Mistaken Reasons for Declining the 
"Flu Shot" Influenza Vaccine -
A few patients are reluctant to receive the Influenza Vaccine 2014-15

because they've heard that only 40% of this year's influenza virus strains

can be prevented with the shots.  However, preventing 40% is still highly

desirable and the risk of the vaccine is minimal.  So, please have yourself 

vaccinated to prevent you and others from getting 

Others who decline the shot say "I got the flu shot but I got the flu anyway."

They report "stomach flu" symptoms of vomiting and diarrhea. 

"Stomach flu" has no relation to Influenza. We use the term as a shortcut

to say "gastroenteritis."  Developing the GI disease is not prevented by the

respiratory Influenza vaccine.  

Grand Rounds:  Medical Effects of Mold Exposure
California Pacific Medical Center, San Francisco

This video shows my July 15, 2014 lecture on the actual effects of mold exposure, as well as several medical myths surrounding it.    I was recovering from laryngitis & vocal quality was poor. Mold (Fungus) arises as a concern for many patients visiting an allergist.  Unfortunately, many false dangers are promoted by unqualified “experts.”  While living in damp or moldy conditions is associated with more respiratory symptoms, cause-and-effect has not been established.  Furthermore, the literature often does not distinguish between exposure to dampness vs. exposure to mold. A common unfounded health fear is that of Stachybotrys, misleadingly referred to as “Black Mold.” Most fungi (molds) which produce a colored pigment can grow as a black colony under specific environmental conditions.  Black colored mold is not necessarily Stachybotrys. Indeed, inhaling Stachybotrys is not detrimental. Stachybotrys must be eaten to cause poisoning, such as in contaminated foodstuffs. 

Danger of Polio in foreign travel:

June 4, 2014
Given Public Health Emergency, CDC Recommends Polio Vaccination for International Travelers
By Kelly Young, Edited by David G. Fairchild, MD, MPH, and Richard Saitz, MD, MPH, FACP, FASAM

​The CDC has updated its recommendations on polio vaccination for travelers in light of the World Health Organization's recent declaration of polio as a public health emergency of international concern. The CDC recommends that people planning to travel to a country with active wild poliovirus receive the inactivated poliovirus (IPV) booster.

Travelers should document proof of immunization in the yellow International Certificate of Vaccination to avoid travel delays. The U.S. is not planning to change its requirements for U.S. entry. In its declaration, the WHO noted that 10 countries have ongoing poliovirus transmission: Cameroon, Pakistan, and Syria have recently exported wild poliovirus. Residents and people traveling to these countries for more than 4 weeks are required to receive IPV or oral polio vaccine 4 to 52 weeks before departing these countries.

Afghanistan, Equatorial Guinea, Ethiopia, Iraq, Israel, Somalia, and Nigeria are infected with poliovirus but have not yet exported it. Residents and long-term travelers to these countries are encouraged to get boosters.


Nasacort Now Sold OTC: Nasacort (triamcinolone acetate) Nasal Spray is in the same intranasal steroid class as Flonase (fluticasone), Nasonex (mometasone), and others.  Online prices appear to be about $18 for 120 sprays.  This is exactly the same product previously dispensed by prescription only. 


Where do former medical assistants go? 

To medical school!

Alvin Chou:State University of New York (SUNY) Downstate College of Medicine, Class of 2021.

Jamie Collins:UC Irvine School of Medicine, Class of 2021.

Sarah Yang: UC Davis School of Medicine, Class of 2020.

Amisha Singh: University of Arizona College of Medicine, Class of 2020.

Robert Dionisio: Chicago Medical School at RFUMS.

Hannah Oppenheim: UCSD School of Medicine, Class of 2019.

Yeriko Santillan: New York Medical College, Class of 2018.

Ayelet Cohen: Northwestern University Feinberg School of Medicine, Class of 2018.

Kate Bowman: UC Irvine School of Medicine, Class of 2017.

Alexander Vu: Case Western Reserve University School of Medicine, Class of 2017.

Vanessa Newman: Touro College of Osteopathic Medicine in Vallejo, Class of 2017.
Brian Sharon: PhD/DDS/MD  program at the University of California, San Francisco.
Daniel Snyder: Sackler School of Medicine, Class of 2015.
Rudy Silva: UC Davis School of Medicine, Class of 2015.
Vikki Fanslow: UC Davis School of Medicine, Class of 2015.
Meagan Herda: Temple University School of Medicine, Class of 2014.
Deirdre Burns: Tufts University School of Medicine, Class of 2014.
Mark Novak: Creighton University School of Medicine, Class of 2013.
Lillian Chen: University of Wisconsin School of Medicine, Class of 2013.
Suleiman Lapalme: University of Vermont College of Medicine, Class of 2012.
Evan McDaniel: University of Nevada, Las Vegas.
Ari Zadel: UC Davis School of Medicine, Class of 2010.
Jennifer Brewer: Oregon Health and Science University, Class of 2010.

Omar Hasan: Northwestern University Feinberg School of Medicine.

​Jennis Pae: Robert Wood Johnson Medical School

Kate Diesseroth: Northwestern University Feinberg School of Medicine.

Tod Olin: University of Texas, San Antonio.

Jennifer Jordan: UC Irvine School of Medicine.

Eyal Oren: Albert Einstein School of Medicine.

Hattie Grundland: UCSF School of Nursing, Nurse Practitioner Program.

​Jane Bonacich: Rush Medical College.

Kendra Lawrence: Case Western Reserve University School of Medicine.

We always have premedical interns gaining experience while applying to medical schools. They are trained in skin testing, injections & breathing assessments.


Allergy & Immunology
(415) 433-6673