Shows
The AllergistThe many faces of milk problems“There is nothing magical that happens in your gut that says, ‘oh, now you’re ready for cow’s milk.’ — Dr. Farah KhanMilk has a special talent for creating chaos in clinic. One day it’s mucousy stools and a terrifying diaper photo, the next it’s hives after yogurt, delayed vomiting with lethargy, or a family that’s been dairy-free for years with no improvement in eczema. On this episode, Dr. Mariam Hanna is joined by pediatric allergist and clinical immunologist Dr. Farah Khan to walk through the many ways “milk problems” show up — and how allergist...
2026-02-0329 minThe AllergistDeveloping that immunology spidey sense“It’s not about knowing each one. It’s about knowing the patterns, the warning signs, the general pathways, and knowing when to ask a friend when you’re a little bit lost.” —Dr. Tamar RubinOn this episode of The Allergist, Dr. Mariam Hanna turns the focus to how allergists LEARN to recognize when common presentations may signal a deeper immune problem — and how that diagnostic instinct is built, taught, and sustained.She’s joined by Tamar Rubin, pediatric allergist and clinical immunologist, Assistant Professor at the University of Manitoba, and a national leader in immunology edu...
2026-01-2026 minThe AllergistHighlights from the 2025 allergy literatureKeeping up with the allergy literature can feel like a second job layered onto an already full clinic day. Between evolving guidelines, expanding biologic options, and long-held assumptions quietly being challenged, it’s hard to know which papers are worth slowing down for. This episode takes a deliberately selective approach. Dr. David Khan — chair of the American College of Allergy, Asthma, and Immunology literature review — walks through five papers from 2025 that stood out not because they were flashy, but because they asked practical questions allergists actually wrestle with in clinic.Timing of repeat epinephrine to inform pediat...
2026-01-0634 minThe AllergistENCORE: New Rules for Old Hives== Happy holidays to our audience around the world! As a gift, and a break for The Allergist team, we are replaying our most popular episode from 2025. We hope you enjoy it as much this time around. See you in the New Year! ==“We have to keep in mind that urticaria has to be treated until it's completely gone. So, absolute control of the disease.” — Dr. Hermenio LimaChronic spontaneous urticaria has long been managed with the goal of complete symptom control. But for many patients, that goal remains elusive. In this episode...
2025-12-2327 minThe AllergistNutrition and food allergy with Dr. Carina Venter“We should stop being scared of food, and we really should just let babies eat.” — Dr. Carina VenterDr. Mariam Hanna sits down with Dr. Carina Venter, a leading dietitian and researcher in food allergy prevention and management. They get into the everyday realities of feeding infants and children in allergy practice, from early introduction to texture challenges, growth concerns, and the rise of allergen-free processed foods.On this episodeHow nutrition supports the microbiome and immune system, and helps clinicians navigate the anxiety common in food-allergy clinics.Practical early-feeding strategies: pairing low-allergen foods with allergens, starting early, and keep...
2025-12-0927 minThe AllergistManaging the Confident but Incorrect“It's kind of like we opened a Pandora's box and trying to close it up again is going to be very hard.” —Dr. Zachary RubinDr. Zachary Rubin joins Dr. Mariam Hanna for a candid look at the “difficult and misinformed” patient — the growing phenotype every allergist now manages weekly. A double board-certified pediatrician and allergist-immunologist with a massive social media footprint, Dr. Rubin breaks down how misinformation spreads, why it resonates, and how clinicians can approach these encounters without burning out or burning bridges. From TikTok-fuelled certainty to patients demanding full panels, he offers a practical, clinician-fi...
2025-11-2526 min
La TournéeÉpisode 16: Les réactions d'hypersensibilité aux produits de contrasteCette semaine à La Tournée, on ouvre une bière et on part en virée du côté des réactions d'hypersensibilité aux produits de contraste, ces réactions qui font sonner les téléavertisseurs et accélèrent la fréquence cardiaque des équipes de radiologie!On reçoit le Dr Matthieu Picard, l'un des experts québécois du domaine, pour démêler les différents types de réactions d'hypersensibilité, les bonnes pratiques des mythes tenaces, et surtout pour décortiquer le document récent de l'INESSS qui encadre la gestion des réactions d'hypersens...
2025-11-241h 32The AllergistCan sinusitis be solved? The view from the ENT clinic“People know that asthma sucks. They don’t know that sinus disease sucks. It really impacts people's quality of life. It impacts their function. It needs to be taken very seriously.” — Dr. Andrew ThambooChronic sinusitis doesn’t just clog the nose—it can drag down quality of life, complicate asthma, and leave patients caught between specialists. Dr. Mariam Hanna talks with Dr. Andrew Thamboo, rhinologist at St. Paul’s Sinus Centre in Vancouver and clinical associate professor at UBC, about how to identify, manage, and treat this stubborn condition. A leader in chronic sinus disease research, Dr. Thamboo ex...
2025-11-1124 minThe AllergistTregs: The Peacekeepers of Immunity“The immune system generally likes to be a well-balanced machine. It’s kind of like Goldilocks — too much is no good, too little is no good, and it’s finding that balance.” Dr. Vy KimTregs have been called therapists, peacekeepers, and now—thanks to this year’s Nobel Prize—front-page immunology. Dr. Vy Kim joins Dr. Mariam Hanna to unpack why these cells might hold the key to everything from tolerance to therapy response, and what allergists should be watching for next.How Tregs bridge central and peripheral tolerance—and why that matters in allergy.What their dysfunct...
