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Fluid overload is a common problem in critically ill patients. In this episode, Dr. Sergio Zanotti discuss recognizing and managing fluid overload in the ICU with guest Dr. Michael J. Connor, Jr., a practicing intensivist and nephrologist. Dr. Connor is a Professor and Senior Physician of Critical Care Medicine & Nephrology at the Divisions of Pulmonary, Allergy, Critical Care, and Sleep Medicine and Renal Medicine at Emory University School of Medicine. Additionally, he serves as the director of critical care nephrology at the Emory Critical Care Center at Grady Memorial Hospital. Additional resources European Society of Intensive Care Medicine Clinical Practice Guideline on fluid therapy in adult critically ill patients: Part 3- fluid removal at de-escalation phase. Intensive Care Med 2025: https://pubmed.ncbi.nlm.nih.gov/40828463/ Optimizing Fluid Therapy in the Critically Ill. International Fluid Academy website – 2025: https://www.fluidacademy.org/2025/01/17/optimising-fluid-therapy-in-the-critically-ill-introduction-to-7d/ Fluid overload in the ICU: evaluation and management. R. Claure-Del Granado and R. L. Mehta. BMC Nephrology 2016: https://pubmed.ncbi.nlm.nih.gov/27484681/ Books and music mentioned in this episode: Think Again: The Power of Knowing What You Don't Know. By Adam Grant: https://bit.ly/4gZvz9c RUSHMERE. By Mumford & Sons: https://bit.ly/473FzKc
RE-RELEASE: This episode was originally released in February 2025.In this episode, Dr. Anthony Fauci joins A'ndre for an in-depth conversation about his decades-long career in public health and his experiences leading the U.S. response to some of the world's most pressing infectious disease challenges. Dr. Fauci reflects on his early work during the HIV/AIDS crisis, the evolution of treatments that saved millions of lives, and his role in launching PEPFAR, one of the most significant global health initiatives in history. He discusses his leadership at the National Institute of Allergy and Infectious Diseases (NIAID), navigating crises such as Ebola, Zika, H1N1, anthrax, and COVID-19, while working alongside multiple U.S. presidents to shape national and global health policies.Beyond his career in government, Dr. Fauci shares his thoughts on the intersection of public health and national security, the growing challenges of vaccine skepticism and misinformation, and the vital role of institutions like the NIH and CDC in protecting public health. He also highlights the major health threats that remain overlooked in mainstream discourse. Now a professor at Georgetown University, Dr. Fauci reflects on his transition to academia and the importance of training the next generation of medical leaders in an era of evolving global health challenges.You can purchase his recent memoir, On Call, here.
Allergy woes, haircuts, and fall weather. Drawtober art prompts, dieting, and the gift of Hades II. A Cult of the Lamb trivia quiz. Cozy games (Peak, Thank Goodness You're Here), job-hunting, AI video tools like Sora, and family chats about politics, empathy, and nuance. Grumpiness, kindness, and knocking over Girl Scouts, all on this weeks Monday Show. Hosted on Acast. See acast.com/privacy for more information.
Are you one of the 52 million people in the U.S. who experience chronic pain daily? In It Doesn't Have to Hurt: Your Smart Guide to a Pain-Free Life, the practicing neurosurgeon and CNN's multiple Emmy Award-winning chief medical correspondent debunks the myth that most pain problems can only be fixed with a drug or procedure, and argues that we have agency with how to respond. In conversation with Dr. Anthony Fauci, the former Director of the National Institute of Allergy and Infectious Diseases at the NIH from 1984 to 2022. This program was held on September 11, 2025. Watch this conversation on YouTube.
Seeing your allergist on a screen instead of in the office might feel strange at first, but for many people with allergies, telehealth isn't just convenient. it's effective. In this episode, we sit down with telemedicine pioneer Dr. Jay Portnoy to explore how virtual allergy care works, what it can and can't do, and how it's helping patients get the care they need without the wait or the long drive. Dr. Portnoy shares over two decades of experience leading allergy telemedicine programs in rural areas and explains how remote care has grown from a fringe idea into a standard part of allergy care. He and Dr. G also discuss the benefits for both patients and clinicians. So how do you know when telehealth is enough and when it's not? What we cover in our episode about virtual allergy care and telemedicine: How does telemedicine work for allergy patients? Learn how video visits and asynchronous tools are making care faster and easier, especially in rural or underserved areas. Telemendine limitations. We break down when in-person care is still needed, like for food challenges, skin tests, or urgent symptoms. Privacy and safety in virtual care. From HIPAA-compliant platforms to quiet spaces at home or in schools, we talk about how to keep your virtual visit just as private as a clinic one. How testing works with telemedicine. Telehealth doesn't mean skipping tests. Many can be ordered remotely and done at a local lab or clinic near you. The future of allergy care. Hear how virtual care is shifting toward patient choice, whether you want to video call, send a message, or still come in. ___ Made in partnership with The Allergy & Asthma Network. Thanks to Genentech for sponsoring today's episode. This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.
Benadryl's active ingredient, diphenhydramine, is now considered outdated and unsafe, with researchers urging that it be removed from over-the-counter use The drug causes strong sedation, impaired memory, and slower reaction times, with studies showing it affects driving performance more than alcohol Older adults face lingering grogginess for up to 18 hours, while children risk unpredictable reactions, including agitation, coma, or heart problems if overdosed Other countries have already restricted access, and medical authorities warn against its use in children, highlighting safer alternatives and lifestyle strategies Natural approaches like vitamin C, quercetin, whole foods, restorative sleep, and stress management help balance histamine and reduce allergy symptoms without dangerous side effects
Get My Book On Amazon: https://a.co/d/avbaV48DownloadThe Peptide Cheat Sheet: https://peptidecheatsheet.carrd.co/Download The Bioregulator Cheat Sheet: https://bioregulatorcheatsheet.carrd.co/1 On 1 Coaching Application: https://hunterwilliamscoaching.carrd.co/Book A Call With Me: https://hunterwilliamscall.carrd.co/Supplement Sources: https://hunterwilliamssupplements.carrd.co/Amazon Storefront: https://www.amazon.com/shop/hunterwilliams/list/WE16G2223BXA?ref_=cm_sw_r_cp_ud_aipsflist_R7QWQC0P1RACB2ETY3DYSocials:Instagram: https://www.instagram.com/hunterwilliamscoaching/Podcast: https://hunterwilliamspodcast.buzzsprout.com/Video Topic Request: https://hunterwilliamsvideotopic.carrd.co/In today's video I unpack amlexanox—an old anti-inflammatory/allergy drug with surprising metabolic effects. I share my first encounter with it in the research-chem world, what I noticed subjectively, and then dive into mechanisms (IKKε/TBK1 inhibition, catecholamine resensitization, beige fat), rodent data, the Phase 2 human trial (150 mg/day), safety, dosing, who seems to respond best, and how I'm stacking it inside Bio Ignite. If your goal is fat loss with stubborn adipose inflammation, this is worth understanding.0:00 - Welcome + what today's video covers0:28 - How I first found “AM Lox” browsing catalogs1:06 - Cycling off SLU-PP-332 and first personal trial1:40 - Noticing dryness/ab definition; early under-dosing2:12 - 2025 “sugar diet” + hunting for FGF21 boosters2:40 - Finding data that amlexanox increases