Went this morning as still not feeling that asthma is controlled. It was an interesting experience!
1. She asked me what my peak flow normally was so I told her - 475-500, she then gave me a peak flow meter to use that only went up to 400 and I blew that to the max! I took mine out of my bag and used that instead and blew 440. She looked at her screen and said 'well the predicted peak flow for your age and height is 400 so 440 is really good'. I pointed out that regardless of the prediction, my best is nearer 500 - but she didn't seem able to get her head around that and repeated her statement about being a good peak flow compared with the predicted one.
2. She told me I shouldn't be taking my blue inhaler 3 times a day. I asked her whether she meant that I shouldn't be taking it or shouldn't need to take it; she meant shouldn't need to take it - glad I checked!
3. She gave me one of those looks when I told her that I took my blue inhaler before the brown one (as I had been advised to do by the GP) and told me that was outdated advice and just to take the brown one on its own.
4. The cough is not asthma but left over from the chest infection that cleared up two weeks ago - as is the tiredness and weakness.
5. I have been advised to drink plenty, use steam inhalations, 'treat your cold/cough as you would if you were not asthmatic'.
6, useful advice on how many normal breaths to take when using the spacer - 5 apparently - I was doing 3 for each puff.
7. Told that my blue inhaler will not help my cough (it does) as my cough is in my throat and not on my chest (she didn't listen to my chest but said she knew it wasn't because of the way I was breathing).
8. Have to spend the week doing regular steam inhalations, drinking hot drinks, taking inhalers as advised rather than as I was, then go back to see her in a week. If things are not improved then she will give me a long-acting combined inhaler - she is also going to give me my flu jab.
So apart from the clash of personalities (I decided she was not very confident) and struggling with the fact that the poor woman's eyes look in different directions at the same time (I have problems with body language that doesn't fit the 'norm'!), and despite her getting confused and saying things incorrectly sometimes, I have come away with an action plan and a bit more info.
And she weighed me but never said anything about losing weight or how my obesity might affect my asthma - and I forgot to ask the questions I went with!!