FCAAIA Notes: Everyone with allergies should make an attempt to decrease exposure to his or her triggers. Everyone should try to find an effective symptom reliever to use as needed. Everyone with moderate symptoms should use daily controller mediations. And, in accordance with current guidelines and practice parameters, everyone with moderate allergic rhinitis is a potential candidate for allergen immunotherapy (allergy shots).
BUT WAIT! This review doesn’t even mention immunotherapy as an option and I don’t know why. Immunotherapy has the potential to cure, not just control one’s disease Continue reading “UPDATES IN THE MANAGEMENT OF SEASONAL ALLERGIC RHINITIS”
FCAAIA Notes: I have written about the upper-lower airway connection in this blog many times. Most young people with asthma have allergies and 20-60% of those with allergies will develop asthma. The two conditions can be thought of as the same disease affecting different ends of the respiratory system or “allergic airway disease”.
There is a large literature supporting the fact that treating the upper airway (nose) can lead to improved control of the lower airway (asthma). In fact, the most recent iteration of national guidelines for the care of asthma tell us that anyone with persistent asthma (defined in part as symptoms >2 days per week or night time symptoms > 2 nights per month) and allergies should consider allergy shots as a potential cure for his allergic airway disease. Continue reading “IMMUNOTHERAPY IN ALLERGIC RHINITIS AND LOWER AIRWAY OUTCOMES”
FCAAIA Notes: For all intents and purposes, one can usually consider allergic rhinitis and asthma as the same disease affecting different ends of the same airway. I frequently refer to the combination as “allergic airway disease”. The conditions have the same underlying pathophysiology, immunology, triggers, and tenets of treatment. We know that the vast majority of young people with asthma have allergies. We have also long recognized the “atopic march” or “allergic march”, in which patients progress from atopic dermatitis, to allergic rhinitis, to asthma. Continue reading “STUDY INVESTIGATES THE EFFECTIVENESS OF ALLERGY IMMUNOTHERAPY TO PREVENT ASTHMA IN ALLERGIC RHINITIS”
FCAAIA Notes: There are only 2 proven and natural cures for airway allergy: Avoidance of the allergens and allergy shots. As effective as injections are, we recognize they are an inconvenience. Studies from many years ago show that in the long run, injections coast LESS than staying ion medications, particularly if you add in the indirect costs of illness such as lost time from work. But, when we talk about costs, we are talking about TOTAL costs (what you insurance company pays plus your out-of-pocket costs).
Unfortunately, the current state of medical insurance is that your co-pays and deductibles are higher and your insurance company pays less every year Continue reading “INADEQUATE HEALTH INSURANCE LEADS TO DISCONTINUATION OF SCIT”