1 00:00:00,040 --> 00:00:02,960 Speaker 1: Chris Colosso is our guest. He is my new, relatively 2 00:00:03,040 --> 00:00:05,560 Speaker 1: new allergist. He's been my wife's saler just for five years. 3 00:00:05,559 --> 00:00:08,920 Speaker 1: She's had amazing results, and I wanted him to come 4 00:00:09,000 --> 00:00:11,120 Speaker 1: on with it being when we started. He said, look, 5 00:00:11,560 --> 00:00:14,080 Speaker 1: we're about to start polling season, so you are going 6 00:00:14,080 --> 00:00:15,760 Speaker 1: to have a flare. Let's talk about what we're going 7 00:00:15,840 --> 00:00:17,919 Speaker 1: to do. And I said, that's a perfect time to 8 00:00:17,960 --> 00:00:20,159 Speaker 1: have you on the show. I like the fact that 9 00:00:20,200 --> 00:00:23,160 Speaker 1: he very patiently answers all my many questions and you 10 00:00:23,200 --> 00:00:26,920 Speaker 1: can imagine what it's like to be my doctor. Mary 11 00:00:26,960 --> 00:00:30,400 Speaker 1: Telly Boden told me one time that I shouldn't ask 12 00:00:30,440 --> 00:00:33,000 Speaker 1: so many questions. It's distracting, and I just laughed and 13 00:00:33,040 --> 00:00:35,400 Speaker 1: I said, Mary, tell you don't know. That's just me. 14 00:00:36,680 --> 00:00:38,519 Speaker 1: Every doctor that's treated me will tell you that, and 15 00:00:38,560 --> 00:00:41,280 Speaker 1: they all know. They all hate it, but they all know. Anyway, 16 00:00:41,280 --> 00:00:44,960 Speaker 1: he patiently answered my questions and with a lifetime of sneezing, 17 00:00:45,720 --> 00:00:49,600 Speaker 1: runny eyes congestion. I wanted him to share with you 18 00:00:50,320 --> 00:00:53,240 Speaker 1: his experience because he kind of geeks out on this stuff, 19 00:00:53,280 --> 00:00:56,200 Speaker 1: and I'm glad to know that somebody does. Chris Colosso 20 00:00:56,280 --> 00:00:59,920 Speaker 1: is our guest. So doctor Colosso we see this pol 21 00:01:00,000 --> 00:01:03,400 Speaker 1: one that's coming down and you were talking about you 22 00:01:03,400 --> 00:01:06,840 Speaker 1: and I were talking about, uh, this being the season 23 00:01:06,880 --> 00:01:10,039 Speaker 1: where it really causes people to flare. What are the 24 00:01:10,080 --> 00:01:14,800 Speaker 1: big allergies and antigens that that people would know the 25 00:01:15,080 --> 00:01:17,840 Speaker 1: street name of that make this season so bad? 26 00:01:18,880 --> 00:01:23,360 Speaker 2: So you know this this season, everybody, you know, all 27 00:01:23,440 --> 00:01:27,120 Speaker 2: that yellow stuff you see coding the oak pollen is 28 00:01:27,160 --> 00:01:29,559 Speaker 2: going to you know, is going to go through the roof, 29 00:01:30,319 --> 00:01:33,240 Speaker 2: I mean every street and you don't and people are like, oh, 30 00:01:33,240 --> 00:01:35,600 Speaker 2: should I take down my oak tree in my arm 31 00:01:35,640 --> 00:01:37,679 Speaker 2: And I'm like, no, it's going to make no difference 32 00:01:38,160 --> 00:01:42,039 Speaker 2: because the pollen level is going to be thick in 33 00:01:42,120 --> 00:01:44,800 Speaker 2: the air and you can and you can you know, 34 00:01:45,560 --> 00:01:47,600 Speaker 2: on our website we have you know, there's a link 35 00:01:47,640 --> 00:01:50,720 Speaker 2: to the City of Houston pollen counter, and you know 36 00:01:50,760 --> 00:01:55,360 Speaker 2: it'll get up to the thousands and thousands of pollen 37 00:01:55,400 --> 00:01:58,640 Speaker 2: count in the air and the biggest you know trees 38 00:01:58,680 --> 00:02:00,880 Speaker 2: over here that we have trouble with this old pecan 39 00:02:01,120 --> 00:02:05,000 Speaker 2: ash and anger and they start off at you know, 40 00:02:05,120 --> 00:02:07,040 Speaker 2: different times, and so ash reason to be a little 41 00:02:07,040 --> 00:02:10,160 Speaker 2: bit early, okays through the major of springtime and then 42 00:02:10,400 --> 00:02:12,360 Speaker 2: you know, pick con tends to be a little bit 43 00:02:12,440 --> 00:02:16,519 Speaker 2: later on this season. But besides that, you know, the 44 00:02:16,680 --> 00:02:21,160 Speaker 2: hedges and all those things that are pollinating. Springtime tends 45 00:02:21,200 --> 00:02:25,200 Speaker 2: to be the worst for more for most patients. And 46 00:02:25,280 --> 00:02:28,079 Speaker 2: we have patients who are you know, typically they'll have 47 00:02:28,320 --> 00:02:34,240 Speaker 2: allergy to uh to springtime trees, but they also show 48 00:02:34,600 --> 00:02:37,000 Speaker 2: a dust my allergy and so you know, and that's 49 00:02:37,000 --> 00:02:39,320 Speaker 2: why sometimes when I explain to patients, I was like, 50 00:02:39,720 --> 00:02:42,080 Speaker 2: they're like, but dastally, I don't feel anything with the 51 00:02:42,120 --> 00:02:45,040 Speaker 2: dust miles, And it's like, no, you probably do, but 52 00:02:45,120 --> 00:02:48,080 Speaker 2: it's just that you have this baseline because the dust 53 00:02:48,120 --> 00:02:50,320 Speaker 2: my stuff is there year around, right, so you have 54 00:02:50,400 --> 00:02:53,800 Speaker 2: symptoms throughout the year, and so you just sort of 55 00:02:54,160 --> 00:02:56,399 Speaker 2: if you will, you're sort of used to being miserable, 56 00:02:57,000 --> 00:02:59,520 Speaker 2: and then you have this and then a long come 57 00:02:59,639 --> 00:03:03,360 Speaker 2: spring and just adds on to that. And so part 58 00:03:03,400 --> 00:03:06,800 Speaker 2: of controlling allergy is trying to reset that baseline. And 59 00:03:06,840 --> 00:03:08,880 Speaker 2: so as I did with Michael, I stressed with him that, 60 00:03:08,960 --> 00:03:11,600 Speaker 2: you you know, make sure that you do dust might covers. 61 00:03:12,080 --> 00:03:15,080 Speaker 2: Now dust might covers. I'm not going to, you know, 62 00:03:15,160 --> 00:03:17,680 Speaker 2: one hundred percent eliminate dust might, but it's going to 63 00:03:17,800 --> 00:03:20,200 Speaker 2: drop the load. So it's going to drop that load. 64 00:03:20,200 --> 00:03:22,560 Speaker 2: And so now that baseline is set a little bit 65 00:03:22,639 --> 00:03:26,160 Speaker 2: lower so that when that spring pollen comes hits you, 66 00:03:26,160 --> 00:03:29,800 Speaker 2: you're not already at this super high level of you know, 67 00:03:29,840 --> 00:03:34,120 Speaker 2: being miserable. And so that's why you know, seeing a 68 00:03:34,120 --> 00:03:37,360 Speaker 2: specialist you know, can help you understand and sort of 69 00:03:38,240 --> 00:03:42,240 Speaker 2: target the allergy from you know, not only just medicines, 70 00:03:42,280 --> 00:03:46,480 Speaker 2: but also avoidance measures and other treatment modalities, and that's 71 00:03:46,560 --> 00:03:49,400 Speaker 2: that will just help you feel better overalls. 72 00:03:50,680 --> 00:03:54,240 Speaker 1: He is an allergist and his clinic is Advanced Allergy 73 00:03:54,280 --> 00:03:55,320 Speaker 1: and Asthma Center. Go ahead. 74 00:03:55,320 --> 00:03:59,360 Speaker 2: That was just oh, Michael, I just want to you know, 75 00:03:59,400 --> 00:04:03,320 Speaker 2: we are advance an Asthma Analogy center. But it's you know, it's. 76 00:04:03,200 --> 00:04:06,600 Speaker 1: Semantics allergies before let me ask you. 77 00:04:06,480 --> 00:04:08,640 Speaker 2: This asthma analergy. 