May 1, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-Cov2/COVID 19) Update #7
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! COVID-19 cases persist in Arizona. Many of our patients are at higher risk for complications from the virus. As a result, we are providing the following update:
TO SEE ALL THAT WE ARE DOING TO KEEP YOU SAFE, VISIT OUR WEBSITE @ WWW.AZSNEEZE.COM
Summary:
- There are lots of questions surrounding coronavirus (COVID-19) testing. You may have heard news report about PCR testing, antibody testing, and lots of testing.
- There are many opinions about the importance of these tests, who should get them, and what you and your doctor will learn from the tests.
- If you are interested in being tested, Board Certified Allergists/Immunologists are the best trained and the most experienced physicians to help you choose the right test or tests and to interpret the results.
- Please schedule an appointment with AAAI (in office or telemedicine) by calling 602-843-2991. We have 5 offices around Maricopa County to serve you.
More Details (for those that want them):
COVID-19 testing update:
There are two types of COVID-19 tests: PCR (Nasal swab) and Antibody (Blood)
- PCR testing (Nasal swab): Tests viral particles from a nasal swab.
- This test is meant to measure if your body IS infected with the virus or not.
- This test is most accurate when a patient has active symptoms (identified below).
- Antibody testing (Blood): Tests your antibody response to the virus from a blood sample.
- This test is meant to measure if your body WAS infected with the virus or not.
- Test 14 days after symptom onset or later. IgG antibodies may not be present in the first 2 weeks of infection.
- Antibody testing may not be accurate in the following types of patients:
- Patients with immune deficiencies and some autoimmune diseases.
- Patients on immune-modulating drugs including Xolair.
We highly recommend COVID-19 tests be ordered and interpreted by one of our Board Certified Allergists/Immunologists or a physician with experience in interpreting PCR and Antibody testing.
If you would like to receive COVID-19 testing:
- COVID-19 tests will be performed at an offsite testing location and results sent to the ordering physician.
- COVID-19 tests are covered by all insurances per federal guidelines.
- COVID-19 appointments may have co-pays depending on insurance and federal guidelines.
SYMPTOMS OR HISTORY CONCERNING FOR COVID-19
– Active Fever ≥ 100F or in the past 2 weeks
– Chills and Myalgias
– New diarrhea
– Sudden loss of sense of smell or taste
– New cough & shortness of breath with no prior history of allergies or asthma
– Significantly worsening cough and shortness of breath with a history of allergies or asthma
– Severe fatigue with or without pounding headache.
– Exposure to someone with known COVID-19 infection, active fever, or fever in past two weeks.
We, the physicians at AAAI, daily review all COVID-19/SARS-CoV2 medical literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information. We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
April 20, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-Cov2/COVID 19) Update #6
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! COVID-19 cases persist in Arizona. Due to the nature of our practice, many of our patients are at higher risk for complications from the virus. As a result, we are providing the following update:
TO SEE ALL THAT WE ARE DOING TO KEEP YOU SAFE, VISIT OUR WEBSITE @ WWW.AZSNEEZE.COM
SYMPTOMS OR HISTORY CONCERNING FOR COVID-19
- Active Fever of 100 or greater
- New cough and shortness of breath with no prior history of allergies or asthma
- Significantly worsening cough and shortness of breath with a history of allergies or asthma
- Exposure to someone with known COVID exposure, active fever, or fever in past two weeks.
- Fever in past two weeks
- New diarrhea
- Severe fatigue with or without pounding headache.
- Sudden loss of sense of smell or taste
PATIENTS OVER THE AGE OF 65 with NO Concerning Covid-19 Symptoms or Exposures:
- Keep in-office new patient appointments.
- Keep an in-office follow up OR schedule a TELEHEALTH follow up appointment.
PATIENTS UNDER THE AGE OF 65 with NO Concerning Covid-19 Symptoms or Exposures:
- Keep in-office new patient appointments.
- Keep in-office follow up appointments.
PATIENTS WITH IMMUNE DEFICIENCIES:
- Contact our office prior to your appointment to discuss options.
