I was using my vest wrong for 12 yrs. This is my new routine..
First i make sure i am hydrated, at least two glassed of water before i start.. I also take about 5 sips after ea segment..
I use a cup now to see exactly what i am or not getting up and out..
Albuterol is first .. Albuterol is finished before vest
i set the first # on 9, middle # on 5, last # on 21, every 3 minutes i up the first # by 1, coughing and spitting 3 times (huffing when necessary) .. I end up w/ 14 being the highest # (this is the # to the left, looking at the machine)
After vest, i do pulmicort and then pulmozyme. Am not doing HTS or Tobi right now, but i know it's important to get the order straight..
After all that i do nasal irrigations , Verimyst, Advar 250/50..
Exercise is helpful, and staying hydrated is so important for me..
If all of the above is not doing the trick then i usually break out the big guns and beg someone for CPT..
I hope this helped. If you have questions PM me..
<img src="i/expressions/heart.gif" border="0"> joni