Dr. Douglas Mack

Pediatric Allergist. Oral Immunotherapist. Vice President of CSACI. Assistant Clinical Professor at McMaster University

[Dr. Douglas Mack @DrDougMackMD]

Our most recent paper! We believe in extensive education of our families prior to OIT! @PedsAllergyDoc

A counselling video with pre- and post- testing and checklist for oral immunotherapy consent improves participant knowledge https://t.co/19jd7Siy7K

[Dr. Douglas Mack @DrDougMackMD]

On my way to Austin and am very excited to attend the launch of our novel way to introduce food allergens to babies to prevent food allergy! Has been a very exciting journey!! @VenterCarina @GoAllergy https://t.co/44O4kPbvXi

[Mariam Hanna MD @PedsAllergyDoc]

MYTH: "I heard that my next allergic reaction is going to be worst"
Understand the FACTS! Now that's cool! @DrDougMackMD

Listen to the episode at: https://t.co/NEabzADd6X

[Mariam Hanna MD @PedsAllergyDoc]

Thresholds already shape food allergy care—so why not use them more effectively? Dr. Douglas Mack joins The Allergist to discuss what they are, how real-world factors shift them, and how allergists can use them to counsel patients more precisely. @DrDougMackMD Listen here: https://t.co/0IwKaNh4Yj

[Dr. Douglas Mack @DrDougMackMD]

@Kidsdoc1Rick @PedsAllergyDoc Fully agree, this should not be attempted at home!! We've been doing this for over a decade and there can be significant challenges! This should only be performed with allergist oversight!

[RJ MacDonald MD 🚴‍♂️🏄🏻🎾 @Kidsdoc1Rick]

OIT for peanut allergies is not new. This is interesting but it should be done with very close supervision under a pediatric allergist so don’t attempt it at home without help. @PedsAllergyDoc @DrDougMackMD

[Mariam Hanna MD @PedsAllergyDoc]

Sensitization does not mean allergy. True food allergy is something much smaller. Without a clinical history of reaction, you don't end up at a diagnosis. So that panel food test you just asked for is just a terrible, terrible idea... https://t.co/3ojKXrYDAS @DrDougMackMD

[Dr. Douglas Mack @DrDougMackMD]

@allergydoc4kidz @DrSamiraJeimy It is nicer than mine!!!

[Dr. Douglas Mack @DrDougMackMD]

@DrSamiraJeimy @allergydoc4kidz Absolute madness!

[Dr. Douglas Mack @DrDougMackMD]

@ProfPeteSmith @Londonallergist @PedsAllergyDoc And really not validated in under a year or for most foods - and that is a critical time for food introduction!

[Florin-Dan Popescu @FlorinDanPopesc]

@DrDougMackMD @allergydoc4kidz This is very important to disseminate! Great @CSACI_ca position statement! 🫶👏🙏

[Dr. Douglas Mack @DrDougMackMD]

@FlorinDanPopesc @allergydoc4kidz Thanks for posting!!

[Florin-Dan Popescu @FlorinDanPopesc]

👉Panel food testing can actively cause harm to patients, and allergists must remain critical of this outdated practice [Al Ghamdi et al. CSACI statement: panel testing for food allergies. Allergy Asthma Clin Immunol. 2024]
@allergydoc4kidz @DrDougMackMD https://t.co/CKCGE8WiX1

[Dr. Douglas Mack @DrDougMackMD]

@Londonallergist @PedsAllergyDoc @ProfPeteSmith Agree- not the negatives I'm worried about - and also agree - access to OFC is a major issue! One of the core principles of screening is access and willingness to perform confirmatory testing

[Dr. Douglas Mack @DrDougMackMD]

@Londonallergist @PedsAllergyDoc @ProfPeteSmith I guess this is assuming that a skin test or blood test is objective - it really isn't, unfortunately. I get the nuance, but we are using tests that have never been validated as screening tests, and this approach really needs to reconsidered. Hence the position statement!

[Dr. Douglas Mack @DrDougMackMD]

@ProfPeteSmith @Londonallergist @PedsAllergyDoc Yes am unaware - this is very important!

[Dr. Douglas Mack @DrDougMackMD]

@ProfPeteSmith @Londonallergist @PedsAllergyDoc Agree - discuss risk - relying on faulty tests rarely provides relief in general and sets the standard for further unnecessary testing,

[Stuart Carr @allergydoc4kidz]

Thanks @DrDougMackMD for leading this important initiative, we need to put a stop to this sort of nonsense

[Dr. Douglas Mack @DrDougMackMD]

@CAIAnaphylaxis Ha - hope that was a rhetorical question - this could form a day long symposium and debate!!

[Dr. Douglas Mack @DrDougMackMD]

@Londonallergist @PedsAllergyDoc @ProfPeteSmith The biggest issue with that approach is that these are not screening tests, and any wheal can and likely will solidify their resolve to avoid.