The Roby Institute is devoted to discovering the cause of each individual’s allergy and allergy related disorders. Once the causes have been determined the main thrust of treatment has to do with prevention of the conditions.
The Institute follows a five-step program in the pursuit of higher levels of health and well-being in our patients. The five steps are as follows:
- CONVENTIONAL MEDICINE
- COMPLEMENTARY AND ALTERNATIVE METHODS
This is not a form of Alternative Medicine. The medical treatment is strictly conventional. There is additional emphasis on “common sense,” exercise, nutrition and spirituality. I believe this to be a “holistic” approach that incorporates conventional treatment and widely accepted adjuncts.
Step 1. Conventional Medicine This involves the physical examination and initial history of the individual problem. Appropriate treatment is recommended and medication may be prescribed. This is what every conventional physician does. However, this frequently does not completely solve the patient’s problem. The patients that I see have already been treated by other physicians.I don’t see children with their first ear infection. I don’t get patients with their first asthma attack. And I don’t get patients who have had successful treatment, conventional treatment, for any of the symptoms that I treat. If the conventional treatment had been successful, why would they be coming to me? We carefully screen new patients to eliminate this kind of patient. If their problems can be successfully solved by conventional treatment alone, they should be seen by their Pediatrician, Family Physician or conventional Allergist. The patients that I see have not been successfully treated using the conventional methods alone. So, I encourage them to try what have become known as COMPLEMENTARY or ALTERNATIVE methods. I have also added what I considered to be Common Sense advice to enhance the conventional methodology that I use. However, it has become necessary to formally list these methods and describe them so patients can decide whether they wish to use them or not. So, here are the other four steps for treating allergy and related disorders.
Step 2. Spirituality Is there anybody left who doesn’t believe that prayer helps? If you don’t believe in God, at least think about the well established benefits of a positive attitude. Maybe my practice is unusually rich in spiritually-oriented patients, but not one has ever objected to my suggestion that they pray “for the willingness to change” their lifestyle.
Step 3. Movement MOVEMENT is sometimes referred to as EXERCISE. Allergy is a disorder involving soft tissue swelling. Gentle movement, walking (not running), easy cycling (not road racing), and easy weight workouts all benefit the soft tissues. I emphasize “EASY” because vigorous exercise often makes the problem worse. If we elevate our heart rates above 130 we are going to switch into “overdrive,” and we have to use the emergency hormone, Adrenalin, to do it. That leaves the allergy patient feeling worse.
Step 4. Diet I suggest a change in diet to almost all of my new patients. Food seems to be part of the problem in almost every case. I also suggest a wide variety of vitamins and minerals depending on the individual case. See FOOD ALLERGY on this website or in your patient handbook.
Step 5. Complementary and Alternative methods Many types of treatment are considered “alternative” by conventional medicine. Some of the treatments are quite effective in my experience, and I frequently use them.
One of the treatments involves the use of dilutions of substances patients are reacting to in an allergic fashion. For the last one hundred years physicians have used very weak solutions of the very substances they suspected of causing the reaction, to stop the reaction they are suspected of causing. Conventional allergists use dilutions of up to 1:1,000,000 parts, as do Pan American Allergy Society physicians. I have found far weaker dilutions to be amazingly effective not only in diagnosing a wide variety of symptoms, but also in quickly reversing these symptoms.
If you agree with this type of alternative method of diagnosing and treating symptoms, the method used may be by conventional allergy injection (intradermal or subcutaneous injections) or by sublingual (under the tongue) drops. Using sublingual drops is not new. Nor is it unusual. Allergy patients in many states are treated by this method. It is the only method used in Great Britain and is widely used by a majority of physicians in France and Italy. The World Health Organization (WHO) states this method is “safe and cost-effective.” (WHO, Position Paper, 1998).
As part of your initial evaluation I may place drops under your tongue to see if these dilutions of antigens relieve any of your symptoms. If they do, I may suggest that you consider desensitization with sublingual drops rather than conventional allergy shots. I find that, in many cases, the results are almost as effective with drops as with shots. Children are much more willing to accept treatment with drops than with shots, and this makes the drops much more effective if for no other reason than the fact that they WILL DO drops and often simply REFUSE to accept shots.
Almost all of my patients qualify for at home drops or shots because very weak dilutions are used. All patients are carefully screened before self-administration and then instructed in doses and administration.
* This treatment is not approved by the FDA