Poorly controlled asthma means one of 3 things:
- the treatment plan is just wrong
- there are external factors that were not addressed in your treatment plan
- the patient does not understand and/or is not complaint with the recommendations (i.e. smoking cessation was suggested but not implemented).
If I think that there is something wrong with your treatment plan, I will tell you that. However, we work under assumption that your condition is followed by a medical professional, and any concerns about treatment plan will be referred to them. In this case, we may hit a "Pause" until your treatment plan is adjusted.
If your treatment plan is reasonable, I am 100% sure that you and I can figure out those unidentified factors, and deal with them accordingly. Asthma and COPD are complex conditions, but any right step towards improvement of your health counts.
However, your compliance is up to you. For example, if you still prefer to smoke, or do not want to make suggested dietary changes, THERE IS NO CHANCE TO SUCCEED.