@macjane I am being treated at Wake Forest Medical Center. The doctors there consult with NJH and with an ID doctor at Duke and I feel like I am getting good care. I had to go off of the big three after 6 months because of a bad reaction and although stable for now, I know that I may eventually need to go back on some kind of treatment. Before I do, I would like to get a second opinion from someone who specializes in NTM. I'm trying to decide whether to start out with someone here in NC or to travel to NJH or Mayo. I won't make a decision right away, but I'll keep you posted. Good luck and let me know how you do. Betty