***WHEN YOU COME TO YOUR OFFICE VISIT, PLEASE WEAR A CLOTH FACEMASK PER CDC GUIDELINES***
***IF YOU FEEL SICK, HAVE BEEN AROUND OTHERS WHO ARE SICK, OR DO NOT FEEL COMFORTABLE COMING IN FOR AN APPOINTMENT, CALL OUR OFFICE FOR A TELEHEALTH EVALUATION FROM A LICENSED PROVIDER***
WE ARE UP TO DATE ON ALL ACTIVE COVID-19 THERAPIES CURRENTLY UNDER INVESTIGATION AND WILL PROVIDE ADDITIONAL INFORMATION AS IT BECOMES AVAILABLE.
We, the physicians at AAAI, daily review all COVID-19/SARS-CoV2 medical literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information. We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
April 6, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-Cov2/COVID 19) Update #5
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! COVID-19 cases continue to rise in Arizona. Due to the nature of our practice, many of our patients are at higher risk for complications from the virus. As a result, we are providing the following update:
CONCERNING COVID-19 SYMPTOMS OR EXPOSURES
– Active Fever of 100 or greater
– New cough and no prior history of allergies or asthma
– Worsening cough with a history of allergies or asthma
– Exposure to someone with known COVID exposure, active fever, or fever in past two weeks.
– Fever in past two weeks
– New diarrhea
– Severe fatigue with or without pounding headache.
– Sudden loss of sense of smell or taste
PATIENTS OVER THE AGE OF 65 with NO Concerning Covid-19 Symptoms or Exposures:
- Keep in-office new patient appointments.
- Re-schedule follow up appointments as a TELEHEALTH evaluation.
PATIENTS UNDER THE AGE OF 65 with NO Concerning Covid-19 Symptoms or Exposures:
- Keep in-office new patient appointments.
- Keep in-office follow up appointments.
PATIENTS WITH IMMUNE DEFICIENCIES:
- Contact our office prior to your appointment to discuss options.
***WHEN YOU COME TO YOUR OFFICE VISIT, PLEASE WEAR A CLOTH FACEMASK PER CDC GUIDELINES***
***IF YOU FEEL SICK, HAVE BEEN AROUND OTHERS WHO ARE SICK, OR DO NOT FEEL COMFORTABLE COMING IN FOR AN APPOINTMENT, CALL OUR OFFICE FOR A TELEHEALTH EVALUATION FROM A LICENSED PROVIDER***
WE ARE UP TO DATE ON ALL ACTIVE COVID-19 THERAPIES CURRENTLY UNDER INVESTIGATION AND WILL PROVIDE ADDITIONAL INFORMATION AS IT BECOMES AVAILABLE.
We, the physicians at AAAI, daily review all COVID-19/SARS-CoV2 medical literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information. We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
March 30, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-Cov2/COVID 19) Update #4
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! COVID-19 cases continue to rise in Arizona. Due to the nature of our practice, many of our patients are at higher risk for complications from the virus. As a result, we are providing the following update:
IF YOU DO NOT FEEL SICK AND DO NOT EXHIBIT CONCERNING SYMPTOMS (SEE LIST BELOW), PLEASE COME INTO OUR OFFICES FOR YOUR FOLLOW UP OR NEW APPOINTMENT AS SCHEDULED.
IF YOU FEEL SICK, HAVE BEEN AROUND OTHERS WHO ARE SICK, OR DO NOT FEEL COMFORTABLE COMING IN FOR AN APPOINTMENT, CALL OUR OFFICE FOR A TELEHEALTH EVALUATION FROM A LICENSED PROVIDER.
CALL IF YOU HAVE ANY OF THE FOLLOWING CONCERNING SYMPTOMS OR EXPOSURES:
- Active Fever
- New cough and no prior history of allergies or asthma
- Worsening cough with a history of allergies or asthma
- Exposure to someone with known COVID exposure, active fever, or fever in the past two weeks.
- Fever in the past two weeks
- New diarrhea
- Severe fatigue with or without a pounding headache.
- Sudden loss of sense of smell or taste
WHAT WE ARE DOING
- Telehealth and In-Office Appointments
- Outside screening of all persons entering our office.
