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AllerVie Health - Midland

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AllerVie Health - Midland

Pediatric & Adult Allergy & Immunology Dr. Miguel Wolbert is board certified in Allergy, Asthma & Immunology & in pediatrics.
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His extensive training in allergy, asthma & immunology allows him to treat patients of all ages from babies to kids to adults. Dr. Wolbert went to medical school, and completed his residency and fellowship at the University of Michigan in Ann Arbor, Michigan. Dr Wolbert provides care in areas including: testing for environmental & food allergies, asthma testing & management, eczema treatment and immune system evaluations. Dr Wolbert serves as the medical director of the West Texas Food Allergy Support Group, and he is a Clinical Associate Professor in Pediatrics at Texas Tech University-Permian Basin. Dr Wolbert is also on the board of directors for the Texas Allergy Asthma & Immunology Society. Dr. Wolbert sees patients in both Midland and San Angelo. Appointments can be made for either clinic by calling the Midland office. When not working, Dr. Wolbert can be found enjoying time with his wife, Kate and their four children. He also keeps busy by reading, serving on community boards, and following University of Michigan athletics,

04/17/2023

Miguel’s Monday Minutes
April 17, 2023

In a couple of weeks, here in West Texas, we will start entering grass pollen season. This is also the time
of year when we can get out to enjoy the weather before it gets too terribly hot. Take some caution,
though – recent study published in Pediatric Allergy and Immunology showed that grass pollen exposure
is associated with higher hospital readmission rates in children with asthma. This study, from Australia,
examined children aged 2 to 18 years old who required hospital management for asthma. About 5%
required hospital readmission within 28 days of initial discharge. The highest readmission rates occurred
during grass pollen season in children 2 to 5 years old and in males. There was a correlation between
grass pollen levels spiking and asthma flaring up. The effects were most striking in those under 13,
possibly because older children start to have a better understanding of their triggers and the need to
initiate and adhere to preventive measures.
If grass allergy is one of your big triggers, now is the time to get on board with your therapy! Don’t let this
interfere with your end-of-the-school-year activities, sports, or your early summer picnics!

~Miguel
Miguel P. Wolbert, MD
West Texas Allergy

04/07/2023

We are looking for a qualified Medical Assistant to assist in delivering patient-centered care in Midland, Texas!

Our Medical Assistants support care teams in obtaining a comprehensive medical history of patients, reconciling medications, and appropriately documenting electronic medical records.

If you’re interested in joining a team with a shared goal of providing safe and equitable patient care, apply today at - allervie.com/careers

04/04/2023

Miguel’s Monday Minutes
April 3, 2023
According to a recent study published in Pediatric Allergy and Immunology, less than 20% of caregivers
introduce peanut and egg to children younger than 7 months old. Food allergy prevention guidelines
have radically changed since the days of my pediatric training when we used to tell new parents to wait
until their child was 2 years old before giving foods like peanut or tree nuts! Now, we recommend the
introduction of high-risk foods to infants as young as 4 to 6 months old to prevent the development of food
allergies. According to this study, peanut was introduced to children by approximately 17.2% of
caregivers before 7 months of age and 58.8% by 12 months of age. Egg was introduced by 15.5% by 7
months of age and 66.4% by 12 months of age. Only 48.1% of caregivers had introduced one of the top
nine food allergens to children by 7 months of age. Wheat was the most commonly introduced high risk
food by 7 months of age.
Early introduction of high risk foods is helpful to prevent the development of food allergies - if you’re a
parent of a young infant, you can help change these numbers!
~Miguel
Miguel P. Wolbert, MD
West Texas Allergy

03/21/2023

West Texas Allergy, in partnership with AllerVie Health, is looking for a Nurse Practitioner to join our team in our Midland and Lubbock offices!

In addition to helping diagnose and develop patient management procedures, your focus will be on providing high-quality patient care.

At AllerVie, we reward your efforts and dedication with a competitive compensation and benefits offering that allows you to perform your best for our patients.

If you are interested in hearing more, apply today at allervie.com/careers.

03/20/2023

Miguel’s Monday Minutes
March 20, 2023

Sometimes, after a late meal or too much celebration watching March Madness, I wake up with a little heartburn. Reflux is a fairly common condition in people of my age, sadly. In children, though, it is not as frequently seen or recognized. Additionally, in pediatric patients who receive treatment with acid suppressants, the risk for incident asthma, atopic dermatitis, and allergic rhinitis is significantly increased, according to study findings published recently in The Journal of Allergy and Clinical Immunology: In Practice. The risk is more significant with a younger age at first exposure, particularly in the first two years of life, according to the study authors. Additionally, even low dosing of acid suppression could lead to the development of allergic conditions. It was posited that acid suppression could affect immune tolerance and gut microbiome development. I guess you could say that this is “food for thought” the next time you have heartburn!