78 00:04:08,880 --> 00:04:13,080 Speaker 1: Okay, let me ask you this. So this treatment to 79 00:04:13,160 --> 00:04:17,039 Speaker 1: make your body not you know through these like one 80 00:04:17,040 --> 00:04:18,800 Speaker 1: of the forms of treatment is the shots. And that's 81 00:04:18,800 --> 00:04:20,760 Speaker 1: what I've started doing. Is what's my wife has gotten 82 00:04:20,760 --> 00:04:25,920 Speaker 1: coursuls with. If our body no longer reacts to the pollen, 83 00:04:26,200 --> 00:04:29,280 Speaker 1: when when is there any downside to that? I mean, 84 00:04:29,320 --> 00:04:31,280 Speaker 1: did our body react to try to protect us. 85 00:04:32,920 --> 00:04:36,279 Speaker 2: No big because remember that arm of the immune system 86 00:04:36,360 --> 00:04:39,960 Speaker 2: that your body started reacting to the pollen, not because 87 00:04:40,000 --> 00:04:43,279 Speaker 2: it was truly protecting you. That arm of the immune 88 00:04:43,279 --> 00:04:48,239 Speaker 2: system was designed to fight parasites. But when you don't 89 00:04:48,240 --> 00:04:51,040 Speaker 2: have much parasite exposure or you don't have you know, 90 00:04:51,440 --> 00:04:53,919 Speaker 2: worms and those kinds of things, it had nothing to 91 00:04:53,960 --> 00:04:58,159 Speaker 2: do and so it was not it wasn't reacting in 92 00:04:58,200 --> 00:05:03,040 Speaker 2: the first place to protect it's sort of its started 93 00:05:03,080 --> 00:05:08,039 Speaker 2: reacting just because it wasn't busy enough to do that, 94 00:05:08,680 --> 00:05:11,000 Speaker 2: and so that comes. You know, there's an interesting thing 95 00:05:11,040 --> 00:05:14,479 Speaker 2: known as the hygiene hypothesis of why allergies go. And 96 00:05:14,520 --> 00:05:19,640 Speaker 2: it's very interesting with something you said. So your wife, 97 00:05:20,360 --> 00:05:23,600 Speaker 2: like me, grew up in India, and it's very interesting. 98 00:05:23,920 --> 00:05:31,840 Speaker 2: Allergy tends to be a disease of the advanced world. 99 00:05:31,440 --> 00:05:36,240 Speaker 2: In the in the Third world, they tend to have 100 00:05:36,560 --> 00:05:42,560 Speaker 2: much less allergy. And the thinking is a lot of 101 00:05:42,560 --> 00:05:46,080 Speaker 2: that has to do because we get exposed. You know, 102 00:05:46,240 --> 00:05:50,760 Speaker 2: people who grew up in the Third World or even 103 00:05:51,279 --> 00:05:55,039 Speaker 2: in farming communities, tend to be exposed to a higher 104 00:05:55,160 --> 00:05:59,320 Speaker 2: level of endotoxin. And endotoxin is just dirt or you know, 105 00:06:00,120 --> 00:06:02,360 Speaker 2: for lack of a better word, and sometimes what you 106 00:06:02,440 --> 00:06:06,839 Speaker 2: find in manure and that kind of stuff outside, and 107 00:06:06,920 --> 00:06:09,640 Speaker 2: when that part of the immune system is stimulated, it 108 00:06:09,680 --> 00:06:16,440 Speaker 2: tends to suppress the allergic response. And so remember how 109 00:06:16,480 --> 00:06:19,320 Speaker 2: you said that, you know, when your wife first came, 110 00:06:19,360 --> 00:06:22,800 Speaker 2: she had never had trouble with allergy, right, And that's 111 00:06:22,800 --> 00:06:26,720 Speaker 2: what we see over here too, Like I never had 112 00:06:26,800 --> 00:06:30,839 Speaker 2: allergy for twenty years, And it's only being you know, 113 00:06:31,120 --> 00:06:35,440 Speaker 2: in sort of a cleaner environment that that arm of 114 00:06:35,480 --> 00:06:40,560 Speaker 2: the immune system starts reacting, whereas in you know, in 115 00:06:40,560 --> 00:06:43,320 Speaker 2: a dirty environment, if you will, or just being exposed 116 00:06:43,360 --> 00:06:46,520 Speaker 2: to more dirt, it keeps the allergy part of it 117 00:06:46,720 --> 00:06:47,480 Speaker 2: under control. 118 00:06:48,440 --> 00:06:50,880 Speaker 1: So it's almost if you don't use it, you lose it, 119 00:06:50,960 --> 00:06:53,599 Speaker 1: or a weak muscle. Because the developed world, and especially 120 00:06:53,640 --> 00:06:57,120 Speaker 1: the United States, is so hygienic, our body does not 121 00:06:57,360 --> 00:07:01,599 Speaker 1: develop the ability to fight off these things, and so 122 00:07:01,839 --> 00:07:04,720 Speaker 1: when they hit us, it hits us harder as opposed 123 00:07:04,720 --> 00:07:06,360 Speaker 1: to growing up on the rough streets of the third 124 00:07:06,440 --> 00:07:09,400 Speaker 1: world sort of thing, and your body has has developed 125 00:07:09,440 --> 00:07:14,960 Speaker 1: an immunity to that. It's a fascinating hypothesis, I'm absolutely fascinating. 126 00:07:15,920 --> 00:07:19,920 Speaker 2: Right, And that's that's what's considered the hygiene hypothesis and 127 00:07:20,000 --> 00:07:22,720 Speaker 2: so it and it's it's not so much that the 128 00:07:22,800 --> 00:07:28,720 Speaker 2: body didn't develop the immunity, but it's that the infection 129 00:07:29,080 --> 00:07:31,640 Speaker 2: keeps this arm of the immune system, the allergy part, 130 00:07:32,120 --> 00:07:36,360 Speaker 2: not reacting. And once you take away you know, a 131 00:07:36,360 --> 00:07:40,640 Speaker 2: lot of those the infection or you know, and they 132 00:07:40,640 --> 00:07:43,840 Speaker 2: talk about just being outside and playing in the dirt 133 00:07:43,880 --> 00:07:46,280 Speaker 2: and those kind things help decreat allergy. 134 00:07:46,680 --> 00:07:48,480 Speaker 1: Let's talk about that, because you and I have had 135 00:07:48,480 --> 00:07:51,640 Speaker 1: that conversation. I think it's important. Doctor Chris Colosso advanced 136 00:07:51,680 --> 00:07:56,160 Speaker 1: asthma an allergy coming up. Remember me, Okay, remember Scott 137 00:07:56,840 --> 00:08:05,679 Speaker 1: A welcome out. Doctor Chris Colosso has been my wife's 138 00:08:05,680 --> 00:08:08,760 Speaker 1: allargist for five years. She's had phenomenal results. I have 139 00:08:09,000 --> 00:08:11,720 Speaker 1: recently started with him and he answered all my questions 140 00:08:11,800 --> 00:08:14,240 Speaker 1: and he literally sat down. He owns the clinic, so 141 00:08:14,280 --> 00:08:16,160 Speaker 1: it's not like being part of one of the big 142 00:08:16,160 --> 00:08:18,440 Speaker 1: hospital systems where you've got to churn people so fast. 143 00:08:19,120 --> 00:08:20,800 Speaker 1: But he in much the same way that I have 144 00:08:20,800 --> 00:08:24,360 Speaker 1: conversations with Mohit Kara and Jim Munks and other doctors 145 00:08:24,400 --> 00:08:26,160 Speaker 1: that are just you know, they geek out over their 146 00:08:26,360 --> 00:08:28,720 Speaker 1: area of expertise, and I love that and I asked 147 00:08:28,800 --> 00:08:31,000 Speaker 1: him to share some of that with you, doctor Colosso 148 00:08:31,200 --> 00:08:35,760 Speaker 1: let's talk about what people if someone doesn't have Medicare, 149 00:08:35,840 --> 00:08:39,160 Speaker 1: doesn't have a healthcare program, doesn't is not able to 150 00:08:39,160 --> 00:08:41,440 Speaker 1: come and see you, what are some basic things that 151 00:08:41,480 --> 00:08:44,600 Speaker 1: people can do to get through pollen season when they're having. 