I RARELY skip anything and do the vest no matter what cause I can do it while I do my nebs (xopenex and H.S.), so it doesn't add time unless I do it alone.
If I do skip anything, I will skip H.S. since its not a medication. I do usually feel gunkier, but at least I'm not missing a bronchodialator or antibiotic.
Usually the only reason I'll skip something is if my neb isn't dry from the first treatment or if they're all in the dishwasher or something... I never skip cause I don't have time... I make time, even if, like others, it means cutting down on "fun" stuff or sleep. But, when treatment parts are wet or getting cleaned, there is no choice. I know its just poor time management on my part when this happens cause if I'd think ahead there would always be a neb ready and waiting for me, but sometimes I simply "forget" or think I have more time to dry them than really happens.
Anyway, I agree in a perfect world no treatments would be skipped, but I also think we're human with human schedules and it is sometimes inevitable for most people, especially those who work as well as try to manage their CF schedules! I think most people do remarkably well with managing all this crap, even if/when we do skip occasionally for reasons out of our control. <img src="i/expressions/face-icon-small-smile.gif" border="0">