- In-office sanitation and infectious disease prevention protocols (N95 masks for physicians and staff; Hand washing, frequently scheduled disinfection of office surfaces; face masks; eye shields and gowns where necessary)
- Social distancing and infection disease prevention protocols. (Waiting room occupancy limited to ten with spaced seating arrangement, ability to wait in the car for shots and appointments)
WE ARE UP TO DATE ON ALL ACTIVE COVID-19 THERAPIES CURRENTLY UNDER INVESTIGATION AND WILL PROVIDE ADDITIONAL INFORMATION AS IT BECOMES AVAILABLE.
We, the physicians at AAAI, daily review all COVID-19/SARS-CoV2 medical literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information. We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
March 23, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-Cov2/COVID 19) Update #3
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! The general population remains at low risk for serious complications from exposure to Coronavirus. Nevertheless, cases continue to rise in Arizona. Due to the nature of our practice, many of our patients are at higher risk for complications from Coronavirus. Out of an abundance of caution and concern for your health, we are providing the following update:
OUTSIDE SCREENING OF ALL PERSONS ENTERING OUR OFFICE CONTINUES
IN-OFFICE SANITATION AND INFECTIOUS DISEASE PREVENTION PROTOCOLS CONTINUE
SOCIAL DISTANCING PRACTICES INCLUDING IN-VEHICLE WAITING FOR APPOINTMENTS REMAIN IN PLACE
IF YOU FEEL SICK WITH A COUGH AND FEVER:
- At this time, we define a fever as a temperature of 100 or greater.
- Use an accurate thermometer if you feel feverish or sick and write your temperature down.
- RESCHEDULE any appointment and do not come in for allergy shots or other shots within 14 days of your most recent FEVER.
- If you have an ACTIVE FEVER, contact our office by phone. DO NOT COME INTO OUR OFFICE FOR ANY REASON BEFORE SPEAKING WITH A PHONE TRIAGE STAFF MEMBER OR PROVIDER.
WE ARE UP TO DATE ON ALL ACTIVE THERAPY CURRENTLY UNDER INVESTIGATION AND WILL PROVIDE UPDATES AS FURTHER INFORMATION IS AVAILABLE.
We, the physicians at AAAI, daily review all available literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information regarding Coronavirus (SARS-CoV2/COVID 19). We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
March 16, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-CoV2/COVID 19) Update #2
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! Arizonans remain at low risk for serious complications from exposure to Coronavirus. Due to the nature of our practice, many of our patients are at higher risk for complications from Coronavirus. Out of an abundance of caution and concern for your health, we are providing the following update:
OUTSIDE SCREENING OF ALL PERSONS PRIOR TO ENTERING OUR OFFICE
- You will be asked four simple questions regarding your symptoms.
- Your temperature will be checked.
- You may be asked to enter our office through an alternate entrance.
- You may be given printed instructions and asked to reschedule.
- You may be asked to wait outside to consult with a provider.
SOCIAL DISTANCING THROUGH LIMITATION OF UNNECESSARY PERSONS ENTERING OUR OFFICE:
- We request that you bring only one additional family member or friend to your appointment or when you are receiving allergy shots.
- Number of persons allowed in shot lab at any given time will not exceed 50 per CDC guidelines.
- Patients are allowed to wait in their cars for 30 minutes after receiving their shots.
IF YOU ARE ON ANTIBODY INFUSIONS FOR AN IMMUNE DEFICIENCY:
- Contact our office for further instructions.
IF YOU FEEL SICK WITH A COUGH AND FEVER:
- At this time, we define a fever as a temperature of 100 or greater.
- Use an accurate thermometer if you feel feverish or sick and write your temperature down.
- RESCHEDULE any appointment and do not come in for allergy shots or other shots if you are recovering from a FEVER WITHIN THE PAST FIVE DAYS.
- If you have an ACTIVE FEVER, contact our office by phone. DO NOT COME INTO OUR OFFICE FOR ANY REASON BEFORE SPEAKING WITH A PHONE TRIAGE STAFF MEMBER OR PROVIDER.
We, the physicians at AAAI, daily review all available literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information regarding Coronavirus (SARS-CoV2/COVID 19). We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
March 13, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-CoV2/COVID 19) Update
WITH THE UNDERTAKING OF RIGOROUS ADDITIONAL CLEANING PROCEDURES, AAAI DELIVERS CLEAN WORKSPACES AT OUR CLINICS.
