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[{'start': '0.000', 'end': '1.880', 'text': 'The cough persisted. I'}, {'start': '1.880', 'end': '3.350', 'text': 'lost weight and'}, {'start': '3.350', 'end': '5.160', 'text': 'felt tired all over.'}, {'start': '5.160', 'end': '6.150', 'text': 'At first, I just'}, {'start': '6.150', 'end': '8.120', 'text': 'thought it was a cold.'}, {'start': '8.120', 'end': '10.660', 'text': 'I thought it would get better after a few days of rest, but my'}, {'start': '10.660', 'end': '13.510', 'text': 'symptoms got worse and worse. I'}, {'start': '13.510', 'end': '14.960', 'text': 'went to the hospital. They said it'}, {'start': '14.960', 'end': '16.810', 'text': "wasn't tuberculosis, and it wasn't"}, {'start': '16.810', 'end': '18.880', 'text': 'pneumonia either. I took medicine and endured it for a few'}, {'start': '18.880', 'end': '21.310', 'text': 'days, but'}, {'start': '21.310', 'end': '23.290', 'text': 'nothing changed. It was only after I went to the'}, {'start': '23.290', 'end': '25.600', 'text': 'third hospital that'}, {'start': '25.600', 'end': '28.270', 'text': 'the doctor spoke cautiously. I was flustered by the name I had'}, {'start': '28.270', 'end': '30.880', 'text': 'never heard of, nontuberculous mycobacterial infection. It was only'}, {'start': '39.930', 'end': '42.650', 'text': 'then that I realized that a disease with an unfamiliar name was slowly destroying my lungs.'}, {'start': '42.650', 'end': '45.830', 'text': 'Surprisingly, this disease is rapidly increasing among middle-aged and older Koreans,'}, {'start': '45.830', 'end': '48.160', 'text': 'especially women.'}, {'start': '49.660', 'end': '51.670', 'text': 'People who have a cough that lasts a long time,'}, {'start': '51.670', 'end': '53.810', 'text': 'people who are tired for no reason, and people who have lost a lot of'}, {'start': '53.810', 'end': '56.160', 'text': 'weight are the ones who'}, {'start': '57.920', 'end': '59.400', 'text': 'get this disease the most.'}, {'start': '59.400', 'end': '60.540', 'text': 'But no one told me about it.'}, {'start': '62.120', 'end': '63.970', 'text': 'Why is this disease'}, {'start': '63.970', 'end': '65.710', 'text': 'not well-known?'}, {'start': '65.710', 'end': '67.870', 'text': 'Why should our parents, our neighbors, and'}, {'start': '67.870', 'end': '70.090', 'text': 'ourselves be left defenseless in the face of this disease'}, {'start': '70.090', 'end': '72.140', 'text': '?'}, {'start': '72.140', 'end': '74.850', 'text': "In today's video, I will"}, {'start': '84.230', 'end': '86.180', 'text': 'explain in detail what nontuberculous mycobacterial infection is, how it is different from tuberculosis, and how to suspect it early and prevent it in your daily life. Please'}, {'start': '86.180', 'end': '88.110', 'text': 'watch the video until the end and check together whether your'}, {'start': '88.110', 'end': '90.930', 'text': 'current cough is a simple cold'}, {'start': '90.930', 'end': '93.540', 'text': 'or a sign of something more serious.'}, {'start': '95.880', 'end': '97.450', 'text': 'Your health can start'}, {'start': '97.450', 'end': '98.800', 'text': 'from this video right now. My'}, {'start': '100.350', 'end': '102.230', 'text': 'cough keeps coming up.'}, {'start': '102.230', 'end': '104.800', 'text': 'At first, I thought it was a cold. I guess I was a little tired because the'}, {'start': '104.800', 'end': '107.270', 'text': 'weather has been unpredictable lately, so I just'}, {'start': '109.180', 'end': '110.860', 'text': 'brushed it off. My'}, {'start': '112.630', 'end': '114.210', 'text': "symptoms didn't get better after a few days. Instead, they got"}, {'start': '114.210', 'end': '116.270', 'text': 'worse. My'}, {'start': '116.270', 'end': '118.100', 'text': 'cough'}, {'start': '118.100', 'end': '119.560', 'text': 'came from deep in my throat, I'}, {'start': '119.560', 'end': '121.070', 'text': 'had a lot of phlegm, and my'}, {'start': '121.070', 'end': '122.990', 'text': 'body felt sluggish. I'}, {'start': '122.990', 'end': '125.730', 'text': 'started losing weight little by little, and'}, {'start': '125.730', 'end': '127.290', 'text': 'at night, I sweated so much that my blanket got wet.'}, {'start': '129.310', 'end': '130.530', 'text': 'At first, I'}, {'start': '130.530', 'end': '132.230', 'text': 'thought it was just simple fatigue. It'}, {'start': '134.780', 'end': '137.070', 'text': 'seemed like a mild cold that was lasting a long time, but when the'}, {'start': '137.070', 'end': '139.430', 'text': 'fatigue lasted for several weeks and'}, {'start': '139.430', 'end': '142.020', 'text': 'breathing became difficult, I'}, {'start': '142.020', 'end': '143.840', 'text': 'became anxious. I'}, {'start': '143.840', 'end': '145.290', 'text': 'went to the hospital.'}, {'start': '145.290', 'end': '147.870', 'text': 'The doctor put a stethoscope on me and'}, {'start': '147.870', 'end': '149.650', 'text': 'said simply, "It'}, {'start': '149.650', 'end': '151.340', 'text': "doesn't seem to be pneumonia. Let's"}, {'start': '151.340', 'end': '153.690', 'text': 'take some medicine and rest."'}, {'start': '153.690', 'end': '155.050', 'text': 'However, my condition'}, {'start': '155.050', 'end': '156.710', 'text': "still didn't change. I"}, {'start': '156.710', 'end': '158.580', 'text': 'got a tuberculosis test, but the'}, {'start': '158.580', 'end': '161.240', 'text': 'result was negative. After visiting'}, {'start': '161.240', 'end': '162.360', 'text': 'two more hospitals, the'}, {'start': '164.300', 'end': '166.340', 'text': 'doctor cautiously decided to give me a'}, {'start': '166.340', 'end': '167.990', 'text': 'new  The name of the disease was mentioned. Even'}, {'start': '170.180', 'end': '172.390', 'text': 'after hearing the abbreviation NTM (Nontuberculous Mycobacteria), I'}, {'start': '172.390', 'end': '173.760', 'text': "couldn't understand what it meant. When I was told that it was"}, {'start': '175.050', 'end': '176.450', 'text': 'neither tuberculosis,'}, {'start': '176.450', 'end': '177.790', 'text': 'pneumonia, nor a'}, {'start': '177.790', 'end': '179.600', 'text': 'cold, I asked myself'}, {'start': '180.770', 'end': '182.550', 'text': 'what the heck this disease was.'}, {'start': '182.550', 'end': '184.820', 'text': 'The doctor quietly said that'}, {'start': '184.820', 'end': '187.140', 'text': 'this disease was different from tuberculosis and was caused'}, {'start': '187.140', 'end': '188.980', 'text': 'by bacteria that existed in the environment. He'}, {'start': '188.980', 'end': '191.980', 'text': 'said that it was a bacteria that could be'}, {'start': '195.160', 'end': '197.610', 'text': 'inhaled or contacted in everyday spaces such as soil, tap water, bathrooms, showers, and jacuzzis. It was'}, {'start': '202.060', 'end': '204.400', 'text': 'not contagious to people, but it could easily penetrate people with'}, {'start': '204.400', 'end': '206.240', 'text': 'weak immune systems,'}, {'start': '207.830', 'end': '209.850', 'text': 'causing inflammation in the lungs,'}, {'start': '209.850', 'end': '211.580', 'text': 'coughing, fatigue, and weight'}, {'start': '211.580', 'end': '213.800', 'text': 'loss.'}, {'start': '213.800', 'end': '215.120', 'text': 'Literally,'}, {'start': '215.120', 'end': '216.510', 'text': 'bacteria in the ordinary environment were slowly'}, {'start': '216.510', 'end': '218.360', 'text': 'and quietly'}, {'start': '218.360', 'end': '220.520', 'text': 'attacking my lungs.'}, {'start': '222.530', 'end': '224.090', 'text': 'However, it was only then that I learned that this disease was'}, {'start': '224.090', 'end': '225.810', 'text': 'affecting far more people than I had thought. The number of'}, {'start': '229.540', 'end': '231.810', 'text': 'patients in Korea is increasing every year. It is said that it is'}, {'start': '235.060', 'end': '236.600', 'text': 'increasing rapidly, especially among women in their 50s or older.'}, {'start': '238.400', 'end': '239.890', 'text': "I didn't know. No one mentioned this disease"}, {'start': '239.890', 'end': '241.800', 'text': 'in any news or'}, {'start': '241.800', 'end': '243.890', 'text': 'health checkup results. Even when I had a'}, {'start': '246.480', 'end': '247.990', 'text': 'cough that lasted a long time and'}, {'start': '247.990', 'end': '249.280', 'text': 'had phlegm, I'}, {'start': '249.280', 'end': '250.820', 'text': 'always thought it was a cold or that my bronchial'}, {'start': '250.820', 'end': '252.390', 'text': 'tubes were weak, and I let it'}, {'start': '252.390', 'end': '254.320', 'text': 'go.'