i completely agree...i HATE the vest! i always have...i think it's cause the hoses pop out constantly and it pisses me off cause i have to plug them back in. then again i've had so many pt machines it's not even funny. i go back old school style. ever heard of the flim fighter? i had/have one of those. then there was the flutter, then there was the accupella (sp?) and the vest of course. i've had two vest. i recently found out about the incourage vest and i want to see about getting that vest. i've heard that the incourage vest the hoses clip in and stay in place. not to mention i've broken a clip on my vest it self and just found out that i have a huge hole in one of my hoses so i think i'm due for a replacement. but i still hate doing them all! when i'm in the hospital i have to have a vest, they do manual pt way to hard. they've had me crying before. probably because i'm so tiny, so i refuse to let them do manual pt on me anymore.