* 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
Podcast: Play in new window | Download (Duration: 2:44 — 2.5MB)
Asthmaniac.com is a fully digital asthma clinic designed to deliver physician consultation, disease assessment, patient education, medical refills, and follow-up care. This is different than making an appointment in a traditional clinic for asthma care. So, how does it work?
Asthmaniac.com is a website that contains the links and information you will need to manage your asthma. Simply navigate to Asthmaniac.com in your browser. Once you are on the webpage, there are several areas you will likely use frequently.
Pressing this button takes you to the scheduling page where you can choose from two selections: Inhaler Refill or Asthma Consultation.
If you are an established patient and simply need a refill of your rescue or control inhaler, select Inhaler Refill. You will be taken to the calendar where you select the day and time of your appointment and make payment. A confirmation will arrive in your email inbox along with a link to measure and report your ACT score and Peak Expiratory Flow.
If you are a new patient (new to Asthmaniac.com), select Asthma Consultation. You will be taken to the calendar where you will select the day and time of your appointment and make payment. A confirmation will arrive in your email inbox along with a link to a medical history form that collects information about your past problems with asthma and any other health disorders.
The row is directly below that Asthmaniac Motto: “Your Asthma Control is Our Mission”.
The Menu Bar contains links to the most important areas of Asthmaniac.com.
Home: This selection takes you back to the home page from your current page.
Blog: This section is loaded with patient education covering a wide and ever-expanding number of topics essential for obtaining and keeping control of your asthma. A list of blog posts is stacked along the right side of this page, along with live links to corresponding podcasts. These podcasts are also available on major podcasting platforms like Apple Podcast and Spotify, making them easy to consume and share!
Your Online Asthma Doctor: This section describes the very simple structure and focus of Asthmaniac.com. The components Asthmaniac delivers to you are described in six blurbs with links to pages with more information about each.
About: This section describes the concept of asthma primary care – the core medical solution to assisting you to keep your asthma controlled.
ACT: This link takes you to the Asthma Control Test page where you will learn about this test, how it is used to assess your asthma control, and contains a link that walks you through the test. The Asthma Control Test (ACT) score is used at every appointment and between appointments to give you feedback on your disease status.
Links to Facebook, Twitter and Instagram appear in the top tab. You can jump to each of these social media sites by clicking the icon for each.
The twitter feed is loaded with the latest research articles about asthma.
At the bottom of each page, you will find links for:
The Asthmaniac phone number; and
The Asthmaniac email link;
In addition, there are links for:
The Home page;
The “Your Online Asthma Doctor” page;
The “Established Patient Process” page which describes how established patients receive their interval care;
The “New Patient Process” page which describes how new patients receive their first medical session;
The “Blog” page, which is filled with patient education materials;
The “Privacy” page which describes the Asthmanic privacy policy;
The “ACT” page which jumps you to the Asthma Control Test page.
Asthmaniac is designed to deliver everything you need to achieve your best asthma control and with it, the best lung function, greatest exercise capacity and more quality sleep. Doctor consults, digital disease assessment, prescription refills, and patient education, right on your phone, puts you in the most powerful position to keep a lid on wheezing for Life!
Are you ready to take control of your asthma? Book an appointment today!
* 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
Here is the first rule of asthma: DON'T RUN OUT! ..Finding your inhaler empty when the tightness starts IS NOT A GOOD FEELING! ..You need your rescue inhaler ..Without it, it is probably a trip to the ER and ..a few days of having messed up breathing (or...
ASTHMA TRIGGERS: Less known but no less potent! When you have asthma, you know that certain things are powerful triggers for wheeing. A short exposure is enough to give you chest tightness, throat tightening, and soon, you'll be wheezing. Having your...
Navigating the Murky Waters of Air Quality Let's talk about something that's becoming an increasingly common and concerning trigger for many asthma sufferers: poor air quality. You have seen the headlines about pollution and devastating wildfires, and...
Subtyping Asthma: The New Direction for Asthmaniacs! Asthmaniac has launched a new approach to the management of asthma. This change is driven by a more refined understanding in the science of asthma about the existence of different asthma subtypes, each ...
