Claim OwnershipLet‘s Clear the Air! All Things Allergy, Asthma & Immunology
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Learn about recognizing, treating, and living with all things related to allergies, asthma and immunology from board-certified allergists and the support staff surrounding them. Delve deeper into our providers: their hobbies, their families, and how they chose their field. Discover the truth about what may be triggering your symptoms and how you can breathe better and easier. • DISCLAIMER: This Podcast and any information, advice, opinions or statements within it do not constitute medical health care or other professional advice, and are provided for general information purposes only. All care is taken in the preparation of the information in this Podcast. This Podcast and any information, advice, opinions or statements within it are not to be used as a substitute for professional medical health care. We recommend you seek the advice of your doctor or other qualified health providers with any questions specific to you regarding a medical condition. Do not disregard medical advice or delay visiting a medical professional because of something you hear in this Podcast. To the extent permissible by law, Allergy Associates, P.A. (dba The Allergy, Asthma & Sinus Center) will not be liable for any expenses, losses, damages (including indirect or consequential damages) or costs that might be incurred as a result of the information being inaccurate or incomplete in any way and for any reason. No part of this Podcast can be reproduced, redistributed, published, copied, or duplicated in any form without the prior permission of Allergy Associates. •
106 Episodes
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Join Dr. Nicholas Cline and host Marcella Feathers as they discuss the reintroduction of the Penicillin Allergy Verification and Evaluation (PAVE) Act.
The PAVE Act would require physicians to verify a penicillin allergy during the "Welcome to Medicare" preventive visit and annual Medicare wellness visits.
Penicillin was discovered in 1928 by Alexander Fleming and is an inexpensive but very effective antibiotic. Dr. Cline shares why the majority of patients who believe they're allergic to penicillin may have an inaccurate diagnosis and what options are available for determining if an allergy actually exists. Whether or not you're a Medicare patient, confirming a penicillin allergy can save you money and time!
Join host Liz Edwards and Dr. Paul Carter as they dive into how to manage food allergies during the holidays, when to use epinephrine, and the options available for epinephrine delivery.
For food-allergic patients, potluck dinners during the holidays can pose all sorts of risks. Host Liz Edwards and Dr. Paul Carter cover all the bases: from social anxiety asking about ingredients to relatives' ignorance regarding "small" amounts. Learn safe ways to navigate your food options.
And just in case an allergen is ingested, Dr. Carter and Liz share how to determine if an anaphylactic reaction is happening and how to use an epinephrine auto-injector. They also talk about the many delivery options for epinephrine that are now available, including a nose spray for needle-averse patients!
This episode is perfectly timed for the holidays for anyone who has or knows someone who has food allergies. So listen now, and keep the holidays safe and fun for everyone!
Join Dr. Phil Jones and host Marcella Feathers as they dive into a discussion about chronic hives and Mast Cell Activation Syndrome (MCAS).
Learn what's involved in diagnosing urticaria, some of the many types or causes of hives, and how new options in treatment can provide relief for many patients.
In connection with urticaria, Dr. Jones shares the three "must haves" for making a diagnosis of MCAS and how working with patients to find answers is at the forefront of his practicing methods.
Fall means back to school, and back to school can mean a return to allergic and asthmatic triggers for many students. Whether dust mites, mold, or fall pollen is contributing, your child may be exposed to classroom triggers that can interfere with their school performance, concentration, and sleep. In this episode of Let's Clear the Air, Dr. Nicholas Cline describes common school allergens, what symptoms to be on the lookout for, and how you can help your student bring their A-game this school year!
Dr. Nicholas Cline and host Marcella Feathers discuss two high-profile medicines: diphenhydramine and montelukast. Learn what allergic and asthmatic symptoms these first-generation medications are used to treat, what potential side effects may occur, and why newer options can offer better results with fewer risks.
Is the heat making you feel too heavy, too depleted to enjoy these last days of summer? You're not alone! Host Liz Edwards talks with Nurse Practitioner James O'Rourke about the burdensome effects of seasonal allergens, sticky humidity, and the oppressive heat.
The Dog Days of Summer, with their high temperatures and high humidity in the South, can worsen allergies, asthma, and eczema. Learn how breathing in hot air and airborne allergens, as well as contact with summer pollens, affect your nose, eyes, skin, and lungs, and how to be prepared and limit your exposure.
Are summertime allergies or asthma symptoms putting a damper on your enjoyment of the season? They don't have to!
Listen as host Liz Edwards talks with Dr. Sarah Adams about how to have summer fun without the allergic or asthmatic distractions.
When it comes to summer, the heat and humidity affect everyone; but for anyone who suffers from allergies or asthma, the season can become even more debilitating. If you notice you or your child needs frequent breaks, has chest pain, coughs. or just can't keep up with others when taking part in outdoor activities, it might be asthma. Unfortunately, we often accept what's "normal" for us as normal for others. That's where a board-certified allergist can help. Through actual measurements, allergists can determine how the lungs, sinuses, throat -- all things respiratory -- are functioning and can help you or your loved one enjoy every day of summer!
