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As far as I know the respiratory department at the Brompton are doing a lot
of work on "environmental" allergies .. if it comes to it and is feasible
logistically a referral there might be of use

On 16 May 2011 20:21, Cathy Howells <[log in to unmask]> wrote:

> Thanks Alison,
> Yes it was rather bizarre! LOL
>
> -----Original Message-----
> From: [log in to unmask] [mailto:[log in to unmask]] On
> Behalf
> Of Allison Caine
> Sent: 16 May 2011 20:16
> To: [log in to unmask]
> Subject: Re: [OCC-HEALTH] Managing allergy at work
>
> No problem, hope our input helped, that's what Jiscmail is for......can't
> get the image of you and the lady shouting across an office while she is
> wearing a face mask, out of my mind...........
> Priceless!! :)
>
> Sent from my iPhone
>
> On 16 May 2011, at 20:00, Cathy Howells <[log in to unmask]> wrote:
>
> > Thanks for your input Sharon and Alison, And yes, questions I intend
> > to ask next time I see her (sans perfume!) No idea about the mask - it
> > looked a hefty thing, and obviously is not much good as she still has
> > these attacks!
> > I've only rejoined recently, so missed the previous discussion, will
> > have a search in the archives, thanks.
> > I must admit that an ulterior motive has crossed my mind as well. In a
> > way, it was good that I didn't get chance to speak to her properly
> > today, as it gives me chance to fully prepare for our next meeting.
> > Certainly makes a nice change from back pain and depression!
> > Kind regards,
> > Cathy
> >
> >
> > -----Original Message-----
> > From: [log in to unmask] [mailto:[log in to unmask]] On
> > Behalf Of Allison Caine
> > Sent: 16 May 2011 19:31
> > To: [log in to unmask]
> > Subject: Re: [OCC-HEALTH] Managing allergy at work
> >
> > Have we not had a similar case in the last 12 months, discussed on
> Jiscmail?
> > I recall that the individual had ulterior motives for their symptoms.
> > The  discussion questioned  how they managed with day to day living;
> > visiting supermarkets, cinema in fact any public areas?
> > May be worth asking her how it affects her life outside work.
> > Good luck!
> > Kind regards
> > Allison
> >
> > Sent from my iPhone
> >
> > On 16 May 2011, at 18:56, Cathy Howells <[log in to unmask]> wrote:
> >
> >> Hi list,
> >> Hope you are all well!
> >> I've had an interesting case today and would appreciate any thoughts
> >> on
> > advice to management please!
> >> A lady was referred to me due to experiencing several anaphylactic
> > reactions at work. She has been seen by the company's previous OH
> > provider, reports obtained confirming that she reacts to perfumes and air
> fresheners.
> > Generally not too much of a problem in an open warehouse environment,
> > but is a problem when she uses the loos or canteen and may meet perfume
> wearers.
> > Her managers, first aiders and colleagues have all been trained in how
> > to help her and she wears a face mask. However this doesn't always
> > help and she has had two episodes of anaphylaxis at work in the last 12
> months.
> >> I struggled to talk to her as she was wearing the mask and I was
> >> wearing
> > perfume (I hadn't been pre-warned!) so she stood in the doorway and we
> > talked across the office!!
> >> My gut feeling is that they have already made all necessary
> >> adjustments and need to decide how much disruption they are prepared
> >> to
> > tolerate (when she reacts, it's all hands on deck, epipen and 999 )
> > I've requested an up to date report from her immunologist and the
> > advice of the OHP, but otherwise I'm stumped! Has anyone come across
> > anything like this before, and how did you manage it in the workplace?
> >> All feedback gratefully received!
> >>
> >> Regards,
> >> Cathy
> >>
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