in Wyomissing, PA
*Call the Office Directly
*No shot hours on Friday
Shots by Appointment only during COVID-19 Pandemic
*No shot hours on Friday
Tullyview Allergy is a practice dedicated to providing the latest and most up-to-date diagnostic and treatment options in allergy and asthma care. Dr. Edward Skorpinski offers over 20 years of experience and is a recognized practitioner in Berks County.
Our family of providers and staff strive to give patients comprehensive evaluation and therapy with a personal touch and attention.
We will always work to ensure that your office visits are pleasant, enlightening and will make the best use of your valuable time.
Tullyview Allergy serves adults and pediatric patients with integrity and compassion in a comfortable environment!
ABOUT THE DOCTORS
Dr. Edward Skorpinski was born and raised in suburban Philadelphia and attended college at LaSalle University before enrolling in medical school at Johns Hopkins University in Baltimore. He completed his pediatric residency at the Children’s Hospital of Philadelphia before entering private practice here in Berks County in 1994. After 10 years of general pediatrics, Dr. Skorpinski returned to the university setting to complete a fellowship in allergy & immunology at Thomas Jefferson University and the A.I. DuPont Hospital for Children. He has been a practicing allergist/immunologist in the Wyomissing area since 2006, and maintains board certification in both allergy/immunology and pediatrics.
Dr. Skorpinski resides in the Leesport area with his wife, cats, and turtles. He enjoys gardening, golf and bowling in addition to running marathons with his son and cooking with his daughter.
Board Certification: Allergy/Immunology
Dr. Edward Skorpinski, MD
Dr. Aparna Daley, MB ChB (MD)
Dr. Aparna Daley was born in Rhode Island. She was raised in South Africa, and attended medical school at the University of Stellenbosch in South Africa. She worked in South Africa for a few years, gaining valuable clinical experience. In 2018, she completed her Internal Medicine Residency at Capital Health Regional Medical Center in New Jersey, and pursued her fellowship in Allergy, Asthma and Immunology at Penn State Health Milton S. Hershey Medical Center. Dr. Daley was a Travel Scholarship Recipient multiple times from both The American College of Allergy, Asthma and Immunology and The American Academy of Allergy, Asthma and Immunology, and has presented her research at medical conferences around the nation. She has also published several papers in the field and recently completed a book chapter on the management of eosinophilic disorders.
Dr. Daley resides in the Wyomissing area with her husband Shebin and her dog Bella, and she enjoys writing, music, traveling, and chess.
What you need to know about
your first visit:
DOCUMENTS TO SIGN
(print and bring with you to first appointment)
DOCUMENTS TO READ
(do not need to print and bring with you)
The most important part of your visit is the medical history. It will guide us in determining what kind of testing should be performed. We want to know when your symptoms began, which triggers (exposures, foods, activities) make them worse, and the medications you have tried for relief. We will ask you about related allergy conditions, and if other members of your family experience allergy symptoms. Please bring a list of all of the medications you are currently taking, as it may affect what we recommend. If you have undergone allergy testing before, please bring any available records with you.
We will look for classic allergy signs, such as the presence of changes in the lining of your nasal passages, wheezing on lung exam, and skin rashes. If you suffer from a rash that comes and goes, consider taking a picture of it ahead of time in case it is not present on the day of your appointment.
Skin testing is often used to identify the triggers for your symptoms, and different types of testing are used for different problems. The first type of skin testing, called skin prick testing, involves gently poking the skin of your upper back with a set of small plastic picks coated with the food extracts, environmental allergens or drugs in question. A “multi-test” device may be used on younger children. Test sites are evaluated for the presence of a reaction (redness or hives) after 15-20 minutes. A second type of testing, known as intradermal testing, involves injecting small amounts of extract or drug just underneath the surface of the skin on the upper arm. It is similar to the placement of a PPD (tuberculin) test, which you may have had for a school or work physical, and again test sites are evaluated after 15-20 minutes.
