Eosinophil

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Helpful Links:

 

(Eosinophilic Treatment Centers and Organizations are at the top,

formula/medication assistance links are in the middle,

and food help is at the bottom)

 

Eosinophilic Treatment Centers:

 

 

Children's Hospital of Philadelphia's Center for Pediatric Eosinophilic Disorders

The Clinic Coordinator is Michele Shuker

267-426-7003

 

*      Clinic Welcome Page

*       About Eosinophilic Disorders

*       Info to prepare you for a visit to the clinic

*       Publications

*       Resources:   including fact sheets to help you identify ingredients to avoid while on corn-free, dairy-free, egg-free,soy-free, &/or wheat-free diets, information about patch testing, etc.

 

 

 

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University of Pennsylvania Hospital (HUP)

The Joint Penn-CHOP Center for Digestive Health.

 

Adult GI’s who truly understand Eosinophilic Esophagitis (EoE) and can properly diagnose and treat it are seemingly hard to find at this point in time, but thankfully that is changing, especially in our area.  There is now an Eosinophilic Esophagitis Clinic at University of Pennsylvania Hospital (HUP), which is actually part of a larger joint effort between sister hospitals HUP and CHOP, The Joint Penn-CHOP Center for Digestive Health. 

 

Dr. Gary Falk (GI at HUP/Penn Medicine), one of the doctors who treat adult patients with Eosinophilic Esophagitis, and Dr. Chris Liacouras (GI at CHOP) also are the co-directors of a new program to “provide inter-disciplinary care (gastroenterologists, allergists, nutritionists and others) together to deliver state of the art care and access to clinical trials to all patients with eosinophilic esophagitis in the Delaware Valley and nationally as they make the transition from adolescence to young adulthood (age 18).”  They take new adult patients at the clinic as well. 

 

The section for Eosinophilic Esophagitis on the new website for The Joint Penn-CHOP Center for Digestive Health is http://www.med.upenn.edu/jointcenterfordighealth/EoE.shtml. 

 

To contact University of Pennsylvania Hospital for a GI appt, you can call 215-349-8222 (press 1 for appointments)

or 800-789-PENN (7366). 

 

New patients must call 877-204-9213 to register before setting up an appointment.

 

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Other U.S. hospitals with EoE/EGID clinics

 

If you are visiting this site from other areas of the country and cannot travel

to CHOP or U of P, below is a list of other hospitals across the country that

have experience with EoE.  Some also have experience with other EGIDs.

 

 

University of Pennsylvania Hospital

Dr Gary Falk, GI (adult patients)

 

Mt. Sinai Medical Center (NY)

Drs Mirna Chehade (GI) and Hugh A. Sampson (Allergy)

 

Denver Children’s Hospital

Gastrointestinal Eosinophil Disease Program (GEDP)

Dr Glenn Furuta

 

Cincinnati Children's Hospital Center for Eosinophilic Disorders

*       Specialists and Services

*       About Eosinophilic Disorders

*      EGID Research Summary

*       How to Cope With Your Child’s Illness

 

Children’s Specialists of San Diego

Eosinophilic Gastrointestinal Disorders Clinic

 

Greenville Hospital System University Medical Center

Center for Digestive Health

Dr Jonathan Markowitz,

Greenville, SC.

 

Mayo Clinic, Minnesota

 Dr David Katzka (very experienced w/ EoE in adults)

 

Children’s Hospital of Boston

Eosinophilic Gastrointestinal Disease Program

 

Northwestern University, Feinberg School of Medicine, Chicago, IL.

Center for Eosophageal Disease

 

Connecticut Children’s Medical Center

Digestive Disease/Gastroenterology

                                                                            

Coming soon:  SouthEast Eosinophilic Disease Center Of Atlanta

 

The above treatment locations are not the only ones available.  More Drs are beginning to recognize and treat Eosinophilic Gastrointestinal Disorders, so the above list only represents those that we know of at this time.

