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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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