Category: Doctor’s Posts

The doctors of Fairfield County Allergy, Asthma, and Immunology post news for patients and professionals.

PEDIATRIC FOOD ALLERGIES: PITFALLS IN CURRENT FOOD LABELING REGULATIONS

FCAAIA Notes: Food allergy has significant impact on quality of life for patients and their families.  I work hard to have my patients live entirely normal lives with the exception of avoiding the offending foods.  Be vigilant and diligent about reading labels and asking servers, but go out to eat.  Go to parties and ball games.  Enjoy all the social activities you would if you didn’t have food allergy.

While the Food and Drug Administration requires that food manufactures clearly identify the presence of common food allergens in the product on their labels (milk, egg, wheat soy, peanut, tree nuts, fish, shellfish, and sesame), many companies place various “disclaimers” on their labels.  Statements such as, “May contain….”, Processed on…..”, and “Packaged in….” have no legal definition Continue reading “PEDIATRIC FOOD ALLERGIES: PITFALLS IN CURRENT FOOD LABELING REGULATIONS”

AMERICA’S LOVE/HATE RELATIONSHIP WITH DOCTORS

FCAAIA Notes: OK, I’ll admit it—some of my best friends are doctors. This article is not specific to allergy/immunology but I found it thought-provoking.

All the doctors I know went to medical school because they wanted to treat patients or do medial research. NONE went so he or she could make a lot of money.  In fact, in this day of insurance company driven medicine, any of us will tell you the profession is less lucrative than it once was. But, we are all still here, rather than running hedge funds!  Why? Because we like what we do for a living.

Wouldn’t I love to be a “Norman Rockwell” doctor? Continue reading “AMERICA’S LOVE/HATE RELATIONSHIP WITH DOCTORS”

NO BENEFIT TO UPPING INHALED STEROIDS DURING ASTHMA ‘YELLOW ZONE’

FCAAIA Notes: Daily inhaled corticosteroids (ICS) are the treatment of choice to prevent symptoms in patients with persistent asthma. If such a patient starts to have flaring symptoms, does increasing the dose even 4-5 fold help?  Maybe.  Maybe not. Over the years, there have been conflicting studies, as described here.

It seems to me that it has become routine advice that patients double their ICS dose when symptoms flare and they enter the “yellow zone” of asthma control.  But any one paying close attention to his patients will know it doesn’t always make a difference. Continue reading “NO BENEFIT TO UPPING INHALED STEROIDS DURING ASTHMA ‘YELLOW ZONE’”

ALPHA-GAL CHALLENGES FOOD ALLERGY PARADIGM

FCAAIA Notes: I have posted a couple articles about alpha-gal in this blog.  In contrast to more typical allergic reactions, alpha-gal differs in that reactions do not usually start quickly after ingestion.  Onset may take at least 4-6 hours (as compared to less than 30 minutes in more typical cases).  Interestingly, because of the immune mechanisms involved, we still call alpha-gal allergy “immediate type hypersensitivity”.

This review is interesting and useful because Continue reading “ALPHA-GAL CHALLENGES FOOD ALLERGY PARADIGM”

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