}, {'start': '254.320', 'end': '256.620', 'text': 'But the disease hidden inside was...  It'}, {'start': '256.620', 'end': '258.170', 'text': 'was nontuberculous mycobacterial infection.'}, {'start': '258.170', 'end': '260.970', 'text': 'Looking back, the signs of the disease'}, {'start': '260.970', 'end': '263.560', 'text': 'were clear. The'}, {'start': '263.560', 'end': '266.090', 'text': 'cough lasted for more than 3 weeks,'}, {'start': '266.090', 'end': '267.410', 'text': 'weight loss,'}, {'start': '267.410', 'end': '268.940', 'text': 'loss of appetite, and'}, {'start': '268.940', 'end': '270.370', 'text': 'nightly sweating were'}, {'start': '270.370', 'end': '272.110', 'text': 'repeated.'}, {'start': '272.110', 'end': '273.760', 'text': 'This disease'}, {'start': '273.760', 'end': '275.330', 'text': 'does not come suddenly all at once. It'}, {'start': '275.330', 'end': '276.930', 'text': 'slowly, unknowingly'}, {'start': '276.930', 'end': '278.620', 'text': 'damages the lungs.'}, {'start': '278.620', 'end': '280.460', 'text': 'That is why it is even scarier.'}, {'start': '280.460', 'end': '282.720', 'text': 'That is why you should know sooner. Some of you who are'}, {'start': '282.720', 'end': '284.040', 'text': 'watching this video may have a'}, {'start': '285.600', 'end': '287.850', 'text': 'cough that does not stop, or those who are just accumulating fatigue'}, {'start': '287.850', 'end': '290.420', 'text': 'without receiving an accurate diagnosis.'}, {'start': '293.680', 'end': '296.410', 'text': "In today's video, I will accurately and calmly explain what nontuberculous mycobacterial"}, {'start': '296.410', 'end': '298.500', 'text': 'infection is,'}, {'start': '298.500', 'end': '300.640', 'text': 'why it is rapidly increasing, how it is'}, {'start': '300.640', 'end': '302.680', 'text': 'different from tuberculosis,'}, {'start': '302.680', 'end': '304.470', 'text': 'and what symptoms to'}, {'start': '304.470', 'end': '306.410', 'text': 'watch out for.'}, {'start': '309.440', 'end': '311.710', 'text': 'And at the end of the video, I will summarize everything from'}, {'start': '311.710', 'end': '313.340', 'text': 'practical routines that you can do in your daily life,'}, {'start': '313.340', 'end': '316.290', 'text': 'foods to avoid,'}, {'start': '316.290', 'end': '317.530', 'text': 'recommended diet, and'}, {'start': '317.530', 'end': '320.790', 'text': "exercise. Let's"}, {'start': '320.790', 'end': '322.850', 'text': 'watch it together now.'}, {'start': '322.850', 'end': '324.320', 'text': 'Your cough'}, {'start': '324.320', 'end': '326.800', 'text': 'may not be a simple symptom.'}, {'start': '326.800', 'end': '329.150', 'text': 'From now on, it is the most important.'}, {'start': '329.150', 'end': '331.200', 'text': 'That day was the same. The'}, {'start': '331.200', 'end': '333.330', 'text': 'cough did not stop. The'}, {'start': '333.330', 'end': '336.180', 'text': 'cough got worse at night, and'}, {'start': '336.180', 'end': '337.730', 'text': 'in the early morning, it'}, {'start': '337.730', 'end': '339.580', 'text': 'felt like phlegm was blocking my throat.'}, {'start': '339.580', 'end': '340.800', 'text': 'At first, the frequent'}, {'start': '340.800', 'end': '342.470', 'text': 'coughing was uncomfortable, but I'}, {'start': '342.470', 'end': '345.250', 'text': 'thought it would pass quickly. I thought it was'}, {'start': '345.250', 'end': '346.830', 'text': 'temporary irritation of the bronchial tubes.'}, {'start': '348.650', 'end': '350.380', 'text': 'However,'}, {'start': '350.380', 'end': '352.900', 'text': 'the symptoms did not improve even after time passed. For'}, {'start': '352.900', 'end': '354.410', 'text': 'several days.  As the'}, {'start': '354.410', 'end': '355.610', 'text': 'weeks passed, my'}, {'start': '355.610', 'end': '357.950', 'text': 'body became more and more strange. I'}, {'start': '359.370', 'end': '360.610', 'text': 'felt tired even when I did nothing. My'}, {'start': '360.610', 'end': '362.880', 'text': 'food intake was the same, but I'}, {'start': '362.880', 'end': '364.350', 'text': 'lost weight,'}, {'start': '364.350', 'end': '366.760', 'text': 'and at night, I sweated so much that my blanket got wet.'}, {'start': '368.420', 'end': '370.290', 'text': 'One day, I looked in the mirror and'}, {'start': '370.290', 'end': '371.890', 'text': 'suddenly realized that my'}, {'start': '371.890', 'end': '373.310', 'text': 'face had'}, {'start': '373.310', 'end': '375.350', 'text': 'become pale, I felt weak, and it was difficult to'}, {'start': '375.350', 'end': '376.640', 'text': 'breathe deeply. Only'}, {'start': '378.730', 'end': '380.710', 'text': 'then did I'}, {'start': '380.710', 'end': '382.270', 'text': 'realize that something was wrong.'}, {'start': '382.270', 'end': '383.980', 'text': 'However, the hospital'}, {'start': '385.370', 'end': '387.400', 'text': 'said that it was neither tuberculosis nor pneumonia. Neither the'}, {'start': '387.400', 'end': '389.300', 'text': 'doctor, my guardian, nor I knew'}, {'start': '389.300', 'end': '391.620', 'text': 'exactly what these symptoms were. The'}, {'start': '394.410', 'end': '395.790', 'text': 'disease I heard about then was nontuberculous'}, {'start': '395.790', 'end': '397.340', 'text': 'mycobacterial infection.'}, {'start': '398.940', 'end': '400.550', 'text': 'This disease is not contagious like tuberculosis, but'}, {'start': '402.090', 'end': '404.500', 'text': 'its symptoms are very similar.'}, {'start': '404.500', 'end': '407.230', 'text': 'Coughing, fatigue, weight loss, fever,'}, {'start': '407.230', 'end': '409.150', 'text': 'loss of appetite, and night'}, {'start': '409.150', 'end': '411.260', 'text': 'sweats may look'}, {'start': '411.260', 'end': '412.690', 'text': 'like a cold or'}, {'start': '412.690', 'end': '414.600', 'text': 'bronchitis. That is'}, {'start': '414.600', 'end': '417.110', 'text': 'why it is easier to overlook it and miss the opportunity for'}, {'start': '417.110', 'end': '418.460', 'text': 'early treatment. In'}, {'start': '420.290', 'end': '423.100', 'text': 'particular, the'}, {'start': '423.100', 'end': '424.770', 'text': 'most common form of this disease is lung disease. More than 90 percent'}, {'start': '424.770', 'end': '426.410', 'text': 'of all nontuberculous mycobacterial infections'}, {'start': '428.080', 'end': '431.410', 'text': 'occur in the lungs. It'}, {'start': '431.410', 'end': '432.840', 'text': 'literally slowly penetrates the lungs,'}, {'start': '432.840', 'end': '434.840', 'text': 'repeatedly inflaming and damaging them, leading to'}, {'start': '434.840', 'end': '437.300', 'text': 'coughing, phlegm, and'}, {'start': '437.300', 'end': '438.600', 'text': 'difficulty breathing. Since'}, {'start': '438.600', 'end': '441.290', 'text': 'the symptoms'}, {'start': '441.290', 'end': '443.710', 'text': 'are very similar to tuberculosis, it is considered to be'}, {'start': '443.710', 'end': '445.860', 'text': 'tuberculosis.  It is often misunderstood,'}, {'start': '445.860', 'end': '448.420', 'text': 'but there is a big difference in that tuberculosis is a contagious'}, {'start': '448.420', 'end': '450.770', 'text': 'disease that can be transmitted from person to person, whereas'}, {'start': '450.770', 'end': '453.050', 'text': 'nontuberculous mycobacteria are bacteria that exist in the natural environment, so they are'}, {'start': '454.790', 'end': '457.340', 'text': 'hardly contagious.'}, {'start': '458.970', 'end': '461.060', 'text': 'This disease occurs more easily'}, {'start': '461.060', 'end': '462.640', 'text': 'in people with weak immune systems.'}, {'start': '464.380', 'end': '466.970', 'text': 'Among them, there are statistics that show that women over 50 years of age,'}, {'start': '466.970', 'end': '468.750', 'text': 'especially those with thin body types and a history of'}, {'start': '468.750', 'end': '470.680', 'text': 'lung disease, develop it'}, {'start': '470.680', 'end': '472.100', 'text': 'more frequently.'