Navigating Asthmaniac to Find Your Best Asthma Control Asthmaniac.com is a fully digital asthma clinic designed to deliver physician consultation, disease assessment, patient education, medical refills, and follow-up care. This is different than making an...
Podcast: Play in new window | Download (Duration: 3:14 — 4.5MB)
* Quality Asthma care depends on self-management by you – the patient.
* A large part of my role as your physician is teaching you these self-management skills.
* The techniques you will use to assess your breathing are:
* The Asthma Control Test – to track your symptoms.
* Your Peak Expiratory Flow – to track your lung function.
* We will “meet” regularly to 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.
* Phone consults helps you avoid illness exposure and is more conveient than driving to sit in a waiting room!
Asthmaniac is based on the National standards for asthma care.
Those standards tell doctors to teach their patients how to assess their everyday symptoms and 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 will ask you to use a simple flowmeter to record your number several times each week.
I will teach you how to use this number in conjunction with your Action Plan to best manage your symptoms.
I use ACT scores in planning updates to your medications, 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 on the phone!
Yes!
On 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!
Grab an appointment and we can get your asthma care optomized!
* 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
Here is the first rule of asthma: DON'T RUN OUT! ..Finding your inhaler empty when the tightness starts IS NOT A GOOD FEELING! ..You need your rescue inhaler ..Without it, it is probably a trip to the ER and ..a few days of having messed up breathing (or...
ASTHMA TRIGGERS: Less known but no less potent! When you have asthma, you know that certain things are powerful triggers for wheeing. A short exposure is enough to give you chest tightness, throat tightening, and soon, you'll be wheezing. Having your...
Navigating the Murky Waters of Air Quality Let's talk about something that's becoming an increasingly common and concerning trigger for many asthma sufferers: poor air quality. You have seen the headlines about pollution and devastating wildfires, and...
Subtyping Asthma: The New Direction for Asthmaniacs! Asthmaniac has launched a new approach to the management of asthma. This change is driven by a more refined understanding in the science of asthma about the existence of different asthma subtypes, each ...
Navigating Asthmaniac to Find Your Best Asthma Control Asthmaniac.com is a fully digital asthma clinic designed to deliver physician consultation, disease assessment, patient education, medical refills, and follow-up care. This is different than making an...
Podcast: Play in new window | Download (Duration: 2:15 — 3.2MB)
* 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 control
* When this number starts edging down over a few days, we know its time to take action before you start to feel symptoms of chest tightness, shortness of breath or actual wheezing.
* I use Peak Expiratory Flow measurements and ACT scores in your Asthma Action Plan to help guide you in responding to changes in your lungs.
In order for you to self-manage your asthma, you need a way to detect early drops in your lung function.
Peak Expiratory Flow (PEF) is that way.
It is measured using a device held up to your lips while you forcefully exhale.
This device measures how much air is exhaled and registers this as a number for you to read from the device.
When your lungs are in good control, the number reading for your PEF will be very similar to that of a person without asthma.
When your inflammation gets out of control, the swelling in your breathing tubes blocks air from being exhaled. This results in lower numbers on your PEF device.
When this device is used daily, you will be able to detect a downward trend that is a sign of worsening inflammation days before your breathing becomes so labored that an ER trip is needed.
Peak Expiratory Flow: Let’s make it a daily measurement!
If you need a Peak Flow Meter and your pharmacy or doctor can’t help, you can order from Amazon. I have tested most peak flow meters available on Amazon and recommend the following:
The Nascool or Sonmol has a digital display, is also portable, compact and durable and less expensive than many other digital designs.
My previous non-digital flow meter (Omron) no longer appears on Amazon!
I may earn commissions for purchases made through these links.
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#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
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#peakflowmeter
#asthmaniac
Podcast: Play in new window | Download (Duration: 3:38 — 3.4MB)
✓ You have a Health Insurance Policy (Lucky you!)
✘ But, it has a high deductible (ugh)
✓ Asthmaniac was made for you!
✓ Affordable doctor visits
✓ State-of-the-Art Asthma Care
✓ All online!
High-Deductible Health Insurance
Do you have a health insurance plan that offers less costly premiums but has a high deductible?
