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BronchandNTM360social welcomes new member Corrine T who
joins 5,535 current members of our community.
We're glad you're here!
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Hello! Safety and preventive measures are much easier to
address than curative measures.
BNTM DAILY SAFETY CHECKLIST
✅ Airway Clearance ☐
Completed airway clearance. Used proper technique (not rushed)
☐ Noted any change in sputum (color,
amount, thickness)
Equipment Hygiene ☐ Washed nebulizer/devices after
use ☐ Air dried completely
☐ Disinfected (as scheduled)
Hydration & Nutrition ☐
Drank enough fluids today
☐ Ate balanced, nourishing
meals. Noted any early fullness or appetite changes
Environment Awareness ☐ Avoided dust/construction exposure.
Took precautions with soil or gardening (mask/gloves) ☐
Limited exposure to steam, hot tubs, or aerosolized water
💊 Medication Safety ☐
Took medications as prescribed ☐ Noticed any side effects and reported
concerns as needed
😴 Rest & Energy Balance
☐ Balanced activity with rest ☐
Avoided overexertion. Listened to body signals
Reflux / Aspiration Prevention ☐
Avoided eating 2–3 hours before bed
☐ Elevated head of bed ☐
Noted throat clearing or morning cough
Symptom Monitoring ☐ Worsening cough, significant
increase in sputum, fever, and energy levels❤
Emotional Well-Being ☐ Checked in with mood/stress ☐
Connected with someone (text,call, support group) ☐
Practiced a calming activity
CALL YOUR PROVIDER IF: Symptoms worsen for 3–5 days, with noticeable
breathing decline, or new chest discomfort.
Consistency = Protection. Small daily actions help prevent big
setbacks 💙
Safety and preventive measures
are much easier to address than curative measures.
BNTM DAILY SAFETY
CHECKLIST
✅ Airway Clearance
☐ Completed airway clearance.
Used proper technique (not rushed)
☐ Noted any change in sputum
(color, amount, thickness)
Equipment Hygiene
☐ Washed nebulizer/devices after
use ☐ Air dried completely
☐ Disinfected (as scheduled)
Hydration &
Nutrition
☐ Drank enough fluids today
☐ Ate balanced, nourishing meals.
Noted any early fullness or appetite changes
Environment Awareness
☐ Avoided dust/construction
exposure. Took precautions with soil or gardening (mask/gloves)
☐ Limited exposure to steam, hot
tubs, or aerosolized water
💊 Medication Safety
☐ Took medications as prescribed
☐ Noticed any side effects and reported
concerns as needed
😴
Rest & Energy
Balance
☐ Balanced activity with rest ☐ Avoided overexertion. listened
to body signals
🛏️
Reflux / Aspiration
Prevention
☐ Avoided eating 2–3 hours
before bed
☐ Elevated head of bed ☐ Noted throat clearing or
morning cough
🚨
Symptom Monitoring
☐ Worsening cough, significant
increase in sputum, fever, and energy levels
❤
Emotional Well-Being
☐ Checked in with mood/stress ☐ Connected with someone (text,
call, support group)
☐ Practiced a calming activity
CALL YOUR PROVIDER IF:
☐ Symptoms worsen for 3–5 days, with
noticeable breathing decline, or new chest discomfort. Consistency = Protection. Small daily actions help prevent
big setbacks 💙
Hello! Do you have a car you no longer need? Turn it into something truly meaningful. Give your old car 🚗 a new purpose.
Put Hope in the Driver’s Seat with the COPD Foundation Vehicle Donation Program. Your generosity directly empowers the COPD Foundation’s efforts to support groundbreaking research, increase public awareness, educate patients, caregivers, and medical professionals, and advocate for the more than 350 million people worldwide affected by chronic lung diseases. Donate your vehicle to COPD Foundation by simply completing the form in the link and we'll reach out to you to arrange the pick-up of your vehicle donation, at no cost to you. You may qualify for a tax deduction while supporting a cause that is near and dear to your heart https://copdfoundation.careasy.org/
Easy Process | Free Towing
Tax Benefits
Hello! Happy National Doctors Day! We are so grateful to the doctors who have dedicated their careers to assist BNTM patients. The core group of BNTM doctors are committed to assist with the development of new drugs and treatments to improve the quality of our lives.