2025-10-2823 minThe AllergistA Clear-Eyed Look at the Red-Eye Culprit“Don't just rely on the textbook definition of when the pollen seasons are. You need to have reliable data to know when the pollen seasons are starting, when they're ending, and when they're peaking.” Dawn JurgensAllergy season may be winding down, but for allergists, the work never really stops. This is the moment between ragweed and winter — a brief respite before the cycle begins again. On this episode, Dr. Mariam Hanna is joined by Dawn Jurgens, Director of Operations and Quality Management at Aerobiology Research Laboratories. She breaks down the science behind pollen and spore counts, why for...
2025-10-1428 minThe AllergistStandard Vaccines And Special Cases“Vaccine counseling is really a team sport. — Dr. Anne Pham-HuyVaccines can stir anxiety for patients and confusion for clinicians, especially when biologics enter the mix. Dr. Mariam Hanna is joined by Dr. Anne Pham-Huy, clinical immunologist at CHEO, member of the Special Immunization Clinic Network, NACI member, and chair of Immunize Canada. Together, they break down the science of vaccine responses and tackle some of the trickiest questions allergists face in daily practice.On this episode:The major types of vaccines — from live attenuated to mRNA — and what sets them apart.Why live...
2025-09-3028 minThe AllergistNo to Olive Oil, Yes to What Works in Eczema Care“Atopic dermatitis is not just about what you see on the skin. It's about what the patient's experiencing.” Dr. Melinda GooderhamEczema care has become a world of creams, cleansers, oils, and myths — but what actually works? Dr. Mariam Hanna is joined by Dr. Melinda Gooderham, assistant professor at Queen’s University and consultant physician at the Peterborough Regional Health Centre. As principal investigator for more than 250 clinical trials, Dr. Gooderham brings both evidence and practical wisdom to the table.On this episode, they explore:Why barrier repair remains the cornerst...
2025-09-1628 minThe AllergistSolving the Mystery of Mastocytosis — Tests, Treatments and Triggers“You will think it is mastocytosis much more often than you'll actually diagnose mastocytosis.” — Dr. Matthieu PicardMastocytosis is rare, complex, and often confused with other mast cell disorders. To help clinicians cut through the confusion, Dr. Mariam Hanna welcomes Dr. Mathieu Picard, allergist and clinical immunologist, who has built a dedicated practice caring for patients with mast cell diseases. Together, they explore what physicians need to know about diagnosis, monitoring, and management.On this episode:Adults: Around 80% of adults with skin lesions have systemic mastocytosis, and the disease typically persists.Children: Pediatric cases are al...
2025-09-0228 minThe AllergistFinding the Fix for Chronic Cough“At least 60% don't respond to anything or who have been to somebody else before and they've come to me and they've tried everything and failed” — Dr. Imran SatiaDr. Imran Satia, Respirologist and Associate Professor at McMaster University and Canada Research Chair in Chronic Cough, joins Dr. Mariam Hanna to walk clinicians through a practical, evidence-based approach to diagnosing and managing chronic cough. With decades of research and clinical experience, Dr. Satia explains how to define chronic cough and its subtypes, recognize red flags, and navigate the common — and less common — causes that keep patients coughing f...
2025-08-1927 minThe AllergistGoing viral for the right reasons: join the fight against misinformation“Putting yourself out there online as a doctor is not easy. But staying silent while misinformation spreads—that felt worse.” —Dr. Amiirah AujnarainDr. Amiirah Aujnarain has built a community of 80,000 followers by blending evidence-based allergy education with a candid, human presence online. On this episode of The Allergist, she joins Dr. Mariam Hanna to examine how social media is shaping allergy conversations—sometimes for better, sometimes for worse.From Benadryl challenges to dupilumab searches on TikTok, patients are turning to social media for answers long before they see a specialist. Dr. Aujnarain shares how she’s meet...
2025-08-0522 minThe AllergistThe GI Guide for Allergists: A Deep Dive with Dr. Avinashi“I can’t think of any medical condition where you can have this type of fry but not that type of fry.” —Dr. Vish AvanashiPediatric gastroenterologist Dr. Vish Avinashi joins Dr. Mariam Hanna for an episode that jumps head first into the overlapping world of allergy and GI. From ARFID to EOE, they talk about the murky middle ground where food fears, immune triggers, and gut symptoms collide—and how allergists can better navigate it all with the help of a friendly gastroenterologist.How to recognize ARFID and why history, not testing, is your best diagnostic...
2025-07-2231 minThe AllergistWhat Allergies to Expect When You’re Expecting“They may worsen, they may improve, or they might not change at all, and it really is patient-dependent.” —Dr. Lana RosenfieldOn this episode of The Allergist, Dr. Mariam Hanna welcomes Dr. Lana Rosenfield to unpack the complexities of managing allergic conditions during pregnancy and postpartum. With hormones shifting, the immune system recalibrating, and anxiety about medication safety running high, allergic disease can be especially tricky to manage during this time. Dr. Rosenfield offers practical insights for clinicians supporting pregnant patients with conditions like asthma, rhinitis, chronic urticaria, and food allergy, while navigating a landscape of limited data a...
2025-07-0826 minThe AllergistTaking the sting out of diagnosing contact dermatitis“Have a high clinical suspicion for contact allergens or irritants in anyone presenting with eczematous rash.” —Dr. Rebecca PrattCreams that sting and rashes that won’t quit —welcome to the complex world of contact dermatitis. Dr. Rebecca Pratt joins Dr. Mariam Hanna to unpack why diagnosing and managing this condition is anything but straightforward.Dr. Pratt is an allergist and clinical immunologist in St. Catharines, Ontario, with a passion for dermatoimmunopathology and practical tools that empower patients. She breaks down when to patch test, what to suspect, and how to help patients take control.On th...
