How does bronchiectasis progress?

even cheaper today. $5.30. It's through Amazon Pharmacy and you have to have a prescription transferred to them (they will do it as I remember) https://pharmacy.amazon.com/Chloride-Generic-Nebusal-Inhalation-Solution/dp/B0B49VMXMD?ref_=sr_1_3&s=amazon-pharmacy&keywords=sodium+chloride+3%25&qid=1682642552&sr=1-3/dp/B0B49VMXMD?ref_=sr_1_3&s=amazon-pharmacy&keywords=sodium+chloride+3

Don't pay attention to the picture. I received vials. Nephron Co.

I just received 3% saline from Kaiser. This will be my first time using it. After getting the box home I realized they sent me a box of fifty vial - each vial contained 15ml. My Rx says to use 4 ml twice a day.
I called the pharmacist, asking what to do. He said I had to throw the unused portion away. He checked with Kaiser to ask why they sent such big vials. He said it was because there is a shortage and this was a way to get the product to me. I paid $30 for something , half or more of which will be tossed away. Is it me, or is this a bit weird?

@wangling and @equanimous
Progression in lung disease is a puzzle. I'm not sure anyone has an exact answer, but there are some ways to slow disease progress that most experts will agree on.

First, stop any and all smoking and vaping, or exposure to secondhand smoke.
Second AIRWAY CLEARANCE with 7% saline, if recommended.
Stay as healthy as you can with good diet, rest as much exercise as possible, even when you don't feel like it.
Avoid respiratory infections - stay away from sick people, indoor crowds in flu and cold season, mask when you can't avoid being "out there."
Follow treatment plans including maintenance meds, keeping other conditions under control (asthma, allergies, GERD, diabetes, blood pressure...) to avoid taxing your body.
Keep up with your doctor visits and tests, so changes are identified early and can be treated quickly.
Finally, a positive attitude goes a very long way. It helps keep you moving, and living rather than simply existing.

My mantra: "Bronchiectasis is what I have, not who I am. I cannot cure it, but I can manage it. I am living my best life in spite of it, and the other chronic conditions I have. "
Sue

I picked up my 3% Sod Chlo from CVS today. The box contains 50 vials--each contains 15 mL. I only use 4 mL per treatment so I'll have to just use what I need, put the rest in a zip lock bag till the next treatment. This is not ideal but under the circumstances it is something I can work with. There was a time last year that the same thing happened. By the way the HyperSal that I've had to settle for over the last several months cost almost $40. (each time it came with a Pari neb kit--which I did not need but had to pay for it.) What I picked up today was $3.27.

I paid $30 for the same amount thru my Kaiser pharmacy. Are you saying you had your dr send the Rx over to CVS and they charged $3.27? I was thinking when Kaiser told me the price that saline should not be so costly. Thanks in advance for your feedback.

I paid $30 for the same amount thru my Kaiser pharmacy. Are you saying you had your dr send the Rx over to CVS and they charged $3.27? I was thinking when Kaiser told me the price that saline should not be so costly. Thanks in advance for your feedback.

leilam, I'm very interested in how many respond to your question. My doctor had given me a "recipe" for 7% but I'm holding off trying it. What if it is, at some point contaminated and you breath some bacterium directly into your lung. We have enough of a problem already without adding to it.