@sharrondriver Hi Mrs. Driver. I might suggest that you speak with your pulmonologist and ask for testing for bronchiectasis. Have you been on any biologics or other immune suppressant drugs for any of your diagnoses? The symptoms you speak of remind me of exactly what I was going through for 3 years prior to being diagnosed. I couldn't get to the bottom of it with my prior pulmonologist (he just kept switching me from one biologic to another without any sputum sampling, CT Scan of chest, blood work, etc. My new pulmonologists ran lots of tests and accurately diagnosed me with (obviously severe asthma since birth) but with bronchiectasis and now I have a compression vest (Baxter The Vest APX), and also use the ipratropium bromide 0.5 mg and albuterol sulfate 3mg in nebulizer followed by sodium chloride as well 7%. I use the aerobika flutter valve and learned how to huff cough. The vests are very expensive, but my insurance covered it (as they do cover for cystic fibrosis and bronchiectasis diagnoses). Obviously, I am not a physician, but I do recommend talking with you pulmonologist about testing. I will refer you to Bronchiectasis and NTM Association for more information. The very best to you.