Conversation: The conversation between human and AI assistant.
[|Human|] Ive been short of breath, coughing, slight wheezing for the past month.  I had a short course of prednisone about 2 and a half weeks ago.  I keep feeling like im improving then start coughing and wheezing the next day.  I have had a long history with asthma with only one exaherbation a year.  They are usually cold induced.  I had a slight head cold just about a month ago.  I also have severe sleep apnea and use a cpap set at 9.  I have back pain located between my shoulder blades.  It always hurts but is worse when taking a deep breath. My oxygen saturation has been mostly 97%- 98% (im usually 99-100%.)i have been dipping down as low as 94%.  I m afraid to go back to the doctor for fear they will think im a hypochondriac.  Night time and first thing in the morning are worst.  What are our thoughts.
[|AI|]  Hi welcome to ChatDoctori have read your question and concerned about your problems you are saying that you are an asthmatic and sleep Anna pt on CPAP therapy and as you are having your asthmatic attack now it is normal to have a dip in o2 saturation(when you are wheezing) now you have to optimize your treatment for asthma with use of inhaled corticosteroids and bronchodilators and if necessary oral steroids. Other possibility for dip in saturation is inadequate CPAP therapy so consult your pulmonologist and first optimize your therapy for asthma and if the problem persists you have to optimize your CPAP therapy thank u