Letter to patients re: Penny Flores

Allergy and Asthma Associates, P.C. will be wishing our long-time associate Penny Flores, FNP a farewell from the practice after the end of October, 2019.  Ms. Flores leaves the practice in excellent standing, and we are wishing her luck as she takes some time with her family and with other endeavors.  During her absence, we would like to ensure that all her patients will be cared for by either Dr. Courtney Blair, Dr. Burcin Fraser, or by Ms. Bridget Schaefer, PA.   Please reach out to us by phone or through the patient portal to schedule an appointment with your new provider.  You may read the providers’ bios on our website in advance.

Office Hour Changes For End of Year

Please note the following changes in our regular office hours for the dates below:


The Sterling office will close at 12:30 pm on 10/31/2019.


Both offices will be closed 11/15/2019.

Both offices will be closed 11/28-11/29-2019 in observance of the holiday.

December Holiday Hours:

Both offices will close at 1:30 pm on 12/24/2019. We will reopen on 12/30/2019.

January Holiday Hours :

Both offices will close at 12:00 pm on 12/31/2019. We will reopen at 2 PM on 1/2/2020.


Job Posting: Allergy Serum Lab Supervisor

Serum Lab Supervisor. Sterling, VA. Oversee all operations of the allergy serum lab. Tasks include but are not limited to preparation of allergy extracts, oversight and management of the serum lab, upholding absolute aseptic techniques, presenting monthly to department oversight meetings, training support lab technicians, and supply organization. Required: Bachelor Degree in Chemistry or closely related field. Also requires experience in each of the following: 1) laboratory experience; 2) completion of annual testing demonstrating training and knowledge of mixing extracts; 3) dilution of prepared serum; 4) sterile technique and strict adherence to the USP Chapter 797 guidelines.

Send resume & refs to: Allergy and Asthma Associates Attn: Jill McReynolds, 46400 Benedict Drive, Sterling, VA 20164.

Announcing new hire- Bridget Schaefer, PA!

We are so pleased to welcome to Allergy and Asthma Associates a new team member! Beginning in July 2019, Bridget will be seeing patients in both of our offices. She is a board certified physician assistant who grew up in Richmond, VA. She earned her Bachelor of Science degree from James Madison University and subsequently completed her Masters of Science degree and Physician Assistant studies at George Washington University in Washington, D.C.

Bridget joins our practice after gaining over 20 years of experience as a physician assistant with most of her experience in the specialty of allergy and asthma, along with experience from the field of dermatology. She loves working with her patients and their families in order to help them manage their environmental allergies, food allergies, asthma and skin conditions.

Bridget lives in Reston and enjoys spending time with her friends, family and her loyal dog, Jax. She also enjoys cycling on her Peloton bike and practicing yoga.

Attention College Students on Allergy Shots

College Students:

Will you be going to college this Fall?

Take a Consent Form from the office and submit before the summer deadline:

Monday July 22nd, 2019

Any forms received after the deadline will be charged a $25 rush fee!


2019 College Student Summer Check List:

Freshman students must schedule a Nurse Visit before leaving for school IF this is your FIRST TIME taking serum out of our office

Make sure you have had your annual follow up this summer with one of our Providers

Make sure you are up to date on your allergy shots

Make sure you have requested your serum refill if needed over the summer

Make sure you have filled out your consent to transfer form for college including the name of the college, the address, phone/fax #, and the DATE you plan on returning to school

Any college more than 50 miles away from this office will need to have serum shipped – no exceptions!

Any college-specific paperwork that needs to be filled out will be charged a $20 fee and needs to be submitted before serum is shipped out

Any serum coming back into our office must have allergy shot records attached – very important!


*Any questions regarding taking serum out to college and/or paperwork that is needed please speak to the SHOT NURSE*

Welcome Dr. Burcin Fraser!

We are excited to welcome Dr. Burcin U. Fraser to Allergy and Asthma Associates! Dr. Fraser is an allergist with close to a decade of clinical and research experience, including five years at Children’s National Health Systems. Her clinical expertise covers food allergy, oral food challenges, atopic dermatitis, severe asthma, hives and environmental allergies. With considerable accomplishments in peanut allergy research and oral immunotherapy in children, Dr. Fraser can offer guidance to our patients with these prevalent concerns. In her spare time she’s busy with her two small children and husband enjoying the sites and cultural events in the DC area. Please join us in welcoming her to our Allergy family!

