Immune system response to a substance that most people tolerate well
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Contributor: Aaron Lessen, MD Educational Pearls: What is anaphylaxis and what are its treatments? Anaphylaxis is a broad term for potentially life threatening allergic reactions that can progress to cardiovascular collapse (anaphylactic shock). It is triggered by IgE and antigen cross-linking on mast cells to induce degranulation and the release of histamines, which can cause diffuse vasodilation and respiratory involvement with end-organ hypoperfusion. First line treatment is the immediate administration of epinephrine at 0.01 mg/kg (max dose for pediatrics is 0.3 mg and for adults is 0.5 mg) as well as removal of the offending agent causing the reaction. Additional pharmacologic treatments such as anti-histamines and steroids should be considered but not used instead of epinephrine when anaphylactic shock is evident as the sole therapy. What is biphasic anaphylaxis and what is its occurrence? Biphasic anaphylaxis is the return of anaphylactic symptoms after the initial anaphylactic event. Previous studies have reported an incidence ranging from 1-20% of patients having an initial anaphylactic reaction having biphasic anaphylaxis, at a range of time from 1-72 hours. The mechanism of biphasic anaphylaxis is not completely known, but can be contributed to by initial interventions wearing off (and why patients will be monitored for 2-4 hours after initial symptoms and treatment), or delayed immune mediators beginning to take effect. Recent studies show that the rate of biphasic anaphylaxis may be closer to 16% occurrence with a median time of occurrence being around 10 hours. What is the key take away and patient education on biphasic anaphylaxis? After patients have been observed for the initial 2-4 hours in the emergency room, they are generally safe to go home. Patients should be informed of the need to carry an Epi-Pen for similar anaphylactic reactions, and informed that there is a chance within the next day (10-20 hours) that they may have the symptoms occur once again. The biphasic reaction may be more mild, and patients should be educated on how to treat it and to seek immediate emergency care if the symptoms do not improve. References Golden DBK, Wang J, Waserman S, et al. Anaphylaxis: A 2023 practice parameter update. Annals of Allergy, Asthma & Immunology. 2024;132(2):124-176. doi:10.1016/j.anai.2023.09.015 Rubin S, Drowos J, Hennekens CH. Anaphylaxis: Guidelines From the Joint Task Force on Allergy-Immunology Practice Parameters. afp. 2024;110(5):544-546. Weller KN, Hsieh FH. Anaphylaxis: Highlights from the practice parameter update. CCJM. 2022;89(2):106-111. doi:10.3949/ccjm.89a.21076 Gupta RS, Sehgal S, Brown DA, et al. Characterizing Biphasic Food-Related Allergic Reactions Through a US Food Allergy Patient Registry. The Journal of Allergy and Clinical Immunology: In Practice. 2021;9(10):3717-3727. doi:10.1016/j.jaip.2021.05.009 Summarized by Dan Orbidan OMS2 | Edited by Dan Orbidan & Jorge Chalit OMS4 Donate: https://emergencymedicalminute.org/donate/ Join our mailing list: http://eepurl.com/c9ouHf
Alpha-gal syndrome — which is spread by tick bites — affects nearly half a million Americans, according to federal data. For farmers, who are in close contact with livestock every day, the allergy can be especially challenging.
You can find more information about Derek Webb, PharmD, and Dennis Williams, PharmD, BCPS, AEC, below:Derek Webb on LinkedInDennis Williams Faculty Page - UNC Eshelman School of PharmacyThis content was independently developed by Pharmacy Times. While we acknowledge the support of our sponsor, all editorial decisions and opinions remain solely those of Pharmacy Times. Any reference to brands is for informational purposes only and not an endorsement.
Artist and tax advisor Hannah Cole knows firsthand how shame can poison an artist's relationship with money. When her dad's accountant asked "When are you gonna get a real job?" instead of helping her understand quarterly taxes, she experienced the dismissal that makes so many artists avoid financial conversations altogether. In this episode, host Alyson Stanfield and Hannah explore why artists develop allergies to money talk and what it takes to build confidence with your numbers. Hannah reveals: Why "when are you gonna get a real job?" creates a lasting money allergy How believing money corrupts prevents you from advocating for fair pay Her ritual for making bookkeeping feel like self-care instead of dread Why you must have a separate bank account for your art biz What losing 20 years of art in a hurricane revealed about capitalism and grief Connect with Hannah: SunlightTax.com The Sunlight Tax podcast LinkedIn: Hannah Cole Instagram: @sunlighttax Tiktok: Sunlight Tax Youtube: Sunlight Tax Email me to discuss strategic consulting for your long-term career goals. Think you'd make a good guest on The Art Biz? Read This The Art Biz is recorded on the traditional land of the Cheyenne, Arapaho and Ute tribes.
We spend about 90% of our time indoors. But what's actually in that air we breathe, and why does it matter so much for people with asthma, allergies, and eczema? This is a two-part series about indoor air quality. In the first part, we break down the three main categories of indoor air pollutants: particulate matter (PM2.5 and PM10), volatile organic compounds (VOCs), and biological allergens like dust mites and mold. Dr. G explains how each one affects the body differently and why people with allergic disease are especially vulnerable. In part two, we discuss how you can improve your indoor air quality. What we cover in part one about indoor air quality What's actually in your indoor air: The three main categories are particulate matter (PM), VOCs, and biological allergens. Why PM2.5 is more dangerous than PM10: PM2.5 is small enough to enter your lungs and bloodstream, while PM10 mostly irritates your nose and throat. How we create particulate matter: PM2.5 comes from burning things like cooking, candles, and gas stoves. PM10 comes from dust, construction, and dirt tracked in on shoes. The difference between particles and gases: PM2.5 is like tiny specks of dust or smoke. VOCs are invisible gases that cause smells, like that "new car" scent. Indoor allergens: Dust mites, mold, pet dander, and cockroach allergens are biological triggers that can cause allergic reactions and worsen asthma. More resources Allergy & Asthma Network: Healthy at Home Allergy & Asthma Network: Healthy at Work EPA Indoor Air Quality Tools for Schools EPA Safer Choice Cleaning Products EXHALE Resources This series is part of the EXHALE project, a set of six evidence-based strategies designed to help people with asthma achieve better health and improved quality of life. This series supports the last "E" in EXHALE by reducing asthma triggers in indoor environments. This podcast is made in partnership with Allergy & Asthma Network
In this no-holds-barred interview, Dr. Jay Bhattacharya, director of the National Institutes of Health, breaks down how the world's largest public funder of biomedical research is changing under his leadership.Bhattacharya, a former professor of Stanford University, public health expert, and coauthor of the anti-lockdown Great Barrington Declaration, was sworn in as director of the NIH in April last year.With an annual budget of almost $50 billion, the NIH sets the direction of research at universities, medical centers, and research institutes across America.It encompasses 27 institutes and centers that cover different areas of health and employ some 20,000 people. One of those is the National Institute of Allergy and Infectious Diseases, which was headed by Dr. Anthony Fauci for nearly 40 years.The NIH, Bhattacharya told me, “really hasn't had a change in leadership in decades. ... We've had new directors, but the fundamental structure and direction of the NIH has been basically the same until last year.”Bhattacharya says his top priority is to end the practice of “funding the scientific enterprise for the sake of funding science” and ensure that NIH-funded scientific research actually produces better health outcomes for the American people. The goal should be improvements in health and longevity, not just more scientific papers, he says.During our interview, we covered a lot of ground, including:-Has the NIH completely stopped funding gain-of-function research?-Is the NIH continuing to fund research with China?-How has funding for international research institutes been restructured?-Has the NIH stopped funding all research grants related to diversity, equity, and inclusion initiatives?-What is being done to reverse the politicization of science?-What is the NIH doing to help those who suffered injuries from the mandated COVID-19 mRNA vaccines?-What can the NIH do to alleviate the massive replication crisis in research?-How does he view the controversy surrounding vaccines and autism? Is the NIH looking into potential links?-How is the NIH restructuring the allocation of funding?What America needs, Bhattacharya told me, is a “second scientific revolution,” saying: “The NIH has the capacity to induce that second scientific revolution. That's what I'm going to work toward for the next few years.”Views expressed in this video are opinions of the host and the guest, and do not necessarily reflect the views of The Epoch Times.
