I've had asthma for a number of years. In CT scans a few years back, the docs at U of M here in Michigan found emphysema in the lower lobes of my lungs. They determined that when I quit smoking 30 or more years ago, the emphysema stopped progressing. Whew. Mostly dodged that bullet.
In 2014 at U of M, a bronchial lavage was done that showed 78% neutrophils and almost no eosinophils. They also had me do a methacholine challenge test when I first went to U of M and I was found to be highly reactive.
A couple of years ago, my allergy/asthma specialist said I have COPD. A year or so later, he said nope, only asthma. So, this diagnosis of ACOS makes sense to me.
I've read a couple of past articles about ACOS on your site and am grateful for them. I'm hopeful of finding other folks with this diagnosis who may share their treatment and life experiences here.
I'm currently on Symbicort, 2 puffs twice daily; Montelukast, 10 mg. once daily; and my rescue inhaler is Ventolin. Even in the hands of fine docs, I've had problems over the years -- though no hospitalizations or ER visits -- which I now think were because my real diagnosis wasn't known. Once, I developed a lung infection that took 6 months on an antibiotic 3 or 4 days a week to cure.
I've been down for several weeks right now, because several of my infirmities have ganged up on me! A pulmonary infection set off my asthma and Type 2 diabetes. I tend to have diarrhea and nausea on antibiotics, so it took my primary care doc and I some time to find the right antibiotic for this one (Cephalexin, 500 mg. 3 x daily for 10 days; I'm on Day #3 or 4). I'm also on my second Methylprednisolone Dos-Pak in 3 weeks, one for my ACOS and the other for a bad flare of hip/knee osteoarthritis, and that helped my asthma a bit, too.
Oh, I'll be 80 years old in August and turned out around 70 to have been born with a defective aortic valve that was then replaced in open heart surgery at U of M and have had endometrial cancer that surgery took care of. The diabetic retina specialist I see at U of M says some of my asthma medicines caused the cataracts I developed in both eyes, which were removed about two years ago.
I like those shirts I see that say, "Old age is not for sissies."
I don't like giving my age, because it doesn't seem to be a drawing card for others and I feel guilty ever seeming to complain since I've lived so long, thanks to fine doctoring, raised my family and have enjoyed years and years of fun and love with six wonderful grandchildren and my 81-year-old pal of a husband.
My best to all of you, and I will be grateful for any of you with an ACOS diagnosis who share your stories. I love reading everyone's stories.