}, {'start': '473.480', 'end': '475.410', 'text': 'A Korean study showed that the'}, {'start': '475.410', 'end': '477.760', 'text': 'average age of patients with nontuberculous mycobacterial infection was 61.5 years, and'}, {'start': '477.760', 'end': '481.080', 'text': 'more than 57 percent of patients'}, {'start': '481.080', 'end': '483.580', 'text': 'were women.'}, {'start': '486.120', 'end': '488.160', 'text': 'However, there are still'}, {'start': '488.160', 'end': '490.430', 'text': 'many people who are hearing about this disease for the first time. Even'}, {'start': '490.430', 'end': '492.760', 'text': 'hospitals rarely provide an accurate explanation'}, {'start': '492.760', 'end': '495.520', 'text': '.  So how'}, {'start': '495.520', 'end': '496.800', 'text': 'should we suspect this disease?  Please'}, {'start': '498.660', 'end': '500.170', 'text': 'check the following checklist.'}, {'start': '502.370', 'end': '504.160', 'text': 'Nontuberculous mycobacterial infection self-assessment'}, {'start': '504.160', 'end': '506.730', 'text': 'checklist: Coughing that does not stop for more than 3 weeks'}, {'start': '509.440', 'end': '511.130', 'text': 'Frequent phlegm and a foreign body'}, {'start': '511.130', 'end': '512.880', 'text': 'sensation in the throat'}, {'start': '512.880', 'end': '515.400', 'text': 'Unexplained weight loss Severe fatigue even'}, {'start': '515.400', 'end': '517.490', 'text': 'without special exercise'}, {'start': '518.930', 'end': '521.210', 'text': 'Sometimes cold sweats at night Symptoms recur after'}, {'start': '521.210', 'end': '522.580', 'text': 'treatment for pneumonia or tuberculosis'}, {'start': '524.940', 'end': '527.160', 'text': 'Received a negative tuberculosis diagnosis but'}, {'start': '527.160', 'end': '528.980', 'text': 'symptoms persist Frequently use'}, {'start': '528.980', 'end': '530.900', 'text': 'showers, bathrooms, Jacuzzis,'}, {'start': '530.900', 'end': '533.150', 'text': 'etc. Have a history of'}, {'start': '533.150', 'end': '536.600', 'text': 'bronchiectasis, chronic obstructive pulmonary disease (COPD), diabetes,'}, {'start': '536.600', 'end': '538.830', 'text': 'etc. Are receiving'}, {'start': '538.830', 'end': '540.390', 'text': 'immunosuppressive treatment or'}, {'start': '540.390', 'end': '541.900', 'text': 'anticancer treatment If'}, {'start': '543.470', 'end': '545.120', 'text': 'three or more of the above apply to you, it is recommended that you undergo an'}, {'start': '545.120', 'end': '546.250', 'text': 'accurate examination.'}, {'start': '548.180', 'end': '550.880', 'text': 'This disease is often difficult to diagnose with just a general auscultation or simple'}, {'start': '550.880', 'end': '553.040', 'text': 'X-ray. Sputum culture test,'}, {'start': '557.200', 'end': '558.350', 'text': 'chest CT, and mycobacterial'}, {'start': '558.350', 'end': '561.070', 'text': 'identification test are required.'}, {'start': '561.070', 'end': '563.360', 'text': 'In addition, this disease does'}, {'start': '563.360', 'end': '565.800', 'text': 'not appear acutely like tuberculosis, but'}, {'start': '565.800', 'end': '567.820', 'text': 'slowly develops symptoms over a long period of time.'}, {'start': '569.430', 'end': '570.690', 'text': 'That is why'}, {'start': '570.690', 'end': '572.350', 'text': 'early detection is even more important. If you are coughing even at'}, {'start': '572.350', 'end': '573.920', 'text': 'this moment and do not'}, {'start': '575.790', 'end': '577.680', 'text': 'know the cause,'}, {'start': '577.680', 'end': '579.890', 'text': 'it may not be a simple irritation of the bronchial tubes.'}, {'start': '581.750', 'end': '583.400', 'text': 'Most importantly, do not take the'}, {'start': '583.400', 'end': '585.090', 'text': 'symptoms lightly.'}, {'start': '586.750', 'end': '589.660', 'text': 'If you are experiencing persistent coughing or'}, {'start': '589.660', 'end': '591.570', 'text': 'unexplained weight loss,'}, {'start': '591.570', 'end': '593.880', 'text': 'If you are suffering from fatigue and weakness,'}, {'start': '593.880', 'end': '595.230', 'text': 'now'}, {'start': '595.230', 'end': '597.210', 'text': 'is the time to suspect this disease.'}, {'start': '597.210', 'end': '599.360', 'text': 'In the next part, I will tell you exactly how this disease is'}, {'start': '599.360', 'end': '601.370', 'text': 'different from tuberculosis,'}, {'start': '601.370', 'end': '603.200', 'text': 'why it is difficult to diagnose,'}, {'start': '603.200', 'end': '604.670', 'text': 'and'}, {'start': '604.670', 'end': '606.770', 'text': 'what tests are needed for diagnosis.'}, {'start': '609.560', 'end': '611.960', 'text': "Now, I hope you don't ignore the signals that my cough is sending you. The"}, {'start': '614.520', 'end': '616.780', 'text': 'first opinion I received at the hospital'}, {'start': '616.780', 'end': '618.470', 'text': 'was that it was suspected to be tuberculosis. Since the'}, {'start': '618.470', 'end': '620.100', 'text': 'cough lasted a long time, I'}, {'start': '620.100', 'end': '621.470', 'text': 'lost weight, and I had a'}, {'start': '621.470', 'end': '623.080', 'text': 'lot of phlegm,'}, {'start': '623.080', 'end': '625.440', 'text': 'the doctor naturally'}, {'start': '625.440', 'end': '627.100', 'text': 'suggested that we test for tuberculosis first. I was'}, {'start': '627.100', 'end': '629.040', 'text': 'tested for tuberculosis. I'}, {'start': '629.040', 'end': '631.230', 'text': 'took a chest X-ray and a'}, {'start': '631.230', 'end': '633.230', 'text': 'sputum test.'}, {'start': '633.230', 'end': '635.890', 'text': 'But the result was negative. They'}, {'start': '635.890', 'end': '637.850', 'text': 'said it was not tuberculosis'}, {'start': '637.850', 'end': '640.690', 'text': ". It was strange.  If it's not tuberculosis,"}, {'start': '640.690', 'end': '643.150', 'text': 'why do I keep coughing like this?'}, {'start': '643.150', 'end': '644.620', 'text': 'Why am I tired and why do I sweat so much at night'}, {'start': '644.620', 'end': '645.780', 'text': '?'}, {'start': '645.780', 'end': '647.220', 'text': 'Why do I lose my appetite and feel'}, {'start': '647.220', 'end': '649.050', 'text': "short of breath?  There weren't many"}, {'start': '649.050', 'end': '651.520', 'text': 'doctors who could answer that question accurately.'}, {'start': '655.770', 'end': '657.030', 'text': 'Most of them said it'}, {'start': '657.030', 'end': '658.800', 'text': 'might be simple bronchitis. They just said that their'}, {'start': '658.800', 'end': '660.120', 'text': 'immune system seemed to be weakened.'}, {'start': '662.450', 'end': '664.810', 'text': 'However,'}, {'start': '664.810', 'end': '667.090', 'text': 'at the third hospital, they finally got the diagnosis.'}, {'start': '667.090', 'end': '669.280', 'text': 'Nontuberculous mycobacterial infection is'}, {'start': '669.280', 'end': '670.630', 'text': 'not tuberculosis, but it'}, {'start': '670.630', 'end': '672.580', 'text': 'behaves like tuberculosis.'}, {'start': '672.580', 'end': '675.130', 'text': 'Unlike tuberculosis bacteria, this disease is'}, {'start': '676.560', 'end': '678.750', 'text': 'transmitted by bacteria that exist in the natural environment. It can be inhaled from everyday environments such as'}, {'start': '678.750', 'end': '681.840', 'text': 'soil, water, tap water,'}, {'start': '681.840', 'end': '683.220', 'text': 'showers, and jacuzzis, or it'}, {'start': '686.460', 'end': '687.920', 'text': 'can penetrate through wounds. It rarely'}, {'start': '687.920', 'end': '689.580', 'text': 'spreads from person to person, but'}, {'start': '691.030', 'end': '693.380', 'text': 'in people with weakened immune systems, it'}, {'start': '693.380', 'end': '696.000', 'text': 'causes illness centered on the lungs.'}, {'start': '696.000', 'end': '697.910', 'text': "That's why symptoms very similar to tuberculosis appear, such as coughing, fatigue, weight loss,"}, {'start': '697.910', 'end': '699.930', 'text': 'fever, and phlegm.'}, {'start': '704.820', 'end': '707.440', 'text': 'However, the treatment is completely different.'