"Persian Cough Persistent cough for years. Have seen Ent, allergist and pulmonary post nasal drip, mucous... plus help?" - Anonymous Patient
I disagree with your doctor, losartan may cause chronic cough though the mechanism of this is unclear (it does not affect substance P and the kinin system as ACE-Inhibitors do) but there are numerous case reports of chronic cough associated with losartan (cozaar) and even the package insert mentions about 3-4%% incidence of cough with this medicine, If your cough can be described as an annoying tickle and a feeling that something is constantly stuck in throat and thus need to cough to clear it out, then I am very suspicious of the losartan (this is the classic description I have gotten from patients with ACE-Inhibitor cough and reports of losartan cough describe very similar symptomatology. Unfortunately, I do NOT recommend changing a medicine for your BP without the clear permission and involvement of your prescribing doctor, but I would suggest working with him/her to find an alternate class of anti-hypertensive medicine to take so you can stop the losartan for at least 4 weeks, as chronic cough associated with these medicines can sometimes take that long to fully resolve. In my experience and from papers I have read, you will usually feel SOME change in nature of cough and some reduction in sensations leading to cough within at least one week of totally stopping this medicine. I agree, losartan causing this cough is far rarer than a typical ACE-Inhibitor, but it is certainly a known cause for chronic annoying cough and before I would chase other less common causes, such as tic/habit cough which is next on my list of causes based on your limited cough description, I would certainly try changing this medicine. If the medicine is the cause, then no matter what else you take or do, in my experience, the cough will NOT respond. I wish you luck and good health. Aslam Lateef, MD
"Should deviated septum be repaired when ENT is doing sinus surgery? Saw ENT, CT confirmed unresponsive to antibiotics recurrent chronic sinusitis. Surgery to open cavities up etc was recommended. He was noncommittal on deviated septum repair, despite, 6 week previously his nurse practitioner was firm in stating they would, if nothing else, repair that (dependent on last month of antibiotics). I'm a bit confused. All I read suggests the septum should be repaired especially with them doing sinus surgery. Thoughts or suggestions please." - Anonymous Patient
Deviated septa are extremely common, my estimate is that more than 8/10 adults has one. We all walk into walls and bump our faces as we grow up. The big question is whether fixing yours will result in better nasal function (or at minimum a better cosmetic result if the deviation is visually obvious). Both questions should be clearly answered by your surgeon. Recovery from septum repair is certainly often more traumatic and painful than functional endoscopic sinus procedures. Ask about this as well. I respect any ENT that would not automatically repair a bent septum (which almost all of us have) during a surgery for the sinuses, though it may logically seem the two are related, practically speaking and in reality, they may not be and repair of septum may not be needed at all to clear sinusitis. I believe and studies are increasingly supporting the view that when it comes to sinusitis, less invasive and traumatic surgery is usually best. The structures are delicate, potential for bleeding very high, and the recovery is stunningly painful for many persons as the areas are very sensitive (deep surgery on YOUR FACE - this is essentially what is going to be done). Nasal obstruction is most often due to soft tissue swelling and fixing the septum (the center, hard wall between nasal sides) may NOT be the best answer for your nasal congestion or sinusitis. ASK THE QUESTION DIRECTLY - "WILL FIXING MY SEPTUM HELP ME BREATH BETTER AND HAVE FEWER SINUS RELATED PROBLEMS?" If the answer is not a very clear "YES" then think hard about getting this extra bit of major surgery done. Aslam Lateef, MD
"Why was I prescribed prednisone my Dr. diagnosed me as having a sinus infection she prescribed augmentin and prednisone. I also told her I had a cough she prescribed a cough syrup with codeine. Why did she prescribe s steroid for a sinus infection?" - Anonymous Patient
Sinus infections can only occur if there is abnormal blocking and impaired drainage of one or more sinuses. The prednisone (an oral steroid) will reduce swelling very effectively which will allow the infected mucous (essentially pus) to drain out. Without proper drainage, even the best antibiotics will likely fail as killing bacteria is helpful, but flushing bacteria out of the body is curative. I cannot speak to your specific situation, but there are many methods of reducing swelling and draining sinuses that work great without requiring steroid pills which are notorious for having potentially serious side effects. I begin with nasal sprays and/or sinus washes which often can directly reduce the swollen area in the nose and sinuses without affecting the rest of the body. In fact, there are