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INITIAL EVALUATION WITH SKIN TESTING




One's first visit to our office is usually comprehensive and takes 2-4 hours. Allergy, asthma, and immunology specialists James R. Banks, M.D. and Timothy Andrews, M.D. work in concert with physician assistant Robert S. Barranco, Jr. and pediatric nurse practitioner Anne McConnell. All are board-certified or board eligible. History and physical exam are carefully assessed by members of this team. Old records and x-rays you bring along will be reviewed. Allergy and breathing tests and relevant teaching are then handled by our nursing staff. Testing is always tailored to the patient's specific condition. Results are discussed at this first visit, and specific recommendations are provided. Our nurses have extensive knowledge about allergic disease, asthma, peak flow meters, inhaler devices, avoidance measures, and medications and will review pertinent matters in collaboration with the providers. A final wrap-up discussion will occur with Dr. Banks or Dr. Andrews, often in conjunction with Mr. Barranco or Ms. McConnell.

PLEASE NOTE: Antihistamines need to be stopped prior to testing because they interfere with results. Most over-the counter antihistamines need to be stopped 4 full days prior to testing. Most prescription antihistamines should be stopped at least 7 days prior to testing. Please refer to our list of Medications to be stopped for a full list.

Certain antidepressant and antipsychotic medications also interfere with testing, but these should not be stopped without approval from the prescribing physician. Please let us know about these medications when you call for an appointment so that a proper appointment can be arranged.

Please bring your completed Registration Form and Allergy Questionnaire, along with any old records and chest or sinus x-rays at the time of your appointment.

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Allergy & Asthma Associates
277 Peninsula Farm Road · Arnold, MD 21012 · Tel: 410.647.2600 · Fax: 410.647.4953
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