Angela, do you have a pulmonologist or a primary doctor who could prescribe the saline and nebulizer for you? When I was diagnosed, a pulmonologist prescribed airway clearance (nebulizer & saline) twice a day. I balked at doing it. I did not have a cough or any symptoms and didn’t ever cough anything up. She also referred me to an ID doctor who didn’t believe that the nebulizing with saline did anything. After reading from others here how important nebulizing with saline is, I stuck with the nebulizing and also use the autogenic drainage app. I have been able to avoid going on antibiotic treatment and my last two sputums have been MAC free. I no longer go to that ID doctor and do my nebulizing twice a day.