Hi,
Thanks for all the information.
My commiseration with your travails.
You have been on antibiotics & steroids, but not getting better.
Is it a swine flu?
we cannot say without testing.
But, one thing likely, that you may have a viral infection.
Now, there are many respiratory viruses which after causing trouble for a wk or two will subside ( your body will fight it off).
But, some nasty virus( like regular flu virus) , besides swine flu, may also cause severe symptoms.
Given your h/o asthma, it will be wise to start you on tamiflu ( no it does not make your symptoms worse) as well, to cover for viral infections.
If your doctor is not ready yet, you can get a prescription from your local urgent care.
There is no time limit, when this can turn fatal.
In presence of asthma, the answer is anytime!
Infections can cause excessive bronchial hyperreactivity & hence acute respiratory failure.
Hence, please continue albuterol nebulizations, take steroids, rest, adequate hydration, antibiotics & tamiflu as well for now.
Hard to say for me.
ER doctors are very busy & may not know your clinical condition well.
Besides, your symptoms were just started.
But now in spite of antibiotics, with no improvement, the possibility of flu cannot be ignored anymore.
When you are not sure about diagnosis & your condition is not better clinically, it is better to be safe than sorry ( that is, start treatment, then look for diagnosis).
Doctor
MD