Nuts are NOT toys | a Momma Bear's plea

I believe in a mother’s instinct to protect her children; I belive that there are no limitations to the lengths a parent will go to ensure the safety of their child. Fortunately, for most of us, the moments when our Momma Bear must emerge are far and few between, however, when your child has a life-threatening allergy, the Momma Bear never gets a chance to hibernate.  When we discovered the boy was allergic to peanuts, we had to sort through out cupboards and reread the labels of products we’d been eating for years.

It’s difficult to decide where to draw the line with regard to the foods you allow your child to eat.  The allergist determined that the boy had no reaction to any other nuts, including tree nuts so we made the decision not to feed him, or keep in our home, any products that ‘may contain traces of peanuts’.  This is especially difficult for our family as many gluten-free products contain or are manufactured in facilities that process nuts. Fortuantely, as parents of an allergic child we are acutely aware of the food we buy and feed our children and our home is a location that we can control.

Public spaces on the other hand, can become a parent’s nightmare in a matter of moments.

Case and point, we were recently enjoying the summer weather at our local park with the boys; there is a fountain that drains down and around a small hill to a gate that traps the water, but can be released by the children. My boys, and almost all the other children, love to chase their ‘boats’ as they float down the river and open the gate.  We’ve seen ‘boats’ in a number of forms and on this particular day some older boys (probably around 7) were chasing leaves down the river.  Our boys were playing happily and the hubs and I were enjoying the peace and sunshine until suddenly the hubs noticed that the leaves had been replaced with nuts and shells.

We raced up to the boy and quickly explained to him that the other kids were playing with nuts and reminded him that he was very allergic.  We explained that we had to go home immediately because if he touched them, he might end up at the hospital. I felt awful cutting his playtime short so abruptly, and he was a upset for a few moments, but without doubt, keeping him safe is far more important than preventing a few tears of frustration.

As a parent, an aunt and a sister of individuals with life-threatening nut allergies, I know that I am hypersensitive and acutely aware of the presence of nuts in public places. For those of you who are not directly affected, its easy to forget that some people need not ingest their allergen in order to have an anaphylactic reaction. For my boy, touching a peanut butter sandwich crust resulted in two shots of epinephrine, a shot of steroids and a week of benadryl. I have a friend whose daughter had a reaction just from being in the vicinity of a peanut butter sandwich on a family outing.

If your child had a life-threatening allergy, how far would you go to keep him safe?

Nuts are a great source of nutrition for those that can ingest them and I wish that I could feed them to my children, but I can't.  If your child eats nuts, please take the time to teach them that nuts are not toys. If your children consume a snack that contains nuts in a public space, keep the snack localized and ensure you take a few moments and do a proper cleanup.  Simply washing hands, wiping tables, chairs or any other public items that may have been contaminated (even using just a baby wipe) can go a long way to keep an allergic child safe and healthy.

Please Momma Bear, won’t you help me protect my cubs?

Happy Allergy-Friendly Birthday! | Guest Post

I have vivid memories of attending birthday parties as a kid. I loved running around with my friends, playing games like pin the tail on the donkey and musical chairs. But what sticks out in my mind from the majority of the parties I attended was having to be very diligent about what I ate. I was sent with a list of instructions from my mom about what I could/couldn't eat and usually a bag full of food that was just for me. Now didn't I sound like the life of the party?!

Being so hyper-aware of allergies and what was and wasn't typically in both homemade and store bought food at such a young age definitely wasn't something I enjoyed. In fact, I hated it! All I wanted to do was eat what the other kids were eating! But knowing the ins and outs of cooking and eating for allergies has come in very handy over the years, more than ever, now, as I have a child of my own who is leaning in the direction of being just like me in the allergy department (sorry kiddo!). But I'm ready. I can swap out ingredients in recipes like nobody else. So if you're new to the allergy arena, cooking either for your own little one, or that poor, allergy-riddled kid who will be coming to your son or daughter's next birthday party, here's a bit of help. Just a few simple swaps can make any recipe safe for even the toughest-to-feed child.

So what's on the menu for an allergy-free party?                                        

  

Snacks

It's a party so toss out a bowl of salt 'n vinegar chips and some Doritos and you'll be all set, right? Wrong, especially for dairy sensitive kids. Salt 'n vinegar flavouring, for example, almost always contains milk ingredients, and of course, anything nacho-flavoured will as well. But this doesn't mean you can't have easy snacks lying about. Just choose crowd pleasing yet safe flavours like salted; try corn or rice chips for gluten/wheat sensitive individuals, served with salsa or guacamole; or pop your own kernels and top with a little olive oil and different herbs or nutritional yeast for a healthier popcorn.

