Elected as top docs again in 2016 - they consistently are voted Top Doctors by their peers. Dr. Lanier and Dr. Tierce understand the issues of allergy, asthma and a whole host of immunologic issues. They are considered cost consciencious and extremely good educators, taking the time you need for an organized approach. Consultant letters go to your doctors and we believe in complete record sharing. You get copy of your records before you leave. They are active in clinical research and Journal papers, now working in three large studies on asthma and urticaria.
Need immunization faster? We offer RUSH (accelerated immunotherapy) to select patients. It's faster and may save you copays immunization by reducing the total number of shots
It can come from sinuses - even as a reaction to reflux
6310 Southwest Blvd, suite 200, Fort Worth, 76109 817 731-9198 fax 817 731-9199
We are trained and certified
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This is our strongest area of expertise. We will not be satisfied that you are controlled with high does inhaled steroids. Our philosophy is lowest medications for shortest period of time, If you are willing to learn, we can teach you to manage this better.. We always have an eye on the long term picture. We are looking at the effect of medication over an extended period. Children and women get special attention. The tougher your asthma- the more challenge you present. We love a challenge.
Dr. Tierce has a special interest
DOGS IMPROVE CHILDRENS' ASTHMA more......
Now it is Cedar !!!!
The frost has killed ragweed and triggered mountain cedar. You can see the yellow pollen against the green foliage. Sometime it looks like the tree is catching fire !!
FROM DR. TIERCE ON THE FLU SHOT:
I am always happy to evaluate any kid if parent or physician is uncomfortable administering flu, difficulty of course is we don't stock vaccine. Generally speaking, those with egg allergy or egg sensitization - flu vaccine is safe to be received from PCP. If previous severe reaction to egg, administration in a setting where a shot reaction can be recognized and treated. A previous flu vaccine reaction is a different question and seen as "contraindication" to further administration of flu vaccine. .
Also, nasal mist has been "un recommended" due to poor efficacy. Thus, more people getting flu shots this year. from CDC website "For the 2016–17 influenza season, ACIP recommends the following:
Persons with a history of egg allergy who have experienced only hives after exposure to egg should receive influenza vaccine. Any licensed and recommended influenza vaccine (i.e., any age-appropriate IIV or RIV3) that is otherwise appropriate for the recipient’s age and health status may be used.
Persons who report having had reactions to egg involving symptoms other than hives, such as angioedema, respiratory distress, lightheadedness, or recurrent emesis; or who required epinephrine or another emergency medical intervention, may similarly receive any licensed and recommended influenza vaccine (i.e., any age-appropriate IIV or RIV3) that is otherwise appropriate for the recipient’s age and health status. The selected vaccine should be administered in MEDICAL, NOT PHARMACY facilities. Vaccine administration should be supervised by a health care provider who is able to recognize and manage severe allergic conditions.
A previous severe allergic reaction to influenza vaccine, regardless of the component suspected of being responsible for the reaction, is a contraindication to future receipt of the vaccine"
Dr. Lanier Speaks and presents research at the American College of Allergy, Asthma, and Immunology Meeting
2016 - San Francisco