Right now the problem with this, which is the normal plan (start oral steroids, admit to psych unit until stabilized with extra drugs) is that I am already so unstable that I'm waiting to start a 2nd AP and am maxed out on 1500 mg of Seroquel along with a couple of low-dose weaker stabilizers (see signature) an a lot of benzos. Next week I'll either be starting Latuda (if my dr has managed to procure samples since she isn't allowed to stockpile them) or some other neuroleptic AP (unless my dr goes somewhere I'd be shocked about since I'm still hallucinating on this dose). So there is no increasing my AP and getting through this. I just have to deal with more mania from the albuterol and inhalers and make it through until I see my pdoc Monday. I already was manic and then started improving but my June mania hit right on time so I have mania stacked on mania with a nice layer of agitation from asthma treatments now and I'm pretty well stuck until next week. It's just one more thing that may land me IP for med adjustments next week and of course if they admit me and the exposure to allergens goes away then I will be fine in the nice hospital air. I've been through this before. For some oddball reason my hospital doesn't let nurses do inhalers, so an RT comes around twice a day to administer the inhaler that I don't even need in that sealed environment. It's goofy. After I had surgery last summer my dr put me on an inhaler even though I wasn't using one at home and they kept coming at the most ridiculous times, like partway through having my nerve block replaced which resulted in a lot of "STERILE PROCEDURE!!!" yelling which fortunately came from the attending and not the very nervous intern placing one of his very first blocks. Or when I was about to hop to the bathroom (a long trip ) or going to have a PT assessment. They were amazing. In psych they come at meals and so everyone gets to watch me fumble with using the oh, crap, lost my words, chamber that the med goes in instead of just using the inhaler directly. I cannot coordinate that thing. I know it is supposed to be easier but I mess it up. Especially when 9 other patients are staring at me.

I don't know. I'll get through this somehow and there just won't be oral steroids unless nobody can think of anything and my family dr has fought long and hard to avoid them to date to hopefully he's got more ideas. When I got this from pertussis that damaged my lungs he kept telling me that he felt bad because with my other meds and med allergies he can keep me alive but not comfortable. That's been our approach to asthma all along and I guess I just suck it up and am uncomfortable (and more manic) for a while.