Appointments

This section includes information on:

  • Allergy services offered in Indiana
  • Clinical conditions seen in the allergy clinics
  • Making appointments
  • Contact information
  • Pointers on navigating the system in order to make your visit as efficient, effective, informative, and enjoyable as possible

Please note- Asthma is of great interest for myself, Dr. Vitalpur, and Dr. Kloepfer. I have had an NIH grant to study asthma and I have been involved with asthma initiatives in Indianapolis (Indianapolis Asthma Coalition as a founder-1995) and within the State of Indiana as the chair of the Indiana Joint Asthma Coalition(InJAC). I also have had publications regarding asthma.

Dr. Kloepfer is involved with basic science asthma research.

Dr. Vitalpur is leading a number of school initiatives for asthma care.

In children, asthma may be a manifestion of allergy.  Our interests and expertise in asthma is available for patient care, just ask for allergy services when making an appointment.

Allergy Services in Indiana

Patients are seen by the service every day of the working week (Monday to Friday) somewhere!

The sites are:

Indianapolis:

705 Riley Hospital Drive- phone 317-274-7208 (parking is at the Simon Family Tower – reduced rate parking)

11725 N. Illinois, Carmel, Indiana 46032 phone 317-688-5700 (located on the northwest corner of 116th and Meridian st in Carmel- there is ample parking but it is best to park on the west side facing the office building).

Bloomington:

4935 West Arlington Rd, Suite A, Bloomington, Indiana 47404 phone 812-353-3740

Physicians’ Schedules:

Frederick E. Leickly, MD, MPHblog 

MONDAY – Northside Office-Carmel- 1:00 pm until 5:00 pm

TUESDAY Northside Office-Carmel 1:00 am until 5:00 pm

WEDNESDAY – Northside Office-Carmel  8:00 am until  5:00 pm

THURSDAY- Northside Office-Carmel – 8:00 am until 5:00 pm

FRIDAY – Northside Office Carmel -8:00 am until 12:00 pm

Dr. Girish Vitalpurvitalpur-for-blog

Beginning July 2012, Dr. Vitalpur will be at the following sites-

MONDAY Riley Hospital Drive- 8:00 am until 5:00 pm

TUESDAY- Riley Hospital Drive- 8:00 am until noon

4rth Tuesday-Northside Office Eosinophilic Esophagitis Clinic 8:00 am until noon

WEDNESDAY –

1st, 2nd, 4rth and 5th – Bloomington

THURSDAY – Riley Hospital Drive 1:00 pm until 5:00 pm

FRIDAY – Riley Hospital Drive 8:00 am until 12:00 pm

 Dr Kirsten KloepferDr. Kirsten Kloepfer

Wednesday – Riley Hospital Drive 9:00 am until 5:00 pm

 

 

 

Support Staff

Riley Outpatient Center (ROC)

Allergy Nurse – Lisa DavisLisa Davis-3

 

 

 

 

 

 

 

 

Northside Carmel Office (IU Health North)

Allergy Nurse- Sara Richman Sara Richman-2

 

 

 

 

 

Allergy MA- Rachel Mann

 

 

 

 

 

 

 

 

 

 

Conditions seen in the Allergy Clinic

1. ASTHMA – many children have allergies that trigger their asthma, the presence of allergy may have some prognostic value as far as what may be expected over time. Those with allergy tend to have a longer course; those without allergy may outgrow the condition.

2. NASAL ALLERGY– hay fever, rose fever, recurrent ear infection, recurrent sinus infections

3. ANAPHYLAXIS– the most serious, life-threatening allergic reaction. We can help with identification, avoidance, and first response approaches

4. HIVES– there are legions of possible causes for hives allergy may be one of them (see page on hives)

5. ECZEMA– food and inhalant allergy may be a contributing factor

6. FOOD ALLERGY– the test material are for type 1 sensitivity reactions to foods (see page on food allergy)

7. DRUG ALLERGY– although there not any diagnostic tests readily available, patients are screened for the potential need of desensitization

8. STINGING INSECT REACTIONS– life-threatening reactions to wasps, yellow jackets, hornets, and honey bees. Sorry, mosquitoes are not covered.

9. FOOD, VACCINE, AND DRUG CHALLENGES/DESENSITIZATIONS– requires an initial evaluation. These are scheduled only through the allergy nurses

10. RECURRENT INFECTION– the immune deficiency clinic specializes in this

11. IMMUNOTHERAPY– for asthma, allergic rhinitis, and stinging insect reactions (see page on immunotherapy)

12. XOLAIR THERAPY– the allergy section at Riley is in charge of this treatment for moderate to severe asthma

13. GASTROINTESTINAL ALLERGY – we work with our colleagues in gastroenterology. We have seen many children with eosinophilic esophagitis

The Clinic Appointment

Appointments are made by calling our allergy scheduler Tracy at 317-274-7244 (Downtown) and 317-688-5700 (Carmel). For Bloomington appointments, please call the Bloomington office @ 812-333-2304. BE SURE YOU VERIFY WHERE YOU WILL BE SEEN.