IN ORDER TO CONTINUE TO PROVIDE A SAFE ENVIRONMENT FOR OUR PATIENTS AND STAFF, WE HAVE IMPLEMENTED THE FOLLOWING PLAN:
Daily
- Staff temperature checks with ear thermometer. If temp above 100.5, evaluated by PA and sent home until fever is subsided for 2 days
- Handwashing upon arrival into the building (morning, after lunch, after any errand)
- Drug reps with samples will stay at the front desk. Front desk staff will bring iPads to the providers for signatures.
- For now, drug reps can still bring in food but they must wash hands and undergo temperature check.
Several times daily
- Using 1:40 bleach/water blend, Front desk wipes down lobby chairs, keyboards, front door and other door handles (inside and out), back of clipboards, etc.
- Back office wipes down exam room chairs, bathroom door knobs and faucets, door handles, keyboards, etc.
- Confirm that hand sanitizer bottles are available at front desk and allergy lab sign in. Wipe these bottles down with bleach solution.
- Cell phones should also be wiped down as frequently as possible, but at least in the morning and after lunch if used.
Between patients and patient interaction
- Wash hands between each patient
- Ask patient to use their own pen/pencil to fill out forms. If not available, provide a pen but wipe down afterward.
March 9, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-CoV2/COVID 19) Update
Dear patients of AAAI
Your health and the health of our staff is our highest priority! The general population is at low risk for serious complications from exposure to Coronavirus. Due to the nature of our practice, many of our patients are at higher risk for complications from Coronavirus. Out of an abundance of caution and concern for your health, we are providing the following update:
Common Sense Self Protection:
- Take your prescribed medications daily. Do not miss a dose. This is a time for strict compliance.
- Frequently wash your hands with soap and water for 30 seconds.
- Cover your nose and mouth with your elbow fold when you cough or sneeze.
- Do not shake hands.
- If you are over the age of 50, avoid elective large gatherings such as sporting events, concerts, and movies.
Fever:
- A fever at this time is defined as a temperature of 100.5 or greater.
- Use an accurate thermometer if you feel feverish or sick and write your temperature down.
- RESCHEDULE any appointment and do not come in for allergy shots or other shots if you have had a FEVER WITHIN FIVE DAYS.
- If you have an ACTIVE FEVER, contact our office by phone. DO NOT COME INTO OUR OFFICE FOR ANY REASON BEFORE SPEAKING WITH A PHONE TRIAGE STAFF MEMBER OR PROVIDER.
What we are doing:
- Daily screening of staff.
- Frequent sanitation of common areas with approved disinfectants.
- Daily review and updates (if necessary) of the current standard of care protocols.
- Continued updates and communication with you.
We, the physicians at AAAI, have carefully reviewed all available literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information regarding Coronavirus (SARS-CoV2/COVID 19). We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.
Kevin M. Boesel M.D.
Mark E. Rose M.D.
Ryan M. Casper M.D.
Levente E. Erdos M.D.
Eiza L. Ching M.D.
Joseph Mittel M.D.
WE ARE HIRING!
Chronic Cough
Primary Immunodeficiency: Warning Signs!
There are over 300 different conditions that make up Primary Immunodeficiency Diseases (PIDDs). Most of the conditions are related to your genetic makeup and are inherited, but they can show up at any time: birth, childhood, or even adulthood. PIDDs are rare and affect approximately 1 out of every 500 people.
PIDDs are usually associated with recurrent and severe bacterial infections and many times these infections are difficult to treat. Warning signs of PIDD include recurrent ear infections in the last year (4 or more for children and 2 or more for adults), two or more serious sinus infections within one year, two or more months of using antibiotics without much benefit, multiple episodes of pneumonias, chronic diarrhea with weight loss, recurrent viral infections in adults (such as colds, herpes, warts, etc), recurrent deep skin abscesses or boils, need for IV antibiotics to clear infections, infections with normally harmless bacteria, persistent thrush or fungal infection, multiple episodes of sepsis (blood infections), or family history of PIDD.
It is important to first rule out other conditions that could contribute to recurrent infections such as uncontrolled allergies, chronic sinus disease, enlarged tonsils and adenoids, or cystic fibrosis. If there is still concern for PIDD, your provider at AAAI can obtain laboratory studies (blood work) to check your immune system and further evaluate if there is evidence of an immune problem. It is important to note that PIDDs are not the same as auto-immune conditions such as rheumatoid arthritis or lupus, which are conditions that can only be diagnosed and treated by a rheumatologist.