FGF213:02 - Literature dosage (100–150 mg) vs my early dose3:38 - Why I think it's a useful fat-loss rotation tool4:24 - Channel/hosting update + where to find my videos5:08 - Slides start: what amlexanox is/was used for6:00 - Core mechanism: IKKε/TBK1 → PDE3B → cAMP resistance7:16 - IL-6→STAT3 hepatic signaling + beigeing via FGF218:30 - Big-picture benefits: inflammation, insulin sensitivity, glycemia10:32 - Human data: Phase 2 trial (150 mg/day x 12 weeks)11:10 - Modest/variable weight change; who improved most12:37 - Practical takeaways: glycemia, liver fat, insulin sensitivity14:12 - Dosing in practice (50 mg caps, TID = 150 mg/day)15:12 - Responder phenotype: high adipose inflammation16:00 - Who benefits most + variability at similar body fat17:56 - Study roll-up and mechanism recap18:52 - Final thoughts, use-cases, and product note (Bio Ignite)19:54 - Thank you + where to grab the peptide cheat sheetWhat You'll LearnWhy amlexanox can “release the brakes” on fat-burning by inhibiting IKKε/TBK1 and restoring cAMP/catecholamine responsiveness.How it raises IL-6 transiently in adipose, activates STAT3 in the liver, suppresses gluconeogenesis, and increases FGF21 to promote beige fat programs.The mouse vs. human gap: robust fat loss in mice; in humans, clearer improvements in A1c, fructosamine, liver fat, insulin sensitivity—especially when adipose inflammation is high.Dosing used in the Phase 2 trial: 50 mg TID (total 150 mg/day) for 12 weeks.Safety snapshot: no serious AEs attributed to amlexanox in metabolic trials; most common was a transient rash.Timestamps (exact to the transcript)What you'll learn
“Vaccine counseling is really a team sport. — Dr. Anne Pham-HuyVaccines can stir anxiety for patients and confusion for clinicians, especially when biologics enter the mix. Dr. Mariam Hanna is joined by Dr. Anne Pham-Huy, clinical immunologist at CHEO, member of the Special Immunization Clinic Network, NACI member, and chair of Immunize Canada. Together, they break down the science of vaccine responses and tackle some of the trickiest questions allergists face in daily practice.On this episode:The major types of vaccines — from live attenuated to mRNA — and what sets them apart.Why live vaccines often produce strong, durable protection, but may require caution in certain patients.How adult immunization is still underutilized, with gaps in boosters, pneumococcal, HPV, and influenza coverage.Which “special populations” need tailored vaccine strategies, including patients on immunosuppressants, transplant recipients, and those with chronic disease.Practical guidance on timing vaccines around biologic use and which precautions truly matter.When to check titers and antibody responses — and why it's only relevant for select patient groups.Strategies for counselling vaccine-hesitant patients with empathy, focusing on disease risk and building trust.What's next: combination mRNA vaccines and nirsevimab for RSV prevention in infants.The questions are simple — are they vaccinated, special, or special enough — but the answers matter.Visit the Canadian Society of Allergy and Clinical ImmunologyFind an allergist using our helpful toolFind Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_caThe Allergist is produced for CSACI by PodCraft Productions
These diseases - West Nile Virus, Lyme disease, and Rocky Mountain Spotted Fever - are named for the places where outbreaks happened. But they're also all things you get from being bitten by mosquitoes or ticks. Research: Balasubramanian, Chandana. “Rocky Mountain Spotted Fever (RMSF): The Deadly Tick-borne Disease That Inspired a Hit Movie.” Gideon. 9/1/2022. https://www.gideononline.com/blogs/rocky-mountain-spotted-fever/ Barbour AG, Benach JL2019.Discovery of the Lyme Disease Agent. mBio10:10.1128/mbio.02166-19.https://doi.org/10.1128/mbio.02166-19 Bay Area Lyme Foundation. “History of Lyme Disease.” https://www.bayarealyme.org/about-lyme/history-lyme-disease/ Caccone, Adalgisa. “Ancient History of Lyme Disease in North America Revealed with Bacterial Genomes.” Yale School of Medicine. 8/28/2017. https://medicine.yale.edu/news-article/ancient-history-of-lyme-disease-in-north-america-revealed-with-bacterial-genomes/ Chowning, William M. “Studies in Pyroplasmosis Hominis.("Spotted Fever" or "Tick Fever" of the Rocky Mountains.).” The Journal of Infectious Diseases. 1/2/1904. https://archive.org/details/jstor-30071629/page/n29/mode/1up Elbaum-Garfinkle, Shana. “Close to home: a history of Yale and Lyme disease.” The Yale journal of biology and medicine vol. 84,2 (2011): 103-8. Farris, Debbie. “Lyme disease older than human race.” Oregon State University. 5/29/2014. https://science.oregonstate.edu/IMPACT/2014/05/lyme-disease-older-than-human-race Galef, Julia. “Iceman Was a Medical Mess.” Science. 2/29/2012. https://www.science.org/content/article/iceman-was-medical-mess Gould, Carolyn V. “Combating West Nile Virus Disease — Time to Revisit Vaccination.” New England Journal of Medicine. Vol. 388, No. 18. 4/29/2023. https://www.nejm.org/doi/full/10.1056/NEJMp2301816 Harmon, Jim. “Harmon’s Histories: Montana’s Early Tick Fever Research Drew Protests, Violence.” Missoula Current. 7/20/2020. https://missoulacurrent.com/ticks/ Hayes, Curtis G. “West Nile Virus: Uganda, 1937, to New York City, 1999.” From West Nile Virus: Detection, Surveillance, and Control. New York : New York Academy of Sciences. 2001. https://archive.org/details/westnilevirusdet0951unse/ Jannotta, Sepp. “Robert Cooley.” Montana State University. 10/12/2012. https://www.montana.edu/news/mountainsandminds/article.html?id=11471 Johnston, B L, and J M Conly. “West Nile virus - where did it come from and where might it go?.” The Canadian journal of infectious diseases = Journal canadien des maladies infectieuses vol. 11,4 (2000): 175-8. doi:10.1155/2000/856598 Lloyd, Douglas S. “Circular Letter #12 -32.” 8/3/1976. https://portal.ct.gov/-/media/departments-and-agencies/dph/dph/infectious_diseases/lyme/1976circularletterpdf.pdf Mahajan, Vikram K. “Lyme Disease: An Overview.” Indian dermatology online journal vol. 14,5 594-604. 23 Feb. 2023, doi:10.4103/idoj.idoj_418_22 MedLine Plus. “West Nile virus infection.” https://medlineplus.gov/ency/article/007186.htm National Institute of Allergy and Infectious Disease. “History of Rocky Mountain Labs (RML).” 8/16/2023. https://www.niaid.nih.gov/about/rocky-mountain-history National Institute of Allergy and Infectious Disease. “Rocky Mountain Spotted Fever.” https://www.niaid.nih.gov/diseases-conditions/rocky-mountain-spotted-fever Rensberger, Boyce. “A New Type of Arthritis Found in Lyme.” New York Times. 7/18/1976. https://www.nytimes.com/1976/07/18/archives/a-new-type-of-arthritis-found-in-lyme-new-form-of-arthritis-is.html?login=smartlock&auth=login-smartlock Rucker, William Colby. “Rocky Mountain Spotted Fever.” Washington: Government Printing Office. 1912. https://archive.org/details/101688739.nlm.nih.gov/page/ Sejvar, James J. “West Nile virus: an historical overview.” Ochsner journal vol. 5,3 (2003): 6-10. https://pmc.ncbi.nlm.nih.gov/articles/PMC3111838/ Smithburn, K.C. et al. “A Neurotropic Virus Isolated from the Blood of a Native of Uganda.” The American Journal of Tropical Medicine and Hygiene. Volume s1-20: Issue 4. 1940. Steere, Allen C et al. “The emergence of Lyme disease.” The Journal of clinical investigation vol. 113,8 (2004): 1093-101. doi:10.1172/JCI21681 Steere, Allen C. et al. “Historical Perspectives.” Zbl. Bakt. Hyg. A 263, 3-6 (1986 ). https://pdf.sciencedirectassets.com/281837/1-s2.0-S0176672486X80912/1-s2.0-S0176672486800931/main.pdf World Health Organization. “West Nile Virus.” 10/3/2017. https://www.who.int/news-room/fact-sheets/detail/west-nile-virus Xiao, Y., Beare, P.A., Best, S.M. et al. Genetic sequencing of a 1944 Rocky Mountain spotted fever vaccine. Sci Rep 13, 4687 (2023). https://doi.org/10.1038/s41598-023-31894-0 See omnystudio.com/listener for privacy information.