 

 

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Registry for Eosinophilic Gastrointestinal Disorders:

 

 

 

The Registry for Eosinophilic Gastrointestinal Disorders (REGID)

 

REGID was developed and launched by Cincinnati Children’s Hospital Medical Center (CCHMC); however, physicians from other medical institutions also participate. 

http://regid.org/learn/institutions (participating hospitals)

http://regid.org/learn/acknowledgements (those involved)

 

From Cincinnati’s article about the creation of REGID:  “A $1.6 million federal economic stimulus grant is helping Cincinnati Children’s Hospital Medical Center launch the Registry for Eosinophilic Gastrointestinal Disorders (REGID), an information resource that will serve as a valuable research tool for scientists nationwide, and ultimately, around the globe.”

 

Per the REGID website:

 

“The Registry for Eosinophilic Gastrointestinal Disorders (REGID) is funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), which is a part of the National Institutes of Health (NIH) and the U.S. Department of Health and Human Services, and by the generous donations of families and individuals like you. REGID is a not-for-profit collaboration of medical centers, professionals, families, and individuals dedicated to improving the knowledge, research, and outcomes for people living with eosinophilic gastrointestinal disorders. REGID is not only a national registry of people affected by eosinophilic gastrointestinal disorders but also a forum to enhance the connection of people to resources and research. For more details about the purpose and development of REGID, review the article entitled ‘National Registry to Track Eosinophilic Disorders’.”
 

“The Registry for Eosinophilic Gastrointestinal Disorders (REGID) is a collaboration of medical centers, professionals, families, and individuals whose mission is to improve the knowledge, research, and outcomes for people living with eosinophilic gastrointestinal disorders.”
 

“REGID studies are designed to expand our knowledge of eosinophilic gastrointestinal disorders and the outcomes of different treatments. To this end, researchers test specific hypotheses and therapies. The REGID studies section is currently under development. Content about the purpose, funding, methods, and results of ongoing and completed REGID studies will be added as the information becomes available.”

 

Discover about Eosinophilic Disorders:  http://regid.org/discover

 

http://regid.org/find/publications

http://regid.org/learn/clinical-trial

 

 

 

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Non-Profit Organizations:

 

 

 

http://apfed.org

 

Please click to view:

*       APFED’s new E-Learning Center

*       Webinars and educational videos

*        Hope. Heal. Cure.” awareness video

*        “Just a Glimpse” awareness video 

*       Interactive pages for the kids, with new characters: “Gus” (the esophagus) and “Phil” (the eosinophil) 

*       “The Grand Tale of Gus the Esophagus” (children’s book)

*       Young Adults Living Well with EGID(book for teens and adults)

*       How will my donation help APFED?

*       Information about past Hope on the Horizon Research Grants (research APFED has helped fund)

 

APFED (American Partnership for Eosinophilic Disorders) is a non-profit organization that is committed to educating the public and the medical community about Eosinophilic Disorders (EoE, EGID, HES & Churg-Strauss Syndrome), creating awareness, promoting advocacy, as well as raising money for research.  It was founded in 2001 by parents of children with EoE & EGID.  They have several leaders in the field on their medical advisory board.  

There is a lot of helpful information about Eosinophilic Gastrointestinal Disease on their site, including in their new E-Learning Center and new interactive pages for kids.  If you or your child has been diagnosed with EoE or EGID, you may want to consider becoming a member of APFED.  Membership will provide you with access to the current and previous quarterly newsletters, which contain very helpful, informative articles, many written by some of the leading Drs involved in treating EoE/EGID.  You can also access the APFED message board and you will receive notification of clinical trials, research, legislation and other news of interest.

 

As per their website:

 

APFED provides accurate, up-to-date information on eosinophilic disorders and related problems. Our goals are to increase awareness, educate patients and physicians, increase funding for research and provide support for the eosinophilic community. 

 

Goals:
“Our mission is multi-faceted: 
Education, Awareness, Support and Research. Each of these points is equally important to the community dealing with eosinophilic disorders. Without education and awareness there can be no fundraising for research; without research, awareness and education become stagnant; without support, these chronic and painful disorders can become all consuming and the other three points suffer. APFED’s goal is not to tackle one aspect or another, the APFED Mission represents that ‘We Get It!’  We understand what living with an eosinophilic disorder is all about.

