Kate, I have seen your reference to one of my posts, about adding albuterol to my nebulizer, to my understanding "that" is what the nebulizer is for, albuterol. I think I tried to make it clear that the albuterol helps bring up the sputum, but my doc prescribed me SODIUM CHLORIDE to "add" to my albuterol to see if it helped me bring up more of the sputum that lies in my lungs. Because I have constant and violent coughing we are trying to find out the "why" I have that. The sodium chloride was a thought to see if bringing up more sputum would decrease my coughing. Although it definitely makes one cough while inhaling it it hasn't returned the results we were hoping for. Then after reading more about MAC and doing my research I dropped my doc a line to see what he thinks. We'll see how that works out. On another note, I think most of us know there are good, bad, and indifferent doctors that treat people for whatever patients have, but to go out on a limb and slam them on a public forum is disrespectful (in my opinion) to many of them for their dedication and desire to help others. Suggestions like that can create hostility (as well as confidence) in a doctor patient relationship. We don't need doctors coping an attitude with us because of suggestions planted in ones mind (conscious or subconscious). One or two bad experiences doesn't put them all in a box of questionable physicians for them to prove their worth. I think you get my drift.