Sounds as though you have a GEM of a physician......I may have to travel. In further review of the literature re RheOx I find that I may not meet the requirement as I have had valves inserted however, under Exclusion one item does refer that acceptance can be made if "lung surgery" was not performed. I contend that the valve insertions are not surgical procedures, but procedures through bronchoscopy...That will illicit some interesting conversation. LOL I have to admit that I am envious that you have such an involve Pulmo. I had to do all the research re treatment options on my own and ended up going to the Research Triangle for valve placement after doing a self-referral. Lucky that I'm in a position to do so. Keep well!