 

 

Some of APFED’s accomplishments include:

 

*       Organizing of annual patient education conferences on Eosinophilic Disorders in different locations every summer, which feature seminars given by the foremost specialists in the field.  These “Eos Connection” conferences also give patients and their families a chance to meet others who are dealing with the disorders.  The conferences are very informative and well-attended.   The 2012 conference will be in San Diego, CA and the 2013 conference is scheduled to be held in the Philadelphia area.  

 

*       ICD-9 coding – APFED successfully lobbied for the creation of diagnostic codes (ICD-9 coding) specifically for eosinophilic esophagitis, eosinophilic gastroenteritis, and eosinophilic colitis.  These codes went into effect on 10/1/08.  If utilized by treating physicians, they will allow the people who are diagnosed with these disorders to be properly counted. 

 

*       “National Eosinophil Awareness Week” - APFED initiated House Resolution 296, which was passed by the House of Representatives on 5/15/07, and federally recognizes  as the 3rd week of May, each year. 

 

*       Funding of numerous research grants through the Hope On The Horizon Research Fund, including research at:  Children’s Hospital of Philadelphia (CHOP), University of Pennsylvania School of Medicine, Cincinnati (CCHMC), Children’s Hospital of Denver, University of California San Diego, Feinberg School of Medicine, University of Colorado School of Medicine, Vanderbilt University, Stanford University, and Riley Hospital for Children Indiana University School of Medicine. 

 

*       APFED provides a voice to our Eosinophilic community by working with physicians at multiple academic centers, with professional societies, government agencies.  They hold a seat on the

·         American Academy of Allergy, Asthma and Immunology Lay Organizations Committee,

·         American College of Allergy, Asthma and Immunology Lay Organizations Committee,

·         AAAAI Eosinophilic Gastrointestinal Disorders Task Force. 

·         They are also an invited participant in the National Institute of Health’s (NIH) Food Allergy Clinical Guideline Coordinating Committee.

 

*       APFED  supports physician medical education

*       Develops educational materials for physicians, patients and support groups

*       Maintains a support phone line

*       Assists people with finding a physician or a local support group if needed

*       Provides a message board on their website for member support.

 

They are also working on:

*       Standardizing diagnostic criteria, which would help patients be properly diagnosed sooner.

*       Lobbying for mandated formula coverage nationwide. 

*       They have successfully helped to educate and raise awareness within the secondary care community (GI & Allergy), but are beginning to focus on helping to educate the primary care community as well.   This may result in earlier diagnoses, thus decreasing the amount of time people have to suffer with insufficiently treated symptoms.

 

These are only some of the things that the extremely committed APFED volunteers are involved with.   If it weren’t for their tireless efforts, the information available to us would be minimal and the number of medical professionals who know anything about EoE or EGID would be very few.  Thanks to their hard work and persistence, it is now better known and understood.  

 

Donations to APFED support all of the above.  Funding for research is dependent upon education and awareness.  Each is equally important.  However, if contributors prefer that 100% of their donations go only to research, they can donate specifically to the Hope On the Horizon Research Fund.  

 

All money specifically donated to the "Hope Research Fund" (a.k.a. “Hope on the Horizon”) goes to research.  This has been, and continues to be, an available option on their donations page.  Research grant applications are expert-reviewed for merit (blinded peer-review process) and recipients must submit a budget detailing that funds are used solely to support research, not administrative costs associated with the research site.  A list of the past grant recipients and the research that the money has helped fund is found on their site:  http://apfed.org/drupal/drupal/past_grant_recipients

 

If you are interested in doing a fundraiser for APFED, please contact them for more details:  http://apfed.org

 

 

 

                                                                            

 

CURED

 

(Campaign Urging Research for Eosinophilic Disease) is a non-profit organization whose hope it is “to raise substantial funding to aid in research and public awareness for this complex disease”.   

 

CURED was formed in 2005 as by the parents of a child with an Eosinophilic Gastrointestinal Disorder.  As of February, 2010, they had successfully raised and donated over $2,000,000 for research into eosinophilic disorders, which is an amazing testament to their dedication as well as that of the members of the eosinophilic community who hold the fundraisers. 

