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Celebrating Over 75 Years Of Service

The American Academy of Otolaryngic Allergy (AAOA) represents over 2,700 Board-certified otolaryngologists and health care providers. Otolaryngology, frequently referred to as Ear, Nose, and Throat (ENT), uniquely combines medical and surgical expertise to care for patients with a variety of conditions affecting the ears, nose, and throat, as well as commonly related conditions. AAOA members devote part of their practice to the diagnosis and treatment of allergic disease. The AAOA actively supports its membership through education, research, and advocacy in the care of allergic patients.

"Dedicated to enhancing knowledge and skill in the care of the allergic patient."

ADVOCACY UPDATES

Your AAOA at the AMA

I want to urge you to consider membership in the AMA because your membership in…

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Fall Advocacy Update: USP 797, E/M Documentation and Payment

Revisions to USP Chapter 797 Open for Comment Since the United States Pharmacopeia (USP) released…

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Brief Update on the Final CY 2019 Physician Fee Schedule

On November 1, the Centers for Medicare and Medicaid Services released the final Physician Fee…

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Changes in MACRA

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Before the close of 2017, all physicians must take action to avoid the 4 percent cut that will be assessed in 2019 for not participating in the new Quality Payment Program (QPP) authorized by the Medicare Access and CHIP Reauthorization Act (MACRA).  Read More

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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Upcoming Dates

12/01/2018: Research Grant Cycle
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04/01/2019: 2019 Fellow Exam Application Deadline
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06/01/2019: Research Grant Cycle

06/7/19: Membership Application Deadline to be eligible for AAOA Member rate for the 2019 Basic Course

07/31/19: Membership Application Deadline to be voted in at the 2019 Annual Meeting and to be eligible for AAOA Member Rate (FREE) for the 2019 Annual Meeting
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EDUCATION

Codes/Guidelines

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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IFAR

IFAR Impact Factor: 2.135

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Now Available

Changes in Managing Practices

Mission

Working together with AAOA staff, volunteer leadership and members will enable us to have a positive impact on our members’ practices.

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Live and Online CME

2019 Interactive Allergy & Rhinology Course
February 8-10, 2019 | Dallas, TX
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2019 Basic Course in Allergy & Immunology
June 27-29 | Minneapolis, MN
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2019 AAOA Annual Meeting
September 13-15 | New Orleans, LA
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2019 Advanced Course in Allergy & Immunology
December 12-14 | Austin, TX
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AAOA Clinical Insights
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PATIENT CORNER

OTC Allergy Medications

There seem to be more and more medications available for allergy treatment that  you can now purchase over the counter.
The FDA is allowing previously prescription only drugs to be made available directly to the consumer without a prescription — adding more to the over-the-counter options in the healthcare aisles.

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News and Updates

From the AAOA President, Matthew Ryan, MD

...the AAOA continues to be the organization that Otolaryngologists look to for up-to-date education and information on the…

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FDA Approves First Generic Version of EpiPen

The Food and Drug Administration approves the first generic version of EpiPen and EpiPen Jr.…

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Social and Networking Events at the 2018 AAOA Annual Meeting

This year’s Annual Meeting assures to be not only educational, interactive, and practice-centered, but also…

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Allergies At Home

Treating Allergy Symptoms without going to the Doctor

You have allergy symptoms, and want to find something to treat your symptoms without having to go to a doctor. The allergy aisle in the pharmacy or big box store is overwhelming. What do all these drugs do?

Let’s break it down.

Antihistamines

These medications block the histamine chemical that is released in the body as a result of allergic reaction.

Histamine is what causes itching, runny nose, watery eyes and sneezing.

These include the older Benadryl, which is a great medication, however, can be quite sedating. The newer medications, such as Claritin, Zyrtec and Allegra, are also effective with little to no sedation for most people.

Nasal steroid sprays

These have now been released over-the-counter in the forms of Flonase, Flonase sensimist, Nasacort, with others to come soon.

They are steroids, which is a potent anti-inflammatory. These medications are very effective at reducing congestion, runny nose and often postnasal drip. They can even help itchy watery eyes. Their worst side effect is drying out the nose, or inciting nosebleeds, which can be reduced by also using nasal saline.

If you have early cataracts, or a strong family history of cataracts, you may want to ask your eye doctor about using these long term, as they may increase your risk of developing or worsening cataracts.

Also, routine, typically yearly, examination of the inside of the nose is recommended while using these sprays to ensure there are not complications developing.

Decongestants

Pseudoephedrine or phenylephrine are the common OTC decongestant pills. These drugs primary target is congestion, which is reduced by shrinking the swollen tissue in the nose. These medications can cause increases in blood pressure, especially in someone with high blood pressure prior to their use. They also have the potential for tolerance, meaning, if you use them all the time, they become less effective.

Phenylephrine and oxymetazoline are topical decongestant nasal sprays which are very effective at reducing congestion in the nose, however, they can cause significant rebound congestion – or much worse stuffy nose – if they are used consistently for more than 3 days in a row.

These sprays are best reserved for severe congestion and only for 2-3 days in a row or less.

Guaifenesin or Mucinex

This pill is a mucus thinning medication.

It does not treat inflammation or histamine associated with allergies, nor does it treat congestion unless it has a -D at the end. It is only for thick, sticky mucus that is difficult to cough up or blow out.

A good nonmedicated option is nasal saline rinses, via either a squirt bottle or neti pot.

These can be very good at eliminating the allergens from the inside of the of your air filter (nose) that have become trapped there, and reduce your need for medication by stopping the chain reaction of allergy before it gets going.

They also add moisture to a dry nose and thin secretions, combating some of the side effects of commonly used medications for allergies.

As always, if you are unsure, please ask your doctor.

Also, if you have tried one or more of the above, and you continue to have allergy symptoms, perhaps it’s time to visit your local allergist and discuss other options.

Visit our Patient Resources Page for more information provided by our AAOA members.