About

 

Let me introduce myself: I am a professor of clinical pediatrics at Indiana University and specialize in asthma, allergy, and clinical immunology. I came to James Whitcomb Riley Hospital for Children in Indianapolis, Indiana in 1994 and have been in the section of Pediatric Pulmonology, Allergy, and Sleep. I am the director of allergy clinical services for the children’s hospital. I see patients exclusively at IU Health North, Carmel, Indiana. There are three allergists currently in the practice; Dr. Girish Vitalpur and Dr. Kirsten Kloepfer arevthe other allergists. Dr. Vitalpur’s clinical practice is at Riley Hospital and in Bloomington, Indiana while Dr. Kloepfer sees patients at Riley.

My office phone number is 317-688-5700. The Riley office number is 317-274-7208.

Please see the page on Appointments for specifics regarding making an appointment.

 
 

I hail from the Midwest, specifically Cleveland, Ohio. I went to The Cleveland State University majoring in biology followed by two years as a Ph.D. student in pharmacology at Case Western Reserve University. I graduated from Case Western Reserve School of Medicine. I was a resident and chief resident in pediatrics at Duke University, Durham, North Carolina. I remained at Duke to pursue specialty training in allergy and clinical immunology. Specialty boards were  awarded in both Pediatrics and Allergy/Clinical Immunology.

After finishing my specialty training, I took a position as a senior staff allergist at Henry Ford Hospital, Detroit, Michigan. I spent almost 10 years in Detroit being actively involved with the allergy/clinical immunology training program as the director of Pediatric Allergy/Clinical Services. I also had the honor of being awarded an NIH grant. I served as the principle investigator for the Detroit site of the National Co-operative Inner-City Asthma Study (NCICAS). The opportunity to come to Indiana University and specically to come to James Whitcomb Riley Hospital for Children required me to step down during the last year of the NCICAS program. I was still able to actively participate in many asthma projects within the program.

When I began my search for another position, for a change, I learned that there hasn’t been a practicing allergist in the Riley/IU system for over 20 years prior to my arrival. Coming to Indiana was a chance to help teach allergy within the pediatric residency program and to establish an ‘allergy presence’ here.

Given my NIH funded background in the public health aspects of asthma, I was asked to participate in a Marion County Health Department initiative dealing with asthma.  A few years later,  Dr. Greg Wilson who was then the state health commissioner asked me to lead a Center for Disease Control sponsored group charged with developing an  asthma plan for the state of Indiana. I had the honor to lead the Indiana Joint Asthma Coalition (InJAC) in the creation of that plan and for  putting that plan into operation. The workings of InJAC can be viewed on Indiana State Government website and the specifics of that original state asthma plan and the current version is for review.  It is very easy to see how an allergist and how the specialty of allergy can have a very significant role in pediatric asthma.

I am currently a fellow in both the American Academy of Pediatrics and the American Academy of Allergy, Asthma, and Immunology. I have been a  Professor of Clinical Pediatrics for a few years. That academic achievement was awarded to me based on my patient care achievements, teaching, and my work with community and statewide outreach programs for asthma.

I have been active with publishing having authored articles on topics involving hives, immune deficiency, allergy treatments, and asthma. Most of my published work has dealt with asthma. When I was involved with NICAS, one of my areas of interest was and is adherence to therapeutic programs for asthma care.

I have been very active with the Academy of Pediatrics having served as a speaker for many CME programs and on the planning committees for both Super CME and Practical Pediatrics courses. I have been the moderator for a number of AAP Practical Pediatrics programs.

My clinic practice is now exclusively in Carmel, Indiana. There I see children with a wide variety of allergic and potentially allergic conditions. Asthma is one of the most common reasons for a consultation in my clinic. The other conditions include nasal, skin, and gastrointestinal allergy. We see a number of children with food allergies and offer food challenges. My new clinical surroundings at IU Health North have allowed me to increase the number of food challenges we offer. We currently are doing 4 food challenges per week and we have plans to expand to 8 in the near future. Riley Childrens Specialists at IU Health North has given me a unique opportunity to help many children with food allergy.

