✓ You Need State-of-the-Art Asthma Care
✘ Traditional Clinics provide inconsistent care.
✘ And, they are expensive and inconvenient!
????Asthmaniac was made for you!
????Affordable doctor visits
✓ State-of-the-Art Asthma Care
✓ All online!

* Asthma is a chronic disease that places you at higher risk of serious illness with COVID19 infection.
* Keeping your asthma well controlled will give you the best protection against serious COVID19 illness.
* Controlling your COVID19 exposure should be a high priority until we have a vaccine.

* Asthma controllers are medications that “control” the underlying inflammation in your breathing tubes.
* Inhaled corticosteroids are the most common type of medicine used for this purpose.
* In order for corticosteroids to work, they have to be inhaled deep into the breathing tubes twice daily.
* A new class of drugs has been developed to control inflammation: they are called biologics and are injected weekly or monthly into the skin of your abdomen.

Why do we use steroids in asthma?
* Inflammation of the airways is the underlying problem in asthma
* Steroids like Prednisone and Decadron are taken by mouth
* Steroids like betamethasone and fluticasone are inhaled like albuterol.
* Steroids are used to control inflammation in asthma
* Lung inflammation in moderate asthma can be controlled but not cured.

* Asthma is present in about 10% of children.
* Asthma in children is diagnosed when your child has recurring episodes of wheezing that are relieved by rescue medicine such as albuterol
* Asthma in children is treated with the same medicines and treatment plans as in adults with adjustments for their size and metabolism.

* Your Asthma Action Plan is your quick-reference guide for how to react to changes in your breathing.
* Your plan uses your Peak Expiratory Flow readings and your ACT scores to determine if your asthma is in control.
* Your Asthma Action Plan clearly instructs you what to do when your symptoms flare up or your Peak Expiratory Flow is dropping.
* This allows you to take action with additional medication that I have ordered for you to stop your wheezing from becoming a full-blown asthma attack.
* Just to make sure you know your plan and where it is, I send it to your by text or email so you can keep it right on your phone!

* Quality Asthma care depends on self-management by patients.
* A large part of my role as your physician is teaching you these self-management skills.
* Crucial to these skills are techniques you will use to assess:
* Your Symptoms (Asthma Control Test)
* Your Lung Function (Peak Expiratory Flow)
* We will discuss your self-assessments by phone rather than in-person.
* These phone visits and your frequent use of the Asthmaniac website are designed to keep your asthma controlled while avoiding illness exposure and the inconveience of travel and waiting rooms

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter
* You record the number measured by this device.
* This number shows how well you are able to exhale and tells me if we have your lung inflammation under control
* When this number starts edging down over a few days, we know it's time to take action before you start to feel symptoms of chest tightness, shortness of breath or actual wheezing.
* I use Peak Expiratory Flow measurements and ACT scores in your Asthma Action Plan to help guide you in responding to changes in your lungs.

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms.
* Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled
* These classifications are used to determine what medications should be on your Asthma Action Plan.
* The ACT should be completed weekly to make sure we have the earliest sign that your asthma is flaring up.

* Follow-up Care is Essential to good asthma control.
* Follow-up allows determination of asthma severity.
* Other disorders that affect your breathing are detected early.
* Rescue medication refills are provided
* Your Asthma Action Plan is updated.

✓ You have a Health Insurance Policy
✘ But, it has a high deductible
????Asthmaniac was made for you!
????Affordable $50 doctor visits
✓ State-of-the-Art Asthma Care
✓ All online!

✓ No Insurance
⇨ Active asthma
???? Asthmaniac was made for you!
???? Affordable $50 doctor visits
✓ State-of-the-Art Asthma Care
???? All online!

* e-Asthma is category of severe asthma
* Patients with e-Asthma have difficulty getting asthma control with usual treatment
* e-Asthma responds well to a new type of injected medicine
* In such patients, this new medicine can decrease their asthma attacks and allow them to use less oral steroid.

* Finding your inhaler empty when the tightness starts IS NOT A GOOD FEELING!
..You need your rescue inhaler
..When you need it!
..Without it, it is probably a trip to the ER and
..a few days of having messed up breathing.
* Asthmaniac offers $25 doctor visits for inhaler refills and
*sends all orders for prescription medication to the pharmacy of your choice.

Affordability is Important for Asthma Control
* The cost of asthma control can be a barrier:
* Many costs of asthma care can exceed what those without insurance can afford. These include:
* The cost of asthma medication.
* The cost of doctor visits
* The cost pulmonary function testing.

Triggers for wheezing (bronchoconstriction) include:
* Pollen
* Dust Mites
* Cockroaches
* Mold
* Pet dander
* Tobacco Smoke
To prevent wheezing, you need to avoid these triggers.
If avoiding them isn’t possible, I can prescribe medicine suppresses the effect of triggers.

* Electronic prescriptions mean:

..More accuracy in the order, 

..More convenience for you,

..No paper to lose, and

..It’s FAST!

* Asthmaniac sends all orders for prescription medication to the pharmacy of your choice.

* Electronic prescriptions mean:

..More accuracy in the order, 

..More convenience for you,

..No paper to lose, and

..It’s FAST!

* Asthmaniac sends all orders for prescription medication to the pharmacy of your choice.

* Rescue inhalers are essential!
* The albuterol in rescue inhalers opens breathing tubes quickly
* If it doesn’t quickly improve your breathing, go to the ER
* A spacer should be used with all liquid medicine inhalers
* Generic albuterol is now available for about $22 per inhaler 

What is Asthmaniac and why do you need it?  I'm Dr. Tim Ryschon and I have an asthma solution for you.

* asthmaniac.com is my online asthma clinic 

* Asthmaniac is designed to be affordable, convenient, and reliable.

* Asthmaniac follows national quality standards developed at NIH

* Asthmaniac uses your phone to make your care convenient and engaging