In the weeks and months after the Dallas meeting, Osborne broke out in a rash after trying on an alternative blouse sent to her by Southwest. Her dermatologist also wrote a letter to Mike Sims in early January 2019, requesting to know what kind of chemicals were in the uniform. Osborne sent a copy of the doctor’s letter to Southwest’s accommodations team, requesting approval for two shirts she’d found on her own. “This has been going on for months and I really need to work,” she wrote.