methods for applying liquid steroids into even the deeper sinuses to effectively treat sinus infections without antibiotics or oral steroids. A basic principle all surgeons learn is that if you can drain an infected area and keep it clean, antibiotics are NOT needed. In the same vein, if we can keep your sinuses draining properly using well applied topical treatments then oral medicines should not be needed. Antibiotics for sinus problems are massively overused in my opinion (and according to many published studies). There are rare occasions where I may use oral prednisone (rare because I can almost always get the sinuses clear without ANY pills), but even in these cases I will NOT use any antibiotic because once we get sinus swelling down and get sinus openings unclogged (and prednisone is terrific for accomplishing both these goals) a simple sinus wash will flush out any infected material making an antibiotic unnecessary. Although this is clearly a massive oversimplification, there is so much truth to this saying I have often heard that I think it bears repeating here, "Sinusitis is not mainly an infection problem, it's really more of a plumbing problem, once you get the pipes unclogged and flowing, the problem is usually solved." I hope this helps answer your question. Best Wishes. Aslam Lateef, MD
"Coughing Chronic coughing" - Anonymous Patient
Cough is a symptom, not a diagnosis. While it is always a sign something is not working properly, many studies demonstrate that the vast majority of persons with chronic cough do NOT have major or life threatening illnesses. The most common cause is what academics call "upper airway dysfunction syndrome" which you may think of as an inflamed nose, inflamed sinuses and angry upper airway (throat and "big pipes" are inflamed/sensitive). While big pipes are inflamed, they produce mucous and swell, both these lead your body to think the pipes are blocking up which triggers the cough reflex (a reflex designed to clear obstructions in these pipes/airways). With chronic cough (a daily or almost daily cough lasting more than 8 weeks) it is often impossible to diagnose the cause with tests or history alone (though these may help a lot). It is through systematic treatment that an intelligent clinician can get to the exact cause. It saddens me when patients come to me desperate to finally find a cause after years of being treated periodically with what I call the "shotgun approach" - treating everything and not bothering to figure out what the cause is. These persons will typically be given allergy medicines, sinus medicines, inhalers, oral steroids, antibiotics, and even acid reflux treatment - very often all at the same time. This approach may alleviate symptoms for some and may even cure others, but it also leads to side effects and no insight into what is causing the patient's main problem in the first place. Identifying the cause is important as many cases of chronic cough will recur in the future and it is neither kind nor practical to use the "shotgun approach" time and again in the same person as it will eventually totally fail and often make them feel terrible well before this failure (as most of these medicines have powerful side effects). My methodology is outlined in brief here due to the inherent constraints of this media but step one is to treat the nose and sinuses (sprays and sinus washes, nasal moisturizers), step 2 to treat the upper airways (and also possible initial onset asthma) with high dose inhaled steroids for a very short time (special regimen using flovent 220 and a spacer), finally consider imaging of chest and atypical antibiotics to manage atypical lung/upper airway infection (mycobacterial or other odd infections). I have patient follow each step for about 5 days, then move to the next. Once cause is identified by seeing cough get better, I now know exactly what to do next time the person gets into this situation. Finally, a subset will have habit or tic cough which are often the most difficult persons to treat - they will have been to many experts and will have been coughing for months or even years (the record in my practice is a very nice lady coughing awfully for 48 years, every single day per her report!). For these special cases, I have developed an excellent behavioral modification regimen and throat spray combination which is very effective. This topic merits a much larger discussion but I hope what I have added is acceptable by way of an introduction. Best Wishes. Aslam Lateef, MD
"Can an allergy go away? I used to be allergic to Milk but just got tested and the test says I am not anymore. I had trouble with the inside of my ears swelling, which would cause pain. A Naturalpath was the only one able to figure out this problem when I was young." - Anonymous Patient
