{"id":107275,"date":"2013-11-23T07:35:35","date_gmt":"2013-11-23T11:35:35","guid":{"rendered":"http:\/\/dominicanewsonline.com\/news\/?p=107275"},"modified":"2013-11-23T07:35:35","modified_gmt":"2013-11-23T11:35:35","slug":"stay-well-sparkle-allergies","status":"publish","type":"post","link":"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/stay-well-sparkle-allergies\/","title":{"rendered":"STAY WELL &#038; SPARKLE  &#8211;  Allergies?"},"content":{"rendered":"<figure id=\"attachment_96466\" aria-describedby=\"caption-attachment-96466\" style=\"width: 207px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-96466\" alt=\"Dr. Sam Christian, MD.\" src=\"http:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2013\/06\/samchristian-207x300.jpg\" width=\"207\" height=\"300\" \/><figcaption id=\"caption-attachment-96466\" class=\"wp-caption-text\">Dr. Sam Christian, MD.<\/figcaption><\/figure>\n<p>PATIENT: I\u2019m allergic to oxygen.<\/p>\n<p>ANESTHESIOLOGIST: You allergic to oxygen?! Where you from? Mars or something?!<\/p>\n<p>This confused patient, an anaesthesiologist once told me about, was evidently allergic to something else. It definitely could not have been to the life-sustaining gas that makes up 21% of the atmosphere. The word \u2018allergies\u2019 is often used rather loosely. Let us therefore explore its various manifestations and treatments.<\/p>\n<p>The Hippocratic Oath declares, \u2018first, do no harm.\u2019 In other words, if you can\u2019t make them better, by all means, don\u2019t make them any worse. There are few faster ways to make a patient more deadly ill than by giving them medication they are allergic to. So please don\u2019t get too irritated when one healthcare professional after another seems obsessed with double-checking this particular piece of information.<\/p>\n<p>Most patients\u2019 medical charts will be recorded as having NKDA: no known DRUG ALLERGIES. Penicillin, Sulphur and Iodine are the most common culprits. Patients with multiple allergies have more limited options for drug treatment, but in the majority of cases there are effective alternatives.\u00a0 An allergy is a reaction within minutes or hours of taking the drug. It generally takes the form of a rash: puffy, patchy, scratchy welts spreading quickly over the body. It is a miserable feeling that can progress to swelling of the throat and difficulty breathing. Emergency treatment with steroids can be life-saving. Of course, absolutely stop the medication immediately. Then make sure that anyone treating you in the future knows the exact name of the offending medication.<\/p>\n<p>ENVIRONMENTAL ALLERGIES provide more of a diagnostic challenge. In many cases patients come with that characteristic rash without the slightest idea of the aggravating agent. Of course, there is the obvious case of bee sting allergy, for example. As you may know, a bee sting is no fun. It suddenly burns like hell. However, for those having an allergic reaction on top of that, it is a lot more serious matter. Ever heard of someone at picnic resting down their open can of soda? &#8211; and a passing bee decides to go in there to have a sip of that? \u2026 So simple, yet so tragic. The lip is close to the throat where the air can be cut off. Not to mention that picnic areas tend to be somewhat further away from hospitals, from whence cometh our help.<\/p>\n<p>Environmental allergies include dust mites and pet dander. Housewives allergic to dust may not get a lot of love in certain countries. Nevertheless, there may be a scientific basis to why some people don\u2019t like to clean house. (Just don\u2019t come to me for a medical excuse!) Then there are those who do not believe in separation of the species. They sleep with their pets and have lovingly exchange warm, wet kisses, regardless where else these creatures may be licking before. Not surprisingly, one of the most difficult tasks of a paediatrician is to convince parents that their furry friend may be complicating their child\u2019s asthma.<\/p>\n<p>In temperate countries, trees undress en masse in the fall and bear neither flowers nor fruits all winter. (Strange way to run agriculture, but they somehow still maximize production). With spring, however, comes a huge surge in the pollen count so much so that it is monitored by meteorologists as closely as wind speed and rainfall.\u00a0 It is a season of reddish, congested noses and a large portion of miserable people clinging to wads of Kleenex &#8211; perhaps about to shake your hand. If there is ever a time for sanitizer alert, spring is it!<\/p>\n<p>Places in paradise, on the other hand, are bombarded with waves upon waves of fruit all year round. Just when you get tired of mangoes, it\u2019s time for sugar apple, or soursop or paw paw or whatever else one\u2019s palate delights in. Lush greenery and flowers keep popping up all around. Doctors therefore have to be a lot more clever to discern whether some particular pollen, virus or other allergen is causing the patient\u2019s congestion.<\/p>\n<p>Finally, the third major category is CONTACT ALLERGIES. Zuti is an example of a plant that will inflict itching on contact. It\u2019s like poison ivy or poison oak in other countries. Some people are surprisingly resistant and others are exquisitely sensitive.\u00a0 Just clearing bush (involving the offending plant) releases airborne particles which can cause some poor soul to break out dozens of houses downwind. Cosmetics, lotions, air fresheners and laundry detergents have all been implicated as contact allergens in sensitive persons.<\/p>\n<p>Kids tend to wear cheap jewelry actually made of tin, zinc or nickel. The fickle \u2018gold plate\u2019 chips within days causing a skin rash in some cases. Often times, they even use tabs from soft drink or beer cans and whatever else. Children, who cannot wait to get that ring on their finger, may be the same ones as adults who cannot wait to get it off. Benadryl, Hydrocortisone cream, Calamine lotion, Sudafed are some of the wide variety of over-the-counter medications available at your pharmacy which can offer some good measure of relief. FOOD ALLERGIES is a whole separate topic by itself. I published research in my nutrition book which offers fascinating new insights into why certain people have difficulty losing weight or chronically lack energy, for instance.<\/p>\n<p>In medical training, I once had an Irish classmate who was allergic to potatoes! And I almost dated a woman who was allergic to chocolate, flowers and perfume &#8211; seriously! (Or was she just trying to tell me something?! Hmmmm\u2026whatever!) Anyway, as we\u2019ve seen, \u201cI have allergies\u201d can mean several different things. At least, after having this conversation, I better not hear that you told somebody something like you\u2019re allergic to water or oxygen!<\/p>\n<p><b>Dr. Sam Christian is surgeon who runs the Urgent Care on 137 Bath Road. It offers general medical care, office surgery, acupuncture and microdermabrasion. He is Medical Adviser to the Dominica Cancer Society and author of the faith and fitness nutrition book, \u2018Mannafast Miracle.\u2019 Dr. Christian can be reached at 440-9133 or by writing to <\/b><a href=\"mailto:urgentcare.da@gmail.com\" target=\"_blank\"><b>urgentcare.da@gmail.com<\/b><\/a><b>.<\/b><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"PATIENT: I\u2019m allergic to oxygen. ANESTHESIOLOGIST: You allergic to oxygen?! Where you from? Mars or something?! This confused patient, an anaesthesiologist once told me about, was evidently allergic to something else. It definitely could not have been to the life-sustaining&#8230;","protected":false},"author":15,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_cbd_carousel_blocks":"[]","footnotes":""},"categories":[30,102],"tags":[],"class_list":["post-107275","post","type-post","status-publish","format-standard","hentry","category-columns","category-stay-well-sparkle"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>STAY WELL &amp; SPARKLE - Allergies? - Dominica News Online<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/stay-well-sparkle-allergies\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"STAY WELL &amp; SPARKLE - Allergies? - Dominica News Online\" \/>\n<meta property=\"og:description\" content=\"PATIENT: I\u2019m allergic to oxygen. 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