In The News: Allergies

When are allergy tests needed?

If you have allergies, you likely know it. Sneezing, sniffling, itchy and watery eyes, the symptoms are sometimes overwhelming. Your immune system controls how your body defends itself and it overreacts to allergens you’ve inhaled, touched or ate. For example, if you’re allergic to dogs, your immune system identifies dog hair or dander as an invader. Your immune system produces antibodies called Immunoglobulin E (or IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction. These reactions can range from annoying sniffles to a life-threatening response called anaphylaxis.  

If you’re experiencing symptoms, but aren’t sure why or what’s causing them, allergy testing may be needed. Symptoms that usually prompt testing include:

  • Respiratory – itchy eyes, nose or throat; nasal congestion, runny nose, watery eyes, chest congestion, cough or wheezing
  • Skin – itchiness or eczema  
  • Abdominal – vomiting or cramping and diarrhea consistently after eating certain foods
  • Severe reactions to stinging insect stings (other than swelling at the site of the sting)
  • Anaphylaxis (pronounced an-a-fi-LAK-sis): a serious allergic reaction that affects many parts of the body at the same time

Allergy tests are the best and safest way to tell exactly what triggers your symptoms. The most common triggers include dust mites, animal dander, mold, pollen, insects, foods, latex and drugs. An allergist/immunologist can perform multiple types of allergy tests.

 

  • Skin tests: This is the most common kind of testing done in the allergist’s office. In this test, a small amount of allergenic liquid is placed on your skin and this area is pricked or scratched. Redness and swelling at a testing site tells us you are allergic to the tested allergen. It is generally not much more bothersome than a bug bite. The results of this test are ready in minutes, so you leave the office knowing what you are allergic to.
  • Intradermal tests: Intradermal tests are more sensitive than prick tests and may be used when prick test results are inconclusive. In this test, a very small amount of the sterile testing liquid will be injected just under the surface of your skin, similar to a TB test. The results are available in minutes.
  • Challenge tests: Challenge tests are sometimes used when a doctor suspects you have a food or drug allergy. In this test, a patient will eat or inhale a very small amount of the possible allergen under the close supervision of a board-certified allergist. The amount is gradually increased over several hours to ensure a full serving or dose can be tolerated. This type of test should only be done by a board-certified allergist with experience treating anaphylaxis. For your safety, do not try this test at home!
  • Blood tests: For this test, blood is drawn and then tested for allergies. This test is more expensive than skin testing and it takes longer to receive your results. Interpretation of this test should be done by a board-certified allergist as a positive result does not necessarily mean the patient is allergic. It is best understood in conjunction with an extensive allergy history and skin test. Unlike skin testing, blood allergy testing can be done when patients are still on oral antihistamines.

 

Many people with untreated symptoms aren’t aware of how much better they will feel once they are properly diagnosed and their symptoms are managed. We are here to help you breathe better, feel better and live better!

Give us a call or request an appointment online to begin your allergy treatment plan with one of our amazing board-certified doctors!

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10 Things People With Food Allergies Want You to Know

More than 30 million people in the U.S. alone have one or more food allergies. In other words, their immune systems deem certain foods harmful and overreact by triggering symptoms such as hives.

Food allergies may not seem like a big deal, especially if you don’t have them or have only ever heard of or witnessed mild reactions. However, they are very serious. With that in mind, there are 10 things that people with food allergies want you to know.

1. Food Allergy & Food Intolerance Are Different

Intolerance to certain foods is a digestive reaction. Think lactose intolerance resulting in gas, diarrhea, nausea and similar symptoms.

Food allergies, on the other hand, are immune reactions and have the potential to be lethal. Therefore, it’s much appreciated when you take the food allergies of those around you seriously.

2. The Most Common Allergens

Eight foods are responsible for nearly 90% of all food-related allergic reactions. They are:

  1. Milk
  2. Egg
  3. Peanuts
  4. Tree nuts such as walnuts and pecans
  5. Wheat
  6. Soy
  7. Fish
  8. Shellfish such as shrimp and crab

Due to the prevalence of these allergies, all of these foods are required by federal law to be named when used in packaged food or when present in a facility where such food was prepared. So when shopping for someone with food allergies, read the labels carefully so you know what items to steer clear of!

