Brief Answer: as discussed. Detailed Answer: Hi. It is really interesting to read the Medical History you have written, as also the Current Medications and your age too. (22 , male). You have covered the three main issues yourself- asthma- not responding to Albuterol and Lorazepam. Increases on lying down but no cardiac history. Unable to take deep, full breath and suffocation on lying down with a history of D1 athlete throughout college. The first ting I would advise in such a patient is to have one primary X-ray and if there is any positive finding , would advise CT scan to confirm or rule out any lung / chest pathology; ECG and clinical examination to rule out any cardiac problem ( which may not be a problem as er your history). I would start oral medications for broncho-dilatation, Steroids if indicated ( diagnostic sometimes). Get PFT- pulmonary function tests. Please visit the ER once again or another Doctor/ GP to have re-assessment on clinical basis and investigations if deemed to be till you can get an appointment with the Pulmonologist. During such an attack it is imperative that you be lying in head-up position ( propped -up), carefully observe for any other symptoms like coughing phlegm, fever, palpitations , chest pin and so on. regards,

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Brief Answer: Most welcome. Detailed Answer: Most welcome, thanks for your appreciation. Anxiety alone causing so much problems is seen only in female patients. Never seen in a male patient.

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