Multiple food allergies are a daily stressor for millions of families. From avoiding social events to fearing accidental exposures, it can feel like living in a constant state of alert. Until recently, there were no FDA-approved treatments that targeted more than one allergen at a time. In this episode, we break down the study: “Omalizumab for the Treatment of Multiple Food Allergies,” published in 2024 in the New England Journal of Medicine. Known as the OUtMATCH trial, it's the first large-scale study to show that omalizumab (Xolair), a biologic already used for asthma and hives, may help people with multiple food allergies by raising the threshold for reactions. We explain how omalizumab works by blocking IgE, the antibody that triggers allergic reactions, and how the study measured changes in reaction thresholds (the amount of an allergen a person can ingest before reacting). We also explore the trial design, results, safety profile, and what all of this means for the day-to-day management of food allergies. What we cover in our episode about OUtMATCH trial How omalizumab works to prevent allergic reactions: Learn how blocking IgE increases the amount of allergen needed to trigger symptoms, offering protection from small, accidental exposures. Who qualified for the OUtMATCH trial and why: Find out which patients were included and how eligibility impacted outcomes. What success looked like in this study: Understand how researchers defined protection across multiple allergens. Why not everyone responded the same to omalizumab: Explore the variability in results and what it means for clinical care. What else the study found beyond food challenges: Hear about safety findings, quality of life data, and the open-label extension.
Bill Horan and Stacy Raine learn about The Rare Treats Baking Company, a home kitchen from Malverne, specializing in dairy-free and nut-free treats that are delicious for EVERYONE. They create baked goods for families navigating food allergies and restrictions, especially those living with Eosinophilic Esophagitis, or EoE. They speak with Stephanie Fitzpatrick, the founder and baker behind The Rare Treats Baking Company. She is joined by her oldest son, 11-year-old Logan - the inspiration for Rare Treats.
There's something up with Courtney's allergies // Mahomes anointed GOAT too early and golf FOMO is a real thing // Curtis doubts Gonzo's "setback," thinks his absence is contract related //
Is that penicillin or amoxicillin allergy real? Probably not. In this episode, we explore how to assess risk, talk to parents, and refer for delabeling. You'll also learn what happens in the allergy clinic, why the label matters, and how to be a better antimicrobial steward. Learning Objectives Describe the mechanisms and clinical manifestations of immediate and delayed hypersensitivity reactions to penicillin, including diagnostic criteria and risk stratification tools such as the PEN-FAST score. Differentiate between low-, moderate-, and high-risk penicillin allergy histories in pediatric patients and identify appropriate candidates for direct oral challenge or allergy referral based on current evidence and guidelines. Formulate an evidence-based approach for evaluating and counseling families in the Emergency Department about reported penicillin allergies, including when to recommend outpatient referral for formal delabeling. Connect with Brad Sobolewski PEMBlog: PEMBlog.com Blue Sky: @bradsobo X (Twitter): @PEMTweets Instagram: Brad Sobolewski References Khan DA, Banerji A, Blumenthal KG, et al. Drug Allergy: A 2022 Practice Parameter Update. J Allergy Clin Immunol. 2022;150(6):1333-1393. doi:10.1016/j.jaci.2022.08.028 Moral L, Toral T, Muñoz C, et al. Direct Oral Challenge for Immediate and Non-Immediate Beta-Lactam Allergy in Children. Pediatr Allergy Immunol. 2024;35(3):e14096. doi:10.1111/pai.14096 Castells M, Khan DA, Phillips EJ. Penicillin Allergy. N Engl J Med. 2019;381(24):2338-2351. doi:10.1056/NEJMra1807761 Shenoy ES, Macy E, Rowe T, Blumenthal KG. Evaluation and Management of Penicillin Allergy: A Review.JAMA. 2019;321(2):188–199. doi:10.1001/jama.2018.19283 Transcript Note: This transcript was partially completed with the use of the Descript AI and the Chat GPT 5 AI Welcome to PEM Currents, the Pediatric Emergency Medicine podcast. As always, I'm your host, Brad Sobolewski, and today we are taking on a label that's misleading, persistent. Far too common penicillin allergy, it's often based on incomplete or inaccurate information, and it may end up limiting safe and effective treatment, especially for the kids that we see in the emergency department. I think you've all seen a patient where you're like. I don't think this kid's really allergic to amoxicillin, but what do you do about it? In this episode, we're gonna break down the evidence, walk through what actually happens during de labeling and dedicated allergy clinics. Highlight some validated tools like the pen FAST score, which I'd never heard of before. Preparing for this episode and discuss the current and future role of ED based penicillin allergy testing. Okay, so about 10% of patients carry a penicillin allergy label, but more than 90% are not truly allergic. And this label can be really problematic in kids. It limits first line treatment choices like amoxicillin, otitis media, or penicillin for strep throat, and instead. Kids get prescribed second line agents that are less effective, broader spectrum, maybe more toxic or poorly tolerated and associated with a higher risk of antimicrobial resistance. So it's not just an EMR checkbox, it's a label with some real clinical consequences. And it's one, we have a role in removing. And so let's understand what allergy really means. And most patients with a reported penicillin allergy, especially kids, aren't true allergies in the immunologic sense. Common misinterpretations include a delayed rash, a maculopapular, or viral exum, or benign, delayed hypersensitivity, side effects, nausea, vomiting, and diarrhea. And unverified childhood reactions that are undocumented and nonspecific. Most of these are not true allergies. Only a very small subset of patients actually have IgE mediated hypersensitivity, such as urticaria, angioedema, wheezing, and anaphylaxis. These are super rare, and even then they may resolve over time without treatment. If a parent or sibling has a history of a penicillin allergy, remember that patient might actually not be allergic, and that is certainly not a reason to label a child as allergic just because one of their first degree relatives has an allergy. So right now, in 2025, as I'm recording this episode, there are clinics like the Pats Clinic or the Penicillin Allergy Testing Services at Cincinnati Children's and in a lot of our peer institutions that are at the forefront of modern de labeling. Their approach reflects the standard of care as outlined by the. Quad ai or the American Academy of Allergy, asthma and Immunology and supported by large trials like Palace. And you know, you have a great trial if you have a great acronym. So here's what happens step by step. So first you stratify the risk. How likely is this to be a true allergy? And that's where a tool like the pen fast comes. And so pen fast scores, a decision rule developed to help assess the likelihood of a true penicillin allergy based on the patient's history. The pen in pen fast is whether or not the patient has a self-reported history of penicillin allergy. They get two points if the reaction occurred in the past five years. Two points if the reaction is anaphylaxis or angioedema. One point if the reaction required treatment, and one point if the reaction was not due to testing. And so you can get a total score of. Up to six points. If you have a score of less than three. This is a low risk patient and they can be eligible for direct oral challenge. A score greater than three means they're higher risk and they may require skin testing. First validation studies show that the PEN FFA score of less than three had a negative predictive value of 96.3%. Meaning a very, very low chance of a true allergy. And this tool has been studied