While you're talking to your doc, I really recommend you grab a copy of Parenting Children With Health Issues. It's a whole different way of interacting. It's taken me awhile cuz I'm a slow learner. . Really. But I can now hear the more useful dialogue in my head when my little ones throw me a curve. I usually have to stop myself from getting and showing anger first. . . . Step back and tell them I have to think about that . . . Then run thru some scenarios in my head and come back calmly to try them out. It works well. It used to be "I'm not doing TOBI . . . Or my vest . . . Or whatever". I would get angry, say "Yes, you have to do (whatever). Do you want to get sick? ". Or "I SAID IT'S TIME FOR TOBI!". Which was followed by "NO!". Anger, frustration, etc. Let's face it, even at only 7, I'm not going to successfully muscle him into it, or catch him when he runs, or overcome any of the craziness that follows. And even if I could, I'm going a long way to ensuring that he NEVER does it on his own when he's old enough to decide for himself! I've made it a control issue. Kids need control. At least shared control. Now, I'm not suggesting that TOBI or the vest, etc. Is optional. It's not. But what you are really trying to do along with the necessary med treatments, is to get him in the habit, and get him to make good decisions about being personally responsible FOR LIFE for taking good medical care of HIMSELF. So I personally don't want to make this a control issue, or a power struggle that he has to eventually win by refusing treatments. I'm not a pro at this, (Lisa Greene is!) but here's what I would try. The first order is to get him to feel that you heard him and understand and empathize - not criticize. "You don't want to do your vest? Would you tell me why?". (I hate it . . . . Etc. . . . The first time I actually asked this I found out that it hurt his belly and after several calls I discovered that the scar tissue from his MI surgery was tearing as the vest vibrated. I had no idea! Glad I asked what I thought was an obvious question. The manufacturer strategically inserted two foam pads that cured the problem. Oh my. Didnt I feel terrible. But that was early on and since then, there have been other occasions where he refused due to the more usual reasons). Now, the occasional reason is something like, "I hate it, or my friends don't have to do it, or I can't draw, or it's boring, etc. Whatever the reason is, repeat it so he knows you heard. Empathize . . . . Yeah, it must be hard to sit still for 30 minutes when you want to draw dragons . . . . SECOND move: for me, this has depended upon the age. When he was smaller, I would give simple choices, like do you want to watch tv or play on the iPad while we do the vest, and then we can draw dragons together. When they say, I dont want to do it at all, I answer that wasn't one of the choices and I repeat the choices. It has always worked surprisingly well. Or give a little more power . . . .which is like magic. . . Such as do you want to do your vest NOW or in 10 minutes? The answer is always 10 minutes, which is fine with me and they now feel like they have total control! When they are older I have found instead that it works well to ask HIM for ways he thinks can cure the problem. This works to help them learn to make good decisions by thinking things thru on their own . . . You're not doing the thinking for them. I often get a response like "I don't know!". Or "I won't do it at all!" I would politely and kindly (remember do not get angry anywhere in here or they will react with defiance!) reiterate that that isn't a choice, or simply ask if they would like to know what some other kids might do to solve the same problem. I almost always get a surprised stare and a weak answer "yes". Then I run thru the choices, including theirs such as "not do it at all". Then ask how they think that would work out? Yes, they might get sick, etc. Then run thru better choices if they don't come up with some in their own. . . Such as search for dragons to draw on the iPad while doing the vest, then we can draw them together when it's done. "how do you think that would work out? My little one always feels much calmer after this, much more tolerant and accepting of the inconvenience of the vest. Any there was no screaming, no fisticuffs, etc. This is all about control. Give them some! Be flexible! Do some exercise or sport of their choice instead of one vest treatment a day. Or move the vest to their bedside so they can do it while still waking up. Or get a set of headphones so they can play video games or watch tv while that loud machine is running. Or. . . Or. . . Or. . . Now I hope Lisa Greene doesn't read this and tell me I'm all wet but I could be! I'm really not an expect. But if I am all wet, I know you can get great pointers from her if you private message her. . . She has heard from me more than once and has always been very very helpful. I can also attest to the effectiveness of the Draining My Energy technique, but I've never needed it for treatments . . . I tend to use that when the children won't help with chores, or are fighting or running around like maniacs and won't stop . . . . Then I simply calmly say uh-oh you are draining my energy! And it stops . . . . They know that means that if I run out of energy, they will have to put it back by extra chores, since I don't have the energy left to do them! It stops them cold! And if they refuse, then I won't have the energy to . . . . Make fudge, take them to get ice cream, drive them to their friends party, let their friend spend the night . . . .etc. It's a great technique. Here's hoping I've been of some help, if only to encourage you to explore different options . . . . Remember the goal is to teach them to make good decisions FOR THEMSELVES when they are adults, not just to get a vest treatment today. HUGS TO YOU FOR CARING SO MUCH!