2025-06-2427 minThe AllergistTrust your gut and test for primary atopic disorders“If you're already wondering if a patient has an underlying inborn error of immunity, then it’s worthwhile to do that testing.” — Dr. Catherine BiggsWhat if that tough case in your allergy clinic isn’t just unusually severe, but fundamentally different? On this episode of The Allergist, Dr. Mariam Hanna speaks with pediatric immunologist Dr. Catherine Biggs about primary atopic disorders, rare inborn errors of immunity that masquerade as everyday allergy but demand a very different approach.Dr. Biggs breaks down the clinical signs that should raise your suspicion and explains why early recognition and genetic...
2025-06-1024 minThe AllergistHow to accidentally become a researcher“It doesn’t have to start with a huge trial. It starts with a patient and it starts with a problem.” —Dr. Gord SussmanHow do we move from the exam room to the frontlines of discovery? On this episode of The Allergist, Dr. Mariam Hanna talks with Dr. Gord Sussman about how curiosity—not a research grant—launched his decades-long contribution to allergy science. From identifying the early signs of latex allergy to shaping the treatment landscape for urticaria and hereditary angioedema, Dr. Sussman shares what keeps him asking the next question, and how any allergis...
2025-05-2720 minThe AllergistNew Rules for Old Hives“We have to keep in mind that urticaria has to be treated until it's completely gone. So, absolute control of the disease.” — Dr. Herminio LimaChronic spontaneous urticaria has long been managed with the goal of complete symptom control. But for many patients, that goal remains elusive. In this episode of The Allergist, Dr. Mariam Hanna talks with dermatologist and clinical immunologist Dr. Herminio Lima about the updated urticaria guidelines—and how new treatment options are giving clinicians more ways to act, and more hope for getting patients all the way to contro...
2025-05-1327 minThe AllergistBiologics, Polyps, and the Power of Collaboration "The emergence of biologics has really significantly transformed the management of these patients for me." — Dr. Yvonne ChanWhen it comes to nasal polyps, the landscape is shifting fast. On this episode of The Allergist, Dr. Mariam Hanna is joined by otolaryngologist Dr. Yvonne Chan to talk about how biologics, surgery, and multidisciplinary care are working together to reshape care for this stubborn condition. From recognizing key symptoms to navigating the latest therapeutic options, Dr. Chan shares practical insights to help physicians better support patients with nasal polyps.On this...
2025-04-2927 minThe AllergistTeaching with Feedback, Not Fireballs"We are all learning and we are all teaching." – Dr. Lori ConnorsWhat makes a great medical educator—and how do you actually become one? On this episode, Dr. Mariam Hanna is joined by Dr. Lori Connors, an allergist, seasoned teacher, and newly appointed Associate Dean of Continuing Professional Development and Medical Education at Dalhousie University. They explore the journey to becoming a great medical educator, how competency by design is reshaping training, and how to support the next generation of learners.Here’s what you’ll learn:How Dr. Connors’...
2025-04-1527 minThe AllergistFind time, to make time, to fix time“We need time to fix our time problem. And we can get stuck in this loop where we’re like, ‘I have no time to find time to make time to fix time.’” – Dr. Scott CameronIs your schedule running you—or are you running your schedule?On this episode of The Allergist, Dr. Mariam Hanna is joined by pediatric allergist and clinical immunologist Dr. Scott Cameron to talk about the chaos of clinical practice and how to take back control. With tips that go far beyond time management, Dr. Cameron shares practical strategies for streamlining clinic operatio...
2025-04-0128 minThe AllergistThe Suspect? Inborn Errors of Immunity"The key to the diagnosis of these disorders is the suspicion of these disorders."— Dr. Luis Murguia FavelaImmune dysregulation isn’t just about infections—autoimmunity, inflammation, and even malignancy can be clues that something deeper is at play. With over 500 known inborn errors of immunity, allergists are increasingly on the front lines of identifying these conditions. But when should we suspect immune dysregulation, and what does cutting-edge treatment look like today?Dr. Mariam Hanna is joined by Dr. Luis Murguia Favela, pediatric immunologist and founding chair of the Clinical Immunology Networ...
2025-03-1828 minThe AllergistThe Penicillin Allergy Puzzle: Who’s Really Allergic?“Most penicillin allergy labels are not indicative of any meaningful penicillin allergic reaction, and the vast majority can be de-labelled with direct oral challenges of amoxicillin." — Dr. Kimberly BlumenthalPenicillin allergy is one of the most commonly reported drug allergies—but here’s the twist: most people who carry this label aren’t actually allergic. So how did we get here, and what can be done to fix it?On this episode, Dr. Mariam Hanna sits down with Dr. Kimberly Blumenthal, an allergist, immunologist, and clinical researcher at Massachusetts General Hospital, and an associate professor at Harvard...
2025-03-0427 minThe AllergistCrossing the threshold of more precise allergy care"We use thresholds every day without even thinking about it. When we do a food challenge in our office, whether we know it or not, we're relying on the fact that there is a threshold for every patient. Some are going to be on the first dose, some are going to be at the last. And that's just part of what a threshold is." – Dr. Doug MackFood allergies aren’t one-size-fits-all, but we don’t talk enough about thresholds—the amount of an allergen it actually takes to trigger a reaction. Should every patient be follow...