Listen to learn more about how asthma and allergies can be detected and how allergists do all things allergy/asthma to help everyone thrive in any season of life.
Host Liz Edwards and Dr. Michael Norvell provide an overview of biologics in this episode of "Let's Clear the Air!"
The Allergy, Asthma & Sinus Center began using biologics for asthma in 2010. Since then, biologics have been on a fast path of development. These molecularly engineered products operate on a very small scale and are different from typically prescribed or over-the-counter medicines, which use chemicals to initiate a physical response.
Listen to learn more about the superior safety profiles of biologics, their multiple uses within the allergy and asthma specialty, and their proven effectiveness.
Board-certified allergist Dr. Paul Carter and host Liz Edwards discuss all the tools in the specialist's toolbox for an accurate asthma diagnosis and an effective treatment plan.
Beginning with the allergic march, Dr. Carter reviews the progression of allergies to asthma and its telltale symptoms. He explains what a first visit looks like, what triggers can exacerbate asthma, and how a diagnosis is made.
Dr. Carter also describes the different levels of asthma, their corresponding treatment options, and how those treatments work. But most importantly, he reveals the significant impact effective treatment can have on a patient's quality of life.
Learn more about the allergist's asthma toolbox in this episode of Let's Clear the Air!
In this episode of Let's Clear the Air, Dr. Nicholas Cline talks with host Marcella Feathers about a process known as Oral Food Challenge.
Used to either clear or definitively determine a food allergy, the oral food challenge takes place in a controlled setting. For folks who may have been food allergic but are now testing negative via a skin test, or for anyone who has a blood test result of 2 or less, a food challenge can provide certainty. By introducing the allergic food in small, increasing doses, your allergist can watch for reactions, such as a drop in blood pressure, hives, and wheezing, and respond accordingly.
Listen to learn more about who is a good candidate for an oral food challenge and how the certainty of a diagnosis (or lack thereof) can be empowering.
Host Liz Edwards introduces us to Dr. Pragya Shrestha, a deeply caring and naturally curious board-certified allergist at our Middle Tennessee clinics.
Originally from Nepal, Dr. Shrestha has extensive experience in allergy, asthma and immunology. She has worked and trained at Reading Hospital in Pennsylvania, Mayo Clinic, and Vanderbilt. Curious about the workings of the human body at a young age, she was able to solidify her interest in the medical field by volunteering at a hospital during high school. After seeing the depth and scope of the field of allergy, asthma and immunology, Dr. Shrestha was ready to combine her love of deep investigative work to uncovering the root cause of allergic and asthmatic symptoms.
Dr. Shrestha's devotion to making a significant difference in her patients' lives is obvious. From enabling them to overcome seasonal allergy symptoms, to improving an eczema or urticaria patient's confidence, to seeing a child's excitement at his first successful bite of Nutella during a food challenge, Dr. Shrestha thrives on seeing her patients thrive!
Learn more about Dr. Pragya Shrestha's passions and curiosities in this episode of "Let's Clear the Air!"
Join us as host Marcella Feathers talks with board-certified allergist Dr. Phil Jones about overcoming the effects of asthma. To paraphrase Dr. Jones: you shouldn't accept the symptoms of asthma...you should be able to do anything you want to do!
Dr. Jones starts by defining asthma and its different triggers, explaining the relevance of chronic, episodic, and hyper-responsive reactions. He also explains how infectious diseases can trigger asthma in adults and what various treatments are available. As asthma specialists, allergists can provide very unique, individualized treatment plans to ensure patients' specific symptoms don't interfere with daily activities.
Learn how the affects of asthma can be reversed, why Dr. Jones tells patients that lung health is tied to nose health, and why physicians avoid prescribing alternative options (labeled "food supplements") as medication--all in this episode of Let's Clear the Air!
Host Liz Edwards introduces us to Dr. Paul Carter, a man of many interests and skills!
Dr. Carter shares how he landed on allergy, asthma and immunology as a career after spending time as an EMT, paramedic, and trauma surgeon (to name a few).
Dr. Carter is also walking proof of the effectiveness of allergy shots. Allergic to cats and horses, he now owns three cats and enjoys attending equestrian-themed shows.
Listen as he shares about his time in the Air Force, including his current service with the Air National Guard, working at Henry Ford Hospital in Detroit, Michigan, and how we can avoid severe allergy symptoms with allergy shots, a way to "healthy up" our immune systems!
Spring and summer mean warmer weather and fresh fruit and vegetables. But if you've noticed your lips or mouth itching or tingling after eating a raw fruit or vegetable, you may have OAS.
