Mariam Hanna MD @PedsAllergyDoc Twitter profile

Last Seen Profiles

@strcwbrryie

@chFILES_tokai

@spursbre

@JayGameweb

@abooyazzeed

@BellaZamoria

@littlenervousx

@rd_swr28818

@haallen7

@stw_pdg

@f7lhabdoyti1

@mebank

@Shu_0n3

@rei89077

@Twink_latinboy

@elabd113

@rium0971

@mona8834402896

@crystal_le94902

@ResearchFMS

@csfv_

@WheelyKidd

@ko_syaroben

@buffaluffalo

@bloodbinded

@robdodson7

@luisagri_

@LOVD

@beverley888

@keanuuuu5

@MAGCNFT

@flyd1145999

@shiro_SRMSK

@call_me_stw

@cghheenensk

@tyrellosby17

Mariam Hanna MD

@PedsAllergyDoc

2 years

I'm really not hiding it from you.... The root cause of the child's eczema IS a skin barrier dysfunction. Not a food allergy. Sincerely, Allergist

112

273

3K

Mariam Hanna MD

@PedsAllergyDoc

3 years

Unnecessary food avoidance in a non-allergic but atopic patient causes harm. There. I said it. Sincerely, Allergist

53

116

2K

Mariam Hanna MD

@PedsAllergyDoc

3 years

I am an allergist. Allergy to a vaccine ingredient or the 1st dose is NOT cause for an exemption. It is a relative contraindication to routine vaccination. #CovidVaccine #allergy #Ontario #ThisIsOurShot

49

324

1K

Mariam Hanna MD

@PedsAllergyDoc

3 years

I am a #Pediatric #Allergist and I’m recommending #COVIDVaccineKids to all my patients No increased risk of reactions No #anaphylaxis in trials Does not contain any protein that looks like food, venom or environmental allergen USA has given > 1 million doses and no signals noted

22

257

937

Mariam Hanna MD

@PedsAllergyDoc

3 years

Allergists are able to assess & determine a safe setting for vaccination. Don’t request an #exemption , ask for a referral and let’s talk options. Spoiler alert: most can be vaccinated safely. #GetVaccinated

14

114

574

Mariam Hanna MD

@PedsAllergyDoc

11 months

Seeing very young children with significant asthma at an alarming rate in our office. Kids under 6yo with asthma requiring high doses of medications, or multiple medications to get control. Is this happening in your offices too? #pediatrics #familyphysicians #medicine #asthma

54

110

527

Mariam Hanna MD

@PedsAllergyDoc

1 year

If your aunt had a penicillin allergy, Your child is not at risk of penicillin allergy. If your father has a venom allergy, Your child is not at risk of a venom allergy. If you have a medication allergy, Your child is very likely just fine on that medicine. Sincerely, Allergist

21

39

300

Mariam Hanna MD

@PedsAllergyDoc

1 year

Dear Non-allergist, STOP ordering IgE food tests. Yes, I'm looking at you. Don't order a test that you don't manage. Our tests are very very dependent and context 100% matters in what we do. We are not in the business of creating artifact or selling fear. Sincerely, Allergist

24

63

303

Mariam Hanna MD

@PedsAllergyDoc

3 years

Yes, I'm an allergist. No, your child should NOT receive a #mask exemption for: - #asthma - #eczema - #allergies These are all not valid medical reasons for an #exemption . #MaskUp FYI It takes way longer to explain why NOT, then to just sign that form #medtwitter

5

58

268

Mariam Hanna MD

@PedsAllergyDoc

3 years

During an allergic reaction NEVER, EVER, EVER step into the shower or bath. 🚿🛁🥜 Contact reactions don't cause systemic symptoms. Showers will never fix breathing (in anaphylaxis). Showers drop blood pressure. Showers make you inaccessible. #anaphylaxis #epinephrine #AIMedEd

11

57

192

Mariam Hanna MD

@PedsAllergyDoc

2 years

VEGAN food does not mean ALLERGEN free. VEGAN food does not mean ALLERGEN free. VEGAN food does not mean ALLERGEN free.