 

As of mid-2011, over $1,750,000 has been donated to research being done at Cincinnati Children’s Hospital, and great strides have been made in understanding EoE/EGID as a result.  They have said they are willing to donate to other hospitals if the money is going solely to research, per their bylaws.   Click here to view a YouTube video by Dr Rothenberg of Cincinnati and CURED.

 

They have also made generous donations to research at Denver Children's Hospital ($119,250 in 2008 toward research into use of the "String Probe"), as well as University of Illinois Chicago Hospital ($119,250 in 2008) and Northwestern University Feinberg School of Medicine ($60,000 in 2009).  

 

As per CURED’s founder:  Each time we make a donation the CURED board collects research on the different hospitals.  A vote is taken and that’s where the money is donated.  The money must go directly to research and not used for a clinic.” “…even though we have donated to Cincinnati Hospital in the past and may in the future, CURED by laws says we donate 100% of funds raised to research.”

If you are interested in doing a fundraiser for CURED, please contact them for more details.

http://www.curedfoundation.org/

 

                                     

 

Kids With Food Allergies

 

(Formerly POFAK – Parents of Food Allergic Kids) – Although they do have a free associate membership, this site requires paid membership to access much of the info, but it is worth it.  Among other things, they have a plethora of great recipes using alternative ingredients, avoiding common allergens, etc.   They have a message board with lots of different forums to choose from, including specific forums for those dealing with eosinophilic disorders.  They list product recalls that might affect the allergy community, and so on.  They serve the ENTIRE allergy community, which includes those with Eosinophilic Esophagitis and other EGIDs. 

 

From their website: 
“The Kids With Food Allergies Foundation improves the day-to-day lives of families raising children with food allergies and empowers them to create a safe and healthy future for their children.”

 

*       The Parents of Food Allergic Kids (POFAK™) Community is the largest online support community for families raising children with food allergies.

 

*       The Resource Center offers practical food allergy management information; label reading guides; insights into social and emotional issues; food substitution information and much more.

 

*       The Recipe Collection contains more than 1,200 recipes searchable by category and the allergens you need to avoid.

 

Donations to Kids With Food Allergies can be made via their website.

If you are interested in doing a fundraiser for Kids With Food Allergies,

please contact them for details.

 

http://www.kidswithfoodallergies.org/

 

 

                                                         

 

 

FAAN (Food Allergy and Anaphylaxis Network)

Per their website, FAAN’s mission is: 

“To raise public awareness, to provide advocacy and education, and to advance research on behalf of all those affected by food allergies and anaphylaxis.”

 

Awareness

FAAN works to build public awareness of food allergy through the media and through education, advocacy, and research efforts.

 

Education

FAAN staff conducts seminars and training sessions on food allergy and anaphylaxis for patients, school staff, government officials, health professionals, restaurant and industry leaders, and other policymakers.

 

Advocacy

FAAN works with policymakers on federal, state, and local initiatives in areas such as  food labeling, epinephrine availability, and management of food allergies in schools, camps, airlines, and restaurants.

 

Research

FAAN supports and participates in research studies that lead us to a better understanding of, and a cure for, food allergy and anaphylaxis, and that improves the quality of life of individuals managing these conditions.


If you are interested in doing a
fundraiser for FAAN,

please contact them for details.

 

http://www.foodallergy.org/

 

 

 

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Eosinophilic Support Groups:

 

Online, US-based and international support groups are now listed on our

 

Support Page

 

 

 

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Various other helpful organizations:

 

 

Formula Coverage Assistance:

 

Children’s Magic

(Milk allergy and gastrointestinal coalition)

 

Children’s Milk Allergy and GastroIntestinal Coalition (MAGIC) is

committed to promoting healthcare coverage and reimbursement of elemental formulas

for children who are unable to consume a natural,life-sustaining diet

due to various allergies or diseases.

http://www.childrensmagic.org/

 

 

Ross (EleCare) review of formula coverage
http://www.ross.com/reimbursement/default.asp
http://www.ross.com/reimbursement/statedetail.asp?StateID=1


