After learning about Dr. Both she and Shani were meticulous in their preparations with the restaurants to ensure that our son had a wonderful and safe experience. We truly appreciate their efforts to take care of our son, and to provide us with a lovely vacation experience. We want to thank you from the bottom of our hearts for the amazing gift you have given us over this Pesach- the gift of having you with us!!!!
Your warmth, professionalism, kindness, and care shown through in all that you did. My children are so grateful that they were able to be with you this Pesach. You made sure that they were so well looked after and they felt so at ease and comfortable with you! You were so amazing and approachable to them! And they LOVED all the food you so amazingly prepared supervised allergy-free food preparation, managed menus for them! We can never fully thank you enough.
We truly feel that you instantly became part of our family and we look forward to G-d willing being able to be with you and plan amazing trips with you many many many more times!!!! Thank you and may Hashem bless you for the work you do. My son Jacob said your allergy card has been very helpful. I am so grateful- beyond words.
Thank you for delivering our allergy free baked goods to our hotel. We just tasted the focaccia and it was delicious! We can't thank you enough for assembling this top-notch team of specialists to work with our daughter while she is in Israel. The Allergy card was extremely helpful for multiple allergies and allowed us to eat safely in several eateries and hotels. Highly recommended. My family ordered a week's worth of food from Food Allergy Concierge during the most recent lockdown.
When speaking recently with people I've been told that "I was pretty scared at the time so I didn't really feel the pain much" and "I felt better so fast I forgot about the pain. Can anyone describe how it feels, for allergic folks who have never had a reaction severe enough to warrant injection? If you're not comfortable posting on the boards, please e-mail me in confidence at [email]" mcarolynblack rogers.
I had to give my son the EpiPen one time. He had been terrified of it but was surprised at how little it hurt. It has helped to alleviate his fear of using it himself. I can't give more specific details but I hope this helps.
I had an anaphylactic reaction from shellfish. I didn't feel uncomfortable. It didn't hurt much during the injection only about 4 hours afterward. I didn't experience the bad side effects I used to when I used to go to the ER for asthma attacks as a kid and was treated with epinephrine.
I drove myself home [after 4 hours] when I went home. I wasn't jumpy. No pounding heart. I let him count how long I held it in--he counted to 15, and after I rubbed the injection spot, I let him. It stung some while when I injecting myself, but not that much. I remember telling DS, "It's not so bad at all! I remember the soreness afterward, and that was worse. I had a bruise afterward, but I also bruise every single time I train someone with the EpiPen trainer.
I bruise easily. So that wasn't unexpected. Interesting fact: it completely tore my pantyhose. The frozen-then-thawed devices fired a similar amount of epinephrine to their never-frozen paired device. When another frozen-thawed devices were opened unfired, there was no damage to the syringes or other device parts. She cautions that this research looked only at EpiPens, not other auto-injectors, and the impact on other devices could be different.
The device itself can also be negatively impacted by heat. In this study, Dr. We are also having trouble getting some devices out of the cases. She recommends replacing a device that has had significant heat exposure. She notes that the goal is to get the medicine into the thigh muscle, and the device mechanism that pushes the drug out also plays a role.
Brown believes the options available the devices in the U. She notes there is even a third dose option now, the Auvi-Q device for infants. Brown had no concerns about airport scanners. Her team [led by investigator Andrew McCray] has researched this easy mistake to make — and the news is not good for an EpiPen that has gone through the laundry.
While prescribing information does not address what to do if the device is submerged in water, the EpiPen website says the carrier tube is not waterproof and that a submerged device should be replaced. But our results are not encouraging. Epinephrine devices do continue to maintain a high level of the labeled dose of epinephrine as they age.
While Dr. Brown recommends keeping current, unexpired devices whenever possible, she has little concern about the four-month expiration date extension that the FDA issued on certain lot numbers during periods of shortage.
However, as Dr. There are epinephrine metabolites that occur as the medication ages. The safety or toxicity of these metabolites in the body in expired medication is unknown. With heat, light exposure or over time after expiration, epinephrine is degraded and metabolites begin to increase.
Epinephrine metabolites can exceed FDA recommended levels well before the medication shows any discoloration, says Dr. But if it was exposed to heat and is clear, it could still have significant degradation. Although Dr. The EpiPen is meant to deliver medicine right into the muscle so that it can be absorbed into the blood stream as quickly as possible. But that device was recalled last year. Read more: Why parents want all ambulances to carry EpiPens ».
With such a low dose, risk of side effects are low. And reactions can vary with time and triggers, meaning that someone whose attack subsided after one shot in the past might find themselves in the 20 percent category the next time.
At the emergency room, they can be monitored for further attacks and given additional epinephrine, as well as steroids like Prednisone and antihistamines to help with other symptoms.
Read more: Rising cost of EpiPens forcing some allergy sufferers to switch to syringes ». Now when she travels, she notes the location of the nearest hospital and pays for an international cell phone. But ultimately, her safety depends on access to epinephrine. The sky-high price of the EpiPen is, for her, not just a symbol of corporate greed but something that actually put her life at risk.
0コメント