Letter to school from Allergist. What do you think?

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I just recieved the letter from our Allergist to present at Lindsey's 504 meeting. Let me know what you think. The letter reads as follows:

Dear Administrators, School Nurses, and Teachers, Lindsey XXX is a nearly five-year-old Caucasian femal wjo is followed in our practice for food anaphylaxis and bronchial asthma. Lindsey's reactions to peanuts have been severe and potentially lifr threatening. Her first reaction occurred at ten months of age and consisted of generalized urticaria (hives), angioeddema (swelling), and red eyes after touching peanut butter. Her second reaction consisted of an anaphylactic reaction that was triggered by merely smaeeling peanuts! The peanut (and egg) sensitivity was confirmed by allergy skin testing on 9-21-99; subsequent testing on 3-20-00 revealed a moderate reaction to dog.

Lindsey's reaction to peanut can not only present with respiratory difficulty and skin problems as previously discussed but can also affect her digestive tract and cardiovascular system (low blood pressure). Should Lindsey have any accidental contact with peanuts, epinephrine (Epi-pen Jr.) and Benadryl should immediately be administered and 911 should be called. Medications that must be with Lindsey at all times include: 1. Epi-pen Jr. 2. Benadryl 3. Albuterol for nebulization

Please note that lindsey's asthma can make her anaphylactic reactions more difficult to treat because she is more likely to have a respiratory/life-threatening reaction. Her asthma medications also include Pulmicort Respules daily, Singulair daily, and PRN Albuterol small volume nebulizers.

Please do not hesitate to contact me with any questions regarding Lindsey's care.

Sincerely yours,

Dr. Duane Wong Arizona Allergy Associates

*So what do you think? Best Easter wishes to all Lori

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On Apr 19, 2003

As a teacher I think it is a very good letter. What type of training is going to be provided for her teachers and aids. Please do not forget to have the specials teachers (music, art, PE, sometimes computers, and library) trained. I have trained my fellow team members to give me my epi-pen shot if needed. (I'm not saying you should provide the training, but the school should have some time at a campus inservice to train the teachers to handle the medication in an emergancy incase the nurse is not available immediately.)

On Apr 19, 2003

Thanks for your reply! Fortunately I've done a lot of in-service training at Lindsey's preschools. I really feel better doing the traing myself anyway and the nurse at Lindsey's elementary school doesn't have any experience with epi-pens or peanut allergy. I've got a tentative date for the training with all of the staff members before school starts, and for Lindsey's classes the first week of school. So far, so good I guess. One of my biggest concerns was that the Dr. would leave something important out of the letter, giving the school "a loophole" so to speak. Thanks again for your response! All advise is welcome with open arms!

Lori

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On Apr 20, 2003

I like it.

Does lindsey use a peak flow meter? If so, you might to have your dr make mention of an additional document called an "Asthma Action Plan" that he has signed.

You might also want to check the sample letter from physician on [url="http://www.allergysupport.org"]www.allergysupport.org[/url] for other ideas. This is a great site and gives you specific info (phrases) that your doctor letter should contain.

Good luck!

[This message has been edited by Gail W (edited April 20, 2003).]

On Apr 20, 2003

This looks like a pretty good letter to me. I would be much happier with this than what my dr. put on my sons form. He didnt even mention the whole asthma issue complicating things.

It sounds like he at least takes it seriously and is willing to back you up. Good Luck and Happy Easter

On Apr 23, 2003

Hmmm. Hmmm. Hmmm.

The letter looks good, but what is its intended purpose(s)?

[This message has been edited by LisaMcDowell (edited April 23, 2003).]

On Apr 30, 2003

Hi Lisa, Good to Hear from You! This letter was required for the purpose of getting Lindsey's 504 Plan in place. In the plan, it states that Lindsey's medicine pack (including 2 Epi-pens, Benadryl, and Albuterol), must be where she is at all times during the school day. Lindsey is in the Enrichment program and will be attending 2 seperate classrooms. She will also be in the cafeteria during lunch, as well as other class areas for art, music, and computer training. The school wants all of Lindsey's meds to be locked away in the nurses office. Lindsey will be too far away from her Epi-pens for them to do her any good by the time they find the keys, and get her taken care of. In the 504 Plan, the medicine kit will travel through the school with Lindsey (via teacher to teacher/aide, monitor, etc), until she is ready to wear an Epi-belt herself. The school also stated that they wouldn't consider anything but locking up Lindsey's meds unless the Dr.'s letter stated Lindsey really had to have them with her (or in the classroom/s, cafeteria, etc. at all times). Even though the principal has food anaphylaxis to shellfish, and has had some really bad reactions, he still has reservations about the medicine kit. Sorry to be so long winded! I hope this was helpful.

Love ya lots! Peoria Peanut Pioneer Lori

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