Hi @poodledoc…after Irene5’s recommendation, I asked for a referral to Dr. Richard LaRue, infectious disease doc at Vanderbilt. I wanted a second opinion and if you read through the post on this forum, lots of people see an ID doc along with the pulmonary doc. Every thing Irene5 says about Dr. LaRue is right!! I had been kind of out there on my own just dealing with a pulmonary doc and when I went to see him, he explained everything completely and took all the time needed with me. Sounds like you have found a great pulmonary doc so if you want to add an ID doc to the mix, I concur with Irene5 that Dr. LaRue is a great one!! Good luck as you navigate this crazy disease but having the right docs in place surely makes the journey easier!!