tag:blogger.com,1999:blog-569897044603346297Mon, 21 Sep 2026 17:44:52 +0000ParentingAllergiesFood allergyPediatricsAsthmaanaphylaxisfood allergiesEpinephrineoral immunotherapy504 planAllergyCOVID19Chinese medicineEczemaFood challengesHalloweenImmunologyInfluenza A virus subtype H1N1ThanksgivingVaccinationantibioticsdrug allergyeducationgeneric epinephrineimmunotherapyprivate practiceschool guidelinessmoking bansocial mediaAAAAIAANMAACAAIAllergen IntroductionCDCCherrybrook KitchenDry skinEarth DayExcluded MedicationsExpress ScriptsFood Allergy AwarenessFood Allergy PreventionFormularyGeneralH1N1Health EquityHealth careHealthcareImaginationImmune SystemKaneland Allergy and Asthma CenterKeratosis PilarisKids Say the Darndest ThingsMedication recallMosquito bitesNasal irrigationNot-so-SupermomPeanut PatchPetsPhishingPodcastSeaonal InfluenzaSinusitisSkin careStock Epinephrine LawSwine influenzaTrainingVideo ContestWhy See an Allergistasthma screeningclinical studycontinuing medical educationcopingear infectionenvironmental tobacco smokefood allergy studyinfectionmediamedical educationmedical playpatient educationpeanut allergypicnicspositive attitudespositive thinkingprenatal dietprimary immunodeficiencypsychosocial copingrainbowsresearchsensationalismtraffictreatment failurevaccinevolcanowork-life balanceworking momAdventures of an Allergist MommyA Board-certified Pediatrician and Allergist/Immunologist shares a physician's perspective on parenting kids with allergies, parenting in general, and keeping it all together when all she really wants is a Reese's Peanut Butter Cup.noreply@blogger.com (Sakina Bajowala, MD)Blogger147125tag:blogger.com,1999:blog-569897044603346297.post-7118283873167380673Wed, 12 May 2021 13:21:00 +00002021-05-12T08:26:25.162-05:00Allergen IntroductionAllergyFood allergyFood Allergy AwarenessFood Allergy Preventionoral immunotherapyPediatricsPodcastInterview with Dr. Phil Boucher of "Raising Good Parents" - Food Allergy Prevention<p><span style="background-color: white; color: #262626; font-family: inherit; font-size: 14px;">I had an excellent time talking to my colleague, Dr. Phil Boucher, about the topic of Food Allergy Prevention. The podcast episode is live now, just in time for Asthma and Allergy Awareness month!</span></p><span style="background-color: white; font-family: inherit;"><span style="color: #262626; font-size: 14px;">🎙️ If you haven't already subscribed to his podcast (Raising Good Parents), please take a listen. I think you'll find it both educational and enjoyable.</span><br style="color: #262626; font-size: 14px;" /><span style="color: #262626; font-size: 14px;">⠀</span><br style="color: #262626; font-size: 14px;" /><span style="color: #262626; font-size: 14px;">🔗 Here's the link: <a href=" style="background-color: white; color: #262626; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, Arial, sans-serif; font-size: 14px;" /><span face="-apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, Arial, sans-serif" style="background-color: white; color: #262626; font-size: 14px;">⠀</span><br style="background-color: white; color: #262626; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, Arial, sans-serif; font-size: 14px;" /><br /><div class="separator" style="clear: both; text-align: center;"><a href="; style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1080" height="200" src="; width="200" /></a></div><br />2021/05/interview-with-dr-pil-boucher-of.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-7782312575799982915Wed, 14 Apr 2021 21:18:00 +00002021-04-14T16:21:43.337-05:00anaphylaxisantibioticsclinical studyEpinephrineVolunteers Needed for Epinephrine Nasal Spray Study<p>Ever wish there was an alternative to injections for emergency delivery of epinephrine for anaphylaxis? There is a research study underway assessing the use of a nasal epinephrine spray for allergic recations, and healthy adult volunteers are needed!</p><p><br /></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="; style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="538" data-original-width="1024" height="210" src="; width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><p></p><p></p><table bgcolor="#FFFFFF" border="0" cellpadding="0" cellspacing="0" id="m_-7104835171394145482content_LETTER.BLOCK3" style="background-color: white; color: black; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="left" colspan="1" rowspan="1" style="font-size: 12pt; line-height: 1.5; margin: 0px; padding: 8px 0px 9px;" valign="top"><span style="background-color: white; font-family: times;"><span><span style="font-size: small;"><span style="font-size: 12pt;">Celerion is seeking healthy adult males and females to participate in a research study for the development of an Epinephrine nasal spray for use as an emergency treatment for allergic reactions.