2025-02-1827 minThe AllergistPrescribing Change: Could Omalizumab Transform Food Allergies?"Although omalizumab is not a cure, it's a major step forward for patients as the first monoclonal antibody or biologic therapy to become FDA-approved to treat food allergy." — Dr. Brian VickeryIs omalizumab set to change the food allergy landscape? And how should clinicians use it in practice? On this episode of The Allergist, Dr. Mariam Hanna sits down with Dr. Brian Vickery, professor of pediatrics and chief of the Division of Allergy and Immunology at Emory University, to break down what allergists need to know about this new FDA-approved biologic for food...
2025-02-0425 minThe AllergistWhen to breathe easy about asthma remission"I think that asthma’s at a great time right now for some really cool interventions moving ahead that can maybe make big differences in our patients’ lives." —Dr. William AndersonOn this episode of The Allergist, Dr. Mariam Hanna is joined by Dr. William Anderson to explore one of the most pressing and evolving questions in asthma care: remission. Together, they unpack the concept of asthma remission, what it truly means for patients and physicians, and how modern therapies are shaping its future.Dr. Anderson helps break down:What remissio...
2025-01-2126 minThe AllergistIs SLIT a Fit for your patients? Sublingual Immunotherapy for Peanut Allergies“I do think it's important that we understand that not all the foods are the same, and I think anyone who's seen patients in clinics understands this.” – Dr. Edwin KimCould sublingual immunotherapy (SLIT) be the peanut allergy solution allergists have been waiting for? In this episode, Dr. Mariam Hanna welcomes Dr. Edwin Kim, Division Chief of Pediatric Allergy and Immunology at the University of North Carolina, to dive into the science, practicality, and potential of SLIT. With a reputation for safety and ease of use, SLIT is gaining traction—but as Dr. Kim emphasizes, the evid...
2025-01-0726 min
mg par kilo - baladoÉpisode 11 | Allergies alimentairesAvec Dr Philippe Bégin, allergologue au CHU Sainte-Justine et au CHUM, nous allons: définir les différents types de réactions allergiques alimentaires;discuter de l’importance d’administrer rapidement l’épinéphrine en situation aiguë; résumer les principes importants pour l'immunothérapie orale et pour l’introduction des allergènes alimentaires.Références:Francoeur, M.-J. (2022, mai). Les allergies alimentaires chez l’enfant. Naître et grandir.Allergies Québec. (2025).CHU Sainte-Justine. (2019). Clinique d’immunothérapie orale.Waserman, S., Bégin, P., & Watson, W. (2018). IgE-mediated food allergy. Allergy, Asthma & Clinical Imm...
2025-01-0730 minThe AllergistEncore: Don't Delay: Embracing Early Intervention in Food Allergy ManagementThis is an encore presentation of our most downloaded episode of 2024.“Early introduction is the time-proven and research-proven prevention target for every child and every food.” -- Prof. Jonathan HourihaneVenture into the evolving landscape of food allergy management as Dr. Mariam Hanna welcomes Professor Jonathan Hourihane, a leading figure in pediatric allergy and immunotherapy from the Royal College of Surgeons in Ireland. Together, they explore the latest strategies in dietary advancement therapies and the critical role of early food introduction.On this episode:Early Introduction: Professor Hour...
2024-12-2427 minThe AllergistEpinephrine Essentials: Balancing Confidence, Safety, and Misconceptions“If that medicine is associated with fear of an injection, then we are giving the impression that a diagnosis of food allergy is worse than a life sentence.” — Dr. Paul TurnerWhen it comes to managing anaphylaxis, epinephrine is the gold standard. But even with its life-saving potential, misconceptions abound, and newer delivery methods like nasal and sublingual formulations are raising questions for allergists and patients alike. In this episode, Dr. Mariam Hanna sits down with Dr. Paul Turner, pediatric allergist, clinical immunologist, and global expert on anaphylaxis, to explore the science, controversies, and clinic...
2024-12-1028 minThe AllergistTiny Plastic Particles, Big Questions for Patient Health"Plastic has been found everywhere—lungs, breast milk, liver, spleen, placenta, even blood." – Dr. Magdalena Zemelka-WiecekEvery week, we’re ingesting the equivalent of a credit card’s worth of plastic—through food, water, and even the air we breathe. In this episode, Dr. Mariam Hanna speaks with Dr. Magdalena Zemelka-Wiecek, associate professor of clinical immunology at Wroclaw Medical University, about the pervasive presence of plastics in our environment and their potential role in influencing human health. For allergists, understanding the links between plastic exposure and emerging health concerns—including its impact on the immun...
2024-11-2623 minThe AllergistFido’s Got to Go? Managing Pet Allergies Without Saying Goodbye“I do not think families typically should be getting rid of pets if they're having symptoms. There are very, very well tolerated medications that we can use. We can use desensitization therapy with immunotherapy, and I think that's the discussion that should revolve around how to manage these.” — Dr. Shahzad MustafaFor many, pets are like family, which makes pet allergies a particularly sensitive issue. On this episode, Dr. Mariam Hanna invites Dr. Shahzad Mustafa, Chief of Allergy, Immunology, and Rheumatology at Rochester Regional Health, to explore practical, evidence-based approaches for managing pet allergies in patient...
