Behind the appointment: Allergy and Immunology
Allergy and immunology are almost always combined together into one specialty. Basically, for anything that is off with your immune system, this is where you go. I’m going to write this guide as for a first appointment, but you’ll probably have regular follow up appointments after that are pretty similar.
The first thing they do at these appointments is weigh you, and then take your vital signs (blood pressure, heart rate, and oxygen saturation with that little clip on your finger). This is the nurse’s job, and they’ll also typically ask what medications you take and what brought you in for an appointment today.
Then you waaaaait for the doctor to come in (most allergists I’ve seen are usually behind schedule, but it’s often because they’re spending as much time as needed with each patient. So bring a book!)
The doctor will look in your ears, nose, and throat, and listen to your heart and lungs with the stethoscope. They’ll also look at your skin to check for any rashes or color changes. I’ve never been asked to put a gown on for an allergy appointment, so they’ll probably just look at your face and arms, unless there’s another area you know has a rash.
Interspersed with being examined will be lots of questions. They’ll ask you about symptoms, what makes them worse, what your home is like (to identify possible environmental allergens), how often you get sick, if anyone in your family has allergies or immunodeficiencies, and a bunch more related things. And YOU should get to ask them all your questions too!
If you’re here because you suspect you’re allergic to something, they’ll probably schedule allergy testing for you in the near future. If you don’t regularly take allergy meds, it’s possible they’ll do skin tests on the same day, but not likely. There are all kinds of skin tests for allergens (which I am planning to write about) and also blood tests. Actually, you’ll probably be sent to get blood drawn regardless of what you’re here for- it’s a good way to measure a lot of immune system things. You’re also pretty likely to be prescribed some medications, such as for allergies or asthma. This is also where you get your first epipen if that’s something you might need! I got a choice of what kind I wanted and they let me try out the training devices, which was nice.
And that’s it for appointment 1! I hope you get some helpful answers from your new doctor.