Kara Wada is an adult and pediatric allergy, immunology, and lifestyle medicine physician.
As physicians, we are trained to dissect symptoms and to hunt for a diagnosis. But my own journey with Sjogren’s, like my patients’, wasn’t a textbook case. It was a puzzle with pieces scattered over decades, ignored or dismissed at each turn, including by myself.
There’s the college student, fearing the agony a simple meal might bring, never dreaming of asking why. The med student, convinced of an impending heart attack, …
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As an allergy, immunology, and autoimmune disease specialist, I frequently see patients whose stories are a harsh indictment of our medical system. They’ve been dismissed, misdiagnosed, and forced to navigate a maze designed for quick fixes, not the complexities they endure. These unseen patients fight multi-system illnesses that defy textbooks. Their journeys highlight just how broken our approach to chronic disease truly is.
Playing “medical hot potato,” they bounce between specialists …
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As winter chill thaws and the spring flowers begin to bloom, many of us find ourselves grappling with the unwelcome return of sneezing, itching, and congestion that signals spring allergy season. This year, like nearly every in the last decade, seems to have arrived earlier—a trend that’s becoming increasingly common. As a physician specializing in allergy and immunology, I’ve observed firsthand the impact of climate change and air pollution on …
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Are you or a loved one constantly battling the frustrating symptoms of seasonal or year-round allergies? You are not alone; millions around the globe are affected by sneezing, itchy, watery red eyes, stuffy, runny noses, and headaches. Avoidance of triggers and medications may provide temporary relief, but for those seeking a longer-lasting or more natural solution, immunotherapy (IT) can be life-changing. IT provides sustained benefits of decreased symptoms and medication …
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As physicians, our primary goal is to provide the best possible care to our patients. However, even with the best intentions, medical gaslighting can occur, leading to patient distress and potentially harmful outcomes. Medical gaslighting is not often intentional. It can happen when physicians, under time constraints, facing diagnostic challenges, or experiencing burnout, inadvertently invalidate a patient’s symptoms or concerns.
Just a few years ago, I found myself on the other …
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In today’s age, it’s common to encounter a myriad of protocols, often promoted by celebrity doctors or health gurus, each promising solutions for various health concerns, from thyroid and adrenal issues to immune system and gut health. But what exactly is a protocol in this context? It is essentially a set of guidelines or rules designed to address specific health issues or optimize well-being. These protocols often come with dietary …
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As an allergist/immunologist, the spectrum of mast cell disorders, including mastocytosis, idiopathic anaphylaxis, chronic hives, and angioedema, is not a new concept. That said, in recent years, we have seen an uptick in patients presenting with a spectrum of symptoms attributed to misbehaving mast cells. Although the medical community has acquired extensive knowledge of these more established diagnoses over time, the newer entity mast cell activation syndrome (MCAS) is not …
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In an unlikely intersection, pageantry has the potential to play a pivotal role in accentuating career progression in academic medicine. Through meticulously crafting one’s professional demeanor and image, physicians can hone their interpersonal and networking skills and bolster their professional credibility. Drs. Wada and Nelson share how their participation in pageants over the years has served as an influential catalyst for success, both in medical school admissions and academic promotion.
Pageantry, …
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Not only is it kickoff time for college football season, but it’s also prime time for fall allergies. For the 50 million Americans who suffer from ragweed allergy, the late summer and early fall signal the onset of runny noses, sneezing, congestion, cough, itchy watery eyes, and in more severe cases, sinus infections and asthma exacerbations.
Seasonal allergies are a huge source of frustration and fatigue for many of us, causing …
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In the 4+ years since my own diagnosis, I have continued to peel back the layers of my illness story, realizing that seemingly unrelated complaints from my teens and twenties were actually early signs and symptoms of what would later be formally labeled as Sjogren’s. It wasn’t until my mid-30s that I finally sought evaluation, diagnosis, and treatment for this systemic progressive autoimmune disease.
Frankly, my $250K education didn’t help much …
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Inflammation is currently a popular topic, and I must admit that I’ve fallen into the trap of vilifying this natural physiological phenomenon. Simply put, inflammation is our body’s response to infection, injury, or insult. Heat, redness, swelling, pain, and pus signal that you are injured or sick and provide the necessary feedback to seek treatment or avoid further injury.
Human nature often leads us to categorize things as either good or …
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In addition to a steep increase in prevalence, in recent decades, we have seen an evolution in the ways our immune system misbehaves: eosinophilic esophagitis, mast cell disorders, and early onset colon cancer, among many others. This data alone should remind us that we are an ever-evolving species. With our rapidly changing lifestyle over the last century, it shouldn’t be surprising that we are seeing some sort of physiologic hangover.
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When I speak with my less “crunchy” peers, I encounter a considerable amount of resistance to ideas that have initially gained traction in naturopathic or integrative spaces: food as medicine, making “non-toxic” swaps, meditation, or reiki, to name a few.
As humans, we certainly love a good us vs. them mentality, tribalism and all.
But the reality is, many of us have witnessed harm inflicted on patients who sought care in less …
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Artificially separating the body from the mind has been one of the biggest missteps of modern medicine. Over the last few years, we have increasingly read studies confirming the mind-body connection, the gut-brain axis, and now we are learning more about the nose-brain connection.
Given the direct proximity between our nose and our brain, this connection shouldn’t be much of a surprise. The olfactory nerve, cranial nerve 1, wires directly to …
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Our modern existence is a state of perpetual disconnection.
Earbuds in. Staring down at our screens. Avoiding eye contact.
Disconnected from each other and ourselves, we go about our lives in adult parallel play.
Numbing any hint of uncomfortable feelings with more Netflix or scrolling.
The social, political, and health consequences of this existence have accelerated over the last three years. As a result, the physician-patient relationship is more fractured than ever. Physicians are …
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Jumping on the recent TikTok trend of medical professionals sharing the things they would never do given their knowledge and expertise, I am sharing the five things I would never do as a board-certified allergist-immunologist.
1. I would never rely on a Primatene mist inhaler to treat my asthma or breathing symptoms alone. Primatene mist is a controversial over-the-counter epinephrine inhaler that can be used for mild intermittent asthma. This inhaler …
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Recently, singer and musician Halsey shared her recent allergy testing results on TikTok along with the news of her recent diagnosis of Ehlers-Danlos syndrome (EDS), mast cell activation syndrome (MCAS), and Sjogren’s Disease. Pictured were the telltale red welts we inflict day in and day out in allergy clinic with our scratch tests and a long list of foods to which she was possibly allergic.
Halsey has a history of being …
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Like most parents, my children are my world. I would do anything to protect them and keep them healthy. It is Darwinian. Instinctual.
Most of us get by with a combination of sage advice from generations past interspersed with a “know better do better” approach. Personally and professionally, I encountered this duality pretty quickly. In March 2016, my husband and I hopped on a plane to Los Angeles with our 4-month-old …
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Five years into my practice as an academic allergist/immunologist, my perceptions continue to evolve. Though once primarily informed by my mentors’ wisdom, I continue incorporating my experiences as both physician and autoimmune patient to guide my practice. Though we all know medicine isn’t like it used to be, nostalgia is bittersweet. In its wake, the real question remains: how are we going to respond to ongoing changes and fight for …
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