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!

Got asthma?

⇨ No Insurance?

Asthmaniac was made for you!

Affordable doctor visits!

State-of-the-Art Asthma Care.

 All online!

 

No Insurance = No Problem

Asthmaniac was designed 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 four doctor 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.

Asthmaniac puts your asthma doctor (ME!) in your 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!

#asthmacontrolnow
#telemedicineasthmacare
#backpocketasthmadoc
#asthmaactionplan
#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
#easthma
#peakexpiratoryflow
#peakflowmeter
#asthmaniac

 

Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...

Is Your Asthma e-Asthma? New Medicine!

Is Your Asthma e-Asthma? New Medicine!

Is Your Asthma e-Asthma? New Medicine!

* e-Asthma is category of moderate and severe asthma

* Patients with e-Asthma have difficulty getting asthma control with inhalers

* e-Asthma responds well to a new type of injected medicine

* In such patients, this new medicine can decrease their asthma attacks and allow them to use less oral steroid.

     e-Asthma is a type of severe asthma that responds well to a new kind of control medicine that you inject under skin, usually monthly.

     Severe Asthma means:

  1. You’ve been on a high dose of inhaled corticosteroid (ICS) and a long-acting bronchodilator or theophylline for the past year; and/or
  2. You’ve been treated with steroids (like Prednisone) by mouth for more than half of the past year.

Wondering what “high dose” ICS means?

 

Definition of high dose*
ICS Age 6 – 12 years Age > 12 yrs
Beclomethasone (Qvar) ≥ 320 mcg/day ≥ 1000 mcg/day
Budesonide (Pulmicort) ≥ 800 mcg/day ≥ 1600 mcg/day
Ciclesonide (Alvesco) ≥ 160 mcg/day ≥ 320 mcg/day
Fluticasone (Flovent) ≥ 500 mcg/day ≥ 1000 mcg/day
Mometasone (Asmanex)  ≥ 500 mcg/day ≥ 800 mcg/day
*European Respiratory Society: Eur Respir J Feb 2014 43:343-373

There is a new type of injectable asthma medicine has been shown to dramatically:

1. Reduce the number of asthma attacks you will have

2. Reduce how much oral steroid (like Prednisone) and ICS you need to stay in control.

You would be likely to get a good response to this new medicine if:

  1. Your eosinophils are elevated in your bloodstream, and
  2. Your allergy testing shows that you are triggered by seasonal allergens.

So, let’s review:

If 

You have been on high dose ICS (see above) or oral steroid for more than half of the year,

AND

You have skin allergy tests that show a problem

THEN

I would recommend having your blood drawn to measure your eosinophil count.

If your eosinophil count is elevated (35-700 IU/mL), you would be a good candidate to try this new type of medicine.

What medications would be considered?

Here is a list of subcutaneous medications that can be ordered for e-Asthma:

 

Omallzumab (Xolair) injected every 2 or 4 weeks depending on your eosinophil count and age

Dupilumab (Dupixent) injected every 2 weeks

Mepolizumab (Nucala) injected every 4 weeks

Benralizumab (Fasenra) injected every 4 weeks for 3 doses, then every 8 weeks.

Tezepelumab (Tezspire) injected every 4 weeks.  This medicine does not require any history of elevated eosinophils or prior testing for allergic asthma.

These medications are quite new and it will take some time for general practitioners to become educated about prescribing them.

But, on Asthmaniac.com they are available RIGHT NOW and if you are suffering from moderate or severe asthma, they could be a really good solution for getting your severe asthma under control.

Asthmaniac IS your online asthma doctor for prescriptions, consultations, education and followup.  Book Today!

#asthmacontrolnow
#telemedicineasthmacare
#backpocketasthmadoc
#asthmaactionplan
#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
#easthma
#peakexpiratoryflow
#peakflowmeter
#asthmaniac

 

Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...

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, you should be checked 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.

Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...

PM2.5 and Asthma

PM2.5 and Asthma

PM2.5 and Asthma

* PM2.5 is a tiny particle suspended in the air.

* It is present in hot, dry, and polluted environments.

* When inhaled, PM2.5 triggers inflammation in bronchi, driving bronchospasm and asthma attacks.

* How do you protect yourself?

 

PM2.5: This Tiny Particle

Is A Big Asthma Problem!

