Procedures - Medical Practice in Erie, PA

Allergy Skin Testing (environmental and food)

During allergy skin tests, your skin is exposed to suspected allergy-causing substances or allergens, and then observed for signs and symptoms of an allergic reaction. Along with your medical history, allergy tests will help confirm whether or not a particular substance you touch, inhale, or eat is causing symptoms. This procedure takes about 20-60 minutes to be completed.
  • Prick testing
  • Intradermal testing
Allergy RAST testing/ ImmunoCap
This is testing that can be done through blood tests. The doctor may order additional test to be done via blood draw to further help with your diagnosis.

Patch Testing

  • Chemical patch testing
  • Surgical patch testing (orthopedic implants, cardiac stents, denture material)
  • Environmental patch testing
Patch tests are used to evaluate delayed-type reactions. This may require multiple office visits. The patches are applied to bare skin and left on up to 72 hours, after which patient returns to the office for removal of patches and further evaluation.

Venom (Bee/Stinging Insect) Testing

During venom testing your skin is exposed to numerous venoms including Honey bee, Wasp, Yellow jacket, White faced hornet, and Yellow hornet. Along with your medical history the venom testing will help the doctor decide whether or not you could be a candidate for venom immunotherapy. This procedure may take 30-90 mins.
  • Prick testing
  • Intradermal testing

Antibiotic and Drug/Medication Testing

This testing is a way to help confirm if you are or are not allergic to different types of antibiotics/medications. During this testing you may be subjected to prick testing, intradermal testing and oral challenges. You will be continually monitored for signs and symptoms of an allergic reaction.

Challenges (Medications and Foods)

Challenges are an in-office procedure where you are introduced to your suspected allergen. Increased amounts or strengths given in timed intervals, while being continually monitored in a safe environment for signs and symptoms of an allergic reaction. Challenges may be used to help rule out suspected food or medication allergies that the patient has previously been avoiding, further opening up restricted medical treatment options or dietary limitations.


Desensitization to a certain medication involves giving the medication in slowly increasing amounts, starting with tiny doses, and ending with the full dose prescribed by the physician. Your doctor may want drug desensitization if you are allergic to a medicine that you are required to take to properly treat a medical condition.
  • Aspirin
  • Antibiotics

IVIG Therapy

Immunoglobulin replacement therapy is ordered by the physician when the patient's body does not produce enough of its own antibodies to fight off infections, causing recurrent or chronic infections. This procedure is ordered by our physicians but is not done on site, usually the patient is scheduled for treatment at an infusion center.

Immunotherapy (allergy shots) for Environmental and Venom

Allergy injection therapy is a highly specific way of treating your allergies. The doctor uses your allergy skin testing results to customize an allergy serum specifically for your allergies. You will receive gradually increasing amounts of the things in which you are allergic helping your body to reduce the severity of your daily symptoms from allergen exposure. Most patients receive significant benefit within 3-6 months, though everyone's immune system vary as well as the time frame in which you see any benefit.

Sublingal Immunotherapy (SLIT)

Sublingual immunotherapy is currently indicated for the treatment of grass pollen allergies only. It is a medication that dissolves under the tongue and is taken daily for a prescribed length of time to help reduce grass allergy symptoms.

Xolair Injection

Xolair is a subcutaneous injection prescribed for patients with moderate to severe persistent allergic asthma or chronic urticaria that is not controlled with previous treatment and medications. It requires a blood test initially and requires continued therapy year round every 2 or 4 weeks. Xolair works by blocking the action of immunoglobin E (IgE), a naturally produced substance that plays a central role in the body's allergic response.

Spirometry/Pulmonary Function Tests

This is an in office test that helps the doctor diagnose any lung restrictions or active disease. It requires energetic patient involvement and sometimes loud encouragement from our nursing staff.

Exercise Challenge/Pulmonary Stress Test

During an exercise challenge we attempt to recreate the asthma symptoms the patient is complaining of during activity. This helps the doctor better diagnose whether or not the symptoms are part of a lung restriction or disease and if prescription medication would benefit the patient or not.
During all office procedures you are continually and carefully monitored for any signs and symptoms of an allergic reaction Our staff is all expertly trained to quickly recognize symptoms of allergic reactions and will respond quickly to control your symptoms.