152 00:08:44,400 --> 00:08:50,040 Speaker 2: Difficulty, So you know, the best thing to do is 153 00:08:50,120 --> 00:08:55,000 Speaker 2: to try and avoid it. So it's so finus instance, 154 00:08:55,679 --> 00:08:59,360 Speaker 2: Now that's something simple and you know, very easy to do. 155 00:09:00,120 --> 00:09:02,520 Speaker 2: So if you do go take the dog out for 156 00:09:02,559 --> 00:09:04,840 Speaker 2: a walk. As soon as you come back, do a 157 00:09:04,920 --> 00:09:07,920 Speaker 2: science trench. That's you know, if you're going to blow 158 00:09:07,960 --> 00:09:11,800 Speaker 2: all your leaves out, wear a mask because the higher 159 00:09:11,880 --> 00:09:14,480 Speaker 2: level of pollen that you that you expose yourself to, 160 00:09:15,360 --> 00:09:17,839 Speaker 2: the more chance that you're going to have were symptoms. 161 00:09:18,640 --> 00:09:20,760 Speaker 2: The other the one of the other things you can 162 00:09:20,800 --> 00:09:23,520 Speaker 2: do is you know, if you know that you know 163 00:09:23,640 --> 00:09:25,640 Speaker 2: dust may be a trigger or those kind of things, 164 00:09:26,040 --> 00:09:29,040 Speaker 2: then you know, keep the humidity low because the lower 165 00:09:29,080 --> 00:09:33,200 Speaker 2: the humidity in the house, the less dust my populations, 166 00:09:33,440 --> 00:09:37,000 Speaker 2: uh you know survive or you know you're decreased the 167 00:09:37,040 --> 00:09:40,080 Speaker 2: dust my population, and then you know there's medicines, and 168 00:09:40,120 --> 00:09:44,079 Speaker 2: so you know, using the medicines during you know, during 169 00:09:44,120 --> 00:09:47,160 Speaker 2: pollen season and now since that most of these things 170 00:09:47,200 --> 00:09:50,400 Speaker 2: are over the counter, so using an antihistamine and using 171 00:09:50,440 --> 00:09:54,360 Speaker 2: a nose pray will help control the symptoms so you're 172 00:09:54,400 --> 00:09:57,960 Speaker 2: not as miserable. So in in those you know, and 173 00:09:58,040 --> 00:10:00,600 Speaker 2: that's in that way you can try and you know, 174 00:10:01,040 --> 00:10:05,240 Speaker 2: sort of keep the symptoms controlled. But this would not 175 00:10:05,400 --> 00:10:08,640 Speaker 2: be the time to you know, when you know, when 176 00:10:08,679 --> 00:10:11,480 Speaker 2: you see you know, these guys blowing all the pollen 177 00:10:11,920 --> 00:10:14,400 Speaker 2: all around. To walk through that pollen cloud, you're going 178 00:10:14,480 --> 00:10:18,440 Speaker 2: to be miserable, and so you know, trying to sort 179 00:10:18,440 --> 00:10:22,360 Speaker 2: of avoid it. Using and using the medications that are 180 00:10:22,400 --> 00:10:25,199 Speaker 2: over the counter judiciously will help you alive. 181 00:10:25,600 --> 00:10:28,880 Speaker 1: You seem to prefer to start with zyrtech and if 182 00:10:28,920 --> 00:10:30,720 Speaker 1: somebody can handle it, use that and if they can't, 183 00:10:30,720 --> 00:10:32,920 Speaker 1: move on, why is that is that the best over 184 00:10:32,960 --> 00:10:33,600 Speaker 1: the counter drug? 185 00:10:33,920 --> 00:10:37,800 Speaker 2: I feel Zyrtec tends to work a little bit better 186 00:10:37,920 --> 00:10:40,760 Speaker 2: than some of the antihistamines, but you know, it has 187 00:10:40,760 --> 00:10:44,040 Speaker 2: a thing that it can cause drowsiness, and so five 188 00:10:44,080 --> 00:10:46,440 Speaker 2: percentral maybe a little bit less of the people who 189 00:10:46,480 --> 00:10:49,240 Speaker 2: take it, you know, will say it makes them sleepy, 190 00:10:50,240 --> 00:10:53,240 Speaker 2: and so there's other there's other antihyst meines over the counter. 191 00:10:53,280 --> 00:10:56,080 Speaker 2: Allegra does not you know, across the blood beIN barrier, 192 00:10:56,120 --> 00:10:58,560 Speaker 2: and so you know, in pilots or someone with a 193 00:10:58,559 --> 00:11:01,880 Speaker 2: commercial drug driver license, you know, i'd say, hey, you 194 00:11:01,920 --> 00:11:04,760 Speaker 2: need to use Allegra as your antihistormy because we can't 195 00:11:04,800 --> 00:11:09,120 Speaker 2: have any of those. You know, you can't be drowsy 196 00:11:09,160 --> 00:11:10,080 Speaker 2: and those kind of things. 197 00:11:10,240 --> 00:11:13,560 Speaker 1: But you don't start with Allegra because you think Zyrtech, 198 00:11:13,679 --> 00:11:15,880 Speaker 1: if the person can handle it, is more effective. 199 00:11:15,920 --> 00:11:18,920 Speaker 2: Typically is a little bit it is a little bit better. 200 00:11:19,000 --> 00:11:22,400 Speaker 2: But you know, everything every and you know, I run 201 00:11:22,440 --> 00:11:25,920 Speaker 2: into this all the time where patients will tell me, no, doctor, 202 00:11:25,920 --> 00:11:29,480 Speaker 2: see Allegra works better for me or whatever. Everyone's immune 203 00:11:29,520 --> 00:11:32,600 Speaker 2: system is sort of a little different, and so you know, 204 00:11:32,679 --> 00:11:37,120 Speaker 2: sometimes patients tend to prefer, you know, which medicine works 205 00:11:37,160 --> 00:11:39,960 Speaker 2: best for them without the side effects. But I feel 206 00:11:40,080 --> 00:11:43,960 Speaker 2: Zyrtech is a really good anti history to help control. 207 00:11:44,280 --> 00:11:48,040 Speaker 1: And then after that down the list you would go Allegra. 208 00:11:48,360 --> 00:11:51,280 Speaker 2: And then what I go, yeah, mine is Clariton. After that, 209 00:11:51,440 --> 00:11:56,000 Speaker 2: I don't like chronic use of first generation antihistmines because 210 00:11:56,200 --> 00:11:58,800 Speaker 2: all of those tend to cross the blood brain barrier 211 00:11:59,600 --> 00:12:04,200 Speaker 2: and they all tend to make you drowsing. And then 212 00:12:04,320 --> 00:12:08,640 Speaker 2: there was you know, some studies out from a while 213 00:12:08,640 --> 00:12:11,280 Speaker 2: ago with you know, with New England General Medicine. They 214 00:12:11,320 --> 00:12:14,280 Speaker 2: talked about you know, long term use of first generation 215 00:12:14,320 --> 00:12:20,040 Speaker 2: antihistamines maybe and you know, maybe associated with dementia later on. 216 00:12:20,760 --> 00:12:23,760 Speaker 2: And so I try to avoid using chronic use of 217 00:12:23,800 --> 00:12:25,280 Speaker 2: first generation anti history means. 