These last days of March… can you feel the shift? 🌷
Longer days, changing weather, a little more time outside… and for many living with COPD, bronchiectasis, or NTM, this time of year can bring a mix of good days and a few surprises too.
So today, let’s do a quick check-in together—something simple, but really important:
👉 Have you noticed any small changes in your breathing this week?
Sometimes it’s easy to brush things off as “just allergies” or “just the weather,” but those early changes can be your body’s way of asking for a little extra attention.
Things like:
• Feeling a bit more short of breath than usual
• Needing your rescue inhaler more often
• A change in cough or mucus
• Feeling more tired than your normal
And for those living with bronchiectasis…
👉 Have your airway clearance routines felt a little harder lately?
Are you needing a bit more time, or not getting the same results you usually do?
That can be an important signal too.
💡 This is a great time to:
• Take a quick look at your action plan
• Stay consistent with your routines
• And don’t hesitate to reach out to your doctor if something feels off
Catching those changes early can make a big difference.
And just as important…
👉 What’s one small win or bright spot you’ve had these past few days?
Maybe a steady breathing day, a short walk, a good laugh, or a quiet moment with someone—or something—you love 🐾
I’ll start—there’s something about these last days of March that makes me want to slow down just enough to notice the little things… and to listen when your body whispers, not just when it shouts.
Your turn—what are you noticing, and what’s been a bright spot for you? 💙
Hello! Are you interested in watching a great YouTube video on demographics, difficult-to-treat infections, exacerbations, hemoptysis, and more? This video is presented by the BNTM Association and Patient Care and Partner Webinar, Southeast Consortium/ Emory University, Dr. Colin Swenson, and other healthcare professionals.
https://m.youtube.com/watch?v=0Uie7GwJ-GA
Let us know if you have any specific questions.
Are you interested in watching a great YouTube video on exacerbations and more? This video is presented by BNTM Association and Patient Care and Partner Network, Southeast Network https://m.youtube.com/watch?v=0Uie7GwJ-GA
Let us know if you have any specific questions.
Hello! Are you planning on traveling for the upcoming holidays? Below is some information that will assist you with your planning: https://www.bronchiectasisandntminitiative.org/Learn-More/I-am-a-Patient-or-Caregiver/Travel
Unfortunately, TSA issues continue. Please pack adequate or extra supplies in the event of delays. Wishing you a good and safe trip.
DAJ,
Hello! Thank you for sharing positive news of a potential new drug to treat Pseudomonas. I hope the drug continues to show positive results in the remainder of this clinical trial.
BiomX just dropped a study for a drug to treat Pseudomonas, which was disappointing, but Clarametyx is now also working on clinical trials for a drug to treat Pseudomonas in the lung. Here is a link from a recent news release if you haven't seen it.
Windy,
Hello! Welcome to the community. You can purchase saline online on Amazon, priced at $29.00 per box, or at stores like Walmart.. There are several different brands posted on Amazon in a similar price range.
Hi all, Just had a Bronchiectasis flare a couple of weeks ago. I am on Albuterol via nebulizer. Pulmonologist also said use Sodium Chloride 7% solution for nebulizer 1-2 times a day to help thin mucus. Medicare Part B rejected the Sodium Chloride. Pharmacist said she has only had one person get Part B to cover it when the patient is on a maintenance respiratory drug such as a steroid. Otherwise the doctor office said I just have to pay out of pocket for the Sodium Chloride. Medicare has been absolutely no help answering any questions. What has been your experience in getting this? Very frustrating for sure.
