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Allergy, Asthma & Immunology


Allergy, Asthma & Immunology

Just because anything can be an allergen doesn’t mean allergies have to stop you.


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What is the Allergy, Asthma, Immunology Department?

An allergic reaction is your body’s way of responding to what your immune system sees as an “invader.” People who suffer from severe or seasonal allergies, or asthma related issues, find themselves dealing with things that other people may take for granted. Allergies can make it tricky to enjoy a certain meal, use over-the-counter relief for headaches, or even sit outside on a sunny day. Meanwhile, asthma can hold us back from playing sports and enjoying an active life.

How We Are Different

No allergic reaction or asthma-related need is too big or too small for us—from bee stings to breathing difficulties, hives, hay fever and more. Our certified RNs prepare antigens right on site, while board certified allergists and immunologists provide comprehensive medical examinations that facilitate care.

Whether it be difficulty breathing or persistent irritation, the Asthma & Allergy physicians are here to support patients of all ages. We strive to provide the most up-to-date care methods for conditions including allergic rhinitis (hay fever), sinusitis (sinus infection), asthma, urticaria (hives), atopic dermatitis (eczema), and food/drug allergies. We will work with you to help determine the presence and severity of your allergies, and manage them accordingly. With the appropriate evaluation, counseling and treatment, you can be in control of your allergic and immunologic diseases.

We believe that finding care should be easy for you—and providing you with the right care is built into our DNA.

We see patients concerning all symptoms and reactions related to allergies and asthma:
  • Allergic Rhinitis (hay fever)
  • Asthma
  • Bee sting allergy
  • Chronic cough
  • Drug allergy
  • Dyspnea (shortness of breath)
  • Eczema
  • Eosinophilia
  • Eosinophilic esophagitis
  • Food allergies
  • Immune deficiency
  • Urticaria (hives)
Diagnostics and treatment options:
  • Skin testing for airborne and food allergens (scratch testing, results in 15 minutes)
  • Contact allergy testing for metals, chemicals (patch testing, results over 1 weeks)
  • Office Spirometry for asthma
  • Penicillin allergy testing
  • Aspirin desensitization
  • Allergen immunotherapy (allergy shots for airborne allergy)
  • Sublingual immunotherapy (allergy tablets placed under tongue, only for grass pollen)
  • Xolair injection therapy (chronic hives and asthma)
  • Immunoglobulin replacement therapy (Immune deficiency)
What types of diagnosing and testing do you do?

We are literally a ‘one stop shop’ of allergy and asthma diagnosing and treatment. We are able to diagnose and treat most symptoms stated above as well as provide immunotherapy directly in the suite under the supervision of their provider. We have also recently set up a pollen counting station for the Vancouver/Salmon Creek location.

What are antigen and immunotherapy injections, and do you provide them?

Commonly called allergy shots, allergen immunotherapy is a form of long-term treatment that decreases symptoms for many people with allergic rhinitis, allergic asthma, eye allergy or allergies to stings from bees and other insects. The shots decrease sensitivities to allergens, and can often create lasting relief even after treatment is over. And yes, we provide immunotherapy injections in our clinic.

What if I have a reaction to an allergy shot?

Redness and swelling at the injection site are the most common reactions, and usually happen immediately or within a few hours of treatment. In rare occasions, people will experience the actual allergy symptoms—such sneezing, nasal congestion, hives, etc.—after an injection. Serious reactions to allergy shots are rare, but when they happen, they require immediate medical attention. An anaphylactic reaction may include swelling in the throat, wheezing or tightness in the chest, nausea and dizziness. Most serious reactions happen within 30 minutes of the allergy injections, which is why we recommend you wait in your doctor’s office for at least half an hour after you receive allergy shots.

What to Expect

Expect to find the right mix of knowledge, insight and speed within our department. Allergies and asthma related issues slow us down in ways that many people don’t care to imagine. More than a mere lifestyle nuisance, these issues have serious effects on our lives. We are diligent in doing what it takes to keep you healthy and allergy free. One of our newest initiatives allows you to receive daily alerts regarding pollen count, along with our new pollen counting station. You can sign up for pollen alerts here.

Pollen Counter
Get today’s pollen count!

Our Salmon Creek office is now an official pollen counting station, recording the number and type of pollen grains suspended in the Vancouver air. This means you’ll have an accurate picture of what might be causing your sniffling and sneezing, and be able to take steps to prevent those symptoms.

Dr. Raj Srinivasan, chair of The Vancouver Clinic’s allergy and pulmonology medicine department, leads the efforts and operates the pollen station. Three days a week, he collects data using a Rotorod machine that sits on The Vancouver Clinic’s Salmon Creek location roof.