated a lot - until I insisted we create a safe plan for spending time with others. We did a lot of outdoor activities, even in winter. We washed hands, sanitized surfaces and masked - even the toddler was willing to do it to spend time together.

Through all of this, I remember the words of my very wise ID doc "This is a disease you live with, not die from. You need to figure out the highest risks and limit them, then get on with life." And my even wiser PCP of 20+ years who said "You are a social being. You need people and activities to be fully alive. We need to figure out how you can do it safely."

So...we travel, even spending time in hotels. We dine out. We visit tourist attractions and we hike. How do we do it safely? In any questionable environment, we choose outdoors over indoors (patio dining, outdoor concerts.) We choose open air over closed (walking tours vs bus tours, events in arenas with high ceilings and massive air flow vs small spaces.) We dine at our favorite restaurants at off-peak times if we can. We even fly - fully masked in the terminal and on the plane.

In winter, we are part of a small community in South Texas, and we avoid people who are not careful with handwashing, staying home when ill, etc. We entertain a few like minded friends, or we have groups on our covered patio. I swim in the outdoor pool, but avoid the hot tub.

As a volunteer for several organizations, I do what I can from home, but part of the blessing of being a volunteer is interacting...so I do both indoor and outdoor events, masking indoors if I feel the need.

I do airway clearance, use saline, Mucinex and NAC to keep my mucus thin. I make sure to eat a healthy diet, exercise and get enough rest. I try not to overdo, spacing activities wisely. I stay away from sick people.

What has been the outcome of my plan? One exacerbation in the last two years. And two "almost colds" brought to an early halt by Vitamin C, Zinc and rest. The exacerbation was brought on by breaking my own rule - we travelled over 5000 miles in just over two weeks, with some very long days and short nights. A few days after we settled into our Texas place, we both caught a very nasty virus, and our bodies were just too tired to fight it. Fortunately, with my PCP and Pulmo, I had a plan in place - a short, mighty burst of steroids (I know, not recommended, but this works for me) to kill the inflammation in my lungs, plus extra rest.

This is just one person's solution, but maybe a peak at how you could accommodate. Please don't miss out on these precious years with your kids! Put on a mask and join them. If you are not comfortable removing it to eat in a restaurant, you could always do what one of my friends who cannot eat solid food does - ask for a beverage and a straw, just sip and leave the mask on.

Does any of this sound doable to you?
Sue

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Sue- Do most Bronchiectasis patients take NAC? No one has ever suggested it to my. I am doing well and do take Mucinex, nebulize with levalbuteral and 7% saline, and use Azelastine. Do you think adding NAC is important? Thanks! Donna Turnbaugh

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@sueinmn

Aah, Rick - that's sad.
Then, on the other hand, my two daughters "get it" to the extent that they would like to wrap me in bubble wrap and put me on a shelf to keep me safe...not sure which one is more annoying
Besides, I'd probably fall off the shelf and bump my head!🤷‍♀️
Sue

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My youngest son and his wife are both ICU RN's at my hospital so that kind of makes up for it.
Merry Christmas

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I have a wardrobe of N95s
I order groceries online and do pickup. I really like that and would now do it any way!
I order lots of things online for shipment...stores are often out of things anyway.
When I must go in store, I chose a time when not busy and of course wear a mask.

But it is hard to deal with people who just don't want to get it. Even though health officials say that if you plan to be around elderly people during the holidays to consider staying home the week before and avoid exposure to crowds where it is easy to pick up things.

If I go to a family gathering, I bring containers to take food home and do not eat there. I know who represents a greater risk for me, and I maintain my distance from them.

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@donnaturn

Sue- Do most Bronchiectasis patients take NAC? No one has ever suggested it to my. I am doing well and do take Mucinex, nebulize with levalbuteral and 7% saline, and use Azelastine. Do you think adding NAC is important? Thanks! Donna Turnbaugh

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Hi Donna, I think NAC is just one more tool in our arsenal, but I don't believe everyone needs it. In my case, I tend to have sticky mucus, and also hyperreactive airways and a hyperactive inflammatory system. NAC seems to help with each of these, so I use. At one point, I though maybe I could substitute it for Mucinex, but it turns out I need both to keep my mucus flowing.
So, if your current routine works, why mess with it?
Sue

REPLY

Reading through these comments I really ought to take more precautions! Yes, I most often have a mask in a coat pocket to put on, so there's that. I get to the grocery whenever I get there but I work from a list and am usually quick. After taking outdoor shoes off when I get home, I hand wash immediately. Pretty compulsive about handwashing multiple times a day. The adult kids traveled to be with the other side(s) so things will be quiet, except for a couple gatherings, one of which is outside. One thing I avoid like the plague is air travel during holiday rush times, that's no fun and I feel like I'm asking for trouble!