As you may have discovered, the 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, in some cases tens-of thousands for family policies!
This comes as quite 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, INSTANTLY!
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 asthma care for you.
Asthmaniac is that clinic, specially focused on delivering the medical stuff asthma sufferers need.
Stuff like:
I deliver this package through Asthmaniac which you can access on your smartphone, tablet or home computer.
I keep my doctor visit price affordable!
If you have well controlled asthma, you need four 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.
A doctor in your back pocket, that you can afford, coaching you to greater confidence and less anxiety about your asthma, is a great value!
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!
* 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
Here is the first rule of asthma: DON'T RUN OUT! ..Finding your inhaler empty when the tightness starts IS NOT A GOOD FEELING! ..You need your rescue inhaler ..Without it, it is probably a trip to the ER and ..a few days of having messed up breathing (or...
ASTHMA TRIGGERS: Less known but no less potent! When you have asthma, you know that certain things are powerful triggers for wheeing. A short exposure is enough to give you chest tightness, throat tightening, and soon, you'll be wheezing. Having your...
Navigating the Murky Waters of Air Quality Let's talk about something that's becoming an increasingly common and concerning trigger for many asthma sufferers: poor air quality. You have seen the headlines about pollution and devastating wildfires, and...
Subtyping Asthma: The New Direction for Asthmaniacs! Asthmaniac has launched a new approach to the management of asthma. This change is driven by a more refined understanding in the science of asthma about the existence of different asthma subtypes, each ...
Navigating Asthmaniac to Find Your Best Asthma Control Asthmaniac.com is a fully digital asthma clinic designed to deliver physician consultation, disease assessment, patient education, medical refills, and follow-up care. This is different than making an...
Podcast: Play in new window | Download (Duration: 2:29 — 2.4MB)
⇨ 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!
* 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
Here is the first rule of asthma: DON'T RUN OUT! ..Finding your inhaler empty when the tightness starts IS NOT A GOOD FEELING! ..You need your rescue inhaler ..Without it, it is probably a trip to the ER and ..a few days of having messed up breathing (or...
ASTHMA TRIGGERS: Less known but no less potent! When you have asthma, you know that certain things are powerful triggers for wheeing. A short exposure is enough to give you chest tightness, throat tightening, and soon, you'll be wheezing. Having your...
Navigating the Murky Waters of Air Quality Let's talk about something that's becoming an increasingly common and concerning trigger for many asthma sufferers: poor air quality. You have seen the headlines about pollution and devastating wildfires, and...
Subtyping Asthma: The New Direction for Asthmaniacs! Asthmaniac has launched a new approach to the management of asthma. This change is driven by a more refined understanding in the science of asthma about the existence of different asthma subtypes, each ...
Navigating Asthmaniac to Find Your Best Asthma Control Asthmaniac.com is a fully digital asthma clinic designed to deliver physician consultation, disease assessment, patient education, medical refills, and follow-up care. This is different than making an...
Podcast: Play in new window | Download (Duration: 3:41 — 3.5MB)
* 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:
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:
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!
* 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
Here is the first rule of asthma: DON'T RUN OUT! ..Finding your inhaler empty when the tightness starts IS NOT A GOOD FEELING! ..You need your rescue inhaler ..Without it, it is probably a trip to the ER and ..a few days of having messed up breathing (or...
ASTHMA TRIGGERS: Less known but no less potent! When you have asthma, you know that certain things are powerful triggers for wheeing. A short exposure is enough to give you chest tightness, throat tightening, and soon, you'll be wheezing. Having your...
Navigating the Murky Waters of Air Quality Let's talk about something that's becoming an increasingly common and concerning trigger for many asthma sufferers: poor air quality. You have seen the headlines about pollution and devastating wildfires, and...
Subtyping Asthma: The New Direction for Asthmaniacs! Asthmaniac has launched a new approach to the management of asthma. This change is driven by a more refined understanding in the science of asthma about the existence of different asthma subtypes, each ...
Navigating Asthmaniac to Find Your Best Asthma Control Asthmaniac.com is a fully digital asthma clinic designed to deliver physician consultation, disease assessment, patient education, medical refills, and follow-up care. This is different than making an...