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BronchandNTM360social welcomes new member SLY2016 who
joins 5,772 current members of our community.
We're glad you're here!
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Saw this has some very positive results. Not sure if covered by Medicare or VA but interested if anyone has used and feedback.
Thank you for the welcome and advice. I am using a nebulizer and two medications. I just don't create much mucus, but will work on doing mucus clearance. I'll ask my doctor about Mucinex.
Met with my pulmonologist in late July and told her I have not noticed any real discernible change in my mucus production. My chronic cough now is a little bit less but that could also be environmental. No side effects as yet. She explained that BRINSUPRI is designed to work on my bone marrow which in time will alter the over production of mucus. She advised me to continue on the medication since I have had no flare ups since February. So, thatโs what Iโm doing.
Diane,
Hello! Welcome to the community. I am so glad you found us. Many of us deal with similar symptoms. Fatigue is a common symptom- regular airway clearance helps a lot to get mucus up and out. Have you tried normal saline nebulizers or a mucolytic medication such as Mucinex to assist to bring up the sputum? We are @ hereโ for you.
Hello. I'm new to the group and have bronchiectasis which was found in an x-ray and I have the Alpha-1 deficiency. I've been using a nebulizer with medication once a day and the Aerobika once a day. I also walk and cycle a few days a week. I have a hard time getting up any mucus and I don't produce much at all because I have a drier form of a cough. I also have esophageal reflux and take a med for that. I worry whether my condition is worse even though I feel fine. I do feel more tired, and I wonder if that's my condition or because I exercise a lot as my pulmonologist has told me it's very important. I see a pulmonologist every six months for breathing tests and sometimes a CT scan. Just wondering if anyone else has a similar situation like mine when it pertains to lack of mucus clearing. Is there anything else I should be doing?
Vinny M,
Thank you for your response regarding editing. I now understand that automatic editing is not available due to security and safety concerns.
SHINGLES VACCINE: ANOTHER LAYER OF PROTECTION FOR THE BNTM COMMUNITY ๐
If youโre living with Bronchiectasis and/or NTM lung disease, protecting your overall health is an important part of managing your respiratory health.
One vaccine worth talking to your healthcare provider about is the shingles (zoster) vaccine.
๐ฆ Why does shingles matter?
Shingles is caused by reactivation of the chickenpox virus that remains dormant in the body. It can cause a painful rash, nerve pain, and sometimes serious complications.
Why should the BNTM community care?People living with chronic lung disease may already have a lot on their plate. Preventing an additional illnessโand the complications that can come with itโis one way to help protect your health and avoid unnecessary setbacks.
๐ Shingrix is the recommended shingles vaccine for adults 50 and older, and it may also be recommended for certain adults 19 and older who are immunocompromised. It is given as a 2-dose series.
Please speak with your doctor to find out if the shingles vaccine is appropriate for you, especially if you take medications that affect your immune system or have other health conditions.
Remember: Vaccines are not about treating BNTMโtheyโre about preventing additional illnesses that can make living with a chronic lung condition more challenging.
๐ Protect your lungs. Protect your health. Stay up to date on recommended vaccines. Please let us know if you have any specific questions.
Hi Esgred - For new members, editing messages becomes available once a few contributions are made into the community. It's for safety and security.
๐ซ๐ August is National Immunization Month โ a great reminder for people living with Bronchiectasis and NTM lung disease to talk with their healthcare team about staying up to date on recommended vaccines.
Why does this matter?
People with chronic lung conditions may be more vulnerable to respiratory infections, and infections can sometimes lead to increased coughing, mucus production, breathing difficulties, or a worsening of underlying lung disease. Protecting your lungs starts with prevention.
Vaccines may help protect against certain infections, including:
๐ Influenza (flu) โ seasonal vaccination can help reduce the risk of flu and its complications.
๐ COVID-19 โ COVID-19 vaccination can help reduce the risk of severe illness.
๐ Pneumococcal disease โ vaccination can help protect against infections caused by Streptococcus pneumoniae, including pneumonia.
