@paxmundi
Given your specific concerns I'd ask directly how ups and downs / adverse reactions to meds are handled. We've seen several adaptations ID docs or pulmonologists make when things don't go well with the meds. I'd be hoping to hear suggestions to mitigate symptoms, thoughts about changing the offending med, decreasing frequency of dosing, etc.

Hope you will be seeing a good ID doc. I'm a Kaiser patient in the SF bay area, and saw an ID doc I felt quite comfortable with - though it was just for a consult as I'm not on MAC meds. I did have treatment for aspergillosis.