18

21

185

Mariam Hanna MD

@PedsAllergyDoc

2 years

The future of food allergy management could actually be this simple… 🤩 #peanut #allergy #anaphylaxis Reason #239 why I’m excited about my specialty #allergist

23

14

168

Mariam Hanna MD

@PedsAllergyDoc

5 years

Thanks for your referral! Unfortunately, our office does not offer food allergy ‘panel testing’ upon request of physician, parent or patient. If there is no history of IgE mediated reaction, we will not screen or test. Because in medicine, first do no harm is the golden rule!

7

19

159

Mariam Hanna MD

@PedsAllergyDoc

3 years

@InfjHeartchakra Save your money. Don't do it. It, and many other non-validated tests, are absolutely a scam. Here are a few articles to get you on the right track with this topic: Happy reading!

CSACI Position statement on the testing of food-specific IgG - Allergy, Asthma & Clinical Immunology

aacijournal.biomedcentral.com

2

22

128

Mariam Hanna MD

@PedsAllergyDoc

3 years

@Newrick69 Great question: Atopy refers to the genetic tendency towards a constellation of allergic diseases including allergic rhinitis, asthma and atopic dermatitis (eczema). It is a "March" of conditions that seem to occur in an individual over their life.

4

5

103

Mariam Hanna MD

@PedsAllergyDoc

6 years

OIT in a nutshell. Not a cure. Not for every patient. Not for every allergist. Customization is key. Shared decision making is essential. Understand the process and KNOW it’s limitations. Right fit = amazing. Wrong fit = disaster. Long term & real world data coming...

6

28

102

Mariam Hanna MD

@PedsAllergyDoc

2 years

Multiple days of hives is almost never a food allergy. Sincerely, Allergist

6

13

99

Mariam Hanna MD

@PedsAllergyDoc

5 years

I am an allergist. I still have no idea what you mean by 'please see for routine allergy testing'. Patient: Is there a 'routine allergy test'? Me: No. Tests answer a specific question. What's the clinical concern you would like us to evaluate? #foodallergy #allergy #medtwitter

7

19

91

Mariam Hanna MD

@PedsAllergyDoc

2 years

Food allergy is not a part-time personal preference. That’s the tweet.

2

12

89

Mariam Hanna MD

@PedsAllergyDoc

2 years

Soy lecithin is a food additive derived from soy bean oil and TYPICALLY does not contain sufficient protein to cause allergic reactions in MOST individuals allergic to soy. Please stop making people's lives even more complicated. Simplify the message. Sincerely, Allergist

9

14

87

Mariam Hanna MD

@PedsAllergyDoc

6 years

We get many phone calls about EGG allergy and the FLU SHOT at this time of year. No special precautions are required for the administration of influenza vaccine to egg-allergic patients no matter how severe the egg allergy. #flushot #egg

9

54

86

Mariam Hanna MD

@PedsAllergyDoc

3 years

Worried about an allergic reaction AND you have EPINEPHRINE on hand? FIRST use Epinephrine, THEN dial 911 and/or go to the hospital. NEVER, EVER, EVER do the reverse. If you are waiting until someone is TRULY unwell, you've waited too long. #anaphylaxis #epinephrine #AIMedEd

4

22

75

Mariam Hanna MD

@PedsAllergyDoc

3 years

Food Allergist disclosure: When a person states they "Eat may contain and has had no reactions" that means nothing regarding level of tolerance or reaction threshold. It does however give us insight into risk tolerance, but that IS personal! #food #allergy #anaphylaxis

5

13

74

Mariam Hanna MD

@PedsAllergyDoc

2 years

If a child has a suspected FOOD ALLERGY and their skin test and/or blood test indicates potentially NOT ALLERGIC - the next best step in their evaluation is an ORAL FOOD CHALLENGE in a medical facility, and not ORAL IMMUNOTHERAPY Sincerely, Allergist/OIT Enthusiast

