At Corpus Christi Allergy Associates we offer a wide range of services and care to help you better understand and treat your medical needs.
Dr. Jurairat Molina is a board certified allergist with more than 20 years of clinical experience. She obtained her medical degree and pediatric training in Chiang Mai University, Thailand and joined the microbiology and immunology clinical research center as medical faculty after graduation. She came to the US for further education and training in 1993. Dr Molina completed her pediatric residency at the University of Tennessee in Knoxville and obtained both an infectious disease fellowship at Tulane/LSU Health Science Center and allergy/immunology fellowship at LSU Health Science Center in New Orleans. She recently completed post doctorate program from the University of Massachusetts Amherst with MBA degree focusing in healthcare management. She is an assistant clinical professor of pediatrics and serves as community faculty at University of Texas Medical Branch at Galveston since 2010. She has received numerous awards including Teacher of Distinction and Top Doc Awards at the University of Texas Medical Branch in Galveston. She is board certified in pediatrics and allergy/immunology. She is a member and a fellow of the American Academy of Allergy, Asthma and Immunology, American College of Allergy and Immunology, World Allergy Organization, Texas Allergy Asthma and Immunology Society and American Academy of Pediatrics. She has numerous interests in allergy/immunology, but her passions are focusing around asthma, allergic rhinosinusitis, food allergy, atopic dermatitis/eczema, and other allergy related dermatologic diseases. Dr. Molina joined Corpus Christi Allergy Associates in April of 2018.
Your initial visit may require up to 2 hours and will include a complete medical history, a thorough medical exam, possible allergy and/or lung function testing, and a therapy plan.
For infants and young children is performed on the back. For older children and adults is done on the forearms. First the skin is examined and cleaned with alcohol, and then numbers are written with a pen to identify each allergen (any substance that causes an allergy) that is to be tested. A small and disposable plastic pricking device is used to apply a small drop of each allergen just under the outer layer of the skin, or the epidermis. This is not a shot, and does not cause bleeding. In addition, this procedure is not painful, but has been described as feeling like getting a mosquito bite. The entire test is complete in less than 30 minutes, and you have the results during that visit. Many medicines, especially antihistamines, can block the results from skin testing, and must be stopped for a certain period of time before attempting this test. See our new patient section for a list of these medicines.
Performed by examining and cleaning the skin on the patient's back, and applying patches that contain small amounts of various substances that are known to cause allergic contact dermatitis (a rash or inflammation of the skin caused by contact with various substances). The patches are typically worn for two days, and cannot get wet. After two days the patches are removed and the underlying skin is examined. A follow up skin exam is usually performed two more days after that, and again, the skin cannot get wet until the testing is complete. For convenience we usually apply the patches on a Monday, remove them on a Wednesday, and do the follow up skin exam on a Friday. If you are allergic to any of these substances, your skin will become irritated and may itch. This test is not routinely done. Steroids, both systemic (oral and intramuscular) and topical (on the skin) can affect the results of this test, and must be stopped for at least 2 weeks.
Spirometry is a breathing test that gives the ordering physician a good idea of the patient's lung function. It is not a complete lung function test, but is good for screening for suspected asthma and/or COPD (chronic obstructive pulmonary disease like emphysema or chronic bronchitis). If you are scheduled to have this testing done for diagnosing lung disease, please refrain from using your rescue inhaler/neb medication and Symbicort, Dulera or Advair the morning of the test if you use these medications. For a routine follow up visit where this test will be performed, it is ok to use your medications as previously directed.
After examining and cleaning the skin with alcohol, a small amount of each allergen is injected under the second layer of skin, or dermis, similar to a tuberculosis test. This test is not routinely done, and is mainly used to test for specific allergies when scratch testing fails to reveal a highly suspected allergy. The same medications that can affect scratch testing may also affect this test.