@wangling
Hope you are doing well. I am still having periodic wheezing, coughing up large amounts of mucus. I contacted my Mayo Pulmonologist and described the symptoms and they are bringing me back in.

I have been seeing a Mayo ENT PA for years for sinus polyps. I am at the stablizing stage so no surgery just steroid nasal sprays. What she recommended was for me to use Atrovent (prescribed by my PCP) as a preventative medication as it does not act immediately and is used for long term preventive (her information not my opinion).

She then said use the apuretrol (spell) for when bronchial areas flares up as it is intended as a rescue inhaler for actute symptoms not chronic. So doing that until I meet with pulmanary soon.
Take care. I agree with you the quality of life is extremely important and that is what I keep telling my PCP, ENT, and pulmonologist.