Those who hope to honor God and advance Jesus' Kingdom face powerful opposition from spiritual, physical, and psychological enemies. Successful launching and long term fruitfulness depends on recognizing and, in dependence on the Holy Spirit, waging war against those enemies.
Hosted by Dr. Lauren Kim, this episode explores the most downloaded Radiology article of 2025 with guests Dr. Carolyn Wang, Dr. Allison Ramsey, and Dr. David Lang, focusing on updated consensus guidance for managing hypersensitivity reactions to iodinated contrast media. The discussion highlights major changes in clinical practice, including more selective use of corticosteroid premedication and switching contrast agents when feasible to reduce the risk of recurrent reactions and standardize patient care. Management and Prevention of Hypersensitivity Reactions to Radiocontrast Media: A Consensus Statement from the American College of Radiology and the American Academy of Allergy, Asthma & Immunology. Wang et al. Radiology 2025; 315(2):e240100.
At what point does a “routine” sinus or ear infection become a warning sign of immunodeficiency? In this episode of the BackTable ENT Podcast, board-certified allergist-immunologist Dr. Basil Kahwash explores the intersection of immunodeficiency and otolaryngology with Dr. Lauren Gunderman, a pediatric immunologist at Seattle Children's Hospital. Learn why ENTs should remain vigilant for underlying immune disorders, and how to manage suspected immunodeficiency. --- SYNPOSIS The conversation reviews common signs and symptoms of immunodeficiency, key elements of the diagnostic workup, and when ENT physicians should consider referral to immunology. Dr. Kahwash and Dr. Gunderman discuss the role of family history and genetics, as well as current management strategies, including antibiotic use, immunoglobulin replacement therapy, and lifestyle modifications. Throughout the episode, Dr. Gunderman emphasizes the importance of multidisciplinary collaboration between otolaryngologists and immunologists to improve outcomes for patients with recurrent or severe infections. --- TIMESTAMPS 00:00 - Introduction 02:45 - Understanding Immunodeficiency in ENT08:20 - Common Immunodeficiencies and Indicators11:02 - Basic Immunology Refresher22:13 - Initial Diagnostic Workup25:05 - Challenges in Allergy and Immunology Testing27:57 - When to Refer to an Immunologist34:01 - Antibiotic Stewardship in Immunodeficient Patients46:07 - Advances in Diagnosing Immunodeficiency50:31 - Final Thoughts and Takeaways --- RESOURCES Lauren Michelle Gunderman, MDhttps://www.seattlechildrens.org/directory/lauren-michelle-gunderman/
Forever Young Radio Show with America's Natural Doctor Podcast
Got Allergies Think Natural Aloe Relief! And experts say it's the worst season in 20 years.That's why I ask our returning guest to share on the many factors involved in ALLERGY and WHY ALOE can be a shortcut back to healthier, and applying Health including Vitamin C, that really go together - super helpful for skin, digestion and body wellness including allergies.Guest: Karen Masterson Koch (Cook) truly understands ALOE, health & wellness, and as a health educator, Clinical Nutritionist, (working one-on-one with patients), over 40 years, she has authored 2 health & nutrition books, [heavily referenced with worldwide research – (about health and auto-immune issues), and much more a real pioneer - in Gluten and inflammatory IBS conditions – including ALLERGIES & SKIN issues, having worked at various clinics including the famous Livingston Medical” Immunology & Allergy Clinic” in S. D., CA, - with the world renown Dr. Virginia Livingston MD.Learn more about Aloe LifeAnd listeners CHECK OUT THE RADIO DISCOUNTS 20% offal ANY Aloe Life 17 productsat checkout use the code health20 - or if you prefer to call with a question or order at 1-800-414-ALOE or email info@aloelife.com. Aloe Life products are also available in over 2200 outlets including: Clark's, Mother's, Sprouts, NG, Amazon & online Vita Cost and quality health food stores.
Are modern habits around cleanliness, parenting, and social contact shaping your gut health more than you realise? In this episode, Professor Tim Spector explains how gut microbes are shared between people - through relationships, daily contact, and the environments we live in, and why this matters for long-term health. You'll learn how human contact may be influencing your gut in ways most of us never consider. Tim explains why supporting gut microbiome is less about control and more about balance, and you'll learn simple ways to support a healthier gut through food, social connection and lifestyle habits. If your gut reflects the people you live with and the places you spend time, what small change could you make this week - in your home, your habits, or your social life - that might support your gut for the long term?
We continue our tradition of interviewing the incoming president of the American College of Allergy, Asthma & Immunology to learn what is top of mind for the field and what it means for patients and families. Dr. Cherie Zachary joins us to share her personal journey into allergy and immunology as both a lifelong patient and clinician. She explains what the ACAAI does and why increasing representation in medicine is critical for improving allergy outcomes. The conversation also tackles the allergist shortage, how physicians are trained, and what is being done to expand fellowship opportunities and improve access to care. What we cover in our episode about Dr. Zachary & ACAAI What the ACAAI actually does for allergy care: How the College supports clinicians and provides patients with trusted, evidence-based education. How lived experience shapes leadership: How Dr. Zachary's own allergic diseases influenced her path into allergy and immunology. Why representation matters for allergy outcomes: How culturally responsive care and physician diversity improve trust and health outcomes. Why there are not enough allergists: How training bottlenecks contribute to long wait times and limited access to care. Historically Black Colleges and Universities (HBCUs): Her focus on expanding exposure to allergy through HBCUs and the ACAAI SPARK program. More resources about what we discussed American College of Allergy, Asthma, and Immunology Listen: Ep. 77: Food Allergy and Its Impact on the Black Community Listen: Ep. 108: Interview with Dr. James Tracy Listen: Ep. 66: Interview with Dr. Gailen D. Marshall, Jr. -- Made in partnership with The Allergy & Asthma Network. We thank the American College of Allergy, Asthma, and Immunology for their support of Allergy & Asthma Network and this podcast.