<br /></span></span></span><span style="font-size: 12pt;"><br /><b style="color: blue;">STUDY DETAILS:</b><span style="color: blue;"><b><br /><ul><li><span style="font-family: times;">Healthy Adults</span></li><li><span style="font-family: times;">Ages 19-65</span></li><li><span style="font-family: times;">One 4-night stay at Celerion</span></li><li><span style="font-family: times;">Earn up to $3,000 for participation</span></li></ul></b></span></span></span><div style="font-size: 12pt;"><span style="background-color: white;"><br /></span></div><div style="font-size: 12pt;"><span style="background-color: white; font-family: times;"><a alt="; data-saferedirecturl="; href="; shape="rect" style="color: blue;" target="_blank">HelpResearch.com/NasalSpray</a><br /></span></div><div><span style="font-size: 12pt;"><span style="background-color: white; font-family: times;">866-213-2965</span></span></div></td></tr></tbody></table>2021/04/volunteers-needed-for-epinephrine-nasal.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-2241758485651649858Wed, 02 Dec 2020 18:35:00 +00002020-12-02T12:35:57.746-06:00COVID19Health EquityFree Virtual Conference- Black People Like Me: Asthma, COVID-19, and Questions We Need Answered<p></p><div class="separator" style="clear: both; text-align: center;">I am sharing the following information from the Allergy & Asthma Network, because I believe we MUST do better at protecting vulnerable and high-risk populations from the COVID-19 virus. Communities of color are being disproportinately affected by the virus, not only in terms of infection rates, but also death rates and economic impacts. Achieving true equity in healthcare means understanding that resources must be allocated by need, not simply spread evenly throughout the population. </div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;">If you don't agree, please don't hate - educate!!! </div><div class="separator" style="clear: both; text-align: center;">You may be well-served by joining this free event, for which details are provided below.</div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="788" data-original-width="940" src="; width="320" /></a></div><p></p><table border="0" cellpadding="0" cellspacing="0" id="m_4496113896604378088content_LETTER.BLOCK3" style="background-color: white; color: black; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="left" colspan="1" rowspan="1" style="line-height: 1.5; margin: 0px; padding: 8px 0px 9px;" valign="top"><div style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt;"><span style="font-size: 12pt;">All too often, Black people experience more barriers to health based on their race. Many get sick or die because of these barriers. COVID-19 and asthma, for example, are more common among African Americans.</span></div><div style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt;"><span style="font-size: 12pt;"><br /></span></div><div style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt;"><span style="font-size: 12pt;">How can we work together to improve the health of Black Americans?</span></div><div style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt;"><span style="font-size: 12pt;">Let's start the conversation!</span></div><div style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt;"><span style="font-size: 12pt;"><br /></span></div><div align="center" style="font-family: Arial, Helvetica, sans-serif; font-size: 16pt; text-align: center;"><span style="text-decoration-line: underline;"><strong><a href="; target="_blank">Virtual Conference</a></strong></span></div><div align="center" style="font-family: Arial, Helvetica, sans-serif; font-size: 16pt; text-align: center;"><strong>Black People Like Me: Asthma, COVID-19, and Questions We Need Answered</strong></div><div align="center" style="font-family: Arial, Helvetica, sans-serif; font-size: 14pt; text-align: center;">Tuesday, Dec. 15</div><div align="center" style="font-family: Arial, Helvetica, sans-serif; font-size: 14pt; text-align: center;">5:00 p.m. ET</div></td></tr></tbody></table><table bgcolor="#FFFFFF" border="0" cellpadding="0" cellspacing="0" id="m_4496113896604378088content_LETTER.BLOCK19" style="background-color: white; color: #222222; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="center" colspan="1" rowspan="1" style="color: black; font-size: 14pt; margin: 0px; padding: 8px 0px 9px;" valign="top"><table bgcolor="#E36356" border="0" cellpadding="0" cellspacing="0" style="background-color: #e36356; border-radius: 5px; width: auto !important;"><tbody><tr><td align="center" colspan="1" rowspan="1" style="margin: 0px; padding: 8px 15px 8px 16px;" valign="top"><a alt="; data-saferedirecturl="; href="; shape="rect" style="color: white; font-family: Arial, Helvetica, sans-serif; font-size: 14pt; font-weight: bold; line-height: 1.1; text-decoration-line: none;" target="_blank">Register Now!