DR Barbara Karpel MD

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Map & DirectionsDirections5575 W Las Positas Blvd Ste 230Pleasanton, CA 94588 Write a ReviewWrite Review

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AKA: Karpel Barbara
Categories: Physicians & Surgeons, Mental Health Services, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Internal Medicine, Physicians & Surgeons, Ophthalmology, Physicians & Surgeons, Pain Management, Physicians & Surgeons, Pediatrics, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Radiology

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Phone: (925) 463-9400

Address: 5575 W Las Positas Blvd Ste 230, Pleasanton, CA 94588

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DR Barbara Karpel MD

General Practitioners

Headaches
Sinusitis
Occasionally, a condition known as chronic sinusitis develops. This usually develops in a person with abnormalities leading to chronic obstruction of the mucus drainage, such as untreated acute sinusitis, severe allergies, nasal polyps and anatomic abnormalities of the nose or sinuses. The symptoms of chronic sinusitis are often less severe than those seen in acute sinusitis, with persistent dull pressure, sore throat, post-nasal drip, and decreased sense of smell frequently reported. While most chronic sinus infections are due to bacteria, fungi may also be a cause.
Pediatric Care
An Allergist-Immunologist is a physician who has specialized in either Internal Medicine or Pediatrics, and then has taken additional training of at least two years in the field of allergy-immunology. All physicians in our practice are Diplomats of the American Board of Allergy and Immunology, meaning that they have trained at accredited programs following strict training guidelines, and then have taken and passed a rigorous specialty board examination.
Emergency Care
In general, treatment of anaphylaxis includes the immediate use of injectable epinephrine, an antihistamine and observation in the emergency room or by a highly trained physician. Delay in the administration of these medications may result in failure to respond to treatment.
Immunizations
At AAMG we can evaluate patients for primary immune deficiency. The evaluation involves a detailed clinical history including discussion with the referring physician, lab work, and on occasion vaccination to asses immune responses. For detailed information on primary immune deficiency please visit the Immune Deficiency Foundation Website ( primaryimmune.org ), the Jeffrey Modell Foundation website ( jmfworld.com ), the American Academy of Allergy, Asthma and Immunology ( www.aaaai.org ) or the American College of Allergy, Asthma and Immunology ( www.acaai.org )

Ophthalmologists

Glaucoma
Patients who are not good candidates for allergy shots include those with serious immunodeficiency and autoimmune disease, malignant cancers, severe uncontrolled asthma, severe heart disease, and those on beta-blockers or MAO-inhibitors. Beta-blockers are often used orally to treat high blood pressure, some types of heart conditions, migraine headaches, and by eye drops to treat glaucoma. MAO-inhibitors are medications that are occasionally used to treat depression. Your doctor will review your medications with you in order to determine whether you are taking a beta-blocker or MAO-inhibitor. Be sure to notify your allergist or injection nurse of any changes in your medications. Pregnant women already on immunotherapy may continue to receive allergy shots, but should not be on an escalating dosage schedule. Please let your allergist or injection nurse know if you are pregnant or are contemplating pregnancy in the near future.

Internal Medicine

Mental Health
Federal and state law allows us to use and disclose your PHI in order to provide health care services to you, as well as to bill and collect payments for the health care services provided to you by our practice. We may disclose your PHI, for example, to recommend to you treatment alternatives, to inform you about health-related benefits and services that we offer, or to remind you of your appointments. Federal and state law also allows us to use and disclose your PHI as necessary in connection with our health care operations. For example, we may use your PHI for resolution of any grievance or appeal that you file if you are unhappy with the care you have received. We may also use your PHI in connection with population-based disease management programs. We may use or disclose your PHI to perform certain business functions with our business associates, who must also agree to safeguard your PHI as required by law. We are also allowed by law to use and disclose your PHI without your authorization for the following purposes: When required by law – In some circumstances, we are required by federal or state laws to disclose certain PHI to others, such as public agencies for various reasons; for public health activities – Such as reports about communicable diseases, defective medical devices to the FDA or work related health issues; Reports about child and other types of abuse or neglect, or domestic violence; For health oversight activities – Such as reports to governmental agencies that are responsible for licensing physicians or other health care providers; For lawsuits and other legal disputes – In connection with court proceedings or proceedings before administrative agencies, or to defend us or our participating physicians in a legal dispute; For law enforcement purposes – Such as responding to a warrant, or reporting a crime; Reports to coroner, medical examiners, or funeral directors – To assist them in performance of their legal duties; For tissue or organ donations – To organ procurement or transplant organization to assist them; For research – To medical researchers with an approval of an institutional review board (IRB) or privacy board that oversees studies on human subjects. Researchers are also required to safeguard your PHI; To avert a serious threat to the health or safety of you or other members of the public; For national security and intelligence/military activities – Such as protection of the President or foreign dignitaries; In connection with services provided under workers’ compensation laws; We may disclose you PHI, without your written authorization, to your family members or other persons if they are involved in your care or payment for that care. Parents can generally control their minor child’s PHI. In some cases, however, we are permitted or even required by law to deny your access to your child’s PHI, such as when your child can legally consent to medical services without your permission. There are s

Radiology
Please fill out the forms that you were advised to complete which will be submitted electronically. Come prepared with any relevant medical records, such as hospital records, previous allergy testing, radiology and/or laboratory results. We request you to arrive 30 minutes prior to your appointment time and do not wear strong scents.
Computed Tomography
Your doctor will evaluate your symptoms, and this, combined with examination, will help identify whether you have sinusitis. A sinus CT scan is often helpful in confirming the diagnosis and identifying predisposing factors such as polyps or anatomic abnormalities in the nose or sinuses.

Eczema
Atopic Dermatitis, also known as “eczema”, is one of the most common rashes of childhood. It is chronic, and can be a challenging condition for both the person suffering with this rash and the care providers. The involvement of an allergy specialist is helpful in confirming the diagnosis in difficult cases and in identifying triggers, including environmental allergens and foods, that might be aggravating the condition. In approximately 1/3 of more serious cases, a food allergy is an important trigger. Management continues to require regular use of moisturizing agents and anti-inflammatory medications for exacerbations. Patients with eczema often go on to develop other allergic conditions including allergic rhinitis (e.g. “hayfever”) and asthma. An allergist is capable of providing comprehensive care for all of these conditions.
Rashes

Allergies
“Just gave a reference to this doctor. He is one of the nicest and best kid docs we have been to. We did allergy testing with no fuss or pain, watched a movie during the test, and had results in a short time. Dr. Lodewick is smart, engaged, up-to-date, and very kind. He really works with parents on their kids case, giving them lots of options– which was a game-changer for us. He is a doctor who takes the time to really investigate the case, and seems to really care about the results. Thanks!

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