Nearly 11% of U.S. adults meet criteria for a convincing food allergy, yet most clinicians underestimate both the prevalence and unique challenges of adult-onset disease. This episode addresses the frequent misdiagnosis and clinical uncertainty surrounding new symptoms in adults by highlighting epidemiology, risk factors for delayed and severe reactions, high-yield history-taking, diagnostic pitfalls, and guideline-supported use of specific IgE and component-resolved diagnostics. Listeners will learn to distinguish allergy from intolerance, understand psychosocial burdens, apply evidence-based testing algorithms, and recognize when to refer for oral food challenge or advanced management. With practical insights into differential diagnosis, best practices for test interpretation, and strategies to streamline care in busy settings, this episode equips providers to close the adult allergy diagnosis gap and optimize patient safety. Resources and references: https://www.thermofisher.com/phadia/us/en/resources/immunocast/adult-onset-food-allergy-diagnosis-management.html?cid=0ct_3pc_05032024_9SGOV4
In this episode of the AARC Perspectives podcast, live from Congress 2025, AARC interviews Chris Martinez, CEO of Asthma and Allergy Impact and Rescue (AAIR). They discuss AAIR's mission to support asthma and allergy patients by providing resources in schools and homes, and connecting them to care. Chris shares the organization's history, growth, and the impact of its programs, including the school-based rescue medication initiative, which has expanded to nearly 7,000 schools. Chris also shares success stories and future goals, inviting listeners to get involved with AAIR's initiatives.Learn more about AAIRSend us your thoughts on this podcast
Relebogile Mabotja speaks to Consumer Journalist, Wendy Knowler about severe food allergies, a single bite of food containing the allergen could be deadly, joined by Greg Turner from Jo’burg who ate a Ready to Eat “ham, cheese and tomato” sandwich bought from the SuperSpar in Lonehill in December was enough to land him in a clinic, being injected with a massive dose of adrenalin. 702 Afternoons with Relebogile Mabotja is broadcast live on Johannesburg based talk radio station 702 every weekday afternoon. Relebogile brings a lighter touch to some of the issues of the day as well as a mix of lifestyle topics and a peak into the worlds of entertainment and leisure. Thank you for listening to a 702 Afternoons with Relebogile Mabotja podcast. Listen live on Primedia+ weekdays from 13:00 to 15:00 (SA Time) to Afternoons with Relebogile Mabotja broadcast on 702 https://buff.ly/gk3y0Kj For more from the show go to https://buff.ly/2qKsEfu or find all the catch-up podcasts here https://buff.ly/DTykncj Subscribe to the 702 Daily and Weekly Newsletters https://buff.ly/v5mfetc Follow us on social media: 702 on Facebook https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 See omnystudio.com/listener for privacy information.
Allergy Shot - Near Death Experience - Yvonne's Story
Medical missionaries often feel powerful emotional burden from moral injury, and it is a leading cause of departure from the mission field. But we have learned proven methods of preventing and dealing with moral injury. Use God’s powerful methods to protect yourself and your team, and to grow in wisdom and spirit!
The Natural Nurse, Ellen Kamhi, talks with Dr. Dean Mitchell, a board-certified allergist, immunologist, and integrative medicine specialist with over 25 years of experience. He is the founder of Mitchell Medical Group in New York City and a national leader in sublingual immunotherapy, a safer and more natural treatment for allergies. Dr. Mitchell is the author of Dr. Dean Mitchell's Allergy and Asthma Solution, which offers an innovative, holistic approach to managing immune and allergic conditions. A graduate of NYU School of Medicine, he is also the host of the Smart Medicine podcast, where he explores cutting-edge strategies for treating chronic illness and restoring vibrant health. www.mitchellmedicalgroup.com
“There is nothing magical that happens in your gut that says, ‘oh, now you're ready for cow's milk.' — Dr. Farah KhanMilk has a special talent for creating chaos in clinic. One day it's mucousy stools and a terrifying diaper photo, the next it's hives after yogurt, delayed vomiting with lethargy, or a family that's been dairy-free for years with no improvement in eczema. On this episode, Dr. Mariam Hanna is joined by pediatric allergist and clinical immunologist Dr. Farah Khan to walk through the many ways “milk problems” show up — and how allergists can avoid overdiagnosis, unnecessary testing, and prolonged elimination diets that may do more harm than good.On this episode:Why allergic proctocolitis (cow's milk protein intolerance) is often overdiagnosedWhen skin testing and IgE testing are useful Understanding the difference in lactose intolerance How baked milk can be used to improve quality of life in IgE-mediated milk allergyWhat makes FPIES to milk tricky, including earlier-than-expected reactionsWhy dairy elimination for eczema or EOE needs caution and frequent reassessmentAcross each of these scenarios, Dr. Khan returns to the same principle: eliminating dairy should never be a one-and-done decision. Revisiting the diagnosis, retrying thoughtfully, and weighing quality of life alongside risk are essential — especially when prolonged avoidance can set the stage for the very allergy clinicians are trying to prevent.Have an idea for the show or a comment, send us a text!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
The Gollum Effect - 7 Innocent Habits That Are Destroying You (J.R.R. Tolkien). In this podcast we will be talking about 7 Innocent Habits That Are Destroying You from the philosophy of J.R.R. Tolkien.J.R.R. Tolkien, an Oxford Professor of English Language and Literature created a mythology that would define the modern imagination: The Lord of the Rings. On the surface, it is a fantasy epic about wizards, kings, and magic rings. But if you strip away the monsters and the battles, you realize that Tolkien wasn't just writing some fantasy; he was writing a terrifying psychological study on the architecture of addiction and the corruption of the self. For those unfamiliar with the story, the most tragic figure is not a dark lord or a demon. It is a creature named Gollum. But Gollum wasn't born a monster. He began his life as a regular person - a Hobbit of the River-folk named Sméagol. He lived in a matriarchal family led by his grandmother. He was curious, he had a home, and he had status. He didn't turn into a wretched, slime-covered creature overnight. He was slowly eroded, over five hundred years, by a series of small, daily surrenders to a specific object: The One Ring, which he obsessively called "My Precious." In the story, the Ring is a magical artifact that offers power, but in exchange, it enslaves the mind of the owner. We are talking about this text today because Sméagol is the perfect case study for a psychological phenomenon we will call "The Gollum Effect." The Gollum Effect is the process where a person loses their identity not through one massive tragedy, but through the accumulation of small, secret habits. It is the slow replacement of the "Self" with the "Shadow." It explains how a bright, capable young man can slowly transform into a cynical, isolated, and bitter version of himself without ever realizing when the change happened. The "Ring" in Tolkien's work is the ultimate metaphor for anything that promises you power, pleasure, or escape for zero effort. It is your smartphone, your substances, your validation seeking, and your cheap dopamine - your own personal "Precious." If you feel like you are losing your grip on who you are, it is likely because you are falling into the same traps that destroyed Sméagol. Here are the 7 "Innocent" Habits That Are slowly Destroying you, and the Solutions to fix them, all from the Philosophy of J.R.R. Tolkien.So here are the 7 Innocent Habits That Are Destroying You from the philosophy of J.R.R. Tolkien - Introduction Habit 1 - The "Birthday" Excuse Habit 2 - The Trap of Invisibility Habit 3 - Digging for Roots Habit 4 - The Fear of the "Yellow Face" Habit 5 - Talking to the Echo Habit 6 - The Allergy to "Goodness"Habit 7 - The "Stairs of Cirith Ungol" Moment Conclusion I hope you enjoyed listening to this podcast and hope these 7 Innocent Habits That Are Destroying You from the philosophy of J.R.R. Tolkien will add value to your life.
Allergy & Asthma Network has spent more than four decades helping people living with asthma, allergies, and related immune conditions navigate care, access trustworthy education, and make their voices heard. In this episode, we talk with Lynda Mitchell, CEO of Allergy & Asthma Network. Lynda shares how becoming a food allergy and asthma mom in the early 1990s shaped her career and led her into patient advocacy work. We get into how Allergy & Asthma Network supports patients and families through four mission pillars: education, outreach, advocacy, and research. What we cover in our episode about Allergy & Asthma Network Trusted Messengers and culturally responsive education, and why information is more effective when it comes from people who reflect and understand the community Free virtual asthma coaching, and how one-on-one self-management education helps people improve daily asthma control and reduce emergency care Patient voice research, what it is, how it differs from clinical trials, and why diversity in clinical trial participation matters Advocacy efforts like Capitol Hill Day and PALI, and how patient stories influence laws and policies that affect asthma and allergy care Ways to get involved, including resources for patients, caregivers, and healthcare providers who want to support or participate in Allergy & Asthma Network's work More resources about Allergy & Asthma Network Allergy & Asthma Network Sign-up for the Allergy & Asthma Network's Newsletter Get involved with clinical trials and research More about the PALI information session (February 18, 2026) Advocacy information Virtual asthma coaching program (free asthma self-management education) *********** Made in partnership with The Allergy & Asthma Network.
Let‘s Clear the Air! All Things Allergy, Asthma & Immunology!
