@semperfibob16 Hi- Just saw this. The whole thing about exacerbations, etc. - what they look and feel like, what can be done - that's something to definitely talk to your pulmo about. There are various things that can be useful, depending on the severity. For me, when something is mild, something like Mucinex can be helpful, sometimes a nebulizer, rescue inhaler, O2 is something you have found to be useful.... My first year, I learned a hard lesson - that a 'cold' is not 'just a cold' for us. I proceeded with 'business as usual, and ended up in the ER because my O2 dropped and resp. symptoms increased, seemingly 'all of a sudden'. Was in the hospital for 3 days. And so, that motivated me to talk with my pulmo about a 'plan' - like how do you know if your congestion, etc. are getting out of hand? And of course, what can you do? We are all so different, so having that discussion sooner rather than later is a good idea. My personal plan is to get on top of things right away - whatever supplements I take, or extras that I do to stave off or lessen respiratory symptoms. If that doesn't seem to be working, then move on to the call to the Dr. and/or take my "emergency stash", which my Dr. now prescribes for me to have on hand - a combination of oral steroids and Azithromycin. I'm not saying this is what you should do, but rather saying it's important to have a plan. Otherwise, in addition to feeling bad, it's pretty scary (at least it was for me). Having a plan has greatly reduced my anxiety, which was really high for quite awhile after the diagnosis. Hope I didn't go on for too long, and hope this was helpful. Do let us know how that conversation with your pulmo goes 🙂