@sueinmn absolutely. It is incredible how few pulmonologists have the treatment knowledge and experience to treat BE well, even where they had the wherewithal to include in differential. The treating WELL part is really lagging. As someone who is part of a very large HMO, I had to go elsewhere for that expertise (and pay out of pocket) and I can tell you that the difference in expertise between my very large HMO and the designated care centers for BE/NTM (I have been to two) is significant! My experience has made me a huge advocate for the designated care centers.