Fruit and veggie platters are always safe bets as well, and can be made more appealing by using different shaped cookie cutters (stars, hearts, etc.) or creating fruit kebabs. 

Main Course

Pizza, hot dogs and deli sandwiches are all great regular party staples, but can be loaded with danger for the allergic kids in the group. If you're looking to make a meal everyone can enjoy without a ton of work, I suggest sticking to whole foods. These are foods that have not been processed in any way. You know all the ingredients because you can see all the ingredients, right in front of you. If the idea of serving just whole foods is leaving you a bit stumped, I suggest the following, very easy to handle homemade fare, which are all kid and adult favourites, made allergy friendly. The best part is, those with regular diets won't even know they're eating 'safe' food!

• Chicken breast tossed in gluten free breadcrumbs and oven baked for everyone's favourite - chicken strips!
• Chicken wings made by ditching any flour dredging and opting instead for a salt and pepper toss before throwing them on the bbq
• Tacos - you can even have a 'make your own' taco bar set up with corn tortillas/shells, rice, beans, veggies and meat
• Homemade burgers - turkey, beef or veggie - with regular buns as well as gluten free buns or lettuce for wrapping the patties of wheat sensitive diners
• Meatballs, omitting the breadcrumbs or eggs, depending on the allergy
• Sushi platter, safe for most, so long as you steer clear of any rolls with sauce (soy allergy) or any tempura rolls (gluten allergy)
• Side dishes - potato salad (use olive oil instead of mayo for egg allergies), green salad, macaroni salad (gluten free macaroni is easy to find!), potato wedges baked in olive oil and herbs, rice or quinoa salads...the options go on and on here!

Birthday Cake

If you'll be making a cake or cupcakes from a box mix, there are a few swaps that can be easily accomplished. Usually, the recipe on the box calls for the cake mix, water, butter, vanilla and eggs.  Let's address each one separately.

Dairy Replacement

For a dairy allergy, you'll obviously want to avoid the butter. An easy substitute for butter in a baking recipe is an equal part of mashed up fruit, such as pear or apple (canned or fresh, either works). The fruit flavour will be subtly present in the finished product, which isn't a bad thing, I personally enjoy it, but it's something to be aware of, especially if you have potentially picky eaters. You can always add in a few dairy-free chocolate chips (like those made by Enjoy Life Foods) to distract them though! If you don't want to use fruit, another option is to use coconut oil as a butter substitute. If you've never experimented with coconut oil, I recommend it! It comes in a tub-style container and is actually solid at room temperature, not liquid, so you can scoop it out just as you would with butter. It can be a bit pricey but you only need to use 3/4 of the amount the recipe calls for. Example - recipe calls for 1 cup butter, use 3/4 cup coconut oil instead. Just like the fruit substitute adds a bit of extra flavour, so too will the coconut oil. But if you enjoy the taste of the tropics then you'll like this swap.

Egg Replacement

To replace eggs, there are a few tricks. Eggs act as binders in recipes so you're looking for something that has a sticky quality. The easiest option, if you're already running to the store, is to buy a box of egg-substitute. It's just a powder mix to which you add water. I like EnerG brand myself and it's pretty readily available. If though you'd prefer to use ingredients you already have on hand, you can try any of the following to replace one egg: 1/2 mashed up banana; 1/4 cup tofu (make sure soy isn't an allergy issue if going this route); 1 Tbsp ground flaxseed mixed with 3 Tbsp water; or a mix of 2 Tbsp water, 1 Tbsp oil and 2 tsp baking powder.

Gluten-Free Replacements 

If gluten free is what you're after, well, you'll have to either make the cake mix from scratch with gluten free flours or try out one of the amazing new Betty Crocker gluten free cake mixes. They are available in yellow or chocolate at most grocery stores and are my go to when I need to quickly whip up a cake. I've fed them to avid gluten eaters and they can't tell the difference. If you'll be using the gluten free yellow mix, be sure you also use gluten free vanilla flavouring. The regular kind may trigger a reaction in gluten sensitive kids.

Planning an allergy-free party doesn't have to be a ton of extra work and ensures all the party-goers, especially the ones with allergies, feel included and just like all their friends. And having a safe menu allows you to relax and have a good time too, focusing on making memories with your kids, not worrying whether or not Johnny is staying out of the trail mix and Suzie has her hands off the icecream cake.