4

6

73

Mariam Hanna MD

@PedsAllergyDoc

2 years

If your asthma is keeping you from being physically active. Please, please, please - reconsider your asthma control and NOT your physical activity. #asthma #allergies #physicalactivity #healthy

7

14

72

Mariam Hanna MD

@PedsAllergyDoc

2 years

I treat symptoms not skin tests. I treat symptoms not skin tests. I treat symptoms not skin tests. Sincerely, Allergist

7

14

71

Mariam Hanna MD

@PedsAllergyDoc

4 years

A reminder for all awesome parents, patients, and amazing MD's Flu Shots + EGG Allergy = OK! There are no contraindications to routine childhood vaccinations including the flu shot despite having an egg allergy. #besafe #COVID19 #FluShot #Foodallergy

Flu Vaccine and People with Egg Allergies

This page contains information about egg allergy and flu vaccination.

www.cdc.gov

6

36

73

Mariam Hanna MD

@PedsAllergyDoc

2 years

I know you want to help but please STOP ordering IgE food panels on babies with eczema. The parents get no answers. The babies don't like it. The ordering doctor is puzzled. The allergist hates it. Put the pen down, and let's talk about it. #baby #food #allergy #eczema

3

13

67

Mariam Hanna MD

@PedsAllergyDoc

2 years

Routine consumption of "may contain"s: -is NOT immunotherapy -does not indicate tolerance to all 'may contains' -does not indicate a high threshold reactor -does not mean others should be fine with that too -is a nuanced discussion -is never a quick question #allergy #anaphylaxis

3

7

64

Mariam Hanna MD

@PedsAllergyDoc

3 years

Proud to be the NEW OMA Section Chair for Allergy and Immunology! This is truly an incredible milestone in my career and I look forward to representing an amazing group of physicians. @Health_Ontario_ @DrDougMackMD @OntariosDoctors

8

2

66

Mariam Hanna MD

@PedsAllergyDoc

2 years

Harms from administration of epinephrine when it wasn't needed: NONE Harms from non-administration or delayed administration of epinephrine when it was needed: MANY Conclusion: If you think you need it, just do it! #epinephrine #anaphylaxis #foodallergy #allergy

1

23

59

Mariam Hanna MD

@PedsAllergyDoc

5 years

Did you know? In our allergy clinic we run multiple oral challenges and frequently manage allergic reactions.... we have NEVER managed a reaction with Benadryl! We have NONE of this stuff on site. It’s like a curse word in our office. @DrDougMackMD #foodallergy #FoodForThought

7

13

62

Mariam Hanna MD

@PedsAllergyDoc

2 years

Not every rash is allergy. Not every rash is from food. Not every rash is dangerous. Not every rash will get worse. Not every rash needs Benadryl. Not every rash needs me. Rashes happen- sometimes. Sincerely, Allergist

4

13

57

Mariam Hanna MD

@PedsAllergyDoc

5 years

Sad but not surprised #AAAAI2020 is cancelled. I am confused why this wouldn’t be converted to a virtual meeting? It’s less than a week away. Attendees have booked the time, educational content is prepared. Why not use it to test the power of technology to connect us virtually!

2

4

61

Mariam Hanna MD

@PedsAllergyDoc

2 years

STOP calling night time cough at 2-3AM 'post-nasal drip'. It almost never, ever is. It's called ASTHMA - and poorly controlled at that. That's right. The word is ASTHMA. Now let's treat it as such. #asthma

8

59

Mariam Hanna MD

@PedsAllergyDoc

5 years

Our clinic. 3500 sqft. It's CLOSED. Virtual appointments only because #WeCare about #SocialDistancing and our community. We continue to provide care for our patients. We are not looking for a loan. #DoTheRightThing @fordnation @celliottability @DrDougMackMD @OntariosDoctors

