The Allergist

“We don't do any fresh food skin testing because they have not been validated.  And we know, if we put food on skin, we may well get a positive test, but we have no idea how to interpret that. And I think that's really important.” -- Dr. Douglas Mack

On this episode of "The Allergist," we're climbing the food ladder with Dr. Douglas Mack, a pediatric allergy, asthma, and immunology specialist. Dr. Mack brings his expertise to the table, discussing the nuances of milk and egg allergies in children. Are all allergies created equal? Spoiler alert: they're not. We dive into the world of phenotypes, genetic markers, and the big question – can we predict who's going to outgrow their allergies and who's in it for the long haul?

We're not just talking science; we're talking practical, real-world applications. Dr. Mack sheds light on the shift from 'ladders' for non-IgE mediated food allergy to IgE mediated ones. It's a journey through the evolution of allergy treatments.

And for those thinking, "What about the risks?" – we've got you covered. Dr. Mack doesn't shy away from discussing the potential dangers and the importance of understanding patient-specific risks. It's a candid conversation about the realities of treating food allergies, the challenges allergists face, and the hope for future advancements.

So, grab your headphones and join us. Whether you're a seasoned allergist or just starting to climb the allergy ladder, "The Allergist" is here to guide you every step of the way. 

Have an idea for the show or a comment, send us a text!

Visit the Canadian Society of Allergy and Clinical Immunology

Find an allergist using our helpful tool

Find Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_ca

The Allergist is produced for CSACI by PodCraft Productions

"Collaboration and communication is how we make change." - Dr. Victoria Cook

Join Dr. Mariam Hanna in a fast paced conversation with Dr. Victoria Cook, a trailblazer in Quality Improvement, as they discuss how QI is not just reshaping patient care but also revitalizing the healthcare workforce by mitigating burnout.

On this episode:

• Unveiling the science and strategy behind Quality Improvement and its profound impact on healthcare systems and patient outcomes.

• Demystifying the Model of Improvement and the Plan-Do-Study-Act (PDSA) cycle, and their instrumental role in driving systematic changes in healthcare.

• Addressing the common challenges in implementing QI and unveiling practical solutions to overcome these hurdles.

• Highlighting the significant role of QI initiatives in reducing physician burnout, fostering a healthier work environment, and ensuring the well-being of healthcare professionals.

• Gaining insightful perspectives on the future of QI in medicine, its growing prominence, and its potential to redefine patient care and healthcare delivery.

Don't miss out on this deep dive into QI because, you are already doing Quality Improvement, you just need to do it well. Listen now!

Have an idea for the show or a comment, send us a text!

Visit the Canadian Society of Allergy and Clinical Immunology

Find an allergist using our helpful tool

Find Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_ca

The Allergist is produced for CSACI by PodCraft Productions

“We cannot be dogmatic about what we say about epinephrine…we need as a field to stop being so dogmatic and do more studies to understand."   -- Dr. Matthew Greenhawt

Join us on this eye-opening episode, where we explore the latest breakthroughs in allergy and immunology with Dr. Matthew Greenhawt as he walks us through the pivotal articles of 2023 that are redefining the field.

On this episode:

• Review penicillin allergy delabeling and why this is ready to incorporate into your medical practice.
• Understand the evidence for various atopic dermatitis treatment strategies using evidence-based graded recommendations.
• Discover the potential of dupilumab in its two newest indications - eosinophilic esophagitis and COPD. 
• Delve into our latest understanding of epinephrine doses and future directions in research on this fundamental medication.
• Exclusive insights into the EPITOPE trial from the lead author.

This episode is a must-listen for allergists and immunologists looking for a quick literature review and key highlights from 2023. Tune in now for a journey into the heart of the articles that will change the field of allergy!

Links to articles mentioned in the episode:

The Safety of the Direct Drug Provocation Test in Beta-Lactam Hypersensitivity in Children: A Systematic Review and Meta-Analysis - PubMed (nih.gov) 

Atopic dermatitis (eczema) guidelines: 2023 American Academy of Allergy, Asthma and Immunology/American College of Allergy, Asthma and Immunology Joint Task Force on Practice Parameters GRADE- and Institute of Medicine-based recommendations - PubMed (nih.gov)

Dupilumab in Adults and Adolescents with Eosinophilic Esophagitis - PubMed (nih.gov)

Dupilumab for COPD with Type 2 Inflammation Indicated by Eosinophil Counts - PubMed (nih.gov)

Optimal dose of adrenaline auto-injector for children and young people at risk of anaphylaxis: A phase IV randomized controlled crossover study - PubMed (nih.gov)

Phase 3 Trial of Epicutaneous Immunotherapy in Toddlers with Peanut Allergy - PubMed (nih.gov)

Have an idea for the show or a comment, send us a text!

