No Insurance? Asthmaniac Will Help You!

No Insurance? Asthmaniac Will Help You!

No Insurance? Asthmaniac Will Help You!

No Insurance is Not a Problem at Asthmaniac!

Active asthma?

Asthmaniac was made for you!

Affordable $50 doctor visits

State-of-the-Art Asthma Care

 All online!


No Insurance = No Problem

I don’t care  that you don’t have insurance.  

I designed Asthmaniac to deliver asthma care to asthma sufferers that:

.. don’t have insurance

.. don’t have a doctor

.. have too much anxiety because this.

 I will be your asthma doctor.

I charge an affordable, fair price for:

.. having your doctor on your smartphone

.. making sure you have rescue inhalers

.. making sure you have state-of-the-art medicine for asthma control

.. making sure you KNOW how to manage your asthma day-to-day

.. making sure you have access to the latest medicine for asthma

.. making sure you have the best tools for self-management

If you have  well controlled asthma, you need 4 doctors visits a year to make sure that you have all of your needed medicines prescribed, that your asthma hasn’t changed into a more severe type, and to make sure you know how to respond if your breathing gets worse.

Fifty dollars per visit.

$200 per year.

A doctor in you back pocket coaching you to greater confidence and less anxiety about your asthma.

Uninsured Asthma Care.

A core feature of Asthmaniac!

Remember our hashtag: #asthmacarenow And keep Breathing Easy!



Asthmaniac Blog

Asthmaniac Blog

* is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging

What Is Exercise Induced Asthma?

What Is Exercise Induced Asthma?

What Is Exercise Induced Asthma?

Do you have breathing difficulties when you exercise? Then you may have something called “exercise induced asthma”.  Let’s take a look at what causes this condition and what treatment options are available.  

What Is Exercise Induced Asthma?

Exercise induced asthma occurs when you experience airway obstruction or inflammation during exercise. In other words, you experience asthma symptoms such as coughing, wheezing, and chest tightness brought on by sports and activities. You might also see this type of asthma referred to as “exercise induced bronchoconstriction” (EIB).  

Is this type of asthma common? Yes. It’s estimated that the condition could affect up to 20% of the population.  

Causes of Exercise Induced Asthma

There are a few causes of the airway inflammation we see in these cases. Typical causes of exercise induced asthma include:

  • Cold air (especially cold, dry air)
  • Vigorous physical activity
  • Breathing through your mouth 
  • Endurance exercise (i.e. working out for a long, steady period of time without rest)

As with other types of asthma, there’s no single cause here. What they all have in common, though, is that symptoms come on once you start exercising. 

What Is the Difference Between Asthma and Exercise Induced Asthma?

If you have asthma, exercise can worsen your symptoms. This is because asthma can be triggered by allergies, medication, stress, and strenuous exercise. In fact, roughly 90% of asthma sufferers feel worse during exercise.

However, the main difference is that people with exercise induced asthma don’t have symptoms until they exercise. Meaning, people who don’t have asthma, or who don’t take asthma medication, can develop this exercise-induced bronchoconstriction. 

What if I’m Just Out of Shape?

There’s a huge difference between asthma and being out of shape

  • Asthma typically causes symptoms such as wheezing and coughing rather than just feeling winded. 
  • If you’re a little unfit, the fatigue will pass when you stop the exercise. If you have asthma, your symptoms may continue for at least 10-15 minutes or even longer.
  • People with exercise induced asthma may feel sick or nauseous during exercise. If you’re out of shape, you probably won’t feel this way. 

Symptoms of Exercise Induced Asthma

The main symptoms of exercise induced asthma are:

  • Chest pain or tightness
  • Coughing during exercise
  • Shortness of breath while working out
  • Wheezing

 Woman outside in park using a blue relief inhaler to relieve asthma

Symptoms usually start within a few minutes of exercising. If you continue training, the symptoms get worse about 10-15 minutes in. They can take, on average, up to one hour to resolve (although some people have symptoms for up to 24 hours).

Diagnosing Exercise Induced Asthma

Making the diagnosis of exercise induced asthma depends on special tests, including:

  • Exercise tests e.g. running or walking on a treadmill
  • Lung function tests
  • Listening to your lungs

If you already have asthma, then the diagnosis may be fairly obvious. However, in all cases, we always consider other causes for your symptoms such as heart problems. 

Treatment Options for Exercise Induced Asthma

What is the best treatment for exercise induced asthma? Treatment is unique to the individual. The options include:

  • Quick relief inhaler: What inhaler is used for exercise induced asthma? Albuterol is the go-to inhaler. Once approach is to use an inhaler 10-15 minutes before working out to reduce the chance of triggering asthma. 
  • Controller medicines: Depending on your symptoms, you may be prescribed a medicine that suppresses broncho-constriction throughout the day. This could make exercise more comfortable for you.
  • Steroids: Steroid medicine is one option as a controller medicine and it works by preventing inflammation of your airways that makes them more likely to constrict when triggered.

What if I Still Want to Exercise?

