Thread: Rhinitis
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Old 06-19-2006, 06:30   #18
Join Date: Jun 2006
Location: Sunny San Antonio
Posts: 123
Originally Posted by Doc
If you know for instance that a certain allergen that the patient is allergic to is coming on in April, the patient should start taking his meds a couple of weeks prior to that; say March 15th.
I couldn't agree more. A little planning can do wonders.

Originally Posted by Doc
2. I would send my guy with rhinnitis to an allergy clinic to find out what he is allergic to. Could immunology play a role in treatment?
Absolutely. I can think of no reason why is shouldn't play a role. Yes, ICS will take down the inflammation, as you said, and why not get the body to stop freaking out about the allergen in the first place. I can't remember the exact phrasing but I remember hearing, "Give them just enough medicine that their own body can take over and heal itself." in IDMT school. With a course of allergy shots wouldn't we be setting the patient's body up to take care of itself in the future?

Originally Posted by Doc
Patient compliance has always been an issue and your idea of attaching the medicine to a tooth brush could work. I would still keep an eye on him to make sure he's taking his meds.
I have a few "fire and forget" patients but the majority of mine need a little help now and again. The advantage I have is with such a small patient population I am GOING to see them again outside the clinic. Thanks for the help, Doc.
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