Allergists working in the hospital

[Laradd]

Do allergists ever work in the hospital? I'm trying to think what sort of cases an allergist is consulted on other than desensitization?

---

Members don't see this ad.

 

[hotsaws]

Many private practice allergists don't take hospital call or consults.

Of course, at large academic institutions, allergists take consults. Common reasons for consults include drug allergy, pediatric/adult immunodeficiencies, eosinophilia, rashes (please call derm), anaphylaxis, HAE/urticaria/angioedema, or curbsides about our known clinic patients.

Plenty of stupid consults too...

Overall, when I'm on consults, it's not a bad rotation. I cover a very large hospital system. COVID has made it so we do lots of the consults as virtual/E-consults. I rarely get called after hours.

 

[gutonc]

Allergists in the hospital? Other than the cafeteria?

Sarcasm aside, I will say that many inpatient consults that non-procedural sub-specialists get can be accomplished completely by chart review. I only enter the patient room (or even go on the floor) for billing purposes, not because it adds anything to the discussion.

 

[hotsaws]

Allergists in the hospital cafeteria?! Surely there's a Whole Foods or something nearby.

 

[NITRAS]

I’m actually not sure if I can call an allergy specialist. I feel like I could . . But in the the last 8 years I’ve been seeing patients, I’m not sure of a good reason. I’m 100% sure they wouldn’t want to see an inpatient.

I can get a dermatologist to see something if I want them to (they actually are pretty good about it . . And Haiku and pictures makes it so easy and really cuts down on the BS consults).

 

[mszzeta]

I’m actually not sure if I can call an allergy specialist. I feel like I could . . But in the the last 8 years I’ve been seeing patients, I’m not sure of a good reason. I’m 100% sure they wouldn’t want to see an inpatient.

I can get a dermatologist to see something if I want them to (they actually are pretty good about it . . And Haiku and pictures makes it so easy and really cuts down on the BS consults).

In my residency, the only time we called an allergy consult is an ICU pt with refractory angioedema. But for unknown reasons, they did not eventually show up.......

They should be helpful for rare primary immunodeficiencies

 

[MHYDE]

We get called about our known immunodeficiency patients, as a courtesy. Same with HAE, for actual advice. We also do drug allergy evals and desensitizations. Not at my current program but in my peds residency years ago we sometimes consulted allergy on high risk asthma inpatients.