Please arrive 15 minutes before your scheduled new patient appointment time.
This will allow the necessary time to:
If your primary care provider has referred you, we may ask them to send us a copy of any relevant medical records, including lab work or x-rays, prior to your scheduled appointment.
Please read our
Appointment Confirmation and Medication Reminders form at least 72 hours prior to your appointment.
You will first meet with medical staff, who will check your vitals, including blood pressure, pulse, and respiratory rate, and review any other necessary medical information.
Then, your allergist will review the new patient health history form with you and obtain a very detailed account of your symptoms, including their severity, relation to possible allergen exposure, and response to any past treatment.
A
physical exam will be conducted, focusing on your eyes, ears, nose, throat, lungs, and skin to look for signs of allergic disease - including nasal allergies, asthma, and skin-related allergies such as eczema, hives, or contact dermatitis.
After reviewing your history, physical exam, relevant previous tests, and medical records, you and your allergist will decide if any further testing is necessary. This could include skin tests and/or blood tests to clarify specific allergies for you or your child, lung function tests to objectively diagnose or fine-tune asthma control, or radiological imaging such as a sinus CT scan or chest x-ray. You will find a more detailed description of the most commonly ordered tests below.
Finally, a comprehensive evaluation of your condition will follow, along with an individualized, detailed plan of action.
Lung function tests, also known as spirometry, are among the most crucial tests we perform to help manage asthma and other respiratory conditions. These tests measure airway obstruction and the response to treatment with a bronchodilator.
Even children as young as 5 years old can reliably undergo spirometry with expert coaching from our staff.
Lung function tests are vital for making an initial asthma diagnosis, determining its severity, and allowing us to determine the appropriate medication and dosage needed to achieve optimal asthma control.
Skin testing involves introducing a small amount of allergen just under the skin's surface by pricking it through a drop of the allergen extract. The prick tests are done with a sterile, disposable plastic prick test device that resembles a small toothpick. The sensation is generally not uncomfortable; however, if you are allergic to the substance, you may experience mild to moderate itching.
The tests can be placed on the arm or back, depending on your preference and the child's age and size. The discomfort is typically minimal, even for children. Test results are available within 15 to 20 minutes after application, so you don't have to wait long to find out what is triggering your allergies. Generally, you won't experience any other symptoms other than a small hive where the test was done.
These skin tests are the most accurate and sensitive tests available.
Certain medications may prevent skin tests from reacting properly. Please refer to the Medications to Avoid form for specific names and the length of time to avoid them before skin testing.
Sometimes, your allergist will order a blood test (called an ImmunoCAP RAST) to look for antibodies against food or airborne allergens (such as pollen, mold, animal dander, or house dust mites). These tests can confirm the likelihood of an allergic reaction to foods and also track the progress of a food allergy over time.
ImmunoCAP RAST tests are usually done when skin tests cannot be performed, such as for patients taking certain medications, those with skin conditions that may interfere with skin testing or uncooperative patients. In cases of suspected food allergies, these blood tests are often done prior to or in conjunction with skin testing.
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