๐ RSV โ certain adults, including some older adults and people with specific risk factors, may be eligible for RSV vaccination.
Vaccine recommendations can vary based on your age, health conditions, previous vaccinations, and other individual factors. Your healthcare provider can help determine which vaccines are appropriate for you.
Vaccinations are only one part of protecting your lungs. Airway clearance, good infection-prevention practices, regular medical care, and following your individualized Bronchiectasis/NTM treatment plan all play important roles too.
๐ซ Knowledge + prevention + proactive care = stronger lung health.๐
It is a personal decision. Individuals with bronchiectasis should consider limiting outdoor exposure when PM2.5 is elevated, because PM2.5 particles are small enough to travel deep into the lungs and can aggravate respiratory symptoms. Sensitive people , such as Bronchiectasis , asthma and other respiratory illnesses should pay attention to their symptoms. Some people are okay with AQI that is not very high, (less than 100) others are not.
We cannot edit our messages? What I mean is that the forecast for tomorrow is ozone AQI: 90, and PM2.5 AQI: 55. Google AI seems to think that I should stay indoors, and not go outside for 5 hours in the evening.
How do I know when I should stay indoors as far as the Ozone AQI and the PM2.5 AQI (not wildfires, but other PM2.5 sources)?
Brandon,
Thank you for the beautifully written post. Sharing experiences, offering hope to others is a way we all can resemble a lighthouse. I compare my lung disorder to a roller coaster ๐ข at times since my condition fluctuates. I hold onto tightly to the seatbelt of hope on challenging days. Feeling supported makes the ride much easier than riding a rollercoaster alone. ๐๐
I am looking forward to listening to this presentation on โ Watchful Waiting โ. It is of utmost importance to make sure that an individual truly needs the multiple antibiotics before starting the standard treatment regime. I hope you can join us for this Coffee โ๏ธ Break.


๐๐ก Happy National Lighthouse Day! ๐ก๐
Thereโs something pretty special about a lighthouse.
It doesnโt calm the storm. It doesnโt make the waves disappear. It simply keeps shiningโa beacon that says, โYouโre not alone. Thereโs land ahead. Keep going.โ
And honestly, that made me think about our community. ๐
Living with COPD, bronchiectasis, NTM, or caring for someone who does can sometimes feel like navigating some pretty rough waters. There are days when you know exactly where youโre headedโฆand others when youโre just looking for a little light to help point the way.
Thatโs where all of us come in.
Patients sharing what theyโve learned.
Caregivers reminding someone theyโre not alone.
Healthcare professionals offering knowledge and guidance.
And community members simply saying, โIโve been there. You can do this.โ
Every time you share an experience, answer a question, welcome someone new, or offer a few encouraging words, you might be somebodyโs lighthouse without even realizing it. ๐ซถ
So on this Friday and National Lighthouse Day, hereโs a fun question:
๐ก How can we be a lighthouse for someone else?
Maybe itโs sharing something you wish youโd known earlier. Maybe itโs checking on someone. Maybe itโs simply shining a little hope into somebodyโs day.
And if youโre the one looking for the light right now, keep looking this way. There are a whole lot of lighthouses here. ๐๐
Happy Friday, everyone! โ๏ธ๐ก


Hello everyone!
Our next BronchandNTM360social Coffee Break is Wednesday, August 12, 2026 @ 2:30pm EDT.
Joining us this month is Dr. Shannon Kasperbauer, MD who will discuss "Watchful Waiting"โa proactive monitoring strategy for Nontuberculous Mycobacterial (NTM) lung disease. Standard NTM treatment involves intense, multi-antibiotic regimens lasting a year or longer, often carrying a high risk of side effects. For many patients, immediate medication may not be the best first choice. Learn how active surveillance offers a safe, highly effective alternative to protect lung health without the immediate burden of heavy medication.
