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Watch this video to hear from Zachary Rubin, MD, FACAAI, as he discusses potential ways primary care providers can help optimize allergy care before specialist referrals, as well as some of the pitfalls they should avoid when managing patients with allergies.

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Thermo Fisher Scientific

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Transcript

0:00a lot of people don't have access to specialists. I think there's only about 5,000 practicing allergist in America. So a lot of times primary care is the front line for for certain allergies.

0:09And are there any misconceptions that you see in a primary care setting or that you've heard about when it comes to, let's say, environmental respiratory allergy testing?

0:19One of the things that bothers me is sometimes I'll have patients come to me and say, well, my primary care didn't want to do any testing. They said, just get an anti-histamine and just take that year round.

0:29And that's actually not appropriate for everybody and antihistamines is only one approach to treating allergic rhinitis when nasal sprays that have steroids in them or antihistamines can be another approach to it.

0:40But by knowing what you are sensitive to will really help us figure out what is the appropriate therapy, which they can do ahead of time before coming into my office.

Text on Screen

0:00A LOT OF PEOPLE DON'T HAVE

0:00ThermoFisher SCIENTIFIC

0:00Luke Lemons

0:00Thermo Fisher Scientific

0:00ImmunoCAST

0:00ACCESS TO SPECIALISTS,

0:02I THINK THERE'S ONLY ABOUT

0:035,000 PRACTICING ALLERGISTS

0:05SO A LOT OF TIMES PRIMARY

0:06CARE IS THE FRONT LINE

0:08FOR CERTAIN ALLERGIES ARE

0:10THERE ANY MISCONCEPTIONS

0:11THAT YOU SEE IN A PRIMARY

0:13CARE SETTING OR THAT YOU'VE HEARD ABOUT

0:15WHEN IT COMES TO, LET'S SAY,

0:16ENVIRONMENTAL RESPIRATORY ALLERGY

0:18TESTING?

0:19ONE OF THE THINGS THAT

0:20Zachary Rubin, MD, FACAAI

0:20Double board-certified pediatric allergist

0:20@rubin_allergy

0:20BOTHERS ME IS SOMETIMES

0:21I'LL HAVE PATIENTS COME

0:23WELL, MY PRIMARY CARE

0:24DIDN'T WANT TO DO ANY TESTING.

0:26THEY SAID, JUST GET AN

0:27ANTIHISTAMINE AND JUST

0:29TAKE THAT YEAR ROUND.

0:30AND THAT'S ACTUALLY NOT

0:31APPROPRIATE FOR EVERYBODY

0:33AND ANTIHISTAMINES IS ONLY ONE APPROACH

0:35TO TREATING ALLERGIC RHINITIS WHEN NASAL SPRAYS

0:38THAT HAVE STEROIDS IN THEM OR ANTIHISTAMINES

0:40CAN BE ANOTHER APPROACH TO IT.

0:41BUT BY KNOWING WHAT YOU ARE

0:43SENSITIVE TO WILL REALLY

0:45HELP US FIGURE OUT WHAT IS THE

0:46APPROPRIATE THERAPY,

0:47WHICH [PRIMARY CARE] CAN DO

0:48AHEAD OF TIME BEFORE COMING INTO MY OFFICE.

Scenes (4)

0:00luke lemons speaking allergists

A medium close-up shot focuses on a bald man with a neat, short beard, wearing a dark gray suit jacket over a white collared shirt and a blue lanyard with an ID badge. He is seen from the chest up, positioned slightly to the right of the frame, actively speaking into a large, black condenser microphone mounted on a stand to his left. He wears black over-ear headphones. In the foreground, on a dark tabletop, a white enamel mug with 'ImmunoCAST' written in red and a small red logo is visible, alongside an open, cream-colored notebook. The background is a brightly lit, clean studio space with a light blue gradient wall that transitions to white at the top. Around the 8-second mark, a lush green leafy plant subtly appears in the background, behind his right shoulder, indicating a slight camera adjustment or zoom-out, though the primary framing remains consistent. The lighting is soft and even, highlighting his face and the objects on the table. Various white and red text overlays appear dynamically on screen, emphasizing points in his speech, such as 'A LOT OF PEOPLE DON'T HAVE', 'ACCESS TO SPECIALISTS,', '5,000 PRACTICING ALLERGISTS', and questions about 'ENVIRONMENTAL RESPIRATORY ALLERGY TESTING?'. Briefly, a cartoon graphic of two doctors, one light-skinned woman and one dark-skinned man, both in lab coats, is overlaid on the lower-left. A red rectangular logo for 'ThermoFisher SCIENTIFIC' is consistently present in the top-right corner.

