Help Me Now Doc, LLC

Asthmatics can do worse post COVID-19.
I have seen recurrent exacerbations in some requiring steroids.
Some may have high Eosinophils and IgE levels and benefit from biologics that block inflammatory pathways.
Checking basic labs is the first step to seeing if someone is an appropriate candidate.
A FeNO or Fraction of Exhaled Nitric Oxide test may help determine if an inhaled steroid may be of benefit and may help determine if an asthmatic is controlled or not. Levels above 25 ppb are abnormal in adults and above 50 ppb is concerning.

COVID PEARLS OF THE DAY:
Having good success with Paxlovid or molnupirivir plus
Sotrovimab.
Who said you can't give both?
Need to work the core and the spikes.
Pill works the replication and core and monoclonal works the spikes needed for entry.
Clean up the storm with prednisone or steroids. I like microdosing outpatients after antiviral and mab given.
Look for pulse oximetry readings of less than 95% or significant cough or respiratory symptoms before starting steroids.
Patients need day to day management to get this right.