more extensively in adults, but pediatric specific adaptations are emerging, and they do inform current allergy clinic protocols. But I would not use this score in the emergency department just to give a kid a dose of amoxicillin. So. For low risk patients, a pen fast score of less than three or equivalent clinical judgment clinics proceed with direct oral challenge with no skin testing required. The protocol is they administer one dose of oral amoxicillin and they observe for 62 120 minutes monitoring for signs of reaction Urticaria. Respiratory symptoms or GI upset. This approach is safe and effective. There was a trial called Palace back in 2022, which validated this in over 300 children. In adolescents. There were no serious events that occurred. De labeling was successful in greater than 95% of patients. And skin tested added no benefit in low risk patients. So if the child tolerates this dose, then you can remove that allergy immediately from the chart. Parents and primary care doctors will receive a summary letter noting that the challenge was successful and that there's new guidance. Children and families are told they can safely receive all penicillins going forward. And providers are encouraged to document this clearly in the allergy section of the EMR. So you're wondering, can we actually do this in the emergency department? Technically, yes, you can do what you want, but practically we're not quite there yet. So we'd need clearer risk stratification tools like the Pen fast, a safe place for monitoring, post challenge, clinical pathways and documentation support. You know, a clear way to update EMR allergy labels across the board and involvement or allergy or infectious disease oversight. But it's pretty enticing, right? See a kid you diagnose otitis media. You think that their penicillin allergy is wrong, you just give 'em a dose of amox and watch 'em for an hour. That seems like a pretty cool thing that we might be able to do. So some centers, especially in Canada and Australia, do have some protocols for ED or inpatient based de labeling, but they rely on that structured implementation. So until then, our role in the pediatric emergency department is to identify low risk patients, avoid over document. Unconfirmed reactions and refer to allergy ideally to a clinic like the pets. So who should be referred and good candidates Include a child with a rash only, especially one that's remote over a year ago. Isolated GI symptoms. Parents unsure of the details at all. No history of anaphylaxis wheezing her hives, and no recent serious cutaneous reactions. I would avoid referring and presume that this allergy is true. If they've had recent anaphylaxis, they've had something like Stevens Johnson syndrome dress, or toxic epidermolysis necrosis. Fortunately, those are very, very rare with penicillins and there's a need for penicillin during the ED visit without allergy backup. So even though we don't have an ED based protocol yet. De labeling amoxicillin or penicillin allergy can start with good questions in the emergency department. So here's one way to talk to patients and families. You can say, thanks for letting me know about the amoxicillin allergy. Can I ask you a few questions to better understand what happened? This is gonna help us decide the safest and most effective treatment for your child today, and then possibly go through a process to remove a label for this allergy that might not be accurate. You wanna ask good, open-ended questions. What exactly happened when your child took penicillin or amoxicillin? You know, look for rash, hives, swelling, trouble breathing, or anaphylaxis. Many families just say, allergic, when the reaction was just GI upset, diarrhea or vomiting, which is not an allergy. How old was your child when this happened? Reactions that occurred before age of three are more likely to be falsely attributed. How soon after taking the medicine did the reaction start? Less than one hour is an immediate reaction, but one hour to days later is delayed. Usually mild and probably not a true allergy. Did they have a fever, cold or virus at that time? Viral rashes are often misattributed to antibiotics, and we shouldn't be treating viruses with antibiotics anyway, so get good at looking at ears and know what you're seeing. And have they taken similar antibiotics since then? Like. Different penicillins, Augmentin, or cephalexin. So if they said that they were allergic to amoxicillin, but then somehow tolerated Augmentin. They're not allergic. If a patient had rash only, but no hive swelling or difficulty breathing, no reaction within the first hour. It occurred more than five years ago or before the kid was three. And especially if they tolerated beta-lactam antibiotics. Since then, they're a great candidate for de labeling and I would refer that kid to the allergy clinic. Generally, they can get them in pretty darn quick. Alright, we're gonna wrap up this episode. Most kids labeled penicillin allergic or amoxicillin allergic, or not actually allergic to the medication. There are some scores like pen fasts that are validated tools to assess risk and support de labeling. Direct oral challenge for most patients is safe, efficient, and increasingly the standard of care. There are allergy clinics like the Pats at Cincinnati Children's that can dela children in a single visit with oral challenges alone, needing no skin testing, and emergency departments can play a key role in identifying and referring these patients and possibly de labeling ourselves in the future. Well, that's all for this episode on Penicillin Allergy. I hope you learn something new, especially how to assess whether an allergy label is real, how to ask the right questions and when to refer to an allergy testing clinic. If you have feedback, send it my way. Email, comment on the blog, a message on social media. I always appreciate hearing from you all, and if you like this episode, please leave a review on your favorite podcast app. Really helps more people find the show and that's great 'cause I like to teach people stuff. Thanks for listening for PEM Currents, the Pediatric Emergency Medicine podcast. This has been Brad Sobolewski. See you next time.
Dr Douglas Jones is an internationally recognised expert in the field of adverse food reactions. He is the founder and director of the Immunity Group Australia, where he supports families in navigating the challenges of food allergies. In this episode, Douglas and Emma discuss the evolving understanding of food allergies — from what has been learnt historically to emerging approaches in management. Their conversation explores how strategies may extend beyond immune system support to include considerations of the gut microbiome. Douglas outlines key aspects of this complex area, including the pathophysiology of food allergies, testing methods, and a range of management options. He highlights the importance of tailoring approaches to each individual to support effective long-term outcomes. Recognising the impact of food allergies on both individuals and families, Douglas emphasises the value of education and holistic perspectives in supporting patient care. Covered in this episode: (00:25) Welcoming Dr Douglas Jones (02:09) Australia's allergy statistics (06:32) Food allergy diagnose criteria (10:47) Basophil activation test (15:25) The drivers of food allergies (22:09) Treatment options (31:27) Oral immunotherapy - what is it? (34:39) Treatment options (39:44) Probiotics in treatment (41:59) Dr Jones' gut microbiome diversification protocol (44:46) Diet and supplemental support Find today's transcript and show notes here: https://www.bioceuticals.com.au/education/podcasts/the-evolving-nature-of-food-allergy-management Sign up for our monthly newsletter for the latest exclusive clinical tools, articles, and infographics: www.bioceuticals.com.au/signup/ DISCLAIMER: The information provided on fx Medicine by BioCeuticals is for educational and informational purposes only. The information provided is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you learn here raises questions or concerns regarding your health.