218 00:12:25,320 --> 00:12:29,439 Speaker 1: And the first generation antihistamines are Zerotech, Allegra and Claridon No. 219 00:12:29,240 --> 00:12:32,280 Speaker 2: No, no, sorry, The first generation answer his means are benadryl, 220 00:12:32,640 --> 00:12:36,360 Speaker 2: oh okay. And then there's some chlorophane from Phenomenon loved 221 00:12:36,360 --> 00:12:37,160 Speaker 2: Those a little bit hard. 222 00:12:37,080 --> 00:12:38,880 Speaker 1: To find, okay. So just to wrap that up in 223 00:12:38,960 --> 00:12:42,079 Speaker 1: cause people weren't paying close attention, You're not in favor 224 00:12:42,120 --> 00:12:44,640 Speaker 1: of using benadryl long term because that was an early 225 00:12:44,720 --> 00:12:47,160 Speaker 1: drug and you think there may potentially be some problems with. 226 00:12:47,160 --> 00:12:50,120 Speaker 2: That, right and and everyone, you know. And my thing 227 00:12:50,240 --> 00:12:54,920 Speaker 2: is I explained to patients that the way these anti histamines, 228 00:12:54,960 --> 00:12:57,719 Speaker 2: they tend to block or trap the histamine receptor and 229 00:12:57,760 --> 00:13:01,880 Speaker 2: they enactive form, so con'tbined histamin Benadrol will do that 230 00:13:02,000 --> 00:13:03,920 Speaker 2: for four to six hours, and then it falls off 231 00:13:03,960 --> 00:13:07,000 Speaker 2: the receptor, so the receptors open again, and you have 232 00:13:07,240 --> 00:13:09,520 Speaker 2: the bad side effect that it can put you to sleep. 233 00:13:09,960 --> 00:13:12,600 Speaker 2: So why would you do that if there's better, if 234 00:13:12,640 --> 00:13:16,000 Speaker 2: there's you know, the most of the second generation anto 235 00:13:16,120 --> 00:13:19,199 Speaker 2: his means, like Zootech and Clark and Leger and those 236 00:13:19,240 --> 00:13:22,720 Speaker 2: kind of things last twenty four hours, and they are 237 00:13:22,840 --> 00:13:27,239 Speaker 2: much less They cause much less grousiness than the first generations. 238 00:13:27,600 --> 00:13:31,120 Speaker 2: So that's why I don't like the first generation as instruments. 239 00:13:32,360 --> 00:13:37,480 Speaker 1: It's very interesting the over the counter of zyrtech, I think, 240 00:13:37,520 --> 00:13:39,840 Speaker 1: I mean you talked about it tends to mask problems 241 00:13:39,880 --> 00:13:41,880 Speaker 1: for people who who for those who end up with 242 00:13:42,000 --> 00:13:44,800 Speaker 1: very chronic conditions. But I would be interested to know, 243 00:13:44,920 --> 00:13:46,480 Speaker 1: and I don't know if you have any sense what 244 00:13:46,640 --> 00:13:50,120 Speaker 1: percentage of the population is on one of those latter 245 00:13:50,280 --> 00:13:57,400 Speaker 1: generation zerotech Allegra Cleraton on a relatively regular basis, which 246 00:13:57,520 --> 00:13:58,880 Speaker 1: by the way, he put me on zertech, and I 247 00:13:58,960 --> 00:14:01,880 Speaker 1: do fine with it. I wonder what percentage of the 248 00:14:01,880 --> 00:14:04,080 Speaker 1: population is on that, because I would assume that makes 249 00:14:04,120 --> 00:14:06,480 Speaker 1: a big difference, at least at least to giving people 250 00:14:06,559 --> 00:14:07,640 Speaker 1: some comfort, some relief. 251 00:14:08,679 --> 00:14:10,800 Speaker 2: No, I think a lot of people and then they 252 00:14:10,880 --> 00:14:14,000 Speaker 2: say maybe sixteen hundred million people have allergy. But once 253 00:14:14,080 --> 00:14:16,400 Speaker 2: those things go over the counter, then you know, I 254 00:14:16,480 --> 00:14:18,040 Speaker 2: guess at some point they used to be able to 255 00:14:18,120 --> 00:14:22,480 Speaker 2: track it, but now you don't. But you know, given 256 00:14:22,560 --> 00:14:25,520 Speaker 2: how well those you know, the drugs have done. And 257 00:14:26,000 --> 00:14:29,280 Speaker 2: you know, I see many people who are those antihistamines 258 00:14:29,360 --> 00:14:30,920 Speaker 2: Y're around all the time. 259 00:14:31,680 --> 00:14:32,720 Speaker 1: Did you see a problem with that? 260 00:14:35,840 --> 00:14:39,520 Speaker 2: There's pretty good data out and right now, I sometimes 261 00:14:39,640 --> 00:14:42,360 Speaker 2: you know, if you like I told you that, if 262 00:14:42,560 --> 00:14:46,080 Speaker 2: zerotech doesn't knock you out, then then it's fine. But 263 00:14:46,560 --> 00:14:48,880 Speaker 2: you know, I try to make sure that you use 264 00:14:49,000 --> 00:14:52,160 Speaker 2: drugs that you know don't affect uh, you know, slow 265 00:14:52,240 --> 00:14:53,520 Speaker 2: you down and those kinds of things. 266 00:14:53,600 --> 00:14:56,400 Speaker 1: You know, well, I don't know, I told you, but 267 00:14:56,600 --> 00:15:00,920 Speaker 1: none that is she said. She says that it makes 268 00:15:00,960 --> 00:15:04,640 Speaker 1: her drowsy, which it does, but she didn't tell that 269 00:15:04,760 --> 00:15:07,240 Speaker 1: it makes her a little angry. And the reason we 270 00:15:07,360 --> 00:15:11,400 Speaker 1: knew that, the boys and I is because she's never angry. 271 00:15:11,560 --> 00:15:13,800 Speaker 1: She is the sweetest person one hundred percent of the time. 272 00:15:13,800 --> 00:15:16,040 Speaker 1: People don't believe she could be that nice. And she 273 00:15:16,200 --> 00:15:18,680 Speaker 1: started on that and about the third time she took it, 274 00:15:18,760 --> 00:15:21,360 Speaker 1: she said, Hey, I'm gonna take my zirtech and go 275 00:15:21,440 --> 00:15:24,200 Speaker 1: to bed. I'm just warning you in case I'm grumpy. 276 00:15:24,400 --> 00:15:26,720 Speaker 1: I'm not mad at you. It has that effect, but 277 00:15:26,800 --> 00:15:29,480 Speaker 1: please tell me if I do that. And so she 278 00:15:29,640 --> 00:15:31,960 Speaker 1: started keeping notes herself and said okay. That's when she 279 00:15:32,080 --> 00:15:34,400 Speaker 1: came to you and said, okay, I need to switch 280 00:15:34,480 --> 00:15:37,960 Speaker 1: to something else. Chris Colosso is our guest advanced asthma 281 00:15:38,120 --> 00:15:40,560 Speaker 1: and allergy. If you would like to go and see him, 282 00:15:40,960 --> 00:15:43,760 Speaker 1: I would be happy to connect you. Otherwise, we're talking 283 00:15:43,840 --> 00:15:45,880 Speaker 1: in the middle of pollen season, at least for those 284 00:15:45,880 --> 00:15:48,600 Speaker 1: of you who don't know. I'm in Houston and in 285 00:15:48,720 --> 00:15:52,080 Speaker 1: Southeast Texas where we are right about now. Most everybody 286 00:15:52,160 --> 00:15:58,960 Speaker 1: you talk to is sneezing, nodding, stuffy head eyes, the 287 00:15:59,120 --> 00:16:01,440 Speaker 1: whole deal. And that's why I wanted to talk to 288 00:16:01,520 --> 00:16:03,200 Speaker 1: him today. We'll be to your conversation. 289 00:16:03,680 --> 00:16:06,320 Speaker 2: Man's the term anal intercourse on your. 290 00:16:06,280 --> 00:16:10,920 Speaker 1: Program, Michael, if it's relevant to this story for journalistic purposes. 291 00:16:12,000 --> 00:16:14,840 Speaker 1: Chris Colosso is my wife's allergist, has been for five 292 00:16:14,920 --> 00:16:18,400 Speaker 1: years to great result. She finally dragged me to see 293 00:16:18,480 --> 00:16:21,720 Speaker 1: him a month or so ago, and I've gone through 294 00:16:21,760 --> 00:16:24,160 Speaker 1: my tests, and I really like the fact that he 295 00:16:24,480 --> 00:16:26,680 Speaker 1: takes the time to answer all my many questions. I 296 00:16:26,720 --> 00:16:29,560 Speaker 1: don't believe doctors are gods. I think that doctors are 297 00:16:29,600 --> 00:16:31,960 Speaker 1: like everyone else, doing the best they can. I love 298 00:16:32,040 --> 00:16:34,440 Speaker 1: the fact that he quotes studies, which means he's keeping 299 00:16:34,640 --> 00:16:38,320 Speaker 1: up with, uh, you know, the developments in his field. 