Hi everyone........I had a follow up with my Pulmonologist and they went over my recent CT scan. No visible changes.....did mention some mucus plugged in the bronchiectasis. She wants be to use my inhaler 2x a day along with a flutter valve. I haven't been to the medical supply store yet to purchase. She showed me how it works. Does this really help? Again....I don't have a cough, just fatigue and some SOB.