She has such a good reputation. I guess I would just make sure she understands you are so symptom free other than the very annoying throat clearing thing. And that your PF tests are so good. I know she has told people with Pseudo not to treat unless sick but with MAC it is probably different. I do not have MAC as far as I know. But my Pseudo is awful and I live with exacerbation daily (very bad symptoms compared to most). Have tried some of the nebulized antibiotic option for it, afraid to try the oral choices due to other co morbidities. IV in hospital on something like Meropenem is my only choice it seems. Still high risk of colitis and C Diff with it. In my case treatment is obviously needed but side effects and co morbidities scare me off.