Division of Allergy & Immunology

Asthma Center

Asthma first photo
 

According to the Centers for Disease Control and Prevention, an estimated 25.7 million persons in the United States (one in twelve adults and one in eleven children) had asthma in 2010. Women, children, black people, Latinos, people of mixed race, and those living in poverty are at particular risk.

In the Bronx, nearly six percent of the population suffers from asthma—2.3% over the rate among New York City residents overall.

The Montefiore Asthma Center opened in June 2011 to deliver comprehensive, consistent, targeted patient care for patients with the most complex cases of severe and refractory asthma. The Asthma Center's mission—to improve asthma control, patient symptoms, and prevent Emergency Department visits and hospital admissions through proactive outpatient management—is accomplished by bringing together pediatric and adult pulmonologists and allergists, as well as a physician assistant who serves as an asthma patient educator, into a single office location.

Referrals

Patients may be referred to the Asthma Center by a specialist or primary care physician, or may be selected based on their medical utilization history.

The Asthma Center Experience

Upon arrival at the Asthma Center, each patient meets with a specially trained nurse, who conducts an in-depth evaluation of how the patient's disease developed, previous diagnostic tests and interventions, and successful therapies and/or exacerbating factors (including home, school, and work environments).

Over the course of the first two visits, each patient is seen by an allergist, pulmonologist, and asthma-specialist patient educator.

For example:

  • The allergist conducts a diagnostic assessment including allergy skin testing and makes recommendations based on environmental and immunological aspects of the disease. The patient educator then provides one-on-one social and lifestyle counseling, reviewing and explaining the physicians' recommendations, and creating a strategy to allergen-proof the patient's home.
  • The pulmonologist conducts additional diagnostic tests to identify or rule out the possibility of another breathing condition, and formulates a comprehensive care plan, recommending patients for innovative immunotherapy and biologic immunomodulators when appropriate. The patient educator then meets with the patient to demonstrate appropriate methods for taking prescribed medications, particularly devices such as inhalers.

The Asthma Center team compiles extensive documentation of the patient's environmental history, skin testing results, pulmonary function test results, and summary of the diagnosis, actions, and recommendations of both the allergist and pulmonologist. This documentation is shared electronically with referring physicians for follow-up.

Team

Medical Co-Directors

 

David L. Rosenstreich, MD 
d.rosenstreich@einsteinmed.org
Division of Allergy & Immunology 

 

Krystal L. Cleven, MD
kclevan@montefiore.org
Division of Pulmonary Medicine  

 

Adult Clinical Team

 

Sunit P. Jariwala, MD
sjariwala@montefiore.org
Assistant Professor, Division of Allergy & Immunology  

Joseph Grizzanti, DO
jogrizza@montefiore.org
Associate Professor, Division of Pulmonary Medicine 

Patricia Davis, MSN, RN, NP-BC
patdav@montefiore.org
Division of Pulmonary Medicine 

 

Contact Us

The Asthma team can be reached at the following location for appointments and consultations:  

Medical Arts Pavilion
3400 Bainbridge Avenue, 2nd Floor
Bronx, NY 10467
Tel: 866-633-8255 (MED-TALK)

Locate on Google Maps 

 
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