New to MAC and considering treatments options: What did you do?

Posted by ajwelsh @ajwelsh, Aug 11, 2022

Hi all,
I started getting chest pains and breathing difficulties early May and after much testing and a biopsy, I was diagnosed with MAC. My doctor did not give me much information. He only told me that my symptoms were not severe enough for treatment and just said we would get a chest x-ray once a year to monitor it. Is that normal? Unfortunately, this was a phone call and he was in a rush to hang up and did not seem to want to answer my questions (I had to ask him to stay on the phone and then asked if this is just a chronic thing I will have now or if it will go away eventually and was told "I don't have a crystal ball.") He gave me zero resources and no recommendations for what to do/avoid. Is there a good place I can learn about this? I only see stuff about the year plus of three antibiotics which he said we don't need to do right now and nothing about day to day life. Is there something I can do to make sure it doesn't get worse/slow its progress? Any direction would help. Thanks!

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

@sueinmn

If you have a pulmonologist or pulmonology group you want to see, call and ask who is experienced. For an individual doctor, look up their profile, which will show their certifications and areas of interest or specialty. Otherwise, check with your nearest teaching hospital or medical school for a referral.
I f you happen to be near a Mayo Clinic (Rochester, MN Jacksonville, FL or Phoenix, AZ) National Jewish Health (Denver, CO) or University of Texas, Tyler all have excellent Bronchiectasis/MAC treatment centers.
Sue

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Received info that Mayo in Scottsdale, AZ does NOT specialize in NTM or bronchiectasis, that Rochester and Jacksonville have the best pulmonology clinics. Is this information incorrect? Been a twice yearly patient at NJH for 11 years...the travel to and from (with Covid) has become overwhelming. Looking for treatment closer to home in the southwest.

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@sallysearching

National Jewish Health in Denver is amazing. They are some of the best for lung disease. I went there in June and had a full work up. They gave me more information and help then my pulmonologist has in 5 years! Worth the trip and investment.

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How did you get an appt at NJH? Did you have to be referred or just call them and get an appt. Also, how long did you wait for an appt and how long did it take to do the work up. Did they want any of the records from your local Dr., like the CT scans or did they just start from scratch. Thanks

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@busybeans

Received info that Mayo in Scottsdale, AZ does NOT specialize in NTM or bronchiectasis, that Rochester and Jacksonville have the best pulmonology clinics. Is this information incorrect? Been a twice yearly patient at NJH for 11 years...the travel to and from (with Covid) has become overwhelming. Looking for treatment closer to home in the southwest.

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That's correct. If you're going to go to Mayo for NTM, go to Mayo Rochester. In terms of respiratory health rankings, Rochester is currently ranked #1 and NJH are #2. NJH have been ranked #1 or #2 for the past 26 years, for good reason. Mayo AZ have zero NTM experts, so I would not recommend them.

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@detsdum

How did you get an appt at NJH? Did you have to be referred or just call them and get an appt. Also, how long did you wait for an appt and how long did it take to do the work up. Did they want any of the records from your local Dr., like the CT scans or did they just start from scratch. Thanks

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I self referred to NJH, because my insurance plan allows it. I just called them up and asked for an appointment. They said it would take about 2 months to get in, it actually took 6 months. They will ask for all your relevant medical records. The visit took over a week, so I stayed in a hotel in Denver.

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@extracare808

I self referred to NJH, because my insurance plan allows it. I just called them up and asked for an appointment. They said it would take about 2 months to get in, it actually took 6 months. They will ask for all your relevant medical records. The visit took over a week, so I stayed in a hotel in Denver.

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@extracare808 Thank you for the response and the information. Maybe I should shoot for the wintertime and take my skis.

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@extracare808

I self referred to NJH, because my insurance plan allows it. I just called them up and asked for an appointment. They said it would take about 2 months to get in, it actually took 6 months. They will ask for all your relevant medical records. The visit took over a week, so I stayed in a hotel in Denver.

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How often after initial consult do you have to return to Denver/Rochester, being it’s such a long distance?

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@extracare808

That's correct. If you're going to go to Mayo for NTM, go to Mayo Rochester. In terms of respiratory health rankings, Rochester is currently ranked #1 and NJH are #2. NJH have been ranked #1 or #2 for the past 26 years, for good reason. Mayo AZ have zero NTM experts, so I would not recommend them.

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Thanks for confirming my info. I've been a patient at National Jewish since first diagnosed in 2011, making twice yearly trips for exams after initial two-week evaluation. I've received exemplary care there. But I was hoping my information was incorrect since Mayo, Scottsdale is so much closer to my home.

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@med08

How often after initial consult do you have to return to Denver/Rochester, being it’s such a long distance?

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I've been going every 6 months, because I'm currently under treatment. For me, it's just a day trip, because I live in AZ and there are dozens of cheap direct flights to and from Denver every day.

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thanks all! I found and spoke to an infectious disease specialist as @gej53 suggested. And as @med08 mentioned, she quickly wanted to do work to find an underlying cause as she said I am quite young to have this (33). We have a plan for blood work and a few more tests and I feel much more comfortable with this doctor as she seems more knowledgable and is taking it more seriously (while the pulmonologist just wanted me to another CT scan in January 2023).

I feel like I am on a good track now and definitely will also keep in contact with this forum. Thanks again for the direction and insight!

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@ajwelsh

thanks all! I found and spoke to an infectious disease specialist as @gej53 suggested. And as @med08 mentioned, she quickly wanted to do work to find an underlying cause as she said I am quite young to have this (33). We have a plan for blood work and a few more tests and I feel much more comfortable with this doctor as she seems more knowledgable and is taking it more seriously (while the pulmonologist just wanted me to another CT scan in January 2023).

I feel like I am on a good track now and definitely will also keep in contact with this forum. Thanks again for the direction and insight!

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Great luck to you @ajwelsh yes please keep us up to date. Wow 33 very young. No prior lung disease?

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