If antihistamines and nasal sprays are not effective or not tolerated by the patient, other types of therapy are available. Allergy desensitization or immunotherapy may be needed. Allergy immunotherapy stimulates the immune system with gradually increasing doses of the substances to which a person is allergic. Because the patient is being exposed to the allergy-inducing substance, an allergic reaction can occur and this treatment should be supervised by a physician. Although the exact way allergy desensitization works is not completely known, allergy injections appear to modify or stop the allergic reaction by reducing the strength of the IgE and its effect on the mast cells. This form of treatment is very effective for allergies to pollen, mites, cats, and especially stinging insects (for example, bees). Allergy immunotherapy usually requires a series of injections ( allergy shots ) and takes three months to one year to become effective. The required length of treatment may vary, but three to five years is a typical course. Frequent office visits are necessary.
He was tall; but you only perceived it when he was standing by the side of others, for the great breadth of his shoulders and chest made him appear but little above the middle height. His chest was as deep as it was wide; his arm like that of Hercules; and his hand “the fist of a tar—every hair a rope-yarn.” With all this he had one of the pleasantest smiles I ever saw. His cheeks were of a handsome brown; his teeth brilliantly white; and his hair, of a raven black, waved in loose curls all over his head, and fine, open forehead; and his eyes he might have sold to a duchess at the price of diamonds, for their brilliancy…Take him with his well-varnished black tarpaulin stuck upon the back of his head; his long locks coming down almost into his eyes; his white duck trousers and shirt; blue jacket; and black kerchief, tied loosely round his neck; and he was a fine specimen of manly beauty… His strength must have been great, and he had the sight of a vulture. It is strange that one should be so minute in the description of an unknown, outcast sailor, whom one may never see again, and whom no one may care to hear about; but so it is. Some people we see under no remarkable circumstances, but whom, for some reason or other, we never forget. He called himself Bill Jackson… .