Happy Holidays everyone!

REPLY
@scoop

Reading through these comments I really ought to take more precautions! Yes, I most often have a mask in a coat pocket to put on, so there's that. I get to the grocery whenever I get there but I work from a list and am usually quick. After taking outdoor shoes off when I get home, I hand wash immediately. Pretty compulsive about handwashing multiple times a day. The adult kids traveled to be with the other side(s) so things will be quiet, except for a couple gatherings, one of which is outside. One thing I avoid like the plague is air travel during holiday rush times, that's no fun and I feel like I'm asking for trouble!

Happy Holidays everyone!

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After observing these infections for 5 years, air travel is by far the number 1 place to avoid.

REPLY
@sueinmn

Hi, can we talk a little about your situation, and why you feel you cannot travel and dine out? I am an active, retired senior and grandma of two little "germ factories" six plus years into my journey with Bronchiectasis and having fought both Pseudomonas and MAC. I also have lifelong asthma, hyperreactive airways and chronic pain.

At first I was very wary too - wore a lot of N95 masks even before Covid. Then the pandemic lockdown hit, and we isolated a lot - until I insisted we create a safe plan for spending time with others. We did a lot of outdoor activities, even in winter. We washed hands, sanitized surfaces and masked - even the toddler was willing to do it to spend time together.

Through all of this, I remember the words of my very wise ID doc "This is a disease you live with, not die from. You need to figure out the highest risks and limit them, then get on with life." And my even wiser PCP of 20+ years who said "You are a social being. You need people and activities to be fully alive. We need to figure out how you can do it safely."

So...we travel, even spending time in hotels. We dine out. We visit tourist attractions and we hike. How do we do it safely? In any questionable environment, we choose outdoors over indoors (patio dining, outdoor concerts.) We choose open air over closed (walking tours vs bus tours, events in arenas with high ceilings and massive air flow vs small spaces.) We dine at our favorite restaurants at off-peak times if we can. We even fly - fully masked in the terminal and on the plane.

In winter, we are part of a small community in South Texas, and we avoid people who are not careful with handwashing, staying home when ill, etc. We entertain a few like minded friends, or we have groups on our covered patio. I swim in the outdoor pool, but avoid the hot tub.

As a volunteer for several organizations, I do what I can from home, but part of the blessing of being a volunteer is interacting...so I do both indoor and outdoor events, masking indoors if I feel the need.

I do airway clearance, use saline, Mucinex and NAC to keep my mucus thin. I make sure to eat a healthy diet, exercise and get enough rest. I try not to overdo, spacing activities wisely. I stay away from sick people.

What has been the outcome of my plan? One exacerbation in the last two years. And two "almost colds" brought to an early halt by Vitamin C, Zinc and rest. The exacerbation was brought on by breaking my own rule - we travelled over 5000 miles in just over two weeks, with some very long days and short nights. A few days after we settled into our Texas place, we both caught a very nasty virus, and our bodies were just too tired to fight it. Fortunately, with my PCP and Pulmo, I had a plan in place - a short, mighty burst of steroids (I know, not recommended, but this works for me) to kill the inflammation in my lungs, plus extra rest.

This is just one person's solution, but maybe a peak at how you could accommodate. Please don't miss out on these precious years with your kids! Put on a mask and join them. If you are not comfortable removing it to eat in a restaurant, you could always do what one of my friends who cannot eat solid food does - ask for a beverage and a straw, just sip and leave the mask on.

Does any of this sound doable to you?
Sue

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Wise advice.
I would add that one definitely does not want to use the hot tub! That is a petri dish of germs and the steam brings them right to your nose together with the cholerine to disinfect the water. Not good for the lungs! And it eats bathing suits fastI
I did aqua aerobics for 10 years, 3 times a week, and the cholerine in the pool was sometimes so strong my eyes would water. I often wonder if that damaged my lungs. A friend of mine continues to do aqua aerobics and she wears a mask in the pool.

REPLY
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