[optimal] Re: Allergies and Sensitivities

  • From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
  • To: "'optimal@xxxxxxxxxxxxx'" <optimal@xxxxxxxxxxxxx>
  • Date: Tue, 8 Oct 2013 11:50:50 -0700

I have never heard of using an EPI pen for airborne irritants.  Wow, that seems 
extreme.

Don't ask me, I live in very fragrant San Francisco, and ride the public 
transportation daily.  Maybe as a result, my immune system is a tank!

Very interesting literature these days linking the upswing in childhood asthma 
to our obsession with antibacterial wipes.

We need a little dirt!

Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937   FAX (415) 600-6563

From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
Behalf Of Paula Morris
Sent: Tuesday, October 08, 2013 11:32 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Allergies and Sensitivities

So, truly interested in the answer: how do you protect yourself from airborne 
allergies if you are that sensitive?  I am allergic to aromatic benzene as 
found in chemistry labs, but I don't run into that problem out in the 
community, and worked only with a negative pressure fume hood in college.

Do you have a "no fragrances" sign in your work space?  Is there a mask that is 
effective against fragrance allergies? Do you have easy access to an EPI pen?  
We had a co-worker that worked in the administrative offices of our facility 
and she was fragrance sensitive.  Her co-workers agreed to have a fragrance 
free area around her work space, and new hires were informed about that space, 
but she still had to be out in public to carry out routine tasks for everyday 
life.... I am not aware that she ever had an allergic reaction that required 
emergent medical attention.

Fragrances are added to so many things - even breath mints - they are a part of 
global culture. I'm wondering how people are able to cope in public spaces?

Just wondering,
p



From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> 
[mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Carlton, Chris [VA]
Sent: Tuesday, October 08, 2013 12:15 PM
To: 'optimal@xxxxxxxxxxxxx'
Subject: [optimal] Re: Allergies and Sensitivities

On a similar note. How many of you still tell your patients if they are 
allergic to shellfish they are also allergic to iodine? The RN's I work with 
still use this and refuse to do ICG on patients with shellfish allergies.

Chris Carlton
VCH/UBC
Eye care Center

________________________________
From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> 
[mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of CPMC Ophthalmic Diagnostic 
Center
Sent: Tuesday, October 08, 2013 10:51 AM
To: 'optimal@xxxxxxxxxxxxx'
Subject: [optimal] Allergies and Sensitivities

My fellow collegues

Let us use caution with our terminology.

A case of anaphylactic shock, or even a simple case or urticaria (hives) 
attributed to a perfumed substance IN THE AIR has not been documented in the 
literature.
The term "allergy" is casually used in our descriptive world.

Now, do not confuse this assertion with perfumes in general. Contact dermatitis 
could definitely produce a severe reaction in a sensitized individual if they 
placed the substance on their skin.

People get easily confused between a sensitive nose and an allergic 
sensitivity. Pollen in the air is also a CONTACT allergy with a substance in 
the air.

Least we confuse our terminology.  True allergies are actual histamine 
reactions involving mast cells.


Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937   FAX (415) 600-6563

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