We will open the call fifteen minutes early, so please join us if you wish to speak casually with us or other community members. Any health-related discussion will be held until the start of the meeting.
The meeting registration link is here:
https://us06web.zoom.us/meeting/register/tZclcuusrDMpG9PrF3BDUA2nw2csTkQsg7EG#/registration
Lookingโฏforward to seeing you soon!
World NTM Day, celebrated last Tuesday, 8/4/2026 certainly assisted to increase awareness of NTM worldwide. We can continue to take our part of increasing awareness of NTM by sharing educational resources with others. Below is a link on What is NTM, Symptoms, Diagnosis, Management of NTM and Preventative Measures. https://www.bronchandntm.org/For-Patients/Learn-More/NTM-Infections-and-Co-existing-Conditions/NTM-Lung-Infections
Please let us know if you have any questions. Thank you in advance for assisting us in increasing awareness; the greater the awareness, the greater chances of more research and new drug development. ๐
Das23,
Same here- house to car, simple things are done on high dew point days. I am okay at 60, I start feeling it when it hits mid sixties but the impact is the greatest at 70 and higher. I keep saying to myself,โ This too shall passโฆโ, and I will be able to get out and about soon. ๐
When the dew pt goes over 60 I can feel it. Not so much breathing just overall a little lethargic. It was over 70 here today. Good day to stay in the AC. Not much outdoor activity for me when the dew pt is high. I go from the house-to the car-to the gym-to the car-to the store-to the car-back home. An All AC day๐๐
I thought that I had heard of almost every holiday celebrated but I have never heard of Fresh Breath Day, lol.
Flossing our teeth regularly is similar to doing airway clearance/ airway flossing for our lungs. We may experience GI upset due to the antibiotics and inhalers- good daily oral care and preventative care is of utmost importance. As the quote goes โ an ounce of prevention is better than a pound of cure โ. Keep on flossing ๐.

๐ฟ๐ Happy Fresh Breath Day! ๐๐ฟ
It might sound like a fun holiday, but it's actually a great reminder that taking care of your mouth is another way to take care of your overall health.
When you're living with bronchiectasis, NTM lung disease, COPD, or another chronic lung condition, there's already so much to manage. Airway clearance, nebulizer treatments, medications, doctor visits, and everything else can make the days feel pretty full. It's easy for something as simple as oral care to slip down the priority list.
But your smile deserves a little attention, too! ๐
๐ชฅ Brush twice a day and don't forget to floss.
๐ง Stay hydrated when you can, especially if treatments or medications leave your mouth feeling dry.
๐ฆท Keep up with regular dental visits if you're able.
๐ Celebrate the little confidence boost that comes with a healthy smile and fresh breath!
The truth is, self-care isn't just about the big things. Sometimes it's the small, everyday habits that help us feel a little better, a little stronger, and a little more ready to take on the day.
So today, while we're celebrating Fresh Breath Day, let's also celebrate every step you take to care for yourself. Whether it's finishing your airway clearance, remembering your medications, taking a walk, or simply brushing your teeth before bedโyou deserve credit for every one of those victories.
๐ What's one self-care habit that has become part of your daily routine? We'd love to hear what's working for youโyou might inspire someone else along the way!

Welcome to our community - we're really glad you're here!
๐ง Dew Point Matters More Than You Think! If you live with Bronchiectasis or NTM, you may have noticed that some humid days feel much harder than others. The reason may be the dew point.
The dew point is a measure of how much moisture is in the air. The higher the number, the more humid the air feels.
๐ฟ When the dew point reaches 70ยฐF or higher, many people with chronic lung disease may experience:
๐ More shortness of breath
๐ Increased coughing
๐ Thicker mucus or more difficulty clearing airways
๐ Fatigue during everyday activities
While not everyone is affected the same way, many people in the Bronchiectasis and NTM community find that high humidity, โ heavy airโ can make symptoms feel worse.
๐ค๏ธ On high dew point days:
โ๏ธ Plan outdoor activities for the early morning or evening.
