Treatment Guidance Please...Bronchiectasis/Asthma/Reflux

@narelled23 Perhaps I am missing something in the diagnostic history above, but I do not see the NTM diagnosis?
Your history reads much like mine - long-term difficult to treat asthma with bronchiectasis. Even after antibiotic treatment, I never felt well until we got the asthma controlled about 2 years ago. It was a concerted effort by the Pulmonologist and me to find the right combination of medication (Symbicort twice a day, Singulair once a day), 7% saline, airway clearance, exercise and deep breathing cycles. That ultimately meant reducing my use of 7% saline nebs to 2-3 times per week, using the Aerobika for airway clearance once a day, and huff coughing or deep-breathing cycles for the other session.
As for the volume of mucus you are experiencing, perhaps it is an irritation response to vigorous airway clearance? I have learned that if I try to clear "every last bit" of mucus from my lungs I produce more and more - to the point where I constantly feel like I am drowning. And unless I am fighting an exacerbation (illness) I do not need 7% saline daily to help clear my lungs. Perhaps there is something to the recommendation from the respiratory therapist?
I understand that the Lung Matters protocol is very specific, but as with every other form of treatment, it is not "the only way" because each one of us is living with a different version of lung disease and our own unique body. In my case, the less rigorous regimen has kept me healthy for over 2 years and counting. Unless I have a respiratory virus, I only have about and ounce of mucus per day - yet my lungs sound clear with a stethoscope.

Sue, just to clarify...I am barely aware of having asthma ... they had to give me an asthma provocation test to be sure I actually did have asthma at all... and apart from the occasional temp/exercise induced cough I am unaware of it. I generally don't wheeze. So how us asthma a problem for me other than being diagnosed with it. Frustrating!

You sound like me (years ago) "and apart from the occasional temp/exercise induced cough I am unaware of it. I generally don't wheeze. "
Yup, I had asthma, but I was very active and a runner, so I had well-developed lung capacity that "masked" the asthma except under certain conditions - swimming, high heat & humidity combined, dry very cold air, or whenever I got a cold. My lung capacity was always fine when checked in the doctor's office, until one day when I was tested during a bout of bronchitis.

Hence for many years, probably from early teens to my 40's, the asthma was never treated. After it was diagnosed, I used my albuterol as little as possible because it set off a racing heart and tremors, feelings I detested. I always had allergies, as a child I had significant exposure to asbestos particles, and in my teens and 20's to lots of paper dust. During adolescence and early adulthood, every cold or "bug" turned into an ear or sinus infection, bronchitis or pneumonia.
Again, my conditioning as a runner allowed my to mostly ignore the asthma - until I couldn't. (By the way, the same conditioning allowed me to mostly ignore my increasing hip and back pain - until I couldn't, leading to new hips in my early 50's, but that is another story.) According to my original old-school pulmonologist that was the "perfect storm" that led to developing Bronchiectasis, MAC & Pseudomonas.

I am so glad we always took our daughters' asthma more seriously than my own - perhaps they will be spared the issues I now face.
Sue
PS Looking forward to meeting my newest pulmonologist next month - the "old guard" in our clinic have all retired. I will get a fresh set of eyes looking at my overall lung situation.