3

21

60

Mariam Hanna MD

@PedsAllergyDoc

2 years

Dear #AirCanada , Stop making every allergic patient's life more difficult by requiring a physician signed 8-page document to allow safe accommodations during flying. Our patients and healthcare system do not need this administrative burden. Frustrated, Allergist & Advocate

2

8

58

Mariam Hanna MD

@PedsAllergyDoc

9 months

Some days in the allergy clinic, it's mostly discussing what is NOT an allergy, and what allergies ACTUALLY look like. Public and medical education around allergies MUST improve. Fear-based approach isn't working. Sincerely, Allergist

4

9

59

Mariam Hanna MD

@PedsAllergyDoc

4 years

Eggs are NOT dairy. I promise. #milk #foodallergy #Dairy #allergy

5

6

59

Mariam Hanna MD

@PedsAllergyDoc

2 years

Do you have asthma? - No, but... ...I use puffers with colds - ummm, that's asthma ...I just use puffers when my allergies act up - yeah, that's also asthma ...I use puffers when I'm running lots - yep, asthma ...But it's definitely not asthma... - I hate to break it to you

8

10

57

Mariam Hanna MD

@PedsAllergyDoc

3 years

Early Introduction and Infant Food Allergy Prevention: Where does ‘every 3 days’ come from? Is there any science/evidence for this? Is this an outdated myth? Finally, should you be recommending this? A thread🧵 #food #allergy #anaphylaxis 🥚🥛🥜

2

10

52

Mariam Hanna MD

@PedsAllergyDoc

4 years

Please allow children to believe in Santa. You believe in essential oils and no one is ruining it for you. #Christmas2020 #allergies #MedTwitter #children Created by someone much wiser than I, but I 100% conquer.

4

3

54

Mariam Hanna MD

@PedsAllergyDoc

3 years

@HazuchaJohn The best suggestion I can give you is NEVER take medical advice from social media. ALWAYS talk to your doctor first!

1

54

Mariam Hanna MD

@PedsAllergyDoc

3 years

Seasonal allergy patient, 3 years on immunotherapy, now running his own landscaping business! That's what we would call success 😊 Allergists have the best specialty! #seasonal #allergy #pollen

3

2

53

Mariam Hanna MD

@PedsAllergyDoc

2 years

As an allergist, risk is something we speak about every day. There are 3 big things you should know about risk: 1) Every decision you make carries risk 2) Risk is both mathematical and personal 3) Personal risk tolerance can change over time Sincerely, Allergist

5

9

52

Mariam Hanna MD

@PedsAllergyDoc

2 years

The rise in allergies can be attributed to our MODERN lifestyle and an interplay with epigenetics. There 5 environmental D's to consider: Diet, Dogs, Dirt, Vitamin D, Dry skin It's too much of some, too little of other, and timing, timing, timing. Sincerely, Allergist

5

7

51

Mariam Hanna MD

@PedsAllergyDoc

2 years

The downfall of the allergy specialty is not due to inability to get people skin tested or allergy bloodwork fast enough... it's: 1) Lack of utilization of oral food challenges 2) Improper/over testing 3) Inaccurate interpretation of sensitization Treat the patient not the test

3

15

49

Mariam Hanna MD

@PedsAllergyDoc

3 years

Dear Ontario, Ontario doctor's are STILL here for other health concerns and those are EQUALLY as important. We are open. We are here. We have gone through every effort to ensure your safety in our clinics. It's frankly safer than the mall! Don't ignore your health; we won't!

