A Message to Our Patients
Division of Allergy & Sinus, The GW Medical Faculty Associates
Dear Allergy and Sinus Patients,
We know this is a very trying time for all of you. Many of you have communicated with us about various issues regarding your ongoing care in our clinic and we are writing you to try to address some of those issues.
Most importantly, we want to stress the absolute importance of your sticking to your current plan of treatment. This is crucial for all but especially for those of you with asthma. If you are on a steroid-containing controller inhaler, please, please, please stay on the dose that keeps your asthma under optimal control. This is important because you will be less susceptible to the virus and better able to manage it if you do get it, if the asthma is well-controlled. If you are getting a biologic therapy for asthma (Xolair, Fasenra, Nucala, Dupixent), we will do our best to continue your injections. This also applies to allergy immunotherapy (or allergy shots). We address these in detail below.
We have had to close our clinic temporarily for in person visits, other than for injections however, we are committed to being available to you as best as possible under current circumstances. Accordingly, Drs. Ein, Keswani, DuBuske and Rosenthal are in training to provide telemedicine services. We plan to all be up and running by early next week and will let you know how you can reach us. For those of you who don’t have the capability to use telemedicine, we are still reachable by phone or on the FollowMyHealth portal message system, which is our preferred method of communication for routine matters, such as prescription renewals or routine questions.
Please note that this is a very fluid situation and these policies may change as conditions change. Also, please be advised that there can be no exceptions to the policies as stated.
We will have limited days for injections and all injections will require appointments so that we can space out these visits and maintain social distancing. Please do not come for injections if you are sick with fever, cough, shortness of breath or any other viral symptoms as we will not give you an injection due to an increased risk of a severe, systemic reaction. Check with your primary care physician or with us prior to making an injection appointment.
For Biologics (Xolair, Fasenra, Nucala, Dupixent), we will offer injections for biologics as close to your regular schedule as possible. We are able to offer home administration for Fasenra, Nucala, and Dupixent via an auto-injector pen that can be prescribed by your physician. For those of you who still want or need to get your injection in our office, you are still responsible for getting the medication shipped to our office.
For Allergen Immunotherapy, we will be making dose and time interval adjustments as follows:
- If you are on a stable maintenance dose, we will increase the interval between injections to 4 to 6 weeks.
- For the build up phase, we will maintain you at your last tolerated dose at an interval of every 2-4 weeks, depending on your reactions. We will not be advancing doses.
For Venom Immunotherapy, we will be making dose and time interval adjustments as follows:
- For stable maintenance doses, we will increase the interval between injections to 8 weeks.
- For those still at the build up phase, we will individualize the schedule, depending on circumstances.
Please call 202-741-2771 to schedule an appointment with our front desk staff or for questions and concerns.
You must have an appointment to receive your injection: We will not accept walk-ins.
We thank you for your patience and understanding. Like you, we can’t wait for this terrible disease to be over, but, until it is, we are here for you. We wish you all the best, and above all, safety for you and your loved ones.