You can, in most cases. What’s important is that you challenge yourself safely

  • Consider starting with less intense exercise and advancing the intensity over a 2-3 week period to give your body time to adjust. 
  • Try sports with frequent rest periods so you have time to recover.
  • Exercise in warm environments e.g. indoors.

Get Help With Exercise Induced Asthma Today

Asthma can be debilitating, especially if it’s not controlled properly. But that’s where Asthmaniac, your online asthma doctor, can help. We’re committed to helping you prevent asthma attacks so you can enjoy your life. Book your online consultation today or contact us to learn more about our services.  

Asthmaniac Blog

Asthmaniac Blog

* is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging

What Is Eosinophilic Asthma?

What Is Eosinophilic Asthma?

What Is Eosinophilic Asthma?

If you’ve never heard of “eosinophilic” asthma, you’re not alone. It’s rare compared to other types of asthma, but it can be severe. 

Asthmaniac, your online asthma doctor, can help with your diagnosis. In the meantime, here’s an overview of what eosinophilic asthma is and how sufferers can control their asthma.

What Is Eosinophilic Asthma?

Eosinophilic asthma is a subtype of asthma conditions. It’s caused by high numbers of eosinophils (a type of white blood cell) in the bloodstream. 

Normally, these white blood cells help your body by fighting off infections. White blood cells cause inflammation, which is normally a helpful process for destroying germs. 

For some people, though, the immune system doesn’t respond as expected and the levels of eosinophils are too high. Too much inflammation causes the airways to swell, which leads to breathing difficulties and other signs of severe asthma.

Is Eosinophilic Asthma More Severe?

What’s concerning about this condition is that yes – it’s often associated with severe asthma. If it’s not managed properly, it can reduce a person’s quality of life and cause more frequent asthma attacks. 

The good news is that there are treatment options available to help manage the condition. We’re more than happy to discuss possible management strategies with you – book a consultation online today.

Who Does Eosinophilic Asthma Affect?

Eosinophilic asthma causes are still not fully understood, but here’s what we do know about this condition.

  • It typically affects adults aged between 35 and 50 who don’t have allergies.
  • Since it often presents as shortness of breath rather than wheezing, it may not seem like asthma at first.
  • Children and young adults can develop the condition, but it’s rare.

If you’re an adult developing asthma for the first time, your doctor may check for this subtype of asthma.

What Triggers Eosinophilic Asthma?

It’s unclear what causes eosinophilic asthma. Unlike some other forms of asthma, which may be triggered by allergens, viruses, or even exercise, there are no obvious reasons why people develop eosinophilic asthma. 

Since there’s no obvious trigger, treatment can be more difficult. This is because asthma management often involves avoiding triggers, such as dust or high intensity exercise. However, we’re here to help – contact Asthmaniac to discuss a possible management strategy.

Graphic of doctors listening to lung sounds inspecting lungs for asthma signs

Eosinophilic Asthma Symptoms

The symptoms of eosinophilic asthma vary. However, the most common symptoms associated with this condition are:

  • Chest tightness
  • Chronic sinus infections
  • Coughing
  • Diminished or lost sense of smell
  • Nasal congestion
  • Nasal polyps
  • Shortness of breath
  • Wheezing

Eosinophilic asthma can cause severe symptoms. However, these symptoms can be caused by other conditions. It’s important you receive an accurate diagnosis from a healthcare provider if you think you may have a respiratory condition.

Diagnosing Eosinophilic Asthma

This subtype of asthma may be suspected in adults with asthma which does not respond well to treatment.

  • If eosinophilic asthma is suspected, your doctor may run a test on your white blood cells to check your eosinophil count.
  • Tests such as lung function tests may also be performed to check for swelling in the airways.
  • Other signs, such as nasal polyps, could indicate you are dealing with this type of asthma.

Signs of an Asthma Attack

As with any other form of asthma, it’s important to know the signs that your condition is not properly controlled. Otherwise, you’re at an increased risk of an asthma attack. 

Signs that you may need an asthma review include:

  • Disrupted sleep caused by wheezing, coughing, or chest tightness
  • Inability to perform your normal daily activities
  • Reduced peak flow readings
  • Using your rescue inhaler more frequently

You should seek medical attention if you develop the following symptoms:

  • Blue lips or fingers
  • Fast breathing and heart rate
  • Severe chest tightness
  • Inability to have a conversation due to breathing difficulties
  • No relief from your usual asthma medication

These are signs you may be having an asthma attack which requires prompt medical care.

Eosinophilic Asthma Treatment

Eosinophilic asthma is hard – but not impossible – to manage. 

The condition doesn’t respond well to inhaled corticosteroids, which is a first-line asthma treatment. Fortunately, there is a new type of medication that is very effective for controlling eosinophilic asthma. 

This medication is injected weekly, using a fine needle and syringe, a short distance under the skin. Research studies have demonstrated a potent effect of this type of medicine for reducing inflammation in the airways and cutting down on asthma attacks, oral glucocorticoid dependence, and rescue inhaler use. 

Since eosinophilic asthma treatment is more aggressive, it can cause more severe side effects. These should be discussed with a doctor so you understand the pros and cons.

