Since I last saw my pulmonologist I’ve been in the Emergency Room four times and admitted once. First thing out of his mouth was, “Wow, you’ve had a rough two months!” We talked about what’s been going on, symptoms, how the meds are working, prednisone, etc. Dr M said it was obvious every time my taper gets down to a certain level everything flares up again. He said I basically have three options.
- Go to an asthma clinic and get a full work-up.
- Look into bronchial thermoplasty
- Become steroid dependent
I first heard about bronchial thermoplasty three years ago. They’ve been doing it in Europe for a while and FDA has approved it for use in the US. The quick explanation is they scope a wire down into your airways using radio frequencies to heat up and burn away extra tissue. This assists with the extreme swelling and inflammation many of us asthmatics deal with on a regular basis.
Steroid dependency is needing a small dose of prednisone or another steroid on a regular basis. This is different from using inhaled corticosteroids as an inhaled maintenance medication. I’ve been on prednisone 80 some days already this summer so continuing would be an easy step. Dr M would rather not have to resort to that right now at my age, but we’ll see.
Dr M was really intent on option #1. He talked about some of the different centers in the area and how beneficial it would be. He welcomes second opinions and would like to consult to make sure he, Dr K and Dr J are all on the same page with treating me. He was all ready to call up the Cleveland Clinic and get something scheduled when I finally had the chance to inform him I’m heading to Pittsburgh in 10 days to participate in SARP and see Dr W. Dr M likes that I try to stay on top of things.
So for now we’re going to see how Pittsburgh goes and what they find. I’d rather not stay on prednisone forever, but it’s better than visiting my friends at the ER every week and much less drastic than the bronchial thermoplasty.