You have asthma.  You go to work, drive with the windows down, walk outside, or perhaps even run or bicycle outside on a hot smoky or dusty day.  Next thing you know, your chest is tight, you are coughing, and you can feel that you are wheezing.  What happened?  There’s a pretty good chance the trigger is something called PM2.5.

Time to learn about PM2.5! Where does it come from, how it moves, and why does it make your asthma go crazy?

What Is PM2.5?

PM2.5 is Particulate Matter that is smaller than 2.5 micrometers. It a very small particle,  1/30 the diameter of a human hair!  Particles this small are invisible to your eyes but there is one organ that is very good a deteting them:  Your lungs!

Particles this small stay suspended in the air and when inhaled, move down your trachea, bronchi, all the way to your alveoli, and even into your blood stream!  Not good!  But if you have asthma lungs that are queued up for bronchospasm, this can be really bad.

What is the source of PM2.5?

PM2.5 is generated in many ways including:

  • Car and truck exhaust
  • Motor vehicle tire wear
  • Factories and power plants
  • Fires (like wildfires, campfires, and even fireplaces at home)
  • Construction sites (dust and debris)
  • Cigarette and vape smoke
  • Burning garbage

We now know cooking (especially frying or grilling) can also generate PM2.5, right in your kitchen or on the patio!  Oh brother!

There are some natural, non-man-made sources of  PM2.5 such as volcanoes or dust storms but most is created by human processes.

Spreading PM2.5.

The size and lightness of PM2.5 particles allows them to easily float in the air, setting them up for many miles of movement on the wind.  That means you could be miles from where the PM2.5 particles are being generated and still have an effect on your breathing!

Even non-wind climate conditions can worsen the reaction to PM2.5.  Hot, dry conditions allow PM2.5 to accumulate to high levels, reducing air quality and in cities in particular, leads to air quality alerts for people with asthma and other lung conditions.

Asthma and PM2.5: Not a good mix!

PM2.5 creates several problems in the airways and lungs of people with asthma:

  • Irritation: Generally, asthma causes bronchi and bronchioles (breathing tubes) and you’re your lungs to be very sensitive to irritants of any kind. The size of PM2.5 particles makes them particularly good at stimulating irritation of airways.  In this way, they act as a trigger for airway constriction.  Even if you are taking daily medicine to reduce trigger effects, PM2.5 can overwhelm these medicine and next thing you know:  you will cough, wheeze, or feel short of breath.
  • Inflammation: As you know in your study of asthma, it is a disease of heightened inflammation in your airways. When PM2.5 lands on the lining of your airways, it stimulates a reaction that does what you need least: More inflammation.  And that’s true even when you are taking a daily controller medicine aimed to control inflammation.
  • Long-term damage: Here is where we are learning the most of long-term asthma effects. Through its trigger and inflammation effects, PM2.5 can drive irreversible damage in your airways, progressively destroying the ability of the lungs to move oxygen.  Next thing you know, you’ll have emphysema with your asthma!

Asthma sufferers and those with established lung disease aren’t the only ones affected.  Even healthy people experience airway problems when exposed to PM2.5.

Protecting Your Lungs?

PM2.5 is everywhere, worse in cities, and worse in hot, dry, dusty and smoky conditions.  You can’t always just avoid such places, so what to do.

  • Monitor air quality: With most weather apps and television weather reports, air quality is rated and warnings are issued when there are dangerous levels of PM2.5.
  • On bad days: Stay indoors with the windows and doors closed and when you need to go outside, wear a mask that can block PM2.5 such as our old friend, the N95.
  • In the house: Use an air purifier and a quality filter to keep the PM2.5 level low.
  • Avoid smoke: Avoid all smoke and anything that creates smoke-like particles.  Outside, that’s campfires, auto exhaust, factory exhaust, grass- or forest-fires, and any open burning.  In your personal space, cigarettes, vapes, and any smoking apparati will be creating PM2.5.  Just say no!
  • Action Plan:  If you get exposed, and your airways begin to spasm, activate your asthma action plan and don’t hesitate to call for help if your rescue and control measures arn’t working!
  • Monitor Your Breathing:  Use the Asthma Control Test to track your symptoms.  An uptick in your score is an early clue that that your asthma is getting out of control

Wrap Up

PM2.5 is tiny, easily moved, concentrated in hot, dry and urban evironments, and can be a big trigger for your airway irritation and inflammation.  Avoid it where possible, block it when you can, and remember your action plan if things go off the rails.  If you are still struggling, make the call and go to the ER or call 911.  Don’t wait until your irritation and inflammation become very advanced!  Instead, be aware of PM2.5, be smart, understand your asthma, and breathe best!