How Asthmaniac Can Help With Your Eosinophilic Asthma Diagnosis

Do you have eosinophilic asthma? Asthmaniac, your online asthma doctor, can help. Use our telemedicine consultation services to discuss your condition, review your medicine, and devise a treatment plan. We can even update or change your prescription if required – all from the comfort of your own home.

To find out more about what eosinophilic asthma is, or to book an asthma review, contact us now.

Asthmaniac Blog

Asthmaniac Blog

* is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging

6 Signs Your Asthma Is Getting Worse

6 Signs Your Asthma Is Getting Worse

6 Signs Your Asthma Is Getting Worse

If you have asthma, you might be used to coughing and wheezing sometimes. And if you have severe asthma, you may experience breathing difficulties more often than sufferers with a milder condition. 

That being said, your body will give you signs if your asthma isn’t properly managed – and if your condition is getting worse. Here’s a look at why asthma symptoms can get worse and how you can bring your asthma under control again.   

Does Asthma Get Worse?

It’s not uncommon for asthma to get worse at times. This may be during an isolated incident, such as an asthma attack, or it might last for a longer period.

When asthma gets worse, you might experience a sudden onset of more severe symptoms. Or your symptoms may worsen over a longer period of time – such as a few weeks or even months. 

If there’s a gradual onset of worsening symptoms, the changes can be so subtle that they’re hard to notice at first. However, it’s crucial that you know how to spot when your asthma is playing up so you can take decisive action. 

Why Has My Asthma Suddenly Got Worse?

Things that make your asthma worse are known as “asthma triggers”. When you know your asthma triggers, it’s easier to work with your doctor to find ways to bring quick relief. 

Here are the most common reasons why people with asthma experience flare-ups.

  • Allergens: If you’re sensitive to tobacco fumes, dust mites, pollen, or other allergens, exposure to these allergens can cause asthma attacks.
  • Respiratory infections: When you’re recovering from a cold or flu, your airways are more irritated than usual, which may worsen your asthma.
  • Exercise: Increasing your activity levels too quickly might trigger an asthma attack.
  • Medication: Some pain medications might cause an asthma flare-up.

Other asthma triggers include mold, stress, damp, and even changes in weather conditions

Six Signs of Asthma Worsening

Person in white top holding a blue inhaler with a hand over their chest

At Asthmaniac, we can devise a treatment plan to help you bring your condition back under control. If you recognize any of these symptoms of asthma getting worse, book a consultation with us now. 

1. Shortness of Breath 

Shortness of breath is a clear sign that your asthma isn’t under control. This is especially true if you notice breathing problems at rest or during activities which are normally manageable for you. 

Any shortness of breath should be discussed with your healthcare provider.

2. Using Your Inhaler More Than Usual

Are you using your regular inhaler (or quick relief inhaler) more than normal? This is a sign that your medication isn’t working for you as effectively as it should be. 

And even if you’re not using your inhaler more than usual, but it’s not as effective at relieving your symptoms, your asthma is acting up. 

3. Activity Limitations

Every asthma sufferer has different limitations. What’s strenuous exercise to one person could be easily manageable to another. It’s important you know what’s manageable for you so you can track if your condition is interfering with your normal daily activities.

For example, if you can normally carry groceries but you can’t manage the trip without breathlessness, your asthma may be getting worse. Or if you can’t walk or climb stairs as usual, then this is a warning sign to pay attention to.

If your asthma gets in the way of your normal daily activities, then your condition is not under control. 

4. Nighttime Wheezing and Coughing

Do you wake up during the night due to wheezing, coughing, or shortness of breath? If so, then your asthma could be acting up. 

To be clear, it’s not uncommon to occasionally wake up feeling a little out of breath or wheezy. But it shouldn’t happen often. If you’re reaching for a quick relief inhaler during the night once or twice a week, you need your asthma medication reviewed. 

5. Reduced Peak Flow Readings

Your “peak flow” shows how well your lungs are functioning. Your asthma may be getting worse if:

  • Your peak flow measurements are significantly lower than usual.
  • There are noticeable variations in readings from day to day.

Any change in peak flow readings should be discussed with a clinician. 

6. Chest Tightness

Chest tightness is hard to describe because it feels different for everyone. However, when your chest is “tight”, you might feel like you can’t breathe in or breathe out fully. You may feel like there’s a band across your chest, and it could even be painful to breathe. 

If you have chest tightness, especially at rest, your asthma medication may need to be reviewed. 

What to Do If Your Asthma Is Acting Up

Is your asthma getting worse? You don’t need to put up with it. 

At Asthmaniac, we want to give you back confidence in your breathing. We want to bring your asthma back under control so you can enjoy life without stressing over your condition. We can evaluate your asthma medicine, identify your common triggers, and work out an action plan to get you feeling better. 

It all starts with a telemedicine consultation. Contact us to learn how Asthmaniac can help!

Asthmaniac Blog

Asthmaniac Blog

* is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging

What Are Some Early Warning Signs of Asthma?

What Are Some Early Warning Signs of Asthma?

What Are Some Early Warning Signs of Asthma?

Asthma can be life-threatening if it spirals out of control. But how do you detect asthma, and what are the early warning signs of an asthma attack? Below, we explain how to spot asthma in its early stages and what to do if you have an asthma attack.