Dr. Nicholas Cline talks with host Marcella Feathers about a form of sublingual immunotherapy (SLIT) known as allergy drops. Allergy drops can be a preferred immunotherapy route for allergic patients who have busy schedules, travel, or are afraid of needles. Dr. Cline shares his experiences with SLIT patients as well as the results of various studies and how allergy drops compare to other, more limited non-needle options.
Send us a textThis week we're heading into week three of the challenge, and I want to talk about something subtle that can quietly make everything feel harder—your energy, your focus, your patience, even your progress. I've been thinking a lot about how often we push through discomfort without ever stopping to ask why it's there. And how, as women who manage full lives and full calendars, we're incredibly skilled at overriding ourselves instead of listening.In today's shorty episode, I invite you to slow down just enough to notice what your body has been trying to tell you all along. This is about strength without force, awareness without judgment, and learning how to trust yourself again in a world that constantly asks you not to. If you've ever felt like something was “off” but couldn't quite put your finger on it, this conversation is for you.Quote of the Week:“The body is your instrument. Learn to play it well.” — Martha GrahamReferencesSkypala, I. J., & Venter, C. (2019). Food intolerance: Clinical perspectives and management. Nutrients, 11(7), 1684. https://doi.org/10.3390/nu11071684Turner, P. J., & Campbell, D. E. (2019). Epidemiology of food allergy. Journal of Allergy and Clinical Immunology, 143(1), 37–44. https://doi.org/10.1016/j.jaci.2018.11.003Fletcher, J., & Adolphus, K. (2021). Food intolerance and mental health: Associations with anxiety and depression. Nutrients, 13(12), 4386. https://doi.org/10.3390/nu13124386Phillips, C. M., Chen, L. W., Heude, B., Bernard, J. Y., Harvey, N. C., Duijts, L., … Godfrey, K. M. (2019). Dietary inflammatory index and metabolic health. Journal of Clinical Endocrinology & Metabolism, 104(12), 6118–6128. https://doi.org/10.1210/jc.2019-00294Esposito, K., Kastorini, C. M., Panagiotakos, D. B., & Giugliano, D. (2011). Mediterranean diet and metabolic syndrome. Journal of the American College of Cardiology, 57(11), 1299–1313. https://doi.org/10.1016/j.jacc.2010.09.073Hotamisligil, G. S. (2006). Inflammation and metabolic disorders. Nature, 444, 860–867. https://doi.org/10.1038/nature05485Saltiel, A. R., & Olefsky, J. M. (2017). Inflammatory mechanisms linking obesity and metabolic disease. Journal of Clinical Investigation, 127(1), 1–4. https://doi.org/10.1172/JCI92035Oddy, W. H., Allen, K. L., Trapp, G. S., Ambrosini, G. L., Black, L. J., Huang, R. C., … Mori, T. A. (2018). Dietary inflammatory index and mental health. British Journal of Nutrition, 119(8), 1–10. https://doi.org/10.1017/S0007114518000218 Let's go, let's get it done. Get more information at: http://projectweightloss.org
So if democracy is under pressure, what role do stories, culture, and imagination play in defending it?In this episode, we're joined by Alan Jenkins, civil rights lawyer, former Ford foundation program director, Harvard Law School professor, and now comic book author, for a wide ranging conversation about story making and telling as a tool for social change. From Supreme Court litigation to graphic novels, Alan Jenkins traces how law, narrative, and culture intersect when democracy is at stake.So in our conversation, we explore three big ideas I think matter a lot right now:First, why is story inseparable from power?And how law, policy, and culture work together, whether we acknowledge it or not, to shape public belief and behavior.Next, how popular culture and art have historically been used to confront authoritarianism. From Superman and Captain America to global protest movements that borrow symbol, humor, and myth.And finally, what hybrid 21st century leadership looks like and why flexibility, empathy, and imagination may be as important as specialized expertise in this moment.NOTABLE MENTIONSPeopleBill ClevelandHost of ART IS CHANGE and founder of the Center for the Study of Art & Community.Alan JenkinsHarvard Law School professor; former civil rights and DOJ lawyer; former Director of Human Rights at the Ford Foundation; co-author of 1/6: The Graphic Novel.Anthony S. FauciFormer Director of the National Institute of Allergy and Infectious Diseases; referenced in discussion of ACT UP and activist pressure shaping public institutions.Charles LindberghAviator and political figure cited in discussion of American isolationism and authoritarian sympathies prior to World War II.Pablo PicassoArtist whose painting Guernica is referenced as a defining cultural response to fascist violence.Organizations & InstitutionsHarvard Law SchoolInstitution where Alan Jenkins teaches courses on civil rights law, narrative, and Supreme Court jurisprudence.NAACP Legal Defense and Educational FundCivil rights organization where Jenkins worked early in his legal career.United States Department of JusticeReferenced in connection with Jenkins's Supreme Court litigation experience.Ford FoundationGlobal philanthropy where Jenkins served as Director of Human Rights.Pop Culture...
Fluent Fiction - Catalan: Blooms & Balance: Montserrat's Journey Through Allergy Woes Find the full episode transcript, vocabulary words, and more:fluentfiction.com/ca/episode/2026-01-25-23-34-02-ca Story Transcript:Ca: Entre la fredor de l'hivern a Barcelona, La Rambla bullia de vida.En: Amid the chill of winter in Barcelona, La Rambla was bustling with life.Ca: Les petites parades de flors i les botiguetes d'artesania brillaven sota la llum tènue del sol, que lluïa amb prou feines entre els plàtans despullats de les seves fulles.En: The small flower stalls and craft shops glowed under the dim sunlight, which barely shone through the plane trees stripped of their leaves.Ca: És allà on Montserrat, una florista de 32 anys, va trobar el seu racó predilecte al món.En: It was there that Montserrat, a 32-year-old florist, found her favorite nook in the world.Ca: Des del seu petit local, "Flors de Montserrat", la nostra protagonista veia com els turistes, tot i el fred hivernal, passejaven encuriosits.En: From her little shop, "Flors de Montserrat," our protagonist watched as tourists, despite the winter cold, wandered curiously.Ca: Montserrat estimava les flors.En: Montserrat loved flowers.Ca: Les textures, les formes, les aromes... Per ella, cada una era única, com una petita obra d'art.En: The textures, the shapes, the scents... To her, each one was unique, like a small work of art.Ca: Fa mesos, però, la felicitat que li proporcionava la seva feina es veia desenfocada per una al·lèrgia estranya i persistent.En: However, for months, the happiness her work provided had been blurred by a strange and persistent allergy.Ca: Tot va començar amb esternuts esporàdics, però ara, les seves mans es cobrien de vesícules i els ulls se li entelaven sovint.En: It all began with occasional sneezes, but now, her hands were covered with vesicles and her eyes often became blurry.Ca: Cap tractament semblava funcionar, i els metges que havia visitat li donaven respostes diferents.En: No treatment seemed to work, and the doctors she had visited gave her different answers.Ca: La incertesa creixia com una mala herba.En: Uncertainty grew like a weed.Ca: Un matí, després d'una nit d'insomni per la picor i el