1. What inhalers do you use? A rescue inhaler, like Pro-Air, was my first. Now, I usually take Combivent.
2. Do you use a nebulizer with albuterol or albuterol-ipratropium? Nebulizer fluid is an extra strength version of rescue inhalers with the same chemicals.
3. Do you use a twice daily inhaled corticosteroid, such as Advair or Symbicort?
4. Do you have a pulmonologist? I go to Pulmonary Specialists of Tyler on Fleishel, behind ETMC. Dr. Luis Destarac is my doctor. I get allergy shots there too. I’m allergic to Bermuda & Johnson grass.
5. Do you have lots of phlegm sometimes? Take Mucinex, and you can get the generic version at Family Dollar that’s cheaper.
6. Have you ever been to the ER for an exacerbation? Have you been there lately? More often or less often over the years?
7. Do you have sleep apnea? Do you have a C-PAP?
8. Do you have an oxygen machine with nasal canula?
9. Do you still smoke cigarettes? I quit a few years ago.
10. Have you ever had asthma? Child asthma can go away, & it’s more common. I developed asthma at age 28 & COPD at age 46. Asthma-COPD Overlap Syndrome (ACOS) is characterized by more dyspnea (breathlessness), more phlegm, but better response to inhaled corticosteroids (such as Advair). Some COPD inhalers, like Onoro, can be fatal to those with asthma also!!