Milk can cause a legion of different adverse reactions and there is testing for only about 3 or 4 of these. That being said, the ultimate test of tolerating milk is to drink/eat some and be just fine. Milk rarely causes anaphylactic level allergic reactions, so I usually suggest doing a basic challenge, have a tiny sip, wait one hour then finish a full glass. If you have no adverse problems over the next 48 hours, then it is unlikely you have any severe type of adverse reaction to milk. That being said, as many noted below, milk tends to cause may longterm harms to people's health in general, especially their GI immune system. Milk is associated with GI imbalances, abnormal flora, increased tendency for skin rashes (especially acne), and more copious, and thick sinus mucous which aggravates sinusitis for many who suffer with this issue. All the perceived benefits of milk cvan be had with coconut milk or almond milk (rice milk is close but a little lighter on proteins, soymilk has other possible health problems associated). The only cow's milk product I cannot substitute is cheese, all "fake" cheeses I have tried so far in my life are terrible, so there is my compromise with milk (coconut yogurt and coconut ice cream is amazing, better than cow's milk ice cream IMHO). Best wishes. Aslam Lateef, MD
"Acne post taking MethylPREDNISolone I took a 6 day dose pack of MethylPREDNISolone after an allergic reaction to an antibiotic I was on. Now I'm broken out in acne all over my face, neck and back. Are these related? And how long will it last?" - Anonymous Patient
I was just curious if the acne has cleared yet? If not, I can suggest a very safe topical facial cleanser that will reduce skin colonization of many of the organisms associated with acne (product called Cln facial cleanser, it is made of very dilute bleach and gentle foaming agents so it if antiviral, antibacterial and antifungal but also very gentle) - my patients with long standing acne have done terrific with this treatment (along with probiotics and short-term avoidance of ALL cow's milk products to see if milk sensitivity is a factor). I have had many other patients clear their acne with gluten free diets as well but this depends on the state of your stomach. You mentioned having a boil, recurrent boils can be traced to hypercolonization with specific bacteria or very commonly even fungus. This is why I love the bleach cleanser, it gets both of these. This cleanser should also prevent future boils if you use it in areas that are prone these. Best Wishes. Aslam Lateef, MD
"Alcohol allergy I'm a college student at Purdue University. When I go to a party and drink even an ounce of alcohol, my stomach hurts. If I drink maybe one beer, I sometimes get sick. I was just wondering what may be the issue?" - Anonymous Patient
The answers given already by other experts are all very good as far as causes for your problems but let me give you a suggestion as for making it better. The 2 main mechanisms I find for alcohol to hurt someone's stomach (there are others which are less common) are either by direct damage (alcohol is directly toxic, just try putting some on an open wound) or by causing a histamine-like or histamine-releasing effect from the stomach's immune cells. For dealing with first problem, your stomach lining is likely too thin (this often results from chronic stress, lack of sleep, antibiotic use, systemic steroid use, or alcohol use especially binge drinking), to thicken the stomach lining and help protect and heal the mucosa, I like to use a product called DGL (Deglycherrinated licorice), this is a very old natural treatment that works by covering over wounds/ulcers and generally thickening and protecting the stomach lining. It is taken by chewing thoroughly before every meal for several days (it tastes like licorice which many of my older patients love but younger ones get used to quickly - an acquired taste but certainly not terrible). It is widely available at most health food stores and I find most brands are just fine. I'd suggest avoiding alcohol for at least one week while taking this to give your stomach lining an ideal chance to thicken up and heal fully. If this does not work, then the second cause of histamine sensitivity and release abnormality is more likely your cause. This is tougher to manage - but basic things to try are loratadine 10 mg at 2 hours before planned alcohol exposure. I also suggest a product called "HISTAME," it is a little expensive but taking this before drinking can again help break down histamine and its byproducts which may be causing your discomfort. If these suggestions are partially helpful or not at all, then seeing an experienced natural leaning allergist may be helpful to look into some of the rarer causes or more aggressively treatments of these 2 very common causes (I personally have many other approaches but time and space limit their discussion here). Cheers. Aslam Lateef, MD
"Excess mucus in mornings I have never been diagnosed with asthma, but over the last few months, I wake up sometimes with shortness of breath and a lot of mucus/phlegm backed up in my nose and throat. Are there any over the counter medications you could recommend to control this or could there be more to this problem?" - Anonymous Patient
