We aim to offer world-class assessment and treatment for people with allergic diseases and asthma. Specific interests of this practice include:
As you know, there is a high demand for Allergy & Asthma services. We currently have a ten month wait-list for routine appointments. However all referrals are triaged by urgency and we do keep slots for urgent patients. We encourage referring doctors to call us if they are worried and we are happy to discuss the issue and make an urgent appointment if necessary.
Please note re: eczema and dermatitis referrals
This clinic is staffed with allergists and immunologists, who do not intend to be the primary specialist managing these skin conditions. The optimal first approach is consultation with a Dermatologist. If Dermatology assessment has not been undertaken within the past two years, then we would recommend this to be done.There are newer eczema treatments now available through dermatology specialists. We unfortunately have a long waiting list and do not want individuals to be waiting for a long period of time and in doing so, missing out on more appropriate care. Dermatologists are well positioned to advise on diagnosis, skin care, eczema treatment and to assess contact reactions that flare dermatitis.
If there are other atopic conditions such as food allergy, asthma or hayfever, then we are the most appropriate clinic for specialist assessment of these. If the Dermatologist recommends an allergy review then we are also very happy to be consulted. Please let us know if this is the case and we will be pleased to schedule an appointment.
Please be aware that whilst we do our best to help all referred patients, we are receiving a large number of referrals for patients seeking advice about COVID vaccination and who are seeking an Exemption Certificate for vaccination. Given the urgency of the COVID-19 situation with escalating Victorian case numbers we are unable to see these patients in a reasonable time-frame.
We therefore strongly suggest that patients seeking exemption be sent in the first instance to the Victorian Special Immunisation Service (VicSIS) clinics for assessment and offered vaccination in accordance with their test results and guidelines.
We also advise that doctors at this practice will only issue an Immunization Medical Exemption, or a Temporary Medical Exemption from vaccination for an indication approved by ATAGI
Patients who have suffered anaphylaxis to vaccines should be referred to designated VicSIS centres for testing and vaccination with a suitable agent. We do not perform testing for allergy to the vaccine or the constituents in this clinic.
Mastocytosis or anaphylaxis to foods by themselves are not reasons for vaccine exemption or exclusion. Recommendations for these individuals are: vaccination in a centre able to treat anaphylaxis and an additional observation period following vaccination if required.
In summary, the overwhelming medical evidence supports vaccination as safe and offering the best chance of protection from COVID-19 and its complications. This practice therefore strongly supports vaccination in all who are eligible.
Our clinic offers online telehealth consultations for follow up appointments which are Medicare billable for eligible patients from regional or interstate areas outside metropolitan Melbourne. Please click here for more information.
The hay fever season is nearly upon us and many people in Melbourne suffer severely from it. It is usually due to an allergy to Rye grass pollens and is particularly severe from November to December. At this time there is also a risk for thunderstorm asthma which is a particular risk for those who suffer from hay fever.
The first line treatment for hay fever is topical nasal steroids used on a daily basis. People should use them regularly from the commencement of hay fever season ( mid October ) till the end of December. Additional treatments for severe symptoms include oral non-sedating antihistamines and/ or topical eye medications such as antihistamine eyedrops or mast cell stabilisers.
Immunotherapy is very effective but cannot be commenced during the hay fever season. Patients considering injection immunotherapy need to be seen by April and sublingual immunotherapy by July for commencement.
Clinicians working in MAAIC are involved in clinical trials studying new medications and treatment and also basic research exploring the underlying mechanisms of disease . All trials are approved by an independent Ethics and Research Committee and informed consent and written enrolment procedures are mandated. If a patient appears suitable for a trial they will be invited by their treating doctor and their consent sought. Patients are always free to volunteer, or not volunteer for research studies without affecting their care in any way. If a patient does consent, their referring doctor will be notified.