}, {'start': '707.440', 'end': '709.570', 'text': 'Tuberculosis is an infectious disease that'}, {'start': '709.570', 'end': '711.110', 'text': 'requires legal isolation and public treatment, and can be treated by taking'}, {'start': '711.110', 'end': '712.610', 'text': 'prescribed anti-tuberculosis drugs for a certain'}, {'start': '712.610', 'end': '714.020', 'text': 'period of time. On'}, {'start': '716.000', 'end': '718.430', 'text': 'the other hand, nontuberculous mycobacterial infection requires different drugs'}, {'start': '718.430', 'end': '719.520', 'text': 'depending on the type of bacteria'}, {'start': '719.520', 'end': '721.620', 'text': ', the'}, {'start': '721.620', 'end': '722.970', 'text': 'treatment period is much longer, and customized adjustments are required depending on the'}, {'start': '722.970', 'end': '725.140', 'text': "patient's condition and resistance."}, {'start': '730.010', 'end': '731.570', 'text': 'Usually, two to three or'}, {'start': '731.570', 'end': '733.320', 'text': 'more antibiotics must be combined and treated for'}, {'start': '733.320', 'end': '736.060', 'text': '6 months or as long as a year or'}, {'start': '736.060', 'end': '738.300', 'text': 'more.'}, {'start': '738.300', 'end': '740.750', 'text': 'Despite these differences,  Since the'}, {'start': '740.750', 'end': '742.250', 'text': 'symptoms of the two diseases are'}, {'start': '742.250', 'end': '744.060', 'text': 'very similar, it'}, {'start': '744.060', 'end': '746.180', 'text': 'takes time to diagnose them, and they are often'}, {'start': '746.180', 'end': '747.740', 'text': 'misdiagnosed or neglected.'}, {'start': '749.190', 'end': '750.770', 'text': 'Another important point is that it is difficult to confirm'}, {'start': '750.770', 'end': '753.210', 'text': 'this disease with a simple X-ray or'}, {'start': '753.210', 'end': '754.870', 'text': 'blood test.'}, {'start': '758.500', 'end': '760.710', 'text': 'Even if acid-fast bacilli are detected in a sputum smear test, they'}, {'start': '760.710', 'end': '762.910', 'text': 'may not be tuberculosis bacteria,'}, {'start': '762.910', 'end': '765.310', 'text': 'so a culture test must be performed to'}, {'start': '765.310', 'end': '767.190', 'text': 'distinguish the type of bacteria.'}, {'start': '767.190', 'end': '768.690', 'text': 'In the past, nontuberculous mycobacterial infection could be confirmed only if the smear was positive or the same bacteria were detected'}, {'start': '768.690', 'end': '770.640', 'text': 'in culture 2-3 times or more, but'}, {'start': '773.860', 'end': '775.760', 'text': 'recently,'}, {'start': '775.760', 'end': '777.460', 'text': 'regardless of the smear, if the'}, {'start': '777.460', 'end': '780.420', 'text': 'same bacteria are repeatedly cultured, the'}, {'start': '780.420', 'end': '783.430', 'text': 'diagnostic criteria are met. In'}, {'start': '785.530', 'end': '788.170', 'text': 'addition, the accuracy of the diagnosis can be increased if'}, {'start': '788.170', 'end': '790.640', 'text': 'nodules,'}, {'start': '790.640', 'end': '792.060', 'text': 'cavities, and bronchial dilatation are confirmed in the lungs through a chest CT scan.'}, {'start': '796.450', 'end': '798.600', 'text': 'However, since all of these tests are often not performed in general internal medicine departments or'}, {'start': '798.600', 'end': '801.270', 'text': 'local hospitals, you must'}, {'start': '805.940', 'end': '807.900', 'text': 'visit a respiratory medicine specialist, infectious disease specialist, or pulmonary specialist to make an'}, {'start': '807.900', 'end': '809.650', 'text': 'accurate diagnosis and treatment'}, {'start': '809.650', 'end': '811.480', 'text': 'plan. In'}, {'start': '811.480', 'end': '814.340', 'text': 'summary, if you have a persistent cough and it'}, {'start': '814.340', 'end': '815.740', 'text': 'is not tuberculosis, you must'}, {'start': '815.740', 'end': '818.820', 'text': 'also suspect nontuberculous mycobacterial infection. If the'}, {'start': '820.900', 'end': '823.380', 'text': 'cough persists for more than 3 weeks,'}, {'start': '823.380', 'end': '825.160', 'text': 'phlegm continues, you have'}, {'start': '825.160', 'end': '826.260', 'text': 'no appetite, lose weight, and have difficulty'}, {'start': '826.260', 'end': '827.460', 'text': 'breathing'}, {'start': '827.460', 'end': '829.510', 'text': 'at night,  If you sweat, it is unlikely to be a'}, {'start': '829.510', 'end': '831.720', 'text': 'simple cold or'}, {'start': '831.720', 'end': '833.580', 'text': 'bronchitis. In'}, {'start': '833.580', 'end': '836.140', 'text': 'particular, if you have a history of lung disease or are'}, {'start': '836.140', 'end': '837.950', 'text': 'immunocompromised, you'}, {'start': '837.950', 'end': '839.790', 'text': 'should be even more careful. Those who were relieved because they did not have'}, {'start': '839.790', 'end': '841.660', 'text': 'tuberculosis until now,'}, {'start': '845.740', 'end': '847.680', 'text': 'those who have been tested once but have not heard the result, and'}, {'start': '849.530', 'end': '851.570', 'text': 'those who have been repeatedly prescribed cough medicine, please remember'}, {'start': '851.570', 'end': '853.190', 'text': 'this content today.'}, {'start': '854.860', 'end': '856.460', 'text': 'This disease is slower and quieter than tuberculosis,'}, {'start': '856.460', 'end': '858.150', 'text': 'but it can damage the lungs just as much as tuberculosis.'}, {'start': '861.790', 'end': '864.520', 'text': 'In the next part, we will check why'}, {'start': '864.520', 'end': '866.440', 'text': 'this disease has been rapidly increasing in middle-aged and older'}, {'start': '866.440', 'end': '867.990', 'text': 'women,'}, {'start': '869.180', 'end': '871.420', 'text': 'based on statistics and data. We will also point out'}, {'start': '871.420', 'end': '872.950', 'text': 'which people are'}, {'start': '872.950', 'end': '874.580', 'text': 'particularly at risk and'}, {'start': '874.580', 'end': '876.640', 'text': 'what kind of environment is problematic in daily life.'}, {'start': '879.060', 'end': '881.250', 'text': 'Nontuberculous mycobacterial infection, which was unfamiliar at first, has been'}, {'start': '884.540', 'end': '887.070', 'text': 'increasing surprisingly quickly recently. What is'}, {'start': '887.070', 'end': '889.690', 'text': 'particularly noticeable among them is the rapid increase in'}, {'start': '889.690', 'end': '890.750', 'text': 'middle-aged and older'}, {'start': '890.750', 'end': '892.840', 'text': 'women.'}, {'start': '892.840', 'end': '894.400', 'text': 'According to data from domestic health authorities and medical institutions'}, {'start': '894.400', 'end': '896.510', 'text': ', the number of patients with nontuberculous mycobacterial infection per 100,000 people in Korea'}, {'start': '898.230', 'end': '900.680', 'text': 'was 6.7 in 2007.'}, {'start': '900.680', 'end': '903.330', 'text': 'However, in less than 10 years, it'}, {'start': '906.100', 'end': '908.080', 'text': 'increased more than fivefold to 39.6 in 2016.'}, {'start': '908.080', 'end': '911.850', 'text': 'In 2021, it soared to 56.7 people.'}, {'start': '918.610', 'end': '920.050', 'text': 'By age, it'}, {'start': '920.050', 'end': '921.750', 'text': 'starts to increase rapidly in the 50s, passes through the'}, {'start': '921.750', 'end': '923.330', 'text': '60s and 70s, and'}, {'start': '928.510', 'end': '931.200', 'text': 'reaches a whopping 223 people per 100,000 people over 70.'}, {'start': '931.200', 'end': '932.830', 'text': 'And another'}, {'start': '932.830', 'end': '934.920', 'text': 'notable thing about these numbers is that there are far more'}, {'start': '934.920', 'end': '936.560', 'text': 'female patients than male patients.'}, {'start': '939.230', 'end': '941.720', 'text': 'In one study, about 58 percent of all patients'}, {'start': '941.720', 'end': '944.980', 'text': 'were female, and the'}, {'start': '944.980', 'end': '948.130', 'text': 'average age of diagnosis was reported to be about 61 years.'}, {'start': '948.130', 'end': '950.620', 'text': 'Why is that?'}, {'start': '950.620', 'end': '952.420', 'text': 'Why is this disease particularly prevalent in middle-aged and older'}, {'start': '952.420', 'end': '954.810', 'text': 'women?  The'}, {'start': '954.810', 'end': '957.080', 'text': 'first thing that is pointed out is the'}, {'start': '957.080', 'end': '959.680', 'text': 'biological difference in lung structure.'