@jdbarr1 I'm thinking that with confusing results like these, plus conflicting opinions, it might be time to see a pulmonologist for a complete evaluation.

The finding "... The lack of response to bronchodilators may indicate a refractory state. Prolonged use may be of benefit..." may indicate a need for a different or longer-acting inhaler or oral medication.

It might help to do a little reading about Asthma and living with it. Here are couple good resources:
https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/learn-about-asthma
https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/managing-asthma

As always, the members here are ready to answer your questions.
Sue