2019 VASAP Update Faculty

Adams no coat_0.jpgSarah Adams, M.D.

Assistant Professor of Medicine

Session title: “Food Allergy”


1.  Understand the pathophysiology and mechanism of action of food allergy and allergic reactions

2.  Discuss the evaluation, testing, and work up of food allergy including blood testing, skin testing, and oral challenges

3.  Understand and discuss the current management and treatment of food allergy


Fahrenholz John Michael-1168.jpgJohn Fahrenholz, M.D.

Assistant Professor of Medicine

Session title: “Alpha-Gal Allergy”


1. Describe the key clinical features in identifying patients with suspected alpha-gal food allergy -  the fall from steaks to burgers through ticks to chicken.

2. Review key epidemiological features of alpha-gal food allergy including the high prevalence in Middle Tennessee.

3. Define the current diagnostic approach, treatment and monitoring of alpha-gal food allergy focusing on the key differences from traditional food protein IgE-mediated allergy.


Chandra_Rakesh.jpg Rakesh Chandra, M.D.

Professor of Otolaryngology-Head & Neck Surgery

Chief, Rhinology, Sinus & Skull Base Surgery

Session title: "Allergic Fungal Rhinosinusitis"


1. Understand, recognize, and describe the pathophysiology and clinical presentation of allergic fungal sinusitis.

2. Discuss and select treatment modalities to address allergic fungal sinusitis.


Stone_Cosby_0.jpgCosby Stone, M.D., M.P.H.

Senior Allergy & Immunology Fellow

Session title:  “Drug Allergy"


1. Understand the rate at which adult patients labeled as penicillin allergic are actually allergic when tested.

2. Explain the ways in which penicillin allergy labels contribute to higher mortality rates, antimicrobial treatment failures, increased surgical site infections, prolonged hospital stays, and increased likelihood of multi-drug resistant infections.

3. Describe the role of penicillin testing for antimicrobial stewardship and preventive care and know when to refer a patient. 


Katherine_Cahill_M.D..pngKatherine N. Cahill, M.D.

Assistant Professor of Medicine

Medical Director of Clinical Asthma Research

Session title: “Aspirin Desensitization: Chicken soup for aspirin-exacerbated respiratory disease(AERD) and NSAID allergy”


1. Recognize and differentiate between the four common types of NSAID-induced adverse drug reactions including aspirin-exacerbated respiratory disease.

2. Appreciate when NSAID avoidance versus NSAID exposure is recommended for a history of NSAID allergy.

3. Discuss the role, safety, and efficacy of aspirin desensitization in patients with significant underlying pulmonary and cardiovascular disease.


Dworski _Ryszard_2013-profile.jpgRyszard Dworski, M.D., Ph.D.

Associate Professor of Medicine

Session title: “Severe Asthma”


1. Understanding the pathophysiology of severe asthma phenotypes.

2. Discussing the general approach to management of severe asthma.

3. Understanding proper use of new pharmacological therapies for severe asthma, particularly biologicals targeting a single mediator or receptor, and bronchial thermoplasty.