Hiya, I'm posting because I had an asthma review with my surgery's ""asthma nurse"" today (who has no formal asthma training!), which was a weird experience. I have never had a review before - I usually have to see my GP/be treated in hospital. I am currently waiting to see a consultant and am on stage 5 of asthma management. Just about everything triggers me and I don't have a formal management plan.
In the review today:
The nurse said:
You look well! My reply was, ""I feel well today, my PB PF is 550 and I'm getting 450-500 today :-)"", ""that very good, I'm not asthmatic and don't get that good!"" and then checked my PF which was 480. I discussed how I had to use my salbutamol after being outside, but it sorted it out!!
Nurse then spoke about how I need to AVOID pollen and that my work (I'm a primary teacher!) should put measures in place to stop this!!
She then went onto say about how I needed a management plan, but she didn't have one for asthma, but she did have one for COPD which ""would do"" and I could do it myself after the appointment and sow my consultant.
She also discussed that I seem to be very good at knowing when to call for help - at this point I explained that several times I have required hospital treatment, I have been told I needed an ambulance, but then driven myself!! The last time my PF was 30% and I had used 4 lots of emergency 10puffs of salbutamol through a spacer, plus a ton of it spaced throughout the day. I was then told about how silly this was (I know this of course!) and when I NEED help.
I discussed the ""no wheeze, no asthma"" issues I sometimes have and she was at a loss about this ""because you always wheeze during an asthma attack otherwis it cant be asthma!""
She feels a lot of asthma attacks are psychosomatic!
The only hayfever meds I can take is citerezine.
I asked about exacerbations requiring help whilst on my pred taper (then 10mg maintenance if I ever get there!!) and she said to expect them?! But I need to get off the pred ... my GP wont let me come off any quicker or drop below 10mg - this is an on going argument - I hate the stuff!!
She then asked me to record a pf diary ... going on to give me chart which goes upto 450 - 100 below my pb!
And finally she checked my inhaler technique and told me how I need to remember all my meds - I never forget because otherwise I end up ill!!
Sorry for rambling, needed to ""get it off my chest!"", I don't see any point in the review I had tbh!! At least cons apt is pretty close!!
Has anyone else has a frustrating experience at a asthma review?