Good answers below, esp from Dr. Pakdaman who is right on with all his suggestions. I will add simply that having chronic sinusitis (full angry, poorly draining sinuses) will often cause a secondary bronchitis (angry large pipes in lungs) leading to sometimes pretty impressive and terrible persistent coughing (sometimes even whooping cough-like in severity), but if you've never had asthma before, the chance of developing this condition right now is extremely remote. More likely, the big pipes in your lungs are angry from the constant preceding sinusitis - the sinuses and lungs are very intertwined in their functions - studies have clearly shown that angry sinuses will cause a "sympathetic" inflammation and increased sensitivity of the lungs, even when nothing is otherwise bothering the lungs (how interesting is that!). Bottom line is if you fix the sinusitis, the cough and lungs will almost always take care of themselves. A few small suggestions on top of what has been said, AVOID sinus irrigation near naps or sleep (I suggest doing it only if you will be upright for at least the next 3 hours to prevent trapping of solution in the head/inner ears) and it is absolutely best done first thing in the AM when mucous accumulation from overnight is at its worst. 2nd, breathing through your NOSE is crucial (you'll probably notice that mouth breathing sets off coughing spells). Your nose does a lot of good for you - it filters, heats and humidifies the air going into the lungs, the quality of this "conditioned" air from your nose is far better than the air coming in from your mouth (dry, cold, unfiltered). To help use your nose to breath instead of mouth, I strongly suggest using NASOGEL brand nasal moisturizer as often as possible but especially right before sleeping (and also before exercise). These are times where nose breathing is more crucial (you'll notice soccer players constantly blowing their noses as they run, this is because they know nose breathing puts less strain on the lungs than mouthbreathing). I can say with confidence that your night time breathing problems, such as snoring, mouth breathing and coughing are worsened by dryness of your nose, this dryness leads to more congestion which naturally leads to mouth breathing. I suggest avoiding all other OTC nasal moisturizers as they contain alcohol based preservatives (I esp dislike AYR products and even NASOGEL brand nose moisturizing SPRAY - you want to stick to nasogel brand nose gel that you physically apply into nostrils with a q-tip or tip of finger). The other products (high alcohol content) tend to make noses MORE dry which is very counterproductive. If basic things do not get you better within 4 days, then seeing a doctor is worthwhile. I will again stress that if you can get the sinuses to drain properly and consistently, then even if you have the nastiest infection ever in your sinuses, antibiotics are NOT needed (the most basic rule every surgeon learns about infection treatment is that proper drainage and irrigation of a wound works better than antibiotics). if you can drain your sinuses properly and keep then clear, the infection will disappear. Antibiotics will help in the short term, but tend to cause larger disasters in the long term IMHO, but certainly follow the advice of your medical professional on this, there are always exceptions to all cases. Best Wishes. Aslam Lateef, MD
"What would cause swelling of both eyebrows and just above them for a couple months now? Headache, no cold or fever, traces of blood when I blow my nose but no infection, can breathe thru nose but feels obstructed" - Anonymous Patient
Is it itchy or any associated sensation with swelling? (urticaria/angioedema, hereditary angioedema, contact dermatitis, melkersson wilkinson syndrome). Does it come/go or is it constant? (systemic swelling like low protein, renal dysfunction, etc) How did it start? (irritant or allergic causes) Is swelling symmetric? (internal vs external causes, relation to hair) Any other skin issues at present? (manifestation of primary skin disorder like lupus, sarcoid, etc) You mentioned no meds, but any supplements/herbals you may be forgetting? (fixed drug eruption). Many other questions and possibilities come to mind, but above is most statistically likely off the top of my head with such limited info. Best wishes. Aslam Lateef, MD
"Sinus I've been hacking up, from my sinuses, green hard hunks. Seems like something builds up for awhile than I have to hack it out always about the same size." Anonymous Patient
There are about 14 physiologic factors (maybe more) related to the intricate and ideal functioning of the sinuses, if one or more of these finely tuned systems is off, then tendency for recurrent sinusitis (sinus inflammation, but not necessarily infection) can be the result. A discussion of subacute/recurrent/chronic sinusitis is beyond the scope of this medium so I'll focus on acute sinusitis. The defining feature of ALL sinusitis is the production of irritating, thick and copious mucous created within the malfunctioning sinus system and then draining out. As a quick aside, head pressure and pain without this copious mucous is almost never sinusitis. It is usually migraine or some other primary headache variant. Sinus headaches, i.e. head pain originating form the sinuses but with NO congestion/mucous is not a true condition (or is exceedingly rare). Treating