Winter Newsletter

Millions of people suffer allergy symptoms caused by indoor allergens and the Holiday Season brings its own challenges. So how can you manage allergy and asthma flares during the holiday season? See the tips below to help keep the "Merry" in your Christmas!

The Christmas Tree - We all love decorating a beautiful Christmas tree, but unfortunately trees can be a big cause of wheezing and sneezing for some people. This is not caused by the smell of the tree, but usually the mold growing on the tree. Your best option is to try an artificial tree, but keep it clean from dust. If you must have a real tree, wait until a few days before Christmas to bring the tree inside, and remove it as soon as possible after the holiday season. This will limit the exposure to the mold. You may also want to run an air cleaner in the same room as the Christmas tree to reduce allergens going into the air from the tree.

Decorations and scents - Itchy water eyes, sneezing and coughing may be signs that your favorite smells of the season are making you miserable. Watch out for Christmas wreaths, potpourri and holiday air fresheners. They can irritate your eyes, nose and lungs, and trigger reactions.

Fireplace - Keeping warm by the fire may be inviting but smoke can worsen allergies and asthma. Check your fireplace to make sure it draws well so all the smoke goes up the chimney. Watch out for candles too, because their smoke may lead to troublesome symptoms.

Plants - We all love the festive look that poinsettia's bring to the season but if you have a latex allergy this plant may trigger a severe allergic reaction, because they are members of the rubber tree family. Best to steer clear of them.

Food Allergies - Holiday time is party time, and what's a party without food? For people with food allergies, this is the time to be extra vigilant. If possible, send the host a list of the foods you're allergic to and request they not be served. To play it really safe, eat only the foods you bring to the party.

Pets - Your Aunt Mary's precious pooch may be cute, but could trigger your allergies. The animal dander lingers in the bedding and carpeting in homes and they may be full of dust mites. Unfortunately, spending holiday time in other peoples homes can expose you to a variety of indoor allergens. Removing the pet from the home before the party isn't enough to make a difference. Avoid holding, or petting the animal if possible. If you do come in contact, keep your hands away from your face, and wash your hands with soap and water.

To help keep your allergies at bay this holiday season, make sure you take your allergy and asthma medications regularly and carry your rescue inhaler or epi-pen with you as directed by your doctor. You may also want to consider immunotherapy – allergy shots – to help build up tolerance to your allergies.

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Fall Newsletter

We hope this email finds you having a great Fall season!

Unfortunately fall can bring misery to millions of people who suffer from seasonal allergic rhinitis (hay fever). Sneezing, stuffy or runny nose, itchy eyes, nose and throat, or worsening asthma symptoms are common in people with undiagnosed or poorly managed hay fever. The tall goldenrod species of ragweed gets blamed for most of the pollen, but a primary cause of allergy symptoms is the tooth-leaved ragweed that lives low in the grass.

Proper diagnosis is the first step in managing your symptoms. Although there is no cure, ragweed allergy can be managed to improve the quality of your life. The best control is to avoid contact with the pollen. The National Allergy Bureau (NAB) tracks pollen counts regionally to help you plan when you should avoid the outdoors. Talk to Dr. Panuto about medications that may provide you temporary relief from symptoms!


Having food allergies doesn't mean having to skip all Halloween fun. Follow these tips for a safe holiday:

Plan food-free Halloween activities, such as costume contests, games and pumpkin carving.

Don't let your food-allergic child trick or treat alone, and always have them carry their epinephrine with them.

Verify that adults or friends with your child understand his or her food allergies and what to do in an emergency.

Be cautious of "fun-size" candy, which may contain different ingredients than regular size candy.

Teach your child how to politely say no to food that may not be safe, especially homemade items such as cookies and cupcakes.


The best way to prevent the flu is by getting vaccinated every year. It is important to get the current shot because it is made to provide protection against the most common flu viruses for that year. Stop in to see us to get yours.

****Flu shots available on a walk-in basis. Please refer to the shot line (216) 539-5960 for available shot hours.****

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Don’t let the Flu get you down – Get your flu shot now.

Flu shots available for walk-ins starting September 4th.
Refer to the shot-line for availability. (216) 539-5960


Peak season for asthma and allergy sufferers is right around the corner. Proper management and treatment can make a huge difference in your quality of life and comfort in your day to day living. Be proactive and plan ahead! Contact us today to set up an appointment (440)-779-1112.

Voted Best Allergy & Immunology physician!

Dr. Panuto has recently been voted by his peers as one of the best Allergy & Immunology physicians in the “Best Doctors Cleveland” August 2018 magazine.
The below is an excerpt from page 83 of the magazine:

"Founded in 1989 by Harvard Medical School physicians, Best Doctors Inc. is a global benefits provider and medical information services company that connects individuals facing difficult medical treatments with the best doctors.

Best Doctors team of researchers conducts a biennial poll using the methodology that mimics the informal peer-to-peer process doctors themselves use to identify the right specialist for their patients. Using a polling method and proprietary balloting software, they gather the insight and experience of tens of thousands of leading specialists all over the country while confirming their credentials and specific areas of expertise.

The result is the Best Doctor in America list which includes the nation’s most respected specialist and outstanding primary care physicians. These are the doctors that other doctors recognize as the best in their fields. They cannot pay a fee and are not paid to be listed and cannot nominate or vote for themselves. It is a list which is truly unbiased and respected by the medical profession and patients alike as the source of quality medical information."