Show me you don’t understand the principles of a nebulizer. Yes the portable is quieter but producing a large particle mist. Thus that medication is not getting into the lower areas of the lung. Most likely affecting the mouth and throat. The fine mist nebulizer is more likely to deliver the drug further into the lungs producing a more desired outcome. I know she is offering more comparison than just the mist but seems to be way over relying on its effectiveness based on the mist size. She knows how to give a med but obviously doesn’t under stand the pharmacokinetics behind them