In this episode, host Doreen Addrizzo-Harris, MD, FCCP, is joined by Amy Springer, MSN, FNP-C, to explore the challenges and treatment strategies for recalcitrant Mycobacterium avium complex (MAC) pulmonary disease, resistant MAC, and Mycobacterium abscessus (M abscessus) infections. They discuss diagnostic considerations, antibiotic resistance, treatment regimens—including US Food and Drug Administration-approved therapies and surgical options—and the critical role of patient compliance.

This episode is part of CHEST’s Bridging Specialties®: Timely Diagnosis for NTM Disease and Bronchiectasis program. LEARN MORE »

This program is produced in partnership with CHEST and is sponsored by Insmed Incorporated.

Originally aired: July 1, 2025

HOST

Doreen J. Addrizzo-Harris, MD, FCCP

Fiona and Stanley Druckenmiller Professor of Pulmonary, Critical Care, and Sleep Medicine

Director, NYULH Bronchiectasis and NTM Clinical and Translational Program

NYU Grossman School of Medicine

New York, NY

PANELIST

Amy Springer, MSN, FNP-C

Senior Nurse Practitioner, NYULH Bronchiectasis and NTM Clinical and Translational Program

Division of Pulmonary, Critical Care, and Sleep Medicine

NYU Langone Health

New York, NY

In this episode, host Ashwin Basavaraj, MD, FCCP, and guest Charles Daley, MD, discuss bronchiectasis exacerbations. They cover their clinical importance, differentiation from COPD and asthma, and management strategies, including cautious use of steroids. They also discuss prevention methods such as airway clearance, macrolide antibiotics, inhaled antibiotics, and emerging anti-inflammatory therapies in development.

This episode is part of CHEST’s Bridging Specialties®: Timely Diagnosis for NTM Disease and Bronchiectasis program. LEARN MORE »

This program is produced in partnership with CHEST and is sponsored by Insmed Incorporated.

Originally aired: July 1, 2025

HOST

Ashwin Basavaraj, MD, FCCP

Associate Professor of Medicine

Section Chief, Bellevue Hospital

Associate Director, NYULH Bronchiectasis and NTM Clinical and Translational Program

Division of Pulmonary, Critical Care, and Sleep Medicine

NYU Grossman School of Medicine

New York, NY

PANELIST

Charles Daley, MD

Professor, Department of Medicine

Chief, Division of Mycobacterial and Respiratory Infections

National Jewish Health

Denver, CO

In this episode, host Doreen Addrizzo-Harris, MD, FCCP, is joined by Keren Bakal, MD, and Amy Springer, MSN, FNP-C, to explore initial treatment strategies for bronchiectasis and nontuberculous mycobacteria (NTM) pulmonary disease. The conversation delves into the critical role of airway clearance therapy, challenges in selecting individualized treatments, and the importance of patient education. The experts also discuss the latest guidelines for managing nodular and cavitary NTM lung disease, including when to initiate treatment vs monitoring, as well as strategies for managing common drug toxicities. Additionally, they examine comorbidities often seen in patients with bronchiectasis, such as gastrointestinal disorders, sinus disease, and psychosocial factors like anxiety and depression.

This episode is part of CHEST's Bridging Specialties®: Timely Diagnosis for NTM Disease and Bronchiectasis program. LEARN MORE »

This program is produced in partnership with CHEST and is sponsored by Insmed Incorporated.

HOST

Doreen J. Addrizzo-Harris, MD, FCCP

Fiona and Stanley Druckenmiller Professor of Pulmonary, Critical Care, and Sleep Medicine

Director, NYULH Bronchiectasis and NTM Clinical and Translational Program

NYU Grossman School of Medicine

New York, NY

PANELISTS

Keren Bakal, MD

Clinical Attending, Pulmonary and Critical Care Medicine

Overlook Medical Center/Atlantic Health System

Summit Health

Livingston, NJ

Amy Springer, MSN, FNP-C

Senior Nurse Practitioner

NYULH Bronchiectasis and NTM Clinical and Translational Program

Division of Pulmonary, Critical Care, and Sleep Medicine

NYU Langone Health

New York, NY