ADVERTISEMENT

Allergies & Immunology

Food allergies are not preferences. Let’s start treating them that way.

Conditions
July 14, 2023

We’re in a rapidly growing food allergy epidemic. 1 in 13 American children have food allergies—a number that’s only growing. Private insurance claims of anaphylactic food reactions, which are severe and potentially life-threatening, rose 377 percent from 2007 to 2016. Yet despite their increased prevalence in recent years, one thing hasn’t changed: Undermining the very real risks and anxieties associated with living with food allergies.

Beyond the risk of …

Read more…

Is inflammation too much of a good thing?

Conditions
July 7, 2023

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 …

Read more…

Unveiling the healing power of compassion [PODCAST]

Podcast
July 5, 2023
YouTube video

Subscribe to The Podcast by KevinMD. Catch up on old episodes!

Join us for an insightful podcast episode with guest Kara Wada, a board-certified academic adult and pediatric allergy, immunology, and lifestyle medicine physician. Together, we explore the profound impact of disconnection in our modern existence, particularly within …

Read more…

How modern lifestyle changes are disrupting our immune systems

Conditions
June 9, 2023

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.

Read more…

Empathy and awareness: Unveiling the hidden dangers of food allergies [PODCAST]

Podcast
June 8, 2023
YouTube video

Subscribe to The Podcast by KevinMD. Catch up on old episodes!

Join us for an insightful podcast episode as we discuss the critical issue of food allergies and the recent incidents of food-induced anaphylaxis deaths that have deeply impacted the food allergy community. Our guest, Lianne Mandelbaum, is …

Read more…

Unconventional health care, flawed studies, and biases: Navigating the complexities for optimal well-being

Physician
June 1, 2023

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 …

Read more…

Nose-brain connection: The surprising link between allergies and mental health revealed

Conditions
May 25, 2023

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 …

Read more…

Food allergy tragedies: the reality that haunts us

Conditions
February 16, 2023

Food should not kill, but in the last three weeks alone, the food allergy community has grappled with three food-induced anaphylaxis deaths. All were young adults in the prime of their lives; one in middle school, another going to a school dance, and one just engaged to the love of her life.

No one is perfect in how they conduct themselves daily, but for those with food allergies, falling short of …

Read more…

Protecting children from bad medical care

Conditions
November 24, 2022

Unfortunately, at least from where I sit, suboptimal medical care seems to abound. And every encounter of my family members with the health care behemoth is an opportunity for them to become a recipient of it.

When it comes to shielding them, I have had some failures in the past — it took a minor stroke in my father, who lived in England, for me to realize that he had never …

Read more…

5 things I would never do as an allergy and immune system expert

Conditions
August 11, 2022

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 …

Read more…

A nut allergy nightmare at 35,000 feet

Conditions
July 30, 2022

A hungry college student was on a plane flying to Italy. She was alone, as her parents had bought her a ticket to join them on the trip, but their own flight had been sold out. About an hour after take-off, the flight attendants came down the aisle with their carts to serve dinner. She chose the chicken and quickly ate the entire meal. It was Indian-style cuisine, an odd …

Read more…

3 misperceptions and myths about food allergies

Conditions
May 20, 2022

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 …

Read more…

Food allergies are a growing public health concern, not a joke

Conditions
March 25, 2022

I was truly gutted when watching the recent Saturday Night Live that joked about nut allergies. My son Joshua, who is 16 years old, has an anaphylactic peanut allergy. I found the segment to be insensitive to the millions of people globally who live each day with food allergies, an invisible but potentially fatal disease.

How do I explain to my son that it is OK to make …

Read more…

ADVERTISEMENT

5 science-backed strategies an allergist-mom is using to protect her family’s health

Conditions
January 25, 2022

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 …

Read more…

Food allergies are not funny

Conditions
July 20, 2020

It seems that adults need to be reminded and educated of the dangers life-threatening food allergies possess. If you think taunting people that have life-threatening food allergies occur only with very young children, you would be sadly mistaken. Case in point, comedian Jimmy Fallon’s in his recent sketch “Masculine Man Masks Commercial” states that his character’s masks “don’t have to make you look like a big sissy with a shellfish …

Read more…

Goodbye, Benadryl: It is time for you to retire

Meds
February 7, 2020

Sometimes, old ideas and time-tested treatments remain the best. Newer doesn’t always mean better. Except in the case of one of our oldest antihistamines, tried-and-true Benadryl. It is time for that old drug to be retired, sent off to pasture, and never used again. Goodbye, Benadryl. Fare thee well, adieu, and don’t let the door hit you on the way out.

Benadryl (diphenhydramine) was introduced in 1946. The top single that …

Read more…

ADVERTISEMENT

A father-physician tests if a little peanut a day keeps allergy away

Conditions
October 20, 2019

No one I knew had food allergy, let alone peanut allergy, when I was a child. I grew up at a time when peanuts were given freely on airplanes, and there was no such thing as a peanut-free table at school. Fast forward to today and the world has changed, with food allergies taking on almost epidemic-like proportions.

I am an allergist and became interested in food allergies …

Read more…

Peanut allergies: What is the best policy for schools?

Conditions
January 14, 2019

Peanut allergies can be a serious problem, and many exposures happen when our kids are at school. On average, there are probably about 5 peanut-allergic children in each of our nation’s 100,000 school buildings. What’s the best policy for schools to use to help protect these kids from potentially fatal reactions?

Different schools have taken different approaches, and as far as I can tell there is no authoritative national guideline …

Read more…

Food allergy: Death is not our only fear

Conditions
August 28, 2018

Recently, a respected allergist reassured his audience: the mortality rate for food allergy is very low. The risk of dying in a car crash is much greater than the risk of dying from food allergy. The implication seemed to be that the anxiety around food allergy is misplaced. Though any loss of life is too great; statistically, food allergy deaths are rare. To the food allergy community, it just doesn’t …

Read more…

ADVERTISEMENT

MKSAP: 35-year-old woman is evaluated for intermittent fever

Conditions
May 12, 2018

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.

A 35-year-old woman is evaluated for intermittent fever, sweats, fatigue, and dull midchest pain of 2 weeks’ duration. Medical history is significant for liver transplantation 6 months ago for primary biliary cirrhosis; she was seronegative for cytomegalovirus and Epstein-Barr virus, and her donor was positive for both. Results of pretransplant testing for tuberculosis …

Read more…

3
pages
ADVERTISEMENT