}, {'start': '959.680', 'end': '961.250', 'text': 'Women have'}, {'start': '961.250', 'end': '963.150', 'text': 'smaller bronchial diameters and'}, {'start': '963.150', 'end': '964.450', 'text': 'thinner airway walls than men, making them more'}, {'start': '966.130', 'end': '967.490', 'text': 'sensitive to external stimuli. This means that the'}, {'start': '967.490', 'end': '969.060', 'text': 'same stimuli'}, {'start': '969.060', 'end': '970.650', 'text': 'can have a greater impact on the lungs.'}, {'start': '972.550', 'end': '974.120', 'text': 'Another reason'}, {'start': '974.120', 'end': '976.080', 'text': 'is the difference in immune response.'}, {'start': '976.080', 'end': '978.660', 'text': 'Women tend to have a more sensitive immune system'}, {'start': '978.660', 'end': '980.620', 'text': ','}, {'start': '980.620', 'end': '982.330', 'text': 'which can lead to long-term inflammation or make them'}, {'start': '984.400', 'end': '987.180', 'text': 'more'}, {'start': '987.180', 'end': '988.850', 'text': 'vulnerable to repeated infections. Nontuberculous mycobacterial infections occur frequently in women with a history of'}, {'start': '988.850', 'end': '990.900', 'text': 'pulmonary tuberculosis or existing lung diseases'}, {'start': '990.900', 'end': '993.420', 'text': 'such as bronchiectasis or chronic obstructive pulmonary disease (COPD). Another'}, {'start': '1002.080', 'end': '1003.630', 'text': 'thing to note is body type. Some'}, {'start': '1008.400', 'end': '1010.470', 'text': 'studies have shown that women who are thin and have a low body fat percentage have a higher risk of NTM infection. This is because a'}, {'start': '1012.250', 'end': '1014.260', 'text': 'low food intake or'}, {'start': '1014.260', 'end': '1016.290', 'text': 'dieting habits can lead to a'}, {'start': '1016.290', 'end': '1019.170', 'text': 'decrease in immunity and weakened organ function. There are also'}, {'start': '1021.110', 'end': '1023.560', 'text': 'social and environmental factors here. Environments where water and air circulate together, such as'}, {'start': '1025.970', 'end': '1028.890', 'text': 'showers, jacuzzis, humidifiers, swimming pools, and'}, {'start': '1028.890', 'end': '1031.350', 'text': 'steam rooms,'}, {'start': '1033.410', 'end': '1035.040', 'text': 'are spaces where NTM bacteria can easily multiply. The'}, {'start': '1039.250', 'end': '1041.120', 'text': 'risk increases the more frequently you use these spaces.'}, {'start': '1041.120', 'end': '1042.440', 'text': 'In particular, housewives and middle-aged'}, {'start': '1042.440', 'end': '1044.290', 'text': 'women are more likely to have bathrooms,'}, {'start': '1044.290', 'end': '1047.260', 'text': 'kitchens, and'}, {'start': '1047.260', 'end': '1048.860', 'text': 'Spending a lot of time in the same moist environment, and repeated exposure to'}, {'start': '1048.860', 'end': '1051.830', 'text': 'small wounds or respiratory tract injuries during housework'}, {'start': '1054.130', 'end': '1056.600', 'text': 'can increase the risk of infection.'}, {'start': '1056.600', 'end': '1058.210', 'text': 'Also, many people who regularly get health checkups'}, {'start': '1062.290', 'end': '1064.330', 'text': 'often ignore coughs or fatigue as simple aging.'}, {'start': '1064.330', 'end': '1066.240', 'text': 'In fact, many NTM patients thought they had a cold and left it untreated for'}, {'start': '1066.240', 'end': '1068.680', 'text': 'months or years. In'}, {'start': '1070.490', 'end': '1073.250', 'text': 'summary, the'}, {'start': '1073.250', 'end': '1074.930', 'text': 'reason why this disease is common in middle-aged and older women is the result of a combination of factors such as'}, {'start': '1074.930', 'end': '1077.440', 'text': 'lung structure,'}, {'start': '1077.440', 'end': '1080.540', 'text': 'immune response, body type, living environment,'}, {'start': '1080.540', 'end': '1082.230', 'text': 'and lack of awareness. If'}, {'start': '1084.760', 'end': '1085.800', 'text': 'we do'}, {'start': '1085.800', 'end': '1087.830', 'text': 'not recognize this disease early,'}, {'start': '1087.830', 'end': '1090.230', 'text': 'coughing will get worse,'}, {'start': '1090.230', 'end': '1092.320', 'text': 'lungs will be gradually damaged, and'}, {'start': '1092.320', 'end': '1093.900', 'text': 'breathing itself'}, {'start': '1093.900', 'end': '1095.550', 'text': 'may become difficult later.'}, {'start': '1095.550', 'end': '1098.320', 'text': 'However, if we recognize it now,'}, {'start': '1098.320', 'end': '1100.840', 'text': 'prevention and management are possible. If you are'}, {'start': '1100.840', 'end': '1102.490', 'text': 'watching this video now and are a woman'}, {'start': '1102.490', 'end': '1104.990', 'text': 'in her 50s or older, have a persistent cough'}, {'start': '1104.990', 'end': '1106.660', 'text': ', are'}, {'start': '1106.660', 'end': '1107.930', 'text': 'thin, have a low appetite, or feel'}, {'start': '1107.930', 'end': '1109.250', 'text': 'frequent fatigue, you'}, {'start': '1113.020', 'end': '1114.800', 'text': 'should definitely keep this disease in mind.'}, {'start': '1114.800', 'end': '1116.880', 'text': 'In the next part, we will explain in detail how'}, {'start': '1116.880', 'end': '1118.460', 'text': 'this disease is diagnosed,'}, {'start': '1118.460', 'end': '1120.630', 'text': 'what treatments are used, and'}, {'start': '1120.630', 'end': '1122.130', 'text': 'how to respond in daily life.'}, {'start': '1125.830', 'end': '1128.130', 'text': 'The sooner you get treatment, the better. If your'}, {'start': '1128.130', 'end': '1129.930', 'text': 'cough persists,'}, {'start': '1129.930', 'end': '1131.080', 'text': 'this moment'}, {'start': '1131.080', 'end': '1133.290', 'text': 'can be the starting point.'}, {'start': '1133.290', 'end': '1135.480', 'text': 'Nontuberculous mycobacterial infection  It slowly but'}, {'start': '1135.480', 'end': '1137.180', 'text': 'surely damages the lungs. There is'}, {'start': '1139.860', 'end': '1142.120', 'text': 'coughing and phlegm, fatigue, and'}, {'start': '1142.120', 'end': '1143.460', 'text': 'weight loss.'}, {'start': '1143.460', 'end': '1145.120', 'text': 'Shortness of breath'}, {'start': '1145.120', 'end': '1146.760', 'text': 'may initially seem like a cold, but if left'}, {'start': '1146.760', 'end': '1149.580', 'text': 'untreated, it will gradually get worse.'}, {'start': '1149.580', 'end': '1151.570', 'text': 'Therefore, the most important thing is to detect'}, {'start': '1151.570', 'end': '1153.760', 'text': 'this disease early,'}, {'start': '1153.760', 'end': '1155.350', 'text': 'diagnose it accurately, and'}, {'start': '1155.350', 'end': '1157.330', 'text': 'start treatment.'}, {'start': '1157.330', 'end': '1158.650', 'text': 'So'}, {'start': '1158.650', 'end': '1160.100', 'text': 'how should we respond?'}, {'start': '1160.100', 'end': '1161.940', 'text': 'First, diagnosis. Nontuberculous mycobacterial infection cannot be confirmed with'}, {'start': '1161.940', 'end': '1165.000', 'text': 'simple auscultation or X-ray alone.'}, {'start': '1168.930', 'end': '1171.140', 'text': 'The tests that are basically required are sputum'}, {'start': '1171.140', 'end': '1173.570', 'text': 'smear test,'}, {'start': '1173.570', 'end': '1176.100', 'text': 'acid-fast bacteria culture test, mycobacterial'}, {'start': '1176.100', 'end': '1177.690', 'text': 'species confirmation test (PCR'}, {'start': '1177.690', 'end': '1179.870', 'text': 'or MALDI-TOF), and chest'}, {'start': '1179.870', 'end': '1181.390', 'text': 'CT scan. If the'}, {'start': '1181.390', 'end': '1183.330', 'text': 'same mycobacterial species is'}, {'start': '1183.330', 'end': '1184.890', 'text': 'detected more than twice in a sputum test, or if changes such as nodules'}, {'start': '1184.890', 'end': '1186.910', 'text': ','}, {'start': '1186.910', 'end': '1188.420', 'text': 'cavities, and bronchial dilatation are'}, {'start': '1188.420', 'end': '1190.020', 'text': 'confirmed in a CT image of the lungs, the'}, {'start': '1190.020', 'end': '1192.410', 'text': 'diagnostic criteria are met. The'}, {'start': '1192.410', 'end': '1193.590', 'text': 'important thing is that if the'}, {'start': '1195.750', 'end': '1197.560', 'text': 'cough continues despite a negative tuberculosis test,'}, {'start': '1197.560', 'end': '1198.860', 'text': 'this disease'}, {'start': '1198.860', 'end': '1200.920', 'text': 'must be suspected. In'}, {'start': '1200.920', 'end': '1203.070', 'text': 'particular, the following people should'}, {'start': '1203.070', 'end': '1205.470', 'text': 'directly request a nontuberculous mycobacterial'}, {'start': '1205.470', 'end': '1207.670', 'text': 'test from a doctor. If the'}, {'start': '1207.670', 'end': '1210.460', 'text': 'cough lasts more than 3 weeks, or'}, {'start': '1210.460', 'end': '1212.000', 'text': 'phlegm and night sweats are repeated,'}, {'start': '1212.000', 'end': '1213.420', 'text': 'weight loss and'}, {'start': '1213.420', 'end': '1214.620', 'text': 'fatigue are severe, or if there is a'}, {'start': '1214.620', 'end': '1216.450', 'text': 'history of lung disease, is being'}, {'start': '1216.450', 'end': '1218.360', 'text': 'treated for immunosuppression, or'}, {'start': '1218.360', 'end': '1219.400', 'text': 'has an underlying disease (diabetes, rheumatism, etc.)'