malestar, Montserrat es va topar amb Pere, un amic de tota la vida.En: One morning, after a sleepless night due to the itching and discomfort, Montserrat ran into Pere, a lifelong friend.Ca: Ell, al veure-la abatuda, va insistir perquè visités un especialista recomanat.En: Seeing her downcast, he insisted that she visit a recommended specialist.Ca: "Confia en mi, Montse, aquest doctor sap el que fa", li va dir amb insistència.En: "Trust me, Montse, this doctor knows what he's doing," he said insistently.Ca: Montserrat, dubtosa però desesperada, va acceptar el consell de Pere.En: Montserrat, doubtful but desperate, accepted Pere's advice.Ca: El vent li picava la cara mentre caminava pensativa per La Rambla.En: The wind stung her face as she walked thoughtfully down La Rambla.Ca: La seva passió per les flors estava en joc, i Montserrat no se'n podia permetre el luxe de seguir sense saber-ne la causa.En: Her passion for flowers was at stake, and Montserrat couldn't afford to go on without understanding the cause.Ca: Finalment, va arribar el dia de la consulta amb el nou especialista.En: Finally, the day of the consultation with the new specialist arrived.Ca: Aquest va analitzar pacientment els seus símptomes i les flors que sempre portava a la botiga.En: He patiently analyzed her symptoms and the flowers she always carried to the shop.Ca: Va examinar amb detall cadascuna d'elles, fins que es va aturar en una flor peculiar, el llorell blau.En: He examined each one in detail until he stopped at a peculiar flower, the blue bay laurel.Ca: "Aquí està el problema", va dir.En: "Here's the problem," he said.Ca: "És el pol·len d'aquesta flor el que t'està provocant l'al·lèrgia".En: "It's the pollen from this flower that's causing your allergy."Ca: Montserrat no s'ho podia creure.En: Montserrat couldn't believe it.Ca: Era exactament el diagnòstic que necessitava per fer el canvi.En: It was exactly the diagnosis she needed to make a change.Ca: Mentre caminava de tornada al seu petit mercat de flors sota la mirada amatent de Jordi, el seu company, la decisió estava presa.En: As she walked back to her little flower market under the watchful eye of Jordi, her partner, the decision was made.Ca: Va reorganitzar les seves flors, posant en quarantena el llorell blau, i va començar a trobar solucions perquè la seva salut millorés.En: She reorganized her flowers, putting the blue bay laurel into quarantine, and began to find solutions to improve her health.Ca: Amb el suport de Pere i Jordi, Montserrat va adaptar la botiga per mantenir les flors que podia gestionar sense problemes.En: With the support of Pere and Jordi, Montserrat adapted the shop to keep the flowers she could manage without issues.Ca: Va començar també un tractament més específic per a les seves al·lèrgies i, dia rere dia, va notar com els seus símptomes milloraraven.En: She also began a more specific treatment for her allergies and, day by day, noticed her symptoms improving.Ca: A mida que les flors tornaven a florir a la primavera, Montserrat va aprendre una cosa valuosa: estimar-se a si mateixa tant com estimava les flors.En: As the flowers began to bloom again in spring, Montserrat learned something valuable: to love herself as much as she loved the flowers.Ca: Va acceptar que demanar ajuda no era un signe de debilitat, sinó de saviesa.En: She accepted that asking for help was not a sign of weakness, but of wisdom.Ca: Confiava més en els ulls amables de Pere i Jordi i menys en la seva pròpia autosuficiència.En: She placed more trust in the kind eyes of Pere and Jordi, and less in her own self-sufficiency.Ca: I així, en la quotidianitat de La Rambla hivernal, envoltada d'amics i flors, Montserrat va trobar un nou equilibri.En: And so, in the everyday life of a winter La Rambla, surrounded by friends and flowers, Montserrat found a new balance.Ca: Un equilibri que li permetia seguir cuidant del que més li agradava, sense perdre de vista la seva salut i el seu benestar.En: A balance that allowed her to keep caring for what she loved most, without losing sight of her health and well-being. Vocabulary Words:winter: l'hivernbustling: bulliadim: tènueplane trees: els plàtansleaves: les fullesnook: el racótextures: les texturesunique: únicasneezes: esternutsvesicles: les vesículesblurry: entelatsuncertainty: la incertesaweed: la mala herbadowncast: abatudaspecialist: l'especialistainsistently: amb insistènciastung: picavaat stake: en jocconsultation: la consultapeculiar: peculiardiagnosis: el diagnòsticquarantine: quarantenasolutions: les solucionsadapted: va adaptarimproving: milloraravento bloom: florirwisdom: la saviesakind eyes: els ulls amablesself-sufficiency: l'autosuficiènciabalance: l'equilibri
Asthma is one of the most common long-term conditions in children. It is a leading cause of missed school and emergency room visits. Doctors use tools (validated questionnaires) to assess how well a child's asthma is controlled and whether their medicine is helping. Some tools only ask about symptoms, which can miss children who are still at risk for asthma attacks. The lead author, Dr. Kevin Murphy, joins us to talk about “Pediatric Asthma Impairment and Risk Questionnaire: A Control Assessment for Children Aged 5 to 11 Years,” published July 2025 in Journal of Allergy and Clinical Immunology: In Practice. The Peds-AIRQ was designed to improve how doctors identify uncontrolled asthma in children by asking about both current symptoms and past asthma attacks. This approach helps avoid missing children who may seem okay day to day but are at higher risk for future flare-ups. What we cover in this episode Why asthma control in children can be hard to measure What “controlled asthma” really means Why past asthma attacks matter, even when symptoms seem mild What the Peds-AIRQ is and how it works How this tool may support better conversations between families and doctors DOWNLOAD THE INFOGRAPHIC More asthma in kids resources Take the Peds-AIRQ questionnaire What is asthma? Asthma in Babies and Children Childhood Asthma: A Complex Condition That Doesn't Have to Be So Complicated - video *********** 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 AstraZeneca 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.
When Kerry Washington recently shared on Jimmy Kimmel Live that she often eats in bathrooms at high-profile events because her food allergies aren't taken seriously, the allergy community felt it. And when FARE posted that clip, Jo Frost — who lives with life-threatening anaphylaxis herself — commented, "hear you and see you @kerrywashington DITTO." That one word — DITTO — carried decades of lived experience. In this episode of Eating at a Meeting LIVE, Jo and I talk about what it really means to navigate everyday life — restaurants, airplanes, school cafeterias, and event spaces — when a trace amount of nuts, shellfish, or airborne particles can shut down your body. Jo has survived more anaphylactic shocks than she's willing to count. She's been dismissed in restaurants, pushed back on by airline crews, and told "it should be fine," even when the stakes were life or death. She's also been sounding the alarm for years, insisting that ignoring anaphylaxis is as dangerous as "putting a loaded gun in my face." If you plan menus, host families, work in hospitality, or manage any food service environment, Jo's perspective is essential. Her story echoes what millions live with — and what our industry must do better. Every Guest Matters.