What if the thing holding back our evolution wasn't the Unviverse, but our alignment with it?In this Q&A episode, Thom explores the subtle early signal of misalignment, why formulaic living dulls creativity, and how the unknown became the forge of the human brain. Thom also challenges us to make our behaviors more evolutionary, offers a cautionary message about our modern archives, and shares a bold, simple law you won't forget.Episode Highlights[00:45] Q - How do we make evolution exponential as opposed to gradual?[00:55] A - The Sweet Spot Is…[05:03] Looking for Frictionless Flow[07:18] The Dangers of Formulaic Thinking[10:40] An Allergy to Embracing the Unknown[12:33] The Unknown is the Frontier that Built the Human Brain[15:30] An Invitation to Do Something Different[17:54] Q - What exactly are we to harvest? Knowledge or resources?[19:11] A - Breaking the Shackles of Our Brain[21:35] The Greatest Wasted Resource on Earth[24:01] Use It Or Lose It[26:43] Brain-Power Problems[30:39] The Great Good Fortune of Being a Vedic Meditator[32:31] An Outlet for Social Relevance[36:14] Q - Are our current evolutionary theories still relevant?[36:54] A - Big Crunch is Making a Comeback[39:34] Individuality is Cosmic[42:12] Thank Goodness for the Asteroid Strike[46:03] Unreliable Archives of the Human Experience[52:14] Q - Should we harvest more interactions with each other?[52:35] A - Meditators Have the Capacity to be Interactors[56:06] The Joy of Person-to-Person Human Connectivity[58:28] Commonality is a Great Uniting Force[01:00:41] Q - Does the Veda state that evolution is Cosmic Law?[01:00:59] Evolve. Full Stop.Useful Linksinfo@thomknoles.com https://thomknoles.com/https://www.instagram.com/thethomknoleshttps://www.facebook.com/thethomknoleshttps://www.youtube.com/c/thomknoleshttps://thomknoles.com/ask-thom-anything/
When people get hives or swelling, they often think it's caused by an allergy. But in the case of chronic spontaneous urticaria (CSU), the culprit is often your own immune system. CSU isn't your typical allergic reaction, instead, it's frequently an autoimmune condition, where the immune system misfires and activates mast cells without any external trigger. In this episode, Dr. Payel Gupta and Kortney unpack what it means for CSU to be autoimmune and autoallergic. They explain how IgE and IgG antibodies can trigger histamine release, leading to hives and swelling. You'll also learn why allergy testing isn't useful for diagnosing CSU, and how tests like IgG food sensitivity panels can do more harm than good by leading to unnecessary food avoidance and confusion. What we cover in our episode about autoimmune CSU and chronic hives: Is CSU an allergy? Why CSU is often mistaken for an allergic reaction—and why standard allergy tests rarely provide helpful answers. How the immune system works in CSU: What mast cells are, how they release histamine, and their central role in chronic spontaneous urticaria. Understanding autoimmune CSU: Learn how the immune system can trigger hives from within, including the roles of IgE and IgG antibodies. Autoimmune hives explained: We explore how CSU can be autoimmune, why the immune system may attack itself, and what Type I and Type IIb autoimmune CSU really mean. ____ Made in partnership with The Allergy & Asthma Network. Thanks to Novartis for sponsoring today's episode. This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.
In our last conversation with Amanda Whitehouse, PhD, she shared her mission of helping patients and caregivers move beyond food allergy anxiety, fear, and trauma so they can truly live whole and joyful lives. She also touched on the fascinating role the nervous system plays in that healing process. Today, we're joined by licensed psychologist, Dr. Whitehouse, who's here to take us on a deeper dive into the impact of the nervous system.Resources to keep you in the know:Amanda Whitehouse, PhD - WebsiteDon't Feed the Fear Podcast @thefoodallergypyschologist - Follow on Facebook, Instagram, and TikTokFAACT's Behavioral Health Resource CenterYou can find FAACT's Roundtable Podcast on Apple Podcasts, Pandora, Spotify, Podbay, iHeart Radio, or wherever you listen to podcasts.Follow us on Facebook, Instagram, BlueSky, Threads, LinkedIn, Pinterest, TikTok, and YouTube.Sponsored by: GenentechThanks for listening! FAACT invites you to discover more exciting food allergy resources at FoodAllergyAwareness.org!
This week on Speaking of Pets, we're joined by our host, Cleveland-born veterinary dermatologist, Dr. Alice Novotny Jeromin, to tackle a topic that plagues countless dogs and cats—allergies. From itchy paws and ear infections to bald bellies and mysterious skin flare-ups, Dr. Alice breaks down how allergies show up differently in pets, when they typically start, and why cats definitely aren't just “small dogs” when it comes to allergy!Co-host Janet brings the relatable questions every pet parent has:How can you tell if it's really allergies—or fleas, food, or something else?- Are allergies contagious?- What age do dogs and cats usually start showing symptoms?- And what's the deal with “allergy shots” for pets?Dr. Alice dives into everything from genetics and breeds prone to allergies, to immunotherapy options like shots, drops, and even cutting-edge creams. She also shares safe, non-drug solutions—like omega-3 supplements and managing pollen exposure—to help pets feel more comfortable and keep that human-animal bond strong.Whether you've noticed your dog constantly licking their feet or your cat over-grooming their belly, this episode is packed with practical tips, fascinating science, and a few laughs along the way.--What started during the COVID-19 lockdown with one baby gorilla at the Cleveland Zoo has grown into a channel loved by animal fans around the world. I'm a one-person operation—filming, editing, narrating, and sharing the most heartfelt moments of baby gorillas, orangutans, elephants, and other zoo animals. Whether it's Jameela's emotional journey or Clementine's first steps, each video brings you closer to the animals and their stories. If you love watching real animal behavior, learning fun facts, and supporting conservation through storytelling—this is your place! Subscribe to Larry's Animal Safari on YouTube @larrysanimalsafari ---Support our sponsor for this episode Blue Buffalo by visiting bluebuffalo.com. BLUE Natural Veterinary Diet formulas offer the natural alternative in nutritional therapy. At Blue Buffalo, we have an in-house Research & Development (R&D) team with over 300 years' experience in well-pet and veterinary therapeutic diets, over 600 scientific publications, and over 50 U.S. patents. At Blue Buffalo, we have an in-house Research & Development (R&D) team with over 300 years' experience in well-pet and veterinary therapeutic diets, over 600 scientific publications, and over 50 U.S. patents.---All footage is owned by SLA Video Productions.
Italian characters: Monster Allergy //Find the transcriptions of the episodes: https://www.patreon.com/dailyitalianwithelena
The number of Australians living with allergy has doubled in nearly 20 years, according to a new report, which examines the financial and personal costs of the chronic condition. - Dumoble ang paglobo ng bilang ng mga Australyanong may allergy sa nakalipas na halos 20 taon, ayon sa isang bagong ulat na sumuri sa gastusing pinansyal at personal na epekto ng kondisyon.
On episode 139 of PSQH: The Podcast, Gary Falcetano, Manager of Scientific Affairs – Allergy and Autoimmune Disease at Thermo Fisher Scientific, discusses what caregivers should know about Pollen Food Allergy Syndrome.
Indolent Systemic Mastocytosis (ISM) is a rare but often underrecognized clonal mast cell disorder. From random hives to gut pain and brain fog, ISM can feel like a medical mystery. We continue our review of “Management of indolent mastocytosis and mast cell activation syndrome - A clinical yardstick,” published in June 2025 in The Annals of Allergy, Asthma & Immunology. This is Part 2 of our discussion, with a focus on indolent systemic mastocytosis. We look at what causes it, how it's diagnosed, and how to manage symptoms and improve quality of life. In this episode, we break down this complex mast cell disease and how doctors use baseline serum tryptase, KIT D816V testing, and HaT screening to find answers. Plus, we explain how treatments like antihistamines, mast cell stabilizers, and avapritinib can help people live better with ISM.