}, {'start': '1219.400', 'end': '1221.930', 'text': 'Now'}, {'start': '1221.930', 'end': '1223.850', 'text': "let's move on to treatment. The"}, {'start': '1226.490', 'end': '1229.260', 'text': 'treatment of nontuberculous mycobacterial infection is'}, {'start': '1229.260', 'end': '1231.380', 'text': 'completely different from that of tuberculosis.'}, {'start': '1231.380', 'end': '1232.890', 'text': 'Basically, long-term treatment is required, which requires a combination of 2 to 3 or'}, {'start': '1232.890', 'end': '1235.070', 'text': 'more antibiotics for'}, {'start': '1235.070', 'end': '1236.640', 'text': '6 to 12 months or'}, {'start': '1236.640', 'end': '1237.770', 'text': 'more.'}, {'start': '1240.150', 'end': '1241.860', 'text': 'Representative treatment  The'}, {'start': '1241.860', 'end': '1243.300', 'text': 'combinations are as follows:'}, {'start': '1243.300', 'end': '1245.120', 'text': 'Macrolide antibiotics:'}, {'start': '1245.120', 'end': '1246.720', 'text': 'clarithromycin or azithromycin,'}, {'start': '1246.720', 'end': '1249.740', 'text': 'rifampicin or rifabutin, ethambutol, and sometimes additional injectables'}, {'start': '1251.410', 'end': '1253.770', 'text': 'such as amikacin or quinolone'}, {'start': '1253.770', 'end': '1256.570', 'text': 'antibiotics are used depending on the strain.'}, {'start': '1259.810', 'end': '1262.720', 'text': 'During treatment, side effects such as liver function, hearing, and'}, {'start': '1262.720', 'end': '1264.170', 'text': 'vision'}, {'start': '1264.170', 'end': '1265.940', 'text': 'must be managed. Care must be taken to prevent resistance by performing'}, {'start': '1265.940', 'end': '1267.870', 'text': 'periodic blood tests and'}, {'start': '1267.870', 'end': '1269.950', 'text': 'hearing tests.'}, {'start': '1272.820', 'end': '1274.210', 'text': 'Some patients may be slow to respond to treatment or experience'}, {'start': '1274.210', 'end': '1275.780', 'text': 'repeated relapses,'}, {'start': '1275.780', 'end': '1276.950', 'text': 'so'}, {'start': '1276.950', 'end': '1278.530', 'text': 'regular consultation with a medical professional and'}, {'start': '1278.530', 'end': '1280.300', 'text': 'observation of the progress are important.'}, {'start': '1283.630', 'end': '1286.550', 'text': 'So is prevention impossible?'}, {'start': '1286.550', 'end': '1287.810', 'text': 'Unfortunately, there is'}, {'start': '1287.810', 'end': '1289.500', 'text': 'no vaccine for this disease, and there are limits to how to'}, {'start': '1289.500', 'end': '1291.820', 'text': 'prevent it from the outside, just like a cold.'}, {'start': '1294.120', 'end': '1297.240', 'text': 'However, reducing exposure in daily life is'}, {'start': '1297.240', 'end': '1299.460', 'text': 'quite feasible.'}, {'start': '1300.650', 'end': '1302.980', 'text': 'Here are some routines for prevention:'}, {'start': '1305.170', 'end': '1307.950', 'text': 'Regularly wash water-based devices such as showers, humidifiers, and jacuzzis,'}, {'start': '1309.460', 'end': '1311.440', 'text': 'ventilate the bathroom thoroughly after using it, and flush out water before using a'}, {'start': '1311.440', 'end': '1313.320', 'text': 'bathroom that has not been used for a long time. Do'}, {'start': '1315.340', 'end': '1317.580', 'text': 'not drink tap water as it is,'}, {'start': '1317.580', 'end': '1319.220', 'text': 'regularly replace water purifier filters, and wear a mask or refrain from using a'}, {'start': '1319.220', 'end': '1322.070', 'text': 'steam room, jacuzzi, or'}, {'start': '1322.070', 'end': '1323.770', 'text': 'public bathhouse.'}, {'start': '1328.700', 'end': '1330.100', 'text': 'And the most important rule of life is'}, {'start': '1330.100', 'end': '1331.380', 'text': "not to ignore your body's signals. If your"}, {'start': '1331.380', 'end': '1333.890', 'text': 'cough lasts longer than usual, do'}, {'start': '1335.690', 'end': '1337.350', 'text': 'not assume it is bronchitis, but rather undergo'}, {'start': '1337.350', 'end': '1339.680', 'text': 'imaging tests and sputum tests'}, {'start': '1339.680', 'end': '1342.150', 'text': 'together.'}, {'start': '1342.150', 'end': '1343.870', 'text': 'When you have a regular checkup,'}, {'start': '1343.870', 'end': '1345.860', 'text': 'especially'}, {'start': '1345.860', 'end': '1348.040', 'text': 'if you have the opportunity to get a chest X-ray or CT, be sure to ask your'}, {'start': '1348.040', 'end': '1349.470', 'text': 'doctor if there are any abnormal findings compared to before.'}, {'start': '1353.590', 'end': '1356.430', 'text': 'Early diagnosis is the fastest way to shorten the treatment period,'}, {'start': '1356.430', 'end': '1358.150', 'text': 'reduce lung damage, and'}, {'start': '1358.150', 'end': '1359.620', 'text': 'improve the quality of life. The'}, {'start': '1361.380', 'end': '1362.970', 'text': 'longer treatment is delayed, the'}, {'start': '1362.970', 'end': '1364.980', 'text': 'lower the drug response and the'}, {'start': '1364.980', 'end': '1367.060', 'text': 'higher the risk of relapse.'}, {'start': '1367.060', 'end': '1369.180', 'text': 'If you are coughing right now,'}, {'start': '1369.180', 'end': '1371.860', 'text': 'go to the hospital today to'}, {'start': '1371.860', 'end': '1373.290', 'text': 'check for the possibility of this disease.'}, {'start': '1375.040', 'end': '1377.540', 'text': 'Now, the following  In this section, we'}, {'start': '1379.660', 'end': '1382.090', 'text': 'will talk about how to recover after being diagnosed with NTM infection. We will tell you how to change your'}, {'start': '1382.090', 'end': '1384.540', 'text': 'daily routine and'}, {'start': '1384.540', 'end': '1386.240', 'text': 'diet. Your'}, {'start': '1387.710', 'end': '1389.110', 'text': 'current cough'}, {'start': '1390.710', 'end': '1392.700', 'text': 'may be an important signal from your body. Not'}, {'start': '1392.700', 'end': '1394.790', 'text': 'ignoring that signal'}, {'start': '1394.790', 'end': '1396.940', 'text': 'is the beginning of recovery.'}, {'start': '1396.940', 'end': '1399.060', 'text': 'When I first learned of this disease,'}, {'start': '1399.060', 'end': '1400.920', 'text': 'the scariest thing'}, {'start': '1402.420', 'end': '1404.130', 'text': 'was the moment when I realized how careless I had been. I thought I could'}, {'start': '1406.140', 'end': '1407.850', 'text': 'just endure the cough. I thought'}, {'start': '1409.610', 'end': '1411.410', 'text': 'losing a little weight was'}, {'start': '1411.410', 'end': '1414.040', 'text': 'due to dieting. I thought'}, {'start': '1414.040', 'end': '1416.110', 'text': 'sweating at night was a'}, {'start': '1416.110', 'end': '1418.050', 'text': 'symptom of menopause.'}, {'start': '1418.050', 'end': '1420.050', 'text': 'However, I realized too late that all of these were important signals'}, {'start': '1420.050', 'end': '1421.560', 'text': 'my body had been sending me. When I'}, {'start': '1427.000', 'end': '1429.520', 'text': 'first heard the diagnosis, I was afraid. My mind went blank at the'}, {'start': '1429.520', 'end': '1430.760', 'text': 'unfamiliar name, unfamiliar treatment method,'}, {'start': '1430.760', 'end': '1432.260', 'text': 'and the fact that I had to take medicine for a considerable period of time,'}, {'start': '1432.260', 'end': '1433.500', 'text': 'almost a year.'}, {'start': '1439.280', 'end': '1440.980', 'text': 'But strangely enough, after the day I learned the diagnosis,'}, {'start': '1440.980', 'end': '1443.110', 'text': 'I'}, {'start': '1443.110', 'end': '1445.730', 'text': 'felt a little relieved.'