Nurse's Notes

Welcome to Montvale Elementary!
Erin McKenzie RN  Clinic 7:30-3
End of year reminders 

  • MEDICATIONS IN THE CLINIC- ALL meds need to be picked up from the clinic by May 25th.Medications that are not picked up will be discarded.
  • If you need Care plans or forms for next year, please pick them up prior to the last day of school.Forms will be mailed in May to the homes of current students with care plans.A new form is required each year.
  • RISING 6TH GRADERS: All 6th graders are required by the Virginia General Assembly to have a TDAP booster vaccination prior to the start of 6th grade. Each parent must provide the proper documentation PRIOR to the start of the 2018-2019 school year for the immunization.  Please meet this requirement by providing the elementary school no later than May 25th or the middle school by July 16, 2018. 1. Proof of having the booster vaccine. 2. A notarized religious exemption form with the raised seal or registration number. 3. Medical exemption form signed by your physician indicating temporary or permanent exemption  on the Virginal School Entrance Health Form. The school division has the right to exclude your child from school if this requirement is not met.  Teacher assignment or class schedules will not be mailed until this health information is shared with the school.  We appreciate your prompt attention to this matter.

Please take care of this promptly to avoid full appointments at the doctor.
Import HPV Facts
Rising 6th grade parents:  Please read the important letter and HPV information from the Virginia General Assembly.

HPV letter
Please, all parents, sign up for CareDox.  This is how you are informed that your child has visited the clinic.  If you have already signed up for CareDox, then please log in and update any medical information that has changed.  
CareDox instruction sheet
Oral Allergy Syndrome (Allergy and Asthma Network)

Do you ever get an itchy mouth when eating watermelon or cantaloupe? What about that luscious peach that left your gums raw and irritated?

Could be you are one of millions whose pollen allergy also sets them up to react to certain foods.

It’s called oral allergy syndrome (OAS) and what’s behind it are protein similarities among some pollen-producing trees, grasses and weeds and related fruits and vegetables. For instance, a person who gets a runny nose or drippy eyes when exposed to ragweed pollen in the air might develop an itchy, tingling mouth or lips when eating banana, melon or cucumber.

As many as one out of every three people with seasonal allergies may experience oral allergy syndrome. The exact number is unclear because the condition often goes undiagnosed. Symptoms can be mild, making it less likely that people will see a doctor for diagnosis. On the other hand, parents might not associate a child’s dislike of a vegetable with an allergic reaction.

Common Food Triggers

Oral Allergy Syndrome is particularly common among people allergic to ragweed – some 36 million people in the U.S. – but it also affects people with other allergies. Researchers have identified specific foods that relate to birch, grasses and ragweed.

Birch pollen: almond, apple, carrot, celery, cherry, hazelnut, kiwi, peach, pear, plum, potato, pumpkin seed

Grass pollen: kiwi, melon, peach, tomato

Ragweed pollen: banana, chamomile, cucumber, Echinacea, melon (watermelon, cantaloupe, honeydew), sunflower seed, zucchini


Oral Allergy Symptoms

Symptoms of OAS include itchiness, irritation, and/or mild swelling or hives in or around the mouth.

Symptoms can also seem quite random. For instance, many people are only bothered during pollen season; the rest of the year they can eat pollen-related foods with no problem. So if you’re allergic to ragweed, a melon in February (when ragweed is dormant) may not bother you at all, while one in September (when ragweed pollen counts are high) could set off symptoms with the first bite.

Some people with OAS will react to fresh foods but not cooked or canned varieties. If you have grass allergy, for instance, you may be able to eat tomato sauce on pizza but develop itchy mouth from fresh tomato in a salad. Others may find they can eat certain varieties of a fruit (Macintosh apples versus Granny Smith, for instance) or fruits without their skins.


Oral Allergy Diagnosis and Treatment

While most oral allergy symptoms will go away when you stop eating the food, it’s a good idea to see an allergist for an individual consultation any time you experience allergy symptoms related to food.  Food-related symptoms can sometimes alert you to a more dangerous allergy, such as latex. A board-certified allergist can give you an accurate diagnosis, advise you which foods to avoid and recommend treatments to relieve symptoms.




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