</a></td></tr></tbody></table><br /><div style="font-family: Arial, Helvetica, sans-serif; font-size: 14pt;"><span style="font-size: 12pt;"><em>The first 100 Black patients, families or caregivers attending the conference will get a <strong style="font-size: 12pt;">$25.00 Visa gift card!</strong><span style="font-size: 12pt;"> We will send you information on how to get the gift card after you register.</span></em></span><br /></div></td></tr></tbody></table><table bgcolor="#FFFFDA" border="0" cellpadding="20" cellspacing="20" id="m_4496113896604378088content_LETTER.BLOCK15" style="background-color: #ffffda; color: black; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="left" colspan="1" rowspan="1" style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt; line-height: 1.5; margin: 0px; padding: 8px 0px 9px;" valign="top"><div style="font-size: 14pt;"><span style="font-size: 14pt;">Who Should Attend?</span></div><div><ul><li style="margin-left: 15px;">Black patients, families and caregivers impacted by COVID-19 and asthma</li><li style="margin-left: 15px;">Black clergy</li><li style="margin-left: 15px;">Medical and health professionals</li><li style="margin-left: 15px;">All people who wish to better understand the needs of the Black community</li></ul><div><span style="font-size: 14pt;">We'll Cover...</span><br /></div><div><ul><li style="margin-left: 15px;">The challenges that Black Americans face in managing their health that lead to COVID-19 and asthma complications.</li><li style="margin-left: 15px;">What matters most to Black people</li><li style="margin-left: 15px;">What questions Black Americans want answered regarding their health</li><li style="margin-left: 15px;">The role of clergy in helping Black people take charge of their health</li></ul></div></div></td></tr></tbody></table><table bgcolor="#FFFFFF" border="0" cellpadding="0" cellspacing="0" id="m_4496113896604378088content_LETTER.BLOCK28" style="background-color: white; color: #222222; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="center" colspan="1" rowspan="1" style="color: black; font-family: Arial, Helvetica, sans-serif; font-size: 12pt; margin: 0px; padding: 8px 0px 9px;" valign="top"><br /><div>This is the first of six online events Allergy & Asthma Network will host to better understand and address the impact of asthma and COVID-19 on the Black community and how to engage </div><div>Black patients and families more to improve their health.</div><br /><hr /></td></tr></tbody></table><table bgcolor="#FFFFFF" border="0" cellpadding="0" cellspacing="0" id="m_4496113896604378088content_LETTER.BLOCK26" style="background-color: white; color: #222222; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="center" colspan="1" rowspan="1" style="color: black; font-size: 14pt; margin: 0px; padding: 8px 0px 9px;" valign="top"><div align="left" style="text-align: left;"><em style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; color: #212121; font-family: "Open Sans", Helvetica, Arial, Lucida, sans-serif; font-size: 14px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">This conference is funded through a Patient-Centered Outcomes Research Institute (PCORI) -- Eugene Washington PCORI Engagement Award #EAIN-00134. </em></div></td></tr></tbody></table>2020/12/free-virtual-conference-black-people.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-8075212571475350514Wed, 25 Nov 2020 04:58:00 +00002020-12-02T11:44:21.068-06:00COVID19How Will the COVID-19 Vaccine be Distributed?<p>After nearly a year of pandemic-induced isolation and loss, we have recently had the announcement of not only one, but two, candidate vaccines with impressive efficacy data. </p><p>Although this provides a glimmer of hope that we will eventually find our way out of this crisis, it is essential to recognize that there will not initially be enough vaccine available to immunize the entire population. Therefore, the vaccine will be distributed to the public in phases. You may be wondering where you or those you love lie on this index. Although this stratification is subject to change, here is what we know so far.</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="; style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1080" height="400" src="; width="400" /></a></div><p><br /></p><p>There will be 4 major phases for vaccine distribution:</p><p><b>1a.