such head pain with sinus medicines in this day and age is not justified. Anyway, back to sinusitis. Discussing sinusitis means discussing mucous. Sinus mucous drainage out a frontal pathway eventually leads to the nose where mucous irritates the nasal tissue, worsens nasal swelling and often requires blowing/sneezing to clear out. The rear passageway for mucous drainage is via the throat (so called "post nasal drip"). Many persons with sinusitis will drain from both places simultaneously, hence a feeling of head fullness and pressure. Healthy humans (adults) produce about 1-2 cups of thin, clear and very healthy mucous per day. This mucous drains through these same places in a pleasant and largely unnoticed fashion, this mucous maintains proper humidity within the respiratory system, forms a protective coat against pathogens, keeps pH in the respiratory and even GI system within proper ranges and does many other wonderful and under-recognized/appreciated things for healthy humans. When normal sinus mucous drainage is impeded (as in most viral upper respiratory illnesses) this leads to a profound change in mucous viscosity and consistency. This altered mucous is what we notice and are bothered by. The goal of a properly executed sinus treatment plan is to flush out the unhealthy mucous, open up all normal drainage pathways and re-establish normal and healthy mucous flow. Normal mucous is NOT our enemy and does not need to be killed or eradicated as some commercials imply, a major goal of treatment is to re establish healthy mucous flow. Coming back to your problem, the "thick chunks" are likely the end product of a poorly draining sinus system with trapped mucous inspissating into thick, unpleasant consistencies causing further blockage and a possible vicious cycle. Proper use of a sinus irrigation system to clean out unhealthy mucous and a nasal steroid to reduce swelling and allow for better sinus drainage are excellent first steps (both of these are now OTC- neilmed irrigation kit and nasacort spray). Using these devices optimally takes a lot of experience and instruction, using them incorrectly may make matters worse (It is regrettable that most directions on nasal steroid sprays' package inserts have incorrect directions on them!). Antibiotics are almost never needed for basic sinusitis, but are a kind of short cut that is often effective because most antibiotics have inherent anti-inflammatory properties that reduce swelling and achieve some of the goals I have described. In terms of benefit/harm ratios, I think antibiotics have no role in acute sinus problems as they can lead to future resistant bacteria, GI upset/flora disruption and many other well known problems associated with antibiotic overuse. Well done studies have demonstrated that about 97%% of acute sinusitis (symptoms less than 7-10 days) is caused by viral infection and antibiotics do NOT kill viruses, though they may relieve some swelling. It is also well proven that about 99%% of cases of acute upper respiratory infection with associated sinusitis will spontaneously improve with supportive care only (fluids, rest, motrin, etc). Chicken broth (2-3 cups/day) and honey (2 tbsp 3-5 times per day) have shown promise in relieving virally induced mucous production and attendant symptoms. It is cases lasting more than 14 days (sub-acute to chronic sinusitis) that require stronger interventions. Such cases, IMHO, should get specialty attention. Most allergists should be non-surgical sinus experts able to provide optimal medical management for your problems (as a bonus, recurrent sinusitis is often influenced by allergy which they can also help with). Unfortunately many allergists are terrible at treating non-allergic chronic sinusitis, the majority of persons with chronic sinusitis. Allergists (I am one BTW), usually do their testing and put persons with positive testing on shots. Unfortunately, studies of persons with sinusitis show a majority of such persons have negative or irrelevant allergy testing results. ENT doctors are a good option although they are primarily surgeons, for them medical management of sinusitis is often a prelude to sinus surgery (treatment begins with antibiotics+oral steroids+ct scan - if not better in 2 weeks then schedule surgery). There are notable exceptions to my awful generalizations in both specialties and certainly some primary docs also know what they are doing with regard to these situations. My basic advice is if the doctor immediately goes to allergy shots, antibiotics or a cat scan for symptoms that have lasted less than 10 days (unless they are extremely severe), I'd go elsewhere. Ideally, find someone who specializes in the treatment of non-allergic, non-surgical sinus disease which is the description that best fits the majority of persons who have your symptoms. I wish you good health. Aslam Lateef, MD
I wish we went to this doctor 8 years ago! My daughter has been diagnosed with allergy induced asthma since birth and had multiple hospital stays including repeated antibiotics.
We have Trialed his holistic approach and it has been improved my daughters health signs and symptoms by 80%%!