}, {'start': '1445.730', 'end': '1447.670', 'text': 'Because I knew the reason. I could now understand'}, {'start': '1447.670', 'end': '1449.110', 'text': 'why my body had'}, {'start': '1449.110', 'end': '1450.560', 'text': 'been struggling so much.'}, {'start': '1452.910', 'end': '1454.010', 'text': 'Since that day, I started to'}, {'start': '1454.010', 'end': '1455.540', 'text': 'change my life little by little.'}, {'start': '1458.600', 'end': '1459.780', 'text': 'Drinking warm water every morning,'}, {'start': '1459.780', 'end': '1461.480', 'text': 'disinfecting the shower, leaving the'}, {'start': '1461.480', 'end': '1463.090', 'text': 'bathroom door open to'}, {'start': '1463.090', 'end': '1464.170', 'text': 'ventilate, and'}, {'start': '1464.170', 'end': '1466.130', 'text': 'walking every day.'}, {'start': '1466.130', 'end': '1467.760', 'text': 'These small routines became a shield that'}, {'start': '1467.760', 'end': '1469.050', 'text': 'protected my day. I'}, {'start': '1471.080', 'end': '1472.750', 'text': 'also changed my diet.'}, {'start': '1472.750', 'end': '1474.900', 'text': 'Instead of the spicy foods I used to eat without thinking, I made a diet that put less strain on my lungs, focusing on'}, {'start': '1474.900', 'end': '1478.220', 'text': 'warm soups, fresh vegetables, and fermented'}, {'start': '1478.220', 'end': '1480.080', 'text': 'foods.'}, {'start': '1483.280', 'end': '1485.240', 'text': 'And I'}, {'start': '1485.240', 'end': '1487.460', 'text': 'checked my lung condition once a month. When I heard from the'}, {'start': '1487.460', 'end': '1489.940', 'text': 'CT results that it was getting better little by little'}, {'start': '1489.940', 'end': '1491.870', 'text': ', I was'}, {'start': '1491.870', 'end': '1494.450', 'text': 'finally relieved. The'}, {'start': '1494.450', 'end': '1496.320', 'text': 'cough did'}, {'start': '1496.320', 'end': '1498.220', 'text': 'not completely disappear.'}, {'start': '1498.220', 'end': '1500.470', 'text': 'However, its frequency has definitely decreased, and my'}, {'start': '1500.470', 'end': '1501.910', 'text': 'lethargic body has'}, {'start': '1501.910', 'end': '1504.610', 'text': 'become much lighter than before.'}, {'start': '1504.610', 'end': '1506.210', 'text': 'What has changed more than anything is that I have started to take'}, {'start': '1506.210', 'end': '1507.930', 'text': 'better care of my body.'}, {'start': '1509.820', 'end': '1512.430', 'text': 'In the past, I was used to enduring it, but'}, {'start': '1512.430', 'end': '1514.520', 'text': 'now I have chosen to notice it and take care of it.'}, {'start': '1517.610', 'end': '1519.250', 'text': 'Those of you who are watching this video right now may be'}, {'start': '1519.250', 'end': '1521.000', 'text': 'in that middle ground. You have a'}, {'start': '1522.600', 'end': '1524.470', 'text': 'persistent cough, but it is ambiguous enough to go to the hospital.'}, {'start': '1526.910', 'end': '1528.850', 'text': 'Something is wrong, but you'}, {'start': '1528.850', 'end': '1531.190', 'text': "don't know the name of the disease."}, {'start': '1531.190', 'end': '1533.390', 'text': 'If so, now'}, {'start': '1533.390', 'end': '1535.250', 'text': 'can be your first step.'}, {'start': '1535.250', 'end': '1537.000', 'text': 'I have been living each day differently'}, {'start': '1537.000', 'end': '1538.670', 'text': 'since that day, the day I was diagnosed.'}, {'start': '1541.300', 'end': '1542.940', 'text': 'And that difference was'}, {'start': '1542.940', 'end': '1544.880', 'text': 'not that difficult.'}, {'start': '1544.880', 'end': '1546.370', 'text': 'One small action,'}, {'start': '1546.370', 'end': '1548.670', 'text': 'that was the beginning of the change.'}, {'start': '1548.670', 'end': '1549.840', 'text': 'Anyone can get this disease, but'}, {'start': '1551.280', 'end': '1553.430', 'text': 'anyone can recover.'}, {'start': '1553.430', 'end': '1554.290', 'text': 'You'}, {'start': '1554.290', 'end': '1556.620', 'text': "can do it now. It's"}, {'start': '1556.620', 'end': '1558.360', 'text': 'not too late.'}, {'start': '1558.360', 'end': '1560.640', 'text': 'In the next part, I will organize specific routines such as'}, {'start': '1560.640', 'end': '1563.800', 'text': 'diet, exercise, and bathroom hygiene that you can start practicing right now.'}, {'start': '1568.110', 'end': '1570.430', 'text': "Things you can change starting today.  Let's"}, {'start': '1570.430', 'end': '1572.750', 'text': 'continue talking about it. It'}, {'start': '1574.320', 'end': '1575.610', 'text': 'seems like illness comes suddenly one day, but'}, {'start': '1575.610', 'end': '1577.570', 'text': "in fact, it's"}, {'start': '1579.260', 'end': '1581.520', 'text': "just that we didn't listen to the signals our body was sending us for a long time. When we"}, {'start': '1581.520', 'end': '1583.110', 'text': 'started coughing,'}, {'start': '1583.110', 'end': '1584.360', 'text': 'losing weight, sweating'}, {'start': '1584.360', 'end': '1585.740', 'text': 'at night, and feeling'}, {'start': '1585.740', 'end': '1587.200', 'text': "tired, we didn't listen to our bodies"}, {'start': '1587.200', 'end': '1589.580', 'text': 'because we were busy and'}, {'start': '1589.580', 'end': '1591.650', 'text': 'thought it would be okay.'}, {'start': '1594.510', 'end': '1596.850', 'text': "But now it's different."}, {'start': '1596.850', 'end': '1599.170', 'text': 'Those of you who watched this video today will'}, {'start': '1600.420', 'end': '1602.190', 'text': 'no longer ignore those signals.'}, {'start': '1602.190', 'end': '1604.010', 'text': "From now on, let's organize a routine that you"}, {'start': '1605.500', 'end': '1607.830', 'text': 'can practice every day to recover your body.'}, {'start': '1610.040', 'end': '1611.080', 'text': 'First, you should reduce instant foods and processed'}, {'start': '1611.080', 'end': '1613.230', 'text': 'foods. Foods with a lot of salt and additives, such as'}, {'start': '1614.440', 'end': '1615.810', 'text': 'ham, sausage, cup ramen, and'}, {'start': '1615.810', 'end': '1618.510', 'text': 'frozen foods,'}, {'start': '1621.440', 'end': '1622.860', 'text': 'directly irritate your lung health.'}, {'start': '1624.110', 'end': '1625.060', 'text': 'Second, sweet foods and'}, {'start': '1625.060', 'end': '1626.560', 'text': 'drinks need to be controlled.'}, {'start': '1628.070', 'end': '1630.660', 'text': 'Sugar lowers immunity and induces'}, {'start': '1630.660', 'end': '1632.290', 'text': 'long-term inflammatory'}, {'start': '1632.290', 'end': '1633.400', 'text': 'responses.'}, {'start': '1633.400', 'end': '1634.430', 'text': 'Third, avoid cold foods.'}, {'start': '1636.830', 'end': '1638.610', 'text': 'Cold noodles, ice cream, and'}, {'start': '1638.610', 'end': '1641.180', 'text': 'ice water can constrict your lungs and'}, {'start': '1641.180', 'end': '1642.630', 'text': 'worsen phlegm.'}, {'start': '1643.720', 'end': '1644.700', 'text': 'Fourth, you must stop drinking alcohol and'}, {'start': '1644.700', 'end': '1646.300', 'text': 'smoking.'}, {'start': '1648.240', 'end': '1651.050', 'text': 'Especially if you are receiving antibiotic treatment, you need to be more careful to protect your liver and lung functions.'}, {'start': '1655.570', 'end': '1657.570', 'text': "Fifth, don't neglect your bathroom environment.  If you leave humid devices such as"}, {'start': '1657.570', 'end': '1660.250', 'text': 'showers, jacuzzis, and'}, {'start': '1660.250', 'end': '1662.180', 'text': 'humidifiers'}, {'start': '1662.180', 'end': '1663.880', 'text': 'as they are, it becomes an environment where'}, {'start': '1663.880', 'end': '1665.470', 'text': 'non-tuberculous mycobacteria can easily multiply.'}, {'start': '1669.220', 'end': '1670.940', 'text': 'Now, I will introduce foods that help the lungs and immunity.'}, {'start': '1673.110', 'end': '1675.250', 'text': 'Platycodon grandiflorum, pears, water parsley, and'}, {'start': '1675.250', 'end': '1677.360', 'text': 'deodeok help relieve coughs and'}, {'start': '1677.360', 'end': '1679.300', 'text': 'protect the lung mucosa.'}, {'start': '1679.300', 'end': '1680.690', 'text': 'Garlic, ginger, and'}, {'start': '1680.690', 'end': '1682.460', 'text': 'onions contribute to antibacterial'}, {'start': '1682.460', 'end': '1684.300', 'text': 'action and body'}, {'start': '1684.300', 'end': '1685.120', 'text': 'heat circulation.'