Problem: Consider follow up: What assessments or clinical parameters should be used to evaluate that the therapy has reached desired therapeutic outcomes? 6-year-old male, Jordan M., presents with his mother to the clinic with a 6-week history of coughing and wheezing. He has not had routine well-child visits due to lack of health insurance. He is up-to-date on his vaccines and his mother would like to establish care. His mother reports the coughing and wheezing has been steadily worsening over the past several weeks during the winter season, but have gotten significantly worse over the past 2 weeks. He coughs throughout the day, and wakes up several times a night during the week. In the past week, he has used his albuterol inhaler daily for cough/wheeze, and sometimes it is so bad, he feels like he cannot breathe. He has gone to the ED twice in the past year for coughing and wheezing, was treated with nebulization treatments with significant improvement in symptoms. He was discharged home with an albuterol inhaler, 5-days of oral steroids, and instructions to follow-up with PCP.