โ๏ธ Stay hydrated.
โ๏ธ Take breaks and donโt push yourself.
โ๏ธ If possible, enjoy the comfort of air-conditioned spaces.
โ๏ธ Follow your airway clearance routine as recommended by your healthcare team.
Letโs learn from each other! At what dew point do you begin to notice a difference in your breathing? Is it 60ยฐ, 65ยฐ, 70ยฐ, or even lower? I certainly feel the difference when the dew point is 70 or higher. The dew point is 74 in my area today. Please share your experience in the commentsโit may help someone else better understand their own symptoms.
Remember: Weather affects everyone differently. Knowing your personal triggers is one more way to take charge of your lung health. ๐
Welcome K Stark
Kathy,
Hello! Welcome to the community. I fully understand since I have been walking in your shoes off and on for quite some time.Do you think the fluctuations in how you feel are impacted by weather changes or stomach challenges related to medications? Have you been diagnosed with NTM or Bronchiectasis or both? We are here to support you, assist you in creating the best quality of life possible despite the diagnosis. Below is a link for newly diagnosed patients: https://www.bronchandntm.org/For-Patients/Learn-More/Diagnoses-and-Evaluation/Newly-Diagnosed I look forward to hearing back from you. Katie
This is my 1st visit to this site. I am feeling glad to be here. I know so little about my disease & my always questioning myself โis this normal, why do I feel so poorly today but felt so good yesterdayโฆ?โ
it is hard to make plans not being sure of how Iโll be tomorrow or the next dayโฆ.
kathy
Laughter may:
๐ซ Encourage deeper breathing and help expand the lungs.
๐จ Promote better airflow and temporarily increase oxygen intake.
โค๏ธ Reduce stress hormones and help you feel more relaxed.
๐ Boost your mood and strengthen emotional resilience.
๐ค Foster connection with family, friends, and your support community.
While laughter isnโt a substitute for medical treatment or airway clearance, it can be a wonderful complement to your overall wellness routine.
Today, watch a funny movie, call a friend who makes you smile, or enjoy a good laugh with someone you care about.
๐ Breathe. Laugh. Attempt to live life to the fullest, we are much more than our diagnosis. We are here for you! ๐
Pam,
Thank you so much for your positive comments. I wholeheartedly agree that laughter, vitamin L is the best medicine of all. Laughter increases our endorphins.
As they say, โa laugh a day may keep the doctor awayโ. We all have had days without much laughter on our BNTM journey. However, we must keep on looking for ways to get our minimal quota of laughs in per day. I think Steve Wilson, the Joyologist had recommended a minimal of 12 laughs a day. Unfortunately, we donโt always have the opportunity to meet our personal quotas.
Please feel free to share any thoughts that will assist the members of our community to enjoy a good laugh. ๐๐ค๐๐
If you remember Steve Wilson's presentation on Coffee Break, back a while ago, it was a great one. The subject was humor, and the presentation stuck in my mind that day, that week, and even now I remember how delightful it was. It brightened my day and was truly uplifting, and made me remember something I read in my mom's Reader's Digest (she always had a subscription).....Laughter is the best medicine.
It would be great to have another talk by him.
The NTM Management Toolโis a practical resource designed to help patients stay organized, informed, and actively involved in their care.
Whether youโre tracking symptoms, medications, airway clearance, sputum cultures, appointments, or questions for your healthcare team, this tool can help make managing your journey a little easier.
Every symptom tracked tells a story. Every question asked empowers better care. Take control of your healthโone day, and one step at a time.
๐ Have you tried using a management tool to stay organized? Weโd love to hear what has helped you most in your NTM journey.
Hello! It is so exciting to see all the scheduled events for the 4th Annual World NTM Day. Were you able to listen to the webinar today on Hemoptysis? I hope that you have registered for the Question-and-Answer session tomorrow afternoon.