1

10

51

Mariam Hanna MD

@PedsAllergyDoc

2 years

Outlandish idea: In 2022, a restaurant should be able to facilitate a space that is cleaned from whatever allergen to appropriately prep a meal for a person. It’s totally not what’s convenient for the restaurant, but an expectation for serving humans food. #allergy

4

10

49

Mariam Hanna MD

@PedsAllergyDoc

6 years

Dr Hourhane- Allergists are not the food police... we are now the food fairies. We no longer want you to avoid ‘just in case’ we want you to eat it ‘just in case’ #AAAAI19

1

13

47

Mariam Hanna MD

@PedsAllergyDoc

9 months

Blame the eczema. Not the food. Sincerely, Allergist

1

7

48

Mariam Hanna MD

@PedsAllergyDoc

2 years

"I wish they never labelled my child as food allergic before I even fed them anything" then begins crying. Don't be that person that panel tests. Don't be that person that does screening tests. Don't be that parent that demands this approach.

4

14

47

Mariam Hanna MD

@PedsAllergyDoc

3 years

@WhatAllergy We must be cautious not to confuse correlation with causation especially in chronic conditions which wax and wane as their hallmark. Coming up with sustainable long term strategies and understanding that there are unexpected speed bumps along the way ultimately is less harmful!

1

3

45

Mariam Hanna MD

@PedsAllergyDoc

4 years

Friday Myth Buster.... FICTION: My child's #allergy is mild/moderate/severe FACT: The severity of an allergy is poorly predicted (in general). It's like the weather forecast... it depends on allergen, content, cofactors, and comorbidities but the storm can be unpredictable!

3

10

46

Mariam Hanna MD

@PedsAllergyDoc

4 years

Health and Wellness activity... 1- Walk to your medicine cabinet 2- Grab the Benadryl 3- Throw it OUT!! Congrats, you've just made your medicine cabinet safer for ur household! Benadryl: sedating, impairs sleep/learning/work, 📈dementia risk, overdoses #benadryl #allergy #Food

5

7

47

Mariam Hanna MD

@PedsAllergyDoc

3 years

Food introduction/allergy prevention: Why is it every three days? Who came up with that thought? Is there science to support this? Or is it a perpetuated myth? Happy to do a thread if there’s interest in this topic. 🥜 🥛 🥚

13

1

45

Mariam Hanna MD

@PedsAllergyDoc

2 years

The Allergists daily pledge: Just because I could do a skin test, Doesn't mean I should do the skin test, Or that I will do the skin test.

4

8

38

Mariam Hanna MD

@PedsAllergyDoc

3 years

Please be advised that ANY and ALL rashes on the skin are not instantly diagnostic of an ALLERGY or even a FOOD ALLERGY and yes, this includes hives. My #dermatology friends would be outraged at this pattern of thinking and my #allergy colleagues get grey hairs daily over this👩‍🦳

2

6

43

Mariam Hanna MD

@PedsAllergyDoc

2 years

Eczema NOT pathognomonic for food allergy. While severe eczema may be higher risk for food allergy, not 1:1. Severe eczema no more than a moderate pre-test probability of food allergy. Soon: a recommendation against ALL dietary elimination for any severity of eczema. #napaac22

3

10

42

Mariam Hanna MD

@PedsAllergyDoc

2 years

Please be advised that no singular skin test size or blood test makes the diagnosis of allergy with 100% certainty. Also, regrettably, (not really) we do not offer testing to 'everything possible'. Sincerely, Allergist

2

6

42

Mariam Hanna MD

@PedsAllergyDoc

3 years

Allergy Consultants are not a routine SCREENING service. We do diagnosis, prevention, and treatment. BUT, we are not advocates of aimless screening. It causes harm. Thank you for your understanding. #AIMedED

1

8

44

Mariam Hanna MD

@PedsAllergyDoc

8 months

A rash on a baby's chin is NOT food allergy until proven otherwise. A recurrent rash on a baby's chin is not numerous food allergies until proven otherwise. Don't equate your fear to a proper risk assessment and food allergy diagnosis. Sincerely, Allergist

2

11

38

Mariam Hanna MD

@PedsAllergyDoc

10 months

It's not normal for a child to require a course of oral steroids 3-4 times in a year. Not sure how else to tell you this. It's REALLY not normal. Sincerely, Allergist