Ross Patient assistance Program
http://www.needymeds.com/papforms/rosmed0407.pdf
http://www.rxhope.com/papinfo/company/pdf/RossMetabolic.pdf

SHS/Nutricia Neocate Patient Assistance
http://www.neocate.com/aaa_neocate/0,534,112,97,236,0,0-179-77.ashx

SHS/Nutricia Sample Physician Letter for Coverage and Information
http://www.shsna.com/pages/neocate_junior_ins_letter.htm

 

 

 

 

Medication Assistance:

 

Partnership for Prescription Assistance

 

 

 

 

Organizations Granting Wishes to Children:

 

*      Dream Factory

*      Make-A-Wish

*      Marty Lyons Foundation

*      Starlight Foundation

*      Sunshine Foundation

 

 

                                                                                                                                                                                               

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Miscellaneous helpful links:

 

 

Something for the kids:

APFED now has interactive pages for the kids, with new characters:

“Gus” (the esophagus) and “Phil” (the eosinophil)  http://www.apfed.org/drupal/drupal/for_kids

 

We also want to list a link to a book, written by a beautiful girl from NJ who has Eosinophilic Gastroenteritis.  It is entitled:

"Can You Imagine Life Without Food?"

It is from her perspective, and explains in simple terms what it is like to live with the disease and eat through a tube (NG tube and G-Tube).  Her mother is a member of this group, and runs the NJ/PA Yahoo Group Message Board.

 

 

 

Applied Medical Technology (AMT)

 

Manufacturer of the AMT clamp, which is helpful in minimizing disconnections while getting an enteral feeding.  These can be purchased through DME suppliers, but they can also be ordered directly from the company.  Contact information is on their site.  This company also manufactures mic-key buttons, etc.

http://www.appliedmedical.net/amtclamp.htm

 

 

 

Vitamix Blenders:

If you haven’t already seen these blenders in use at your local Whole Foods Market or anywhere that sells freshly made smoothies, using one may be a good option for picky eaters during food trials, or just as a good way to get nutrients into the kids (and adults) who are on a limited diet. 

 

You can use fresh, raw fruits and vegetables in a Vitamix blender to make a smoothie, and it will be SMOOTH (no chunks).  You can make “ice cream” or sorbet with safe ingredients, and even hot soups with these blenders. 

 

They are pricy, but since they can handle fresh, raw fruits and veggies, ice, nuts (if safe for you), and so on without any problem (and have a 7 yr warranty), it may be a very worthwhile purchase for some people who are having trouble with solid foods or avoid eating certain foods due to sensory issues.  You can efficiently hide many veggies in smoothies, and they can be quite tasty.  You may be surprised to hear your kids asking for more!

 

http://vitamix.com/

 

 

 

 

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Food Links:

 

 

APFED has a wonderful cookbook

to help with our special dietary needs:

“Extreme Cooking for Exceptional Diets”,

It is available via the APFED website.

 

APFED cookbook

 

Kids With Food Allergies

 

This site requires paid membership to access much of their info, but it is worth it.  Among other things, they have a plethora of great recipes using alternative ingredients, avoiding common allergens, etc.

 

http://www.kidswithfoodallergies.org/

 

 

The following companies make foods or mixes with minimal allergens,

&/or sell them online.  They may be ok for some people with EE/EGID,

but not for everyone.  It all depends on what ingredients are safe for you.

So check the labels carefully to determine if they are right for your

individual needs.  Their products are found in some stores and online:

 

 

Cherrybrook KitchenThis company makes gluten-free cake, cookie and brownie mixes.  They have mixes with glutens and without, so if you buy them, make sure you are getting the right one.  Some stores only sell the mix with gluten, while other stores sell both.  The cakes and cupcakes come out very soft and moist.

 

http://www.cherrybrookkitchen.com/

 

 

“Coconut Secret” Coconut Aminos (Soy Sauce alternative) Manufactured by Leslie’s Organics, this soy sauce alternative is soy-free, Gluten-free, dairy-free, vegan, 65% less sodium than soy sauce, and made from organic coconut sap and sea salt.  It tastes amazingly like soy sauce!  So far, we have only found this at Whole Foods for approximately $6.99/bottle and online.

