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September 15, 2023
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Top in allergy/asthma: Breaking up with problem patients; food allergy testing 101

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Severing ties with difficult patients can be easier and less risky if they are given a “Patient’s Rights and Responsibilities” document as early as their initial registration, according to a speaker.

“You set the expectation so that when the patient starts acting in a disruptive [or] unprofessional manner, you can go back to them and say, ‘Look, we told you at the outset, this is what we need you to do,’” Kim Stanger, JD, said during a recent conference for physician assistants in allergy, asthma and immunology.

Doctor holding a patient's hands
Reasons for terminating a problem patient can include disruptive conduct, treatment noncompliance and communication breakdowns, according to a speaker. Image: Adobe Stock

It was the top story in allergy/asthma last week.

Also, in a recent column, Douglas H. Jones, MD, broke down which nonvalidated food allergy tests physicians should avoid and how the results of validated tests should be interpreted.

Read these and more top stories in allergy/asthma below:

Breakups with problem patients require communication, documentation

Physicians can sever ties with difficult patients, but these terminations require communication, documentation and justification, according to a presentation. Read more.

Food allergy testing 101

Every day, patients bring me results of broad panels of tests. Some are validated tests, whereas others are tests that have little to no real clinical data to support their use. Read more.

Q&A: Nine percent of chronic urticaria patients see exacerbations with COVID-19 vaccines

Nine percent of patients with chronic urticaria experienced exacerbations after getting a COVID-19 vaccination, according to a study published in The Journal of Allergy and Clinical Immunology. Read more.

Delayed maturation of gut microbiota associated with pediatric allergic disease

Infants with immature gut microbiota faced greater risks for developing atopic dermatitis, asthma, food allergy and allergic rhinitis by age 5 years, researchers said. Read more.

Recalled peanut extract yields false-negative allergy tests

Patients experienced smaller skin test wheal responses due to reduced levels of content in recently recalled peanut allergen extract, according to a recent study. Read more.