This is my discharge instruction from my hospital admission in February, 1984 when I was admitted for asthma.

The only reason I chose this one to post here is because Vanceril is ordered for me to use PRN, which means as needed. As you’ll note, back in the 1980s there were two fallacies about inhaled corticosteroids: 1) That they had side effects equal to systemic corticosteroids. 2) It was believed that inhaled steroids would work right away when needed. Of course now we know it takes 2-3 weeks for this medicine to get into your system, and as long as you rinse well after using, side effects are rare. It is now recommended to use inhaled corticosteroids every day to prevent asthma. Sometimes I wonder if my asthma would have been controlled back then if this wisdom was available to my doctor back in 1984.

This is a form my mom whipped up to show the people at NJH/NAC just how bad my asthma was. As you can see I made 14 visits to the emergency room, and was admitted to the hospital 4 times. However, there were many occasions throughout the year I saw my doctor in his office for susphrine shots or similar treatment for asthma.

My parents insurance approved of my admission to NJH/NAC, otherwise I would not have been able to go. Here is a portion of my admission letter, followed by the cost for services at the asthma hospital as of 11/28/1985.