Hello all! On March 18, we had 54 COPD and bronchiectasis patients, caregivers, loved ones, healthcare providers, and COPD Foundation and Bronchiectasis and NTM Association team members join us for IMPACT Lung Health 2026 in Washington, D.C. to advocate for support of our policy priorities from our lawmakers. Together, we held 101 meetings with legislative offices representing 28 states, 56 Senate districts, and 45 House districts. Bronchiectasis and NTM Association advocates spoke with lawmakers about four critical priorities:
- Support the Development of New Bronchiectasis Treatment Approaches through FY27 Appropriations Provisions
- Increase Funding for Lung Health Research and Promote Innovative Treatments through FY27 Appropriations Provisions
- Co-sponsor the Supplemental Oxygen Access Reform (SOAR) Act (H.R.2902 or S.1406) to Ensure Medicare Patients have Access to Essential Oxygen Therapy
- Co-sponsor H.R.783 or S.240 to Enact Permanent Medicare Coverage for Virtual Pulmonary Rehabilitation
We are incredibly proud of our team of advocates and the progress we made together for lung health in Washington, D.C.! If you'd like to virtually support IMPACT 2026, you can urge your lawmakers to support our policy priorities by visiting our Advocacy Action Center: https://www.votervoice.net/COPD/Campaigns/135958/Respond
We want to extend a special thank-you to our sponsors who made IMPACT 2026 possible! Thank you Boehringer Ingelheim, Chiesi USA, Inc., Insmed Incorporated, Sanofi/Regeneron, Theravance Biopharma US, Inc., and Viatris. Your support is greatly appreciated!
Interesting new read today from the COPD Foundation on Pseudomonas in people with non CF bronchiectasis and chronic rhinosinusitis:
Pseudomonas aeruginosa in Bronchiectasis | Journal of the COPD Foundation
not sure if that will open the link, but if it doesn't and you're interested, easy to search it.
Have a great day,
Ncares,
You are most welcome! We are here to assist you on this BNTM journey.
Katie, thank you for looking into this.
Sleep is an essential part of the healing process. Sleep provides restoration within our bodies. It impacts our ability to perform our daily tasks such as airway clearance, treatments, preparation of highly dense nutritious foods , energy to exercise and so much more. The blog article below reviews the basics of sleep, including the different phases of the sleep cycle. Please share your experiences and tips for a better night’s sleep with the community. https://www.bronchiectasisandntminitiative.org/BronchandNTM360social/Community-Discussions/Blog/Article/150/Sleep-and-Healing-for-NTMBronchiectasis-Patients
Das23,
You are most welcome! The comments above is what basic online research says, it is challenging to analyze every product that we encounter of whether or not the specific product can increase the chances of NTM. The researchers have studied toothbrushes, other household items but not enough research has been published for our community to fully understand what’s a potential risk and what is not. They are currently researching more on water products, bottles, samples and more.
We cannot live in a bubble. We must pick and choose what we think is worth a possible risk. We need to have a decent/ good quality of life.
Thanks for the research Katie
ncares,
Great question. I did a little research:
- It does NOT add liquid water or mist into the air like a humidifier
- It generates very tiny, electrically charged water particles (nano-sized hydroxyl radicals) from moisture already present in the air
- These particles are designed to help reduce odors, bacteria, and some viruses on surfaces and in air
The key concern for NTM patients
are linked to:
- Aerosolized water droplets (showers, hot tubs, humidifiers)
- Standing or biofilm-containing water systems
Is Nanoe-X likely safe for NTM patients?
