@joelars- You are one lucky person! I envy you. Because of the lung tissue that I've lost due to lung cancer I do use an inhaler. There's a new one out that replaces QVAR and Spiriva called Trelegy. I only need to inhales a day, first thing in the AM! Even if there is nothing new that they might have for you, if it's been a while, I'd go for the check-up. If I've answered this post before I apologize. Have you called Mayo yet?