Thanks Alyssa
A fun highlight from July was visiting with my childhood best friend. She moved to Australia about seven years ago, and while Iโve been able to see her in my home state of Wisconsin each year, this time she made a special trip to visit me in North Carolina. It was really meaningful to share my life and family with her for 48 hours.
I bet that was scary. Iโm glad it subsided quickly. For anyone who hasnโt experienced this before, knowing what to do can ease anxiety and help you respond calmly. Great post Katie!
Today is World NTM Day! Nontuberculous mycobacteria (NTM) are microorganisms found naturally in water and soil. Most people breathe them in or swallow them without getting sick, but in some, they can settle in the lungs and thrive in mucus, causing chronic cough, changes in mucus, fatigue, shortness of breath, and fever or night sweats. Today weโre educating the public, raising awareness, and building community to drive research, funding, better treatments, and hope for a cure.
Join us:
- Listen to todayโs podcast, Airway Clearance With Dr. Basavaraj https://www.podbean.com/ep/pb-bq9d4-1b2991f
- Watch and share our microlearning videos on Facebook: https://www.facebook.com/bronchandntm
- Talk about NTM with family and friends.
Comment below and let us know how you helped raise NTM awareness!
We stand together today on World NTM Day to raise awareness on NTM and to honor every person living with this condition.
To each person navigating doctorโs appointments, treatments and uncertainty- you are now being seen, being heard.
Researchers and advocates are making a difference by advancing research and working on developing new treatments. You are not alone- we are here to support you.
I hope that you will be able to attend the two above events tomorrow for World ๐ NTM Day. Today is the last day to register. ๐
I can't. Hopefully it will be recorded and I can see it later
Happy Monday, BNTM family! โ๐
A rainy day may slow us down, but it can also remind us to pause, breathe, and take extra care of ourselves. Whether youโre staying cozy indoors, doing your airway clearance, or simply taking things one step at a time, know that youโre not alone.
Wishing everyone a peaceful Monday and brighter skies ahead. Rememberโevery new week is another opportunity to keep moving forward.
Stay safe, stay dry, and have a pleasant day! ๐
Das23,
I am glad that the hemoptysis didnโt continue for you . Knowledge on what to do in the event one experiences hemoptysis will lessen the anxiety on hemoptysis.
I hope you will be able to attend the Hemoptysis webinar on Tuesday, August 4th.
I've had this happen a few times over the last 7-8 years. Always after forceful coughing. Stopped after a couple of days each time. The first time it scared me--called my doctor. He said call him back if it continues--It didn't๐
Hemoptysis: What You Should Know
Seeing blood when you cough (called hemoptysis) can be frightening, but itโs something many people living with respiratory issues may experience.
Hemoptysis can range from:
๐ฉธ A few streaks of blood mixed with mucus
๐ฉธ Small amounts of bright red blood
๐ฉธ Larger amounts that require immediate medical attention
Common causes include:
โข Inflamed or damaged airways
โข Respiratory infections
โข Persistent, forceful coughing
โข Less commonly, other underlying lung conditions
๐ What should you do?
โ Stay as calm as possible.
โ Note the color and approximate amount of blood.
โ Contact your healthcare provider promptlyโeven if itโs only a small amount, especially if itโs your first episode or different from previous ones.
๐จ Seek emergency medical care immediately if you are coughing up a large amount of blood, the bleeding continues, you have severe shortness of breath, chest pain, dizziness, or feel faint.
โจ Knowledge is empowering. Understanding hemoptysis helps you respond with confidenceโnot panic.
Have you discussed an action plan with your healthcare provider in case hemoptysis occurs? It can provide peace of mind before an emergency ever happens.
Please see our Events Calendar page below to register for the upcoming presentation on Hemoptysis on August 4th, World NTM Day. https://social.bronchandntm.org/events/community
Welcome, Augustโa fresh chapter filled with new opportunities to hope, heal, and keep moving forward.