#asthmacontrolnow
#telemedicineasthmacare
#backpocketasthmadoc
#asthmaactionplan
#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
#easthma
#peakexpiratoryflow
#peakflowmeter
#asthmaniac

 

Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...

Do You Need an Affordable Doctor?

Do You Need an Affordable Doctor?

Do You Need an Affordable Doctor?

WE ALL DO!

What does “affordable” mean?

It could be what you pay out-of-pocket before you have met your deductable (assuming you have health insurance).

Or,

If you don’t have health insurance, you probably think of affordability in the following ways:

… what it costs to go to the ER (thousands?!!),

… what it costs to see a regular doctor (assuming you can find one that will give you an appointment, around $150)

…  what it costs to go to an urgent care (around $150).

Well, I can do better than that.  I keep my per visit price to nearly half of an urgent care or regular office visit. 

With Asthmaniac, it is all online/on-the-phone, and all about asthma.  

If you are looking for top quality asthma care at an unbeatable price with back-pocket convenience, Asthmaniac is your ‘clinic’!

As with other chronic diseases, affordability is important for Asthma Control

* The cost of asthma control can be a barrier:

* Many costs of asthma care can exceed what those without insurance can afford.  These include:

* The cost of asthma medication.

* The cost of doctor visits

* The cost pulmonary function testing.

I endeavor to keep my consults to you AFFORDABLE.

And, I am constantly looking for the best way to get you medication that fits your budget. 

 I am committed to designing a method that asthma patients can actually afford to use.

A method that keeps them breathing deeply, sleeping soundly, and striding through their days with new confidence in managing their asthma.

Asthmaniac is that method.

#asthmacontrolnow
#telemedicineasthmacare
#backpocketasthmadoc
#asthmaactionplan
#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
#easthma
#peakexpiratoryflow
#peakflowmeter
#asthmaniac

Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Asthma Attack Triggers:  Keep a Lid On It!

Asthma Attack Triggers: Keep a Lid On It!

Asthma Attack Triggers: Keep a Lid On It!

Triggers for wheezing (bronchoconstriction) include:

* Pollen

* Dust Mites

* Cockroaches

* Mold

* Pet dander

* Tobacco Smoke

To prevent wheezing, you need to avoid these triggers.

If avoiding them isn’t possible, I can prescribe medicine suppresses the effect of triggers.

 

As you have learned, asthma symptoms occur when the breathing tubes or bronchi, clench down.  

This is called bronchoconstriction.

Bronchoconstriction blocks the flow of air to your lungs, creating labored breathing, shortness of breath, and chest pain..

In most patients with asthma, this bronchoconstriction is ‘triggered’ by something outside of your body.  

Quite often, this ‘something’ is a breathable, microscopic particle.  When these particles land in your airways, they launch an allergic reaction in your airways.

These particles are called allergens.

There are a number of natural and man-made allergens that can trigger wheezing and asthma attacks.

Pollen from trees and plants that you inhale is one of the most common and difficult to avoid when you are outside.

The most problematic indoor allergen is dust mites.  These microscopic white insects eat the dead skin cells we humans shed.  These skin cells build up in carpet, upholstery, and bedding and sure enough, that’s where the mites will be.

Bronchoconstriction is triggered when microscopic parts of mite skeletons and mite fecal droppings are inhaled. 

Cockroaches are another big problem for asthma patients.

Cockroach fecal droppings can be inhaled in the same way as dust mites, leading to bronchoconstriction.

Another indoor allergen is mold .  A mold grows, microscopic spores are released and can be inhaled.  In some patients with asthma, these spores can trigger wheezing.

Some of our favorite pet companions can trigger wheezing.  The hair fiber of dogs and cats is composed of microscopic flakes called dander.

Dander is a powerful allergen in some people. 

Fortunately for us and them, bathing dogs and cats weekly dramatically reduces how much dander they release.

It comes as no surprise that Tobacco smoke is a powerful trigger of bronchospasm.

With short-term inhalation, tobacco smoke irritates the lining of the bronchi causing bronchospasm.  

With repeated inhalation, permanent damage occurs to the lungs, leading to emphysema and lung failure.

