Oh, to the OP - you really should find a different pulmonologist. I have moderate - severe asthma also; so I also need long term relief. But I use a long acting bronchodialtor (Serevent) and an inhaled steroid (Asmanex). Two long acting controllers. So my symptoms are mostly gone; I still use the rescuer (Xopenex for me), but not nearly as often as you are using the albuterol. There are probably other meds that will control your symptoms, but without the hassle of the nebulizer.