I know this journey isnโt always easy. Some days ask more of us than we think we have to give. Yet, day after day, you show up with remarkable courage. Every treatment, every airway clearance session, every step, every breath is a testament to your strength.
Remember this:
๐ป Your illness does not define you.
๐ป Your setbacks do not determine your future.
๐ป Your resilience shines brighter than your challenges.
As we begin this new month, letโs choose hope over fear, gratitude over discouragement, and faith over uncertainty. Celebrate every victoryโbig or small. A day with easier breathing, a smile shared with a friend, a walk outside, a laugh with loved onesโthese moments are powerful reminders that life is still full of beauty.
Together, we are more than patientsโwe are advocates, encouragers, educators, and a community that understands the power of lifting one another up.
May August bring renewed strength, healing, meaningful progress in research, and countless reasons to smile.
We will be kicking off August with the World NTM Day on Tuesday, August 4th.
Throughout the month, we will focus on some of the available NTM management tools. We will also be celebrating National Immunization Month and National Advocacy Day. Please join in on the conversations. Let us know if you have any specific questions
Das23,
I am so glad to read that you had many good days throughout the month of July. Hopefully, it will not get too hot in August and you can continue enjoying many good summer days ahead! ๐
Every day I can get up--get out--get my exercise--get my airway clearance done and feel my chest open up is a good day.. I had a month full of them this July. Hope the same for August. We gotta keep on๐......Just hope it's not as hot!!!!!๐คฃ๐
World NTM Day is August 4th!
For a full list of events and to register, visit the Events Calendar page. Events can be found under both the Community Events button, where events are featured.
Featured events include:
- Breathe Easier: A Candid Conversation About Hemoptysis
12:00โ1:00 PM ET - Question and Answer Time: UNC Bronchiectasis/NTM Care and Research Center
2:00โ3:30 PM ET
This event offers a great opportunity to have your questions answered by the top experts in the BNTM field. As previously mentioned, the UNC Bronchiectasis & NTM Care and Research Center requests your questions to be emailed to brxntmcenter@unchealth.unc.edu by noon on Monday, Aug 3rd . I hope that you will take a few minutes and email them a few challenging questions. ๐
Taking care of our hearts ๐, letting go of being preoccupied with our chronic illnesses and treatment protocols for a period of time is the best vacation/ gift ๐ you can give yourself. You do not have to turn the next chapter of the month August alone- we are here to support you. You will not be misunderstood in this community. ๐
I love this post - it is a great reminder that small wins make a big difference. Look forward to reading through everyone's responses.


๐ฟ Before July Slips Away...
Can I ask you something?
Before we turn the calendar to August, I'd love for you to pause for just a moment.
Living with bronchiectasis or NTM often means thinking about the next treatment, the next airway clearance session, the next appointment, or wondering how your lungs will behave tomorrow. It can feel like there's always another thing on the list.
But today isn't about that list.
Today is about you.
What's one good thing that happened this month?
Maybe you had a day with a little more energy.
Maybe your walk felt easier.
Maybe you laughed with someone you love.
Maybe your sputum culture brought good news.
Maybe you simply made it through a difficult dayโand that's worth celebrating too.
Big victories are wonderful.
But around here, we know the small ones often take the most courage.
I'd love to hear one bright spot from your July. ๐
Sometimes sharing our winsโeven the tiny onesโhelps remind someone else that brighter days still happen.
And if July was especially difficult...
We're glad you're here, too. August is a brand-new page, and you don't have to turn it alone!
It is not our intention to serve as a substitute for medical advice and any content posted should not be used for medical advice, diagnosis or treatment. We make every effort to support our members, our medical professionals cannot and will not provide a diagnosis or suggest a specific medication; those decisions should be left to your personal medical team. While we encourage individuals to share their personal experiences with Bronchiectasis and NTM, please consult a physician before making changes to your own Bronchiectasis and NTM management plan.
Community posts are monitored by the 360social Community Manager, as well as staff respiratory therapists, educators, and other medical professionals.