Visit the Canadian Society of Allergy and Clinical Immunology

Find an allergist using our helpful tool

Find Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_ca

The Allergist is produced for CSACI by PodCraft Productions

Happy New Year! 

We're taking a brief pause and will return with our next regularly scheduled podcast next week. We have some very exciting episodes lined up to kick off the new year. Our next full episode will be on January 9th, focusing on the top articles from 2023 that will change your practice. 

Following that, we'll explore the world of quality improvement and its integration into practice. Also, we'll discuss food ladders and the buzz surrounding them. Stay tuned for these and other great content. 

Wishing you a happy, prosperous, and healthy new year. Thank you for listening. Sincerely, The Allergist.

Have an idea for the show or a comment, send us a text!

Visit the Canadian Society of Allergy and Clinical Immunology

Find an allergist using our helpful tool

Find Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_ca

The Allergist is produced for CSACI by PodCraft Productions

“Don't be afraid of using these disease modifying therapies. They're safe, they're effective, they will actually let you get away with using less medication.”  -- Dr. Anne Ellis

Venture into the realm of allergic rhinitis as Dr. Mariam Hanna welcomes Dr. Anne Ellis, co-author of the latest Canadian guidelines for this common condition. Together, they unravel the complexities of this disease and explore the latest treatment protocols.

On this episode:

• Defining Allergic Rhinitis: Dr. Ellis sheds light on what allergic rhinitis really is and the driving force behind the new guidelines.
• Testing for Immunotherapy: Serum specific IgE vs. skin prick testing – which is more effective for identifying the right candidates?
• First-Line Defense: The role of second-generation antihistamines and nasal corticosteroids, and why first-generation antihistamines fall short.
• Combining Forces: The effectiveness of combination therapies and the place of leukotriene receptor antagonists in treatment.
• Immunotherapy in Focus: Why it's time to consider immunotherapy earlier, including sublingual and subcutaneous options.
• Customized Care: Tailoring treatment to individual allergen profiles and addressing the rare but notable side effect of eosinophilic esophagitis.
• Empowering Patients: Urging those with allergic rhinitis to seek proactive treatment and consider the long-term benefits of immunotherapy.

Dive deep into the world of allergic rhinitis and emerge with a wealth of knowledge that could change your approach to treatment. Don't miss out on these critical insights. Listen now!

Have an idea for the show or a comment, send us a text!

Visit the Canadian Society of Allergy and Clinical Immunology

Find an allergist using our helpful tool

Find Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_ca

The Allergist is produced for CSACI by PodCraft Productions

“The allergist has many important roles in the management of EoE patients in the multidisciplinary EoE team.” - Dr. Edmond Chan

Join Dr. Mariam Hanna in an enlightening conversation with Dr. Edmond Chan, a leading voice in eosinophilic esophagitis (EoE). Dive into the ever-evolving landscape of this intriguing condition and explore the latest in medical management.

On this episode:

• Understanding EoE: Redefining a Decade of Change.

• The Allergist's Role: Navigating Patient Management and Dietary Choices.

• Steroids and Biologics: Breaking Down Treatment Options.

• The Art of Shared Decision-Making in EoE Treatment.

• Future Frontiers: The Imperative for Ongoing EoE Research.

• Food Elimination Risks and Oral Food Challenges: What Patients Need to Know.

Physicians, empower yourselves with this comprehensive guide to EoE, and join us in fostering informed decisions in healthcare. Tune into this essential episode now!

Have an idea for the show or a comment, send us a text!

Visit the Canadian Society of Allergy and Clinical Immunology

Find an allergist using our helpful tool

Find Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_ca

The Allergist is produced for CSACI by PodCraft Productions

“A patient does not need to avoid penicillin if a family member is allergic to penicillin.” Dr. Ana-Maria Copaescu

Join Dr. Mariam Hanna along with expert allergy and immunology specialist Dr. Ana-Maria Copaescu on this episode of The Allergist, as they unravel the intricacies of penicillin allergy, a commonly misunderstood health concern.

On this episode:

• The PALACE Study Breakthrough: How direct oral penicillin challenge is reshaping allergy testing.
• Understanding the PEN-FAST Score: A crucial tool in evaluating the likelihood of penicillin allergy.
• Symptoms and Safety: Understanding the common symptoms of penicillin allergy and associated risks.
• A Closer Look at Fatalities: Debunking fears and highlighting the rarity of severe reactions.
• Safety in Pregnancy: Exploring the findings on the safety of direct oral penicillin challenge in pregnant patients.
• Rethinking Drug Allergy Labels: Dr. Copaescu's perspective on why these labels are not life sentences.
• The Path Forward: The importance of clinical evaluations by an allergy immunologist.

