CHART NOTE
Has continued to have episodes of coughing and wheezing over the course of the past several years along with persistence of some rhinitis. His hearing is apparently fine, although he has had some serous otitis media again as well.
We decided to skin-test him again, and there is a marked change in his skin tests. He now shows reactions to tree, grass, and weed pollens, house dust, cat dander, multiple genera of mold spores, animal feathers, and house dust mites. The dog was removed from the house with no change in the patient’s symptoms; indeed, there was some progression of his symptoms. I therefore have decided that a course of immunotherapy would be appropriate, and he is going to start that. Since his brother is coming to my office for administration of his injections, will be getting his injections in my office as well at his mother’s request.
FOOTNOTE
Line 16. His was changed to the patient’s for clarity.
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