How Can Asthmaniac Address Your Asthma Concerns?

How Can Asthmaniac Address Your Asthma Concerns?

How Can Asthmaniac Address Your Asthma Concerns?

Asthma challenges Patients Identify

Asthma as a disease is not evenly spread across the U.S.

There are definitely hotspots as shown in this study:  https://www.aafa.org/asthma-capitals/

Geography doesn’t change the basic problem in the lungs.

How do we find out the biggest challenges in dealing with these lungs?

We need to talk to asthma sufferers.

This survey revealed some of the big problems asthma patients face:  https://www.aaaai.org/about-aaaai/newsroom/news-releases/asthma

Let’s dig in and see what they found.

The study was titled: 

NEW STUDY SHEDS LIGHT ON THE CHALLENGES AND BARRIERS OF SEVERE ASTHMA MANAGEMENT

Surveys were administered to asthma sufferers and the results were summarized.

The paper reported that asthma sufferers:

  1. Struggle to understand how best to manage asthma on a day-to-day basis;
  2. Often have feelings that the public does not appreciate how seriously asthma impairs their health;
  3. Share concerns about medication safety, especially ICS; and,
  4. Have substantial emotional impacts of having severe asthma, especially anxiety and reluctance to hospitalization.

When I set out to improve asthma outcomes with Asthmaniac, I reflected on 31 years of medical practice when developing priorities for how to proceed. 

I appreciated for a long time that asthma is a complex chronic disease.  

In order for patients to succeed in controlling it, they require understanding and must act on that understanding in order to take action at the right time.  

I designed the blog on Asthmaniac to address these core topics, using text, podcasts and videos.  

I wondered when a group of asthma sufferers would be surveyed about the biggest issues they face, and this paper reports just such concerns.

For each topic area discovered in this study, I will discuss strategies Asthmaniac uses to address them.

  1. Day-to-day management of asthma.
  2. Public perceptions of asthma
  3. Concerns about medication, especially ICS safety
  4. Emotion impacts on social and health status.

Point 1.  

We have known for decades that patients need tremendous support in managing daily symptoms.  

Ambulatory expiratory flow (PEF) and symptoms surveys (ACT) are a few methods devised to put numeric tools in patients’ hands that reflect the biologic status of their airways.  

It is believed that such tools allow patients to take the correct action, earlier when acute bronchospasm starts. 

These tools require specific education and in most primary practices, time constraints get in the way of delivering that education as often and as personalized as needed.  

Asthmaniac solution: 

  1. Simplify Asthma Action Plan; 
  2. Make Action Plan readily accessible on the smartphone; 
  3. Enhance knowledge competence as described 

4.B.2 below (see Blog and Podcast directory; make directory visible on social media sites and on all pages of Asthmaniac.com).

Point 2

Public perceptions of asthma.  

The challenges of a pandemic complicate public messaging about any particular disease.  

There are no scientific studies showing us how public  under appreciation of asthma affects employment, social stigmatisation, school adherence, physical activity adherence.  

In absence of data, we leverage intuition and forge ahead.  

Asthmaniac solution: 

  1. Develop content for a page that can become indexed by internet search methods that underscores the impacts of asthma on patient life (see new page titled Social Impact of Asthma). 
  2. Address these perceptions with each patient to at least reinforce that these impacts are real, challenging, and generally under-appreciated (add this question to our pre-post patient insights survey).

Point 3

Medication safety.  

Patient concern about inhaled corticosteroids (ICS) seems to predominate.  

These concerns are not necessarily the same as those we physicians are thinking about.  

Nonetheless, ICS is essential in moderate and severe asthma control.  

To assure compliance with its use, we must address these concerns.  

Asthmaniac solution: 

  1. Talk about the role of steroids generally and ICS specifically in asthma; 
  2. Reinforce the goal of prescribing the lowest amount needed for each patient to avoid safety and side effect concerns; 
  3. Consider the use of new pharmacologic agents in severe patients (like in e-asthma) that will allow reduction in oral and inhaled steroid use.

Point 4.  

We know from large samples of patients with chronic disease that the presence of one disease is highly associated with a second one.  

Considering the anxiety asthma sufferers share about losing control of their asthma, it is not surprising that they would be at higher risk for other chronic diseases linked to anxiety.  

So, WE MUST GET THIS ANXIETY UNDER CONTROL.  

In absence of any controlled studies, I believe areas to attack in gaining control of asthma anxiety are:

  1. Controlling asthma:  Asthma attacks are very frightening.  Preventing them will go a long way in allowing patients to settle emotionally.
  2. Dramatically increased patient understanding of their disease and how to manage it daily will also be settling.  Knowledge deficits are specifically identified by patients as a major problem (see point 1).

