In December 2013 I developed severe asthma. I've had asthma since birth but my regular fast acting inhaler, nebulizer, or even cortisone shots at the doctor's office did not help. For about 5 months I was on a steady diet of prednisone, a rotating cocktail of antibiotics, and on various different inhalers, while my doctors (pcp, pulmonologist, allergist) tried to get my breathing under control. Initially, an authorization for a CT scan was requested by my pulmonologist and denied by my health insurance. Subsequently, my pulmonologist also requested a procedure called bronchial thermoplasty. After many appeals and denials, I was given a final denial by a 3rd party review in March of this year. In between this, all the steroids I had taken caused avascular necrosis (AVN) in both of my hip. Feb. 24 of this year I had a total right hip replacement, while my left hip is scheduled for total replacement July 7. My breathing has been such a problem with bad flare ups that, despite my condition (AVN) and pulling me off steroid based medicine, my pulmonologist has needed to place me back on these medications due to the severity of these flare-ups when they occur. Fast forward to about a month and a half ago. My pulmonologist requested authorization for a CT scan again, this time it was granted. The results of the CT scan were said to show bronchiectasis. When I returned to hear the results, it was explained to me that I had some phlegm (hardened or thick mucous) in my lungs that needed to come up. Not doing so could cause respiratory infections. I was to receive a vest that vibrates (Smart Vest), which I would have to wear x times a day and run x amount of cycles. I received the unit late last week and began using it. Oddly enough, I figured the phlegm would be coughed up and that would be the end of it - at least that was how it sounded getting the results. But I began researching the condition (I know, I should have done so sooner) and have come to find out that it is a non-curable progressive obstructive lung disease. I assume the two negatives here don't cancel one another out (asthma and bronchiectasis), though it would be quite nice if that were possibe. So far I have not had any affect with wearing the Smart Vest. I currently wear the vest twice a day, running 3 ten minute cycles with increasing frequency (htz) each cyle. In speaking with a respiratory therapist with Electromed (Smart Vest), I was told that I may see results (phlegm coming up, decrease in fatigue and shortness of breath, reduced coughing) in about a month or two. I was wondering if anyone else here has been diagnosed with this and can possibly offer their experiences in managing and treating this condition.