The 411 on Allergy Testing
There are many ways that allergies can be evaluated, and some people are not familiar with the different types of tests available. The way that allergy testing is performed has changed slightly over the years, allowing the procedure to be relatively painless for most people. Let’s review the different types of testing done in the allergy clinic!
Skin prick testing: Skin testing, also referred to as “scratch” testing is the most common way that we evaluate allergies. Skin testing involves a small amount of allergens being “pricked” onto the surface of your skin, often with a small plastic device that looks like a toothpick. If you are sensitized to an allergen, this will trigger a reaction on your skin and cause a wheal or hive, similar to an insect bite. Skin testing usually takes about 15 minutes. Skin prick testing is performed for evaluation of possible environmental triggers such as pollens, molds, and animal dander. Skin prick testing is also performed for food allergy if there is a history of allergic reactions to a food (called IgE-mediated food allergy). Skin testing to foods can cause false positives and testing alone does not mean you are allergic to a food. Drug allergies such as penicillin are also evaluated via skin testing.
Intradermal testing: Intradermal testing can also be performed for evaluation of environmental triggers, insect allergy, or drug allergy. This involves a small amount of allergen placed just below the surface of the skin with a very small needle.
Blood tests: Blood tests can be performed for environmental allergens, insect venoms, and food allergies. Blood testing measures allergic antibodies in your blood. Like skin testing, blood testing to foods without a history of reaction to food can sometimes give false positives, and a positive test alone does not diagnose food allergy.
Challenge tests: Challenge tests are done in-office and involve the allergen being taken by mouth (such as foods of drug allergies). Challenge tests are among the most accurate tests to diagnose food allergy, and can help differentiate false positives or if someone has outgrown their food allergy.
Patch testing: Chemical patch testing is a way to evaluate for chemicals or metals that could be causing allergic reactions on the skin. Patch testing involves application of a chemical patch onto the back, with delayed readings in office in 2-3 days or longer, depending on the situation.
Caution!!! There are several tests available over the counter or online labeled as “food sensitivity tests”. These tests are not recommended and do not provide accurate results. Other tests such as food IgG testing, mail-in fingerstick allergy testing, kinesiology muscle testing, hair analysis, ALCAT testing, or neutralization testing are not recommended due to lack of scientific evidence that they correlate with any food allergies.
Your allergy provider will work with you to determine what type of testing is necessary to determine the cause of your symptoms and help guide further treatment.
Hives
Hives or welts are itchy, raised, red areas on skin. About 25% of people experience hives sometime in their life. Hives can occur at any age. Most of the time, hives are not dangerous. Hives are classified based on how long they have been occurring and how long they last. Sudden hives that develop immediately after ingestion of a food or medication may suggest a food or drug allergy. Hives that occur randomly are called “spontaneous urticaria.” Most of the time, this is due to viral infection/illness or is considered to be an auto-immune condition. Spontaneous hives often have no specific trigger and can be very frustrating to patients. Chronic hives are hives that have been ongoing for 6 weeks or more. In general, the longer hives have been going on, the less likely it is a food, medication, or other substance causing them. Sometimes hives occur with swelling of lips, eyelids, hands, and feet. Over half of patients with chronic hives respond to antihistamines. The antihistamines can even help make the hive condition go away for good. Some people require Omalizumab, which is a once-monthly injection, to treat chronic hives. Chronic hives usually resolve within 3-5 years. Your allergy provider can work with you to determine if there is an underlying cause to your hives, and the treatment options available, so you can be itch and hive-free!
Smart Phone Apps Can Be A Useful Tool To Help Patients Manage Their Asthma Condition
Notice of Data Security Incident
10/1/2015 – 6/15/2020
Arizona Asthma and Allergy Institute Provides Notification of Data Security Incident
Peoria, AZ – Arizona Asthma and Allergy Institute (“Institute”) announced today a data security incident that may have impacted limited protected health information belonging to Institute patients. The Institute takes the privacy and security of all information very seriously.
