What to expect
To assure time for a comprehensive evaluation, please allow three hours for your visit.
Check-in: You will need to complete a questionnaire and forms to bring to your new patient visit. The information you provide will help us in our assessment of your health.
Vital signs: A nurse will call you from the waiting room to take your blood pressure, pulse, peak flow and Asthma Control Test (ACT). She will review the information you provided and ask you additional questions about your medications. From here, you may have spirometry and skin testing done. Then you will be escorted into an exam room.
Exam: You will meet your asthma team, a team of physicians and nurses assigned specifically to help you with your asthma. Our doctors will review the information you provided and ask you additional questions about your health and medications. Based upon your history and exam, the appropriate tests will be recommended. Your comprehensive team will explain these tests and give you written information.
- Exhaled nitric oxide testing
- Pulmonary function tests
- Skin testing
- Nasal endoscopy
- CT scans and X-rays
- Stress test for exercise induced asthma
- Impulse oscillometry of the upper and lower airway
- Oral and inhalation challenges: methacholine and antigen-specific
Patients will receive spirometry at every visit if possible. Spirometry will take approximately 20 minutes and will involve exhaling into a machine to record lung function. This is done twice, once before medication is administered and once after. This test measures airflow and severity of asthma and helps diagnose any underlying lung problems. Skin testing may be performed and will take approximately one hour. This consists of placing proteins on the skin to test sensitivity and determine if your asthma is due to an allergen. Patients will undergo nasal endoscopy to evaluate for anatomical abnormalities and nasal polyps. Nasal endoscopy is a simple procedure which allows a doctor to look inside the nose using a flexible tube instrument.
CT scans, X-rays, stress test for exercise induced asthma, oral and inhalation challenges, exhaled nitric oxide testing and impulse oscillometry are conducted based on your specific needs.
Test results: Once testing is completed, you will meet with your doctors to go over your results. Based on this information, they will be able to recommend a course of treatment and answer any questions that you may have. Your doctors and nurse coordinator will discuss asthma education and give you some suggestions on asthma management.
Next steps: You may schedule your follow-up visit to evaluate your progress. After approximately three visits, your evaluation in the Comprehensive Allergy, Asthma and Sinus Center will be complete. Your primary care physician will have a thorough understanding of your asthma and your other health conditions that impact your asthma. You can then be seen routinely by your primary care physician, or one of the specialists in the center .
Preparing for your visit
Please bring completed history forms and questionnaire
to your new patient appointment. This includes a complete list of current medications and contact information for the referring physician.
Please bring any previous records of sinus X-rays or CT scans.
If possible, stop taking antihistamines
five days before your visit. This helps assure accurate allergy testing.
If possible, stop using asthma inhalers eight hours before your visit. This helps assure accurate pulmonary testing.
Stop smoking six hours prior to your visit.