1

5

41

Mariam Hanna MD

@PedsAllergyDoc

1 year

Corticosteroids (in case you're going to think about it) has ZERO evidence to prevent biphasic reactions. First generation antihistamines should NEVER be used in the context of anaphylaxis. Stay away! If you're even going to consider it, use 2nd and 3rd generation. #CSACI23

3

8

38

Mariam Hanna MD

@PedsAllergyDoc

4 years

Inhaled steroids in children? Concerned about final height? Data supports patients on mild/moderate doses ICS may have SLOWING of their vertical growth but eventually achieve their predicted height. However, we have great evidence that uncontrolled #asthma STUNTS growth forever!

1

6

41

Mariam Hanna MD

@PedsAllergyDoc

5 years

Did you know? Benadryl has never saved someone’s life and yet “In 2003, 28,092 exposures to Benadryl were reported to poison control centres in the US—11,355 (40.4%) of these cases were in children under the age of 6, resulting in at LEAST 6 fatalities” #allergies #anaphylaxis

9

20

42

Mariam Hanna MD

@PedsAllergyDoc

9 months

The itch of eczema is not histamine-mediated. Sincerely, Allergist

2

8

40

Mariam Hanna MD

@PedsAllergyDoc

2 years

Do we have a portable, easy to use, pre-loaded, life-saving medication for a potential allergic reaction on board this flight? - ummm - not really - but we should - because it's 2022 and not the stone ages - and it is as simple as ABC! #anaphylaxis #allergy #health

Medscape

@Medscape

2 years

Why in-flight emergency kits need an update

5

27

54

2

8

39

Mariam Hanna MD

@PedsAllergyDoc

3 years

The scariest sentences we hear: - It's just allergies - We were told the next reaction may be fatal - We don't use epinephrine or it won't work - We don't use puffers or they'll be dependent If you've used ANY of these statements, get off Twitter and seek out an allergist. ASAP😉

3

4

38

Mariam Hanna MD

@PedsAllergyDoc

9 months

News: ALLERGIC REACTION! HIVES don't equal an allergic reaction. Public awareness (and reporting) on this must improve. Our healthcare system sucks BUT prolonged hives RARELY represent a medical emergency - or need epinephrine. Sincerely, Allergist

Toronto, Canada & Global Breaking News – CP24

Most recent News News business news stories and video from CP24

www.cp24.com

1

16

37

Mariam Hanna MD

@PedsAllergyDoc

7 months

Montelukast is NOT a primary treatment of asthma. There’s international agreement on this. AND don’t forget to counsel on the black box warning associated with this medication #asthma #NAPAAC24

2

10

38

Mariam Hanna MD

@PedsAllergyDoc

1 year

#Peanut Allergy in Press! Infants age 1-3 yo wore a 'sticker' #EPIT daily for a year! Results: increased reaction thresholds, decreased reaction severity. Imagine, one day a diagnosis, the next day an immediate intervention catered by age & lifestyle!

Phase 3 Trial of Epicutaneous Immunotherapy in Toddlers with Peanut Allergy | NEJM

No approved treatment for peanut allergy exists for children younger than 4 years of age, and the efficacy and safety of epicutaneous immunotherapy with a peanut patch in toddlers with peanut aller...

www.nejm.org

0

2

38

Mariam Hanna MD

@PedsAllergyDoc

2 years

I wish I could wave a magic wand and make: - allergies disappear - eczema non-existent - skin not itchy - and breathing be perfect But for now, I rely on science and evidence based medicine and be grateful for the briefcase of options now available. Sincerely, Allergist

1

3

37

Mariam Hanna MD

@PedsAllergyDoc

2 years

The culture of fear —> This is absolutely happening in the food allergy community. Incorrect messaging. Non validated testing! #foodallergy @AllergyKidsDoc #napaac22

3

7

35

Mariam Hanna MD

@PedsAllergyDoc

2 years

Get aggressive with managing infant eczema! It will provide the infant with good quality sleep, better development, decrease food sensitization through their skin, and make it easier for food introduction. We can STOP uncontrolled eczema in infancy. Sincerely, Allergist

1

3

37

Mariam Hanna MD

@PedsAllergyDoc

8 months

Did you know? While 40% of people might show detectable IgE antibodies to foods, only 5-8% are actually allergic. It's crucial to interpret these tests with care, not as black-and-white 'positive' or 'negative.'