5 Signs Your Baby May Have A Milk Allergy “Cow's milk protein allergy (CMPA) is the most common food allergen in infants and children up to 5 years old. Identifying it is important so you can reduce the discomfort it causes and promote overall health and development in your child. But how can you tell if your child is suffering from a milk allergy?” Learn more in today's episode written by Tiffany Bruno at Switch4Good #vegan #plantbased #plantbasedbriefing #milkallergy #cmpa #dairyallergy #babymilkallergy =============== Original post: https://switch4good.org/5-signs-your-baby-may-have-a-milk-allergy/ Related Episodes: 799: Plant-Based Pregnancy Outcomes and Breast Milk https://sites.libsyn.com/342677/799-plant-based-pregnancy-outcomes-and-breast-milk-by-dr-michael-greger-at-nutritionfactsorg 385: Study Reveals Shocking Results: Cow's Milk Ranks As The Number One Cause Of Fatal Anaphylaxis https://sites.libsyn.com/342677/385-study-reveals-shocking-results-cows-milk-ranks-as-the-number-one-cause-of-fatal-anaphylaxis-from-switch4goodorg 352: What's the Difference Between Dairy-Free and Lactose-Free? https://sites.libsyn.com/342677/352-whats-the-difference-between-dairy-free-and-lactose-free-from-switch4goodorg 133: Treating Reflux in Babies with Diet https://sites.libsyn.com/342677/133-treating-reflux-in-babies-with-diet-by-dr-michael-greger-at-nutritionfactsorg 53: How Dairy Affects Children's Health https://sites.libsyn.com/342677/how-dairy-affects-childrens-health-by-dr-justine-butler-at-switch4goodorg ================= Switch4Good is an evidence-based nonprofit dedicated to rattling accepted norms around dairy and health. They're working to abolish the current system of dietary racial oppression, and promoting solutions for climate change. They have a fantastic podcast hosted by Olympic medalist Dotsie Bausch and Baywatch actress/health coach Alexandra Paul - they'll inspire and educate you to start living better and feeling better. ======================== FOLLOW THE SHOW ON: YouTube: https://www.youtube.com/@plantbasedbriefing Spotify: https://open.spotify.com/show/2GONW0q2EDJMzqhuwuxdCF?si=2a20c247461d4ad7 Apple Podcasts: https://podcasts.apple.com/us/podcast/plant-based-briefing/id1562925866 Your podcast app of choice: https://pod.link/1562925866 Facebook: https://www.facebook.com/PlantBasedBriefing LinkedIn: https://www.linkedin.com/company/plant-based-briefing/ Instagram: https://www.instagram.com/plantbasedbriefing/
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Allergy and Asthma specialist, Dr Ty Prince joins Bob ThomasSee omnystudio.com/listener for privacy information.
FAACT's Vice President of Inclusion Initiatives, Aleasa Word, recently wrote a powerful piece reminding us that no two people experience food allergies the same way. We're honored to have Aleasa with us to explore a fresh perspective—one that not only captures the lived experience of food allergies, but also sparks greater empathy, awareness, and understanding in the communities around us.Resources to keep you in the know:Read FAACT's BlogsYou can find FAACT's Roundtable Podcast on Apple Podcasts, Pandora, Spotify, Podbay, iHeart Radio, or wherever you listen to podcasts.Follow us on Facebook, Instagram, BlueSky, Threads, LinkedIn, Pinterest, TikTok, and YouTube.Sponsored by: ARS PharmaThanks for listening! FAACT invites you to discover more exciting food allergy resources at FoodAllergyAwareness.org!
In this episode, host Dr. Amber Luong speaks with Drs. William Li and Joanne Rimmer. They discuss the recently published Original Article: “The Effect of Systemic Bevacizumab on Epistaxis-Related Outcomes in Hereditary Hemorrhagic Telangiectasia: A Systematic Review and Meta-Analysis.” The full manuscript is available as open access in the International Forum of Allergy and Rhinology. […]
Listen as pulmonologist Peter Dicpinigaitis discusses his approach to the diagnosis and management of patients with refractory chronic cough in the context of a clinically relevant case and provides insights regarding emerging therapies.PresenterPeter Dicpinigaitis, MDProfessor of MedicineAlbert Einstein College of MedicineDivision of Critical Care MedicineMontefiore Medical CenterDirector, Montefiore Cough CenterBronx, New YorkLink to full program:https://bit.ly/4kweynG
Do you really have a food allergy or is it just an intolerance? In this conversation with Will Bulsiewicz, you'll learn the crucial difference between food allergies, FODMAP intolerances, and histamine sensitivity, and why misdiagnosing yourself can lead to unnecessary restrictions and fear.Dr. Wil BulsiewiczListen to the full episode here.Watch the full episode on YouTube here.***This episode is sponsored by Spatone – the No.1 iron-rich water supplement.This is a product I genuinely believe in — one I've used personally and recommended in the clinic for years. Spatone is a natural iron-rich water that's incredibly gentle on the stomach. No harsh tablets, no digestive upset — just one naturally sourced ingredient that works.If you're looking for iron support that actually feels good to take, this is the one I trust. You can pick up Spatone at Boots: Spatone Apple Daily Iron Shots + Vitamin C 28 Sachets - Boots**This episode is also sponsored by London Nootropics, the best-in-class adaptogenic coffee I trust. Made with Hifas da Terra mushroom extracts, it supports focus, calm, and energy, and helps you stay sharp throughout the day. Enjoy 20% off with code LIVEWELLBEWELL at londonnootropics.com***If you enjoyed this episode you might also like:No.1 Gut Scientist: Insane Fiber Benefits to HEAL YOUR GUT & Beat Disease | Dr Will Bulsiewiczhttps://www.youtube.com/watch?v=8X3b4Hzq75k***Sign up to Sarah's Compassionate Cure newsletter: Science Simplified, Health Humanised. Join thousands in exploring actionable insights that prioritise compassion, clarity, and real-life impact. https://sarahmacklin.substack.com/***Let's be friends!
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Chief Medical Officer at Central DuPage Hospital Dr. Thomas Moran joins Bob Sirott to discuss safely using Tylenol, an allergy nasal spray that could help prevent COVID, and how you can learn more about your risk for heart attacks. He also explains the increase in blood pressure-related kidney deaths, screenings for lung cancer, and eating […]
It is back to school season! For this episode, I review the four things I have learned to implement as a dermatologist. Even as a specialist, I like to progress and grow into how I am practicing!We will go over how to use supplement and skin supportive diets, venomous insect testing, improving immunotherapy and proactive skin management.00:00 Intro02:15 Being more thoughtful in recommending skin supplements or skin diets07:02 Venomous Insect Testing09:33 Improving immunotherapy12:48 Proactive, not reactive with allergy management16:53 Summary
The number of Australians living with allergy has doubled in nearly 20 years, according to a new report, which examines the financial and personal costs of the chronic condition. Demand for services is unprecedented, and experts warn allergy does not just impact health - it can reshape sufferers' lives. - Число австралийцев, страдающих аллергией, удвоилось почти за 20 лет, согласно новому отчету, в котором рассматриваются финансовые и личные расходы, связанные с этим хроническим заболеванием. Спрос на услуги беспрецедентен, и эксперты предупреждают, что аллергия не просто влияет на здоровье — она может кардинально изменить жизнь страдающих ею людей.
Mast cell activation syndrome (MCAS) is a confusing and often misunderstood condition. If you've ever wondered about MCAS symptoms, serum tryptase testing, or how treatments like antihistamines, sodium cromolyn, and even omalizumab fit in, this episode is here to help. We review the findings from “Management of indolent mastocytosis and mast cell activation syndrome - A clinical yardstick,” published in June 2025 in The Annals of Allergy, Asthma & Immunology. Because the paper covers both diseases, we've split it into two parts. This episode focuses on mast cell activation syndrome (MCAS). GET THE INFOGRAPHIC - summary of this episode What we cover in our episode about mast cell activation syndrome: Yardsticks explained: Why the ACAAI uses yardsticks as practical, interim guidelines before full consensus statements are available. Classifying mast cell disorders: Primary (clonal), secondary (allergy/autoimmune), and idiopathic (MCAS). MCAS diagnosis criteria: Symptoms in 2 or more organ systems, objective evidence (serum tryptase or urinary metabolites tests), and positive response to therapy. Treatment strategies: Include trigger avoidance, H1/H2 antihistamines, leukotriene blockers, mast cell stabilizers (such as cromolyn and aspirin), off-label biologics like omalizumab, and epinephrine. Neuropsychiatric symptoms: Brain fog, anxiety, and depression are common and require multidisciplinary management. The Itch Review, hosted by Dr. Gupta, Kortney, and Dr. Blaiss, explores allergy and immunology studies, breaking down complex research in conversations accessible to clinicians, patients, and caregivers. Each episode provides key insights from journal articles and includes a one-page infographic in the show notes for easy reference. Made in partnership with The Allergy & Asthma Network. Thanks to Blueprint Medicines for sponsoring today's episode. This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.
