Sept. 30th, 2018 Allergy Asthma & Immunology of the Rockies Teal Pumpkin Event!

Allergy, Asthma & Immunology of the Rockies, P.C. is excited to announce our 3rd year of the Teal Pumpkin Event coming up September 30th, 2018.  This year we are excited to take part once again at the 27th Annual Wild West Days from 10:00 am – 3:00 pm at 4Eagle Ranch in Wolcott, Colorado. Wild West Day, a project of Education Foundation of Eagle County (EFEC), is a local hoe-down filled with fun, games and entertainment for the whole family including the Wild West Great Stampede hosted by Vail Rec District! Look for the AAIR booth where we will have information on the Teal Pumpkin Awareness and fun games & information for the kids! Thank you for all your support and we look forward to seeing you.

For more information on location and the Wild West Day Event CLICK HERE!

AAIR Welcomes New Doctor

Dr.Pyle_640x813AAIR is proud to announce the addition of Dr. Regan Pyle, DO to its practice. Dr. Pyle is a Colorado native who enjoys life in the high country.

“It is a dream come true to practice allergy and raise my family in the mountains,” said Dr. Pyle. With the goal of providing compassionate, high-quality care by listening to her patients, Dr. Pyle views the doctor-patient relationship as a two way street. Dr. Pyle’s approach includes listening to patients concerns and involving them in their healthcare so she  can ultimately improve their quality of life.

To learn more about Dr. Pyle and AAIR please click here.

What is Ragweed?

PollenA primary culprit of fall allergy symptoms is Ragweed. A single ragweed plant can produce millions of pollen grans and because these pollen grains are very light weight, they travel very easily through the air. Allergy symptoms, such as itchy, red, watery eyes, runny nose, and sneezing occur when your body’s immune system treats the allergen as a foreign invader and histamine is released into the bloodstream. Proper diagnosis is the first step to manage allergy symptoms.

Laura Bond, PA-C

Changes in Springtime Allergies

Springtime allergiesHave your springtime allergies decreased lately?  Our cold weather, rain and snow has likely provided some relief! Do not be fooled.  All of this moisture may be setting us up for a severe grass season which typically starts in June. Keep the bedroom windows shut at nighttime and this may help.

Groundbreaking Peanut Research

Food_Allergies_Nuts_1500x430Recently, a new study out of Europe was recently presented at the American Academy of Allergy Asthma and Immunology annual meeting. This interesting study demonstrated that infants that are high risk for food allergies (infants with atopic dermatitis or egg allergy) and fed peanut between age 4 and 11 months of age are less likelihood of going on to develop a peanut allergy.  It is our recommendation that if your child has eczema, atopic dermatitis or food allergies, or is at high risk for food allergies you should seek the opinion of your doctor or seek the opinion of a board-certified allergist prior to administering your child peanut butter.

AAIR Welcomes New PA Ken Baird

KenBaird+FamilyKen Baird brings a variety of life experience to his position as Physician Assistant at AAIR.

After graduating from the University of Utah in Psychology he had the great opportunity to work with troubled youth in the Boulder Mountain / Capitol Reef area of Central Utah. What a growing experience, and as a life changing bonus, it was where he met his wife Debbie Darien Baird – a native of Carbondale. They then spent 5 years in Seattle where Ken worked at Job Corps and then with Microsoft.

Late 1999 brought them to Carbondale to be close to family and the mountains. In 2007, after 7 years with First Resort Software / ResortQuest, Ken returned to school to become a Physician Assistant, attending Salus University in the greater Philadelphia area. Ken then had the privilege of working in Eastern Pennsylvania in a clinic specializing in Lyme Disease for 2 years before finally getting back to Carbondale and the beauty of the Roaring Fork Valley. He loves spending time with his family, hiking in the desert and taking way too many photographs. He enjoys working with patients to improve their health and their quality of life.

Asthma Triggers and Management: Tips to Remember

If you have asthma, the airways in your lungs are usually inflamed. During an asthma flare-up these airways get even more swollen, and the muscles around the airways can tighten. This can trigger wheezing, cough, chest tightness and shortness of breath.

