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Asthma/sudden asthma

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Expert: - 11/1/2011


Question
In June I was told I had mild asthma and I'm 60yrs old.
never had any problems before this.
Aslo doesn't feel like mild asthma because the inhalers are not working.
My question is could steriod shots in my neck and lumbar cause any problems with breathing.
I started getting the shots in Jan 2011 and have had 5 all together.
Thanks
Deb

Answer
Hi Debbie,

What type of physician (Internist, Family Practice, Allergist, Pulmonologist) made this diagnosis, and what tests were run to come to that conclusion: blood testing (CBC w/differential,RAST test),lung function testing (breathing into a computerized device, followed by an inhalation drug treatment, then blowing into the device again), or based upon symptoms?

Are you, or have you been a smoker, or in an environment where there is smoking on a frequent basis?

Did the physician do any spinal X-Rays or CT Scan on the area of your spine which has received the injections? With this, I'm looking at possible nerve compression potentially causing the problem, which would possibly explain why the inhalation medication didn't work. Also, were you thoroughly instructed in the proper use of the device, and your technique verified by the instructor?

Let me know, and I'll see if I can close in on the problem.

Sincerely,

Marc  

Asthma

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Volunteer

Marc Rubin, RPh Asthma Educator

Expertise

I have worked directly with patients as well as caregivers for over 30 years. Have made presentations throughout Illinois educating school nurses as well as the teaching and coaching staff of public schools about asthma, and how they should respond to these students needs. Presented a public education program on asthma through the US Department of Public Health. Specialize in helping guide asthmatic patients to take control of their disease in order to live a near-normal, fully active life.

Experience

Practicing pharmacist for 34 years, specializing in asthma for past 7 years. Statewide education to nurses, teachers and athletic coaches regarding asthma. In addition, and closer to home. my wife and daughter both have asthma, and my son has exercise induced bronchospasm. I'm also on the advisory board of a medical education company, Emmi Solutions, and directly involved in the creation of public education programs for asthma, COPD and diabetes.

Organizations
American Academy of Allergy, Asthma and Immunology (AAAAI) / Sports Medicine Committee, American Thoracic Society (ATS). Chicago Asthma Consortium / Professional Development Committee, Respiratory Health Association of Metropolitan Chicago: Development Committee for AE-C prep class, and presenter.

Publications
AAAAI PowerPoint on the new guidelines for EIB (Exercise Induced Bronchospasm)

Education/Credentials
BScPharm, RPh, AE-C (NAECB Certified asthma educator), NIPCO Certified Respiratory Care Pharmacist

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