De acuerdo con la American Academy of Allergy, Asthma & Immunology, aproximadamente el 20% de los pacientes que padecen de rinosinusitis crónica tienen pólipos nasales que son tumores benignos en las fosas nasales, pero que pueden causar muchas molestias. Viene Carlos Ortiz para explicarnos todo sobre los pólipos y qué debemos hacer para atendernos. Hosted on Acast. See acast.com/privacy for more information.
How much leucine should I take to regain muscle?Should I increase my creatine dose to 10 grams daily for the cognitive benefits?You talked about the cancer risk of CT scans. What about CT angiograms? I've had a ganglion cyst drained twice. How can I keep it from coming back?Who can I contact for treatment of mast cell activation syndrome?I heard you should brush your teeth with fluoride toothpaste if there's no fluoride in your drinking water
How reliable is nutrition science?I have gingivitis, and my dentist recommended Listerine. Won't that disrupt the microbiome in my mouth?I take a diuretic for high blood pressure. Is it okay to stop drinking water by 8pm, or will I dehydrate?Is there a way to get rid of seborrheic keratoses?
In this episode of EpiPod, Danielle and Sarah dive into what it really means to be a food allergy advocate. From everyday conversations that spread awareness to joining national organizations that drive change, they explore both the small and big ways to make an impact. They share personal stories of how they've shown up for the food allergy community, plus practical tips for channeling anxiety and helplessness into something powerful and purposeful. Whether you have five minutes or five hours, you'll walk away with real ideas, resources, and inspiration for becoming an advocate—even as a busy allergy parent.Organizations to get involved with:1.) Allergy & Asthma Network2.) FARE3.) Food Allergy and Anaphylaxis Connection Team | FAACT4.) Asthma & Allergy FoundationCONNECT WITH US:Follow EpiPod on Instagram and TikTokTo connect with Danielle - click HERETo connect with Sarah - click HERECODES + LINKS:Lorissa's Kitchen – Shop HERE with code: EPIPOD for 15% offInchBug – Shop HERE with code: EPIPOD25TelyRx – Order HERE with code: EPIPOD for 20% off****A box of 2 epipens is $299.99 – $240 with the code!Well Too Wipes – Shop HERE with code: EPIPOD20 Music by Bryce Cain Band & other various artists
You can also watch the video version of this episode on dvm360.com Alice Jeromin, RPh, DACVD—Before earning her DVM degree from The Ohio State University, Jeromin graduated from the University of Toledo with a BS in Pharmacy and practiced as a hospital pharmacist. She completed her veterinary dermatology residency with Patrick Breen and dermatopathology training at Procter & Gamble, Miami Valley Labs, as well as a fellowship in human dermatology at Metro Health Medical Center, Cleveland, Ohio with Bryan Davis. Jeromin is currently an adjunct professor at Case Western Reserve University, lecturer at Northeast Ohio College of Pharmacy, and former practice owner of Veterinary Allergy & Dermatology, Inc. She is a former member-at-large on AVMA's Council on Biologicals and Therapeutics as chairman of the supplements and compounding committees. Along with publishing in human and veterinary journals, she authored the dermatology chapter in “Pharmacotherapeutics for Veterinary Dispensing”. Her interests include human-animal comparative dermatology and skin lipid research with publications in both areas. Because of her pharmacist background of counseling patients, she is a strong believer in client education and maintains her website, www.purrfectpet.com, for clients to be educated with evidence-based information as well as an upcoming podcast "Speaking of Pets" The podcast is geared toward pet owners of allergic pets to provide them with accurate, evidence-based information.
Words can carry more baggage than we realise. In this lively conversation, Suzanne is joined once again by Lynn Quinn to unpack the idea of “word allergies” those overused, loaded, or ambiguous words that make you cringe the second you hear them. They explore: What a word allergy actually is (and why it's deeply personal). Why some words (like “gratitude,” “budget,” “expert,” or “trigger”) hit us like nails on a chalkboard. How cultural differences and context can turn an innocent word into a communication disaster. The subtle ways we say one thing but mean another — apples, oranges, and bananas included. How to swap out allergic words for ones that feel clearer, kinder, or more resonant. From “busy mums” to “funnels,” “detox” to “woo-woo,” Suzanne and Lynn share their own allergy lists, hilarious miscommunications, and practical tips for finding words that actually land. If you've ever shuddered at corporate jargon, spiritual fluff, or marketing clichés, this episode will make you feel seen (and probably make you laugh out loud). Find out more about Lynn here: https://zoalq.com/ Find out more about Suzanne here: https://www.suzanneculberg.com For exclusive content, including a private solo podcast, join Suzanne's Patreon here: https://www.patreon.com/suzanneculberg Enjoy my podcast? You'll love my emails, sign up here: https://www.suzanneculberg.com/newsletter Join Networking without Schmooze with Laura & Suze, Register here - https://networkingwithoutschmooze.substack.com/ Want to be a guest on The Nope Coach podcast? Send Suzanne Culberg a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/thenopecoach Contact Suzanne here: https://www.suzanneculberg.com/contact
Dr. Mike Pistiner is not just an allergist and immunologist, he's also an allergy dad and fierce patient advocate. In this episode, Dr. Mike breaks down what allergies are, typical signs and symptoms and how they're treated. Have you been curious about when is the right time to use epinephrine? Then this episode is for YOU! Tune in today!Michael Pistiner, MD, MMSc is Director of Food Allergy Advocacy, Education and Prevention for the MassGeneral Hospital for Children, Food Allergy Center. He has a special interest in food allergy and anaphylaxis education and advocacy, infant food allergy management, healthcare provider education, facilitating collaborations between the medical home and school health, and maintaining quality of life in children (and their families) with food allergies. Dr. Mike is author of "Everyday Cool With Food Allergies", co-author of the "Living Confidently With Food Allergy" handbook, and co-founder and content creator of AllergyHome.org.Dr. Pistiner is a fellow in the American Academy of Pediatrics (AAP), where he is a member of the Section on Allergy and Immunology Executive Committee, Council on School Health and the Massachusetts Chapter of the AAP. He is also a member of the American Academy of Allergy Asthma & Immunology and the American College of Allergy, Asthma and Immunology.Additionally, he serves on the medical advisory board of Asthma & Allergy Foundation of America, New England Chapter and is a voluntary consultant for the Massachusetts Department of Public Health School Health Service Unit.To learn more about the Food Allergy Management Bootcamp at MassGeneral visit: https://www.massgeneral.org/children/food-allergies/food-allergy-management-boot-campTo learn more about the FAMP-It resource visit: https://famp-it.org/
This week Nikki and Steve spelunk through Reddit's relationship caves, where emotional mold grows faster than you can say “Push the Break-Up Button.” Kisses come with cosmic punishments, allergies become full-blown personality traits, and foreskin drama makes an unwanted, yet dramatic cameo. It's petty, it's messy, and yes—you'll feel better about your own life after listening. Nikki is now an ambassador for Club WPT Gold! Check out: https://clubwptgold.com and use code NIKKI to sign up! Follow the podcast on Insta: @shttheydonttellyou Follow Nikki on Insta: @NikkiLimo Follow Steve on Insta: @SteveGreeneComedy To visit our Patreon: http://www.patreon.com/stikki To watch the podcast on YouTube: http://bit.ly/STDTYPodYouTube Don't forget to subscribe to the podcast for free wherever you're listening, or by using this link: http://bit.ly/ShtTheyDontTellYou If you want to support the show, and get all our episodes ad-free go to: https://stdty.supercast.tech/ If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: http://bit.ly/ShtTheyDontTellYou To submit your questions/feedback, email us at: podcast@nikki.limo To call in with questions/feedback, leave us a voicemail at: (765) 734-0840 To watch more Nikki & Steve on YouTube: http://www.youtube.com/nikkilimo To watch more of Nikki talking about Poker: https://www.twitch.tv/trickniks To check out Nikki's Jewelry Line: https://kittensandcoffee.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
