Very well said. I had thought there was some development on powdered delivery of albuterol. googling turned up...
http://cat.inist.fr/?aModele=afficheN&cpsidt=1983040 I know it was was done by those whacky frenchies, but stil looks promising for a way to deliver Dry Powder Inhalers (PDI) that are not affected by pressure. Interesting study to see the difference between the MDI (Meter Delivery Inhalers (pressurized) vs. PDI ( Not sure how the powder would work with moisture and cold though...
Do you know if your primary trigger worstened by altitude? Or is it just whenever it is cold?
My asthma is very mild these days as long as I prevent exposure to allergents (horses, cats, dogs, etc...). I hjave noticed over the last 3-4 years that after a hard 2 hour XC skate session I seem to develop some mild asthma over the next couple hours of recovery. Does not happen during summer (warm weather) workouts.
Cheers,
Mike