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Image<\/strong><\/p>\n<\/td>\n Dialogue<\/strong><\/p>\n<\/td>\n<\/tr>\n Ashley is in her kitchen. She grabs a glass of water and takes her asthma<\/a> medicine. <\/p>\n<\/td>\n Ashley texts her friend Sarah: \u201cBe down in a sec!\u201d<\/p>\n<\/td>\n<\/tr>\n She shuts her apartment door then heads down the stairs. Her friend Sarah is waiting at the bottom and sees her pause to catch her breath.<\/p>\n <\/td>\n Sarah: \u201cAre you okay?\u201d<\/p>\n Ashley: \u201cYeah. I’ve just been getting short of breath on these stairs. I hope they fix the elevator soon!\u201d<\/p>\n<\/td>\n<\/tr>\n Ashley pulls an inhaler out of her purse and uses it. <\/p>\n<\/td>\n Sarah: \u201cAre you still on that new medication?\u201d<\/p>\n Ashley: \u201cI am, but I\u2019m still feeling symptoms sometimes. I woke up with a little chest tightness and was wheezing last night.”<\/p>\n <\/td>\n<\/tr>\n Ashley grabs her phone and dials her doctor\u2019s office.<\/p>\n<\/td>\n Sarah: \u201cYou should probably get that checked out.\u201d<\/p>\n Ashley: \u201cYou\u2019re right. Let me call my pulmonologist real quick before we head to lunch.\u201d<\/p>\n<\/td>\n<\/tr>\n Super: The next day \u2026 <\/p>\n Ashley sits in the specialist’s office while the doctor reviews her chart and listens to her lungs.<\/p>\n<\/td>\n Doctor: \u201cTell me what\u2019s been going on.\u201d<\/p>\n Ashley: “I take my medication every day, but I’m still using my quick-relief inhaler a few times a week.”<\/p>\n<\/td>\n<\/tr>\n The doctor points to a simple poster or tablet showing healthy airways next to inflamed airways (red, narrowed airway). Ashley listens attentively.<\/p>\n<\/td>\n Doctor: \u201cYour asthma may still be uncontrolled. One possible reason is excessive type 2 inflammation in your airways. The good news is there are additional options for us to try.”<\/p>\n<\/td>\n<\/tr>\n Doctor and Ashley are talking. <\/p>\n<\/td>\n Ashley: \u201cSo, there are other options?\u201d<\/p>\n Doctor: \u201cYes, there are! Our goals are fewer flare-ups, less need for oral steroids, better lung function, and a better quality of life.\u201d<\/p>\n<\/td>\n<\/tr>\n Doctor is talking to Ashley, she nods in agreement throughout.<\/p>\n The doctor hands Ashley a brochure titled “Advanced Asthma Treatment Options”<\/p>\n<\/td>\n Ashley: \u201cThat sounds good. What can we change?\u201d<\/p>\n Doctor: \u201cDo you notice your symptoms are worse around things like pollen, pets, smoke or dust?\u201d<\/p>\n Ashley: \u201cI do think I feel it more when the trees in my neighborhood are in bloom.\u201d<\/p>\n Doctor: “That’s helpful. Allergens and environmental triggers can make symptoms worse. We’ll work on identifying and managing those triggers, and I’ll review your current bronchodilator and anti-inflammatory medications to see if any adjustments could help.”<\/p>\n Doctor: \u201cWe may also consider whether a biologic is right for you to help target the inflammation.\u201d<\/p>\n<\/td>\n<\/tr>\n The doctor writes “well-tolerated exercise” on a notepad for Ashley to take home.<\/p>\n<\/td>\n Ashley: \u201cAre there any lifestyle changes that can help?\u201d<\/p>\n Doctor: \u201cUntil we get your asthma under control, be sure to do some light exercise. Once it’s under control, you can switch to 150 minutes a week of moderate-intensity aerobic activity, like brisk walking, as long as you\u2019re tolerating it well.\u201d <\/p>\n<\/td>\n<\/tr>\n Ashley smiles and waves goodbye to the doctor as she heads out the door. <\/p>\n<\/td>\n Ashley: “I’m so glad I came in. I didn’t realize there were still options to help get my asthma under control.”<\/p>\n<\/td>\n<\/tr>\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n <\/td>\n <\/td>\n<\/tr>\n \n \n