300 00:16:38,360 --> 00:16:40,080 Speaker 1: I think a lot some doctors, not a lot, a 301 00:16:40,160 --> 00:16:42,960 Speaker 1: few doctors, they get kind of they get stuck in 302 00:16:43,040 --> 00:16:45,200 Speaker 1: the in the ways of doctor Spock's, you know, book 303 00:16:45,280 --> 00:16:48,080 Speaker 1: on newborns, and they don't keep up with new trends 304 00:16:48,160 --> 00:16:50,520 Speaker 1: and new developments and new data that's coming out, and 305 00:16:50,720 --> 00:16:54,960 Speaker 1: he does. And I really like that, Doctor Colosso let's 306 00:16:55,080 --> 00:16:58,360 Speaker 1: talk about you told me something very interesting. I had 307 00:16:58,440 --> 00:17:01,040 Speaker 1: had the test done on the allergy test that a 308 00:17:01,080 --> 00:17:04,080 Speaker 1: lot of people have had earlier in life, where they 309 00:17:04,160 --> 00:17:06,720 Speaker 1: do the pin pricks and then you see what flares, 310 00:17:07,080 --> 00:17:09,800 Speaker 1: and y'all have changed the dosage you use for that 311 00:17:10,080 --> 00:17:13,320 Speaker 1: because people were literally dying through that, and now you 312 00:17:13,480 --> 00:17:15,680 Speaker 1: have a two pronged approach. Can you explain that? 313 00:17:18,080 --> 00:17:22,159 Speaker 2: So that's true? So in adults, and so for for 314 00:17:22,480 --> 00:17:26,520 Speaker 2: allergy testing, my cutoff is sixteen and above, and so 315 00:17:27,320 --> 00:17:30,320 Speaker 2: in you know, a long time ago, maybe twenty thirty 316 00:17:30,400 --> 00:17:33,000 Speaker 2: years they would ask the patient, Hey, how's your allergy, 317 00:17:33,640 --> 00:17:35,960 Speaker 2: and you know, usually it's guys, and they'd be like, eh, 318 00:17:36,040 --> 00:17:38,800 Speaker 2: it's not that bad dog. And so they would go 319 00:17:39,040 --> 00:17:42,800 Speaker 2: straight to an intradomal test, where you would inject the 320 00:17:42,960 --> 00:17:46,600 Speaker 2: allergen into the surface of the skin, and as a 321 00:17:46,680 --> 00:17:49,920 Speaker 2: result of that, they gave some people anaphylaxis, which is 322 00:17:50,000 --> 00:17:53,359 Speaker 2: like a full body allergic reaction, almost kill them. And 323 00:17:53,480 --> 00:17:57,440 Speaker 2: so then about you know, maybe twenty five years ago, 324 00:17:57,480 --> 00:17:59,600 Speaker 2: they said, uh, you can't you know, kill the patient 325 00:17:59,640 --> 00:18:03,119 Speaker 2: to make the diagnosis. That's not good medicine. And so 326 00:18:03,240 --> 00:18:05,720 Speaker 2: they change it and they said, you always do a 327 00:18:05,880 --> 00:18:09,280 Speaker 2: scratch test, so literally we just barely scratch the skin 328 00:18:09,960 --> 00:18:14,160 Speaker 2: with the extract and and you know, as in your case, Michael, 329 00:18:14,320 --> 00:18:18,359 Speaker 2: there were several of the things that had strong positive reactions. 330 00:18:19,000 --> 00:18:21,840 Speaker 2: So you could imagine that if I went, you know, 331 00:18:21,880 --> 00:18:24,520 Speaker 2: if I didn't do that and I went straight to 332 00:18:24,720 --> 00:18:27,080 Speaker 2: the needle test, where we'd inject a little bit into 333 00:18:27,119 --> 00:18:29,800 Speaker 2: the surface of the skin, we could have caused your 334 00:18:29,840 --> 00:18:32,560 Speaker 2: whole arm to swell up and you know, shortness of 335 00:18:32,680 --> 00:18:36,280 Speaker 2: breath and all those things, you know, which is like 336 00:18:36,320 --> 00:18:41,199 Speaker 2: a full body allergic reaction, and so that's why we now, 337 00:18:41,640 --> 00:18:44,520 Speaker 2: I don't you know, it's it's kind of hard bit 338 00:18:46,160 --> 00:18:49,320 Speaker 2: with some of the old aurgies. When I first started, 339 00:18:50,320 --> 00:18:53,920 Speaker 2: you know, in training, I mean, they would do needle tests, 340 00:18:53,960 --> 00:18:57,240 Speaker 2: that means the introdome test, even on little kids. I 341 00:18:57,400 --> 00:19:02,440 Speaker 2: don't typically we usually do scratch testing, and whatever's positive 342 00:19:02,680 --> 00:19:06,639 Speaker 2: is positive. In adults, we do the needle test because 343 00:19:06,800 --> 00:19:09,440 Speaker 2: it'll pick up some minor allergens that you don't see 344 00:19:09,480 --> 00:19:13,440 Speaker 2: on scratch testing. And so sometimes that way, if the 345 00:19:13,560 --> 00:19:17,960 Speaker 2: patient you know, decides to do allergen and in a 346 00:19:18,040 --> 00:19:21,280 Speaker 2: therapy allergy shots, we would put not only would reacted 347 00:19:21,320 --> 00:19:23,200 Speaker 2: on the first step, but also on the second step. 348 00:19:23,720 --> 00:19:28,000 Speaker 2: And so you know, that's that's how we try to 349 00:19:28,080 --> 00:19:31,119 Speaker 2: do both so as to not and do it in 350 00:19:31,160 --> 00:19:34,520 Speaker 2: a step wise fashion, because if someone has a big 351 00:19:34,600 --> 00:19:38,480 Speaker 2: reaction on scratch testing, I would not do the second 352 00:19:38,520 --> 00:19:41,320 Speaker 2: part that day. Because when I first started, you know, 353 00:19:41,320 --> 00:19:43,200 Speaker 2: a lot of patients would be like, now have to 354 00:19:43,240 --> 00:19:45,920 Speaker 2: see do it. I'll be fine, and we go ahead 355 00:19:45,920 --> 00:19:48,440 Speaker 2: and start three or four and then they're like, oh, 356 00:19:49,240 --> 00:19:52,200 Speaker 2: my throat feels weird or I have difficulties swallowing or 357 00:19:52,920 --> 00:19:54,359 Speaker 2: you know those kinds of things, and when we have 358 00:19:54,480 --> 00:19:57,520 Speaker 2: to stop and you know, treat the reaction. And so 359 00:19:58,040 --> 00:20:00,399 Speaker 2: now we just split it up, and one has a 360 00:20:00,400 --> 00:20:02,639 Speaker 2: big reaction with just scratch testing, we don't do the 361 00:20:02,680 --> 00:20:05,680 Speaker 2: second part of the alergy testing on that day. But 362 00:20:05,800 --> 00:20:08,200 Speaker 2: then I used usually use both of the testings data 363 00:20:08,800 --> 00:20:10,480 Speaker 2: to decide the best way forward. 364 00:20:11,560 --> 00:20:15,359 Speaker 1: So with that data, I know you personally do the 365 00:20:15,520 --> 00:20:19,600 Speaker 1: recipe for the shots. How does that work you personally? 