}, {'start': '1685.120', 'end': '1686.950', 'text': 'Mushrooms, tomatoes, and broccoli are'}, {'start': '1686.950', 'end': '1689.040', 'text': 'rich in antioxidants and'}, {'start': '1689.040', 'end': '1690.930', 'text': 'increase immunity.'}, {'start': '1690.930', 'end': '1692.540', 'text': 'Brown rice, beans, and fermented foods'}, {'start': '1695.270', 'end': '1696.850', 'text': 'restore immunity through intestinal health. Here is an'}, {'start': '1696.850', 'end': '1698.020', 'text': 'example of a daily meal routine.'}, {'start': '1700.070', 'end': '1702.880', 'text': 'Breakfast: A cup of ginger tea'}, {'start': '1702.880', 'end': '1705.580', 'text': '+ whole grain porridge Lunch: Soybean paste soup +'}, {'start': '1705.580', 'end': '1706.490', 'text': 'brown rice'}, {'start': '1706.490', 'end': '1708.700', 'text': '+ stir-fried mushrooms'}, {'start': '1708.700', 'end': '1710.780', 'text': '+ vegetables Dinner: Pear juice'}, {'start': '1710.780', 'end': '1713.140', 'text': 'or platycodon grandiflorum tea'}, {'start': '1713.140', 'end': '1714.580', 'text': '+ steamed fish + boiled vegetables It is recommended to'}, {'start': '1714.580', 'end': '1716.280', 'text': 'eat meals warm and slowly and'}, {'start': '1716.280', 'end': '1718.340', 'text': 'avoid cold drinks before meals. Start your day by'}, {'start': '1718.340', 'end': '1721.320', 'text': 'opening the windows in the morning and ventilating.'}, {'start': '1722.980', 'end': '1725.780', 'text': 'Showers and bathroom walls'}, {'start': '1725.780', 'end': '1728.760', 'text': 'need to be sterilized and disinfected once a week. It is recommended to avoid'}, {'start': '1728.760', 'end': '1730.410', 'text': 'jacuzzis, public steam rooms, and'}, {'start': '1730.410', 'end': '1731.950', 'text': 'old swimming pools.'}, {'start': '1735.400', 'end': '1737.410', 'text': 'Just walking steadily for 20 to 30 minutes a day will'}, {'start': '1737.410', 'end': '1739.390', 'text': 'help lung circulation.'}, {'start': '1739.390', 'end': '1742.240', 'text': 'Abdominal breathing and light stretching can help you breathe in and out of your lungs'}, {'start': '1742.240', 'end': '1744.150', 'text': 'every day.  Make it a habit to open your lungs at least two or three times. The'}, {'start': '1746.420', 'end': '1748.070', 'text': 'most important thing is that you do'}, {'start': '1750.650', 'end': '1752.810', 'text': 'n’t have to try to change all of these habits at once. Making a choice that doesn’t put a strain on your body, even'}, {'start': '1752.810', 'end': '1754.430', 'text': 'just one a day,'}, {'start': '1754.430', 'end': '1755.680', 'text': 'even one meal today, is the'}, {'start': '1758.780', 'end': '1760.640', 'text': 'first step to recovery. When days of'}, {'start': '1760.640', 'end': '1762.610', 'text': 'coughing don’t stop'}, {'start': '1762.610', 'end': '1763.910', 'text': ','}, {'start': '1763.910', 'end': '1766.020', 'text': 'we tend to think that time will solve it. It’s'}, {'start': '1768.050', 'end': '1770.110', 'text': 'because of a tiring day, or because of a'}, {'start': '1770.110', 'end': '1772.720', 'text': 'cold that’s getting worse.'}, {'start': '1775.310', 'end': '1777.070', 'text': 'But through this time today,'}, {'start': '1777.070', 'end': '1779.280', 'text': 'you’ve probably learned that'}, {'start': '1779.280', 'end': '1781.350', 'text': 'behind the symptoms that seemed like a simple cold, there was a strange disease'}, {'start': '1781.350', 'end': '1783.640', 'text': 'called non-tuberculous mycobacteria.'}, {'start': '1786.840', 'end': '1789.500', 'text': 'This disease is a disease that can quietly, slowly,'}, {'start': '1789.500', 'end': '1791.620', 'text': 'and deeply'}, {'start': '1791.620', 'end': '1793.950', 'text': 'destroy our lungs. It’s'}, {'start': '1793.950', 'end': '1795.450', 'text': 'especially'}, {'start': '1795.450', 'end': '1796.980', 'text': 'common in women over 50, and it’s more likely to affect'}, {'start': '1796.980', 'end': '1798.970', 'text': 'those with weakened immune systems.'}, {'start': '1801.340', 'end': '1803.330', 'text': 'But fortunately,'}, {'start': '1803.330', 'end': '1805.490', 'text': 'we’ve now learned the truth.'}, {'start': '1805.490', 'end': '1808.290', 'text': 'And'}, {'start': '1808.290', 'end': '1809.960', 'text': 'recovery begins from that point of learning. If your'}, {'start': '1809.960', 'end': '1812.130', 'text': 'cough continues now,'}, {'start': '1812.130', 'end': '1814.110', 'text': 'it may not be a simple irritation of the bronchial tubes. If the'}, {'start': '1815.940', 'end': '1818.100', 'text': 'symptoms persist for two weeks,'}, {'start': '1818.100', 'end': '1820.610', 'text': 'three weeks, or a month or more, you should'}, {'start': '1820.610', 'end': '1823.320', 'text': 'get tested at least once. No'}, {'start': '1823.320', 'end': '1825.260', 'text': 'one takes'}, {'start': '1825.260', 'end': '1827.100', 'text': 'care of my body for me. At'}, {'start': '1827.100', 'end': '1828.280', 'text': 'this very moment, your lungs may be'}, {'start': '1828.280', 'end': '1830.850', 'text': 'quietly asking for help.'}, {'start': '1832.820', 'end': '1835.870', 'text': 'Now, the important thing is that you’ve heard the information.'}, {'start': '1835.870', 'end': '1838.300', 'text': 'Try at least one thing. Take'}, {'start': '1838.300', 'end': '1839.790', 'text': 'apart the shower filter and'}, {'start': '1839.790', 'end': '1841.510', 'text': 'clean it,'}, {'start': '1841.510', 'end': '1843.140', 'text': 'open the bathroom window and'}, {'start': '1843.140', 'end': '1844.670', 'text': 'ventilate, drink'}, {'start': '1844.670', 'end': '1846.320', 'text': 'warm ginger tea on an empty stomach in the morning,'}, {'start': '1850.210', 'end': '1852.600', 'text': "call the hospital and make an appointment if your cough doesn't stop."}, {'start': '1852.600', 'end': '1854.180', 'text': 'One small action can gradually change your current anxiety into'}, {'start': '1854.180', 'end': '1856.260', 'text': 'relief.'}, {'start': '1858.460', 'end': '1860.990', 'text': "And if today's video"}, {'start': '1860.990', 'end': '1863.210', 'text': 'motivated you to take that one step, there is nothing'}, {'start': '1863.210', 'end': '1864.320', 'text': 'more meaningful than that.'}, {'start': '1866.170', 'end': '1868.730', 'text': 'Beyond information, Boda Health wants to give'}, {'start': '1869.800', 'end': '1871.230', 'text': 'you a reason to act. It is not a'}, {'start': '1871.230', 'end': '1874.090', 'text': 'scary, unfamiliar, or'}, {'start': '1874.090', 'end': '1875.840', 'text': 'complicated disease, but the moment you feel that'}, {'start': '1875.840', 'end': '1878.370', 'text': 'you can understand and manage it even a little,'}, {'start': '1879.610', 'end': '1881.270', 'text': 'we'}, {'start': '1881.270', 'end': '1882.910', 'text': 'can fully move on the path to recovery. If you'}, {'start': '1884.910', 'end': '1887.030', 'text': 'found this video helpful, please'}, {'start': '1887.030', 'end': '1888.390', 'text': 'like, subscribe,'}, {'start': '1888.390', 'end': '1889.300', 'text': 'and set up notifications.'}, {'start': '1891.820', 'end': '1893.390', 'text': 'If you have experienced similar symptoms, please'}, {'start': '1895.420', 'end': '1897.150', 'text': 'leave a comment. If you share your'}, {'start': '1897.150', 'end': '1899.190', 'text': 'experience with a cough that lasted a long time,'}, {'start': '1899.190', 'end': '1900.730', 'text': 'unexplained fatigue,'}, {'start': '1900.730', 'end': '1901.980', 'text': 'or stories of people who have actually been diagnosed with this disease, it'}, {'start': '1909.310', 'end': '1911.340', 'text': 'can be a great help to the many people watching this channel.'}, {'start': '1911.340', 'end': '1913.180', 'text': 'Boda Health will continue to deliver stories for your health'}, {'start': '1913.180', 'end': '1914.940', 'text': 'and essential information'}, {'start': '1914.940', 'end': '1916.650', 'text': 'without missing a single one.'}, {'start': '1916.650', 'end': '1918.420', 'text': 'Thank you for being with us so far.'}, {'start': '1922.680', 'end': '1925.230', 'text': 'See you in the next video.'}]