Hello marija and everyone. I joined to post this question. I'm an asthmatic and an exercise instructor. I have had no asthma symptoms in 10 years thanks to a good doctor and management plan.

I have a student who comes to my exercise classes and has an asthma attack every time. He chooses to manage his asthma by sitting and breathing slowly and is reluctant to use his reliever because it makes him cough.

All my students sign a health questionnaire. This student has only noted Ventolin as his medication. When I asked him what preventer he was using he said he didn't know the name of it. I suggested Seretide and he said, "yes that's it I think." I'm a little suspect about someone actually using their preventer regularly and not knowing the name of it.

Anyway, this week before class I asked him how often he takes the preventer and he'd again forgotten but then remembered and said he takes it once a day. I asked him if he could possibly take it an hour before starting the class. He said, "Why? It takes 5 days before it works anyway." I said I was surprised because my preventer begins to work really well after one hour.

I'm hoping someone here can help me clarify my options as a service provider. I'm really not interested in having a student who's asthma isn't being adequately managed and I think I need to be firmer with this student as this could be an emergency waiting to happen. Please share your thoughts.