</b> High risk health care workers (hospitals, long-term care facilities, etc.) and first responders (police, fire, EMT)</p><p><b>1b.</b> People with 2 or more co-morbid conditions (eg: asthma, heart disease, immune deficiency), and older adults in congregate/overcrowded settings</p><p><b>2. </b>Teachers & school staff, critical workers in high-risk settings, people with moderate co-morbid conditions, residents/staff of homeless shelters or group homes, incarcerated/detained people and associated staff, and all older adults</p><p><b>3.</b> Young adults, children, and workers in industries important to the functioning of society</p><p><b>4.</b> All other people in the United States who wish to be vaccinated</p><p><i>Within each of these phases, attempts will be made to prioritize vaccine administration to geographic areas identified through the Center for Disease Control's Social Vulnerability Index or another more specific index, should one be available at the time.</i></p><p>Remember, the goal of this phased approach is to prioritize vaccine administration not only to those who are at highest risk of having a bad outcome from infection, but also to protect those critical workers who need to be healthy enough to take care of the remaining public. This means it is unlikely that all members of your household will be able to be vaccinated simultaneously. Additionally, although the vaccine appears to be effective in preventing severe infection, it may still be possible to contract the virus and spread it to unvaccinated individuals even if you have been immunized. Therefore, vaccination will not be a free pass to go back to "normal", at least not right away.</p><p><b>We are approaching the home stretch, so please don't let pandemic fatigue get the best of you now. Keep up the good fight with distancing, masking, and supporting one another, so we can keep COVID-19 at bay long enough so that the vaccine can reach everyone who needs it before the virus gets to them first.</b></p><p><span style="background-color: white; color: #262626; font-size: 14px;"><span style="font-family: times;"><i>Ref: National Academies of Sciences, Engineering, and Medicine. 2020. Framework for Equitable Allocation of COVID-19 Vaccine. Washington, DC: The National Academies Press. ;2020/11/how-will-covid-19-vaccine-be-distributed.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-7717378774014378685Sun, 09 Feb 2020 15:28:00 +00002020-02-09T09:37:24.388-06:00Allergiescopingfood allergiesFood allergyfood allergy studypsychosocial copingPlease Participate in A Study on Psychosocial Coping in Food Allergy<div dir="ltr" style="text-align: left;" trbidi="on">
Dear Food Allergy Families,<br />
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Please consider participating in the following study intended to explore the psychosocial coping needs of families with food allergy. As anyone who is living with food allergies understands, the psychological impacts of living with a potentially life-threatening condition are incredibly important, but sadly, often given short shrift in the context of limited time available during healthcare maintenance visits.<br />
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Participating in this study is an opportunity to contribute to our knowledge base about the strategies families utilize to cope with the diagnosis. Thank you!<br />
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-AllergistMommy<br />
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<span style="background-color: white; font-family: "times" , "times new roman" , serif;"><span class="css-901oao css-16my406 r-1qd0xha r-ad9z0x r-bcqeeo r-qvutc0" style="border: 0px solid black; box-sizing: border-box; display: inline; font-size: 15px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.3125; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; white-space: pre-wrap;">We want to invite you to participate in an exciting study researchers from Northwestern University Feinberg School of Medicine are conducting to explore the thoughts, emotions, and coping strategies individuals and families have and use as they manage food allergies. Led by Ruchi Gupta, MD, MPH, the goal of this research study is to both identify the coping those living with food allergy or caring for someone with food allergy currently use that work best for them, and to gauge any interest in new interventions to improve psychosocial outcomes. With this information, we hope to inform future clinical care so that patients living with food allergy are provided with methods of coping that meet their psycho-social concerns living with food allergy.