Based on how the technology works:
- It does not create wet aerosol droplets like a humidifier or steam
- It does not use stored or recirculated water reservoirs
- The particles are extremely small and not a growth medium for bacteria
That means it is very unlikely to increase NTM exposure risk
Apparently Toyota (in Europe) includes a Panasonic technology in the air conditioning system in some of its cars. Nanoe-X technology feeds trillions of nano-sized, atomized water particles into the ventilation airflow. These hydroxyl radicals have been proven in independent laboratory testing to have wide-ranging beneficial effects when used in enclosed spaces. Inside vehicles such as the Corolla (in Europe), these can include: -
- Inhibiting the activity of airborne bacteria and viruses
- Helping prevent the spread of mould
- Inhibiting pollen and other allergens, such as those linked to pets
- Breaking down hazardous substances found in particulates (PM2.5)
- Eliminating common, unpleasant odours
Since this puts water into the air, I wonder whether this type of technology is safe if you have NTM? I don't know if any cars in the US have this technology.
https://newsroom.toyota.eu/toyota-focuses-on-new-technologies-for-the-2024-corolla-range/

Is it just allergies… or something more? 🌿💭
This time of year, it’s easy to blame allergies—maybe your cough picks up a bit, you feel more tired, or your breathing just feels a little off.
But sometimes… it’s not just allergies.
When Dr. Reddy joined us for our March Coffee Break, we spent time talking about exacerbations (flare-ups) and how important it is to recognize those early changes. This feels like a great way to keep that conversation going.
A few things to watch for:
• Increased coughing or a noticeable change in your cough
• More mucus, or mucus that’s thicker, darker, or different than usual
• Increased fatigue or feeling run down
• More shortness of breath than your normal
• Chest discomfort or tightness
What might lean more toward allergies:
• Itchy eyes, nose, or throat
• Sneezing and runny nose
• Clear, thin mucus
• Symptoms that improve when you’re away from triggers
The key? Knowing your baseline.
With bronchiectasis and NTM, your “normal” matters—and when something shifts, even slightly, it’s worth paying attention.
We also have a helpful section on exacerbations on our website (link at the bottom of the post) if you’d like to take a closer look. This is one of our regular check-ins as a community, because recognizing those early signs can make a big difference.
💬 Thinking back to that Coffee Break—what stuck with you? Have you ever thought something was allergies, but it turned out to be more?
Let’s keep the conversation going—your experience could help someone else catch it sooner.
https://www.bronchiectasisandntminitiative.org/Learn-More/I-am-a-Patient-or-Caregiver/Exacerbations
Hello! Warner temperatures have arrived in many parts of the USA. Have you been able to get out for a walk or some type of exercise? The link below reviews the benefits of regular exercise: https://www.bronchiectasisandntminitiative.org/Learn-More/I-am-a-Patient-or-Caregiver/Exercise
Hello! Are you looking for some inspiration today? Below are a list of 65 Spring related quotes: https://www.keepinspiring.me/spring-quotes/
Let us know if you find a favorite one that inspires you! 😍
Hello! Uplifting drug development news to share!!!The information below was posted by Dr M. Flammer, Chief Medical Officer at Insmed:
We are taking another step forward today to bring meaningful progress to people living with MAC lung infection. We shared positive topline results from our Phase 3b ENCORE study, which demonstrated encouraging and consistent results that provide a meaningful difference for those living with this serious infection.
Hello! Do you understand the difference between health care disparities and healthcare inequities? Health inequity and health disparity are related but differ in meaning. Health Disparities refer to measurable differences in health outcomes between groups, often influenced by factors such as socioeconomic status, geography, or race. Health Inequity focuses on the unjust and avoidable differences in health outcomes that arise from inequalities. It emphasizes the moral and ethical dimensions of health differences, highlighting that these inequities are often rooted in social injustices and discrimination. Disparities are about measurable differences, while inequities address the fairness of those differences.
Disparities can arise from various factors, including environmental influences, whereas inequities stem from social determinants such as poverty, education, and access to healthcare. A health disparity might be the higher prevalence of respiratory issues in a specific group compared to others. A health inequity would be the roadblock that prevents that group from getting quality healthcare, leading to worse health outcomes. Let us know if you have any questions.