You can purchase the recommended products in the office! What a time saver!!!! And they work!!!!!
- jennifer salvatore. 2/2/2020
My kids have been seeing Dr. Lateef for about 5 years now. He and his staff are kid friendly. Dr. Lateef is very thorough in his care and treatments. We have had positive results thanks to Dr. Lateef and his staff.
- David Micallef. 1/29/2020
After months of struggling with severe full body eczema from 7 months to 1.5 years and trying multiple doctors, steroids, creams, baths etc. we finally ended with Dr. Latif. It was an appointment out of this world for us where he had consolidated very clearly in a 7 page protocol what we need to do to take control of our baby's eczema with a target of 2 continuous months of smooth skin. It was everything we had learned in bits and pieces put in one package with clear guidance as well as specific customizations. We walked out with confidence that we will finally beat this. It has been around 3 months since this and our baby is finally having a normal life without the eczema with only minor manageable flare ups. We thank Dr. Latif and his team for giving our family peace. Strongly recommend the Hamilton Allergy Center & Dr. Latif if your little one is going through eczema or allergies. Thank you Doctor.
- Sathya Sundaresan. 0/9/2020
Very nice people. Very flexible, but most of all they are knowledgeable. My second time as a follow up appointment I am so happy to report I am doing 90 percent better.
- Alfreda Thomas. 10/12/2019
We recently had appointments for our 5 year old and 1 year old with Joanne the Nurse Practitioner. She was amazing with my children and me! She explains everything. We had a great visit and I can't say enough good things about the staff and Joanne.
- Alexandra DeGood. 3/29/2019
Nurse practioner Joan T is an amazingly knowledgable indvidual. Examining all aspects before jumping to a conclusion. She is very comfortable to be arround and easy to talk too. I have been to many offices in this journey and found I have hope for my daugheter here... thank you Joan!
- Terrsa Kelly. 2/20/2019
Joanne Tobiasz-Dey was a godsend to me. After years of struggling with digestive issues, skin rashes, recurring sinus infections/bronchitis/tonsillitis/laryngitis/etc., and fevers of over 103 at least twice a year, I finally found a nurse that listens to my concerns. I have OCD, so immediately other nurses and doctors blamed "stress" rather than doing more extensive testing. It's been so frustrating, going from specialist to specialist, losing weight like crazy, and just feeling miserable. I began to think I was depressed and manifesting these symptoms. But Joanne really listened to my concerns, sat with me for over an hour and a half, ordered the right blood work, and diagnosed me with an immune deficiency and possible candida overgrowth. I now have a treatment plan that's right for me and isn't just a band-aid to these issues. I am so relieved and hopeful moving forward. Thank you so much to this amazing group!
- Sammi Caramela. 1/8/2019
I have recurrent chronic eczema for about 4 years now. I'm at the point where I had lost hope in finding a solution because of how bad it has progressed over the years, until I met Joanne Tobiasz. She spent a way over an hour with me and listened to all my struggles and stress because of my condition. Not once did I feel dismissed, rushed, or uncomfortable. She provided me with 10 instructional pages for ongoing care, basic care, and suggestions with added personalized notations to each page. She taught me so much about eczema and stuff I could of done before it got this bad. I've seen many doctors before meeting with Joanne, all the doctors had prescribed a medication (topical/steroids) and out I go. Joanne was the only one who had taken this much time with me and teach me about this condition. I cannot stress the fact that she really took the time to explain all the necessary steps I will need to take moving forward and the reasons behind it. I could honestly say I never met with a medical professional who cared this much about their patient, I am so grateful to have met her. This was my first visit with her and I am confident that with her guidance my eczema will be cured. I cannot wait to see her again in a few weeks for a follow-up appointment, I highly recommend her! Also the nurses/assistants were very friendly and knowledgeable as well.
- Frances CL. 11/6/2018
I have been back and forth to specialist and tons of test over the last six months over being sick every day because I constantly was nauseous. I had been treated with allergies for over the last 10 years, come to find out I don’t have allergies, its was sinusitis. I saw the nurse practitioner and she was awesome provided a nasal rinse and advised which medicine would be the best, I did also appreciate the fact they use natural remedies and aren’t trying to shove pills down your throat. The nausea stop almost immediately after using this rinse and I feel like a different person. I will forever be grateful for Hamilton Allergy HIGHLY recommenced.
