CHART NOTE
Symptoms of recurrent episodes of coughing and wheezing. She has never had a hospitalization, but her major symptom of asthma requires daily therapy with inhaled bronchodilator. She is much better using a Pulmo-Aide with inhalations of Alupent and atropine and Intal than she is in using the hand-held nebulizers. First, atropine is not available for the metered-dose inhalers, and secondly, the medication as delivered by the Pulmo-Aide is much more effective because of a better delivery system. I have prescribed this some time ago and believe that she will continue to need this on a permanent basis.
CHART NOTE
Was seen in my office for skin testing, and all of her skin tests have turned out to be negative. It is my impression, therefore, that she has intrinsic asthma. I have seen her for several visits. Since her last visit to my office, I attempted to get her off steroids, but she prefers the use of long-term, every-other-day prednisone in an attempt to decrease her costs for other medications. She understands all of the risks of steroids, and I am reluctantly agreeable to go along with this. At the present time she is taking Theo-Dur 750 mg per day, Ventolin 2 mg t.i.d., prednisone 10 mg every other day, Azmacort, and Vancenase, and I have recently added Isoclor b.i.d.
FOOTNOTE
Line 10. The physician misspells Pulmo-Aide.
Line 31. The physician spells Isoclor with a capital C.
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