Health inequity and health disparity are related concepts but differ in meaning. Health Disparity refers to measurable differences in health outcomes between groups, often influenced by factors like socioeconomic status, geography, or race. Health Inequity focuses on the
unjust and avoidable differences
in health outcomes that arise from inequalities. It emphasizes the moral and ethical dimensions of health differences, highlighting that these inequities are often rooted in social injustices and discrimination. Disparities are about measurable differences, while inequities address the fairness of those differences. Disparities can arise from various factors, including environmental influences, whereas inequities stem from social determinants like poverty, education, and access to healthcare.A health disparity might be the higher prevalence of respiratory issues in a specific group compared to others.A health inequity would be the roadblock that prevent that group from getting quality healthcare, leading to worse health outcomes. Let us know if you have any questions.
Happy Saturday! I hope that you have a pleasant day!
@DAJ....Thanks for the update DAJ
Spring has finally sprung!!! Yippee 🥳! Today marks the first day of spring, as of 745am. I hope that you are excited about being able to get out and about more frequently. Getting out for short or long walks is so good for our lungs, and our emotional wellbeing.https://www.calendardate.com/spring_2026.htm
Thank you for sharing your results so far! This is exciting stuff! @@DAJ

Today is World Storytelling Day, and what better time to honor the power of your story. 💙
If you are living with COPD, bronchiectasis, NTM, or another lung condition — or caring for someone who is — your story matters more than you may realize. The hard days, the small wins, the setbacks, the strength it takes to keep going… all of it can mean something deeply important to someone else reading along.
Sometimes sharing your story is more than just opening up. It becomes a hand reaching out to someone who feels scared, overwhelmed, or alone. It shows others that even when life is not easy, there is still courage, resilience, hope, and a way to keep moving forward.
You may never fully know how many people are encouraged by your path, your honesty, and the ways you endure and thrive. But it happens every day in this community.
So for World Storytelling Day, we would love to hear from you. What has your journey taught you? What would you want someone newly diagnosed, or a fellow caregiver, to know? Your voice could be exactly what someone else needs today. 💫
@Storyteller
meant to say the 10 mg has not been shown
to prove lung function from declining over time. The higher dose has.
My pulmo also told me the lower dose is not even used in Europe , due to this disappointing finding,
Has anyone else heard of this? I would rather start ona lower dose of any med.
Thank you for posting the link.
Post-bronchodilatora common test that determines how well your lungs are working, was measured at 1 year in the ASPEN study. People taking placebo saw a decline of 62 mL compared with 50 mL for those taking BRINSUPRI 10 mg.
The following link for Brinsupri patient information from the studies has a chart showing the difference in lung function decline between 10 mg and 25 mg.
https://www.brinsupri.com/brinsupri-study-results/
Storyteller,
You are the only one who knows your body, your sensitivities. I would discuss starting the lower dose with your healthcare provider and work your way up to the higher dose if you don’t experience any sensitivities/ adverse effects. Please keep us posted.
My pulmonologist told me the lower dose has not been shown to reduce lung function, as has the higher dose.
I would rather start with the lower dose, as I am extremely sensitive to many drugs’ side effects.
has anyone else been told this about the 10 mg, dose not being effective for lung function improvement ?
Hello! An interesting but technical research article below on the reasons why some respiratory patients do not take or stay with the medications that their healthcare provider prescribes: https://journal.copdfoundation.org/jcopdf/id/1575/Determinants-of-Medication-Nonadherence-Among-Diverse-Adults-With-Chronic-Obstructive-Pulmonary-Disease
Let us know if you have any questions.
Hello! An interesting but technical research article below on the reasons why some respiratory patients do not take or stay with the medications that their healthcare provider prescribes: https://journal.copdfoundation.org/jcopdf/id/1575/Determinants-of-Medication-Nonadherence-Among-Diverse-Adults-With-Chronic-Obstructive-Pulmonary-Disease
Let us know if you have any questions. Determinants of Medication Nonadherence Among Diverse Adults With Chronic Obstructive Pulmonary Disease.