3. Any Food Can Cause a Reaction

While the eight foods mentioned are responsible for the vast majority of allergic reactions, no food is off-limits. A person can develop an allergy to any food, which is a good reminder to take any and every mention of food allergies seriously. Just because one may not be common doesn’t mean it’s not real and potentially dangerous.

4. Reactions Are Unpredictable

Allergens can trigger either mild reactions such as hives and an itchy nose or severe ones such as repeated vomiting, difficulty breathing and worse. The trouble is that there’s no way to predict how severe a reaction will be. Even if previous reactions have been mild, there’s no guarantee that future ones won’t be life-threatening. Hence the importance of doing everything you can to help those with food allergies avoid foods that trigger their symptoms.

5. It Doesn’t Take Much to Trigger a Reaction

It doesn’t take a full serving of an allergen to cause a reaction. Depending on the severity of their allergy, a single bite, cross-contact or even being in a room with an allergen can be a trigger. Therefore, it’s critical to avoid the attitude that “just a little bit can’t hurt” and to be understanding when a person has to refuse an offer of food due to an allergy.

6. “Free-From” Labels Are Misleading

Claims like gluten-free and nut-free don’t always mean “100% free of.” Rather, they indicate that the amount of allergens contained in a food is under a certain threshold. So, technically, such foods may still have the potential to trigger allergic reactions.

The solution? Rather than relying on the labels on the front of packages, take a close look at the ingredients list when shopping for people with food allergies.

7. The Symptoms of Allergic Reactions

Allergic reactions can take their toll quickly and unexpectedly so you need to know the signs. Symptoms include:

  • Hives
  • Flushed skin or rash
  • A tingling or itchy sensation in the mouth
  • Face, tongue, or lip swelling
  • Vomiting and/or diarrhea
  • Abdominal cramps
  • Coughing or wheezing
  • Dizziness and/or lightheadedness

By far, the most serious reaction is anaphylaxis, which can cause breathing difficulties, sudden drops in blood pressure, swelling of the throat and loss of consciousness. Anaphylaxis is life-threatening and can set in minutes or even seconds after exposure to an allergen. Swift action is essential to reverse its effects, which brings us to our next point.

8. How to Help in Emergencies

Many people with food allergies have a treatment plan in place for emergencies. Such a plan often includes an epinephrine auto-injector, which should always be nearby in the event of a severe reaction. If a family member or friend of yours has food allergies, get informed beforehand about what to do if they ever have a reaction in your presence.

9. The Time Window For Reactions

As mentioned, many reactions happen within minutes of exposure. However, remain alert beyond that time as some reactions can be delayed by as much as four to six hours.

10. Stay Alert

Food allergies should be taken seriously by both the person who is allergic and individuals who spend time with them. If someone makes you aware of their food allergy, consider how you might help keep them safe and avoid any foods that may contain that allergen. If it is questionable as to whether a food contains a certain allergen, it’s best to keep things safe and avoid that food altogether. Your food-allergic friends will appreciate your support.

 

If you believe you may be experiencing symptoms to food allergies, our team of board-certified allergists offers allergy testing and can advise on the best form of treatment or symptom management. You may even be a candidate for oral immunotherapy! Learn more by requesting an appointment today.

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Allergy Shots vs. Over-the-Counter Meds: Which Do You Need?

Finding relief from persistent symptoms is a top priority for many allergy sufferers. If this is true for you, you may wonder whether over-the-counter (OTC) medications could do the trick or if you need a more heavy-duty treatment such as allergy shots. 

 

Advantages of Allergy Shots Over OTC Meds

Over-the-counter medications can be effective in reducing allergy symptoms such as runny nose, sneezing, itchy eyes and congestion. However, the relief they offer is generally short-lived with many medications lasting just 24 hours, meaning that you have to take them daily. How do allergy shots differ?