The Institute learned that certain data made publicly available under the name of a different organization for a brief period in September 2020, and may have included Institute data. Upon discovery, the Institute immediately began investigating, with the assistance of a third-party forensic security firm, to determine the scope of this incident. Based on this investigation, the Institute confirmed on March 8, 2021, that the available data included limited information related to Institute patients that received services between October 1, 2015 and June 15, 2020.
The personal information available included individuals’ first and last name in combination with their patient identification number, provider name, health insurance information, and treatment cost information. It is important to note that the Institute has no evidence to suggest that any personal information has been misused. Nonetheless, out of an abundance of caution, the Institute is providing notice to those affected individuals. The notices include information about this incident and about steps that potentially impacted individuals can take to monitor and help protect their information. The Institute takes the security of all information very seriously and has taken steps to enhance security measures to help prevent a similar occurrence in the future.
The Institute recommends that individuals remain vigilant in regularly reviewing and monitoring their explanation of benefits statements to guard against any unauthorized transactions or activity. The Institute has established a dedicated assistance line to address any questions individuals may have which can be reached at 855-654-0915, Monday through Friday, 7 a.m. to 7 p.m. Mountain Time. The Institute may also be contacted by mail at 13965 N 75th Ave, Peoria, AZ 85381.
COVID 19 VACCINE UPDATE as of 3/23/2021
COVID 19 VACCINE UPDATE as of 3/23/2021:
Who can get the vaccine?
Note: As a precaution, please do not get an allergy shot within 5 days of your COVID 19 vaccine. Before getting your COVID 19 vaccine, you will be asked if you received a vaccine/shot in the last 14 days, the answer is “NO”. Your allergy shot is not a vaccine. Rate of anaphylaxis from COVID 19 vaccine is rare (<1 in 100,000).
Who should check with your doctor first?
Note: Our office is experiencing an extremely high volume of calls. For patients that need to check with your doctor, please call TRIAGE (option 3) and leave a message. Please allow us 7-10 days to get back to you.
HOW TO GET COVID-19 VACCINE:
STARTING March 24 (Wednesday), ADULTS 18 years old and older can sign up to get COVID Vaccine (with or without medical conditions)
To schedule ONLINE:
1 Cardinals Dr, Glendale
844-542-8201
5115 N. 27th Ave., Phoenix
HonorHealth-N Phoenix
2500 W. Utopia, Phoenix
5643 E Van Buren ST., Phx Az 85008
602-542-1000
13677 W. McDowell Rd. Goodyear
602-506-6767
2626 E Pecos Rd. Chandler
602-506-6767
14502 W. Meeker Blvd., Sun City West
1826 W. McDowell Rd. Phoenix
To schedule via TELEPHONE in various locations:
ACAAI Guidelines on Risk of Allergy Reactions to Pfizer-BioNTech COVID 19 Vaccine (Dec 14, 2020)
FACTS:
CAUTIONARY CONCERNS: Please discuss risks vs. benefits with your provider.
References
Coronavirus (SARS-CoV2/COVID 19) Update
May 1, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-Cov2/COVID 19) Update #7
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! COVID-19 cases persist in Arizona. Many of our patients are at higher risk for complications from the virus. As a result, we are providing the following update:
TO SEE ALL THAT WE ARE DOING TO KEEP YOU SAFE, VISIT OUR WEBSITE @ WWW.AZSNEEZE.COM
Summary:
More Details (for those that want them):
COVID-19 testing update:
There are two types of COVID-19 tests: PCR (Nasal swab) and Antibody (Blood)
We highly recommend COVID-19 tests be ordered and interpreted by one of our Board Certified Allergists/Immunologists or a physician with experience in interpreting PCR and Antibody testing.
If you would like to receive COVID-19 testing:
SYMPTOMS OR HISTORY CONCERNING FOR COVID-19
– Active Fever ≥ 100F or in the past 2 weeks
– Chills and Myalgias
– New diarrhea
– Sudden loss of sense of smell or taste
– New cough & shortness of breath with no prior history of allergies or asthma
– Significantly worsening cough and shortness of breath with a history of allergies or asthma
– Severe fatigue with or without pounding headache.
– Exposure to someone with known COVID-19 infection, active fever, or fever in past two weeks.
