Right now I'm really afraid because I just refuse oral steroids. I've refused them in the ER while gasping for air. But the inhaled ones cause problems too as do breathing treatments and right now I have been so unstable for so long that I am really afraid of what could happen if I have to use those inhaled steroids. Yet there's no much other choice unless I can make it a week until my dr is back and try spiriva again but I am not going to make it a week. I have just had the tiniest, barely there improvements in my depression and I am not willing to give that up except I think I'll have to, probably tomorrow because I'm pretty tight tonight after 2 doses of rescue inhaler this evening (and even that has me wide awake when I should be asleep after a big day and no nap).

The allergies snuck up on me this time. This is the price I pay for living in the country.