They can provide long-term relief from symptoms triggered by seasonal allergies, indoor allergens and even insect bites. Therefore, allergy shots can be a good option if you’d like to cut down on your long-term use of allergy meds. 

They may also be necessary if you’ve been unable to find OTC medicines that successfully keep your symptoms under wraps or you can’t avoid the allergens that trigger your symptoms.

In fact, allergy shots are the closest thing we have to a cure for allergies. They are also more cost effective than a lifetime of OTC medication. To put it plainly, medicines are simply a band-aid for your symptoms, while allergy shots can make a positive impact on your immune system for the long haul.

 

How Do Allergy Shots Work? 

Allergy shots are a form of immunotherapy. Within each allergy shot is a small amount of the allergen that triggers your symptoms. While not enough to lead to a full-blown allergic reaction, it is enough to stimulate your immune system and is tailored specifically for you. 

Over time, as your board-certified allergist increases the dose of allergens in each shot, your body builds up a tolerance for them, which results in a reduction of symptoms or even complete desensitization. 

 

Allergy Shots: What to Expect

Generally, allergy shots are injected into the upper arm and are administered in two phases. The first usually takes three to six months. During this period, shots with higher allergen doses each time are administered one to three times a week. Then, during the maintenance phase, which lasts three to five years, you’ll receive a shot monthly. 

What results can you expect from this form of treatment? While your symptoms will not go away overnight, most patients see significant improvement within the first year of treatment and even more progress thereafter. By year three, most people are desensitized to the allergens contained in the shots and no longer have significant allergic reactions to those substances. 

While some need ongoing immunotherapy treatment to keep allergy issues under control, some can discontinue treatment after the three to five-year period without the return of allergy attacks. In either case, it’s always a welcome relief for our patients not to have their lives constantly interrupted by runny nose, sneezing, skin rashes, congestion and the laundry list of other unpleasant symptoms caused by allergens. 

Would you like to discuss whether allergy shots would be an appropriate treatment for you? Contact us today to schedule an appointment with one of our board-certified allergists. 

Sources: 

https://www.mayoclinic.org/tests-procedures/allergy-shots/about/pac-20392876

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Is it allergies or a cold?

Are you sniffling, sneezing, wheezing and coughing? You may be wondering if you have a common cold or suffering from allergies. The problem is, it’s not always easy to tell the two apart. The symptoms can be the same, but the treatments, not so much. So let’s take a look at each, see how they differ, and how to treat them.

The Common Cold

A cold is an infection caused by a virus, usually in the upper respiratory tract affecting the nose, throat and/or sinuses. Symptoms may appear less than two days after exposure and include coughing, sore throat, runny nose, sneezing, headache, and possible fever. A cold will usually develop over several days and takes a couple days to clear up.

While there is no vaccine or cure for the cold, there are ways to help prevent it, the most common being hand washing. While antibiotics will not help with a cold, nonsteroidal anti-inflammatory drugs such as ibuprofen can help with discomfort. You also need to stay hydrated and rested. 

Allergies

Allergies are your immune system’s reaction to things like pollen, grass, pet dander and foods like peanuts. An allergic reaction usually triggers symptoms in the nose, lungs, throat, sinuses, ears, and on the skin. In the most serious cases, a life-threatening reaction called anaphylaxis can occur.

Because allergies and colds have similar symptoms, like sniffles and stuffiness, many people get them confused. But, there are additional symptoms with allergies like red eyes, an itchy rash, shortness of breath, or swelling. But unlike a cold, which develops over time, allergies begin shortly after you’re exposed to what you’re allergic to. When it comes to the duration, allergies will last as long as you’re exposed. More than likely, if you’ve been experiencing symptoms for more than two weeks, it’s allergies.

So, what if you don’t know what you’re allergic to, but you have symptoms? How can you tell a common cold from allergies? Take a look at the list below and decide how many of the symptoms you have. 

    • Clear or watery mucus
    • Itchy skin or watery eyes
    • Unchanging symptoms 
    • Sniffles for more than a week
    • Symptoms only during certain situations

If you’ve been experiencing symptoms like these, all hope is not lost. There are multiple kinds of allergies, and treatments vary for each. Treatments include avoidance, medications and allergy injections. 