Dr. Fraser will be seeing patients at our Sterling, VA location.

Avoid Lengthy Check-In

Whether you are new to our practice or established, you may have questions prior to your appointment. Avoid a lengthy check-in process by getting answers prior to coming in!

We will be happy to help you with:

  • verifying new insurance
  • providing you with details about your visit
  • giving you an estimate of your out of pocket costs
  • supplying billing codes
  • listing what information you will need in order to contact your insurance
  • anything else

Please reach out to our reception or billing team with any questions you may have. We look forward to assisting you!

Letter to Patients from Dr. Richard Loria

March 1, 2019


Dear Patients:

I write this letter to let you know that several weeks from now, I will be leaving Allergy and Asthma Associates. I have been offered and accepted a clinical faculty position at Virginia Commonwealth University School of Medicine. This position will allow me to be actively involved in teaching while seeing patients in the clinic.

Teaching has been a career objective which I have long wanted to be involved in. Taking care of patients in a university clinic is really the ideal setting in which to teach not just evidence-based medicine, but also the importance of developing a positive physician-patient relationship. I hope to pass on to the next generation of physicians some of the knowledge I have acquired by caring for you in these last 30 years of medical practice.

To those of you who have questions or concerns about continuing your care with Allergy and Asthma Associates, I wish to assure you that you are in very capable hands with Dr. Courtney Blair and Nurse Practitioner Penny Flores. In addition, the practice has recruited an experienced physician to begin working very soon. Dr. Blair will be sending out a detailed announcement momentarily.

It has been my privilege to have known each one of you, and to have participated in your care. Thank you for that opportunity. I hope for the best for you in the years to come.



Richard C. Loria, M.D

Testing Medication Checklist

Reminder: If you are requiring allergy skin testing or a specialized test, some medications limit test accuracy. If medically possible, you must refrain from certain medications one week prior to the test date. Please speak to our nursing team if there are any questions about medications you are currently taking- prior to your appointment.

This is not a complete list, please check with your pharmacy/nursing team to ensure any medication (prescribed or over the counter) you take does not conflict with the testing procedure.


The following medication (over the counter & prescription) MUST be discontinued one week prior any Skin Testing.

There are numerous medications, including some Anti-Depressant medication that interfere with testing and should not be stopped due to the nature of the drugs. Please check with your physician or pharmacist if you have any question about specific drugs not listed below.

All antihistamines or combinations that include antihistamines.

Actifed                                       AccuHist                                Tylenol PM

Allegra (Fexofenadine)          Alavert                                   Advil PM

Astelin Nasal Spray                Atarax(Hydroxazine)          Nyquil

Astepro                                     Atrohist                                  Zaditor(Eye drops)

Benadryl (3 days)                   Bepreve                                 All over the counter sleep aid medications

Bromfed                                  Claritin or Clarinex (Loratadine)

Chlortrimeton                        Dimetapp

Dymista                                   Elestat

Meclizine                                Optivar

Pataday                                   Patanase

Patanol                                   Rhinotan

Semprex D                              Tavist

Triaminic                                 Xyzal (Levocetirizine)






The following medications DO NOT interfere with testing and may be taken.

Advair                         Prednisone (if on for a couple of weeks ask provider)

Albuterol                    Prelone

Antibiotic                    Pulmicort

Atrovent                     Rhinocort

Azmacort                    Serevent

Beclovent                    Singular (Montelukast)

Cromolyn                      Slobid

Flonase (Fluticasone)   Sudafed

Flovent                        Symbicort

Guaifed                       Tilade

Humibid                      Vancenase

Nasalcrom                  Vanceril

Nasocort                     Ventolin

Nasonex                      Veramyst

ProAir                          Zicam

Breo                            Motrin

Dulera                         Asmanex




Nexium – Esomeprazole Magnesium


**On some occasions, even if you have avoided the above medications, the physician may decide that a blood test would be indicated before allergy testing is preformed.

Serum Lab Hours

Please note that serum lab has updated hours: Monday-Thursday 8 AM-4 PM. Please contact the Sterling Office to speak with the lab supervisor or send non-urgent messages via the patient portal.

Phone: (703) 430-0833, ext 103.