An allergist / immunologist, often referred to as an allergist, has specialized expertise to clearly identify your asthma triggers and to develop a treatment plan that can minimize flare-ups and improve your quality of life.

Common Asthma Triggers
• Many people with asthma have allergies, which can trigger asthma symptoms. Common allergens include house dust mites, animal dander, molds, pollen and cockroach droppings. Your allergist can identify what you are allergic to and recommend ways to avoid exposure to your triggers.
• Tobacco smoke is an irritant that often aggravates asthma. Your asthma may also be irritated by air pollution, strong odors or fumes.
• Many patients with asthma develop asthma symptoms when exercising. This is called exercise-induced bronchoconstriction (EIB).
• Some medications can cause or worsen asthma symptoms. These include aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, and beta-blockers, which are used to treat heart disease, high blood pressure, migraine headaches or glaucoma.
• Emotional anxiety and stress may also increase asthma symptoms and trigger an attack. Proper rest, diet and exercise are important for your overall health and can help in managing asthma.
• Viral and bacterial infections such as the common cold and sinusitis.
• Exposure to cold, dry air or weather changes.
• Acid reflux, with or without heartburn.

Asthma Medications
Asthma is a chronic disease, so it requires ongoing management. This includes using proper medications to prevent and control symptoms and to reduce airway inflammation.

There are two general classes of asthma medications, quick-relief and long-term controller medications. Your allergist may recommend one or a combination of two or more of these medications.

Quick-relief medications are used to provide temporary relief of symptoms and, at times, used before exercise. These rescue medicines are bronchodilators, which help to open up the airways so that more air can flow through. Bronchodilators are primarily short-acting beta-agonists administered by an inhaler or a nebulizer machine. Another type of medicine called an anticholinergic may be used at times.

Long-term controller medications are important for many people with asthma, and are taken on a daily basis to control airway inflammation and treat symptoms in people who have frequent asthma symptoms.

Inhaled corticosteroids and leukotriene modifiers can help control the inflammation that occurs in the airways of most people who have asthma. One medication may work better for you than another. Your allergist can help guide you.

Inhaled long-acting beta-agonists are symptom controllers that open your airways.

Current recommendations are for them to be used only along with inhaled corticosteroids.

Leukotriene modifiers are typically used to open airways.

Methylxanthines can help open the airways and may have a mild anti-inflammatory effect. Theophylline is the most frequently used methylxanthine. Blood levels of theophylline need to be monitored.

Omalizumab is an injectable antibody that helps block allergic inflammation. It is used in certain patients with severe persistent allergic asthma.

Asthma Management Plan
The better informed you are about your condition, the better control you will have over your asthma symptoms. To assist, you and your allergist will develop a personalized management plan. This plan includes:
• Ways to avoid your asthma triggers.
• Medications to prevent symptoms as well as medications to use for quick relief of flare-ups.
• An asthma action plan to identify when you are doing well and when you need to seek help.
• A partnership between you, your family, your allergist and other healthcare providers.

Together, you and your allergist can work to ensure that asthma interferes with your daily life as little as possible.

Healthy Tips
• Asthma triggers vary from person to person and so do strategies to reduce asthma flare-ups.
• Many people with asthma also have allergies, which can trigger asthma symptoms. Your allergist can identify what, if any, allergens you should avoid.
• Quick-relief rescue medications provide temporary relief of asthma symptoms, while long-term controller medications are taken on a regular basis to control airway inflammation or prevent frequent asthma symptoms.
• Your asthma medications may need to be adjusted as you and your asthma change, so stay in close touch with your allergist.

Feel Better. Live Better.
An allergist / immunologist, often referred to as an allergist, is a pediatrician or internist with at least two additional years of specialized training in the diagnosis and treatment of allergies, asthma, immune deficiencies and other immunologic diseases.

By visiting the office of an allergist, you can expect an accurate diagnosis, a treatment plan that works and educational information to help you manage your disease and feel better.