2024-11-1227 minThe AllergistMCAS under investigation: Special Symptoms Unit“A lot of people are either being diagnosed or self-diagnosing (with MCAS), I would say somewhat inappropriately, without any actual evidence of mast cell activation. We're seeing it more and more commonly.” -- Dr. Tim OlynychOn this episode of The Allergist, Dr. Mariam Hanna teams up with Dr. Timothy Olynych, a clinical immunologist and allergist and PhD in mast cells, to unravel the mystery of mast cell activation syndrome (MCAS). This elusive condition requires some serious detective work, with clues scattered across a complex array of symptoms that don’t always add up. Together, they c...
2024-10-2925 minThe AllergistKeep calm and carry epinephrine: Easing food allergy anxiety “Introduce those allergens early, diversify that microbiome, and don't let fear rule you.” -- Dr. Priya BansalOn this episode of The Allergist, Dr. Mariam Hanna teams up with Dr. Priya Bansal, a triple board-certified allergist, to tackle the challenges of managing food allergies and the anxiety that often comes with them. Together, they walk through real-world cases that allergists frequently encounter, offering practical strategies to support patients and families.On this episode:Introducing Allergens at Home: Handling parents’ hesitancy to introduce allergens like tree nuts in infants who alre...
2024-10-1526 min
Time to Transform with Dr Deepa GrandonDefensive Strategies in Atopic Dermatitis: How to Prevent Allergies in High-Risk Infants w/ Dr. Stuart CarrAtopic dermatitis is the single most common chronic condition in the world, but it's also the most misunderstood and mistreated. People who struggle with it endure years of discomfort, a drop in their quality of life, a revolving door of doctors, reams of blood tests and a multitude of treatments. These treatments often focus on food and finding out what they can stop eating to get better. Though this is well-intentioned advice, it is misguided. The food you eat isn't the root cause of eczema. Growing data show that eczema is what causes...
2024-10-1057 min
Time to Transform with Dr Deepa GrandonDefensive Strategies in Atopic Dermatitis: How to Prevent Allergies in High-Risk Infants w/ Dr. Stuart CarrAtopic dermatitis is the single most common chronic condition in the world, but it's also the most misunderstood and mistreated. People who struggle with it endure years of discomfort, a drop in their quality of life, a revolving door of doctors, reams of blood tests and a multitude of treatments. These treatments often focus on food and finding out what they can stop eating to get better. Though this is well-intentioned advice, it is misguided. The food you eat isn't the root cause of eczema. Growing data show that eczema is what causes...
2024-10-1057 minThe AllergistDecoding Drug Allergies with Dr. Christine Song“A desensitization is really the assumption that they're allergic. It's not a test, it's not a test dose, it's not a graded challenge. A desensitization is the assumption or the confirmation that they are truly allergic to this drug.” -- Dr. Christine SongManaging drug allergies can be a delicate balancing act, especially when life-saving medications are involved. On this episode of The Allergist, Dr. Mariam Hanna is joined by Dr. Christine Song, an Assistant Clinical Professor at the University of Toronto and drug allergy lead at St. Michael’s Hospital. Together, they unpack the comple...
2024-10-0127 minThe AllergistOut with the Old: Saying Goodbye to First-Gen Antihistamines“Don't give a bad antihistamine masking as a sedative. If a person truly needs help with their sleep, then give them a proper sedative.” -- Dr. Marcus MaurerAs allergy seasons ebb and flow, there’s one drug that maintains its place in household medicine cabinets: Benadryl. On this episode, Dr. Mariam Hanna sits down with Dr. Stuart Carr, Chief Medical Officer at Snö Asthma and Allergy in Abu Dhabi and past president of the CSACI, to tackle the lingering myths and outdated uses of first-generation antihistamines. From their history to their ongoing role in prim...
2024-09-1727 minThe AllergistWhen to Bee concerned: Myths and Realities of Venom Allergies"History, history, skin test or serum IgE, and then consider doing the other test just to round out your testing until you're sure you've detected everything you need to detect.” -- Dr. David GoldenAs the leaves begin to fall, and the wasps begin to invade every patio lunch, Dr. Mariam Hanna sits down with Dr. David Golden, a leading expert on venom allergies and retired associate professor from Johns Hopkins. Together, they explore the swarm of complexities surrounding venom immunotherapy, from the nuances of diagnosis to emerging treatments on the horizon.In thi...
2024-09-0330 minThe Allergist‘Lots and lots of vomit’: a deep dive Into FPIES“FPIES is real, both acute and chronic FPIES. It's not a myth, and it can be an allergic emergency.” -- Dr. Nowak-WegrzynJoin Dr. Mariam Hanna for a comprehensive discussion on Food Protein-Induced Enterocolitis Syndrome (FPIES) with Dr. Anna Nowak-Wegrzyn, a leading expert in pediatric allergy and immunology at NYU Grossman School of Medicine. Dr. Nowak-Wegrzyn sheds light on this unique and often perplexing condition, offering critical insights for healthcare providers.On this episode:Understanding FPIES:Dr. Nowak-Wegrzyn explains FPIES, a non-IgE mediated food...
2024-08-2027 minThe AllergistSpotting Acquired Immunodeficiencies: Separating Myths from Medicine“I feel like the term "immunity debt" has become fashionable but has lost all its meaning for me." -- Dr. Samira JeimyJoin Dr. Mariam Hanna for a deep dive into secondary immunodeficiencies with Dr. Samira Jeimy, an assistant professor in the Division of Clinical Immunology and Allergy at Western University. Dr. Jeimy shares her extensive knowledge on acquired immunodeficiency, providing valuable insights for healthcare providers.On this episode:Understanding Acquired Immunodeficiency:Dr. Jeimy explains acquired immunodeficiencies, also known as secondary immunodeficiencies, and how they result from external fac...