If you want relief from your allergies, or to find out what you’re allergic to, schedule an appointment with a board-certified allergist.

Sources:

https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Libraries/EL-allergies-colds-allergies-sinusitis-patient.pdf

https://www.aaaai.org/conditions-and-treatments/allergies

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What are inhalers & how do they work?

Bronchodilators, or most commonly called inhalers, are medications that are breathed through the mouth and into the lungs to help relax muscles that tighten around your airways. The medicine helps open the airway and lets more air move in and out of your lungs and helps you breathe more easily. 

People with asthma use inhalers during an attack when their airways swell and become narrower. These attacks cause the person to cough, wheeze and have trouble breathing. Almost everyone with asthma will use a bronchodilator to help open their airways. Others may use one at some point in their life if diagnosed with a persistent cough, COPD, bronchitis, etc. Different inhalers have different medications, or a combination of drugs, to address different illnesses. 

Different Kinds of Inhalers

There are three basic types of inhalers that deliver medications. The most common is the metered-dose inhaler (or MDI) which uses pressure to push the medication out of the inhaler. Nebulizers use air or oxygen and deliver a mist of the medication through a tube or mask that fits over your nose and mouth. Dry powder inhalers (or DPIs) deliver medication, but they require a strong and fast inhalation.

Short-acting bronchodilators are used as “quick-relief”, “reliever”, or “rescue” inhalers. These bronchodilators open the airways and help stop or relieve acute asthma attacks very quickly. While they’re best known for working on sudden attacks, they’re also great to use before exercise to help stop asthma during your workout. 

While many people use short-acting bronchodilators, the overuse of an inhaler, tablet, or liquid/nebulizer, is a sign of uncontrolled asthma that needs better treatment. If you are using short-acting bronchodilators more than twice a week, call Charleston Allergy & Asthma about improving your asthma control therapy.

Long-acting bronchodilators provide control, not quick relief, of asthma. Your board-certified allergist will prescribe the medication, which is usually taken twice a day along with inhaled steroids for long-term monitoring of symptoms. 

Unlike short-acting inhalers, long-acting inhalers do not work on muscle inflammation directly. Instead, they help the airways relax, allowing more air to pass through.

If you’re struggling with your asthma or think you may be in need of a prescribed inhaler, request an appointment online today.

 

Sources:

https://www.aaaai.org/conditions-and-treatments/conditions-dictionary/asthma-inhalers

https://www.aaaai.org/conditions-and-treatments/conditions-dictionary/bronchodialator

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Vocal Cord Dysfunction (VCD) – A Very Misunderstood Illness

Have you noticed an increased shortness of breath or tightness in your chest when exercising? Do you feel like you’re choking or do you experience wheezing when you take part in strenuous activities? Does your voice feel hoarse after working out? Many of these symptoms are common in patients who are diagnosed with vocal cord dysfunction.

Commonly misdiagnosed as asthma, vocal cord dysfunction (VCD) is a function disorder of the vocal folds, which are located in the “voice box.” VCD is characterized by abnormal movement of the cords resulting in respiratory symptoms. Patients with VCD typically experience symptoms during inspiration or when they take a breath in. This is because the vocal cords close at a time when they usually would not. VCD can occasionally cause symptoms during exhalation, but this is less common. VCD poses challenges for both patients and providers as it can mimic and co-exist with asthma. However, an asthma attack is treated very differently than a VCD attack, and misdiagnoses can lead to inappropriate and unnecessary treatments.

The most common symptoms seen in VCD include difficulty with shortness of breath, throat tightness, difficulty swallowing, feeling like something is “stuck” in your throat, choking, gagging, voice changes (hoarseness, raspiness, loss of voice) and wheezing. The “wheezing” that occurs with VCD is a high-pitched wheeze-like sound that comes from the throat, not the lungs, as seen in asthma.