Asthmaniac solution: 

  1. make sure patients can access (through affordable, phone based care) rescue inhalers, oral steroids, controller medication and trigger medication (the core functionality of Asthmaniac.com
  2. Continually improve knowledge competence for self-management through phone/computer based contemporary media that is easily and affordably consumed (podcasts, video-casts, and online webinars that are announced to patients with email and text notifications). 
  3. Assess anxiety in each patient and develop a personalised response plan for each patient.  This will have to be a new component in the pre-post patient insights survey.

I believe specifically and clearly addressing the concerns highlighted in the group of asthma sufferers surveyed in this study will lead to better outcomes for all asthma sufferers that can access the Asthmaniac.com method. 

Complete the subscription form on the right if you’d like to get an email when I post a new podcast and blog entry.

Remember our hashtag: #asthmacarenow!

And keep Breathing Easy!

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

 

Subscribe

to get Asthma Updates!

Grow your asthma knowledge by getting these blog updates in your email!

How Can Asthmaniac Address Your Asthma Concerns?

How Can Asthmaniac Address Your Asthma Concerns?

Asthma challenges Patients Identify Asthma as a disease is not evenly spread across the U.S. There are definitely hotspots as shown in this study:  https://www.aafa.org/asthma-capitals/ Geography doesn’t change the basic problem in the lungs. How do we find out the...

Asthma Follow Up Care: Why You Need It!

* Follow-up Care is Essential to good asthma control. * Follow-up allows determination of asthma severity. * Other disorders that affect your breathing are detected early. * Rescue medication refills are provided * Your Asthma Action Plan is updated....

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Personalized Telemedicine for You!

High-Deductible Health Plan?  Online Asthma Is Perfect!

High-Deductible Health Plan? Online Asthma Is Perfect!

High-Deductible Health Plan? Online Asthma Is Perfect!

High Deductible? Asthmaniac Is Best Value!

✓   You have a Health Insurance Policy

✘   But, it has a high deductible

🙏  Asthmaniac was made for you!

💙  Affordable $50 doctor visits

✓   State-of-the-Art Asthma Care

✓   All online!

 

High-Deductible Health Insurance

The Accountable Care Act (Obamacare) created changes in the U.S health insurance market that allowed many more people to enroll in a health insurance plan.

The majority of these policies have a deductible that is large.

A deductible is the amount that you have to pay out-of-pocket before the policy kicks in.  This amount is usually many thousands of dollars!

This comes as a shock the first time you try to use your health insurance to pay for a doctor visit, a prescription, or worse, get admitted to the hospital where your bill quickly grows to tens of thousands of dollars. 

Ok, so like me, you have to pay out-of-pocket for the first several thousand dollars of medical services you need.

That means you will be shopping for the best value in medical products. 

Best value means: highest quality + lowest price.

In my three decades of practicing medicine, I’ve seen so many  patients with run-away, preventable disease whose illness got out of control because they did not got to a doctor earlier due to cost concerns.

That recurring theme motivated me to create a ‘clinic’ that IS affordable BUT delivers state-of-the-art medical care for you.

Asthmaniac is that clinic, specially focused on delivering the medical stuff asthma sufferers need.

 Stuff like:

  • prescribed inhaler refills and controller medicines;
  • a personalised action plan to guide them in responding to the symptoms;
  • an affordable online/on-phone doctor to coach them to greater health; and
  • a convenient, organised, accessible place to learn more about asthma.

I deliver this package through Asthmaniac which you can access on your smartphone, tablet or home computer.  

I price doctor visits at $50. 

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.

So fifty dollars per visit, thats..

$200 per year.

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

And if you have an HSA (Health Savings Account) with your high-deductible plan and need a receipt to reimburse yourself for your out-of-pocket Asthmaniac appointments –

I will make sure you have it!

That’s Asthmaniac!

 

Let’s get started!

Complete the subscription form on the right if you’d like to get an email when I post a new podcast and blog entry.

Remember our hashtag: #asthmacarenow!

And keep Breathing Easy!

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

 

Subscribe

to get Asthma Updates!

Grow your asthma knowledge by getting these blog updates in your email!

How Can Asthmaniac Address Your Asthma Concerns?

How Can Asthmaniac Address Your Asthma Concerns?

Asthma challenges Patients Identify Asthma as a disease is not evenly spread across the U.S. There are definitely hotspots as shown in this study:  https://www.aafa.org/asthma-capitals/ Geography doesn’t change the basic problem in the lungs. How do we find out the...

Asthma Follow Up Care: Why You Need It!

* Follow-up Care is Essential to good asthma control. * Follow-up allows determination of asthma severity. * Other disorders that affect your breathing are detected early. * Rescue medication refills are provided * Your Asthma Action Plan is updated....