What Is Asthma?

Asthma is a disease of the respiratory system. Asthma causes your airways to become inflamed and narrower. In some cases, your lungs produce extra mucus, which causes more narrowing.
Some people have more severe symptoms than others. But although asthma can’t be cured, it can be controlled.

Asthma Causes

Asthma has many causes. The most common “triggers” for asthma are:

  • Allergies: Some allergies, like pollen and pet allergies, can trigger asthma.
  • Medication: Certain medicines such as aspirin can make asthma worse.
  • Respiratory infections: Colds, influenza, and other seasonal viruses may trigger asthma symptoms.
  • Smoking: Tobacco smoke can irritate the lungs and throat, triggering asthma.

The trigger for your asthma dictates your asthma treatment. So, you should be evaluated by a health professional if you think you have asthma.

Early Warning Signs of Asthma

If you’re new to asthma, you might not know how to recognize the condition. Early signs of asthma include:

  • Chest pain or tightness
  • Feeling breathless during exercise
  • Frequent coughing
  • SWheezing (especially in children)

You may also notice that your symptoms get worse when you have a respiratory infection. This is because your respiratory system is already inflamed and irritated. And in some cases, you might notice that respiratory infections last for much longer than expected.

If you think you might have Asthma, contact Asthmaniac for an evaluation.

Early Warning Signs of an Asthma Attack

People with asthma should know how to spot the signs of an asthma attack so they can manage the situation. The early symptoms of an asthma attack are:

  • Changes in peak expiratory flow readings: Drops in peak expiratory flow (PEF) readings should be reviewed with your doctor as they might suggest an attack is imminent.
  • Using rescue inhaler more often: If you need your rescue inhaler more than usual, you may need a medication review to prevent an asthma attack.
  • Shortness of breath: Shortness of breath and more frequent coughing both suggest your asthma isn’t under control.
  • Increased fatigue: If you’re more tired than normal, or you’re struggling with your daily activities, this may be a red flag that an attack is imminent.
  • Scratchy or irritated throat: Although a scratchy throat can be a sign of a respiratory infection, it can also be an early sign of an asthma attack.

Other warning signs of an asthma attack include chest tightness, wheezing more than normal, and trouble sleeping due to symptoms. If you’re at all concerned about asthma symptoms, book a consultation with Asthmaniac.

Emergency Signs of an Asthma Attack

All asthma attacks can be serious. However, you need to seek immediate medical attention if you develop the following symptoms.

  • You can’t get any relief from your rescue inhaler.
  • Your fingernails or lips turn blue (cyanosis).
  • You are struggling to talk, walk, or perform minimal activities.
  • Your shoulders are hunched over or your chest constricts.

Call 911 if you or your child is having an asthma attack and you can’t bring it under control.

How to Control Asthma to Prevent Asthma Attacks

To help prevent asthma attacks, you need an asthma action plan.

Your asthma action plan is a guide to help you manage your symptoms and spot when your asthma might be getting worse. The quicker you spot the warning signs of worsening asthma, the easier it is to prevent asthma attacks.
An asthma action plan is tailored to you and your medical needs. But at a minimum, it should include:

  • Asthma triggers
  • Your current asthma medications
  • Peak flow readings (if you use these)
  • Your symptoms when your asthma is under control
  • Warning signs which suggest you need to take action
  • Emergency steps to take if you have an attack

Asthmaniac can review your current asthma action plan or create one for you.

Asthma Consultation With Asthmaniac

People with asthma need to know how to manage their condition to prevent it from getting worse.

That’s where Asthmaniac, your online asthma doctor, can help. At Asthmaniac, we offer virtual appointments to help you understand your diagnosis and prevent asthma attacks. We can evaluate your current medication, write prescriptions if needed, and update your action plan.

Whether you’re a new asthma patient or you’re struggling with your asthma controla, we’re here for you. Learn the early warning signs of asthma – book a consultation now to get started.

Asthmaniac Blog

Asthmaniac Blog

* is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging

Asthmaniac Blog

Asthmaniac Blog

Asthmaniac Blog

What is Asthmaniac ?  

* An asthma doctor for You!

* is an online asthma clinic 

* Asthmaniac is affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging


Asthmaniac is also the name of my podcast!

My clinic,, is 100% online.  Using this online method,  I can deliver phone and video-based encounters that focus on just your asthma.

These visits are designed to achieve stabilization of your asthma so you can avoid asthma attacks  and enjoy worry-free breathing for an active life.

.My strategy depends on making you the expert of your asthma. 

This will allow you to react quickly to changes in your breathing.  

It will also equip you to tell me how your asthma action plan is working, since you will really understand it.

What Makes Asthmaniac Different from a Traditional Clinic?

  • A 100% focus on asthma control.
  • It is based on National Standards and the most modern methods of asthma control.
  • It uses 100% online phone and video visits.
  • You pay online – no insurance needed.
  • It uses 100% electronic medication prescriptions – sent direct to your pharmacy.
  • It uses proven online symptom assessment.
  • It tracks lung function by Peak Expiratory Flow.
  • It delivers follow-up visits to assure effective control.
  • It gives you a usable and continuously updated Asthma Action Plan.

