New Patient Evaluation:
The purpose of an new patient evaluation is to get to know the patient and the potential allergy issue(s) affecting that
patient's life.
All evaluations include a thorough history and physical exam.
Allergy testing is often very helpful, but is not for everyone. Based on the individual situation, testing may be recommended.
Please see the column to the right for examples of testing offered.
There are effective strategies available for managing many allergic conditions and asthma. Examples of such strategies
which may be developed for an individual patient can also be found in the column to the right.
Dr. Piltch reviews the options for diagnostic testing and treatment with the patient based upon how likely the options
are to be helpful, not how much they cost. Dr. Piltch is committed to do everything she can to help all her patients understand
what those options mean for their lives. Finally Dr. Piltch works with the patient to develop a plan of what to do next.
This plan may include treatments, further testing, resources, what to look out for and when to seek medical advice.
Return patient evaluations:
These visits are a time to evaluate how well the plan worked and to make any needed adjustments. The history is updated
and a thorough physical exam is performed. If new allergy symptoms or issues have developed, these are addressed.
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Our patients' care and well-being
are why we exist.
Payment-in-full
is due at the time of services. Please ask for a free estimate. Checks, MC, VISA, American Express, Discover and cash are
accepted. Medicare patients, please call the
office for more information.
Hours are by appointment.
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Examples of testing offered:
*Skin testing for environmental allergies
*Skin testing for food allergies
*Skin testing for Hymenoptera venom allergies
*Patch testing for contact dermatitis
*Drug allergy evaluation
*Aspirin/NSAID sensitivity evaluation
*Food challenges
*Influenza vaccine skin testing
*Pulmonary Function Testing
*Pulmonary Function Testing before and after nebulized bronchodilator
*Peak flow testing
Please note: some types of testing may be done the day of the initial evaluation. Other types require scheduling on a
different day and may require patients to bring testing materials with you. If this is the case Dr. Piltch will discuss the
specifics with the patient at the time of the initial visit.
Skin testing requires antihistamines to be out of the patient's system. The required time varies depending on the medication
in question. If interested in skin testing during the initial visit, please mention this when making an appointment.
Examples of treatments offered:
*Personalized environmental allergy avoidance measures ("environmental controls")
*Personalized food allergy avoidance measures
*Personalized asthma trigger avoidance measures
*Emergency action plans for food allergy
*Emergency action plans for other types of anaphylaxis
*Asthma action plans
*Individualized medication regimens for asthma
*Individualized medication regimens for nasal and ocular allergies
*Individualized medication regimens for hives ("urticaria")
*Allergen immunotherapy ("allergy shots")
*Influenza vaccine desensitization.
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