The AAAAI’s Find an Allergist / Immunologist service is a trusted resource to help you find a specialist close to home.

© 2013 American Academy of Allergy, Asthma & Immunology. All Rights Reserved.

Posted with permission from the American Academy of Allergy, Asthma & Immunology (AAAAI)

Feel Better. Live Better. See an Allergist / Immunologist: Tips to Remember

Allergist / immunologists are specialists in the diagnosis and treatment of allergies, asthma and other diseases of the immune system.

Allergists practicing in the United States have completed medical school, at least three years of residency in pediatrics or internal medicine, then at least two years of specialized training in allergy and immunology. To be board certified, they must pass an examination and regularly attend continuing medical education programs in allergy and immunology. Many people with untreated allergic symptoms aren’t aware of how much better they can feel once their symptoms are properly diagnosed and managed by an allergist / immunologist.

An allergist’s approach is personal. Your allergist typically asks about your medical history, does a physical examination and performs specific allergy and/or breathing tests. The results guide a personalized treatment plan which typically includes measures to avoid or eliminate triggers, recommendations for medications and education to help you take an active role in treating your disease.

Causes of Allergies 
Allergies are the result of a chain reaction that starts in the immune system. Your immune system controls how your body defends itself. For instance, if you have an allergy to pollen, your immune system identifies pollen as an invader or allergen. Your immune system overreacts by producing antibodies called Immunoglobulin E (IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction.

Common Allergic Diseases Allergic rhinitis may be seasonal or year-round. Seasonal allergic rhinitis (hay fever) typically occurs in the spring, summer or fall. Symptoms include sneezing, stuffy or runny nose and itching in the nose, eyes or on the roof of the mouth. When the symptoms are year-round, they may be caused by exposure to indoor allergens such as dust mites, indoor molds or pets.

Allergy tests give very specific information about what you are and are not allergic to. For instance, if you wheeze when you’re at home and don’t know why, you don’t have to get rid of your cat if your allergy testing shows you are allergic to dust mites but not cats. With this information, you and your allergist can develop a treatment plan to manage or even get rid of your symptoms.

Asthma is an allergic disease that causes frequent episodes of wheezing, coughing, shortness of breath and/or chest tightness. It is common for people with asthma to also suffer from allergies, so your allergist may conduct thorough allergy and breathing tests to find the causes of your asthma. Studies have shown that care by an allergist can decrease the number of asthma flare-ups and the need for emergency care. You and your allergist can work together to ensure that your asthma is well-managed, so that you can participate in normal activities.

Allergists are helpful in treating recurring sinus and ear infections. People with asthma are more prone to sinus infections (rhinosinusitis) which can, in turn, make the asthma worse. Sinus infections are also common in people with allergic rhinitis. Although young children are expected to have more ear infections, it is important to monitor children with very frequent or severe infections. This is because the most serious immunodeficiencies usually become apparent during the first years of life.

If you have a food allergy, even a tiny amount of the food you’re allergic to may cause a reaction. Symptoms of an allergic reaction are generally seen on the skin or involve the stomach and intestines. These include swelling, hives, eczema (itchy, red scaly rash), vomiting, diarrhea, abdominal cramping or a stomach ache. Allergy tests performed by an allergist can determine which foods, if any, are triggering the symptoms.

Atopic dermatitis (eczema) is a skin allergy causing a red, dry, itchy rash on the face, elbows, wrists, knees and ankles. Atopic dermatitis is treatable but not curable. Urticaria (hives) are red, itchy, swollen areas of the skin that can range in size and appear anywhere on your body and seem to move around. Angioedema is a swelling of the deeper layers of the skin such as the eyelids, tongue or lips. An allergist can determine which allergic skin condition you have and help you take steps to treat it.

Anaphylaxis (an-a-fi-LAK-sis) is a serious allergic reaction that happens very quickly. Without immediate treatment – an injection of epinephrine (adrenaline) and expert care – anaphylaxis can be fatal. Follow-up care by an allergist is essential.

