Isn't this "I don’t feel like I am getting anywhere" a frustrating feeling?
For all of the activity you see here on the MAC & Bronchiectasis group, we do have a "rare" disease - or actually 2 of them.
If you are becoming light-headed while while nebulizing, you need coaching in proper breathing while doing it. The inclination is to "really suck in hard" to get the meds down into the lung, and many of us begin like that. But your breathing should be more normal, with pauses between inhale & exhale to let the aerosol do its work & penetrate into your lungs.
So...sometimes it is necessary to become out own best advocate in our care. It sounds like the RT you visited with may not have been the best one for you. Instead of a Zoom consult, it sounds like you need to push for a in person RT with someone familiar with bronchiectasis. There are many techniques you can learn to try to get the mucus moving...
Can you ask for in person therapy?
Sue

I am also fairly new to these routines and started airway clearance last summer. I also did not get much advice and have learned a lot from reading this site. Like you, I was inhaling so hard that I was worn out by the end of the session. The last time I saw the pulmo and shared this with him and he advised normal inhalation and exhalation. It has made the sessions much more tolerable. However, like you, I also do not bring up sputum. I don't know if that means there is none in my lungs or if I am unsuccessful at bringing it up. I also am not a cougher. I purposely cough a couple of times after the huff coughs, but that's it. Hang in there and I wish you the best. Donna T