We
are uniquely qualified to treat
the “whole person”, and
successfully integrate all
aspects of medicine including
holistic approach including
natural supplements in
managing health care and treatment. At Cosmedic Laser Clinic, we are
interested
in getting and
keeping you healthy and look
your best.
All
the staff in our office work as
a team to provide you with
quality medical care.
We are
proud of the training and
abilities of each of our staff.
We want you to have
the
confidence in them that we do,
so we can all work together to
meet your family’s
medical
needs.
San
Francisco, San Jose Bay Area is
our home, and most of us will
live here our
whole lives. But
when it comes to allergies,
living in San Francisco Bay Area
makes treatment harder because
the true allergy to dust mites,
mold or pollen
is superimposed
on the non-allergic effects of
the pollution, ozone and
humidity.
Many patients say they
feel great when they travel
elsewhere, only to have symptoms
come roaring back as soon as
they return. So, if you're going
to live in
San Francisco Bay
Area because of your job, or
because this is where your
loved
ones are, then successfully
treating allergies may require
you to be a bit
more aggressive.
That means paying equal
attention to avoiding dust mites
or
mold that you're allergic to,
avoiding non-allergic triggers
(e.g., cigarette smoke,
perfume,
etc), and seeking medical help.
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At
The Milpitas Medical Allergy
Clinic, we separate allergy
treatment into three branches:
avoidance, medication,
and immunotherapy
(allergy shots). It often takes
a
combination of some or all of
the three to provide a healthy
resolution to your problems.
See
treatment options
for more information.
Most treatment focuses on
medications – those that treat
symptoms, like Allegra and
Zyrtec or those that prevent
symptoms, like Flonase and
Nasonex. Newer medications
like Allermist, a nasal steroid, and
Patanase, a nasal antihistamine
or Xyzal, a
second-generation
version of Zyrtec, aren't much
stronger. Even with ideal
combinations
of these
medications and fine tuning of
the dosages, inadequate relief
is still inadequate
relief. Even
worse, most medications only
treat symptoms, and those
symptoms come right back as soon
as you stop taking the medicine.
See
medications
for more information.
Of all treatment options, shots
are the only ones that actually
treat the underlying allergy,
working toward a cure. In study
after study, allergy shots, when
taken for three to five years,continue to provide relief for
years after treatment. That's
certainly not true for pills or
sprays. Not even for the newest
allergy medications. See
immunotherapy
or
rush
immunotherapy for more information.
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There's an old saying in
medicine that goes, "All that
wheezes isn't asthma." It
reminds
students and physicians
that patients can wheeze when
they have congestive heart
failure with pulmonary edema,
foreign body obstruction (like a
peanut M&M in the
bronchus), or
dozens of other possibilities.
Conversely, not all asthma
presents with
wheezing. Symptoms
of asthma can include cough,
shortness of breath, tight
chest,
and, of course, wheezing.
Frequently asthma symptoms only
occur during certain times of
year or in certain
situations,
such as with exercise or during
infections. The "attack" is not
the norm;
most often symptoms
progress slowly over time.
Asthma can start at
any point
in life,
not just
in childhood. More and more, we
are seeing people in their 60's
diagnosed
with asthma for the
first time. Many of our newly
diagnosed asthma patients
express fear.
They believe they
will have to stop participating
in their favorite activities, or
they will
end up gasping for air
and puffing on a "rescue
inhaler." Parents often carry
images
of their kids sitting
inside, not able to go to recess
or participate in sports.
ALL OF THESE IMAGES ARE WRONG!
Asthma treatment has come a long
way. In fact, during the 2004
Olympics, many of
the athletes
had
asthma
including several medal winners.
The goal in asthma
treatment is
control. For students, control
means a team effort involving
the parents,
the school nurse,
and the coach. Medically,
control often includes
daily
anti-inflammatory medications
to prevent symptoms from
occurring in the first place.

Education for the patient (and
their family/school nurse/coach)
is key to
teach how to identify
and treat symptoms when they
first start. With appropriate
treatment, the vast majority of
asthma patients can continue to
enjoy any activity
they choose,
without limitations.
Avoidance – One of the
easiest remedies, avoidance, or
prevention, involves
removing or
decreasing exposure to the cause
of the symptoms from your life.
For example, a particular food
can be avoided, or a pet can be
removed from the
home or kept
away from sleeping areas. If one
is allergic to dust mites, a
common
allergen in this part of
the country, we often recommend
pillow and/or mattress
covers
that are impermeable to dust
mite antigen penetration.
Some causes of symptoms, such as
pollen, molds, and dust mites,
cannot be totally
eliminated.
Exposure can be reduced,
however, by environmental
control measures
prescribed by
your allergist. Remember, you
don't need 100% avoidance to
improve--just enough to get you
feeling better.
Medications– Although
avoidance is always the primary
recommendation, more
treatment
is usually advised. Medications
frequently are used to decrease
allergy
symptoms and return
patients to full health. Recent
advances in medications for
allergies, asthma and other
allergic diseases have been
phenomenal. Improvements
in
drugs have eliminated most of
the side effects associated with
them just a few
years ago. Your
specialist at The Allergy Clinic
will be able to suggest the
latest safe,
and most effective,
medications for treating your
allergic illness. Medications
are
generally divided up into
two categories--those to prevent
your symptoms, and those
to
treat your symptoms. It is
reasonable to infer that
prevention medications must be
used regularly to be most
effective. Prescription
medications can be very
expensive;
however, we will work
with you and your insurance
company to find the most
effective
therapeutic
alternatives covered by your
plan.
Immunotherapy (Allergy
Shots) – Although medications
may reduce or prevent
symptoms,
only a regimen of allergy shots
can actually alter or fix a
patient's allergic
response.