0

12

37

Mariam Hanna MD

@PedsAllergyDoc

5 years

The Atopic March makes me think of 3 rules: 1) Any food allergy pt ALWAYS screen for asthma symptoms 2) An infant with moderate/severe eczema ALWAYS discuss food allergy prevention (early intro and risks of food allergy) 3) A patient with allergic rhinitis then think of asthma

2

9

36

Mariam Hanna MD

@PedsAllergyDoc

3 years

The value of 'allergy tests' (skin tests or bloodwork) is in their proper utilization AND interpretation. The number and size of the test alone is meaningless. Context IS everything. Improper utilization causes harm. Just 'cause you CAN do it, doesn't mean we (or you) SHOULD.

2

4

35

Mariam Hanna MD

@PedsAllergyDoc

2 years

Question: When an asthmatic patient comes back at follow up, taking their medications, and having ZERO symptoms, do they still have asthma? Answer: YES! Well controlled asthma. #asthma #respiratory #medicine

3

5

34

Mariam Hanna MD

@PedsAllergyDoc

3 years

Rashes don't "look" allergic. Context matters more than looks. Sincerely, The Allergist

2

4

37

Mariam Hanna MD

@PedsAllergyDoc

2 years

It’s absolutely okay to give cephalosporins while awaiting penicillin allergy evaluation… and probably even if TRULY penicillin allergic.

Malika Gupta

@MalikaGuptaMD

2 years

Practice Parameters update for the Allergist by Dr. David Khan #AAAAI23

0

2

19

2

5

35

Mariam Hanna MD

@PedsAllergyDoc

2 years

It is triggering for me to read about a death from food allergy. Even though occurrences are rare, it is every patient/physicians nightmare. Food is integral to us for nourishment, and intertwined into our social interactions. #anaphylaxis #foodallergy

4

3

35

Mariam Hanna MD

@PedsAllergyDoc

2 years

A child reacted, on an otherwise boring day, on what was otherwise supposed to be a fun, casual outing/event with family or friends. They're stressed. I'm frustrated for them. Food allergies suck. Sincerely, Allergist

3

1

34

Mariam Hanna MD

@PedsAllergyDoc

2 years

Mounting evidence and support for FEEDING babies peanut at an early age. A reminder: FOOD belongs in the mouth and not worn on the face. Cute photo in this article but misleading- food in the mouth is best! #peanut #allergy

Give babies peanut butter to cut allergy by 77%, study says

Research suggests there is a crucial window during weaning to lower the allergy risk.

www.bbc.com

5

9

36

Mariam Hanna MD

@PedsAllergyDoc

3 years

And as I told you last year, If I can see your nose, I'm telling Santa!

0

8

36

Mariam Hanna MD

@PedsAllergyDoc

4 years

I hate school forms. I said it.... and here's why... 'Non -life threatening anaphylactic reactions'.... give me a break! This is getting ridiculous. There is a reason why we have standardized #anaphylaxis action plans. #food #allergy @FoodAllergyCAN @DrDougMackMD

10

9

37

Mariam Hanna MD

@PedsAllergyDoc

3 years

The biggest harm done to our specialty is routinely using wrong labels: food allergy - when it isn't drug allergy - when it isn't allergy - when it isn't and wait for it... immunotherapy - when it isn't The tsunami of misinformation is rampant. #AIMedEd #allergy #medtwitter

1

3

36

Mariam Hanna MD

@PedsAllergyDoc

5 years

Just a thought... there are shortages on Ventolin (and possibly epinephrine autoinjectors).... schools are closed and have essential medications stored for children on site... can schools arrange for safe pick ups for families? #COVID19ON #ONeducation #schoolsout #PharmacyHeroes

4

6

36

Mariam Hanna MD

@PedsAllergyDoc

2 years

Don't tell me you want to learn about OIT when we haven't hammered through proper food allergy diagnosis. Also, it's actually not OIT if the patient is not even allergic, it's actually just a colossal waste of time and healthcare resources.

