Abstract: A patient manager provides activity recommendations to a patient based on monitored data. The patient manager monitors personal, environmental, and external data to identify baseline and personal best thresholds to determine appropriate activity recommendations for a patient that is trying to manage a disease such as asthma. A personal monitor measures a peak flow rate by having the patient blow through the personal monitor. An environmental monitor measures ambient conditions in a room and communicates the conditions with the patient manager. The patient manager also pulls in third-party regional weather information, and generates activity recommendations based on the personal, environmental, and regional information.