-year-old Hispanic man with a 20-pack-year smoking history presented
with a 4-day history of worsening shortness of breath (SOB). The
patient reported that he has had SOB for several years but has noticed
a significant increase over the last 1.5 years. Due to the severity of
his symptoms, he had to quit his job as a commercial fisherman.
The patient had several hospitalizations for presumed asthma
exacerbations. The patient never required intubation. During these
hospitalizations, he was treated with IV steroids and β-agonists with