My work with asthma both in the county (Marion) and the state has lead to my receiving two public health awards and I have been involved with one of the largest epidemiological studies regarding inner-city asthma.  All this occurred without any formal training in public health. In 2005 I decided to go back to school and obtain that formal training in public health. In May ’08 I was awarded my Masters in Public Health with emphasis on epidemiology. Imagine going back to school after so many years. Needless to say, I was nervous about doing papers and taking exams. I truly enjoyed the program and see a real benefit for a public health perspective with a number of allergic conditions, asthma and food allergy in particular.

That should just about wrap up this already lengthy discourse about me. It makes sense to me to have folks aware of who you are, where you are, where you came from, what you have done, and what you do beyond the confines of the clinic situation.

Oh, what about me personally??? What about me outside the clinic. Here are those highlights. My wife Linda and I have been married for since 1973 . We have three great children that we are very proud of. We have added a son-in- law who is a great addition to the family, we have a daughter-in-law and now the extended family includes 3  4 grand children and another on the way. We have Stella and Miles who live in Virginia and Calvin and Anna who live here in Indiana. 

My wife and I bought a few acres of land on which we built a log home, we love it. When I am not playing games on the computer (much to my wife’s agitation) I am re-enacting. I love history and re-enacting is a chance to live that history. For the past few years we (yes Linda too) have been involved with Civil War re-enacting. I am a lieutenant in the Indiana 49th Volunteer Infantry Company F. We camp in canvas tents without flooring and there is no electricity. We cook over campfires with cast iron cookwar. There is nothing like it.

Calvin has a love of trains. In may atttempts to accommodate his interest, I have re-discovered my old Lionel and Marx trains. I do the resoldering of frayed wires and clean the cars and track while he runs the trains.

I have also started to do pollen counts. Previously Dr. Frank Wu had been doing them, but he no longer provides that service. I found the Rotorod pollen counter that came with me from Detroit. The unit is more than 30 years old and still works. The story of my pollen counting adventure can be found on the pages of this website.

Making entries about hot topics in allergy has been a bit of a hobby and this website is a great opportunity to share information.

Well that is all I have to say about that!

(FEL August, 2012)

19 Responses

  1. gay b. - January 28, 2009

    Wonder if this will go thru. My 4th try.

  2. gay b. - January 28, 2009

    Very interesting

  3. gay b. - January 28, 2009

    I am proud of your attempt at blogging

  4. fleickly - January 28, 2009

    Thanks gay b, I appreciate the comments.
    FEL

  5. gay b. - March 4, 2009

    I am impressed with all your information and expertise about allergies. Good job blogging. It boggled(blogged) my mind. Lots of information to read and try to absorb at one time.You forgot pinochle. Anyway, I am impressed with all you have learned and accomplished.

  6. fleickly - March 4, 2009

    You are too kind Gay, Yes I forgot about pinochle and euchre. I may even get to add the violin if I ever get around to working with it again.
    Thanks,
    FEL

  7. Uncle Ricky - April 21, 2009

    How come you didn’t say anything about me – your brother – in your blog? Wait…I know…it’s all about you, isn’t it?

  8. Eva - February 22, 2010

    Dr Leickly,

    My son is a patient of yours and I enjoy reading your blog.

    With a milk allergic 8 year old, I am always looking for
    good calcium supplements. Tums would be an option..
    However, I remember reading somewhere ( and I cannot find the article again, of course!) that it is not good for food allergic children to eat anti acids.
    Might have been in context with probiotiocs/GI flora…
    Your thoughts on this?
    Thanks, (Andrew’s mom)

    Greetings Eva,
    Thanks for the question. I punted this to one of my ‘go to’ dietary people. Laura tells me that Tums for kids- 2 per day in the age range 2-4 and 3 Tums per day in those who are 5 and older. This is the less costly way to supplement calcium. She also tells me that there are milk-free calcium supplements. She gave the Vitamin Shoppe’s Nature’s Plus Animal Parade Calcium tab and Hero Nutritional’s Yummi Bears Calcium. She did warn that they are price.
    It is a theory that a certain acid level is needed in the gastrointestinal tract to help digest large molecules of food and that the use of antacids in the very young may allow large protein molecules to be absorbed through a developing gi tract. I do not think this has been proven. You would have to see a surge in new food allergy symptoms/sensitization after the Tums were started. That has not been my experience.
    In hopes that this helps,
    Warmest regards and thanks for sharing your question.
    FEL

