Thanks, Lilianna! I certainly will. Starting the nebulizing tomorrow morning with albuterol then sodium chloride. I do like the pitapat on the chest. Seems to help stuff move up and out. If I don't qualify on appeal, I will stick with the pitapat on my chest and have my spouse do pitapat on my back at the same time. We shall see. Take care and good luck with your program. Thank you again for your excellent advice. Nancy