Plumeria5
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Sierra's friend mentioned that she enjoyed trying to imitate Sierra's weird *advertiser censored* cough. This implies that Sierra's wheezing cough was a known characteristic of Sierra and must have been frequent. Some inhalers contain an anti-inflammatory medication and the dose is once/day, but a dose from a rescue inhaler (short acting) only lasts 3-4 hours and may need to be used repeatedly. A wheezing cough is definitely not hot or sexy. IMO, Sierra, who was concerned about her appearance, likely carried her inhaler everywhere to decrease the severity of her not-so-sexy wheezing cough.
I think it is hinky that her inhaler was left at home. Having purchased numerous inhalers, I know they are NOT cheap. I seriously doubt she had multiple inhalers. When you finish one inhaler, you purchase another on the date that your insurance allows the next purchase. Notice that Marlene was worried that Sierra didn't pack her inhaler in her tote bag.
Good thoughts. Did Nancy Grace discuss the inhaler with Marlene? If so an important question would have been, "Did Sierra always carry her inhaler with her?"