2024-08-0622 minThe AllergistDecoding Hereditary Angioedema: Expert Insights with Dr. Stephen Betschel“HAE is a different disease than it was because of the advancement of treatments…make sure that you're offering the best form of therapy available to patients and their families.” -- Dr. Stephen BetschelJoin Dr. Mariam Hanna in an enlightening conversation with Dr. Stephen Betschel, an associate professor in the Department of Medicine and Clinical Immunologist and Allergist at St. Michael's Hospital, University Health Network. Dr. Betschel, a global authority on hereditary angioedema (HAE), shares his extensive knowledge on this rare and potentially life-threatening condition.On this episode:Understanding Heredit...
2024-07-2327 minThe AllergistApples, Pollen, and Itchy Mouths: Solving the PFAS Puzzle“It's important to recognize that fresh fruits and vegetables can cause local reactions in the mouth and gut. But if they're not causing symptoms of a more severe allergic reaction, don't panic. Chances are good that this is not something that's going to lead to more worrisome features.” -- Dr. Anne EllisDr. Mariam Hanna sits down with Dr. Anne Ellis, professor of medicine and chair of the Division of Allergy and Immunology at Queen's University, to explore the intricacies of Pollen Food Allergy Syndrome (PFAS), also known as Oral Allergy Syndrome. Dr. Ellis, a leadi...
2024-07-0922 minThe AllergistYes, preschoolers can develop asthma!“I'm still getting told from families and other physicians that you can't make a diagnosis of asthma until they're six. Why? Why is this still happening? We can diagnose preschoolers with asthma.” -- Dr. Tiffany WongJoin Dr. Mariam Hanna as she sits down with Dr. Tiffany Wong who pushes back on the persistent and unfounded skepticism about whether preschoolers can be diagnosed with asthma. Dr. Wong is an associate clinical professor at the University of British Columbia and the medical lead of the BC Children's Hospital allergy clinic. She covers the intricacies of diagno...
2024-06-2524 minThe AllergistBalancing chronic care and self-care for the patient and physician“When you fly, the flight attendant is always telling you, put on your oxygen mask first before you help somebody else. And it's so true. We’re way more efficient in a clinic setting when we have taken care of ourselves.” -- Dr. Maureen PetersenDr. Mariam Hanna sits down with Dr. Maureen Petersen, a pediatric allergist and immunologist from North Carolina Chapel Hill to explore the challenges of managing chronic illness from the perspective of both the physician and the parent. Dr. Petersen brings a unique personal connection to this topic, having...
2024-06-1129 minThe AllergistAdult vs. Childhood Food Allergies: A Deep Dive with Dr. Philippe Begin“I felt I was actually controlling my condition. It wasn't controlling me.” -- Patient of Dr. Philippe BeginJoin Dr. Mariam Hanna as she sits down with Dr. Philippe Begin, a renowned expert in allergy and immunology from the University of Montreal. They dive into the complexities of adult food allergies, distinguishing them from childhood allergies and discussing both clinical insights and patient experiences.On this episode:Understanding Adult Food Allergies: Dr. Begin explains the unique characteristics of adult food allergies, including the differences in allergens and symptoms between adults and children. He sheds ligh...
2024-05-2826 minThe AllergistShared Decision-Making: Beyond the Buzzword in Allergy Practice"Usually when patients have really strong feelings, what they're really trying to tell you is what their priorities are and what they are most afraid of" -- Dr. Michael CyrJoin Dr. Mariam Hanna as she welcomes Dr. Michael Cyr, a leader in allergy and clinical immunology, to explore the vital role of shared decision-making in the modern practice.On this episode:Understanding Shared Decision-Making: Dr. Cyr breaks down the concept of shared decision-making, emphasizing its importance in integrating patient preferences with evidence-based medicine. He highlights the n...
2024-05-1423 minThe AllergistDon't Delay: Embracing Early Intervention in Food Allergy Management“Early introduction is the time-proven and research-proven prevention target for every child and every food.” -- Prof. Jonathan HourihaneVenture into the evolving landscape of food allergy management as Dr. Mariam Hanna welcomes Professor Jonathan Hourihane, a leading figure in pediatric allergy and immunotherapy from the Royal College of Surgeons in Ireland. Together, they explore the latest strategies in dietary advancement therapies and the critical role of early food introduction.On this episode:Early Introduction: Professor Hourihane emphasizes the importance of introducing allergenic foods early to prev...
2024-04-3026 minThe AllergistAsthma in the Biologic Era: A New Prescription“I guarantee you, within the next five years or within my lifetime, there may be a permanent solution to a lot of medical conditions including (asthma)." -- Dr. Jason LeeAsthma remains a formidable foe, particularly when it escalates to its severe form. This episode of "The Allergist," Dr. Mariam Hanna, explores the complexities of severe asthma and the revolutionary impact of biologic therapies.Dr. Jason Lee, a leading expert in allergy and immunology, sheds light on the evolution of asthma treatment. Gone are the days when inhalers and cor...
2024-04-1628 minThe AllergistDemystifying Hives: Autoimmunity, Treatment, and the Journey Forward“(Urticaria) is not an allergic condition, it's an autoimmune condition, one. Two, it's not dangerous, but it can last long. Three, we have very good strategies to control it.” - Dr. Moshe Ben-shoshanHives are probably one of the most misunderstood rashes by the general public. Hives are not life-threatening, but they're debilitating. They're not an allergy, but they're often blamed for being one. They're a marker of autoimmunity with little to do with one particular disease and their course and triggers in one particular person is at best challenging to predict.Dr. Moshe Ben-shoshan tackles the intriguing world of chronic urticaria; cutting through common miscon...