It's National Let's Laugh Day. What makes you giggle or snort or tee-hee? Like they say, laughter is good medicine. (click on image)
It's National Let's Laugh Day. What makes you giggle or snort or tee-hee? Like they say, laughter is good medicine.
Hello! An interesting but technical research article below about the determinants of non adherence of medications for respiratory patients: https://journal.copdfoundation.org/jcopdf/id/1575/Determinants-of-Medication-Nonadherence-Among-Diverse-Adults-With-Chronic-Obstructive-Pulmonary-Disease
Let us know if you have any questions.
Health inequities in respiratory patients exist in different forms, impacting their access to care and health outcomes. Individuals from lower socioeconomic backgrounds often face barriers such as limited access to healthcare, and environmental pollutants, which exacerbate respiratory conditions. Certain racial and ethnic groups experience higher rates of respiratory diseases due to many factors, including discrimination in healthcare access and differences in treatment quality.Occupational health risks, such as exposure to harmful substances, affect workers in specific industries, leading to higher incidences of conditions like asthma and chronic obstructive pulmonary disease. Access to respiratory healthcare can vary by region, with rural areas often lacking specialized services and resources, leading to poorer health outcomes. Are you or a loved one experiencing health care inequalities in your area?
Health Equity Matters for all BNTM patients. Everyone deserves the opportunity to live their healthiest life, get quality healthcare — no matter their zip code, income, race, education, or background. Health equity means removing barriers, addressing disparities, and ensuring access to quality care for all. Fairness in health isn’t a privilege — it’s a right. Have you experienced unfairness in healthcare practices in your community?
During this month’s Coffee Break, we talked about exacerbations—a sudden worsening of symptoms in bronchiectasis or NTM lung disease. If you’re curious to learn more on the subject, check out this previous episode of the Bronchiectasis & NTM Association Podcast: https://copdf.co/exacerbations-podcast.
In this episode, Dr. Tim Aksamit, Medical Director of the Bronchiectasis & NTM Association, answers the top five questions about exacerbations submitted by the 360social community. Listen to learn how to recognize an exacerbation, track your symptoms, understand the role of the environment, and more.
Today is Impact Lung Health Day. Our BNTM team of advocates are meeting with our representatives in DC today. It is a long day of continuous meetings to increase awareness on BNTM and to educate our representatives on how BNTM impacts our lives. Our overall “ ask” is to secure more funding for research on BNTM. We are aiming for better treatments, coverage for pulmonary rehab and more.
The greater the number of patients, the greater the impact will be. Let us know if you would be interested in joining the group for the annual event in March of 2027.
Barnco,
Hello! I am sorry to read about your reoccurrence after an extended period of time. Reoccurrence is very common in the NTM community. Do not believe everything that you read online. Do you have access to a top doctor, one of the BNTM Care Center Networks?

Hi barnco24, I'm sorry to read you have MAC again. We have ways to help you in many forms. In addition to the community support you receive here on BronchandNTM360social, you can call one of our Patient Ambassadors directly toll-free at (833) 411-5864. Our Ambassadors are patients and caregivers with experiences similar to yours and understand what you are going through. You can also email us at contactus@bronchandntm.org to get more information. Although our Ambassadors can’t provide direct medical advice but can assist you with additional information and resources. You're not alone, and we're glad you're here!
Do you feel like speaking Irish/ Gaelic for the day? ☘️💚 Below are commonly used words/ phrases: https://happyirishwanderers.com/best-irish-phrases-you-need-to-know/
Let us know if you have a favorite Irish ☘️ phrase.
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 COPD, please consult a physician before making changes to your own COPD management plan.
Community posts are monitored by the 360social Community Manager, as well as staff respiratory therapists, educators, and other medical professionals.