@pjas972j How often to do airway clearance is one of those million dollar questions that even the experts differ on. I faced it about 3 years ago.

That was after 2 years of being sick, a new diagnosis of Bronchiectasis, MAC, and Pseudomonas, almost two years of antibiotics and 2-3 times daily of airway clearance, and 3 more years of 1-2 times daily airway clearance. You are right, I tired of that life.

3 years ago, with my asthma controlled, and Bronchiectasis stable, my pulmonologists agreed to once daily clearance as long as I am healthy. I have even lowered my saline nebs to about once a week or as needed. This has kept me healthy with no exacerbations, antibiotics or prednisone except when I got Covid. At the first sign of a sniffle or scratchy throat I resume a full saline neb and airway clearance schedule for several days.

I still take precautions like filtered water, high temp on the water heater, keeping my equipment clean, masking in crowds or on planes and while gardening, and avoiding sick people. But I travel, go to classes and meetings, swim outdoors...I figure in my later years it's now or never!