COVID-19: Important New Safety Measures

First, we want to thank our patients for being patient with us for the past week while we cleaned and developed a plan to continue to serve our patients in a safe environment.

Our clinic is currently open with normal business hours.

If you are ill, have been around anyone that is sick, or have been exposed to anyone with COVID-19 please stay home.
• Please call ahead to make an APPOINTMENT for your allergy shot.
• We will only let 1-2 allergy injection patients in the office at a time to allow for little exposures and safe distances.
• We will only be allowing about 10-15 allergy shots an hour to allow for distancing and time for staff to properly clean.
• You will still be screened at door for recent exposures, travel, and your temperature will be taken.
• If you are an “at risk” patient (elderly, asthmatic, pregnant, immune compromised, etc.) please call and discuss a plan to continue your allergy injections at this time.
• We ask all patients to come in only every 2-3 week intervals for allergy shots to minimize exposures to yourself and our staff.
• Pending spread of COVID-19 in the community, shot hours may change in the near future to minimize exposures to our staff and patients.

Please be patient with us during this difficult time for our nation, as we are here to provide the best care in the safest environment as possible.

Please do not hesitate to call with any questions or concerns. We are here to serve you.

Continue to follow us daily on Facebook daily for updates and changes that could occur.

Thanks for understanding,

Allergy & Asthma Care of Waco Staff

Food Allergy Key Concepts

food allergy blog

Even as the prevalence of food allergy is increasing (up to 8% of kids in the US have a food allergy), it seems that the myths surrounding food allergy are also increasing. One of the things I love about my job as an allergy fellow is helping patients and their families work through these myths and establish true allergy versus intolerance.

Happy Weekend, ya’ll! If you read my blog post last week, you would have learned that a few weeks ago, my precious O was diagnosed with a pistachio food allergy. I encourage you check out the post for details on the story and the emotional consequences of that new diagnosis on our family.

This week, I wanted to point out some key concepts from O’s story. Food allergy is confusing. But even as the prevalence of food allergy is increasing (up to 8% of kids in the US have a food allergy), it seems that the myths surrounding food allergy are also increasing. One of the things I love about my job as an allergy fellow is helping patients and their families work through these myths and establish true allergy versus intolerance.

So, let’s start there. Allergy versus intolerance. In a nutshell, food allergy can be divided into these two categories. True food allergy is mediated through an antibody that circulates in your body called IgE. This antibody binds to the food and recognizes it as foreign and bad. Next, a sequence of events happens to basically release histamine from specialized cells in your body. Histamine causes the reactions that we then see — rash, swelling, wheezing, and/or vomiting. That is IgE mediated food allergy.

A key concept with IgE mediated food allergy is that it is consistent. So, every single time your body is exposed to that food, you have a reaction. As one of my mentors says, “There’s no such thing as being a little food allergic, just like you can’t be a little pregnant. You either are food allergic or not.”

Another key concept is that it is immediate. Food allergy reactions typically happen within an hour of eating the food.

Treating the IgE mediated food allergy is dependent upon strict avoidance of the food in question because remember — it is a consistent reaction. Minor reactions are treated with an antihistamine, and finally anaphylaxis is treated with an EpiPen.

We also have non-IgE mediated reactions. This is what we call food intolerances. An example of this may be getting bloated after drinking milk but still tolerating cheese or yogurt without any physical problems. That’s an intolerance.

So, getting back to my O. Recalling her story, she developed hives and vomiting within one hour of eating pistachios. Key symptoms and timing is consistent with food allergy. Benadryl completely resolved her reaction. And avoidance of the food has now prevented recurrence of the reaction.

One caveat: O had vomiting. Technically, this is a sign of anaphylaxis and should be treated with an EpiPen. I did not have an EpiPen at home and was not certain that her vomiting was due to a large meal or an allergy. Thus, I did not call 911 at that time. Going forward, if O develops vomiting after eating pistachios (a known allergen), I absolutely would use my EpiPen and call 911.

Remember, food allergy is challenging! But if you or your child’s symptoms seem to match some of these key concepts discussed above, talk to your physician or your child’s pediatrician about a referral to an allergist. An allergist really can help clarify your concerns and provide those specific needed to diagnose a food allergy.

You also may like:

allergens blog

Indoor Allergens

The most clinically relevant indoor allergens are cat, dog, and dust mites. For purposes of this post, I’m going to group cat and dog together and then provide 3 highlights for each one.

skincare blog

Skin Care: part one

As promised, I wanted to take a few moments to address something we see in the Allergy clinic on a daily basis — sensitive skin. Almost all our patients, especially those who also have asthma and allergies, have some degree of sensitive skin. The severity of each patient’s skin sensitivity varies, and many of our patients struggle with the most severe form of sensitive skin — eczema.

skincare allergy blog

Skin Care: part two

Last time, we discussed the importance of eliminating the likely triggers to flare you and your little’s skin and the most crucial step to treating your sensitive skin. So, it’s time for a pop quiz! What ARE those 2 biggest triggers to flare sensitive skin? And what is the first step to treating your sensitive skin? (Don’t worry, answers will be below!)

Why Allergy and Asthma Care of Waco?

Our primary goal is to improve your quality of life by determining what triggers your allergy and asthma symptoms, providing extensive education on how to modify your environment to better control exposure to allergens, and providing you with other treatment options such as medications and immunotherapy (allergy injections).

Our hours

M 8:30am - 6:00pm T 8:30am - 6:00pm W 8:30am - 6:00pm T 8:30am - 6:00pm F 8:30am - 6:00pm

Contact information

(254) 753-3646 221 Jewell Drive, Waco, TX 76712