My current exacerbation started February 12, 2021, which was the last time I was able to go to work. Had an ER visit March 1, got the same old line “your sats are good and I don’t hear any wheezing”. Got more steroids, mag sulfate drip, discharged home. I have seen my PCP once, pulmonologist visit #3 is tomorrow. I was reading the notes from my pulmonology follow-up last week (March 17). I have been classified as moderate persistent asthma, well controlled, for quite some time. My last really bad exacerbation was in June of 2019. I read the new diagnosis which was “severe persistent asthma, not controlled, oral steroid dependent. That felt like a punch in the gut when I realized it doesn’t get any uglier than that. Wow. The current exacerbation comes after a period of 10 glorious months where I had no asthma issues at all, had stopped my Spiriva and was tapering off Singulair. Caught a head cold which started this long cycle of flares. Been on Prednisone for a month now, the current taper has two more weeks. This cycle of prednisone usage has been tougher than any I’ve ever been on. Insomnia, sweating, fatigue, and weight gain. From October of 2019 to July 2020, I managed to lose 60 pounds, achieved my healthy weight, and was doing well on maintenance. So the 20 pounds I have gained in the past three weeks is just heartbreaking for me. I can’t take care of my kids, can’t go to work, no paid leave available. It’s just a really tough season for me. Oh, and I got my first dose of Dupixent last Wednesday. I don’t seem to have eosinophilic asthma phenotype, but that new classification with “uncontrolled” and “oral steroid dependent” in the gruesome title qualified me for Dupixent. Praying insurance covers the cost and that it helps me get back to my life. So depressed, isolated, lonely at times, and the sleepless nights are long and scary. Thanks for reading and best wishes, friends.