Remember to thank the teacher and school nurse for helping your child have a positive school experience and manage his or her GERD during school. When my daughter Rebecca was in first grade, she has difficulty maintaining her weight. Each illness caused weight loss, and it took a long time to regain the weight and grow. The school nurse and teacher did an excellent job of implementing a plan for her to eat snacks in the classroom and gave her extra time to eat lunch in the cafeteria. As a result, she gained weight steadily during the school year. She finally outgrew her clothes rather than just wearing them out! I sent the teacher and nurse a letter thanking them for helping Rebecca to grow.