Why focus on Asthma?

There are many health problems facing all of us.  I have spent 30 years learning about and treating them.  

A few of these disorders stand out as being controllable.

Asthma is one of those.  Asthma control has been the topic of extensive research which has led to the development of clearly defined treatment directions .

These guidelines for doctors to follow have been refined since first released in 1991 with updates in 2002 and 2007.

Despite these clear directions, asthma care remains poor in the U.S.

Asthmaniac is My Solution for this Problem.

  • Asthmaniac focuses only on asthma.  

That allows me to really drill into the most current techniques for asthma control, patient education, and how to deliver care.

  • Asthmaniac is built around the well-defined National Standards for Asthma Care.

That means everything I recommend is state-of-the-art and based on evidence, science, and clinical practice.

  • Asthmaniac leverages smartphone and telemedicine methods

It is no longer acceptable to require you to come to a clinic when I can do everything that you and I need to accomplish by voice and video.  Delivering doctor visits by phone and video is way less expensive for me which allows me to reduce the cost of the doctor visit for you.

It’s also more convenient for you to get your doctor visit from wherever you are, right?

  • No Insurance Needed

Your ability to get great asthma care should not be gummed up by an insurance issue.  That’s why I keep the insurance companies out of our visits and keep the cost of the visit fair and reasonable for an out-of-pocket expense.

  • Electronic Prescriptions

It is kind of ridiculous in this electronic era that you’d have to take a paper prescription to the pharmacy for your medication.  In my system, these medication orders are transmitted electronically.  That keeps your care convenient and efficient and no paper to lose!

  • Online Symptom Assessment

Years of asthma research have produced convenient ways to track your asthma symptoms.  These surveys can be used to give an early sign that your asthma is out of control and vice versa, can be reassuring proof that your asthma action plan is working.  I have integrated one of these surveys, the Asthma Control Test (ACT) into my clinic and you can take it anytime on your phone, tablet or desktop computer at  After you complete the test, your score is sent to you along with my recommendations. 

  • Peak Expiratory Flow

Knowing how your lungs are performing is really important in planning your medication and asthma action plan.  Listening to your lungs is not that helpful in showing small changes in your lung function.  Fortunately, research with pocket flow meters has shown that these devices are really useful in detecting early drops in function that tell me you need a different medication and a different asthma action plan.  I make sure all of my patients have a pocket meter and that they use it regularly.

  • Follow-up Care is an Essential Part of Asthmaniac

Asthma control has a lot of moving parts.  Inconsistent follow-up care:

  • Interrupts medication refills,
  • Blocks clinical reassessment, 
  • Prevents adjustments in medication dosage, and
  • Derails optimization of treatment plans.

Even if asthma patients were motivated to go into their doctor’s clinic for follow-up, with the COVID19 pandemic, they are discouraged to go for fear of catching the virus.  

Asthmaniac makes that follow-up visit as easy as a phone call but loaded with important information about your asthma.

  • Asthma Action Plan

I need to get you really involved in your asthma control.  The best way is to develop a plan that you understand and can follow.  This Asthma Action Plan is modified as your asthma changes which happens due to illness, seasons, or age.  We revisit this plan at every follow-up visit and then I send it to your phone where you can study it and refer to it when your symptoms change.

The basic problem that asthma patients have faced forever is still true today:  Uncontrolled asthma is dangerous!

But unlike the past, asthma can be controlled!

Asthmaniac is all about your asthma control.

Asthmaniac provides:

I have designed Astmaniac to help you MASTER your asthma!

Yes, there is a lot to learn about asthma.

In order to really understand and be in control of YOUR asthma, you need to know more about it.

Let me be your partner in getting in control.

Here’s where my three decades of experience come in handy.  I have selected the most important concepts that I know you need to understand for optimal self-management.

I post them at in the section titled Blog.

And since neither you or I stop learning, I add new sections frequently, bringing you the most expert guidance available.

You can read them in the blog section of

OR…better yet,

subscribe and receive a message each time I add a new blog or a new podcast!


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Asthmaniac Blog

Asthmaniac Blog

* is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging

How to Manage Nasal Polyps

How to Manage Nasal Polyps

How to Manage Nasal Polyps

Nasal polyps can be irritating and painful – but what are they and how can you treat them? Here’s a look at what causes polyps in the nasal passages and how you can manage the symptoms in the long term. 

What Are Nasal Polyps?

Nasal polyps are painless, small growths which develop along the nasal passages and sinuses. They typically appear inside both nasal passages – lumps or cysts confined to one side could be caused by other issues which require medical investigation. 

What Causes Nasal Polyps?

Nasal polyps have many causes, but they’re often caused by irritation, swelling, and inflammation in the sinus cavities. Risk factors for developing nasal polyps include:

  • chronic allergies and asthma
  • chronic rhinosinusitis
  • cystic fibrosis

Many times, though, it’s unclear what causes nasal polyps to develop.

What Are the Symptoms of Nasal Polyps?