If you are living with a food allergy, or are a caregiver of someone who has a food allergy, we would greatly appreciate your participation! Please note, you must be 18 years or older to participate in this survey.
To participate, we are asking you to complete a short and anonymous survey through the online service, REDCap. Being in this study is optional and voluntary. If you are interested in participating, click the appropriate survey link provided below and read through the consent form before proceeding. It should take you no more than 15 minutes to complete the survey.
If you’re interested in completing the survey, please use the following link:
</span><a class="css-4rbku5 css-18t94o4 css-901oao css-16my406 r-1n1174f r-1loqt21 r-1qd0xha r-ad9z0x r-bcqeeo r-1ddef8g r-qvutc0" data-focusable="true" dir="ltr" href="; rel=" noopener noreferrer" role="link" style="border: 0px solid black; box-sizing: border-box; cursor: pointer; display: inline; font-size: 15px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.3125; list-style: none; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; white-space: pre-wrap;" target="_blank" title=" aria-hidden="true" class="css-901oao css-16my406 r-1qd0xha r-hiw28u r-ad9z0x r-bcqeeo r-qvutc0" style="border: 0px solid black; box-sizing: border-box; display: inline; font-size: 0px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1.3125; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; white-space: inherit;"> class="css-901oao css-16my406 r-1qd0xha r-ad9z0x r-bcqeeo r-qvutc0" style="border: 0px solid black; box-sizing: border-box; display: inline; font-size: 15px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.3125; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; white-space: pre-wrap;">
If you are unable to click on the link or have any issues accessing the survey, please contact the research coordinator, Madeleine Kanaley, at madeleine.kanaley@northwestern.edu or (312)-503-5339.
Thank you for your participation,
Lisa Lombard, PhD
This study is Northwestern University Feinberg School of Medicine IRB </span><span class="r-18u37iz" style="-webkit-box-direction: normal; -webkit-box-orient: horizontal; flex-direction: row; font-size: 15px; white-space: pre-wrap;"><a class="css-4rbku5 css-18t94o4 css-901oao css-16my406 r-1n1174f r-1loqt21 r-1qd0xha r-ad9z0x r-bcqeeo r-1ddef8g r-qvutc0" data-focusable="true" dir="ltr" href="; role="link" style="border: 0px solid black; box-sizing: border-box; cursor: pointer; display: inline; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1.3125; list-style: none; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; text-align: inherit; white-space: inherit;">#STU00210953</a></span><span class="css-901oao css-16my406 r-1qd0xha r-ad9z0x r-bcqeeo r-qvutc0" style="border: 0px solid black; box-sizing: border-box; display: inline; font-size: 15px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.3125; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; white-space: pre-wrap;">
Title: Understanding the Psychosocial Coping Strategies of Individuals and Families Affected By Food Allergy
Principal Investigator: Ruchi Gupta, MD, MPH
The content of this email has been approved by Northwestern University’s IRB.</span></span></div>
2020/02/please-participate-in-study-on.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-877020534229813718Fri, 26 Apr 2019 20:25:00 +00002019-04-26T15:25:31.453-05:00anaphylaxisfood allergiesmediaoral immunotherapyresearchsensationalismWhen Food Allergy Treatments are Sensationalized, it is the Allergist's Role to Bring Us All Back Down to Earth<div dir="ltr" style="text-align: left;" trbidi="on">
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<i>Sharing a recent post from my practice Facebook page, in response to concerns raised by the recent publication of a meta analysis on anaphylaxis rates during food allergen oral immunotherapy: <a href="(19)30420-9/fulltext" style="background-color: transparent;">(19)30420-9/fulltext</a></i></div>
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<i>I hope my comments are helpful at proving some context for patients currently pursuing or consider food allergen desensitization therapy. </i></div>
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<i>I am a non-alarmist by nature, and feel it is 100% possible to integrate new data without falling prey to the sensationalization of these publications by the media. It is frustrating to read in the news one day, "Researchers find CURE for peanut allergies!" (WRONG!!!) and the next day read "Experimental treatment for food allergy causes more life-threatening reactions than avoidance!" (Hmmm...a bit misleading). No nuance, no thoughtfulness, no concern for the impact of such a black & white approach to a decidedly grey issue. And why would there be? Nuance doesn't get you clicks or ad revenue. A sexy headline does. When it comes to alarmist interpretations of science by the media, it is the role of those of us who truly understand these patients and these treatments to bring some rationality back to the discussion.</i></div>