Are we diagnosing allergies all wrong? Join pediatric allergist and clinical immunologist Dr. Zainab Abdurrahman as we debunk common myths in allergy management. We dive deep into why patient history matters more than testing, the danger of using Benadryl, and the life-changing impact of early food introduction. Dr. Abdurrahman also discusses the "diversity gap" in Canadian healthcare, explaining why cultural sensitivity and representation are vital for better patient outcomes. Whether you're a parent, a medical professional, or someone living with allergies, this episode offers a masterclass in modern immunology and health equity. In this episode, we cover: Early Food Introduction: How to reduce allergy risks in infants. Allergy vs. Intolerance: Clearing up the most common misconceptions. The Specialist Shortage: Why Canada needs more pediatric allergists. Cultural Sensitivity: Why representation in medicine saves lives. Learn how to advocate for better care and understand the critical role of social media in spreading accurate allergy awareness. More about Dr. Abdurrahman: Dr. Zainab Abdurrahman, president of the Ontario Medical Association, is an allergist and clinical immunologist, advocating for health equity, medical innovation and inclusive leadership. She brings a strong background in biostatistics and a deep commitment to systemic change. Dr. Zainab Abdurrahman (she/her) is the president of the Ontario Medical Association and a practising allergist and clinical immunologist in the Greater Toronto Area. She serves as an assistant clinical professor of the School of Medicine at the Toronto Metropolitan University and an adjunct assistant clinical professor in pediatrics at McMaster University. Dr. Abdurrahman earned her doctorate of medicine from the University of Toronto. She completed her pediatrics residency and subspecialty training in allergy and clinical immunology at McMaster University. She also holds a master's degree in statistics, with a specialization in biostatistics. She is deeply committed to advancing health and has been a key contributor to the Black Scientists Taskforce on COVID-19 Vaccination Equity and the Black Health & Vaccine Initiative, in partnership with the Black Physicians' Association of Ontario. Beyond equity work, Dr. Abdurrahman is passionate about the intersection of technology and medicine. She is dedicated to leveraging innovation to enhance patient care and is a strong advocate for advancing the medical profession through inclusive leadership and systemic change. https://www.oma.org/expert-advice/request-a-physician-speaker/speakers-search/dr-zainab-abdurrahman/ https://www.qandaallergy.ca/post/dr-a-explains-the-concerns-about-older-sedating-antihistamines Keywords pediatric allergy, immunology, health equity, representation in medicine, food allergies, EpiPen, allergy diagnosis, cultural considerations, adult allergies, social media awareness * Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Watch on YouTube – https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact Thank you to Hospital News for being a collaborative partner with the Gritty Nurse! www.hospitalnews.com
သြစတြေးလျဟာ ကမ္ဘာပေါ်မှာ ဓာတ်မတည့်မှု (Allergy) အဖြစ်အများဆုံး နိုင်ငံအဖြစ် လူသိများပါတယ်။
Tribute to Charles Schultz Brown, George Washington Carver AND Emily (Gilda Radner) Latilla.Send us peanuts; clickhearpodcast@protonmail.comPeanut allergies have been significantly averted in U.S. children due to a major shift in medical guidance. A landmark 2015 study, the LEAP trial, found that introducing peanut products to infants as early as 4 to 6 months reduced the risk of developing a peanut allergy by over 80%. This led to updated national guidelines in 2017 and 2021 recommending early allergen introduction without prior testing. Recent research confirms the real-world impact: A study published in Pediatrics found a 43% reduction in peanut allergies among children under 3 after the guidelines were implemented. Another analysis estimates that tens of thousands of children—up to 60,000—have avoided peanut allergies thanks to early introduction. The overall rate of food allergies in young children dropped by 36%, with peanut allergies no longer the top cause of food allergy in children under 3. Early introduction is now the standard of care: No need for screening: The current guidance advises introducing peanuts and other major allergens between 4 and 6 months, even for high-risk infants, without prior testing. Safe methods: Parents can offer small amounts of peanut butter, peanut flour, or peanut-containing yogurt. Key message: Early, consistent exposure helps train the immune system to tolerate peanuts, preventing allergy development. While prevention is now possible for many, treatment options exist for those already allergic, including oral immunotherapy (like Palforzia) and emerging therapies such as sublingual patches and experimental mRNA-based nanoparticles. However, these are not cures—they build tolerance or reduce reaction severity—and should be managed under medical supervision.
In this season 8 premiere of Talking Sleep, host Dr. Seema Khosla welcomes three members of the AASM guideline committee—Dr. Rami Khayat, Professor and Division Chief of Pulmonary, Allergy & Critical Care Medicine and Director of Penn State Health Sleep Services; Dr. Shirine Allam, Professor of Medicine at Emory University and Program Director for the Pulmonary and Critical Care Fellowship at the Atlanta VA Medical Center; and Dr. Christine Won, Medical Director of Yale Centers for Sleep Medicine and Professor of Medicine at Yale University—to discuss the newly released AASM clinical practice guidelines for central sleep apnea treatment. The conversation begins with the rigorous process behind guideline development, clarifying the distinction between evidence-based recommendations and expert opinion. The panel systematically walks through each recommendation, addressing CPAP use across various CSA etiologies including primary CSA, heart failure-related CSA, medication-induced CSA, treatment-emergent CSA, and CSA due to medical conditions. A surprising recommendation against BPAP without backup rate generates discussion about why backup rates matter and why heart failure patients are excluded from certain BPAP recommendations. The experts tackle the controversial topic of adaptive servo-ventilation (ASV), explaining why it's now conditionally recommended even for heart failure patients despite SERVE-HF trial concerns. They clarify that newer ASV algorithms differ from devices used in that study and emphasize the importance of patient-provider shared decision-making and treatment at experienced centers. Practical implementation guidance covers oxygen therapy for heart failure and high-altitude CSA, including insurance coverage challenges. The panel discusses acetazolamide use across multiple CSA etiologies, providing concrete advice on prescribing and follow-up protocols. Transvenous phrenic nerve stimulation receives attention as an option for select patients, with candid discussion about its invasive nature, accessibility limitations, and high costs. The episode addresses the shift toward viewing CSA treatment as chronic disease management, including billing code G211 implications. The experts emphasize that guidelines guide but don't constrain clinical judgment, stressing the importance of monitoring beyond AHI—including patient symptoms and quality of life improvements. Whether you're treating complex central sleep apnea, navigating insurance coverage, or seeking clarity on when ASV is appropriate, this review provides essential guidance for implementing evidence-based CSA treatment. Join us for this season premiere that translates complex guidelines into practical clinical applications.
Don't have time to listen to the entire Dave & Chuck the Freak podcast? Check out some of the tastiest bits of the day, including a woman allergic to her husband's ‘man juice,' a guy with a massive tumor on his groin, old lady gets a male stripper, and more!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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Food allergies, specifically peanut allergies have been increasing in children. But key research changed policy and the past 10 years have seen a steady decline. In a rare win for the goodies, we see how science shaped public policy and made things better for a whole generation of children. Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE Email us your questions at thebodyofevidence@gmail.com. Editor: Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: Chris article on peanut and food allergies: https://montrealgazette.com/opinion/columnists/labos-food-allergies-a-hard-nut-to-crack-but-theres-some-good-news The old recommendations: https://publications.aap.org/pediatrics/article-abstract/106/2/346/62820/Hypoallergenic-Infant-Formulas?redirectedFrom=fulltext The new recommendations: https://www.cps.ca/en/documents/position/allergenic-solids#ref2 Increasing food allergies: http://www.jacionline.org/article/S0091-6749(10)00575-0/abstract The LEAP study: https://www.nejm.org/doi/full/10.1056/NEJMoa1414850 The effect the LEAP study had on allergy rates in children” https://publications.aap.org/pediatrics/article/156/5/e2024070516/204636/Guidelines-for-Early-Food-Introduction-and?autologincheck=redirected Skin contact as a risk factor for peanut allergies: https://www.nejm.org/doi/full/10.1056/NEJMoa013536 Oral Immunotherapy for peanut allergies: https://www.nejm.org/doi/full/10.1056/NEJMoa1812856 Met-analysis of immunotherapy for peanut allergies: https://pubmed.ncbi.nlm.nih.gov/31030987/
When your food allergy becomes the reason you have to walk out of your own professional presentation, something is deeply broken. That's exactly what happened to Christina LiPuma, MPH, RDN, CDCES, when she had a severe allergic reaction at a national nutrition conference. The culprit? A mislabeled "curry bowl" and a series of "I don't think so" answers that should never have been good enough. You ask if a dish contains peanuts. "I don't think so," says one staffer. "Pretty sure it doesn't," says another. Minutes later, your throat tingles, your heart races—and you realize what "pretty sure" can cost. This week on Eating at a Meeting Podcast LIVE, I'm talking with Christina—Registered Dietitian, Certified Diabetes Care & Education Specialist, and former Policy Associate at the Center for Science in the Public Interest—about what happens when event dining fails, and how we can make it right. We'll discuss:
In this month's EM Quick Hits podcast: Mike Weinstock discusses with Anton a case of upper back pain in this month's Medmal Cases, Andrew Petrosoniak on traumatic pneumothorax and hemothorax decision making: risk stratification, imaging cutoffs and chest tube choices, Justin Morgenstern on brain injury guidelines risk stratification for neurosurgical consult, repeat imaging and admission, Andrew Tagg on management of post-circumcision bleeding and when to escalate care, Hans Rosenberg & Ariel Hendin on evaluation and management of CT contrast allergy and why steroids are out, Shawn Seregren on emotional contagion in resuscitation teams: how tone, pace and volume of your voice and body language effect team rescucitation dynamics and outcomes...