Allergy shots have been used by
the medical profession since
1911.
This time-tested therapy
decreases a patient's
sensitivity by introducing
increasingly
larger doses of the
substances to which the patient
is allergic. The treatment is a
method for increasing the
allergic patient's natural
resistance to the things that
are
triggering the allergic
reactions.
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Think of it this way: The
allergic response is an
overreaction to a harmless
substance. When the allergic
patient comes across something
to which they are sensitive,
the
allergic cascade begins, often
leading to misery. The
non-allergic person will breathe
in the same thing and have no
adverse response. The goal of
allergy shots is to gain this
tolerance to harmless
substances
which are mistaken for dangerous
invaders.
purified "extracts" of the substances that are causing allergic reactions.
For example, the animal dander, dust mites, or pollen. Each of these
has proteins which can be used to induce tolerance when properly
administered. The immunization injections are approved for this
purpose by the U.S. Food and Drug Administration (FDA) and,
over the years, have been improved considerably.
Allergy shots stimulate the immune system to fight allergies safely,
effectively and naturally. Beginning with small doses and increasing
gradually on a twice weekly or weekly basis, the therapy continues
until a maintenance level is achieved. Then the maintenance dose
is injected on a less frequent basis.
Immunity does not occur immediately, but patients can begin to feel
better quickly. In many patients, treatment can be discontinued after
3 or 5 years and the immunity is maintained for several additional
years. For others, treatment may be needed for longer periods of time.
With the immune system restored to good health, fewer or no
medications may be required. Work or school days are no longer
missed. The burden of allergies is lifted, and allergies are no
longer an issue in daily life.
Candidates for immunotherapy include patients of all ages.
Pregnant patients may continue treatment started prior to pregnancy.
Until recently, allergy shots (immunotherapy) had been used as a
last resort after medications and environmental control efforts had
been unsuccessful. Recent studies suggest that immunotherapy
should begin sooner rather that later. As opposed to antihistamines,
which treat symptoms, or inhaled steroids, which prevent symptoms,
allergy shots are designed to actually eliminate the underlying allergy.
The Practice Parameters for Allergen Immunotherapy quote
studies stating that receiving allergy shots for one or two items
actually prevents the formation of allergies to other allergens.
The Practice Parameters also point out that for children with allergies
limited to the nose and sinuses, allergy shots reduce the chances
that the allergy will progress to asthma, decrease the frequency of
sinus and bronchial infections, and enable patients to get better
sooner and stay better longer.
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What is an
allergy?
An
Allergy
is
an abnormal reaction to
a normal element.
Hundreds
of ordinary
substances can trigger
an allergic reaction.
These are
referred to as
"allergens." By taking a
careful history,
performing a
complete
allergy-directed
physical examination and
by skin testing,
Our
Allergy Clinic can help
pinpoint what causes
your allergy symptoms.
What about asthma?
Asthma
is not really a
"disease" but a syndrome
that may be caused
by
various triggers,
including sinus
infections, colds,
exercise, aspirin,
insects and allergens.
Symptoms include a tight
feeling in the chest or
a cough, shortness of
breath or wheezing.
Allergy plays a
significant role
in
asthma. Indeed it is
probably allergies
bothering the breathing
tubes.
The human body is
uniquely equipped to
fight off invasions from
germs.
However,
sometimes our bodies
think a simple allergen
is a germ,
which sets
off an aggressive (but
unnecessary) defense.
That's when
you start
sneezing, wheezing or
developing some other
allergic reaction.
Although anyone can
develop an allergy, the
tendency toward
allergies
and asthma is
linked to heredity.
What are some of
the most common causes
of allergies?
Most common allergies
are caused by
dust mites
the microscopic
organisms found in
household dust; pollen
or mold spores, which
typically results in
what is commonly called
hay fever; and animal
dander -
cats more
often than dogs.
Am I likely to
have food allergies?
The good news is that
only about two percent
of the population is
affected by true
food allergies.
The bad news is that if
you're one
of them, it's
no fun. However, unlike
pollen and dust, the
foods you're
allergic to
are more easily avoided
once you know which
foods
give you allergy and trouble.
What can I do to
prevent an allergic
reaction?
The best way to prevent
allergies is to avoid
whatever you are
allergic to.
Realistically, this
isn't always possible,
especially if you're
allergic to
such common
things as
pollen and dust mites. Our allergy clinic
can
help devise an avoidance
strategy to minimize
your exposure to
allergens. Certain
medications, along with
allergy shots,
also help
prevent
allergic reactions.
How can I make my
home less friendly to
allergens?
It depends on what
you're allergic to. Here
are just a few
suggestions
to reduce
most common allergens:
Living Room: If
possible, replace
carpeting
with wood or vinyl
floors
- or vacuum twice
a week with high
filtration bags. Keep
all plants
outside to
reduce mold exposure.
Avoid tobacco smoke.
Wash
pets frequently,
better yet, keep them
outside. Replace think
draperies with light,
washable ones, or
blinds.
Bedroom: Don't
allow pets in your
bedrooms. Use
allergen-proof
encasements for
mattresses and pillows.
Wash linens and throw
rugs in hot water. Keep
clothes an shoes in a
closed closet.
Outside: Keep the
outside out of your
house by keeping your
windows closed. Also, do
not let pets come in and
out because
they are
likely to pick up pollen
on their fur and bring
it indoors.
What about special
filters?
Though occasionally
helpful,
electrostatic HEPA
filters are
not
effective for many
causes of allergies.
Make sure what you're
allergic
to can actually
be filtered by the unit. Call us today at 408-945-0300 to
make an appointment for allergy testing and immunotherapy.