Prepare to have your assumptions challenged and your understanding deepened. This enlightening discussion sheds light on a topic that affects many, yet is often misinterpreted. Tune in now to discover the truths about penicillin allergy with Dr. Hanna and Dr. Copaescu!

Have an idea for the show or a comment, send us a text!

Visit the Canadian Society of Allergy and Clinical Immunology

Find an allergist using our helpful tool

Find Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_ca

The Allergist is produced for CSACI by PodCraft Productions

"I just would like to take this moment to be a bit smug about how the immune system is really the issue in many, many disorders, although it is not acknowledged as such. It's really all about the immune system." - Dr. Rae Brager

Join Dr. Mariam Hanna as she delves into the intricate world of immunodeficiency with pediatric immunologist and allergist, Dr. Rae Brager. In a conversation that illuminates the often-overlooked complexities of the immune system, they shed light on the multifaceted nature of immunodeficiencies, from battling infections to immune dysregulation.

On this episode:

• Decoding the spectrum of immunodeficiency: More than just an inability to fight infections.
• The conundrum of diagnosing immunodeficiency in children as many common childhood illnesses are not indicative of a deficiency.
• The critical role of context and clinical acumen in the evaluation of immunodeficiencies.
• Celebrating the leaps in immunology: Newborn screening, gene therapy, and the revolutionary CAR T-cell therapy.
• Busting myths around cord blood banking: Understanding the real need and advocating for cord blood donation.
• Three pivotal takeaways: The complexity and mystery of the immune system, the rarity of true immunodeficiency in common concerns, and the adaptive prowess of our bodily defenses.

Prepare to be enlightened on the marvels and misconceptions of the immune system. Tune in for a masterclass on immunodeficiency with Dr. Hanna and Dr. Brager. Listen now for a dose of wisdom on the body's misunderstood protector!

Have an idea for the show or a comment, send us a text!

Visit the Canadian Society of Allergy and Clinical Immunology

Find an allergist using our helpful tool

Find Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_ca

The Allergist is produced for CSACI by PodCraft Productions

“Food allergies do not necessarily cause atopic dermatitis. but a compromised barrier function in the skin can lead to food allergies later on in life.”  Dr. Vipul Jain

Dive deep into the realm of skin health as Dr. Mariam Hanna sits down with Dr. Vipul Jain to untangle the intricacies of atopic dermatitis, commonly known as eczema, on this installment of "The Allergist." Shed light on the myths, distinguish the reality, and explore the best therapeutic avenues for this prevalent skin condition.

In this episode:

• Unraveling the causes and symptoms of atopic dermatitis.
• The balance between topical steroids and biologics: Weighing the pros and cons.
• Eczema and allergies: Connected, but not as you might think.
• Navigating the promising horizons: JAK inhibitors and monoclonal antibodies.
• Individualized treatment: Crafting the best plan for every eczema patient.

Be equipped with the latest insights and best practices for managing atopic dermatitis. Tune in for your eczema primer!

Have an idea for the show or a comment, send us a text!

Visit the Canadian Society of Allergy and Clinical Immunology

Find an allergist using our helpful tool

Find Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_ca

The Allergist is produced for CSACI by PodCraft Productions

"If you're ever thinking, should I use epinephrine or should I not? The answer is always yes, you should use it. It's always safe and it may be life saving.” - Dr. Elissa Abrams

Venture into the heart of anaphylaxis matters as Dr. Mariam Hanna welcomes Dr. Elissa Abrams, a recognized expert on severe allergic reactions. They dispel doubts, dismantle misconceptions, and offer an in-depth understanding of anaphylaxis and its evolving treatments.

In this episode:

    •Clarifying the real dangers of anaphylaxis.

    •Epinephrine: The undeniable champion in allergic emergencies.

    •The truth about antihistamines and steroids. Do they really help?

    •Questioning old reliables: Is Benadryl really our best bet?

    •Biphasic reactions: Getting the facts straight.

    •Anaphylaxis management: When is home anaphylaxis management an option?

Arm yourself with knowledge and prioritize safety when it comes to anaphylaxis. Don't miss these expert revelations. Listen now!

Have an idea for the show or a comment, send us a text!

Visit the Canadian Society of Allergy and Clinical Immunology

Find an allergist using our helpful tool

Find Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_ca

The Allergist is produced for CSACI by PodCraft Productions