~Miguel
Miguel P. Wolbert, MD
West Texas Allergy

03/13/2023

Miguel’s Monday Minutes
March 13, 2023
I’m a pet owner. Two cats, two dogs, a turtle, and a snake. So, when patients come in and are concerned about their animal allergies and if they need to re-house their pets, I will be the last one to counsel that! I came across a recent study on Human-Animal Interactions that showed that toddlers will go out of their way to help even unfamiliar dogs get toys and treats beyond their reach, and this innate altruism toward other species may have led to the domestication of dogs, cats, and other livestock. This in turn helped humans to thrive. Children who had a dog at home were the most likely to help, and dogs that were the liveliest were the most likely to be helped, according to the study. Another big win for pet ownership! That being said, this doesn’t escape the reality that animals can lead to very significant allergy symptoms sometimes, though, and when you’re ready, we are here to help!

~Miguel
Miguel P. Wolbert, MD
West Texas Allergy

03/06/2023

Miguel’s Monday Minutes
March 6, 2023

Air pollution appears to promote asthma attacks among city-dwelling children and teens, according to a new study in The Lancet Planetary Health Journal. About 30% of asthma attacks suffered by urban kids are caused by air pollution – two to three times the proportion seen in suburban and rural kids. Two ingredients of smog – ozone and fine airborne particulates – appear to increase kids risk of asthma
attacks. Additionally, these air pollutants appear to affect genes that regulate inflammation in the airways. This study showed a strong link between the pollutants and non-viral asthma attacks. Children aged 6 to 17 with asthma living in low-income neighborhoods in one of nine different U.S. cities were examined,
and the findings were validated in a second group of people aged 6 to 20 living in low-income areas of four other U.S. cities. The researchers tracked daily air quality and compared it to reports of asthma attacks in the urban children. They also checked to make sure that the children weren't suffering from concomitant respiratory viruses. Asthma attacks were specifically associated with locally elevated levels of fine particulates and ozone in outdoor air, the study authors found. Nasal cell samples were then obtained from the children and analyzed, and the investigators further found that elevated levels of ozone and fine particulate matter affected the expression of genes that play a role in airway inflammation.
Maybe wearable air quality monitors will become the next fashion trend!

~Miguel
Miguel P. Wolbert, MD
West Texas Allergy

02/27/2023

Miguel’s Monday Minutes
February 27, 2023
I moved to Texas in February 2010, and my first day working here was March 1. Wednesday will be my thirteenth anniversary here. My time in Texas has gone fast, for sure. Most recently, West Texas Allergy has started its new chapter by teaming with Allervie Health, and I couldn’t be more excited about this. One of my goals when I moved down here following my training at the University of Michigan was to bring top notch, academic-center quality care here, and with the Allervie network and research team, this willonly improve. Thank you for your support during this time!

~Miguel
Miguel P. Wolbert, MD
West Texas Allergy

02/20/2023

Miguel’s Monday Minutes
February 20, 2023

An interesting – and surprising – study published recently in the journal Pediatrics suggested that youth sports team participation is associated with increased odds of va**ng. This study, from NYU’s School of Medicine, included 16,790 sports team participants and 13,972 nonparticipants. Among youth participating in one or more sports teams, 1.7% were cigarette users and 18.3% were va**ng device users! Wow! This number surprised me with how high it was. In those who did not participate in any sports, 3.1% were cigarette users, and 13.4% were va**ng device users. A win for being sedentary, I guess? Va**ng rates increased from 9th to 12th grade, and were fairly equal among males and females, although they did decrease with the number of different sports someone plays.

To***co usage, in any form, is still common, even in children and teenagers. Sadly, it transcends even “healthy” activities like sports. The dust and dirt in the air we breath out here in West Texas is bad enough – give your lungs a break and don’t strain them even more by smoking or va**ng!

~Miguel
Miguel P. Wolbert, MD
West Texas Allergy

02/14/2023

Miguel’s Monday Minutes
February 13, 2023

A study published recently in Radiology showed that ma*****na smokers more often had airway inflammation and signs of emphysema compared to nonsmokers and tobacco-only smokers. This study was performed in Canada, and use CT imaging to look at lung fields. Findings of emphysema were seen in 75% of ma*****na smokers, 67% of tobacco-only smokers, and only 5% of non-smokers. Compared to the other groups, ma*****na smokers had higher rates or bronchial thickening, bronchiectasis, and mucoid impaction. These findings were seen in age-matched subgroup analyses, too.

A take home point from this – smoking of any form can cause damage to the lungs and airways!

~Miguel
Miguel P. Wolbert, MD
West Texas Allergy

Address

5000 Briarwood Avenue
Midland, TX
79707

Opening Hours

Monday	8am - 6pm
Tuesday	8am - 6pm
Wednesday	8am - 6pm
Thursday	8am - 6pm
Friday	8am - 1pm

Website

http://www.allervie.com/midland

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