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<i>Don't rely on media articles to help you sort through these complicated issues - you will end up with over-simplified click-bait. Better to find a quiet corner and read the source article itself, and take it to a physician you trust to help you make sense of it all.</i></div>
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Receiving (very reasonable!) questions about the OIT Anaphylaxis meta-analysis published in the Lancet journal.</div>
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Quick response: Respected journal, rigorous analysis, tells us what we already knew to be true: the more you ingest a known food allergen, the more likely you are to experience a food allergy reaction.</div>
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I do not dispute the findings that a patient consuming their food allergen daily or twice daily during an oral immunotherapy protocol is more likely to experience anaphylaxis than someone successfully observing strict avoidance. I do think it would be important to compare data on episodes of anaphylaxis as a function of number of ingestions, and also to analyze data on rates of anaphylaxis resulting from accidental allergen ingestion in both groups (non-OIT vs. OIT). This is liable to yield a different perspective.</div>
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It is also notable that anaphylaxis from accidental exposure in an uncontrolled environment and anaphylaxis from a known and quantified ingestion in a controlled and monitored setting are quite different scenarios.</div>
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Nevertheless, as allergists committed to evidence-based medicine and with the best interests of our patients at heart, we must acknowledge that we can ALWAYS do better. Although most patients pursing food allergen desensitization have excellent results and improved quality of life, there is absolutely a subset of patients who truly struggle with dosing due to reactions and anxiety. As a specialty, we need to dive deeper into working to identify those patients most likely to experience a negative course before beginning oral desensitization therapy, so we can A) address pre-existing risk factors prior to the initiation or therapy, or B) direct the patient to defer OIT in favor of continued avoidance or an alternative therapy (EPIT, SLIT, etc.).</div>
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I also believe an important point to recognize is that avoidance of a reaction is not the only goal of a food allergen desensitization program. For many patients, the benefit gained is reduced dietary restrictions, expanded opportunities for activities, and an increased sense of control.</div>
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We are committed to supporting our patients with a transparent discussion of ALL options for the management of life-threatening food allergies, including the option to continue avoidance, and to continually refine our approach to management to optimize safety and quality of life.</div>
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For those patient currently pursuing OIT, this study likely won't change anything for you - your past experience is more reflective of your future experience than a study. For those patients on the fence - good for you for reading and educating yourselves on this important decision. We are here to support you with information and non-judgemental guidance, every step of the way.</div>
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2019/04/when-food-allergy-treatments-are.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-2914584585377492570Thu, 20 Aug 2015 04:35:00 +00002015-08-19T23:35:33.960-05:00AllergiesFood allergyschool guidelinesFostering a Culture of Inclusion in Schools<div dir="ltr" style="text-align: left;" trbidi="on">
It's that time again... Back to School!<br />
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I, for one, relish the newly found silence in my home in the afternoon. I am also happy in the confidence that my boys are learning and playing and enjoying school again. I like knowing that the sweltering days of summer will soon transition into pleasant autumn evenings.<br />
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However, I know that back to school season brings on very different emotions for parents of children with life-threatening food allergies. These feelings range from fear and anxiety at being separated from a child with medical needs, to frustration with the necessary mounds of paperwork that constitute school health forms, and apprehension about what some might term "the little things": Will my child have someone to sit with at lunch? What if someone at the middle school starts a food fight, and throws a PB& J? How will my 5 year old handle it, when at the end of a long day of kindergarten, a classmate shares cupcakes with everyone as a birthday treat (everyone except him)? What will I do if the PTA organizer insists on using an ice cream brand for the open house social that is known to have cross-contamination issues?<br />