We, the physicians at AAAI, daily review all COVID-19/SARS-CoV2 medical literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information. We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
April 20, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-Cov2/COVID 19) Update #6
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! COVID-19 cases persist in Arizona. Due to the nature of our practice, many of our patients are at higher risk for complications from the virus. As a result, we are providing the following update:
TO SEE ALL THAT WE ARE DOING TO KEEP YOU SAFE, VISIT OUR WEBSITE @ WWW.AZSNEEZE.COM
SYMPTOMS OR HISTORY CONCERNING FOR COVID-19
PATIENTS OVER THE AGE OF 65 with NO Concerning Covid-19 Symptoms or Exposures:
PATIENTS UNDER THE AGE OF 65 with NO Concerning Covid-19 Symptoms or Exposures:
PATIENTS WITH IMMUNE DEFICIENCIES:
***WHEN YOU COME TO YOUR OFFICE VISIT, PLEASE WEAR A CLOTH FACEMASK PER CDC GUIDELINES***
***IF YOU FEEL SICK, HAVE BEEN AROUND OTHERS WHO ARE SICK, OR DO NOT FEEL COMFORTABLE COMING IN FOR AN APPOINTMENT, CALL OUR OFFICE FOR A TELEHEALTH EVALUATION FROM A LICENSED PROVIDER***
WE ARE UP TO DATE ON ALL ACTIVE COVID-19 THERAPIES CURRENTLY UNDER INVESTIGATION AND WILL PROVIDE ADDITIONAL INFORMATION AS IT BECOMES AVAILABLE.
We, the physicians at AAAI, daily review all COVID-19/SARS-CoV2 medical literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information. We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
April 6, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-Cov2/COVID 19) Update #5
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! COVID-19 cases continue to rise in Arizona. Due to the nature of our practice, many of our patients are at higher risk for complications from the virus. As a result, we are providing the following update:
CONCERNING COVID-19 SYMPTOMS OR EXPOSURES
– Active Fever of 100 or greater
– New cough and no prior history of allergies or asthma
– Worsening cough with a history of allergies or asthma
– Exposure to someone with known COVID exposure, active fever, or fever in past two weeks.
– Fever in past two weeks
– New diarrhea
– Severe fatigue with or without pounding headache.
– Sudden loss of sense of smell or taste
PATIENTS OVER THE AGE OF 65 with NO Concerning Covid-19 Symptoms or Exposures:
PATIENTS UNDER THE AGE OF 65 with NO Concerning Covid-19 Symptoms or Exposures:
PATIENTS WITH IMMUNE DEFICIENCIES:
***WHEN YOU COME TO YOUR OFFICE VISIT, PLEASE WEAR A CLOTH FACEMASK PER CDC GUIDELINES***
***IF YOU FEEL SICK, HAVE BEEN AROUND OTHERS WHO ARE SICK, OR DO NOT FEEL COMFORTABLE COMING IN FOR AN APPOINTMENT, CALL OUR OFFICE FOR A TELEHEALTH EVALUATION FROM A LICENSED PROVIDER***
WE ARE UP TO DATE ON ALL ACTIVE COVID-19 THERAPIES CURRENTLY UNDER INVESTIGATION AND WILL PROVIDE ADDITIONAL INFORMATION AS IT BECOMES AVAILABLE.
We, the physicians at AAAI, daily review all COVID-19/SARS-CoV2 medical literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information. We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
March 30, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-Cov2/COVID 19) Update #4
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! COVID-19 cases continue to rise in Arizona. Due to the nature of our practice, many of our patients are at higher risk for complications from the virus. As a result, we are providing the following update:
IF YOU DO NOT FEEL SICK AND DO NOT EXHIBIT CONCERNING SYMPTOMS (SEE LIST BELOW), PLEASE COME INTO OUR OFFICES FOR YOUR FOLLOW UP OR NEW APPOINTMENT AS SCHEDULED.
IF YOU FEEL SICK, HAVE BEEN AROUND OTHERS WHO ARE SICK, OR DO NOT FEEL COMFORTABLE COMING IN FOR AN APPOINTMENT, CALL OUR OFFICE FOR A TELEHEALTH EVALUATION FROM A LICENSED PROVIDER.
