Today, however, as I was perusing this book called "Allergy & Asthma: Practical Diagnosis and Management," I came across criteria for determining if a person has severe asthma I think is fair. It goes like this (I'll quote this right out of the book):
The following defines severe asthma
- Treatment with continuous or near continuous oral corticosteroids (more than 50% of the year).
- Requirement of high-dose inhaled corticosteroids to achieve control of mild to moderate persistent asthma.
Likewise, while I do have mild asthma symptoms occasionally throughout any given day, my peak flows are above normal for me. So I think the Advair does a pretty good job of keeping down the chronic inflammation in my lungs.
Granted, however, the asthma guidelines do say that the best way of determining severity of asthma is "before" starting a patient on inhaled corticosteroids. And, absent the Advair, I'm pretty certain my asthma would be severe.
So, we'll have to conclude this post by saying the asthma guidelines for determining severity are fair pre-corticosteroids, and the chart listed above is best for once a patient is on inhaled corticosteroids.
By my own determination, I now consider that my asthma is mild persistent. Yet not to be treated any less serious than if it were considered severe, because all asthmatics (no matter how severe) can have a severe, life threatening attack.
It's true with all asthmatics (mild, moderate or severe) that asthma should be re-evaluated regularly. The new recommendation is that all asthmatics see their doctor twice yearly.
Any questions or comments please inquire within.