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Dear all many thanks for all the advice.My patient is going to check through all the web pages . I also have advised that in her open plan office the managers restrict who can control temperature and let all employees know what the temperature will be so workers can dress appropriately to known office temperature. I am hoping that this means the ambient temperature can be maintained at 20 Celsius or so which reduces the likelihood of my patient sweating Thanks to all who responded Lynda -----Original Message----- From: John Burton <[log in to unmask]> To: OCC-HEALTH <[log in to unmask]> Sent: Thu, 10 May 2012 12:17 Subject: Re: [OCC-HEALTH] Colleagues reporting body odour A COMPLIMENT! I love all the links you send - encourages laziness tho' .... wait for Carr to come in with a link answer!! Thanks for them On Wed, May 9, 2012 at 6:15 PM, Carr Barnes <[log in to unmask]> wrote: Lol.. is that a compliment or an insult John? :-) I've a couple of resources I continually refer to (Mayo clinic etc) and advise employees of as I have come to believe they are as capable of looking up information as I am if directed to right places :) .... think we have a tendency to be too paternalistic sometimes. On 9 May 2012 12:29, John Burton <[log in to unmask]> wrote: Carr I have images of you searching and finding links++ to post here John On Tue, May 8, 2012 at 6:52 PM, Carr Barnes <[log in to unmask]> wrote: http://www.mayoclinic.com/health/sweating-and-body-odor/DS00305 is also an excellent link! On 8 May 2012 18:31, Carr Barnes <[log in to unmask]> wrote: Hi I would suggest directing her to http://www.netdoctor.co.uk/hilaryjones/embarrassingprobs/bodyodour.htm and http://www.hse.ie/eng/services/flu/A-Z/B/Body-odour/Managing-body-odour.html While maybe not medical in the true sense of the word I do think such cases can be health related in relation to well-being etc. It is always helpful to stress in such cases that management take a supportive approach (as anxiety can trigger more sweating!) and that it is not wise to presume it is a matter of poor personal hygiene. If she hasn't already she should see her GP to get checked for thyroid disease etc. Also to review any medications for side effects such as excessive sweating. But that IS a conversation for her and her GP not for you. Point out in the report that this is causing her considerable distress and while distress is not a medical condition in itself it can lead to poor health outcomes in the long term if not appropriately supported by all parties (herself via stress management/CBT and taking any relevant practical steps, management, GP and OH). Ccarr On 8 May 2012 17:56, Susan Gorton <[log in to unmask]> wrote: I have had to do 3 of these in my life including one of my team and I did it mainly because I didn't want an insensitive male manager trying to tackle the issue which was the alternate. One lady was allergic to deoderants, was menopausal and wore nylon near her skin which aggravated her sweating and caused odour. Can be sometimes caused by slight fungal infection (cheesy smell) under large breasts (sorry blokes for that image so close to dinner). What we worked out between us is swapping to cotton undergarments and tops, using flushable baby wet wipes under the armpits, breasts at lunchtime in the ladies and around the vulva when going to the bathroom as well as applying canestan cream under the breasts. No problems after that. One of the other ladies needed botox injections to her armpits for excessive sweating and the other moved to an aluminun based deoderant. I think coming to the point and being factual and offering practical advice if possible is better than letting people talk about her behind her back and possibly shun her. Sue Susan Gorton | OH Nurse Manager | Occupational Health Department | Great Ormond Street Hospital NHS Foundation Trust | Level 3, Ormond House, 26-27 Boswell St., London WC1N 3JZ |020 7405 9200 Ext 0247 | DD to OHD 020 78138554 | Direct Fax 020 78138355 | Mobile 07833294568 Please be advised that all e-mail communication relevant to assisting in the management of the OH process will be printed and entered into the individual's OH file or copied and added as an electronic note on their electronic OH record. This may therefore be disclosed under the Data Protection Act (1998). From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Lynda M Bruce Sent: 08 May 2012 17:12 To: [log in to unmask] Subject: [OCC-HEALTH] Colleagues reporting body odour Dear all I have been asked to see again a lady whose colleagues insist has fairly severe episodes of body odour. I am now being asked to confirm or deny any medical issues causing the problem. This query has been formulated by the company lawyers. The lady in question has a high BMI around 40 and is experiencing very heavy episodes of bleeding PV I saw the lady in question last year.She is really distraught,using every type of deodorant etc I am happy to see her to reassure her and have already advised that the most likely outcome is that I report that there is no medical explanation for the issue being raised by her colleagues and that I found no medical cause for any concern. Has anyone any advice/guidance? I tried last year to get the lady to use CBT for her self confidence. Single person office /home office working is not an option . I do realise that this is a management issue but if there is any other avenue I can explore which would be helpful I would be really pleased to hear about it Many thanks as always for all the brilliant feedback on this site. Lynda ******************************** Please remove this footer before replying. 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