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Your Asthma Control is Our Mission

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.  

We call this 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.

But there’s even more to learn, so let’s dig in!

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

 

 

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 Action Plan: Personalized Just For You!

* Your 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 clearly...

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...

Asthma Facts

Asthma Facts

* Asthmaniac.com 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

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Phone Doctor Visits: They Work For Asthma Control!

Phone Doctor Visits: They Work For Asthma Control!

Phone Doctor Visits: They Work For Asthma Control!

*  Quality Asthma care depends on self-management by patients.

*  A large part of my role as your physician is teaching you these self-management skills.

*  Crucial to these skills are techniques you will use to assess:

*  Your Symptoms (Asthma Control Test)

*  Your Lung Function (Peak Expiratory Flow)

*  We will discuss your self-assessments by phone rather than in-person.

*  These phone visits and your frequent use of the Asthmaniac website are designed to keep your asthma controlled while avoiding illness exposure and the inconveience of travel and waiting rooms

 

I designed Asthmaniac around the National standards for asthma care.

Those standards tell doctors to teach their patients how to assess their everyday symptoms and lung lung capacity.

Years of research has led to the creation of a solid symptom assessment tool (Asthma Control Test or ACT).   This is a survey that you can complete yourself and then report to me.

Research has also shown that lung performance – or how well you are able to breath out (Peak Expiratory Flow or PEF), can be measured using a simple, pocket-sized flow meter.

In my Asthmaniac clinic, I ask that patients use a simple flowmeter to record their number several times each week.

I instruct you how to use this number in conjunction with your Action Plan.

I use this number in planning updates to your medications, their dosages, and your Action Plan.

The great thing about having these two proven methods of assessing your asthma is that we can conduct our entire asthma appointment over the phone.

Yes!

Over the phone!

That means you can get your Asthmaniac appointment on a lunch break, walking down the street, or wherever you are.

One place you won’t be is sitting?

A doctor office waiting room – waiting to catch a virus!

Phone appointments: a key convenience of Asthmaniac!

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

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 Action Plan: Personalized Just For You!

* Your 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 clearly...

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...

Asthma Facts

Asthma Facts

* Asthmaniac.com 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

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Steroids in Asthma: Why We Need Them?

Steroids in Asthma: Why We Need Them?

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 are used to control inflammation in asthma

* Lung inflammation in moderate asthma can be controlled but not cured.

 

The basic problem in asthma lungs is inflammation.

Inflammation means swelling, oozing, and fragility of the breathing tube linings.  

Extra mucus is produced from this inflammation and together with the swelling, creates a lot of extra resistance to air flow.  

When these breathing tubes are fired up with swelling and mucus, the effort to move air, especially out of the lungs, can be exhausting.

All of my work as your doctor is aimed at keeping a lid on this inflammation.  The tendency for it to get out of control will always be there – that’s the way asthma is.

But, with the right medication and avoidance of triggers, you can stay out of the ER, get restful sleep, and be as active as an Olympic athlete!

Now, when the inflammation is out of control, we have only one choice.

SHUT IT DOWN.

The most potent and fast acting medicine we have for this is corticosteroids.  

We say steroids for short.  

This isn’t the steroids injected by weight lifters to make big muscles – those are called anabolic steroids..  

Corticosteroids work inside the cells of the breathing tube walls to block the inflammation process.

They work – but their action is not immediate.

Prednisone and Dexamethasone are the most common forms used in non-hospitalized asthma patients.

These steroids are taken by mouth, or if your breathing is really bad, they are given intravenously.

Either medicine must be taken for 3-5 days straight for the full effect.

After these medicines shut down the inflammation process in the breathing tubes, we are in a position to launch a new asthma action plan that includes stronger controller medicine in the form of inhaled steroids, also called controllers.

These inhaled corticosteroids have dramatically changed the course of asthma.  

Lives have been saved and many days of disrupted sleep, work, & school have been prevented. 

For more severe asthma sufferers, there are new medications – biologics, that are likely to make even more dramatic improvements in severe asthma control.    

For most moderate asthma patients, inhaled corticosteroids will be a cornerstone of their asthma action plan.

Finding the right type of steroid compound, the frequency that works, and the one that you and your insurance company accept is a really important part of asthma care.

If you are using your albuterol rescue inhaler daily and aren’t using a steroid inhaler, you need one.  

If you are using your albuterol rescue inhaler more than two times per week and you ARE on a steroid inhaler, you need a change that delivers more steroid either per dose or more times per day.

Thanks for learning more about asthma!

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

 

 

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 Action Plan: Personalized Just For You!

* Your 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 clearly...

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...

Asthma Facts

Asthma Facts

* Asthmaniac.com 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

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

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 charge my asthma patients $50 per visit. 

Yep, $50 per visit. 

If you have pretty well controlled asthma and I see you as recommended 4 times a year, you’ll be dishing out $200 in cash. 

Oh, and 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.

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

 

The cost of medical care is a big deal.

People have lost their homes due to medical bills. And during this recession, it’s even worse.

People in the US routinely postpone medical care because of the cost.

So while I am focused on accurately diagnosing your asthma and prescribing essential medication, I can’t lose sight of the costs to you.

All of my effort, logic, dedication, training and energy are completely undone if you cannot afford a consultation with me in the first place.

My commitment in the design of Asthmaniac is to keep the price you pay for visits with me, fair and reasonable.

I do not control the cost of asthma medicine but will do all I can to find discounted medication for my patients.

So many of my patients do not have health insurance to pay for medical care. 

This means they have to pay cash for their care.  When balancing how to spend their cash, they have to find the best value for their medical care.

That means getting the most for the least.

Even patients with high-deductible health insurance have to pay out-of-pocket until their deductible is met. So they too are interested in the best value.

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

A method they can AFFORD!

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

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 Action Plan: Personalized Just For You!

* Your 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 clearly...

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...

Asthma Facts

Asthma Facts

* Asthmaniac.com 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

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!