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In my work as a pediatric allergist, I have come across of a wide variety of ways that children with life-threatening food allergies are excluded in the name of safety. Here are a few examples:<br />
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1) A class was rewarded for good behavior by being permitted to eat lunch in the classroom instead of in the lunchroom. When the teacher discovered that a number of children had peanut or tree nuts in their lunches, my patient's desk was pushed into the corner of the room to keep him separated from the allergens. Classmates were rewarded. He was punished.<br />
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2) A teacher mentioned to a mom that it might be a good idea if a tree nut-allergic student remain home on the day of the field trip, as there would be walnut trees in the park they were planning to visit, and the teacher couldn't guarantee that a chaperone would be able to monitor the student closely enough for the teacher's comfort.<br />
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3) A student with a food allergy was identified by name in a letter that went home to parents stating that only fruits and vegetables could be sent as snacks or treats into the classroom. This resulted in a classmate stating to my patient, "My mom says it's your fault that we can't have any good food for the holiday party, and you should just be home-schooled."<br />
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The common thread in these scenarios is that each child was isolated or excluded. Now, don't get all up in a knot saying, "They are going to have to learn how to go without eventually!"<br />
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Parents of kids with food allergies understand that their kids will one day have to learn that part of the reality of living with allergy is that you can't always have what other people are having. We start teaching that as soon as they are old enough to understand the concept. As children grow older, this is continually reinforced by families and health care professionals. We teach kids to advocate for themselves.<br />
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Young children, however, deserve to learn in an environment that is not only safe, but also as inclusive as possible. Sitting alone at lunch, being the only kid who gets a bag of crackers instead of a cupcake, having to miss out on special activities, leaving the soccer game before the snack, being identified as the reason for other children's "deprivation" - these things add up very quickly in the psyche of a young child and create a profound sense of otherness. It IS worth the extra effort it takes to develop non-food rewards and celebrations. It IS worth the extra thought required to ensure that we aren't just keeping our kids physically healthy, but also emotionally healthy.<br />
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It takes a village to raise a child. It takes many arms to envelop children in a circle of safety and acceptance. It takes the strength of many to lift our children up so they can look to the future and envision possibilities beyond the immediate.<br />
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So, when you are planning that holiday party, or open house event, or fundraiser, or field trip - please ask yourself, "Am I doing everything I can to ensure that all the children in the school feel equally valued and worthy?"<br />
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It may just be something on your task list, but to a kid, it can mean the world.</div>
2015/08/fostering-culture-of-inclusion-in.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-2086921238923303906Thu, 06 Nov 2014 05:17:00 +00002014-11-05T23:17:21.904-06:00Food allergyHalloweenKids Got Too Much Candy this Halloween? Here Are Some Options!<div dir="ltr" style="text-align: left;" trbidi="on">
If your Halloween ended up like hours, a short time spent trick or tricking resulted in a ridiculous quantity of candy. Luckily for me, the risk of finding shellfish in my boys' candy stash is exceedingly low. The same sense of relief does not extend to the families of kids with other food allergies, such as milk, egg, peanut or tree nuts. So, what's a candy-overloaded family to do? Here are a few ideas:<br />
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1. Let mom and dad eat it. Just kidding. Not really. :-/<br />
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2. Invite the "Switch Witch" over for a visit! She takes the candy, and leaves a cool toy in its place!<br />
