@irenea8 thank you for your comments . No the infectious Disease Dr did not specifically say that it would always be there . And you’re correct in that the Rheumatologist will NOT start the Remicade if there is any evidence of the Pseudomonas. He wants a written letter from the Ent Dr that it’s eradicated . The ENT Dr will do another sinus culture at the end of the current IV treatment for determination .