The symptoms depend on how many polyps you have and how large they are, but here are the most common signs to look out for.

  • Chronic stuffy nose
  • Facial pain over your sinuses
  • Headaches
  • Postnasal drip
  • Pressure in your nose or sinuses 
  • Reduced sense of smell or taste
  • Runny nose
  • Snoring

If you have asthma, you may notice more frequent asthma attacks if you also have nasal polyps. 

It can be hard to tell whether you just have a cold, nasal polyps, or chronic sinusitis. Consult a doctor if your symptoms last more than 10 days for a diagnosis. Call your doctor right away if you develop any of the following symptoms:

  • Breathing difficulties
  • Double vision
  • High fever
  • Increasingly painful headaches
  • Severe swelling around your face or eyes 

Do Nasal Polyps Always Cause Symptoms?

No. Small polyps – and even some larger growths – won’t cause symptoms if they’re not blocking the nasal cavity. Treatment may not be required if your polyps aren’t noticeable. 

Who Gets Nasal Polyps?

Anyone can get them. However, they are more commonly found in adults. They’re very unusual in children aged 10 or younger. 

If you have nasal or respiratory inflammation – such as inflammation caused by asthma – you may be more prone to developing them.

Are There Treatments Available?

Treatment is normally aimed at reducing nasal inflammation which can help to shrink the growths. Treatment options include nasal steroids, oral steroids, and sinus surgery to remove the polyps in some cases.  

Do Nasal Polyps Always Require Surgery?

Not always. Surgery is typically only recommended if more conservative treatments – such as nasal sprays – don’t work or if polyps seriously affect your quality of life.

How Can I Properly Manage Nasal Polyps?


Young man with dark hair grimacing and holding his nose highlighted in red to emphasize pain

Although it’s impossible to prevent these polyps, there are steps you can take to manage your symptoms and improve how you feel. 

  • Use nasal rinses: Nasal irrigation using a sterile wash or salt solution can remove irritants from your nasal passages, which could make you feel more comfortable.
  • Control your asthma: Effective asthma management is crucial if you have nasal polyps. Contact Asthmaniac for help controlling your asthma which will in turn reduce inflammation in your airways.  
  • Use a humidifier: Humidifiers can moisten the air around your home, which might improve your symptoms by making it easier for mucus to move through your sinuses.
  • Wash your hands regularly: Colds, flus, and other viruses can irritate your nasal passages. Although you can’t avoid pathogens completely, regular hand washing – and avoiding touching your face – can reduce your risk of exposure

Over-the-counter medications, like nasal sprays and anti-allergy medication, may also help you manage your symptoms. 

Symptom management can sometimes depend on the underlying cause of your polyps. Book a consultation with us if you have asthma and you’re concerned that it’s not under effective control.   

Who Can Help With Management of Nasal Polyps?

Consulting a doctor should be your first step if you’re trying to control nasal polyps.

If you have asthma and suffer from nasal polyps, Asthmaniac can help. As your online asthma doctor, we’re committed to helping you manage your condition so you feel in control of your breathing. Whether you need an appointment quickly or a prescription for new asthma medication, Asthmaniac is here for you. 

Call today or book online to schedule a consultation! 

Do Nasal Polyps Cause Complications?

If the polyps block your air flow, they can make it harder for you to breathe comfortably. You may develop more frequent asthma attacks, and the chronic inflammation can make you more susceptible to sinus infections.  

Careful nasal polyps management can reduce the risk of complications, but there’s always the chance that polyps will worsen or come back after treatment.  

Do you need more help with your symptoms? Learn how to manage nasal polyps.

Asthmaniac Blog

Asthmaniac Blog

* is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging

How to Use an Inhaler Correctly

How to Use an Inhaler Correctly

How to Use an Inhaler Correctly

If you have an inhaler, you need to know how to use it properly to get the most benefit from your asthma medicine. Below, we cover the main types of inhalers and how to use them effectively.

What Is an Inhaler?

An inhaler helps to prevent asthma attacks and it relieves shortness of breath. There are four main types of inhalers. Which one you’re prescribed depends on your health needs.

  • Metered dose inhalers (MDIs): MDIs release medicine into your lungs in aerosol form in set doses. They’re a very popular type of inhaler for asthma and related conditions.
  • Dry powder inhalers (DPIs): DPIs send asthma medication into your lungs in powder form.
  • Soft mist inhalers (SMIs): SMIs release asthma medicine in a fine mist rather than aerosol form.
  • Nebulizers: Nebulizers release medicine in liquid form so that it’s absorbed very quickly by the lungs.

You may also have a rescue inhaler, which you should keep with you in case of unexpected asthma attacks.

Every inhaler comes with different potential side effects. Talk to your doctor or call Asthmaniac for an appointment if you’re unsure whether your inhaler is suitable for your needs.

Young woman wearing glasses sitting on navy sofa with hand over chest struggling to breathe waiting to take blue inhaler for asthma

How Often to Use an Inhaler

There’s no right answer to this because everyone has different health needs. Your doctor can tell you when – and how often – to use your inhaler. At Asthmaniac, we can review your medicine and check if your asthma is under control – call now for an appointment.

