Reporting in on the Pari e-Flow after a week. It is FAST! it is SILENT! and the stream is STRONG! At this point (fingers crossed) I only neb 7% saline once a day. It takes - wait for it - 3 1/2 minutes!

The first time I tried it, I felt like a 7th grader trying their first cigarette - I was coughing from the first breath. Now I have figured out how to close my lips and tongue to slow the flow, so I get through the vial before I begin to cough. When it stopped and shut off after such a short time, I thought something was wrong, but I measured with a syringe and less than 1 ml was left - just as they said.

How did it feel afterwards? The first time I wasn't sure - I had such a coughing jag that it was 10 minutes before I could start airway clearance, then I cleared as much in 5 rounds of breathing as I usually do in 10, and my chest felt good.

Cleaning according to directions was pretty easy - rinse (esp the screen) under flowing tap water, soak in soapy water, boil 5 minutes. I'm a little lazy, so I rinse and wash every day, only boil every 3rd use. I'm healthy right now, but if I have an exacerbation I'll boil it every time. I'm hoping this works for me, so when I travel in September & October it will be easy. I'm running on batteries and watching to see how well they last - I would like to get by without carrying the charger.

Would I buy it again? Since I have the patience of a cranky 3 year old, and have the means to do so, YES. We shall see how it lasts over time. Just the convenience for travel, which we do between 6 and 7 months per year, is wonderful. It is very small, quiet & lightweight with no hoses to manage - the first time I used it my husband didn't even know it was on.

By the way, when purchased from Nebology, it is significantly discounted right now and it comes with 2 power heads. Since each one lasts 6 months to a year, and costs about $100, that is a savings.

I'll report back in a few months.