Chemical patch testing is used to evaluate different types of food or contact allergies. During patch testing, special adhesive strips containing these substances are placed on the upper back for 48 hours. Avoidance of all oral steroid medications and topical steroids on the upper back is necessary beginning two weeks prior to patch testing. In the past, some patients with excessive body hair on the upper back have been unable to undergo patch testing. As a result, we request patients with excessive body hair on the upper back to shave at least 3 days prior to your appointment. If you have questions regarding this circumstance, please call our office.
Pulmonary Function Testing:
If your symptoms include cough, wheezing, or shortness of breath, we may test your lung strength by having you exhale as hard as you can into a special device known as a spirometer. Sometimes this test is repeated after administration of a bronchodilator to “open” your lungs, and is compared to the original.
After your evaluation is completed, an individualized treatment plan will be prepared for you that may include a combination of avoidance measures, medications or allergy shots if indicated. In most cases you will be asked to return a few weeks later to evaluate the effectiveness of your regimen, and periodically thereafter as deemed necessary. In some instances, if there is doubt that you are allergic to a particular food or medication, or if we suspect that you have outgrown an allergy, you may be asked to return for a supervised in-office oral challenge.
For patients who need insurance referrals: Please ensure that you have a valid referral when you come to the office for appointments or shots. It is YOUR responsibility to call your primary care doctor to have referrals sent to our office. You can check with the receptionist when you check in to verify the date of your referral, or call the office prior to coming in for services. We do try to remind patients when their referral is near expiration; however, this reminder is a courtesy, and cannot be guaranteed. Thank you for your cooperation.
For patients who require school forms: Please note that we require 3-5 business days to complete school forms. There will be a $5.00 charge for each form (1-3 pages); $10 for multiple forms. ALL patients will be responsible for these fees since these forms are an extraordinary service outside a normal office visit encounter.
For patients who require prescriptions: Prescriptions require 1-3 business days to process. Messages can be left on the answering machine. The direct line for prescriptions is 484-709-2776. Please note that prescriptions will only be given when a patient has been seen by the doctor within the last year. Please call the office at 610-478-4033 if you need to make an appointment before having your prescription filled. We DO NOT fill auto refills from the pharmacy. Thank you.
No Show and Cancellation Policy: Any patient who is late to their appointment or fails to call 24 hours in advance will be considered a "No Show." Each patient will get three "No Show Appointments," which includes no shows and cancellations made with less than 24 hours' notice. After three no show appointments, patients will be dismissed from the practice.
For Shot Patients receiving shots during COVID-19: Please find the updated office policy on rules for receiving shots during the COVID-19 crisis in the document below:
If you have any questions regarding your appointment, please call
New patient appointments are scheduled as early as 9AM and as late as 2PM Monday-Thursday. Your initial appointment may last 1.5-2.5 hours depending on the amount of testing that is required. We generally ask that you remain off of all antihistamines for at least 5 days beforehand, since these medications will interfere with the skin testing process. Examples of antihistamines include diphenhydramine (Benadryl®), loratadine (Claritin®), cetirizine (Zyrtec®) and fexofenadine (Allegra®). Over-the-counter sleeping pills may contain antihistamines as well. Other allergy and asthma medications such as nasal and inhaled corticosteroids and albuterol may be continued. Fasting is not required. If you feel that your allergy symptoms are too severe to stop your medications during this time, continue them as previously prescribed and we will discuss your options during the appointment.
Anyone scheduled for a New Patient Appointment must give at least twenty-four hours' notice of cancellation in order to be rescheduled at our office. Anyone who does not contact our office 24 hours prior to their appointment will NOT be rescheduled. In addition, there may be a fee charged for missed appointments. If you have any questions, please do not hesitate to contact our Practice Manager at 610-478-4033.
What to bring:
As with all medical offices, you will need to bring your insurance card(s) and a photo ID (a valid driver’s license will suffice). In the case of a child, a parent’s photo ID is required. If you are asking another relative to accompany your son or daughter to this appointment, then you must provide written permission allowing that person to act on your behalf. You will be asked to complete a new patient information sheet, acknowledge that you were given access to a copy of our HIPAA form, and review and sign a copy of our billing policy. Prior to your first appointment, please print and complete the 3 new patient documents (New Patient Form, Notice of Privacy Practice, and New Patient Billing Policy), and bring the completed forms to your first appointment. All of these documents can be accessed by clicking the hyperlinks above, or by downloading the attachments below.