OneStopMamaShop is a blog offering advice, information and practical tips for all new mamas who are navigating the wonderful worlds of pregnancy and motherhood. 

The blog's author is based in beautiful British Columbia, Canada, so some of the posts are regional and apply specifically to mamas in that locale, though the many product recommendations, general pregnancy and baby-care information, and stories on the ups and downs of motherhood are universal, for any and all mamas to share in and enjoy.

Medic Alert Bracelets: Do they work?

Three weeks ago my sister Kat went into anaphylactic shock.

I knew, without question, that a phone call at 3:30am meant someone was in trouble. Fortunately, she was already at the hospital recovering and her friend was by her side; the baby was due to wake up for a feed so it was close to 5:30 by the time I got to her.

Her reaction came on slowly, over a few hours and although she knows she’s allergic to hazelnuts and latex, she has still been unable to determine exactly what caused the reaction. She was in pretty rough shape and home from school for a week, though I think she’s pretty much recovered now.

Anaphylaxis is scary. I hope the boy will never have to fully experience it, however it’s a very real fear. Almost immediately after we found out the boy was allergic to peanuts, we got him a medic alert bracelet that he wears at all times. It provides peace or mind that regardless of the situation, the boys’ information will always be close at hand to those that would need it.

That belief is currently under review.

Although she was unable to talk, no one checked my sister for a medic alert bracelet. Despite her barely conscious, oxygen deprived state she waved her medic alert at the nurse who repeatedly pushed Kat’s arm away without a second glance.  She was a the hospital and NO ONE checked her for a medic alert bracelet.

Three weeks later and she still has a rash on her arm from the latex tourniquet used to start her IV; a minor reaction to a small but unnecessary action. If someone had checked her for a medic alert, they would have known to keep everything latex-free.

I can’t help but be disappointed. I always believed that wearing a medic alert was a proactive move; a medically recognized way to keep medical information is available, regardless of consciousness. But now I’m not so sure, Kat tells me this is the second time she's been to the hospital and no one checked her for a medic alert.

As a parent of a peanut allergic child, I NEED to believe that wearing a medic alert will help keep my boy safe.  I must stay strong and I can't allow my faith to be shaken; anaphylaxis is scary enough as is.

Do you or your family member wear a medic alert bracelet?  Do you know someone whose live was saved by their medic alert bracelet?  Or alternately, do you know someone else whose medic alert bracelet was ignored?

Toddler Allergy Testing

Allergies are my reality, nearly everyone in my family is afflicted, including the hubs' side of the family. We have symptoms ranging from anaphylaxis to oral allergies and pretty much everything in between, so it kind of felt like a given that our children would have allergies, to something.  So far the baby seems to be showing no indication of sensitivity, but as you all know the boy is a completely different story.

We've been waiting since January, when the mere touch of a peanut butter sandwich sent the boy to the hospital, to see the allergist at Children's Hospital (the reason the boy had bloodwork a couple weeks ago).  Although I received a pamphlet in the mail, I wasn't sure entirely sure what the visit would entail and whether we would be doing any testing at the appointment.  Regardless, I came prepared with snacks, juice and 'Bear' just in case.

I needed them all.

I was fortunate enough to have Kat along to watch the baby and walk him around in the Ergo carrier, I'm not sure what I would have done without her.  Although I was excited about getting some insight into the boys allergies, I was less than thrilled with an appointment at 1:30pm; at our house naptime starts promptly at one.

After a consult with the resident doctor and a chat with the supervising allergist, it was time to whip off the boys shirt and doing some prick tests.  He was tested for 23 allergens and had at least minor reactions to most of them, however he only showed up allergic to a handful.

In fact the only food allergen identified was peanuts, which was expected.  The tests indicated that he is likely outgrowing his dairy allergy and that his reactions to soy and wheat are not significant.  Which means that we have to begin slowly re-introducing dairy, soy and wheat into the boys' diet.

The allergist also identified cats, dust mites and grass pollen as allergens for the boy, which means we need to get extremely diligent about cleaning his bedroom.

All in all, our trip to the allergist was a positive one and I'm excited for the boy to start trying new foods again.  I simply hope that the allergist is right and that he can tolerate these allergens particularly now that his eczema is (for the most part) under control.

Thankful for Family

Today, I am thankful for my husband's family, my mother-in-law and my sister-in-law. They have offered to watch the boy once a week and today is the first day.  A day I can spend devoted entirely to my little baby boy, a day I can give him my full attention, a day all about him.  The boy had me to himself for my entire year of maternity leave and the baby boy has had only a few short days one on one with momma.