In this episode, host Dr. Amber Luong speaks with Drs. Alan Workman and Jim Palmer. They discuss the recently published Original Article: “The Completeness of Surgery Index Predicts Success in CRSwNP With Asthma by SNOT-22 and Asthma Control Test”. The full manuscript is available in the International Forum of Allergy and Rhinology. Listen and subscribe […]
The world will never be the same after this episode. We're here to talk shop and hawk sauce in the 6th episode of szn 4.Jam Mechanics is a podcast hosted by Matt (The Narcissist Cookbook) and Bug (Bug Hunter) where we are challenged to write a song demo from scratch every episode. If you'd like to download the demos we showed off, you can go to our Bandcamp or website to pay-what-you-want to support us!and our brand-new discord is hereand follow us on Instagram, YouTube, etc!-- SPOILERS FOR THIS EPISODE BELOW ------Bug's Song-----Title: Flattering!Prompt Page: Poison Ivy -> Allergy -> ImmunotherapyLyrics:I don't begrudge flat-earthers cuz I think that they're crazy or insane its justa pity for their party thats based purely on their lazinesscause there's mountains of evidence that help make it clearthat our planet's a shape and that shape is a sphereand I fear that insisting we've already wonwill prevent us from doing whats yet to be donecause I have a dream and I need you to get with itearth isn't flat and if you, too, are sick of itJoin Us, Help Us, make coins and coasters jealousThe earth isn't flat (yeah, you don't have to tell us)When there's no way, here's our will:we won't die on this hillWe're not Flat Earthers... we're earth-flattenerswe'll get much further than that tin foil hat of yoursWe work all day to achieve the great flatteninga pancake shape is a bit more... Flattering!There's no subscription fees, neither monthly nor annualjust one flat rate and we hand you the manualwe'll start with the mountains 'cause how could we notwhen the low-hanging fruit is the highest of rocksonce we're smooth as a cue ball we'll need to start kneedingthen plan the next steps at the quarterly meetingcause I have a dream and now you're in the thick of itthe earth isn't flat and we're all just plane sick of it[Chorus]We work all day to achieve the great flatteninga pancake shape is a bit more... Flattering!and faith can move mountains but damn, when I'm done with 'emmoles will look down on the ground that's become of themWhen you had a dream and no one understood itto get back at all who have told you you couldn'tJoin us, Help us, we employ the overzealousThe earth isn't flat yet, and damn does that compel ushead to china, grab your chisel and I will meet you in the middlewe're not flat-earthers, we're earth flatteners...I have a dream, but whether its happeningyou all believed, and damn is it... Flattering!---- Matt's Song -----Title: Someone's Gonna Change The WorldPrompt Page: War on Terror -> Misnomer -> AnachronismLyrics:open up the curtains let the darkness inthe emperor expired in his bedand now the power vacuum that was left by himand filling in the air above our headsGunships littering in the skyFuel cells glittering like diamondsAnd all us ordinary folkGathering belowOh oh ohAnd we've got fire in our eyesUp there someone's gonna change the worldBut the world down here's in short supplyWho do you expect us to rise up against?The armies or the admirals or the gods?Might as well suggest we turn the river running through the town back on itselfand flood the mountain topsMainsails blocking out the moonSpent shells falling like a heavy rainAnd all us ordinary folkGathering belowOh oh ohAnd we've got fire in our eyesUp there someone's gonna change the worldBut the world down here's in short supplyAt night I dream like everybody dreamsI wake up I've forgotten what I've seenNo matter who prevails up there aboveThe meat down here still rots, and the air still tastes the sameTomorrow there'll be champagne for the richBut the only thing that trickles down is pissYou could cut the head off every kingThe meat down here still rots, and the air still tastes the same[Chorus]
AKA Penicillin Allergy 3: Delabel Hard With A VengeanceA departure from our semi-annual penicillin allergy episode: one on cephalosporin allergy! Jame and Callum are joined by Fionnuala Cox to discuss Cephalosporin allergy in general, and the CEPH-FAST risk assessment tool in particular. Ever wanted to know how to deal with cephalosporin allergy? Listen on! Paper here: Cox F, Vogrin S, Sullivan RP, Stone C, Koo G, Phillips E, et al. Development and validation of a cephalosporin allergy clinical decision rule. Journal of Infection. 2025 June 1;90(6). Available from: https://www.journalofinfection.com/article/S0163-4453(25)00089-1/fulltexthttps://doi.org/10.1016/j.jinf.2025.106495(It's open access, don't worry) Audience survey: Tell us how rubbish we are here! Sign up for the BIA Dilemmas Day on Critical Care Infections here! Support the showQuestions, comments, suggestions to idiotspodcasting@gmail.com or on Bluesky @idiots-pod.bsky.socialPrep notes for completed episodes can be found here (Not all episodes have prep notes).If you are enjoying the podcast please leave a review on your preferred podcast app!Feel like giving back? Donations of caffeine gratefully received!https://www.buymeacoffee.com/idiotspod
Early introduction of peanut into a child's diet may help them avoid development of peanut allergy, a recent study concludes. Robert Wood, a childhood allergy expert at Johns Hopkins, says it's just not that simple when it comes to understanding … Should you feed your young child peanut to prevent allergy? Elizabeth Tracey reports Read More »
On this episode of Food Allergy Talk, I welcome Tristan Tierce of Allergy Voyage. Tristan is Co-Founder and CEO of Allergy Voyage, graduated from Barrett, the Honors College at Arizona State University in 2024 with a double major in Business Entrepreneurship and Art Studies. He had his first anaphylactic reaction at ten months old, diagnosed with EOE at 4 years old. He has outgrown a vast number of allergies, but is still anaphylactic to Dairy, Pistachios, Cashews, and allergic to red meat, egg, and a couple other things. Tristan is Currently based in Dallas, TX with family.Allergy Voyage is a platform and service, primarily at Arizona State University, that helps people with food allergies find safe dining options by filtering menus, providing ingredient lists, and connecting them with dietitians, reducing the anxiety and risk of eating out. Founded by Tristan during his time at ASU, it aims to bridge the gap between consumers and restaurants, offering transparency and tools for safe, confident dining experiences, especially for those with severe restrictions. Tristan's Bio: Allergy Voyage Co-Founder and CEO, Tristan Tierce, had his first anaphylactic reaction at ten months old, and was diagnosed with eosinophilic esophagitis at age four. Traveling to different hospitals, speaking at FARE events, and contributing to local support groups, Tristan has always actively engaged with the allergic community and advocated for others with dietary restrictions. Tristan began to encounter travel-based struggles with dining out after moving out of state for university, inspiring the creation of Allergy Voyage!AV's Bio: Allergy Voyage is a digital Concierge service that hosts menus for individuals with dietary restrictions to view, helping them feel safer and confident when dining, simultaneously increasing food service provider revenue. Users can filter menus based on their dietary needs, discovering allergens and present ingredients, save information to their accounts, and grow further connected to food service providers.Allergy Voyage: https://allergyvoyage.com/Socials: @AllergyVoyageJoin My Private Facebook Group to connect, support and share: https://www.facebook.com/groups/FoodAllergyPI/Read My Articles on WebMD: https://blogs.webmd.com/food-allergies/lisa-horneThe Everything Nut Allergy Cookbook: https://www.simonandschuster.com/authors/Lisa-Horne/190009636The Food Allergy Talk Podcast: https://foodallergypi.com/the-food-allergy-talk-podcast/Food Allergy P.I. Blog: https://foodallergypi.comX: @foodallergypi & @fatalkpodcastInstagram: https://www.instagram.com/foodallergypi/ and https://www.instagram.com/foodallergytalk/ TikTok: https://www.tiktok.com/@foodallergypiEmail: foodallergypi@gmail.com
Listener mail for heart block, crazy blood pressures, and water allergy. Mawi and Shelly tell stories about big tongues, MH, dementia, and problematic circumcisions. Join the Wise Guys for their journey into the strange new year.