There are several possible causes of VCD, some of which result in irritation of the vocal cords, leading to the abnormal movements. Underlying issues or coexisting conditions are also common with VCD and can sometimes even lead to misdiagnosis. These include heartburn (GERD or reflux), post-nasal drainage from poorly controlled allergies, viral upper respiratory illnesses or colds, depression, anxiety, irritable bowel syndrome (IBS) and chronic pain syndromes. Exercise and inhaled irritants (strong scents/smells like colognes, perfumes, cleaning agents and fumes) are also very commonly identified triggers.

Direct visualization of the abnormal vocal cord movements via rhinolaryngoscopy (camera scope through the nose and down the back of the throat) is the gold standard for diagnosing VCD. However, if the patient is not actively having a VCD attack with the symptoms listed above, then this scope will be normal at the time, Therefore, normal rhinolaryngoscopy cannot definitely rule out a diagnosis of VCD. A pulmonary function test can help to diagnose VCD as well, but this can also be normal in VCD patients. More likely, your board-certified allergist can diagnose VCD based on symptoms and history. 

The mainstay of VCD treatment involves recognizing triggers, appropriately managing co-existent diseases, and utilizing breathing exercises. If patients have difficulty with these exercises, their allergist may refer them to a speech therapist to help as well. Education for patients on the signs and symptoms of VCD and how they differ from asthma can help to reduce unnecessary emergency department visits, hospitalizations, procedures, breathing treatments and steroids.

Statistics on VCD are really hard to find because of how often it is missed. It is almost always diagnosed as something else at first. Our practice has seen many patients who have been treated for “asthma” for years with inhalers and steroids, but all they really needed was vocal cord exercises and maybe some help from speech therapy. 

Treatment by a board-certified allergist for VCD is critical because of how much time, money, energy and unnecessary medications, procedures and emergency department visits/hospitalizations are present on misdiagnosed VCD patients. The treatments for these other issues are not only unnecessary and unhelpful for VCD patients, but they can have side effects of their own. Incorrect treatments for VCD often include inhalers, prednisone or the unnecessary use of EpiPens. Additionally, VCD is seen in a significant amount of the asthma population. VCD attacks and asthma attacks have subtle differences that can be picked up on once patients are better educated. The typical treatments for asthma don’t help with VCD and vice versa.

If you believe you might be experiencing VCD symptoms, scheduling an appointment with a board-certified allergist can lead to a diagnosis and proper treatment so that you can find relief. Request an appointment with our team today.

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The Flu Vaccine: More Important Than Ever

Like clockwork, we hear the warnings every year. When flu season rolls around, everyone is encouraged to get the vaccine to prevent the spread of influenza. There are many reasons why getting the flu vaccine is beneficial and highly recommended. What are some of those reasons and, more importantly, why is it more vital than ever that you get your flu shot during the COVID-19 pandemic?

The Usual Benefits of the Flu Vaccine  

The most obvious benefit of flu vaccination is that it can keep you from coming down with the flu. While 100% protection is not guaranteed, getting vaccinated does make a difference

In fact, during 2018-2019, it was estimated to have prevented more than 4 million flu illnesses, more than 2 million flu-related medical visits, tens of thousands of hospital visits and 40,000-60,000 deaths. It may have even been you who was spared from the flu and its potential complications as a result of vaccination (on your part or that of others)! 

What other compelling reasons are there to get your flu shot yearly? Besides reducing your risk of getting sick and reducing hospitalizations, the vaccine has been shown to:

  • Prevent and limit the severity of influenza illnesses in people with chronic health conditions that put them at higher risk for complications
  • Protect women during and after pregnancy, as well as protecting their newborn child(ren)
  • Reduce the severity of illness in people who get vaccinated but still get the flu anyway. Since every flu season and every individual’s response to influenza are different, you’ll want to have the most protection possible against things going south

Don’t forget that, even if you’re not pregnant or dealing with chronic illness, your flu shot can protect others around you who are. This is especially true during the COVID-19 pandemic.

How Flu Shots Can Save Lives During COVID-19 

Experts have predicted that the viruses responsible for the flu and COVID-19 will be co-circulating this fall and winter. This has the potential to cause several problems. 