Many people don’t realize they have an allergy until they suffer an anaphylactic reaction. It is usually caused by foods, medicine, latex or insects, and at times without an obvious cause. Symptoms of anaphylaxis include hives, flushing, wheezing, coughing, shortness of breath, throat tightness, nausea and dizziness or faintness.

Immune system problems may cause repeated infections such as bronchitis, ear infections or pneumonia. People with inherited immune system disorders (primary immunodeficiency disorders) are less able to fight infections and are more susceptible to complications. While these disorders are rare, there are about 100 different types, making diagnosis and treatment by an allergist / immunologist very important.

Feel Better. Live Better.
The right care can make the difference between suffering with an allergic disease and feeling better. By visiting an allergist, you can expect an accurate diagnosis, a treatment plan that works and educational information to help you manage your disease.

Posted with permission from the American Academy of Allergy, Asthma & Immunology (AAAAI)

Outdoor Allergens: Tips to Remember

Seasonal allergic rhinitis, commonly referred to as hay fever, affects millions of people worldwide. Symptoms include sneezing, stuffiness, a runny nose and itchiness in your nose, the roof of your mouth, throat, eyes or ears. These allergic reactions are most commonly caused by pollen and mold spores in the air, which start a chain reaction in your immune system.

Your immune system controls how your body defends itself.

For instance, if you have an allergy to pollen, the immune system identifies pollen as an invader or allergen. Your immune system overreacts by producing antibodies called Immunoglobulin E (IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction.

 Pollen are tiny grains needed to fertilize many kinds of plants. Pollen from plants with colorful flowers, like roses, usually do not cause allergies. These plants rely on insects to transport the pollen for fertilization. On the other hand, many plants have flowers, which produce powdery pollen that are easily spread by wind.

These culprits cause allergy symptoms.

Each plant has a period of pollination that does not vary much from year to year. However, the weather can affect the amount of pollen in the air at any time. Seasonal allergic rhinitis is often caused by tree pollen in the early spring. During the late spring and early summer, grass pollen often cause symptoms. Late summer and fall hay fever is caused by weed pollen. In warmer places, pollination can be year-round.

 Molds are tiny fungi related to mushrooms but without stems, roots or leaves. Molds can be almost anywhere, including soil, plants and rotting wood. Their spores float in the air, much like pollen. Outdoor mold spores begin to increase as temperatures rise in the spring. In the United States, mold spores reach their peak in July in warmer states and October in the colder states. They can be found year-round in the South and on the West Coast.

Pollen and Mold Levels

Pollen and mold counts measure the amount of allergens present in the air. There is a difference between a pollen count and a pollen forecast. Pollen counts reflect real-time conditions. Pollen and mold forecasts are often based on past pollen data and general weather forecasts.

The National Allergy Bureau™ (NAB™) is the nation’s only pollen and mold counting network certified by the American Academy of Allergy, Asthma & Immunology (AAAAI). The NAB compiles pollen and mold levels from certified stations across the nation. You can find counts for your geographic region at

The relationship between pollen and mold levels and your allergic rhinitis symptoms can be complex. Your symptoms may be affected by recent contact with other allergens, the amount of pollen exposure and your sensitivity to pollen and mold.

Effects of Weather and Location

Hay fever symptoms are often less prominent on rainy, cloudy or windless days because pollen does not move around during these conditions. Pollen tends to travel more with hot, dry and windy weather, which can increase your allergy symptoms.

Some people think that moving to another area of the country may help to lessen their symptoms. However, many types of pollen (especially grasses) and molds are common to most plant zones, so moving to escape your allergies is not recommended. Also, you are likely to find new allergens to react to in new environments.


If your seasonal symptoms are making you miserable, an allergist / immunologist, often referred to as an allergist, can help.

Your allergist has the background and experience to determine which allergens, if any, are causing your symptoms. This information will form the basis of a treatment plan to help you feel better. Your personalized plan will include steps to avoid contact with allergens. Your physician may also talk to you about medications for temporary relief.

