I have moderate asthma with hayfever. I've been a patient at this particular practice for about 20 years. I no longer get immunotherapy, due to a probable idyosyncratic reaction years ago. I was on Xolair, which worked somewhat, but again had a reaction. Am on Nucala now, again, works somewhat but isn't the bullet I think we all hoped for. Dr. is trying to get me authorized for Dupixent (and yes, I'm very grateful I have good insurance!).
I get a lot of sinus infections, and some years, like this year, I've been on antibiotics multiple times with prednisone. Dr. sent me to an ENT twice in the past several years. ENT said both times surgery will not help. Now he is sending me to a pulmonologist. Fine, I can do that.
He said he can't keep giving me antibiotics so much. I'm also allergic to a handful of antibiotics, so this is always fun when I get sick, trying to figure out which one of three or four I can take. (I had a friend once who was allergic to every class of antibiotic. If she needed on, she was put on prednisone and extra antihistamines. I would think the drug wouldn't work as well since the body would be fighting against it, but whatcha gonna do, right?)
I don't have an immune system problem, he's checked for that, as he also has a background in immunology, run blood tests, etc.
I am taking a lot of medicine, we have a cleaning lady, use air cleaners at home and work. I thought it was fairly "normal" for asthmatics to be more susceptible to crud bugs; at least, the ones I know, including myself, are. He now wants me to go to University of Michigan. I'm not so keen on that. It's out of my insurance network, so I will be paying more. I don't know what he thinks the doctors there will find that he hasn't already. Not to mention that I've heard some unpleasant stories from people referred there. And so I'm starting to feel like because I'm not improving, I'm being dumped elsewhere.