Hi Woot (btw, unique, cool name). My pulmo sorta casually said to neb first then “thump.” I have complied only minimally as I’m averse to expanding the time required to complete the procedure beyond the minimal necessary. I start the nebulizer, take a few big “huffs” and fire up the ole Thumper. As I think I’ve said before, I really know how to have fun! Just don’t want to over do it. LOL. Don

Hi Don. Always a pleasure to read what you have to say. On this, don’t know if I want to take you as my roll model. LOL

I use my vest DURING my nebulizer treatments with albuterol then saline.

I use mine at the same time also. Right now I do Ventolin for 15 minutes with my Afflo vest and then I do the saline for 15 minutes with the rest of the vest and then I do Arikayce for 15 minutes and this works really well for me. The Ventolin keeps away bronchospasm Possibilities of Arikayce and I really get up a lot of mucus plugs at the end of my Arikayce I am really very happy about that.

@migizii I do mine at the same time. My pulmonologist and the respirologist said this was okay.

Woot, My words may have obscured what I intended to convey. I nebulize and use the percussion vest simultaneously for 30 minutes starting with 5 deep “neb” breaths before starting the “Thumper.” The 5 deep breaths?

Nothing more than my little superstitious overture. Or perhaps a tiny nod to the Pulmo’s instruction. Don

Thanks, Don. You’re right. I misread your first post. And thanks,Judy, CKS, and Migizi. It really helps to know you are out there, That we’re all in this together.