6

2

33

Mariam Hanna MD

@PedsAllergyDoc

8 months

As per 2019 AAP guidelines, you NO longer need to feed one new food every 3-5 days. I repeat - DONT NEED TO DO THIS! For patients with FPIES, consider 1 new food per meal! #AAAAI24

2

10

34

Mariam Hanna MD

@PedsAllergyDoc

3 years

To anyone that says you need to give routine Ventolin/Salbutamol BEFORE inhaled medications to “open up the airways” so that medicine can “be delivered,” You and I need to exchange some words, and discuss evidence based practice. Do we need a thread? #asthma #puffers #MedTwitter

8

3

35

Mariam Hanna MD

@PedsAllergyDoc

2 years

My parents tell me that in their time, any inexplicable or random symptom was often explained away as 'allergy'. Well... it seems the more things change, the more things really don't change at all. While we diagnose allergy, we un-diagnose even more. Sincerely, Allergist

5

3

33

Mariam Hanna MD

@PedsAllergyDoc

4 years

#runnynose #congestion - common with #allergies , can be seen with #colds , less commonly with #COVID19 Families: use meds to control your child's allergies Schools: asking for an MD letter documenting allergies is nonsense Public health: we need ready access to testing

1

9

34

Mariam Hanna MD

@PedsAllergyDoc

9 months

Modern allergy practice is: a) interpreting somebody else's indiscriminate tests that have no relevance to the presentation b) diagnosing something the had been dismissed as 'normal' c) explaining risks d) debunking social media blunders Now hiring! Sincerely, Allergist

1

2

33

Mariam Hanna MD

@PedsAllergyDoc

2 years

Baby led weaning: a method of introducing complementary foods to infants in which the infant feeds themselves hand-held foods instead of being spoon-fed by an adult. NOT recommended for babies with eczema. NOT recommended for allergenic solids. NOT recommended by allergists.

9

13

35

Mariam Hanna MD

@PedsAllergyDoc

10 months

It is of low yield to introduce an 'allergen' and then never maintain it into an infants diet. The recommendation is for early introduction AND ongoing consumption to maintain tolerance. Sincerely, Allergist

0

4

33

Mariam Hanna MD

@PedsAllergyDoc

1 year

Please recognize that allergies don't come as: - small, medium, large and x-large - mild, moderate, severe and anaphylactic - contact, ingestion, inhalational and airborne They come as ALLERGIES. Sincerely, Allergist

3

5

33

Mariam Hanna MD

@PedsAllergyDoc

3 years

#Ontario COVID Vaccine medical exemptions: - Myocarditis (heart inflammation) - Pericarditis (inflammation of sac around heart) - Allergist confirmed reaction Wondering whether you can/should get vaccinated due to a medical reason? Talk to your doctor! #COVID #VaccinePassports

3

9

33

Mariam Hanna MD

@PedsAllergyDoc

2 years

"It's probably NOT the food allergy that causes the eczema, but the uncontrolled eczema that can cause the food allergy" AND "Whatever food avoidance measure you may pursue because XXX said to, don't do it strictly, or for longer than 2 months!" - Dr. Marissa Joseph, @CSACI_ca

2

4

31

Mariam Hanna MD

@PedsAllergyDoc

2 years

Missed appointments and no-shows on confirmed appointments in a fragile health care system with backlogs everywhere is entirely punitive to not just that person, but all those waiting in cue after them. Don't be that person. #ONHealthcare

5

2

31