Thank you for considering a telemedicine visit at Tullyview Allergy. While it naturally has its limitations as compared to what can be accomplished at an in-office visit, it is a means for us to provide you more in-depth advice for your allergy and asthma concerns while our community interaction is limited due to the coronavirus outbreak. Depending on demand, we may be scheduling "visits" outside of our previous normal office hours.
We know that new patients have been waiting 3+ months for their appointments, and in many cases we will be able to provide treatment suggestions even before testing can be completed. New patients who had been previously scheduled for an in-office visit should return their paperwork as soon as possible to be rescheduled for a telemedicine visit.
There will also be established patients needing extra guidance to get through the upcoming pollen season, and of course there will be many of you with questions regarding how coronavirus could impact your specific allergy issues. When restrictions are eventually lifted, patients who require skin testing, spirometry, oral challenges and other procedures will be scheduled as quickly as possible.
Please be aware that your telemedicine visit is a billable encounter that is still subject to the same rules with respect to your insurance deductibles and copays. When scheduling a telemedicine visit you will be informed about our billing and payment procedures. Please call our office at 610-478-4033 if you are interested in scheduling a telemedicine appointment.
Click the button below to be directed to the Tullyview Allergy telemedicine "waiting room":
Note: You must have an appointment to use this feature, and you must have a smartphone or computer device with a self-facing camera/webcam, microphone and speaker. After being directed to the doxy.me website, please enter your name where asked, and when prompted please click "Enable camera". Then click "allow" for doxy.me to access the device's microphone and camera. If you are having difficulty connecting to our telemedicine site through this button, you can enter the following line in your browser: https://doxy.me/tullyview and then follow the prompted instructions.
ALLERGY AND ASTHMA CARE
What are allergies?
Your body can defend itself against many harmful viruses and bacteria. When usually harmless substances (like dust, mold and pollen) are mistaken for harmful invaders, your body can become too aggressive. Your immune system starts to launch a defensive, complex chemical weapons to combat the enemy, which can trigger unpleasant and in extreme cases, life-threatening reactions may be experienced.
What are the causes?
There are many everyday substances we can come in contact with that can trigger allergic reactions: plant pollen, insect bites, molds, dust, animal dander, foods, medicines, etc. These "allergens can occur throughout the body. But there are some areas of your body where your immune system cells are that are prone to allergic reactions: skin, eyes, stomach lining, nose, sinuses, throat and lungs. Inhaling, swallowing, or even touching these sensitive areas can trigger your allergies.
Allergies have no boundaries for who can develop them, regardless of your age, gender and race.
Click the following links for helpful information on common allergies:
What is asthma?
Asthma symptoms can affect persons of all ages and generally include cough, wheezing, shortness of breath and chest tightness. Triggers include allergies, infection, exercise, cold air and strong odors/irritants such as tobacco smoke. Fundamentally there are three components of asthma, including airway inflammation, reversible airway muscle constriction and recurrent events. The diagram below demonstrates the changes that occur on a microscopic level:
What happens when asthma is untreated?
Poorly controlled asthma symptoms can interrupt a person’s sleep, limit their activities and generally diminish one’s quality of life. Moreover, if left unchecked for long periods of time, asthma inflammation can lead to permanent lung damage.
Evaluation and Management:
In addition to a careful medical history, a proper asthma evaluation includes pulmonary function testing and allergy testing. A chest x-ray may be ordered in order to identify any coexisting lung problems. We will then decide if/which preventative therapy you should be using in addition to your immediate-type “rescue” therapy. Immunotherapy (allergy shots) may be appropriate if you have multiple allergy triggers, and omalizumab (Xolair®) is an option for persons with severe asthma and allergies.
Tullyview Allergy, P.C.
1030 Reed Avenue, Suite 108
Wyomissing, PA 19610
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*Call the Office Directly
*Shots by Appointment Only during COVID-19 Pandemic
*No shot hours on Friday