366 00:20:19,680 --> 00:20:20,480 Speaker 1: What do you then do? 367 00:20:22,520 --> 00:20:24,760 Speaker 2: So then I will write a recipe and say, hey, 368 00:20:25,280 --> 00:20:27,720 Speaker 2: so let's just make up something. Let's just say, for 369 00:20:28,160 --> 00:20:33,240 Speaker 2: for for the sake of argument someone and there's case, 370 00:20:33,400 --> 00:20:37,080 Speaker 2: let's say you're allergic. It's not help let's see, yeah 371 00:20:37,240 --> 00:20:39,919 Speaker 2: that's true. So let's say you're allergic to dust mites 372 00:20:39,960 --> 00:20:44,160 Speaker 2: and oak and and you know some of the moles 373 00:20:44,280 --> 00:20:47,440 Speaker 2: or whatever, and so then you physically, So I would 374 00:20:47,520 --> 00:20:52,520 Speaker 2: write out a recipe of how much of these different 375 00:20:52,600 --> 00:20:56,480 Speaker 2: extracts that I would put into a vial to make up, 376 00:20:58,520 --> 00:21:01,320 Speaker 2: you know, make a vile well, so that would have 377 00:21:01,440 --> 00:21:06,040 Speaker 2: those extracts in there, and then we would dilute down 378 00:21:06,119 --> 00:21:11,520 Speaker 2: that vial one hundred thousand fold and then physically you 379 00:21:11,560 --> 00:21:13,720 Speaker 2: would you know, if we were doing allergy shots, you 380 00:21:13,760 --> 00:21:16,359 Speaker 2: would come and there's two ways, and we talked about this. 381 00:21:16,480 --> 00:21:19,040 Speaker 2: There's different ways you can build up, but let's just 382 00:21:19,160 --> 00:21:22,160 Speaker 2: do this slow normal way. Patients would come and they 383 00:21:22,680 --> 00:21:28,040 Speaker 2: get this most shot first. And each time you get 384 00:21:28,080 --> 00:21:31,560 Speaker 2: a shot, it's a higher dose or a higher concentration, 385 00:21:31,720 --> 00:21:34,720 Speaker 2: And so you're moving up and the goal is to 386 00:21:34,840 --> 00:21:38,680 Speaker 2: get to the highest dose that the patient can tolerate 387 00:21:40,160 --> 00:21:43,560 Speaker 2: without having any systemic symptoms. And one of the other 388 00:21:43,600 --> 00:21:46,600 Speaker 2: things I'll bring out is, you know why you get 389 00:21:46,680 --> 00:21:50,040 Speaker 2: shots at a doctor's office, but the goal is to 390 00:21:50,160 --> 00:21:53,000 Speaker 2: try and keep you know, so each time. So you 391 00:21:53,280 --> 00:21:55,439 Speaker 2: start off at one as to one hundred thousand delution. 392 00:21:56,119 --> 00:21:59,120 Speaker 2: Once you finish that one hundred thousand dilution will take 393 00:21:59,119 --> 00:22:00,760 Speaker 2: about four weeks, you go to the one is to 394 00:22:00,880 --> 00:22:03,720 Speaker 2: ten thousand, you finish that, you go one is to 395 00:22:03,800 --> 00:22:05,840 Speaker 2: one thousand, then you go one is to one hundred, 396 00:22:06,160 --> 00:22:08,720 Speaker 2: you one is to ten. So each time when you're 397 00:22:08,800 --> 00:22:11,680 Speaker 2: moving up in shots, you're getting a tenfold increase in 398 00:22:11,760 --> 00:22:15,440 Speaker 2: the concentration of the shot. And what that is doing 399 00:22:15,560 --> 00:22:19,720 Speaker 2: is slowly training the immune system to not react to 400 00:22:20,359 --> 00:22:23,320 Speaker 2: and most of our patients tend to, you know, over 401 00:22:23,400 --> 00:22:26,440 Speaker 2: the period of the shots, tend to tolerate the full 402 00:22:26,560 --> 00:22:30,480 Speaker 2: strength vial, which is you know, and you'll see where 403 00:22:30,520 --> 00:22:33,240 Speaker 2: the vial is yellow because that's the color of pollen 404 00:22:34,200 --> 00:22:36,840 Speaker 2: and so it's fairly thick and have a lot of 405 00:22:36,960 --> 00:22:40,200 Speaker 2: pollm extract in there. That it's only in the higher 406 00:22:40,320 --> 00:22:43,680 Speaker 2: doses of the thing that the of the vials that 407 00:22:43,760 --> 00:22:49,520 Speaker 2: you notice that you start seeing, you know, clinical benefit. 408 00:22:49,840 --> 00:22:52,000 Speaker 2: And that's why I warn you that this is too 409 00:22:52,119 --> 00:22:55,560 Speaker 2: late to help you for spring, because spring is sprong 410 00:22:55,760 --> 00:22:59,200 Speaker 2: or springing, and you know, the initial part of the 411 00:22:59,280 --> 00:23:02,800 Speaker 2: shots is not going to help much with that because again, 412 00:23:02,880 --> 00:23:05,320 Speaker 2: this is a process of changing the immune system and 413 00:23:05,480 --> 00:23:08,040 Speaker 2: it you know, took fifty four years for your immune 414 00:23:08,080 --> 00:23:11,119 Speaker 2: system to get this way. It would be unreasonable to 415 00:23:11,480 --> 00:23:13,639 Speaker 2: you know, think that it would change in you know, 416 00:23:13,920 --> 00:23:18,080 Speaker 2: a few weeks. And so you know, olgenemo therapy is 417 00:23:18,119 --> 00:23:22,000 Speaker 2: a process and and and that's why you do it. 418 00:23:23,400 --> 00:23:26,520 Speaker 2: And there's always a risk. And so there's a very 419 00:23:26,560 --> 00:23:29,760 Speaker 2: small risk it happens maybe one in five hundred thousand shots, 420 00:23:29,800 --> 00:23:32,760 Speaker 2: but you could because we're giving you stuff you're allergic to, 421 00:23:33,480 --> 00:23:35,159 Speaker 2: and so there's a rare risk that you could have 422 00:23:35,240 --> 00:23:37,560 Speaker 2: an allergic reaction. And that's why you know, with all 423 00:23:37,640 --> 00:23:41,000 Speaker 2: our patients, we you know, have them have their own 424 00:23:41,680 --> 00:23:45,840 Speaker 2: either injectable or now nasal at the effort. So that's 425 00:23:45,880 --> 00:23:48,560 Speaker 2: what the guidelines are. And they usually get their shot 426 00:23:48,640 --> 00:23:50,080 Speaker 2: and they have to sit in the clinic for twenty 427 00:23:50,160 --> 00:23:53,280 Speaker 2: minutes make sure everything's good. They're good, they go. But 428 00:23:54,000 --> 00:23:58,320 Speaker 2: that's why you know, I don't let patients do shots 429 00:23:58,359 --> 00:24:02,119 Speaker 2: at home because you know, God forbid something would happen. 430 00:24:02,240 --> 00:24:04,320 Speaker 2: You have to be somewhere where someone can take, you know, 431 00:24:04,440 --> 00:24:07,439 Speaker 2: help you take care of that reaction. 432 00:24:08,840 --> 00:24:11,959 Speaker 1: Doctor Chris Colosso is our guest. He has been very 433 00:24:12,040 --> 00:24:13,760 Speaker 1: kind to stay with us this long. We will have 434 00:24:14,040 --> 00:24:15,960 Speaker 1: one more segment with him so he can get back 435 00:24:15,960 --> 00:24:19,240 Speaker 1: to his patients. If you want to connect with him, 436 00:24:19,359 --> 00:24:23,120 Speaker 1: it's spelled co l aco. It's Advanced Asthma and Allergy. 437 00:24:23,600 --> 00:24:25,920 Speaker 1: Or you can email me through our website Michael Berryshow 438 00:24:25,960 --> 00:24:28,520 Speaker 1: dot com and I will connect you with him. One 439 00:24:28,600 --> 00:24:33,240 Speaker 1: more segment with doctor Colosso, Come Out Story tung Alma 440 00:24:33,640 --> 00:24:40,600 Speaker 1: Michael Berry Good Show on Dooklum. Doctor Chris Colosso is 441 00:24:40,920 --> 00:24:45,480 Speaker 1: my wife's allergist and now my allergist, and he has 442 00:24:46,920 --> 00:24:50,960 Speaker 1: managed phenomenal healing for her, and I asked him at 443 00:24:51,000 --> 00:24:53,560 Speaker 1: my last appointment if he would come on and share 444 00:24:53,600 --> 00:24:56,040 Speaker 1: with you some of his experiences and some of these stories, 445 00:24:56,160 --> 00:25:01,760 Speaker 1: especially with it now being full blown U allergy season. Uh, Doc, 446 00:25:01,840 --> 00:25:03,000 Speaker 1: I want to go. I want to move kind of 447 00:25:03,080 --> 00:25:07,200 Speaker 1: fast here because I'm going through my report and a 448 00:25:07,480 --> 00:25:10,040 Speaker 1: legal disclaimer. I have told doctor colosso he can talk 449 00:25:10,080 --> 00:25:12,040 Speaker 1: about my case because they don't like to do that. 450 00:25:13,440 --> 00:25:17,159 Speaker 1: The first thing that you test for on indoor allergens 451 00:25:17,359 --> 00:25:18,080 Speaker 1: is dust might. 