@jmny I agree with you completely. The first time my x-ray showed 'tree and bud nodules' prior to my diagnosis of BE, my primary care physician who is excellent prescribed me azithromycin because she assumed it was pneumonia which is a big 'no no' as those of us with BE now know. Even knowing I had BE, the recent ER attending also want to prescribe azithromycin so treatment protocols are not common knowledge. We have to advocate for ourselves. It would be great if there was some education campaign to inform primary care physicians—who are typically the first line of defense—of the condition and treatment protocols.