I had a patient who came into the emergency department with difficulty breathing following a trip with their father to the park. Both parents where extremely confused as to where there symptoms where coming from, which made them weary as to how they can avoid breathing problems in the future. As a Community Health Worker at the time, I scheduled them with pulmonary, knowing that is the best first step for getting their questions answered. After the creation of an asthma action plan and an inhaler prescription, the parents felt prepared, until the patient was sent to the emergency room again with the same symptoms.
During a home visit, we decided to sit and gather as much information as possible to attempt to connect the dots together. Answering all the "What?" "Where?" "Why?" and "How?" questions. After about an hour, things became clear. When the patient is experiencing asthma symptoms the father is always present, they are always doing an activity outdoors, and the biggest common denominator of them all is that the father's dog was always present. Knowing that animal dander can be a trigger to asthma, I suggested the parents get an allergy test done to cancel out the possibility of the dog being a factor to the patients' asthma attacks.
With the help of an amazing clinical care team and cooperating parents, the allergy test was able to conclude that the patient was highly allergic to dogs and very well could've been the trigger to the patient emergency room visits. Following these results, the parents and myself were able to create a game plan which included the build of an outdoor dog sanctuary for the dog to live full time, when the patient visits the fathers home.
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