It might be what he is describing is tightness in his lungs but he thinks its his heart...chest tightness often feels like a pain or heavy sensation. And sometimes you can actually feel the broncospasms--which might be the cramping he describes.
Its great you talked to his doctor about this, but since you have concerns about whether this truly is just his asthma, follow your instincts and have those concerns looked in to...better to be safe. Sometimes Mom knows best.
I don't think you are taking one of the newly formulated albuterol inhalers...you are taking maxiir right?? I say this because many of the docs are now finding it takes 4 puffs of this HFA formulas to give any kind of relief even with normal use, so its seems to be more of the norm to tell you to use 4 vs the 2 we are used to.
I was always told 2 puffs of albuterol (the old formula) and repeat in 20 minutes. If no relief do this again...if at the end of an hour the lungs are not open its time to see the doc/ER.
Maybe that is why the change in dosage?? Just a thought.
Generally speaking most insurance claims have to be filed within ONE CALENDER year so its sounds like this should be a non issue. If its within that one year time frame make them rebill it. They have a responsibility to you to get your claims processed correctly or you have a right to file a dispute and not pay the amount. Your insurance company should be able to tell you what the claim filing time frame is.
I got absolutely NO relief from any of the 4 new HFA formulated albuterol inhalers.....the neb solution is cheap and while I'd much rather not have to carry the neb around, it was the only solution I had.
Hope your doctor will work with you to find a solution that will work for you.
Its small, fits into a case just a bit bigger than one for sunglasses. It runs on 2 AA batteries and it operates silently. It's more of a hassle than using the inhaler but I know I can rely on it when I need it. I just keep it in my purse and never worry about being without a rescue that works. I love mine!!!
I have a solution. I have one of the Omron Micro air portable battery operated nebs...it makes NO sound. It will run a vial of neb solution thru is about 4-5 minutes and its small enough to carry in your purse...comes in a case a little bigger than one for sunglasses.
Since the newly formulated inhalers don't work for me, I had to find a viable option and this has worked wonders. And Insurance paid for a large chunk of the price for mine.
I understand how you feel about anyone not knowing but I have just accepted asthma is part of my life and if I have to use the inhaler or neb I use it as an educational moment.
Maybe you guys should visit the Pacific Northwest as we are having a wonderfully cool summer. Most of our highs have been in the 70's with only a few days in the 80's and very ver low humidity .Cool mountain breezes and even some rare rain in July have been the order of the day!! BEAUTIFUL weather!!
I attempted to post this last night but the site was having issues so I will try again.
You are not alone, I am currently covered in the bruising you describe.
My thin skin, onion skin as its referred to, was caused by the large amounts of prednisone I had taken over the years. Steroids cause thinning of the skin, and premature aging and unfortunately it doesn't improve. Once its damaged in this fashion its permanent.
I've tried all the skin preparations as well and the only thing I have found that does anything is arnica gel or creme--available in the health food section of most grocery stores. It helps heal the bruises more quickly, but doesn't prevent them.
I only have this issue on my arms, and long sleeves in the HOT weather just don't cut it. I have my biggest issues while cleaning the house, so I bought some thick terry cloth sweat bands to wear at the wrists....2 of them combined on each arm helps protect the fragile skin from those slight bumps. Otherwise I just turn the AC down to frigid and wear a sweatshirt while cleaning.
You can try adding a little moleskin to the strap of your purse to keep it from suddenly sliding down...I've had that same issue.
I wish I had answers for you, but I've researched, tried every product I thought MIGHT help and talked to the doctors. A lot of my asthmatic friends have this same issue, so you are not alone.
I hate being covered in bruises all down my arms all summer long and do my best to avoid the 'bumps' that cause it but at best its a futile attempt.