Other irritants that can trigger bronchospasm include: wood smoke from wood stoves, heaters and fireplaces, and, 

strong chemical odors released from perfumes, solvents and paint.

 

My Strategy for Handling Triggers

Every patient has a unique response to triggers.

Usually, the most powerful trigger can be identified by you through past experience .  

The most important thing you can do to limit these trigger effects is to avoid the source of the trigger.  

While this sounds simple, it can be difficult to achieve in daily life.  

There are specific strategies that I will recommend for trigger avoidance.

But, when avoiding the trigger is not possible, I will prescribe medicine designed to help your airways resist bronchospasm from inhaled triggers.

As you can see, controlling triggers is a really important part of keeping your asthma controlled.

#asthmacontrolnow
#telemedicineasthmacare
#backpocketasthmadoc
#asthmaactionplan
#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
#easthma
#peakexpiratoryflow
#peakflowmeter
#asthmaniac

 

 

Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...

SMART: Smart and Simple Asthma Care!

SMART: Smart and Simple Asthma Care!

SMART: Smart and Simple Asthma Care!

* SMART means:

..simple ..control & ..rescue!

SMART therapy stands for Single Maintenance and Reliever Therapy.   At Asthmaniac, we the words “maintenance” and “controller” mean the same thing.  Likewise, “reliever” and “rescue” are interchangeable.

SMART therapy is for patients with moderate to severe asthma who need a combination treatment. This combined treatment consists of an inhaled corticosteroid (controller ) and an inhaled long-acting beta-2 agonist (LABA) (bronchodilator). The SMART therapy program simplifies things by having patients to use one inhaler for both! The maintenance dose can be adjusted based on the needs of the individual, but it is typically at least two doses a day (either two at once or one dose twice a day).

What medicines are in SMART therapy?

SMART therapy is a combination of an inhaled corticosteroid and an inhaled LABA. Currently, this combination is available in two medications:

  • budesonide/formoterol (Symbicort®)
  • mometasone/formoterol (Dulera®)

In asthma guidelines for SMART therapy, the budesonide/formoterol combination is the recommended first treatment for moderate to severe asthma.

How does SMART therapy work?

SMART therapy allows people with asthma to use just one medication to control asthma symptoms. They use this single medication for both control and rescue therapy.

Typical rescue inhalers contain only a bronchodilator. Controller medications often include an anti-inflammatory inhaled corticosteroid. But with SMART therapy, the inhaler has both an anti-inflammatory inhaled corticosteroid and a LABA. This is helpful as it means people are getting daily medicine to keep their airways open. And when they are experiencing symptoms, they are getting extra anti-inflammatories. This helps to reduce airway inflammation.

Who can receive SMART therapy?

Under asthma guidelines, SMART therapy is recommended for people with moderate to severe asthma, including children ages 5 and older. In general, SMART therapy is considered an easier treatment plan to follow. A SMART therapy plan can also be used as an as-needed treatment for mild asthma. Formoterol is a long-acting inhaled medication but it works quickly, similar to quick-relief albuterol. .

What is moderate to severe persistent asthma?

People with moderate asthma have daily symptoms or wake up at night due to symptoms at least once a week.

People with severe asthma have symptoms throughout the day despite following their treatment plan. They also report waking up at night with symptoms, even after taking treatment. Learn more about understanding asthma severity.

How will I know if SMART therapy is right for me or my child?

To determine if SMART therapy is right for you or your child, consider Shared Decision-Making. In Shared Decision-Making, you and I decide the right treatment approach fo you. The best is based on your asthma control, lifestyle and other healthcare needs and preferences. Then you and I work together to develop an Asthma Action Plan so you know what to do for treatment when symptoms occur.

Ready for a SMART plan?

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Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...

Climate Change: How It Can Affect People with Allergies and Asthma

Climate Change: How It Can Affect People with Allergies and Asthma

Climate Change: How It Can Affect People with Allergies and Asthma

According to the World Health Organization, climate change is one of the biggest global health threats of this century. Many people don’t realize that climate change can also affect those with allergies and asthma. 

Rising temperatures, increased air pollution, and longer pollen seasons can all have an effect on the symptoms of people with allergies and asthma. 

In this article, we’ll explore climate change and asthma and how individuals can manage their asthma now and into the future.

What is Climate Change?