Thanksgiving is just around the corner and a friend is posting a daily 'thankful' on her facebook; I'm hoping to follow her lead.

This break from my reality as a momma of two couldn't come at a better time; I'm exhausted and feeling like I'm starting to unravel a bit at the edges.  I've been working like crazy on my Blissdom Canada costume (which is now complete), my mom, who is always available to help me out on a rough day, is on a well deserved two week vacation, the baby boy is teething and we just discovered the boy has asthma.

This discovery unfortunately came when I was home alone with my boys, the hubs went on a fishing trip last weekend and the boy caught a cold, neither child slept through the nights and on Saturday night I was overwhelmed by crying babies that both needed my attention at the same time.  Around the same time the boy started physically pushing air out with each breath and his little stomach was jumping dramatically.  By six thirty in the morning, I had called my mother-in-law to watch the baby and I whisked him off to the hospital.  More thanks to my mother-in-law are clearly in order here.

Although they can't technically diagnose him with Asthma until he can complete a breath test, the symptoms, the response to ventalin, the family history and the fact that he has both a nut allergy and eczema all point to a diagnosis of Asthma.

My doctor described the relationship of eczema, asthma and nut allergies as a trilogy and the hospital doctor explained it had to do with the physiology, the way the body responds to irritants.  Either way, I'm sad for the boy that we have to add yet another ailment to his list, but at the same time I know that its both relativley minor and completely manageable.

Anyone else have a child afflicted by this 'trilogy'?

Going peanut free

Last Thursday, I returned from my lunch break to find my phone message light flashing and a text from the hubs stating 'Call me ASAP'.  I'm pretty positive in the 9.5 years we have been together, I have never heard him use the term ASAP.  I knew something was wrong and was instantly filled with worry.

I caught the hubs before he ran out the door to the hospital, but he gave me the lowdown.  The boy had found a peanut butter sandwich crust at my sister-in-laws and after simply touching it, he had an almost immediate reaction.  The skin on his hands became red and inflammed and the reaction kept spreading.  By the time my mother-in-law got him upstairs the redness spread past his wrist, by the time my sister-in-law grabbed a pen to mark the redness, it had reached his armpits.  They loaded him up on Benadryl and took him to the hospital (which is conveniently one block away).

Fortunately, there was no respiratory distress, which led the doctor to agree with my mother-in-laws observations that he hadn't actually ingested any peanut butter, however his reaction is considered anaphylactic.  It was only about 15 minutes from when he touched the peanut butter to when he was in the ER and by that time he was red up to the eyeballs.  The doctor gave him an epipen shot and some benadryl, which seemed to settle the inflamation, but within an hour an a half it was coming back.  They had to give him another epipen shot as well as a steroid to try and get the medication to 'stick'.  He threw up at this point, and cried from the shots, but after the second round of shots, he moved into recovery mode.

I was ready to bolt from the office when the hubs told me what happened, but he quickly encouraged me to stay rational and finish anything critical I was working on since I'd been out of office for the past two days and he was already one foot out the door.  It was hard to do, but it was a good decision.  The boy was well taken care of by his Daddy and his Aunty and I didn't have to stress about work when I took the next day off with the boy.

I didn't actually get to the hospital until after the second round of medication, but I did end up staying for about 4 hours until we saw the pediatrician and she discharged us.  For the next two days, the boy was cranky, itchy and red, but I gave him benadryl without hesitation to keep him comfortable.  Over the past week, his skin has been very sensitive and there seems to be a lot more redness and itching than normal.  We're going to the pediatrician for a follow-up tomorrow and she mentioned at the hospital that she will be referring us to an allergist.

I'm sad for the boy, that not only does he have another allergy, he has a severe, life-threatening allergy.  Eczema triggering allergies are manageable and if his allergies don't go away as he gets older, he will at least be in a position to weigh the enjoyment of eating 'forbidden' foods against the reaction.  With the peanuts however, its an entirely different situation.  Even though we are now armed with epipens and I know that nut allergies are increasingly common and manageable (my nephew and sister are both anaphylactic to hazelnuts), I still find myself thinking of all the food the boy will never get to experience and the difficulties this allergy will cause him as he ages.

I know so many of you are living with severe allergies yourself or in your family, and I know we live in a day and age where there are so many options available, but any words of wisdom on the topic would be greatly appreciated.  Thanks in advance for sharing.