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3. Send your candy to our troops serving abroad! Your donated candy will be included in care packages. Operation Gratitude does a great job: <a href=" />
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4. Ask your local dentist or allergist about Halloween candy buy-backs! Maybe your kids will make a few bucks... see below for a picture of a few of my patients visiting their dentist during a candy buy back event. They look pretty happy too me!<br />
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5. Donate the candy to a local food pantry, community center, or shelter. Ask first, to see if they are accepting candy donations.<br />
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6. Throw it away. There will be more next year, and it's just sugar anyway.</div>
2014/11/kids-got-too-much-candy-this-halloween.htmlnoreply@blogger.com (Sakina Bajowala, MD)2tag:blogger.com,1999:blog-569897044603346297.post-7701881190680240883Fri, 18 Oct 2013 22:30:00 +00002013-10-18T17:39:53.326-05:00Excluded MedicationsExpress ScriptsFormularyMajor Changes to Express Scripts Formulary Will Affect Many Asthma and Allergy Patients<div dir="ltr" style="text-align: left;" trbidi="on">
I just received notice that as of January 1, 2014, the Express Scripts formulary will be removing a number of medications from its repertoire of covered drugs. This means that patients under the Express Scripts plan will have NO COVERAGE for these prescriptions, and will be required to pay full price at the pharmacy. The list is long, and heavy on medications commonly used by patients with asthma and allergies:<br />
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<b>Asthma medications:</b><br />
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Advair diskus<br />
Advair HFA<br />
Alvesco HFA<br />
Flovent Diskus<br />
Flovent HFA<br />
Maxair Autohaler<br />
Proventil HFA<br />
Xopenex HFA<br />
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<b>Allergy medications:</b><br />
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Auvi-Q<br />
Beconase AQ<br />
Omnaris<br />
Rhinocort Aqua<br />
Veramyst<br />
Zetonna<br />
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As insurers continue to seek ways to cut costs and boost the bottom line, they will negotiate with pharmaceutical companies to obtain lower pricing. Those companies that play ball get to keep their drugs on the formulary. Those that don't, get dropped. The losers are the patients who will be required to switch from medications they have been taking successfully.<br />
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If you or a loved one are taking any of the medications on the above list, I would encourage you to schedule an appointment with your Board-Certified Allergist to discuss a trial of a covered alternative medication well in advance of January 1st. Your physician may have a sample of the new medicine that you can "try before you buy". You don't want to be in the position of being forced to switch before you've determined which alternative works for you. You may also want to take advantage of 90 day supplies of medication before the year ends and your coverage expires. Some of the soon to be excluded medications currently have manufacturer's coupons that will be valid through the end of the year.<br />
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Talk to your doctor -- we're here to help you navigate through the complex state of medical affairs.</div>
2013/10/major-changes-to-express-scripts.htmlnoreply@blogger.com (Sakina Bajowala, MD)3tag:blogger.com,1999:blog-569897044603346297.post-4287858280380215571Fri, 20 Sep 2013 17:20:00 +00002020-02-09T09:32:35.532-06:00EpinephrineStock Epinephrine LawYour Chance to Weigh In On Stock Epinephrine Legislation (Courtesy of AANMA)<div dir="ltr" style="text-align: left;" trbidi="on">
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<span font-size:="" x-small="">I am proud to be from Illinois, where we already have excellent guidelines in place for the protection of food allergic children, and also have a stock epinephrine law on the books. I am also so pleased that my state's U.S. Senators have teamed up to co-sponsor a bipartisan bill designed to keep the children of America safe from severe allergic reactions. Read on to learn more!</span></div>
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Courtesy of the <a href="; target="_blank">Allergy and Asthma Network - Mothers of Asthmatics</a>:</div>
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<span style="font-family: Times; font-size: small;"><strong>Your Chance to Weigh In On</strong></span></div>
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<span style="font-family: Times; font-size: small;"><strong>Stock Epinephrine Legislation</strong></span></div>
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The School Access to Emergency Epinephrine Act, which would encourage states to require that schools keep l