Let’s now break down how to properly use an inhaler, depending on which type of device you have.

How to Properly Use an MDI Inhaler With or Without a Spacer

Your MDI inhaler technique is key to getting the maximum benefit from your device, so here’s what to do.

  • If your inhaler comes with a spacer, place the device into the space first.
  • Then, shake the inhaler for around five seconds.
  • Using your thumb to support the base, hold the inhaler up and release a deep breath before using it.
  • Keep your tongue back from the chamber, but place your lips tight around the mouthpiece.
  • Breathe deep for a few seconds and hold the top down.
  • Hold your breath for another few seconds (ideally up to 10 seconds).
  • Breathe out and recap the mouthpiece (or take more puffs as directed).

Always have a doctor evaluate your technique if you’re unsure whether you’re using the inhaler correctly.

How to Use a Dry Powder Inhaler Properly

If you have a dry powder inhaler, here’s how to use it.

  • First, remove the cap from the inhaler.
  • Load the capsule or medicine into the device.
  • Let out a slow, deep breath before using the inhaler.
  • Make sure you put the mouthpiece firmly between your lips so medicine doesn’t leak out.
  • Take a deep breath in, hold it for a few seconds, then release the inhaler.
  • After another few seconds, breathe out.

Follow any specific instructions as set by your doctor.

How to Use Soft Mist Inhalers

Like other inhalers, soft mist inhalers are simple for most people to use, but here are the main steps to follow.

  • With the cap still closed, hold the inhaler upright.
  • Click the base into position and release the cap.
  • Open the cap and let out a full deep breath before using the device.
  • Put the mouthpiece into your mouth, taking care not to cover the air vents on either side of the inhaler.
  • Press the inhaler button, take a deep breath in, and continue inhaling for a few seconds.
  • Remove the inhaler, exhale slowly, and replace the cap.

If your soft mist inhaler comes with specific manufacturer instructions, always follow them.

Using a Nebulizer

If you’re using a nebulizer, breathe in slowly. Relaxed breathing will help to ensure you get the most benefit from the device.

  • Wash your hands and clean the pieces.
  • Take the medication cup and pour the liquid medicine inside it.
  • Connect the tubing and mouthpiece or mask.
  • Place the mouthpiece into your mouth or the mask over your face.
  • Breathe in and breathe out fully.

It’s a good idea to check the nebulizer is misting properly before using it, too.

Learn More About How to Use an Inhaler Properly

Using an inhaler can be tricky. However, if you have asthma, it’s important that you know how to use an inhaler correctly. At Asthmaniac, we can help ensure that your asthma is under control and that you’re on the right inhaler for your health needs. Learn more or book now by calling 720-900-0943.

Asthmaniac Blog

Asthmaniac Blog

* is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging

Tezspire for Breathing Your Best!

Tezspire for Breathing Your Best!

Tezspire for Breathing Your Best!

Tezspire Is a game-changer for Asthma Control


At its core, asthma is a disease of inflammation.  That inflammation is concentrated in the breathing tubes (bronchi) of the lungs.  This inflammation drives constriction of the bronchi, causing wheezing, cough, and shortness of breath.  In addition, extra mucus is produced resulting in a moist, rattly cough.


Inflammation Control


Decades ago, research studies uncovered the central role of inflammation in asthma.  Clinical studies since have shown that medicines that reduce inflammation are hugely important in controlling asthma.  Glucocorticoid steroids were found to be very powerful in shutting down this inflammation. Prednisone, a steroid taken orally, has been used to shut down this inflammation.  But prednisone has horrible side effects like opening you for bacterial infection and altering your emotions.  Plus, in kids, the liquid forms taste very bad and makes kids vomit.


Inhaled Steroids and Asthma


A form of steroid that you inhale from a puffer (metered dose inhaler or MDI) was developed that avoids the terrible side effects of oral steroids like prednisone.  Adding these inhaled steroids to the asthma action plan for moderate and severe asthma sufferers has been tremendously helpful in reducing their asthma attacks.  For best control, they need to be used twice a day, everyday, and if delivered from a MDI, a chamber (or spacer) must be used to make sure the medicine is deeply inhaled.  Without a spacer, much of the medicine ends up on the tongue and in the throat where it causes a painful yeast infection (thrush). 


Attacking the Inflammation Molecule


More recent scientific studies discovered that particular chemicals in the lining of bronchi are to blame for the underlying inflammation.  One of these chemicals, thymic stromal lymphoprotein (TSLP) triggers the release of other chemicals that activate inflammation.  Capturing and deactivating TSLP stops inflammation in its tracks.  The new drug, Tezspire does just that!


How is Tezspireadministered?


This medication comes in a prefilled pen injector that is placed next to the skin of your abdomen or leg and activated.  The inside mechanism of the pen quickly inserts a fine needle 5 mm into your skin while the device pushes 1.9 ml of liquid medicine into the subcutaneous tissue.


Taking this injection once a month, Yes, ONCE A MONTH, dramatically reduces wheezing episodes and dependence on steroids.

Is Tezspire Right for Your Asthma?

