Sher Allergy Specialists Specializing in Allergies, Asthma, Persistent Cough, Sinus Disease, and Immunodeficiency Disorders Specializing in Allergies, Asthma, Persistent Cough, Sinus Disease, and Immunodeficiency Disorders
 

CLINICAL SERVICES

"Dr. Sher is the best Dr. and best allergist I have ever had. !"
                                                                               -B.W., Seminole, FL

COMPREHENSIVE SCOPE OF DIAGNOSTIC SERVICES AND TREATMENT OPTIONS

The singular most reliable aid in diagnosing allergy, asthma, persistent cough, sinus disorders and other medical conditions is a well-informed patient or patient advocate. Our doctors and SAS clinical team will talk with you and examine you in order to understand your complete medical history. In order for the SAS team to make your office visit satisfying, please help us to better serve you by bringing the following to your visit:
  • Longevity and progression of symptoms
  • Specific occurrences that precede the onset of symptoms
  • Treatments you tried, but failed to provide relief
  • Things that seem to make you feel better
  • Other prescription drugs and herbal medicines
  • Any other questions you may have
(We will ask you to complete our detailed allergy questionnaire found on our FORMS page.)

Allergy Skin Testing, Pulmonary Function Testing, and/or Nasopharyngoscopy, provide maximum information, vital to ruling in or ruling out allergic and asthmatic disorders, with minimum discomfort and risk.

Allergy Skin Testing: When allergy skin testing is indicated, it can usually be completed during the initial visit. The optimal number of tests are applied for effective diagnosis and treatment decisions. The testing is essentially painless, is administered quickly and patients remain comfortable during the testing. SAS is happy to demonstrate testing on those parents whose young children are being tested. For testing to be completed, please be aware of the following:
  • DON'T take any antihistamine containing medications for SEVEN DAYS prior to your appointment. This may include over the counter cold preparations and medications for sleep. These medications can interfere with testing.
  • DON'T apply any lotion or creams the day of your appointment.
  • DON'T expose skin to sunburn the week before your appointment.
  • DO maintain all other medication, especially those for asthma or similar condition.
  • DO allow one and a half to two hours for your appointment.
  • DO eat your regular meals before appointment.
  • DO call our office if you have any questions regarding your medications.
Pulmonary Function Testing: Lung function tests (also called pulmonary function tests) evaluate how well your lungs work. The tests determine how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs add oxygen to the bloodstream. The tests can add valuable information for the diagnosis of asthma and other lung problems. It can also be used after the administration of medications to assess their effect, and to measure progress in disease treatment. Pulmonary function tests generally involve breathing into a sterile mouthpiece connected to a recording device. Our doctors will analyze the results of your PFT and see how you are doing by comparing them to predicted values normal for a person your age, size and sex. A pulmonary function test may be performed during your visit. In anticipation, please follow the following guidelines:
  • DON'T smoke or exercise strenuously for 4-6 hours before the test.
  • DON'T use your inhalers the day of the test, only if possible. (You should always call our office before discontinuing any medications. Specific instructions will be given if bronchodilators or inhaler medications should be withheld.)
  • DON'T wear tight fitting clothing that may restrict your breathing in any way.
  • DON'T eat a heavy meal just before testing because a full stomach may prevent your lungs from fully expanding.
Nasopharyngoscopy: Nasopharyngoscopy is a test in which our physicians use a flexible fiberoptic scope that is attached to a bright light to look into the nasal passages and back of the throat.  This frequently performed, minimally invasive examination allows for a more thorough look at the nose, mouth and throat in order to diagnose problems that are otherwise difficult to visualize.  This procedure, along with physical examination, is very helpful in evaluating persistent or chronic cough, acid reflux, sinusitis, recurrent ear infections, chronic headaches, and chronic postnasal drip. The physician can also determine whether there are any fixed blockages in the upper airway such as a deviated septum or nasal polyps.

Lifestyle Management: Asthma and Allergies are chronic diseases that can affect your health and prevent you from enjoying an active lifestyle. Through education and counseling, the SAS team can help you learn how to better control your asthma and/or allergies, improving your quality of life, leading to a more active lifestyle. We do this by providing answers to your questions as well as personalized education to help you understand your diagnosis and treatment options. The team will instruct you in the many aspects of asthma and allergic disease management, and provide you with tools and information necessary for you to become an active participant in your healthcare.

Medical Management: Medical or pharmaceutical intervention can be used effectively to treat allergies and asthma. There are new safe and effective medications available to help alleviate and control allergic and asthmatic symptoms. The doctor will recommend the safest and least necessary medication therapy to best treat your specific problems.

Most over the counter drugs are "combination" drugs and should be avoided, since you may not want to take unnecessary medications. Long-term use of nasal sprays (longer than 3 or 4 days), such as Afrin, can lead to dependency. Over the counter decongestants can be hazardous for patients with particular health conditions such as high blood pressure. If you have any doubts, always ask your doctor whether a drug is safe for you. Over the counter antihistamines can be very effective, however sedation can be a frequent side effect. 

Allergy Immunotherapy: "Allergy shots" is the term often used for allergy immunotherapy treatment. Allergy Immunotherapy provides us with a unique approach to "turning off" the allergic and asthmatic process, resulting in decreased symptoms and medication needs. Allergy shots may also prevent the progression to more severe allergic problems. Allergy immunotherapy is a safe and effective natural program. By receiving small injected amounts of specific allergens, your body builds up tolerance to these substances by inducing a sustained and prolonged immunity. This means that when you encounter these allergens in the future, you will have a reduced allergic response. There are no identifiable long-term side effects associated with allergy shots.

Environmental Management / Control: After identifying the specific allergic and irritant triggers, the SAS team will recommend that an environmental control program be implemented in your environment to help reduce the exposure to these triggers. Some simple and cost effective changes in the home can be very helpful in controlling the allergic symptoms. The doctor and clinical staff will make these recommendations and educate you about how to get started with the environmental control measures that will be of most benefit.

Immune Deficiency Therapy: Intravenous Gamma globulin (IVIG) or antibody replacement therapy is one of the medical treatments available to patients with primary immunodeficiency diseases. The term, gamma globulin, refers to the portion of the blood plasma that contains immunoglobulin or antibodies. Individuals who are unable to produce adequate amounts of antibodies may benefit from IVIG replacement therapy. It can be an effective treatment that can be life saving and improve the quality of life for the immune compromised patient. The gamma globulin temporarily replaces the missing antibodies and prevents infections. Approximately half of the infused gamma globulin is eliminated by the body over 3 to 4 weeks, so that patients must be infused every few weeks in order to maintain adequate protection. SAS provides a private and comfortable setting for patients to receive their treatments. (For additional information regarding Primary Immune Deficiency Disease and available treatment see www.primaryimmune.org)