America Out Loud PULSE with Dr. Peter McCullough and Malcolm Out Loud – If the mRNA is in the cardiac tissue, does that mean that it'll never ever be cleared? Allergy shots and the adjuvants. Has anyone looked at long-term data and safety? Is the long-term consequence cancer due to the immunosuppressive quality of pre-treatment?
America Out Loud PULSE with Dr. Peter McCullough and Malcolm Out Loud – If the mRNA is in the cardiac tissue, does that mean that it'll never ever be cleared? Allergy shots and the adjuvants. Has anyone looked at long-term data and safety? Is the long-term consequence cancer due to the immunosuppressive quality of pre-treatment?
As parents, we expect the occasional food reaction. Maybe a rash, some fussiness, or a tummy ache. But what happens when your child suddenly becomes violently ill hours after eating something they've had before, and no one seems to know why? That was my reality when Jasper had this kind of reaction to shrimp. Inside this episode, I'm digging into: What FPIES is and how it differs from IgE-mediated food allergies Common trigger foods and why reactions can show up hours later Our experience with Jasper's shrimp reaction (and what we learned from it) How to navigate fear around food after a reaction Why trusting your instincts and advocating for your child matters --- Show Notes: Sign up for a 1:1 Discovery Call Join the Imperfectly Paige Wellness Community Join the Compass Method DIY Program Jump inside my Rock the Bloat Minicourse Get my Core-Gi Workout Program with the exclusive listener discount! Join my Brain Rewiring Masterclass You can learn more about me by following on IG @imperfectlypaigewellness or by checking out my blog, freebies, and offers on my website: https://imperfectlypaigewellness.com Please share with #PaigeTalksWellness to help get the word out about the show - and join the Imperfect Health Fam over on Facebook.
When should an antibiotic allergy actually be tested? In this episode of the BackTable ENT Podcast, guest host Dr. Basil Kahwash, an allergist and immunologist at Ohio ENT & Allergy, sits down with Dr. Cosby Stone, an allergist and immunologist at Vanderbilt University Medical Center, to discuss antibiotic allergies and how to distinguish true allergies from intolerances. --- SYNPOSIS Dr. Stone breaks down common misconceptions around antibiotic allergies, with a focus on penicillin and cephalosporins. The conversation explores how these allergies are evaluated, including when skin testing is appropriate, why inaccurate allergy labels matter, and how confirmed allergies should be managed long term. They also dive into more advanced topics such as drug desensitization, current research in the field, and where the future of drug allergy evaluation is headed. --- TIMESTAMPS 00:00 - Introduction 01:03 - Understanding Antibiotic Allergies07:28 - The Importance of Accurate Allergy Diagnosis10:55 - Key Questions for Diagnosing Allergies17:10 - Implementing Allergy Testing in Healthcare Settings19:06 - Identifying Severe Allergic Reactions26:31 - Interpreting Allergy Skin Testing Procedures33:17 - Penicillin and Cephalosporin Cross-Reactivity37:15 - Drug Desensitization: Indications and Process40:30 - Prognosis and Long-Term Outcomes of Drug Allergies47:22 - Conclusion and Final Thoughts --- RESOURCES Dr. Basil Kahwash https://www.ohioentandallergy.com/physicians/basil-kahwash-md/ Dr. Cosby Stonehttps://www.vanderbilthealth.com/doctors/stone-cosby
Today, I'm joined by Dr. Maeve O'Connor, a board-certified allergist and immunologist practicing in Charlotte, North Carolina. Dr. O'Connor's training reflects both rigor and range. She completed dual undergraduate degrees at the University of South Carolina Honors College with a Bachelor of Science in Biology and a Bachelor of Arts in Spanish before earning her medical degree at the University of South Carolina School of Medicine. She then completed her internship and residency at the University of Texas and its affiliated hospitals in Houston, where she served as Chief Medical Resident. Her subspecialty training in Allergy and Immunology was completed at the National Jewish Medical and Research Center in Denver consistently ranked the number one respiratory hospital in the United States where she developed deep expertise in asthma, allergic disease, and immune dysregulation. She further expanded her clinical lens through fellowship training in Integrative Medicine at the University of Arizona from 2013 to 2015. Clinically, Dr. O'Connor works at the intersection of pediatrics, immunology, and real family life where eczema isn't just a rash, food reactions aren't just labels, and immune symptoms rarely fit neatly into algorithmic boxes. Her work emphasizes careful diagnosis, evidence-based treatment, and avoiding both over-medicalization and missed pathology. In a time when allergy medicine is often reduced to test results and avoidance lists, Dr. O'Connor brings a grounded, thoughtful approach helping families and clinicians distinguish what's truly allergic, what's inflammatory, what's developmental, and what's simply noise. Today, we'll explore how allergic disease actually presents in children, why mislabeling is so common, how early immune signals shape long-term health, and how pediatricians and specialists can collaborate more effectively without fear-based medicine. This is a conversation about immune literacy, clinical nuance, and doing better for children in a world where their immune systems are under increasing pressure. I'm excited to welcome Dr. Maeve O'Connor. Dr. M
Your gut's nervous system directly influences whether you tolerate foods or react to them, making it a key factor in food sensitivities and allergy risk A tiny nerve messenger called the vasoactive intestinal peptide (VIP) tells your gut stem cells how to rebuild the intestinal lining; when VIP drops, your gut produces too many tuft cells that trigger allergy like inflammation Everyday exposures — like microplastics, seed oils, and emulsifiers found in processed foods — damage tight junction proteins, weaken your gut barrier, and increase the flow of irritants into your bloodstream Low vitamin D, disrupted sleep, and high stress interfere with your gut's ability to maintain barrier integrity and calm immune activity, raising your vulnerability to allergic reactions You can lower your allergy risk by supporting mitochondrial function, removing gut damaging triggers, restoring healthy carbs in the right order, and improving the nerve-gut connection that regulates intestinal healing
Michael Berry continues his conversation with Dr. Chris Colosso about pollen, dust mites, allergy shots, and the science behind why spring hits so hard.See omnystudio.com/listener for privacy information.
A healthy 47-year-old man from New Jersey suddenly died after delayed allergic reactions to red meat; it was later confirmed to be caused by alpha-gal syndrome (AGS), marking the first documented fatality linked to tick-driven mammalian meat allergy His symptoms began hours after eating beef following a recent camping trip, during which he sustained 12 to 13 suspected lone star tick bites — exposure to this tick is now known to trigger the immune sensitization that leads to AGS AGS occurs when the lone star tick introduces the alpha-gal sugar molecule into the bloodstream, causing the body to form antibodies and react severely, sometimes fatally, upon future consumption of mammalian meat or byproducts Cases of AGS are rising explosively across the United States, with documented diagnoses climbing from 12 in 2009 to more than 110,000 by 2022; estimates suggest over 450,000 Americans may be affected Experts warn that expanding tick ranges, misdiagnoses, and lack of awareness among healthcare providers are fueling this hidden public health threat, emphasizing the urgent need for preventive tick-bite strategies and proper tick removal techniques
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