452 00:25:18,160 --> 00:25:22,840 Speaker 2: Why is that because in Houston, dust might is a 453 00:25:23,240 --> 00:25:27,119 Speaker 2: you know, a very common allergen that people get sensitized to. 454 00:25:27,920 --> 00:25:30,360 Speaker 2: And dust mites are around anywhere in the country where 455 00:25:30,400 --> 00:25:33,600 Speaker 2: it's very humid. They're actually even and you know you 456 00:25:33,680 --> 00:25:35,960 Speaker 2: can have it in New Mexico, but they tend to 457 00:25:36,160 --> 00:25:39,360 Speaker 2: the population tends to be very high in places where 458 00:25:39,400 --> 00:25:42,359 Speaker 2: it's very humid, and you know, you think about it, 459 00:25:42,480 --> 00:25:44,600 Speaker 2: dust mites is an indoor allergen, and so all might 460 00:25:44,720 --> 00:25:47,879 Speaker 2: you sleep, you bleed it in and that's why you 461 00:25:48,040 --> 00:25:51,720 Speaker 2: have a good chance of becoming allergic to it. And 462 00:25:51,880 --> 00:25:55,240 Speaker 2: because that exposure is they're chronically and so that's why 463 00:25:55,400 --> 00:25:59,000 Speaker 2: it's one of the major indoor olergans all over the 464 00:25:59,560 --> 00:26:03,000 Speaker 2: country that would drive allergies, and so that's why most 465 00:26:03,040 --> 00:26:05,320 Speaker 2: allergists will check for dust. 466 00:26:05,200 --> 00:26:07,960 Speaker 1: Might The next thing on the list was dog hair. 467 00:26:08,080 --> 00:26:10,480 Speaker 1: Fortunately I'm not allergic to that, but I am allergic 468 00:26:10,560 --> 00:26:12,959 Speaker 1: to cat hair, which was the one after that. How 469 00:26:13,400 --> 00:26:16,560 Speaker 1: often is that flaring for people are coming up as positive? 470 00:26:18,160 --> 00:26:21,440 Speaker 2: Cat is a very common allergen, and most people will 471 00:26:21,720 --> 00:26:24,480 Speaker 2: will know this cat and cat allergen tends to be 472 00:26:25,080 --> 00:26:28,240 Speaker 2: a little bit worse for patients than dog allergy. And 473 00:26:28,320 --> 00:26:32,119 Speaker 2: then partly that's because cat allergen is very very sticky, 474 00:26:32,880 --> 00:26:35,800 Speaker 2: and so it tends to sort of spread all over 475 00:26:35,880 --> 00:26:39,399 Speaker 2: the house very quickly, and so patients can even if 476 00:26:39,480 --> 00:26:42,240 Speaker 2: you you know someone who's very allergic to cat, if 477 00:26:42,280 --> 00:26:45,960 Speaker 2: you sit in the side in a car and someone 478 00:26:46,040 --> 00:26:48,760 Speaker 2: who had a cat and you have a cat allergy, 479 00:26:49,480 --> 00:26:52,960 Speaker 2: you will notice that evening that you have more symptoms well, 480 00:26:53,320 --> 00:26:55,879 Speaker 2: and so so that's the thing, and that's that's a 481 00:26:55,960 --> 00:26:56,320 Speaker 2: real thing. 482 00:26:56,440 --> 00:26:59,600 Speaker 1: The next was roach mix and mixed feathers. 483 00:26:59,680 --> 00:27:04,080 Speaker 2: Why those so high so roach makes we you know, 484 00:27:04,280 --> 00:27:07,440 Speaker 2: tend to do again because you know roaches, if you 485 00:27:07,520 --> 00:27:10,280 Speaker 2: know some people you exposed to it in an apartment. 486 00:27:10,400 --> 00:27:12,560 Speaker 2: I mean, most of you know our patient my patients 487 00:27:12,640 --> 00:27:14,959 Speaker 2: pray for roaches, so that's not a problem. But if 488 00:27:15,000 --> 00:27:18,240 Speaker 2: it is positive, then it's it's an It's an allergen 489 00:27:18,320 --> 00:27:21,320 Speaker 2: that can drive sort of allergy and asthma a lot, 490 00:27:22,040 --> 00:27:24,400 Speaker 2: and so you know, if it is positive, I tell 491 00:27:24,480 --> 00:27:28,159 Speaker 2: patients to do stuff to you know, mitigate roaches. Feathers 492 00:27:28,240 --> 00:27:32,159 Speaker 2: sometimes not a very strong allergen, but if you have 493 00:27:33,000 --> 00:27:36,000 Speaker 2: a lot of down comforters and pillows and those kinds 494 00:27:36,000 --> 00:27:39,359 Speaker 2: of things, and you're getting worse at night when you sleep, 495 00:27:39,480 --> 00:27:41,600 Speaker 2: and may not be the best thing for you to do. 496 00:27:42,400 --> 00:27:44,840 Speaker 1: So in your listing, if those were the indoor allergens 497 00:27:44,960 --> 00:27:46,680 Speaker 1: you test for, and you said to me that what 498 00:27:46,880 --> 00:27:48,760 Speaker 1: you test for is about ninety five percent of what 499 00:27:48,800 --> 00:27:50,240 Speaker 1: people are going to have. You could test for a 500 00:27:50,320 --> 00:27:52,560 Speaker 1: million things, but this is what it makes the most sense. 501 00:27:52,920 --> 00:27:56,359 Speaker 1: In your listing of trees, live oak followed by pecan 502 00:27:56,520 --> 00:27:59,480 Speaker 1: than white ash, did you list these in order of 503 00:27:59,640 --> 00:28:03,480 Speaker 1: how likely someone typically is to get them or how 504 00:28:04,119 --> 00:28:06,480 Speaker 1: how prevalent these trees are? Although I guess that would 505 00:28:06,560 --> 00:28:07,520 Speaker 1: those would be the same thing. 506 00:28:07,600 --> 00:28:11,960 Speaker 2: Maybe I think it's more those are the most common 507 00:28:12,040 --> 00:28:14,640 Speaker 2: ones in Houston, and I didn't. I didn't at the time. 508 00:28:14,680 --> 00:28:17,680 Speaker 2: I didn't think about, you know, just based on prevalence. 509 00:28:17,720 --> 00:28:20,560 Speaker 2: But I just listed the most common trees when I 510 00:28:20,640 --> 00:28:22,720 Speaker 2: first set out, you know, the practice. You know, I've 511 00:28:22,760 --> 00:28:26,320 Speaker 2: got with a botanist from Greer who's you know, one 512 00:28:26,359 --> 00:28:29,919 Speaker 2: of the major companies that supplyology extracts, and so they, 513 00:28:30,119 --> 00:28:32,480 Speaker 2: you know, tell you which are the most prevalent trees 514 00:28:32,520 --> 00:28:34,840 Speaker 2: in the area and those kind of things on what 515 00:28:35,000 --> 00:28:38,400 Speaker 2: you should be testing for. And but you know, oak, 516 00:28:38,440 --> 00:28:40,200 Speaker 2: cash and pakan are the ones that are you know, 517 00:28:40,360 --> 00:28:42,360 Speaker 2: very common, and so that's what the ones we pay. 518 00:28:42,640 --> 00:28:45,080 Speaker 1: Interestingly, I don't even like pine, and that was one 519 00:28:45,080 --> 00:28:47,560 Speaker 1: of the only trees I was not allergic to. You 520 00:28:47,720 --> 00:28:52,160 Speaker 1: then went from there to grasses, Bermuda, Johnson vernal mix 521 00:28:52,840 --> 00:28:58,880 Speaker 1: and bahia, Saint Augustine within that, am I am I 522 00:28:59,000 --> 00:28:59,680 Speaker 1: mixing that up? 523 00:28:59,720 --> 00:29:02,959 Speaker 2: Or is that so? No, there's no. So Saint Augustine 524 00:29:03,040 --> 00:29:05,520 Speaker 2: is a you know as a broad leaf grass, and 525 00:29:06,000 --> 00:29:09,400 Speaker 2: Saint Augustine would have to grow a foot before it pollinatees. 