Oral Allergy Syndrome (also known as Pollen Food Allergy Syndrome) can occur when people who suffer from certain tree, grass, or weed pollens eat specific fruits, vegetables, or nuts.
Dr. Phil Jones explains why this cross-reactivity occurs and how you may be able to minimize your discomfort while still enjoying the fruits of the season! For more information on OAS and a helpful pollen-food association chart, visit our web page: https://www.allergyasc.com/oas.
Let's get to know Dr. Nicholas Cline!
Dr. Cline completed his medical degree at Mercer University in Macon, Georgia, and his residency at the University of Tennessee School of Medicine in Knoxville. His love for the field of allergy and immunology was sparked during his allergy rotation. A long-term sufferer of allergies himself, Dr. Cline discovered not only his medical calling but also a diagnosis and lasting relief!
After UT, Dr. Cline moved to Cleveland, Ohio, where he completed his fellowship training at the acclaimed Cleveland Clinic. Working with more than 30 faculty in the specialty, Dr. Cline was able to experience and learn from a wide array of cases and clinical solutions.
Listen as Dr. Nicholas Cline shares his intense commitment to helping patients understand their diagnoses and treatment plans, his lasting appreciation for his time at Cleveland Clinic, and his extensive knowledge of all things allergy – from Georgia to Ohio, through Kentucky to Tennessee.
Host Liz Edwards speaks with Dr. Poneh Heine about "all things" related to spring allergy season.
Georgia is already seeing lots of tree and grass pollen, starting this spring with a bang! Dr. Heine shares how you can navigate this season and upcoming ones as pollen counts continue to climb. (While medications can help, Dr. Heine explains why they're not a long-term solution, especially when the pollen count can exceed 8,000 per cubic meter!)
With skin testing and allergy shots, you can avoid the drowsy, drying side effects of allergy medications. Learn how immunotherapy can help your immune system keep from over-reacting to pollens and other allergens. Also, Dr. Heine shares how her daughter's allergic eye reactions led to oral allergy syndrome, causing mouth irritation whenever she ate apples or carrots.
You can avoid worsening inflammation, irritations like OAS, and infections. Listen to this episode to learn how.
We're excited to introduce one of our newest providers, Nurse Practitioner Sharon Lever!
After several years as a respiratory therapist in New Hampshire, Sharon went back to school to achieve her ultimate goal of becoming a nurse practitioner, focusing on pulmonology and then transitioning into the allergy field.
Sharon is a certified asthma educator and a competitive trapshooter! She's also ready to explore all the area offers, including regional NASCAR tracks.
Listen to learn more about Nurse Practitioner Sharon Lever, her love of treating patients, and why we're excited to welcome her to our practice.
Our pollen counts have begun for 2025, but what's involved in counting the pollen and why should we care?
Dr. Laura Green talks with host Marcella Feathers about how the pollen count is gathered and why awareness of the day's count can be important for allergic and asthmatic folks.
From tree pollens traveling hundreds of miles to the tenacity of mold spores here in the South, listen as Dr. Green provides insight into our ever-worsening pollen seasons and possible solutions for seasonal and year-round sufferers. (Sign up for weekday pollen counts here.)
Host Liz Edwards and Dr. Michael Norvell jump right into spring allergies! Did you know that in Middle Tennessee, tree pollen starts to show in late February, sometimes even sooner? Now is the time to be prepared.
Dr. Norvell offers tips for when over-the-counter medications aren't helping or when you're not sure what's causing your symptoms. In either situation, he urges patients to err on the side of caution. The sooner you know, the sooner you can feel better.
Dr. Norvell shares insight on skin testing, easing fears for any needle-phobic patients, and how allergy shots are different from the often confused steroid shots, too.
He also explains when patients can expect relief if new to immunotherapy and how this "modification" of the immune system is customized to each patient's specific need.
Learn how to be prepared this spring, whether new to the Nashville/Middle Tennessee area or a native, by listening to this episode of Let's Clear the Air!
Host Liz Edwards welcomes Sung Poblete, PhD, RN and CEO of FARE, for our special Valentine's Day edition!
Dr. Poblete and the Food Allergy Research & Education organization are valuable resources for anyone who is food allergic or knows someone who is, and with more than 33 million food-allergic people in the United States, that covers most of us! Dr. Poblete shares the importance of FARE's initiatives to promote health and health equity as they work to find a cure and better treatment therapies for people with food allergies. Dr. Poblete also makes an important distinction between food and food allergies: food is NOT the enemy, the disease is.
Listen as Dr. Poblete and Liz discuss the staggering statistics of food allergy reactions in schools and how easy and important it is to provide non-food holiday items that everyone can enjoy.
For more information about FARE and for their many resources, including the Emergency Care Plan and the Toolkit for Food Allergies in the Classroom mentioned in this podcast, visit FoodAllergy.org.
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