- Jillian Raider. 11/2/2018
I love my allergist office and staff. Before I started coming here I was having a sinus infection each month. With the right shots, medications and cleaning techniques, I have not had a sinus infection in 2 years and counting. I seriously believed I would need sinus surgery but I know now I didn't. I'm very thankful to have found the doctor and nurse practitioner at Hamilton Allergy. Tammy, who administers my shots is also amazing!
- Rose Ryel. 9/10/2018
- Rebecca Dunn TV. 7/21/2018
I just finished my 3.5 years of allergy shots and I have to say I will be forever grateful for the wonderful care & kindness the team at Hamilton Allergy Asthma & Sinus Center has shown me. Over the years I have been seen by Dr. Lateef & Joanne, and they were both able to help me with all of my environmental and digestive allergy needs. They were able to diagnose and create a plan to get me back on track. Additionally the nursing staff who gave me my shots were especially wonderful. Anyone suffering from allergies needs to go here! THANK YOU!
- Ashley Mont. 6/26/2018
Nursing staff very educated about medications and inhalers. Dr Lateef has many researched ideas and techniques for my chronic sinus condition which improved dramatically
- Anna Henry. 5/21/2018
Hamilton Allergy Asthma & Sinus Center Dr. Lateef and staff was very good he's a very good doctor took time to listen to all my problems and gave me the best treatment plan so i would get better thanks Dr. lateef
- kim johnson. 4/21/2018
After 20 years of suffering with daily pain and headaches and runny nose and dryness, seeing many doctors, specialists, taking every med under the sun, visits to the ER ...I desperately turned to online reviews to find yet another doctor who may be able to help me...and I found Dr Lateef. He actually removed 2 meds which were prescribed by my primary and my ENT, gave me his new treatment protocol to follow, and i have finally gotten my life back!! Both the doctor as well as his assistant spent 2 hours with me to learn about my entire body and come up with a treatment plan for me. I highly recommend this office!
- Christina Coluccio. 4/19/2018
I cannot say enough about Dr. Lateef and his support staff. Attentive, friendly and always on the ball. Dr. Lateef is professional and personable. He is thorough and really works with you to offer up the best care plan customized to you. He has helped immeasurably with relieving my symptoms and getting me on a curable path.
- Deana Kunkle. 2/17/2018
Hamilton Allergy and Dr. Lateef were just wonderful to deal with. Dr. Lateef was very knowledgeable and professional. I was having serious allergy problems and they tested me to see what I was allergic to and were able to tell me the results on my first visit. The process was painless. The nurse was very thorough and explained the whole process step by step. Dr. Lateef explained the best course of action to deal with my problems and I did not even have to get prescription medications. Within 24 hours I was back to normal and one month has passed without a single allergic reaction.
- Dale Tomchuk. 2/14/2018
I had the pleasure of visiting Hamilton allergy today and meeting Joanne. Joanne is the nurse practitioner at the office and extremely knowledgeable, kind, patient, and professional. She was able to explain everything in an plain simple understandable way. It was evident that she is experienced. I also truly appreciated that a prescription was not just thrown at me as a cure all. In fact everything was explained and a prescription was never written because she was able to address my issues with a more natural remedy.
- David Borek. 0/30/2018
Hamilton Allergy Asthma &Sinus Center is a place where friendliness, enthusiasm and professionalism generate a cohesive and effective working environment, which creates the optimum patient experience. There is no doubt that “quality of service” resides in the people who work at Hamilton Allergy Asthma &Sinus Center. From my arrival at the reception desk, first meeting with Nurse Marguerite, and then Nurse Practitioner Joanne Tobiasz-Dey, APN-BC, I knew that I would be in good hands based on their clear, concise and to the point explanation of the various tests, treatment options, and future expectations. Dr. Lateef and his staff make Hamilton Allergy Asthma &Sinus Center a place where quality is consistent because it was demonstrated at my visit; and in my conversations with other patients it became clear that “consistent quality” is a common denominator! Joanne Tobiasz-Dey, APN-BC and Nurse Marguerite took the time to hear what I had to say, and then addressed all my concerns. All the while they kept me apprised of everything regarding my visit and, at all times, with good humor and a smile. It is my belief that attention to detail by the Hamilton Allergy Asthma &Sinus Center staff is especially noteworthy; and the staff is the quintessential example of competent and caring medical professionals! It was an absolute pleasure to be treated at Hamilton Allergy Asthma &Sinus Center, and I find in the staff an unparallel commitment to excellence,
- Anthony Tataseo. 11/29/2017
Just wonderful. Very caring and helpful.