2024-04-0226 minThe AllergistClimate Change and Allergies: Navigating the New not-Normal“Worst allergy season ever? Might not be an exaggeration for that patient.” -- Dr. Adam ByrneOn this episode, Dr. Mariam Hanna is joined by Dr. Adam Byrne, an expert allergist and clinical immunologist, to unravel the complex relationship between climate change and allergic diseases. Dr. Byrne sheds light on how rising global temperatures, increased pollution, and changing ecosystems are not just environmental issues but are directly impacting the prevalence and severity of allergic conditions.Together, they dissect the science behind why we're seeing an uptick in cases of asthma, allergic rhinitis, and atopic dermatitis...
2024-03-1922 minThe AllergistFood Allergies: Myths, Medicine, and Moving Forward“Food allergy tests are not screening tests…I will pause for dramatic effect…Food allergy tests are not screening tests.” Dr. David StukusDr. Mariam Hanna is joined by Dr. David Stukus, a leading pediatric allergist and clinical immunologist from Nationwide Children's Hospital in Columbus, Ohio. Together, they dive into the critical issues surrounding food allergy diagnostics and the latest advancements in treatment options, including developments in the field of oral immunotherapy (OIT) and the recent FDA approval of Omalizumab for food allergies.Dr. Stukus debunks common misconceptions about te...
2024-03-0525 minThe AllergistCharting the course: Dr. Abdurrahman's prescription for medical leadership“People think leadership has to be a loud person standing in front of everybody, declaring themselves the leader. Leadership isn't a dictatorship. Leadership is not always that loud person.” -- Dr. Zainab AbdurrahmanOn this episode of "The Allergist," we explore what leadership in medicine actually means with Dr. Zainab Abdurrahman, an accomplished allergist and clinical immunologist. Dr. Abdurrahman, who wears many hats including that of an assistant clinical professor of pediatrics at McMaster University and the incoming president-elect of the Ontario Medical Association, shares her insights on what it means to be a...
2024-02-1625 minThe AllergistAre Allergy Ladders Baked into Immunotherapy?“We don't do any fresh food skin testing because they have not been validated. And we know, if we put food on skin, we may well get a positive test, but we have no idea how to interpret that. And I think that's really important.” -- Dr. Douglas MackOn this episode of "The Allergist," we're climbing the food ladder with Dr. Douglas Mack, a pediatric allergy, asthma, and immunology specialist. Dr. Mack brings his expertise to the table, discussing the nuances of milk and egg allergies in children. Are all allergies created equal? Spoiler alert...
2024-02-0624 minThe AllergistDon't Fear the QI: Embracing Change with Dr. Victoria Cook"Collaboration and communication is how we make change." - Dr. Victoria CookJoin Dr. Mariam Hanna in a fast paced conversation with Dr. Victoria Cook, a trailblazer in Quality Improvement, as they discuss how QI is not just reshaping patient care but also revitalizing the healthcare workforce by mitigating burnout.On this episode:• Unveiling the science and strategy behind Quality Improvement and its profound impact on healthcare systems and patient outcomes.• Demystifying the Model of Improvement and the Plan-Do-Study-Act (PDSA) cycle, and their instrumental role in driv...
2024-01-2326 minThe AllergistA Journey Through Top Articles of 2023 with Dr. Matthew Greenhawt“We cannot be dogmatic about what we say about epinephrine…we need as a field to stop being so dogmatic and do more studies to understand." -- Dr. Matthew GreenhawtJoin us on this eye-opening episode, where we explore the latest breakthroughs in allergy and immunology with Dr. Matthew Greenhawt as he walks us through the pivotal articles of 2023 that are redefining the field.On this episode:Review penicillin allergy delabeling and why this is ready to incorporate into your medical practice.Understand the evidence for various atopic dermatitis treatment strategies using evide...
2024-01-0938 minThe AllergistHappy New Year...The Allergist is back Jan. 9thHappy New Year! We're taking a brief pause and will return with our next regularly scheduled podcast next week. We have some very exciting episodes lined up to kick off the new year. Our next full episode will be on January 9th, focusing on the top articles from 2023 that will change your practice. Following that, we'll explore the world of quality improvement and its integration into practice. Also, we'll discuss food ladders and the buzz surrounding them. Stay tuned for these and other great content. Wishing you a happy, prosperous, and healthy new yea...
2024-01-0200 minThe AllergistDeep Dive into Allergic Rhinitis Guidelines“Don't be afraid of using these disease modifying therapies. They're safe, they're effective, they will actually let you get away with using less medication.” -- Dr. Anne EllisVenture into the realm of allergic rhinitis as Dr. Mariam Hanna welcomes Dr. Anne Ellis, co-author of the latest Canadian guidelines for this common condition. Together, they unravel the complexities of this disease and explore the latest treatment protocols.On this episode:Defining Allergic Rhinitis: Dr. Ellis sheds light on what allergic rhinitis really is and the driving force behind the new g...