If your symptoms continue or if you have them for many months of the year, your allergist may recommend allergy immunotherapy (allergy shots). This treatment involves receiving regular injections given in gradually increasing doses. This helps your immune system become more resistant to the specific allergen and lessen your symptoms as well as the need for medications.

There are also simple steps you can take to limit your exposure to the pollen or molds that cause your symptoms:

• Keep your windows closed at night and if possible, use air conditioning, which cleans, cools and dries the air.
• Try to stay indoors when the pollen or mold counts are high. If your symptoms are severe, wear a pollen mask if long periods of exposure are unavoidable. When you return indoors, take a shower, shampoo your hair and change clothes.
• Avoid being responsible for mowing lawns or raking leaves. This stirs up pollen and molds. Also avoid hanging sheets or clothes outside to dry.
• When traveling by car, keep your windows closed.
• Take any medications as prescribed.

Healthy Tips.

Seasonal allergic rhinitis is the medical term for the condition commonly referred to as hay fever.
• Seasonal allergic rhinitis causes sneezing, stuffiness, a runny nose and itchiness in your nose, the roof of your mouth, throat, eyes or ears.
• Avoiding exposure during times of high pollen and mold counts will help ease symptoms.
• The majority of hay fever medications work best if started before a pollen season begins.
• Allergy shots can often provide long-term relief of hay fever symptoms.

Feel Better. Live Better.

An allergist / immunologist, often referred to as an allergist, is a pediatrician or internist with at least two additional years of specialized training in the diagnosis and treatment of allergies, asthma, immune deficiencies and other immunologic diseases.

By visiting the office of an allergist, you can expect an accurate diagnosis, a treatment plan that works and educational information to help you manage your disease and feel better.

Posted with permission from the American Academy of Allergy, Asthma & Immunology (AAAAI)

Children and Food Allergies

Does season of birth affect the likelihood of being sensitized to food allergens? 

The number of children with food allergies is increasing and the reason for this increase is not well understood. Likely several factors contribute, and previous studies have examined the influence of vitamin D status, timing of food introduction, and season of birth. However, previous investigators have focused primarily on Caucasian children. As a result, reports of the influence of either season of birth or vitamin D status on the development of food allergy in African American children are lacking.

In a Letter to the Editor recently published in The Journal of Allergy and Clinical Immunology (JACI), Bird and colleagues report their results from an analysis of serum and historical information collected from a previously conducted trial focusing on inner city African American asthmatic children.

Specifically, they looked for a relationship between the season in which children were born and the likelihood they were sensitized to milk, egg, peanut, wheat, soy, codfish, shrimp, or various indoor allergens. They also analyzed the data looking for a relationship in food or indoor allergen sensitization to vitamin D status at the time of enrollment into the study.

Children in the study were mostly male (64%), ranged from 5 to 8 years of age (average age of 6 years), and lived primarily in Northern latitudes (e.g. Boston, Chicago, or Bronx). They found that African American children born in the winter were more likely to be sensitized to egg, peanut or soy allergens.

They also looked at vitamin D status at the time of enrollment in the study and did not find a relationship with regards to sensitization to food or indoor allergens. Winter birth did not have any influence on the development of sensitization to indoor allergens.

The authors’ results from studying this African American population support findings from previous studies in Caucasian children showing a correlation between the season of birth and the likelihood of being sensitized to food allergens. Other factors which may influence sensitization to food allergens during winter include winter virus exposure and indoor allergen exposure. Breast feeding, Caesarian delivery, and vitamin D status during the first year of life may also impact the likelihood of developing food allergy, and the authors were not able to analyze these variables. Results from this study further support the role of winter birth in sensitization to food allergens.

The Journal of Allergy and Clinical Immunology (JACI) is an official scientific journal of the AAAAI, and is the most-cited journal in the field of allergy and clinical immunology.


Posted with permission from the American Academy of Allergy, Asthma & Immunology (AAAAI)