My pulmonologist told me to do twice a day treatment using my vest and nebulizer, using albuterol and 7% saline. I have seen respiratory therapists using different technique. Some use the albuterol first followed by the saline while using the vest; others mix them together. If I don't mix them together (thereby diluting the saline) I find that the saline just hits the back of my throat and causes me to cough like crazy but not bring anything up. Is there a proper way to do chest clearance? I mix them together and use while my vest is running. Because of my schedule during the week I am finding it hard to fit in two treatments a day. Recently I was going thru my pulmonary "toys" and reconnected with my Aerobika. Reading the instructions I realized I could attach it to my nebulizer. Can I do a treatment that combine the vest treatment at the same time with the medications nebulized thru the Aerobika? I feel like it gives me more of a "bang" since my lungs are hyper inflated according to chest xrays and I don't think I'm getting everything deep enough. I also think that if I can't fit nebulizing in twice a day I could at least use the Aerobika to maybe help bring up something. Any ideas?