QUESTION: Other than making it difficult to breathe does asthma cause any long term problems to your lungs?
My daughter has asthma. Or so says all the tests but she hardly ever needs any medication. Why do the Drs recommend 3 times a week?
Her chest gets tight sometimes and sometimes gets a bad hacking cough that gets better with treatment but why not use the inhaler 'as needed'?

ANSWER: Hi Joyce,
   Ahh, what 3 times a week? Medication? Peak flow testing?
If a medication, which? Also, on the primary page of my back ground, I request information about the patient and environment to better assess what is happening. With that complete, I'm more than happy to explain what's taking place, and how to move forward.



---------- FOLLOW-UP ----------

QUESTION: Ok she is on a nebulizer treatment, Albuterol 0.83%(percent) The Drs want her to do it 3 times a week. But she doesn't have symptoms that often. If she starts to cough a lot I will make her do a treatment. If she gets chest pains she knows enough to take a treatment on her own.

So: what I need to know is why do the Drs all want her to do it 3 times a week regardless or maybe they don't understand that she doesn't have symptoms that much..

Joyce, thank you.
 I agree, this doesn't make sense. Treatment in response to cough, wheeze...yes. Low peak flow readings...yes. But giving a treatment 3x/week with a medication that lasts 4 hours??
  I hoping these are not allergists or pulmonologists. Time to find yourself a good allergist!

 Back to origin  question...asthma causing long term problem. If poorly controlled, there is a correlation with developing COPD: Chronic Obstructive Pulmonary Disease. This is irreversible lung damage. Risk greatly reduced by proper treatment and patient education, allowing the patient to get control vs. the patient being controlled.

Hope this helps. I strongly suggest followup exams by lung specialist.



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Marc Rubin, RPh Asthma Educator


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.


Practicing pharmacist for 40 years, specializing in asthma and COPD for 12 years. Developed nationwide education to nurses, teachers and athletic coaches regarding asthma and exercise induced bronchospasm. In addition, and closer to home. my daughter has asthma, and my son has exercise induced bronchospasm. In addition, I serve on the boards and committees of a number of asthma organizations: Sports, Exercise and Fitness Committee of AAAAI, Population Health Committee and Sports Medicine Committee of ACAAI, Sports Medicine Committee of the World Allergy Association. Board of Directors of the Chicago Asthma Consortium, Board of Directors of the Christopher D. Redding Youth Asthma Foundation, as well as the advisory board of a medical education company, Emmi Solutions. Directly involved in the creation of public education programs for asthma, COPD and diabetes.

American Academy of Allergy, Asthma and Immunology / Sports Medicine Committee, American College of Allergy, Asthma and Immunology / Population Health Committee and Sports Medicine, American College of Chest Physicians, American Thoracic Society. World Allergy Association, Chicago Asthma Consortium / Professional Development Committee, Christopher D. Redding Youth Asthma Foundation, and Respiratory Health Association of Metropolitan Chicago: Development Committee for AE-C prep class, and presenter.

AAAAI PowerPoint on the new guidelines for EIB (Exercise Induced Bronchospasm), AAAAI Powerpoint on Asthma in School Setting for Teachers and Coaches, Annals of Allergy, Asthma and Immunology: Transition guide for teens with food allergies or asthma going out of the home to live independantly.

BScPharm, RPh, (NAECB Certified asthma educator in 2002), NIPCO Certified Respiratory Care Pharmacist

Past/Present Clients
Emmi Solutions, Chicago Next Level Health, Chicago

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