Note – appointments for food challenges are made only through the allergy staff; Sara, Lisa, or Rachel. If you are coming for a food challenge and you have not made the appointment throught the allergy nurse the challenge will need to be re-scheduled. Food challenges take time to prepare. So, please make sure you are talking to the right people. Call if there are any questions.

New patients are encouraged to arrive 30 minutes prior to their appointment to allow time for all the preliminary work necessary. Even if you are already registered, you still need to arrive early. Bring whatever records you have. Anticipate traffic and construction, we have the room for only a limited amount of time and it would be great to get everything done for you in the time allotted. Be sure to have your referrals if your insurance requires them. For skin testing, no antihistamines should be given for 7 days prior to the visit. Antihistamines are the only medications that need to be stopped. Call us regarding medications that are known as beta-blockers or tricyclic antidepressants as these may have an impact on our ability to perform allergy skin tests.

After you make your appointment with us we try to send out new patient letters and if you have not received this new patient letter prior to your visit, call the office. We could go over the letter or even fax a copy to you. Our schedulers go over the need to arrive early and a few other items, in a busy medical office the staff may not relay those points to you. Please feel free to check with us about your new patient appointment (317-274-7244). Please be sure that the legal guardian is present for the first visit for all minor children. This is most important. A letter or phone call regarding this will not substitute. Legal guardianship is established by a letter from a judge. The legal guardian must be present at the time of the first visit.

Things happen and you may need to cancel an appointment with us. Please call us as soon as you can if you need to cancel your appointment.

No one likes to be seen late by the doctor. Our clinics run very efficiently. We do not keep anyone waiting. Late arrivals are seen, but they may be seen at  the end of the line so as to not affect those who are on time. When someone is late, they take time from someone else and that is not fair. Consider the analogy between the doctor’s appointment and a movie theater, would you have them hold the movie because you were somewhat late??

New patient appointments occupy an hour of clinic time and follow-up appointments occupy 15 minutes. If you are an established patient and have a new allergy issue we may need more than 15 minutes. For new problems ask for a 30 or 60 minute visit. Check your agenda and the purpose of the follow-up visit and make sure 15 minutes is enough and if not, request a longer visit. Do not short-change yourself on the time you need.

Notice- Many of our families are coming for food allergy evaluations. If you suspect a fresh fruit or vegetable as being a food that your child is allergic to, please bring that fruit/vegetable to the office. Our allergen extracts may not detect an allergy to fresh fruit (or vegetables). We also cannot store a wide variety of fruits and vegetables. So if you have a suspicion about a fruit or vegetable, you may want to bring a sample with you. If you have questions about this, please call.

Allergy Section Policies

The Indianapolis Star had an article from the Associated Press by Carla K. Johnson entitled ‘Study; Patients often not told of bad test results’. The text of the story can be found as ‘Study: Bad test results often don’t reach patients‘ and is a summation of a very recent article by L. P. Casalino et al ‘Frequency of Failure to Inform Patients of Clinically Significant Outpatient Test Results’ Archives of Internal Medicine June 22, 2009.

The suggestions provided are very good ones and I would like to restate them within the context of the Allergy practice;

1. Does this office send all test results to the doctor who is responsible for my (my child’s) care? Skin test and pulmonary function test results are summarized in the clinic report which is sent to the primary caretaker. The results of all blood studies are sent to the primary care physician’s office with a copy sent to the family. We also respect the possibility that the family does not want the results to be shared with anyone. In those cases, the laboratory letters go to the family.

2. Will someone inform me of all my (my child’s) results both normal and abnormal? Yes, each family is sent a copy of the letter that goes to the referring physician. Normal and abnormal results are reviewed. Any abnormal result has a recommendation addressing it.

3. Will my doctor see and sign off on all my (my child’s) test results? If a test is important enough to be ordered by the allergist, it will be reviewed by the allergist! This is all inclusive. Each allergist reads every skin test that is ordered and grades them for the medical record. Lung function tests are signed and reviewed by the ordering physician. Copies of blood studies that have been ordered are kept by the allergy nurse who gather the results and provide the results and the chart to the allergist for dictation. Some of our studies are sent outside the University and can take up to 4 weeks. The staff is vigilant about following up on any outstanding test results.

4. Will it be documented in my chart that I have been informed? Yes, on the encounter sheet on the front of our charts every interaction is recorded. When a summary letter is dictated, it is noted on the chart. Telephone correspondence is documented.

5. Is it okay to call after a certain time if I have not heard anything about my (my child’s) test results? Yes- we encourage it. Due to ‘send outs’ it can take up to 4 weeks for everything to come back. When laboratory studies are drawn we tell the families that it could take as long as 4 weeks. If they have not received a letter by that time they are encouraged to call.

For those of us who work within a University setting, especially the setting of the Indiana University School of Medicine and the Children’s Hospital, these are very important issues and we are constantly reviewing policies and attending online educational efforts to assure open communication and the best care possible.