I've been asthmatic for over 18 years (I'm now approaching 40!) Between December 2013 and August 2014 I needed four courses of Pred and antibiotics. But from August 2014 I've had good consultant care and an excellent home action plan.
Usual medications are;
Seretide 250 2 puffs twice a day
Montelukast 10mg at night
Salbutamol & Atrovent inhalers at night.
On Monday I started with the symptoms of a cold (cough, congested and a sort throat) I added in Flixotide 250 2 puffs twice a day as per my plan. At that time my peak flow was 83% of best and by the evening it was 69% of best, I started regular reliever.
My plan states to start steroids once the peak flow falls to 69% of best.
I woke on Tuesday quite short of breath with a peak flow 48% of best so I continued regular reliever and made an emergency GP appointment.
Sadly the GP didn't seem interested, she didn't do my peak flow or ask me about recent readings. She listed to my chest and said there was no wheeze and a few crackles. She gave me antibiotics and said I didn't need steroids.
I started steroids later that morning after getting in touch with my consultant, However later that evening I took myself to ED as I was very short of breath, only able to speak in short sentences and getting no relief from my inhalers.
ED was busy so I waited almost 2 hours to be assessed; I was told my chest was tight, quiet but that there was no wheeze.
I had 2 Salbutamol and one atrovent neb plus additional steroids. These worked brilliantly. I was admitted to a ward as it was about 2 in the morning. At about 5 in the morning I deteriorated again and had Salbutamol and Atrovent back to back, narrowly avoiding Magnesium.
I've now been discharged and am on stepped up treatment and a 5 day course of steroids.
I'm concerned that this deterioration happened quite quickly; I've only even been to ED twice before and only ever needed 1-2 nebs before being allowed home. On speaking to the consultants in hospital they all noted nobody could hear a wheeze but that everyone had written how quiet my chest was.
Where do I go from here; I do think the GP should have taken more notice and provided incorrect advice about not starting steroids! I also think it's going to be difficult if I don't always wheeze.
Any advice, suggestions or help welcome.