2023-12-1923 minThe AllergistEosinophilic Esophagitis Untangled: Insights with Dr. Edmond Chan“The allergist has many important roles in the management of EoE patients in the multidisciplinary EoE team.” - Dr. Edmond ChanJoin Dr. Mariam Hanna in an enlightening conversation with Dr. Edmond Chan, a leading voice in eosinophilic esophagitis (EoE). Dive into the ever-evolving landscape of this intriguing condition and explore the latest in medical management.On this episode:• Understanding EoE: Redefining a Decade of Change.• The Allergist's Role: Navigating Patient Management and Dietary Choices.• Steroids and Biologics: Breaking Down Treatment...
2023-12-0529 minThe AllergistBeyond the myth: Unveiling the reality of penicillin allergy“A patient does not need to avoid penicillin if a family member is allergic to penicillin.” Dr. Ana-Maria CopaescuJoin Dr. Mariam Hanna along with expert allergy and immunology specialist Dr. Ana-Maria Copaescu on this episode of The Allergist, as they unravel the intricacies of penicillin allergy, a commonly misunderstood health concern.On this episode:The PALACE Study Breakthrough: How direct oral penicillin challenge is reshaping allergy testing.Understanding the PEN-FAST Score: A crucial tool in evaluating the likelihood of penicillin allergy.Symptoms and Safety: Understanding the common symptoms of peni...
2023-11-2123 minThe AllergistMarvels and misconceptions of the immune system"I just would like to take this moment to be a bit smug about how the immune system is really the issue in many, many disorders, although it is not acknowledged as such. It's really all about the immune system." - Dr. Rae BragerJoin Dr. Mariam Hanna as she delves into the intricate world of immunodeficiency with pediatric immunologist and allergist, Dr. Rae Brager. In a conversation that illuminates the often-overlooked complexities of the immune system, they shed light on the multifaceted nature of immunodeficiencies, from battling infections to immune dysregulation....
2023-11-0725 minThe AllergistYour Comprehensive Guide to Atopic Dermatitis“Food allergies do not necessarily cause atopic dermatitis. but a compromised barrier function in the skin can lead to food allergies later on in life.” Dr. Vipul JainDive deep into the realm of skin health as Dr. Mariam Hanna sits down with Dr. Vipul Jain to untangle the intricacies of atopic dermatitis, commonly known as eczema, on this installment of "The Allergist." Shed light on the myths, distinguish the reality, and explore the best therapeutic avenues for this prevalent skin condition.In this episode:Unraveling the causes and symptoms of atopic derma...
2023-10-2435 minThe AllergistHome Management of Anaphylaxis: New Understanding and Evolving Perspectives"If you're ever thinking, should I use epinephrine or should I not? The answer is always yes, you should use it. It's always safe and it may be life saving.” - Dr. Elissa AbramsVenture into the heart of anaphylaxis matters as Dr. Mariam Hanna welcomes Dr. Elissa Abrams, a recognized expert on severe allergic reactions. They dispel doubts, dismantle misconceptions, and offer an in-depth understanding of anaphylaxis and its evolving treatments.In this episode: •Clarifying the real dangers of anaphylaxis. ...
2023-10-1022 minThe AllergistGoing beyond the blue inhaler"If you're reaching for your blue inhaler twice a day, something's off." - Dr. Andrew O'Keefe As we navigate through peak asthma week, Dr. Mariam Hanna sits down with Dr. Andrew O'Keefe, a renowned allergist and clinical immunologist from St. John's, Newfoundland. Together, they dive deep into the myths and misunderstandings surrounding asthma and the array of medications available.In this episode:Debunking asthma myths. Ensuring the right asthma diagnosis. Reliever meds: Are we overdoing it? The rise and importance of new controller medications, including biologics. Incorporating asthma management into a healt...
2023-09-2630 minThe AllergistIntroducing 'The Allergist'Ever feel like the world of allergy and immunology is changing just a bit too quickly?Welcome to your allergy lifeline..."The Allergist" podcast. A show that separates myth from medicine. Deciphering allergies and understanding the immune system.Hosted by Dr. Mariam Hanna, a pediatric allergist and the Pediatrics Section Advisor for the Canadian Society of Allergy and Clinical Immunology.Every episode of The Allergist is designed for YOU – the medical professional aiming to stay on the cutting edge of allergy care. We'll clarify, correct, and, most importantly, contextualize the latest evidence.
2023-09-2002 min
No BS NutritionWhy NOT to Get a Food Sensitivity TestTareq and Hannah talk about IgG Food Sensitivity Testing. There are various ways to have IgG food sensitivity tests done. From blood samples sent to a lab by an alternative healthcare practitioner or an at-home testing kit touted by an influencer, these are the tests we're talking about. H & T talk about why these tests are not reliable at pin-pointing food sensitivities and frankly, a waste of your hard-earned money. BS of the Week: Coherent Breathing.Follow us on Instagram: @nobsnutritionpod @hannahmagee_rd @tareqneuroFollow us on Twitter: @nbsnpod @hannahmagee_rd @tareqneuroSubscribe to...
2020-05-271h 00
CMAJ PodcastsPeanut allergy in infants: early introduction to reduce riskIn this interview, Dr. George du Toit and Dr. Amitha Kalaichandran discuss how to safely reduce an infant’s risk of peanut allergy with early introduction of peanut protein. They talk about the evidence behind why this works to reduce risk and they explain the recommended timing, frequency, and amount of peanut that should be given to infants.Dr. George du Toit is a pediatric allergy physician at Evelina London Children's Hospital in London, UK. He is also one of the lead researchers for the LEAP (Learning Early About Peanut Allergy) study. Dr. Amitha Kalaichandran is a pediatrics resident physician an...
2019-07-2225 min