If you have wheezing, asthma attacks and ER visits while already using a daily inhaled steroid, you may benefit from this new medication.  Stop struggling with your breathing and find out if TezspireⓇ should be in your action plan by making an appointment with Asthmaniac today!

Asthmaniac is designed to deliver everything you need to achieve your best asthma control.  State-of-the-Art medicine is just part of that mission.  Along with amazing medicines, Asthmaniac delivers follow-up doctor consults, digital disease assessment, prescription refills, and patient education, right on your phone.  Asthmaniac on your phone puts you in the most powerful position to keep a lid on wheezing for Life!


Are you ready to talk about Tezspire for control of your asthma?  Book an appointment today!




Asthmaniac Blog

Asthmaniac Blog

* is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging

Asthma Proof Your Home: Identify the Hot Spots

Asthma Proof Your Home: Identify the Hot Spots

Asthma Proof Your Home: Identify the Hot Spots

If you have asthma, it’s important to asthma-proof your home. This means identifying and removing asthma triggers from your environment. Many people don’t know how to asthma-proof their homes, but it’s not difficult.

In this blog post, we will discuss how to identify asthma hotspots and create an asthma action plan for your home. We will also provide tips for asthma-proofing your home so you can live a healthier life!

How to Asthma Proof Your Home

Every home is different and therefore requires its own approach to asthma-proofing. However, there are some basic steps you can follow to get started.

1. Identify Asthma Hot Spots

The first step is to identify the hot spots in your home that need attention. The Asthma and Allergy Foundation of America (AAFA) has a Healthier Home Checklist that can help you figure out where to start.

This checklist provides tips for each area of the home, such as the bedroom, kitchen, and bathroom. By going through each room and identifying any possible asthma triggers—such as dust mites, pet dander, mold spores, or pollen—you will be able to pinpoint the areas that need attention.

2. Clear Home of Dust and Dirt

Once you have identified the hot spots, the next step is to reduce the levels of dust and dirt in your home. This can be done by vacuuming carpets and upholstered furniture frequently (at least twice a week) with a HEPA filter vacuum cleaner.  You should also regularly mop floors, dust surfaces, and take rugs outside to be beaten.

3. Cover Mattresses and Pillows

Dust mites love mattresses and pillows, so it’s important to cover them with special covers that encase the mattress in an airtight layer of fabric. This will prevent dust mites from getting into the material, making your bed a much less hospitable environment for them.

4. Consider Air Purifiers

Air purifiers can help to reduce the levels of pollutants and dust in your home, helping to make it easier to breathe. Look for one with a HEPA filter that is designed specifically for asthma sufferers.

5. Keep Humidity Low

A humid home is a perfect breeding ground for mold and dust mites, so it’s important to keep the humidity levels in your home at a minimum. Invest in a dehumidifier if necessary and keep windows closed during humid weather.

You can also reduce the amount of humidity in your home by taking shorter showers and using exhaust fans when cooking.

6. Wash Bedding Weekly

Regularly washing bedding, such as sheets, pillowcases, and duvets can help to reduce dust mites from settling into your bedding. Opt for washable covers for mattresses and pillows, and wash them often. It’s also important to vacuum mattresses regularly to eliminate any dust mite debris that may have settled into the mattress.

7. Vacuum Regularly

On the topic of vacuuming, it’s important to vacuum regularly in order to reduce dust, pollen and other allergens from settling into your carpets and furniture. Look for a vacuum with a high-efficiency particulate air (HEPA) filter to capture the smallest of particles.

8. Be Pest Aware

Keep an eye out for common pests such as cockroaches and rodents, which can both aggravate asthma symptoms. Use traps or sprays to keep these creatures away from your home. Make sure to clean any areas where they have been seen, such as under the sink or around food containers.

9. Test Your Home For Mold

Mold can be a serious asthma trigger, so it’s important to keep an eye out for any signs of mold growth. You can do this by testing the air quality in your home with a specialized device. If you find any mold, have it professionally removed as soon as possible.

10. Restrict Smoking In Your Home

Smoke from cigarettes, cigars, or pipes can be a major asthma trigger. Make sure to restrict smoking in your home and create a smoke-free environment to minimize exposure and reduce the risk of an asthma attack.

More Tips for Asthma Proofing Your House

Following these steps will help you asthma proof your home and protect your loved ones from potential triggers. Taking these precautions can help create a safe and healthy living environment for everyone.

Additionally, make sure to inspect your house regularly and keep an eye out for any changes that may be setting off asthma triggers. Check the air filter in your HVAC system often and replace it if necessary. Keep an eye on any water damage or standing water that could lead to mold growth, and invest in a dehumidifier to help control humidity.

Finally, try to identify any possible hot spots in your home where asthma triggers may be hiding. For example, the kitchen is a common spot for dust and grease buildup, while allergens such as pet dander or pollen can accumulate in carpets and on furniture. Cleaning these areas regularly and investing in air purifiers or vacuums with a HEPA filter can help keep asthma triggers at bay.

Stay up to date with Asthmaniac Blog for more tips on asthma-proofing your home.

Asthmaniac Blog

Asthmaniac Blog

* is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging