@brian93 Hello, you might want to consider that we are all different, with different symptoms and underlying conditions and physiology. Lung Matters offers a lot of helpful information but as you are finding, it is not the best approach for every person who has Bronchiectasis or has had MAC.

A "one size fits all" protocol does not necessarily work for each one of us. And remember that the Lung Matters moderator is not a physician who knows your personal medical history - they are just promoting what works for them.

For example, due to essential tremor, I cannot use albuterol (or even levalbuterol) nebs- these send my tremors and heart rate into overdrive. And daily or twice daily 7% saline is too hard on my airways, making me cough uncontrollably.

With my pulmonologist, I have developed a regimen that includes a Symbicort inhaler, daily airway clearance and 2-3 times weekly saline nebs. This has kept me healthy and MAC free for over 4 years, with only a couple of exacerbations.

You can expect a pulmonologist review your health history, take a current look at your lungs and possibly a current sputum culture to make sure nothing else has attacked your lungs, and help you develop a treatment regimen that works for you and helps you control your cough.

Do you have a pulmonologist familiar with Bronchiectasis and MAC, or do you need to find someone?