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Medical Forum / Diseases and Disorders / Sinusitis / November 2006allergy shot
I have been receiving allergy treatment from the adult and child allergy medical center in hacienda height, la for 1 year. I just found out that they cut my dosage everytime the nurses think i have big bump after the shot. Is this a good way to treat a severe dust-allergic pt as I have a big bump everytime the shot is over 0.3 concentration? I used to receive the shot treatment with Kaiser, who continued the high concentration for 6 months that I could breath better with tremendous improvement . Now I change a doctor who gives the nurse so much leeway that just prolong my recovery time.... My allergist has told me that local reactions never predict systemic reactions, and he doesn't cut the dose unless you wheeze or have a systemic reaction--or drop your peak flow if you have asthma. The nurses need to have very strict guidelines and rationales for backing off on a dose for a red bump. I also have found that different nurses, through different techniques, can cause more severe reactions. I'd bring it up with the doctor, and review his/her protocol. Good luck Judy > I have been receiving allergy treatment from the adult and child > allergy medical center in hacienda height, la for 1 year. I just found [quoted text clipped - 7 lines] > Now I change a doctor who gives the nurse so much leeway that just > prolong my recovery time.... > I have been receiving allergy treatment from the adult and child > allergy medical center in hacienda height, la for 1 year. I just found [quoted text clipped - 7 lines] > Now I change a doctor who gives the nurse so much leeway that just > prolong my recovery time.... My old allergist did that and after a year all my allergies came back; she resensitized me to all of them. I'm back on the miraculously effective shots that give me a large red bump every time, and I'm only to stay on the same dose if it doesn't go away within 36 hours, otherwise I increase it each time. I'd find another allergist, one who'll desensitize you and get you to maintenance on a 3 month schedule. Susan >x-no-archive: yes > [quoted text clipped - 20 lines] > >Susan Susan, I'm glad you said that. After Monday's shot, I got some swelling afterward in my left arm (right arm was fine). First time. I mentioned it to the nurse this evening when I went for my shots, and she made a note of it. She gave me the same strength as the last time. Don't have the bump now. Interesting to note this is the same nurse whose administration of shots hurt more than other nurses, so maybe technique plays into this? Could it be stonger serum (I've basically started on the last and most potent bottles) coupled with poor shot-giving techniques cause swelling? Rick > Susan, > [quoted text clipped - 9 lines] > potent bottles) coupled with poor shot-giving techniques cause > swelling? Technique and location of the shot play a role. Sometimes I inject into my lateral thigh, which always produces a huge bump, but no constitutional symptoms. Susan I've also found that there are sometimes two phases to the local shot reaction: the immediate hive and I used to get an itchy lump in the area later on in the day, that could last a day--maybe T cells vs. IgE reaction?. Local reactions don't predict serious systemic reactions: this should be clarified with the allergist. Yes, there have been rare fatalities with allergy shots, but careful allergists check peak flows, inquire about itching/swelling of the throat--the local bump is not a good predictor. I was always amazed the the most dilute, first vial could produce an itchy welt. At this point, after so many years, I don't usually get any skin reactions. My daughter gets hers at her university health services, and one nurse doesn't give it subcutaneously, and she produces a huge bruise each time. That's not a local reaction, it's trauma. Judy > x-no-archive: yes > [quoted text clipped - 17 lines] > > Susan > I've also found that there are sometimes two phases to the local shot > reaction: the immediate hive and I used to get an itchy lump in the [quoted text clipped - 12 lines] > nurse doesn't give it subcutaneously, and she produces a huge bruise > each time. That's not a local reaction, it's trauma. I do my own shots at home, after the initial 12 weekly shots, so technique is pretty much the same. I get an itch bump on my upper arm, too, but a very big one on the lateral thigh. The nurse suggested that perhaps it's trauma to a vessel or something, plus different parts react differently. I noticed this years ago when a nicotine patch turned my husband's arm to bloody, red mush, but didn't irritate his back more than just a little bit. Susan >I do my own shots at home, after the initial 12 weekly shots, so >technique is pretty much the same. I get an itch bump on my upper arm, [quoted text clipped - 5 lines] > >Susan I have very sensitive skin, so it's surprising, and welcome, that I have only had the one bump after shots. I, too, used the nicotine patches years ago. No matter where I put them, my skin would itch, and produce a redness. Back then they weren't over the counter, and insurance didn't cover them. After about 6 weeks, I'd had enough, and stopped using them. They must have done their job - I haven't smoked since. |
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