Climate change refers to any large shifts in temperatures and weather patterns over a long period of time. While some of these shifts are natural,  the main driver of climate change since the 1800s has been human activity. Burning fossil fuels (like coal, oil, and gas), manufacturing, and agriculture all produce heat-trapping gases such as carbon dioxide which trap heat in the atmosphere. 

How Does Climate Change Affect Asthma?

There are a few main ways that climate change affects asthma.

Air Quality

Because climate change can lead to longer pollen seasons and higher temperatures, this can be especially bad for people with asthma. As temperature rises, air pollution also increases, making it difficult for those with asthma to breathe. 

The climate change-induced increase in ground-level ozone has been shown to reduce lung capacity, increase asthma symptoms and worsen overall air quality. Ozone is a powerful lung irritant and can trigger asthma attacks.

Allergy Season

Warmer temperatures also make it easier for mold, dust mites, and other air pollutants to thrive, which can worsen asthma symptoms. Pollen counts tend to be higher for longer periods of time in regions with climate change. This means that people with asthma have a greater risk of being exposed to allergens and developing asthma attacks.

Similarly, extended or shortened seasons due to climate change can have an effect on asthma. For instance, climate change may cause warmer winters and earlier springs. This could lead to longer and more severe allergy seasons, triggering increased asthma symptoms due to higher levels of allergens in the air for a longer period of time. 

Natural Disasters

In addition, climate change has been linked to an increase in severe weather events such as hurricanes, floods and heat waves that can cause disruption for those with asthma. 

Climate change is also causing more frequent and intense droughts, which can lead to wildfires that create smoke-filled air that makes it difficult for those with asthma to breathe.  The combination of heat and air pollution can also worsen asthma symptoms. 

Climate Change and Asthma: How to Protect Yourself

 It is clear that climate change has a direct effect on asthma, exacerbating existing conditions and creating new health risks for those with the condition. Research on asthma and climate change has found that the best way to protect yourself is to reduce your exposure to climate-related triggers. 

Reducing exposure to air pollution and pollen can help lessen asthma symptoms. This includes staying indoors in air-conditioned environments during air quality alerts and high pollen days, changing the filter regularly if using an air conditioner, and washing exposed skin and clothes when returning from outdoors. 

Additionally, you can reduce mold exposure by avoiding damp indoor environments and thoroughly drying the area after a flood or leak.

Finally, it is important to stay informed on climate change and asthma-related research to ensure that you are taking all necessary steps to protect yourself. With climate change only projected to worsen, understanding the connection between climate change and asthma can help you reduce your asthma triggers and lessen the risk of exacerbations. 

Preparing for Allergy, Asthma, and Climate Change

As most asthmatics know, many things are outside of our control. While you may not be able to change climate conditions, you can still take steps to reduce your risk of asthma exacerbations due to climate-related factors. Here are some tips for how you can best prepare for climate change and allergies:

  1. Monitor pollen and other allergen levels in your local climate. Knowing the forecasted levels of allergens, such as mold, pollen, and dust mites, can help you plan ahead. This can be especially important if climate change is expected to bring more allergens into your area.
  2. Reduce your exposure to outdoor allergens by limiting outdoor activities during high-allergen days or times of day.
  3. Make sure you have a good air filtration system in your home to reduce allergens inside.
  4. Stay informed about climate change and air pollution trends, as they can have an impact on asthma-related symptoms.
  5. Talk to your doctor if you are concerned about climate change and how it may affect your asthma or allergies. Optomizing your asthma control plan is an excellent way to manage your asthma in a changing climate.

Learn How Climate Change Can Effect You With Allergies and Asthma.

Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...

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. If your congested breathing symptoms last more than 10 days, a doctor visit is in order! 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 under the age of ten. 

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 leave your sinuses.
  • Wash your hands regularly: Virus infections that attach the upper airways can irritate your nasal passages. Although you can’t avoid these pathogens completely, regular hand washing – and avoiding touching your face – can reduce your risk of infection.

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?

Getting a doctor visit 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.

Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...

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 are familar with coughing and wheezing. And if you have severe asthma, you may experience breathing difficulties more often than sufferers with a milder condition. 

You have learned that 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 detect when your asthma is flaring 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.

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 us urgently.

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 controller medication isn’t working for you as well 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 severity has changed. 

3. Activity Limitations

Every asthma sufferer has different limitations. Strenuous exercise to one person could be easily manageable by another. It’s important you know what’s manageable for you so you can sense if a change in your asthma 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 and BREATHING better. 

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

Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...