I read on the Bronchiectasis NTM conference that you don't want to mix the Albuterol with the Saline solution. I know the feeling of being to much to handle and I asked my pulmonologist if I could use a mask for when I feel awful and don't have the time. He told me yes I could use a mask. There is another nebulizer that is battery operated and you can take it anywhere. Medicare won't pay for it. Good luck as I too am not able to do twice a day.