CALL IF YOU HAVE ANY OF THE FOLLOWING CONCERNING SYMPTOMS OR EXPOSURES:
WHAT WE ARE DOING
WE ARE UP TO DATE ON ALL ACTIVE COVID-19 THERAPIES CURRENTLY UNDER INVESTIGATION AND WILL PROVIDE ADDITIONAL INFORMATION AS IT BECOMES AVAILABLE.
We, the physicians at AAAI, daily review all COVID-19/SARS-CoV2 medical literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information. We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
March 23, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-Cov2/COVID 19) Update #3
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! The general population remains at low risk for serious complications from exposure to Coronavirus. Nevertheless, cases continue to rise in Arizona. Due to the nature of our practice, many of our patients are at higher risk for complications from Coronavirus. Out of an abundance of caution and concern for your health, we are providing the following update:
OUTSIDE SCREENING OF ALL PERSONS ENTERING OUR OFFICE CONTINUES
IN-OFFICE SANITATION AND INFECTIOUS DISEASE PREVENTION PROTOCOLS CONTINUE
SOCIAL DISTANCING PRACTICES INCLUDING IN-VEHICLE WAITING FOR APPOINTMENTS REMAIN IN PLACE
IF YOU FEEL SICK WITH A COUGH AND FEVER:
WE ARE UP TO DATE ON ALL ACTIVE THERAPY CURRENTLY UNDER INVESTIGATION AND WILL PROVIDE UPDATES AS FURTHER INFORMATION IS AVAILABLE.
We, the physicians at AAAI, daily review all available literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information regarding Coronavirus (SARS-CoV2/COVID 19). We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
March 16, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-CoV2/COVID 19) Update #2
Dear patients of AAAI,
Your health and the health of our staff is our highest priority! Arizonans remain at low risk for serious complications from exposure to Coronavirus. Due to the nature of our practice, many of our patients are at higher risk for complications from Coronavirus. Out of an abundance of caution and concern for your health, we are providing the following update:
OUTSIDE SCREENING OF ALL PERSONS PRIOR TO ENTERING OUR OFFICE
SOCIAL DISTANCING THROUGH LIMITATION OF UNNECESSARY PERSONS ENTERING OUR OFFICE:
IF YOU ARE ON ANTIBODY INFUSIONS FOR AN IMMUNE DEFICIENCY:
IF YOU FEEL SICK WITH A COUGH AND FEVER:
We, the physicians at AAAI, daily review all available literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information regarding Coronavirus (SARS-CoV2/COVID 19). We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.,
Kevin M. Boesel M.D.,
Mark E. Rose M.D.,
Ryan M. Casper M.D.,
Levente E. Erdos M.D.,
Eiza L. Ching M.D.,
R. Joseph Mittel M.D.
March 13, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-CoV2/COVID 19) Update
WITH THE UNDERTAKING OF RIGOROUS ADDITIONAL CLEANING PROCEDURES, AAAI DELIVERS CLEAN WORKSPACES AT OUR CLINICS.
IN ORDER TO CONTINUE TO PROVIDE A SAFE ENVIRONMENT FOR OUR PATIENTS AND STAFF, WE HAVE IMPLEMENTED THE FOLLOWING PLAN:
Daily
Several times daily
Between patients and patient interaction
March 9, 2020
Arizona Asthma and Allergy Institute Coronavirus (SARS-CoV2/COVID 19) Update
Dear patients of AAAI
Your health and the health of our staff is our highest priority! The general population is at low risk for serious complications from exposure to Coronavirus. Due to the nature of our practice, many of our patients are at higher risk for complications from Coronavirus. Out of an abundance of caution and concern for your health, we are providing the following update:
Common Sense Self Protection:
Fever:
What we are doing:
We, the physicians at AAAI, have carefully reviewed all available literature including published articles, World Health Organization (WHO) guidelines, Centers of Disease Control (CDC) statements, and Arizona Health Department Information regarding Coronavirus (SARS-CoV2/COVID 19). We are committed to your wellbeing and to continuing to provide exceptional Allergy, Asthma, and Immunologic care.
Sincerely,
Ronald K. Jorgensen M.D.
Kevin M. Boesel M.D.
Mark E. Rose M.D.
Ryan M. Casper M.D.
Levente E. Erdos M.D.
Eiza L. Ching M.D.
Joseph Mittel M.D.