Over 50 million Americans suffer from a range of frustrating allergy symptoms from hay fever to asthma, hives to sinusitis. Many have tried medications, visited allergists, and used various treatments, desperate to find a reliable way to alleviate their pain, but just can't seem to get the dependable relief they need. Now, one of New York's top allergists, Dr. Dean Mitchell, lifts the cloud of mystery surrounding allergies and offers a breakthrough new treatment program that will dramatically lessen their severity, if not cure them for good. In Dr. Dean Mitchell's Allergy and Asthma Solution, Mitchell clearly and comprehensively explains what allergies are, why they are so prevalent, and all of the standard treatments. He then presents a cutting edge 5-step program for reversing allergies called sublingual immunotherapy, or "allergy drops." This new treatment, widely accepted in Europe but still relatively unknown in the United States, is painless, convenient, incredibly effective, and completely safe since it works naturally through the body's immune system. Even better, it can be customized to meet specific needs, is shot-free, and can be self-administered. Dr. Dean Mitchell's Allergy and Asthma Solution is the best guide to understanding allergies and overcoming their symptoms.Dean Mitchell, MD, is the leading expert in sublingual allergy immunotherapy in the United States. He had been in practice for seven years following the conventional methods of allergy cures when he first learned of sublingual allergy immunotherapy (allergy drops) and has been one of its strongest proponents. He now runs a private practice, Ocean Allergy & Nutrition, in Manhattan. Dr. Mitchell's patients come from all over the US to receive his treatments. He is a fellow of the American College of Allergy, Asthma, and Immunology and is a member of the Joint Council of Allergy and Immunology.For ten years he was a clinical instructor of medicine at Columbia College of Physicians and Surgeons. He graduated from Brown University in 1982 and received his MD from the Sackler School of Medicine at Tel Aviv University in 1986. He lives in Long Island with his wife and two sons. When he's not busy with his patients, he enjoys playing baseball with his kids.https://www.mitchellmedicalgroup.com/about/dr-dean-mitchell/?utm_source=google&utm_medium=referral&utm_campaign=gmb_dean?utm_source=GMB&utm_medium=DeanBecome a supporter of this podcast: https://www.spreaker.com/podcast/earth-ancients--2790919/support.
Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions: Bryce: Hi Dr. Cabral! I'm a newer listener but have spent all year trying to reverse my plethora of health issues. I'm sick of spending thousands of dollars on supplements and tests and going down different rabbit holes. But I've seen all the specialists, done functional meds, lots of labs and still have not seen any resolve. My main issues being nail psoriasis (the worst any doctor has seen) and lots of bloat and digestive issues. I can give you more detail but think my issues are nervous system and autoimmune based as I have type one diabetes and lymphocytic colitis as well. I'm only 29 and getting married soon and just hoping to get my body better aligned with how I treat it. I eat super healthy, weightlift, but cannot lose the bloat and need to feel better soon. Help please! Jackie: Hi Dr. Cabral thank you for all that you and your team do - I can't express enough how much you have changed my life and my clients. I have a question regarding nerve pain, my husband has TOS and we are persueing everything we can nutritionally/orthopedically. Could you provide us an update on your experience with red light - the Joov specifically? Are there any other passive modalities that you know clinically impact nerve pain that can be done from home? For context heath/cold/palpation all make the nerve pain much more prominent. Jess: Hi and thank you for all you do! Ever since Covid and Moderna I have a sun allergy. It took me 6 months to get over Covid 4 years ago, I'm 95% better other than my skin. It seems Moderna is well-linked to first time PLME. How can I fix this? I've laid out in the sun all of my life and now I can't do 10 minutes without a rash. Larissa: Hello! I have some questions about parasites for beginners. I've done the GI map stool test that was negative for parasites. However, I have many symptoms consistent with parasitic infections and hear that most tests are not accurate. Do you have a test you recommend for parasites in the gut? Is there a different test to check for parasitic infections in the brain? As far as treatment, I did food sensitivity tests and have significant intolerance to wormwood. Can you recommend an alternative? Is it worth treating if there is high suspicion or should you confirm with testing? I'm an adult but I have the same questions for toddlers. Thank you so much! Lari: Hello, I have a 5yr old niece with tines versicilor. I'm wondering how she could have developed this? Interestingly enough, her 8 yr old brother had moloscum contsgiosum about 2yrs ago and 6yr old brother developed absent seizures around that time after a trip to sea world. Could this be related? Also, how would you treat tines versicolor in a 5yr old girl? Thank you Dr Cabral! Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions! - - - Show Notes and Resources: StephenCabral.com/3480 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
Leading food allergy advocate Lianne Mandelbaum discusses her article, "What one diagnosis can change: the movement to make dining safer." She explains how for millions of people living with food allergies, dining out is often an exercise in survival rather than a joy, filled with anxiety about cross-contact and lack of ingredient transparency. Lianne highlights a powerful advocacy movement, driven by the personal stories of those with lived experience, that is creating systemic change. She focuses on California's ADDE Act (SB 68), a bill that would require restaurants to list the top nine allergens on their menus, framing it not as a burden but as a significant business opportunity. By increasing transparency, restaurants can win the trust and business of the food-allergic community and the large groups of friends and family who dine with them. Drawing parallels between her own advocacy for airline safety and this new legislative effort, she illustrates how parent-driven passion is reshaping public policy to make the world safer and more inclusive for everyone. California Medical Professionals: Urge Governor Newsom to Sign the ADDE Bill (SB 68) Into Law: https://www.votervoice.net/AAFAmerica/campaigns/129000/respond Careers by KevinMD is your gateway to health care success. We connect you with real-time, exclusive resources like job boards, news updates, and salary insights, all tailored for health care professionals. With expertise in uniting top talent and leading employers across the nation's largest health care hiring network, we're your partner in shaping health care's future. Fulfill your health care journey at KevinMD.com/careers. VISIT SPONSOR → https://kevinmd.com/careers Discovering disability insurance? Pattern understands your concerns. Over 20,000 doctors trust us for straightforward, affordable coverage. We handle everything from quotes to paperwork. Say goodbye to insurance stress – visit Pattern today at KevinMD.com/pattern. VISIT SPONSOR → https://kevinmd.com/pattern SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
On today's Extra, Sinus Allergy & Scrotum Learn more about your ad choices. Visit podcastchoices.com/adchoices
Throw it right in the Devil's eyeCharlye has a laid-back list of common superstitions to chat about, and Macy talks about a common plant full of rash-inducing ability. Support the showSimply CaptivatingCheck it out on Patreon.com/wbahpodcast for only $5 wbahpodcast.com_-_-_-_-_-_-_-_-_-_-_-_-_Want to help support the Podcast? Consider becoming a Patron!www.patreon.com/wbahpodcastAdvertise with us!Just shoot us an email over to wbahpodcast@gmail.comSnag yourself some WBAH Merch!teespring.com/stores/wbah-podcast-store_-_-_-_-_-_-_-_-_-_-_-_-_-Come Do Yoga With Macy:patreon.com/macyaniseyogaCharm by Charlye MichelleAncestor Oil and Fire Scrying Sessionscharmbycharlye.comPlay The Sims With Charlyetwitch.tv/charlye_withawhyTwitter @charlyewithawhyOur Video EditorEldrich Kitchenm.youtube.com/channel/UC_CwBrVMhqezVz_fog716Ow_-_-_-_-_-...