  9. fleickly - February 24, 2010

    Greetings Eva,
    Thanks for the question. I punted this to one of my ‘go to’ dietary people. Laura tells me that Tums for kids- 2 per day in the age range 2-4 and 3 Tums per day in those who are 5 and older. This is the less costly way to supplement calcium. She also tells me that there are milk-free calcium supplements. She gave the Vitamin Shoppe’s Nature’s Plus Animal Parade Calcium tab and Hero Nutritional’s Yummi Bears Calcium. She did warn that they are price.
    It is a theory that a certain acid level is needed in the gastrointestinal tract to help digest large molecules of food and that the use of antacids in the very young may allow large protein molecules to be absorbed through a developing gi tract. I do not think this has been proven. You would have to see a surge in new food allergy symptoms/sensitization after the Tums were started. That has not been my experience.
    In hopes that this helps,
    Warmest regards and thanks for sharing your question.
    FEL

  10. Kelli - April 6, 2010

    I am writing because my 7 month old daughter has had 3 episodes over the past month of severe vomiting to the point of vomiting bile and severe lethargy which has really scared us. We have brought her to the ER twice and she was treated with I.V. fluids and released. Both times she did not have a fever and we were sent home with the explanation that it was probably a virus. After the third time, I realized prior to each episode she had eaten Earth’s Best organic rice cereal mixed with breastmilk about 2-3 hours before becoming ill. The vomiting lasts a few hours and once she is rehydrated she seems to bounce back and is fine. She is fine until she eats cereal. The second and third time she only had a very small amount of cereal barely a teaspoon probably 1/2 teaspoon. She is breastfed and we have introduced a few foods she did well for a couple of weeks but since getting sick has refused all food.

    In researching what could cause this since I wasn’t getting any answers from the ER or the pediatrician I came across an article on FPIES that exactly described what has been happening with my daughter! Today, we saw the allergist and he seemed to dismiss the idea and repeatedly said while he was taking notes “ok so mild vomiting” I tried to explain it was anything but mild and the lethargy was horrible. She was completely limp and could barely lift her head or open her eyes and was making weird noises. I am extremely frustrated b/c I feel that no one is listening to me about her symptoms. I really want her tested for FPIES but I’m afraid her pediatrician and allergist are not taking me seriously. I am very worried for my daughter and just want answers. I was hoping you would be able to recommend a physician in Arizona that could test her or a course of action?

  11. fleickly - April 7, 2010

    This sounds like FPIES, unfortunately this is a clinical diagnosis, there are no tests that confirm what is going on. According to the article that I posted on FPIES there are a number of foods that have been associated with this. A more recent article by Mehr was published in 2009.
    The history is strong for rice being the trigger. The secondary problem is the refusal to eat. I would suggest connecting with a pediatric gastroenterologist. Rice avoidance should be straightforward, but you will need guidance regarding when to re-introduce the food and most probably support and clinical guidance when it is determined that it is no longer a problem. I would guess that after a prolonged period of time of avoidance, the child could be admitted or be brought to the clinic for a challenge under close observation. The GI clinic also has experience with ‘eating refusal’.
    Rice was the most common triggering food in the Mehr study (Australian population). This report indicated that during the reactions, the child also had a low temperature and an elevated platelet count. Mehr had 80% resolve the rice sensitivity by age 3. Another study by Nowak-Wegrzyn had only 40% no longer reacting to rice by age 3 years.
    I hope this gives some guidance.
    FEL