  1. It could perpetuate the spread of COVID through individuals who mistake symptoms as mild flu and do not adhere to the recommended guidelines for the sick
  2. Contracting the flu and coronavirus at the same time comes with an increased risk of serious and even life-threatening illness
  3. Severe but preventable cases of the flu requiring hospitalization take away the staff and resources needed to treat COVID-19 patients

Protect Yourself, Protect Others 

As you can see, the flu vaccination is more important than ever before. While in 2018-2019, less than half of all Americans got the flu shot, we hope that many more will do their part to protect themselves and others this year, especially since the stakes have been raised by the pandemic. 

With fall already upon us and flu season looming, now is the time to get your flu shot. Since the vaccine takes about two weeks to trigger the creation of antibodies, the sooner, the better! 

 

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Calm Fall Allergies & Enjoy Every Second of the Season

There’s nothing quite like Charleston in the fall. In contrast to the hot and humid summer, most of us welcome the perfect balance of sun and comfortable temperatures, which make it an ideal time to enjoy the great outdoors.

However, this beautiful season isn’t completely free of downsides. Charleston is notorious for bringing on fierce fall allergies of all sorts. What are some allergens that are especially prevalent here in the fall? More importantly, how can you manage them effectively so that you can still enjoy the season to the max?

Allergens Common in the Fall

Along with year-round allergies that are found here in the Lowcountry, many are also affected by some allergies that are more prominent in the fall. Some of the most common culprits for seasonal allergies this time of year include:

Ragweed. Did you know that each ragweed plant produces 1 billion pollen grains that can travel hundreds of miles? Although not as obvious as its bright yellow counterparts, this form of pollen is everywhere in fall! An allergy to ragweed pollen can result in symptoms such as sneezing, runny nose, irritated eyes, a scratchy throat and more.

Alternaria alternata. Or, in simpler terms, mold, is a year-round issue here in the Lowcountry. In the fall, it grows on leaves thanks to the warmth and humidity. These mold spores, which can be easily disturbed, can cause headaches, coughing, fatigue and even skin rashes. And this is just one type of mold; there are many more (both indoors and out) that can produce similar symptoms.

Dust mites. While not limited to the fall season, dust mites love warmth and humidity. As a result, they thrive in late summer and into early fall, leading to sneezing, itchy and watery eyes, sinus pressure and itchy skin.

Pollen food syndrome. Some who have allergies to ragweed and other pollens, like birch trees, may notice they have reactions when eating certain seasonal foods. These can include cucumbers, zucchini, melons, bananas, apples, pumpkins and squash. In this case, the pollen cross pollenates with certain fruits and vegetables which can cause allergic reactions such as an itchy or tingly mouth when consumed. This is not a true food allergy but an allergic response to inhalant allergies.

Treating Fall Allergies Successfully

You shouldn’t have to miss out on enjoying the fall in the Lowcountry simply because you have allergies. There are things you can do to reduce and manage your symptoms. You can:

-  Try over-the-counter medications to combat sneezing, runny nose, throat irritation and other symptoms.

-  Wear masks when performing certain outdoor activities such as raking leaves or other yard chores to protect yourself from pollen and other allergens in the air.

-  Use a dehumidifier to reduce the humidity in your home, which can minimize the prevalence of dust mites.

-  Keep doors and windows closed to prevent mold and pollen spores from entering, along with showering as soon as you get home to reduce the spread of allergens.

-  Pay us a visit so that we can find the cause of your allergies with an allergy test and put together a personalized treatment plan. Such a plan may include avoidance measures, medications or even allergy immunotherapy, which can help you permanently increase your tolerance to allergens.

If you’re a fall allergy sufferer, take action now so that you can enjoy the season while there’s still time!

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Meet the Girls: Our Charleston Allergy Trio!

Let’s hear it for the girls! Our Charleston Allergy & Asthma team has been blessed with some fantastic board-certified providers who all go above and beyond in giving exceptional care for our patients. For more than 30 years, we’ve been providing relief from allergies and asthma to the people of the Lowcountry.