 

http://coconutsecret.com/aminos2.html

 

 

Daiya (cheese alternative) – Pronounced “Day-Ya” These cheeses are free of dairy, lactose, casein, gluten and even soy!  The manufacturer uses pea protein instead of soy.  Currently available in shredded cheddar and mozzarella flavors.  They are rather tasty and THEY ACTUALLY MELT!!!  Ingredient list is available at the manufacturer’s website.  They are currently available at Whole Foods and Wegman’s, but it’s likely that they will be available in other stores in the near future.

 

http://daiyafoods.com/products/index.html

 

 

Ian’s Natural Foods:  They sell frozen packaged foods such as French toast sticks, fish sticks, chicken nuggets, popcorn hotdogs, kids meals, and “Alphatots” that are free of wheat, gluten, egg, dairy, soy, and nuts.  If you buy these, just make sure you look carefully to make sure you’re getting the right one, as they sell some with their original recipe and some that are free of those food allergens already mentioned.  We have found these at several local stores.

 

http://iansnaturalfoods.com/

 

Bob’s Red Mill – they have several alternative flours, as well as some mixes.  Read the labels carefully to make sure they are safe for you.

 

You can use an egg replacer in lieu of eggs.  We’ve found these products in most grocery stores, in the natural or organic food aisles.

 

http://www.bobsredmill.com/

 

 

Ener-G – This company makes many alternative flours, etc.  We’ve found them in several stores, in the natural or organic food aisles.

 

They make an egg-replacer, which comes in handy if it’s safe for you.  Check the ingredients carefully to make sure the products are safe for you.

 

http://ener-g.com/

 

 

Enjoy Life Foods – Enjoy Life has several allergy-friendly products (i.e. gluten-free, egg-free, soy-free, dairy-free, & nut-free), including “Boom Choco Boom” Chocolate Bars!!!  Be sure to check out their chocolate chips, to see if they might be safe for you or child!

 

Many of the grocery store chains are now carrying their products.  There are also printable coupons located on their site.

 

http://enjoylifefoods.com/

 

 

Vance’s Foods – Manufacturer of “DariFree” potato-based milk substitute.  You can purchase this product in plain or chocolate flavor (some people find that the chocolate is rather tasty).  It is available online, directly from Vance’s as well as other online locations (i.e. Allergy Grocer)

 

http://vancesfoods.com/

 

Gluten-Free Pantry – A division of Glutino.  Gluten-free products (baking mixes, etc).  Substitutions can be made for eggs and milk, etc., which are called for in their recipes.

 

http://www.glutino.com/

 

 

Namaste Foods (cake mixes, muffin mixes, etc).  We have found these at Whole Foods.

 

http://www.namastefoods.com/

 

The Allergy Grocer – This site has many different products which are allergy friendly, gluten-free, etc. including Miss Robens brand mixes.  You can shop for products based upon your particular allergies/food triggers.  They list the ingredients in the products they sell, as well as any potential cross-contamination issues (i.e. shared lines), so you can read what is listed on the label before you buy.  They also give different suggestions for substituting ingredients in recipes.

 

http://www.allergygrocer.com/

 

 

Whole Foods Markets – a chain of stores that sell specialty foods for various diets.  They have a lot of options and may be helpful to those trying to avoid certain ingredients.   They have stores throughout the country.

 

http://wholefoods.com/

 

 

Rice Milks:  Rice Dream is back to being gluten-free but keep reading the labels in case things change again.  Be careful as some rice milks may contain barley malt (a gluten), which could be a problem for some people.

 

 

 

 

 

Dairy Free cheeses:  See the link to “Daiya” above for a new cheese alternative! Be careful of soy or rice cheeses.  We’ve only found a couple of soy and rice cheeses that are truly dairy free.  Vegan Slices” (which do come in different flavors) are one brand that do not have any dairy, whereas Veggie Slices do contain dairy.  There are some other soy/tofu cheese substitutes that do not contain dairy, and do melt.

 

 

Please let us know if you find a product line that has been helpful for you,

or that you find is especially good. These are only suggestions of things to look into;

everyone has to base what they buy on their individual needs.