526 00:29:10,160 --> 00:29:13,200 Speaker 2: So most most you know won't. No one ever lets 527 00:29:13,240 --> 00:29:15,760 Speaker 2: it grow that long. And so that's why we don't. 528 00:29:15,800 --> 00:29:17,920 Speaker 2: So so a lot of people will say, oh, I 529 00:29:18,040 --> 00:29:21,240 Speaker 2: feel bad when I cut the grass, it may not 530 00:29:21,440 --> 00:29:23,720 Speaker 2: actually be that. And most of us have Saint Augustine, 531 00:29:23,960 --> 00:29:26,160 Speaker 2: you know, or you know that's the most common grass, 532 00:29:26,680 --> 00:29:29,880 Speaker 2: but it's actually sometimes if you're if you don't have 533 00:29:30,000 --> 00:29:31,840 Speaker 2: a good lawn and you have a lot of you know, 534 00:29:31,960 --> 00:29:34,920 Speaker 2: bermuda or some other wild grasses in there, that is 535 00:29:34,960 --> 00:29:37,920 Speaker 2: what is causing the symptoms. And then sometimes one of 536 00:29:37,960 --> 00:29:40,720 Speaker 2: the other tricks, because it rains so much here, sometimes 537 00:29:41,040 --> 00:29:44,960 Speaker 2: these broad leaf grasses grow mold on them. And so 538 00:29:45,680 --> 00:29:49,400 Speaker 2: even though Saint Augustine doesn't pollinate, it's when you're when 539 00:29:49,440 --> 00:29:51,880 Speaker 2: it's being cut, you're touring off a lot of mold, 540 00:29:52,600 --> 00:29:54,360 Speaker 2: and that would be what's the reacting to. 541 00:29:54,680 --> 00:29:57,440 Speaker 1: And then we move to the weeds. You have ragweed first, 542 00:29:57,520 --> 00:30:01,040 Speaker 1: and pig weed then marsh elder I've always heard of, 543 00:30:01,240 --> 00:30:02,880 Speaker 1: you know, ragweed is one of the things that a 544 00:30:02,920 --> 00:30:06,200 Speaker 1: lot of people will tell you they're allergic to, is 545 00:30:06,280 --> 00:30:07,280 Speaker 1: that the number one. 546 00:30:08,320 --> 00:30:11,920 Speaker 2: Ragweed is the number one. And also just historically, you know, 547 00:30:12,000 --> 00:30:15,920 Speaker 2: whenever they show pictures on the news, the ragweed pollen 548 00:30:16,480 --> 00:30:20,360 Speaker 2: looks like the spike ball. So it's very sort of 549 00:30:20,480 --> 00:30:23,200 Speaker 2: photogenic and look something like something you know to attack you. 550 00:30:23,760 --> 00:30:28,120 Speaker 2: And so that's why ragweed is the most known fall pollen. 551 00:30:28,520 --> 00:30:31,560 Speaker 2: And the way I listed those things was spring, summer, 552 00:30:31,640 --> 00:30:35,160 Speaker 2: and fall. So in the broad sense, trees are typically 553 00:30:35,240 --> 00:30:38,160 Speaker 2: in spring, except cedar and elm, which are from fall. 554 00:30:38,960 --> 00:30:42,560 Speaker 2: Grasses are in summer, and then weeds are in full. 555 00:30:43,440 --> 00:30:47,560 Speaker 2: So that was, you know, the listing of how I 556 00:30:47,680 --> 00:30:50,480 Speaker 2: did you know or when we tested people for allergies. 557 00:30:50,560 --> 00:30:52,440 Speaker 1: I want to skip past modes and come back to 558 00:30:52,520 --> 00:30:55,040 Speaker 1: it in a moment and go to foods. That's one 559 00:30:55,040 --> 00:30:57,480 Speaker 1: of the things that a lot of people feel that 560 00:30:57,680 --> 00:31:00,600 Speaker 1: they have an allergy to. And I know, did you've 561 00:31:00,640 --> 00:31:05,000 Speaker 1: got milk, eggs? Soy peanut? I read recently that we 562 00:31:05,120 --> 00:31:07,400 Speaker 1: didn't have peanut allergies one hundred years ago, and the 563 00:31:07,480 --> 00:31:10,200 Speaker 1: reason is because one of the vaccines we take as 564 00:31:10,320 --> 00:31:14,760 Speaker 1: children affects us. And it's not the peanut we're allowed 565 00:31:14,840 --> 00:31:18,000 Speaker 1: we're allergic to. It's the copper in it. Do you 566 00:31:18,040 --> 00:31:19,000 Speaker 1: believe there's anything to that. 567 00:31:21,680 --> 00:31:25,280 Speaker 2: I don't think so. And the reason for that is 568 00:31:25,400 --> 00:31:32,240 Speaker 2: because you can have microscopic amounts of of peanut and 569 00:31:32,360 --> 00:31:37,760 Speaker 2: you'll react to the protein. Now, there's more chance that 570 00:31:38,000 --> 00:31:41,600 Speaker 2: it is the hygiene because if you look so, so 571 00:31:41,640 --> 00:31:47,320 Speaker 2: if you look at the again in India and let's 572 00:31:47,360 --> 00:31:52,040 Speaker 2: say in China, so it's interesting, right, they don't have 573 00:31:52,240 --> 00:31:56,200 Speaker 2: much peanut allergy. And again in India, it's because when 574 00:31:56,240 --> 00:31:59,720 Speaker 2: you have more of you know, the dirt and those 575 00:31:59,800 --> 00:32:02,800 Speaker 2: kinds of things, you are suppressing this arm of the 576 00:32:02,840 --> 00:32:07,400 Speaker 2: immune system, so it's not trying to react to those foods. 577 00:32:08,720 --> 00:32:13,480 Speaker 2: In China, per capita, they probably eat the most peanuts 578 00:32:13,520 --> 00:32:16,560 Speaker 2: that anyone does in the world, but they have very 579 00:32:16,640 --> 00:32:20,800 Speaker 2: low no peanut allergies, and partially it's because they eat 580 00:32:20,960 --> 00:32:26,200 Speaker 2: boiled peanuts. When you boil a peanut, you denature that 581 00:32:26,400 --> 00:32:31,920 Speaker 2: antigen that people tend to get allergic to, whereas roasting 582 00:32:32,040 --> 00:32:36,000 Speaker 2: a peanut brings the antigen that you react to perfectly 583 00:32:36,120 --> 00:32:36,800 Speaker 2: on the surface. 584 00:32:37,160 --> 00:32:38,760 Speaker 1: But I lack them roasted so much better. 585 00:32:38,840 --> 00:32:42,880 Speaker 2: Dot I know, I know, but that's part of the thing. 586 00:32:43,920 --> 00:32:47,400 Speaker 2: And even now they tend you know, incorporating some of 587 00:32:47,440 --> 00:32:50,640 Speaker 2: those foods early. You know, now the new guidelines are 588 00:32:50,720 --> 00:32:53,640 Speaker 2: that you know, if the child is not allergic to 589 00:32:53,720 --> 00:32:57,560 Speaker 2: the food, you incorporate some of that stuff much earlier, 590 00:32:58,960 --> 00:33:02,240 Speaker 2: and that may help you not, you know, react to 591 00:33:02,400 --> 00:33:02,880 Speaker 2: those foods. 592 00:33:02,920 --> 00:33:06,000 Speaker 1: I promised I would keep you uh no longer, and 593 00:33:06,160 --> 00:33:09,280 Speaker 1: you have been wonderful. Doctor Chris Colosso c O l 594 00:33:09,440 --> 00:33:13,800 Speaker 1: A COO Advanced asthma and allergy. He's he's been a 595 00:33:14,680 --> 00:33:19,320 Speaker 1: magic uh maker for my wife and now he's my doctor. 596 00:33:19,520 --> 00:33:22,880 Speaker 1: And obviously you can see why he has he's passionate 597 00:33:22,920 --> 00:33:25,120 Speaker 1: about this and I hate allergies. Thank you for being 598 00:33:25,120 --> 00:33:25,719 Speaker 1: our guests, my man 599 00:33:26,880 --> 00:33:27,680 Speaker 2: Thank you very much,