To celebrate the incredible women in our lives, we’re thrilled to introduce you to our three female providers and share their stories of how they came to lead the way for women in healthcare. Get to know our favorite female allergists below!

Dr. Meredith Moore
Did you want to be a doctor when you were a little girl?
“Yes, I had to have a surgery when I was young and afterward, had to stay in a big ward with no parents. A burn victim was next to me and they would change her dressings. She was so sad and would cry. One night, she was crying and hysterical. All the physicians and nurses had left her, no parents were there and I went over and sat with her and made her feel better. I knew that I wanted people to have a better experience.”

What is your favorite part about being a doctor?
“Hard to answer because there are so many things! It’s the relationships you develop with people. They have allowed you the privilege of sharing their lives with you. It’s an awesome privilege and an amazing experience that someone was able to open themselves up to you and then you help make their lives better.”

What’s it like to balance personal and work life as a doctor?
“Practicing medicine with passion takes a lot out of you, whether you are a man or a woman, mom or not. Universally, it’s difficult if you want to approach medicine as a calling. It’s a very rewarding but demanding profession, no matter who you are.”

Dr. Carolyn Word
Why did you become a doctor?
“Growing up, my grandfather was a general practitioner and when we visited him in his office, I loved seeing how he interacted with patients and how he was able to help them. It seemed like a great way to help people. I always loved math and science, so I did biomedical engineering for undergrad. In the process of that, I realized that though I loved science, I loved working with people more. It’s a great way for me to take my love of science and apply it to patient care, which led me to medicine. I loved my rotation in allergy/immunology and all the ways we can make a difference in our patients’ lives.”

Have you overcome any obstacles as a female in the medical field?
“I think there certainly are stereotypes about women in medicine. There have been times when patients have thought I was a nurse because I was a woman or question my knowledge but more often, they have been grateful. When I was a medical student, I felt more pressure as a woman to work harder, push harder and prove myself to be accepted. I have never felt like that in my practice now and I’m grateful to work in such a wonderful practice.”

What’s your favorite part about your job?
“When I get to see a patient for a follow-up and hear that they are feeling so much better. When a patient has recently started allergy shots and has been coming in for frequent injections for a couple of months, then they share that after years of medicine, they had no idea how they could feel so much better; that’s the best part! Patients who have been struggling with a food allergy and who have passed their food challenge, then seeing their excitement. It’s a great thing to be a part of. And just getting to know my patients in general. We catch up about their lives beyond helping them find relief. We’re building relationships. It’s personal.”

Dr. Lindsey Stoltz Steadman
Why did you want to become a doctor?
“I was always interested in the sciences: biology, anatomy, physiology. On top of that, I enjoy interacting with people and going into a profession that was going to allow me to give back was important to me. I really enjoy teaching. I believe as a physician, my job is to educate our patients, our patients’ families and the community about our field.”

What’s it like to balance personal and work-life in the medical industry?
“My husband is a physician as well, so a major part of our relationship is that we’re very understanding of what the other person is going through. We bounce ideas off of each other and educate each other. There are a lot of sacrifices made when you decide you want to be a doctor and it doesn’t end after graduation of medical school, fellowship, etc. We understand that about each other. I understand when he needs to do a surgery in the middle of the night and he understands when I have to take a call over the weekend. Our training kept us a part in different cities and different states, but we understood what the other person was going through. We may have been a part, but we were together.”

What do you love most about your job?
“Critical thinking. I really enjoy the process of meeting a patient and getting to put the pieces of the puzzle together to help them. I’m grateful that I get to improve people’s quality of life. Nothing is more rewarding than hearing their success stories.”

Is there anything you want to add about being a doctor?
“You can know all the science but if you can’t explain it to your patient then it all goes out of the window. Rapport with your patients is equally as important as understanding the science. Patients need to feel comfortable with their doctor. At the end of the day, you just need to be good at what you do.”

We’re thankful for the incredible team of compassionate and talented providers that we have here at Charleston Allergy & Asthma! If you think you may be suffering from allergy symptoms or if you’re in need of a local board-certified allergist, schedule an appointment with our team today.