- Trish Depinto. 10/28/2017
It's being 2 yrs now that I have being taking my daughter here for her allergies shots traveling from and back from Burlington NJ to Hamilton. They are the best when it comes in taking care of my daughter allergies, I don't have any complaints to say about them...
- marlene cancel. 6/26/2017
This place is very attentive. They will not stop until a remedy is found.
Accommodating and convenient appointments.
The staff is very friendly and caring.
Both Doctors, Joanne Tobias and Lateef, are extremely competent and confident within their practice.
They work well with both children and adults.
For patients with extreme allergies, their allergy shot program is very effective.
- Starrika McCloud. 6/26/2017
Dr. Aslam Lateef is an amazing doctor. He will listen to every issue you have and help treat it accordingly. One of the few doctors that actually will listen to you and you will not feel rushed in and out on your visit. Highly reccomend!
- Dan Pirchner. 6/24/2017
Have never been this satisfied meeting a doctor. He listens very patiently and makes a note of every minute detail. His analysis and deductions seem very sensible. He focuses on natural approaches to fixing allergies along with apt medication. The staff is also very polite. Will definitely recommend.
- Aswini Suresh Babu. 6/18/2017
Love this office. Have been coming here for over 3 years for allergy shots, however have always left with a wealth of information on other conditions and always with natural remedies. Dr. Lateef asks questions and truly listens to your converms. Tammy, my shot nurse is also awesome. Can't say enough about the office and staff. Would recommend to anyome. Both my daughter's come here as well as my granddaughter.
- Kathleen Casanas. 6/11/2017
Dr. Lateen and Asst. JoAnne helped me out a lot! The Best!
- Renee DeLee. 3/12/2017
There are not enough positives to best describe my overwhelming gratitude to NP Joann Tobiaz and the staff at Hamilton Allergy. By chance conversation a friend described how Dr Lateef changed her family's life so I decided to schedule my 23 daughter for a visit. In the past, she has had chronic stomach issues, tested for anything and everything, had her gall bladder removed at 16 after years of pain, appendix at 21, IBS, gluten sensitivity, bloating, exhaustion, chest pain...just a plethora of random symptoms. While successful in her academic life and career, often suffered 'in silence' behind the scenes and became increasingly frustrated that her conditions were going to be life long. Yoga, chiropractor treatment, and food eliminations worked to alleviate the pain in the past, but only temporarily. She was not overweight (5'5" and a size 2) and considered herself a healthy eater. Within an hour of her visit, NP Joann, diagnosed my daughter with candida overgrowth and leaky gut. Her allergy testing demonstrated sensitivity to a variety of elements, all seemingly disconnected to us. NP Joann took the time to evaluate the whole person and treat the underlying cause of various conditions. I am thrilled to report, approx 3 months later, that my daughter is feeling like a new person and following the protocol of vitamins and medicines NP Joann prescribed. Her bloating is GONE, her bowels are normal, her chest pain is non existent, her sleep patterns normal, overall unexplained aches and pains are a non-issue, and she is enjoying a wonderful quality of life. The first week or two of sugar withdrawal were brutal, difficult, and exhausting (and she was not a big candy consumer) but the damaging effects it was having on her overall system made it necessary to eliminate. She is still working on repairing her digestive system but is literally 1000%% better than she has ever been! Thank you so much, Hamilton Allergy Center! I have and will continue to recommend you to everyone!
- Anna Carella. 8/24/2016
Dr Lateef helped me after other doctors had given up. He really cares about his patients, takes time to explain action plans that improved the quality of my life. He has modern technology, and a professional staff; and gave a same day appointment when I was not feeling my best - Maureen Kubisz
- craig chick kubisz. 10/5/2014
I personally have very severe reactions to nuts. Dr. Lateef immediately helped me with my allergies. He feels like a father to me. THANK YOU DR. LATEEF!