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Personalized Telemedicine for You!

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 mean it!

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

I price doctor visits at $50.  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!

Complete the subscription form on the right if you’d like to get an email when I post a new podcast and blog entry.

Remember our hashtag: asthmacarenow! And keep Breathing Easy!

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

 

Subscribe

to get Asthma Updates!

Grow your asthma knowledge by getting these blog updates in your email!

How Can Asthmaniac Address Your Asthma Concerns?

How Can Asthmaniac Address Your Asthma Concerns?

Asthma challenges Patients Identify Asthma as a disease is not evenly spread across the U.S. There are definitely hotspots as shown in this study:  https://www.aafa.org/asthma-capitals/ Geography doesn’t change the basic problem in the lungs. How do we find out the...

Asthma Follow Up Care: Why You Need It!

* Follow-up Care is Essential to good asthma control. * Follow-up allows determination of asthma severity. * Other disorders that affect your breathing are detected early. * Rescue medication refills are provided * Your Asthma Action Plan is updated....

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Personalized Telemedicine for You!

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 severe asthma

* Patients with e-Asthma have difficulty getting asthma control with usual treatment

* 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 in 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*
ICSAge 6 – 12 yearsAge > 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

This 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 controlled.

How do we know if your asthma is the type that will respond to this medicine?  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.

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

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

Complete the subscription form on the right if you’d like to get an email when I post a new podcast and blog entry.

Remember our hashtag: #asthmacarenow! And keep Breathing Easy!

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

 

Subscribe

to get Asthma Updates!

Grow your asthma knowledge by getting these blog updates in your email!

How Can Asthmaniac Address Your Asthma Concerns?

How Can Asthmaniac Address Your Asthma Concerns?

Asthma challenges Patients Identify Asthma as a disease is not evenly spread across the U.S. There are definitely hotspots as shown in this study:  https://www.aafa.org/asthma-capitals/ Geography doesn’t change the basic problem in the lungs. How do we find out the...

Asthma Follow Up Care: Why You Need It!

* Follow-up Care is Essential to good asthma control. * Follow-up allows determination of asthma severity. * Other disorders that affect your breathing are detected early. * Rescue medication refills are provided * Your Asthma Action Plan is updated....

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Personalized Telemedicine for You!

High-Deductible Health Plan?  Online Asthma Is Perfect!

Asthma Follow Up Care: Why You Need It!

Asthma Follow Up Care: Why You Need It!

* Follow-up Care is Essential to good asthma control.

* Follow-up allows determination of asthma severity.

* Other disorders that affect your breathing are detected early.

* Rescue medication refills are provided

* Your Asthma Action Plan is updated.

Having your asthma diagnosed is the first step to getting control.

But after treatments are prescribed, follow-up becomes the key to avoiding asthma attacks and minimizing your asthma symptoms

Follow-up is so important because asthma is not a disease that is ‘cured’ in the usual sense.

Instead, our goal is to manage it.

Control it.

So that you can be active.

So you can sleep well.

So you don’t have to make emergency room visits “routine”.

So, you don’t have to experience life-threatening asthma attacks!

Managing asthma means regular, repeated Dr. visits.

We know from research studies that the best interval for these reassessments is about every 3 months.

At these appointments: We work on a number of points.

.. First, I evaluate your asthma severity to see if it has changed.,

.. We discuss your response to your asthma treatment plan and consider revising it if needed.

.. We discuss new information relative to your asthma, such as new medications that may be helpful for controlling your symptoms.

.. If needed, I order changes in the strength or frequency of your controller or trigger medications.

.. When we have your new plan finalized, I transmit your medication refills  to the pharmacy of your choice, electronically.

.. Then, we review your Asthma Action Plan and I

Send to your phone!

Before we sign-off, I schedule your next appointment, 3 months away.

In this way, Asthmaniac helps you stay on top of your asthma.

Asthmaniac gives you the tools to keep your asthma in control

and for you to become the

 expert of your asthma!

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

Subscribe

to get Asthma Updates!

Grow your asthma knowledge by getting these blog updates in your email!

How Can Asthmaniac Address Your Asthma Concerns?

How Can Asthmaniac Address Your Asthma Concerns?

Asthma challenges Patients Identify Asthma as a disease is not evenly spread across the U.S. There are definitely hotspots as shown in this study:  https://www.aafa.org/asthma-capitals/ Geography doesn’t change the basic problem in the lungs. How do we find out the...

Asthma Follow Up Care: Why You Need It!

* Follow-up Care is Essential to good asthma control. * Follow-up allows determination of asthma severity. * Other disorders that affect your breathing are detected early. * Rescue medication refills are provided * Your Asthma Action Plan is updated....

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Personalized Telemedicine for You!