  12. Candice - April 19, 2010

    My son is now 14 months old and has been suffering with what the dermatologists says is eczema since about 8 months old. He’s been on oral steroids twice since Jan. Once in a two week taper and the next in a two month taper. He’s also been put on numerous steoid ointments/oils as well as nonsteriod creams. He’s been to an allergist and was tested for only things he’s eaten or been exposed to and nothing showed. He didn’t react to any of them. About 3 weeks ago, his face became particularly worse with both eyes swelling shut as it spead over his eyelids. His face is his worst location but he also has it in random circular patches on his torso, on his elbows and their creases, on his knees and their creases, down his legs, and at his ankles. Nothing seems to be helping him. His itching has increased drastically and his face oozes and bleeds from his constant rubbing and scratching. I don’t know what else to do. I’ve also taken him off all dairy as it seems to aggravate his skin even though the allergist said he was not allergic to cows milk. I’m worried that the flare up over his eyes will cause scarring and malformation as well as on his cheeks. What would you suggest?

  13. fleickly - April 20, 2010

    Not all cases of ezcema have allergy involved. It may be something else. Allergy tests for foods tend to be more commonly falsely positive, however there may be false negative results. If you observation is that milk makes it flare, you may want to consider a trial of milk avoidance.
    I would also suggest that a pediatric dermatologist be involved. They can help with a differential diagnosis (assuming allergy is not part of the picture).
    FEL

  14. Christine Van Dam - June 13, 2010

    Hi, Dr. Leickly! I feel silly that I just now logged onto your website. This is a wonderful tool for parents and people to use and study a professional and trustworthy site. I have referred several parents to your practice and now will use this as well to pas onto them. By the way, Adam is doing fabulous on the lower dose Pulmicort (90). Yeah! Maybe he will outgrow this disease one day? Thanks for your support throughout the years!

  15. fleickly - June 13, 2010

    Thank you for those kind words. This website has been fun and I hope it provides a perspective that is straightforward, easy to work with, and informative as well as being evidence-based. I have has many families look at the site and decide that Riley was the place to go with their children for asthmaallergy care.
    Hopefully, it will help people sort through some of the stuff out there and be critical of what is valid and what is not.
    FEL

  16. FPIES Mom - July 8, 2010

    YOu have stated that the FPIES studies you have seen have not been able to find an exclusively breastfed baby that developed FPIES while exclusively breastfed. If you would like to hear our story, please contact us. My son was 3 weeks old when our constant visits to the doctors and even ER finally led to an “episode” in front of our pediatrician. Once I took the offending foods out of MY diet, my exclusively breastfed baby eventually stopped having episodes. This was not colic – he is 2.5 years old, and we have still had episodes when he or I have eaten something contaminated. (I”m still nursing.) He seems to have outgrown his allergies to corn and milk, but still suffers from others.
    Let me know if my story can help others.

  17. FPIES Mom - July 8, 2010

    BTW, this diagnosis was confirmed (as much as that is possible) by the Children’s Hospital of Philadelphia, where he was seen by the gastro and the allergy depts.

  18. Jen - October 5, 2010

    Dr. Leickly,

    My son was just referred to your practice by our wonderful Dr. Burt. I am glad to see your website – very helpful, and it’s great to get to know you a little bit before we visit. What really caught my eye is that you’re in the 49th Indiana. How exciting! My husband and older boys will be with the scouts hosting the fall camporee at Civil War Days this weekend, and the rest of us will be out for the festivities periodically, as well. Perhaps we’ll find you in the crowd!

  19. fleickly - October 6, 2010

    Indeed you do have a wonderful primary caretaker. I met Dr. Burt in New Orleans in 1994. I had been here at Riley only about 6 months. I was part of an American Academy of Pediatrics Program called Practical Pediatrics that was held in New Orleans in November of 1994. I gave three lectures and held 3 seminars on allergy topics.
    The Civil War re-enactment at Hartford City has been a long-standing tradition. My unit, the Indiana 49th Volunteer Infantry Co. F has been the Federal host unit for Hartford City for many years.
    My attendence this weekend is problematic. I have not been able to attend any events this year. I have been hobbled by a bad hip. Marching/walking on uneven ground is painful and problematic. If am up to it, I will be either with the 49th or helping at battalion command.
    We look forward to seeing you in the clinic.
    Warmest regards,
    FEL