Given all that is now being said about chronic irreversible imparement of pulmonary function in persistent asthma, I think spirometry is pretty useful. I used it some in my practice. However, can you get reimbursed for it? Spirometry takes time and even if you are paid for it, is payment worth the time spent? Still, given what it being written about asthma these days, I think everybody should consider it... Maybe someone has a used spirometer for sale? Steve Jacobs Modesto, CA -----Original Message----- From: [mailto:]On Behalf Of Graham Barden Sent: Monday, February 19, 2001 8:01 PM To: Subject: Office Spirometry We have a new pediatrician that did a lot of spirometry testing in residency. I did none. She would like to do some in our office, but that means a 2K+ piece of equipment. I suspect it will pay for itself, but I was wondering how many general peds out there use spirometry to help manage asthma. I have often tried a pre and post neb peak flow reading to help gauge someone's response to bronchodilators, but it seems less than satisfactory. What do others do? -graham