 

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How COVID-19 Has Impacted Pediatric Wellness Visits

Our whole world has been turned upside down. One year ago, you were enjoying social activities, going to the beach, watching and participating in competitive sports, and visiting your physician if you had a medical problem. Since the beginning of this year, however, we have experienced a global pandemic with a coronavirus that has rapidly spread throughout the world. This phenomenon was fairly unknown to current generations, as the most recent pandemic of this nature occurred with the Spanish flu over 100 years ago. To date, the world has experienced tens of thousands of deaths and crippling, long lasting disease, overflowing hospitals, overwhelming fear and the addition of new terms to our vocabulary such as “social distancing” and “flatten the curve.”

With the onslaught of this international pandemic and no available adequate medical therapy, we have been forced to isolate ourselves and our families until a protective vaccine is developed. There is currently an international race to acquire this vaccine, however, vaccines require intensive safety and efficacy testing on thousands of people. It is likely that a vaccine for COVID-19 will not be available until the end of this calendar year.

One of the unintended consequences of this isolation due to the COVID-19 virus has been the disruption of routine childhood vaccinations. The decrease of administered vaccines is on a scale that hasn’t been  seen since widespread immunization programs began in the 1970s. Vaccine disruption has been caused by several circumstances. Parents are no longer taking children to clinics because of movement restrictions imposed by spread of the coronavirus or fear of risk of exposure to this virus. Health workers who provide vaccinations have also been diverted to help with response to the pandemic. This disruption has caused some 80 million children around the world to be at higher risk for preventable infectious diseases such as diphtheria, whooping cough, measles and polio.

According to the World Health Organization, UNICEF and the Sabin Vaccine Institute, childhood vaccine programs have been disrupted in at least 68 countries due to the COVID pandemic. With the expected continuation of the pandemic, this immense vaccination program is now under threat, risking the resurgence of previously controlled infectious diseases.

A CDC morbidity and mortality weekly report issued in May 2020 examined the pandemic’s effect on childhood vaccines. This report documented substantial decreases in the number of vaccines ordered and administered to children since the United States declared an international emergency in response to the COVID-19 pandemic in March 2020.

Routine childhood immunizations remain a vital component of pediatric healthcare, even during the COVID-19 pandemic. Children’s immune systems are still developing from passive immunity acquired through the mother’s placenta in utero. Vaccinations help produce antibodies (active immunity) in those who receive them, allowing the immune system to recognize viruses or bacteria and fight off these diseases or limit the severity of complications if exposed to the actual disease. Immunizations also protect public health through herd immunity, preventing widespread outbreak of highly infectious diseases, particularly measles and whooping cough. Individuals who have not been vaccinated and contract these infectious diseases could spread it to susceptible individuals for up to a week before developing any personal symptoms. Some childhood vaccines that were once believed to lead to lifelong immunity have actually been found to decrease in effectiveness during patients’ late teenage years, particularly for pertussis (whooping cough). Recently, recommendations for adult immunizations have changed to include boosters for diphtheria, tetanus, whooping cough and measles. The likelihood of catastrophic spread of common infectious diseases, such as whooping cough, drastically increases if a large portion of the adult population is able to contract the virus without realizing it.

The CDC continues to encourage childhood immunizations during the COVID-19 crisis, with recent recommendations for healthcare providers to continue with patient visits during this pandemic. For parents who choose not to immunize their children during the pandemic, there are “catch-up” schedules provided by the CDC so the children won’t need to start over or repeat doses that have already been received. Many childcare centers are also allowing a grace period for childhood immunizations at this time. In order to help reduce the spread of these viruses, the CDC recommends social distancing and separating sick children from well children.

As of yet, there have been no reports of localized outbreaks of common pediatric infectious diseases such as measles, whooping cough or polio. However, these diseases are still present in the community and if immunization levels drop and herd immunity slips below 70%, the potential for outbreaks both internationally and in the U.S. increase. Our team currently urges patients to please make every attempt to maintain routine childhood immunizations for your children during this pandemic. We are also hopeful for a rapid and effective COVID-19 vaccine!

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