0:19zachary rubin speaking antihistamine

A medium close-up shot presents a man with dark, curly hair and clear-framed glasses, wearing a light blue collared shirt and a dark bow tie, speaking into a microphone. He is positioned slightly to the left of the frame, with a large, black condenser microphone on a stand to his right. He wears black wired over-ear headphones. The background is a clean, bright light blue wall with a subtle gradient to white, indicating a professional studio environment. The lighting is soft and even, illuminating his face. Dynamic white and red text overlays appear on screen, highlighting phrases such as 'ONE OF THE THINGS THAT', 'BOTHERS ME IS SOMETIMES', 'MY PRIMARY CARE DIDN'T WANT TO DO ANY TESTING.', and 'JUST GET AN ANTIHISTAMINE'. An animated graphic of two white oval-shaped pills is briefly overlaid on the lower-left around the 27-second mark. A red banner at the bottom of the screen displays his name and credentials: 'Zachary Rubin, MD, FACAAI, Double board-certified pediatric allergist, @rubin_allergy'. The 'ThermoFisher SCIENTIFIC' logo is consistently displayed in a red rectangle in the top-right corner.

0:29luke lemons reaction shot

A very brief, quick cut shows a medium close-up of the bald man from the first scene. He is wearing his dark gray suit jacket, white shirt, and blue lanyard, with black over-ear headphones. He is looking slightly to his left (viewer's right), appearing to be listening or reacting. The black microphone is visible to his left, and the white 'ImmunoCAST' mug is on the dark table in the foreground. The background is the light blue studio wall with the green leafy plant. The lighting is soft. Red text overlay 'TAKE THAT YEAR ROUND.' appears on screen. The 'ThermoFisher SCIENTIFIC' logo is in the top-right corner.

0:30zachary rubin speaking therapy

A medium close-up shot returns to the man with dark, curly hair and clear-framed glasses, wearing a light blue collared shirt and a dark bow tie, speaking into a microphone. He is positioned slightly to the left of the frame, with a large, black condenser microphone on a stand to his right. He wears black wired over-ear headphones. The background is the same clean, bright light blue wall with a subtle gradient to white, characteristic of the studio setting. The lighting is soft and even. He gestures occasionally with his hands to emphasize his points. Dynamic white and red text overlays appear on screen, detailing his points, such as 'AND THAT'S ACTUALLY NOT', 'APPROPRIATE FOR EVERYBODY', 'ANTIHISTAMINES IS ONLY ONE APPROACH', 'TO TREATING ALLERGIC RHINITIS WHEN NASAL SPRAYS', 'THAT HAVE STEROIDS IN THEM OR ANTIHISTAMINES', 'CAN BE ANOTHER APPROACH TO IT.', 'BUT BY KNOWING WHAT YOU ARE SENSITIVE TO WILL REALLY', 'HELP US FIGURE OUT WHAT IS THE APPROPRIATE THERAPY,', and 'WHICH [PRIMARY CARE] CAN DO AHEAD OF TIME BEFORE COMING INTO MY OFFICE.'. The red banner at the bottom of the screen with his name and credentials ('Zachary Rubin, MD, FACAAI, Double board-certified pediatric allergist, @rubin_allergy') remains visible. The 'ThermoFisher SCIENTIFIC' logo is consistently displayed in a red rectangle in the top-right corner.

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