mkaye, Welcome to HealingWell. You are really having a tough time with your asthma. Are you treated by an allergist? I would suggest that you talk to your physician about Xolair. It is a monthly injection for severe asthmatics. I have been taking it for about five years. It costs around $10,000 per year, but insurance companies will gladly pay for it instead of all those ER visits.
I am almost 57 years old and have had asthma for six years, it came on with a vengeance. I have had only one ER visit. I will say, when I was still working, most of my asthma attacks that got out of my control were during the day and my allergist was willing to spend hours working with me in her office to keep me from having to go to the ER. She's the best.
I always make sure I take my controller medications. I don't leave home without taking my portable nebulizer, a bottle of water and an epi pen with me. It is very cold here now, so I don't go out without covering my mouth and nose. If it is below 20 degrees, I don't go out at all, per my doctor's orders.
I hope you will talk to your physician about Xolair and consider getting a second opinion. That is my unprofessional opinion.
Keep us posted.