Friday, January 30, 2009

Should I Be Concerned About Peanut Farms?

I received the following question from a reader. I would love any input my readers can give on this important issue:

I have a question. We have just recently entertained the idea of moving our family from Michigan to Oklahoma. Our oldest son is allergic to peanuts. I have just discovered that they farm peanuts in Oklahoma! Is this going to be a problem? This scares me especially during harvest time.


First of all, thanks for asking this very thought provoking question. I will be the first to admit that I do not have any personal experience in this area. I have read quite a bit and read stories of people who have had "issues" (I am unsure of the severity of them) being around peanut farms.

We currently live in Michigan, however I am originally from the Oklahoma City area. Tyler has visited there twice and had no problems. Even though I am a native Oklahoman, I did not realize that there were peanut farms in Oklahoma. (I admit, however, I was completely naive to peanut allergy when I lived there growing up. I moved away 10 years ago.)

I would definitely consult your allergist on this. In fact, I might even get a second opinion, particularly if your child has ever had an air borne reaction. This is a sticky issue but I know places like Georgia are full of peanut farms. Although I don't know any personally, I imagine there are children with peanut allergies that live near peanut farms that don't have any problems.

I would love to hear from my readers on this issue. Do you live near peanut farms? Has your child had a reaction as a result? Do you know others who have peanut allergies that have had issues near peanut farms? Please leave a comment so we can discuss this important issue.

Wednesday, January 28, 2009

What Do Doctors Do?

January has been quite a month for our household! In the beginning of the month, the stomach flu swept through our home and had no mercy. Then, last week a nasty cold knocked the boys completely off of their feet. When they were still very sick on Monday, I took them to the doctor. The verdict was a double ear infection for Tyler and a single ear infection for my little Dylan.

I love our pediatrician's office. There are three doctors that are all moms of young children. They all work part time so they can have ample time with their children. Their philosophy is certainly one I can relate to!

The doctor we saw on Monday has a special place in my heart. She has a son with a peanut allergy. She is new to the practice and I had only seen her once with my other son. Monday was the first day she met Tyler. When she asked about allergies, I reminded her I had a PA kid like her.

Her statement to me as a fellow mom of a PA Kid really summed up my emotions exactly:

"Having a child with a peanut allergy stinks, doesn't it?" she said.

Have truer words ever been spoken?

Something I found very interesting was that she admitted that she has a peanut butter addiction. She admitted she has a secret stash of peanut butter in her home that requires climbing on a stool and moving objects to retrieve. She said sometimes when her son is in bed, she carefully indulges in some PB love.

Its easy to think that how we manage our child's peanut allergy is the best way. For our family, that means all of us being peanut-free. More than anything, this keeps my anxiety levels much lower. I feel like this is how Tyler is the safest in our home.

I found it interesting, however, that a doctor does not share my own cautious philosophy. Is her child healthy and peanut-free? Yep. Even with his mom having PB in the home.

We all have our own comfort levels and we make choices that we feel are best. What is right for one family, may not be right for another, as long as plenty of caution is involved in whatever decision is made.

In the end, I introduced her to SunButter. She had never heard of it. My husband was with me and we both raved on how great it is. She asked where we bought it. In the end, I doubt she will change her peanut butter habits and that is fine for her family. She is cautious and she is a doctor, after all.

Its just a reminder that what is right for one family may or may not be right for another family.

Thursday, January 22, 2009

A Benefit of Being Peanut Free

When the stomach flu ran through our house two weeks ago, it like was no other flu bug we had ever encountered. Its intensity and duration were amazing. My mother, in her concern for the family, suggested it might be salmonella. There had been an outbreak all over the US (including our county) and, at that point, it was unclear what the source was.

In the end, since it had all the signs of a contagious virus (albeit a nasty one), I deducted that was what we were dealing with.

Less than a week after the outbreak in our home, the media began reporting the source of the salmonella: peanut butter. Now, I was 100% sure that we had definitely not been dealing with salmonella. As many families that have a Peanut Allergy Kid, we choose to all be peanut-free for Tyler's safety.

This week the list keeps growing of the things that may be contaminated with bad peanut butter. Last count, there was a list of 125 things that have been recalled. (You can see the complete list here.)

When you have a child with a peanut allergy, there are many, many worries that come with it. Thankfully one positive that it brings today is no worries of the recent salmonella outbreak.

As I have said before, there is a bright side to this allergy if you just look!

Wednesday, January 21, 2009

You Can Be Anything You Want to Be

Yesterday made me as proud as I ever have been to be an American. I don't care what ethnicity you are or what your political leanings are, you couldn't help but get caught up in "Obama fever."

One reason for Obama's popularity has been what he symbolizes to so many Americans: You truly can be anything you want to be.

Tyler has been particularly caught up in the craze as well. For a 4 year old, he has taken quite an interest in our new President. He watched him be sworn in and even enjoyed watching him dance at the Inaugural Balls last night.

How does this tie into a peanut allergy, you ask? One of the speakers at one of the balls last night was Ray Romano. I have never watched an episode of "Everybody Loves Raymond" but I am a big fan. Ray Romano has a peanut allergy.

When he did his stand up routine during one of the balls last night, I told Tyler about his allergy. He watched with great interest. For me, this showed Tyler can truly be anything he wants to be. If a man with this life-threatening allergy can have a successful career in Hollywood, are there any limits on anyone with a peanut allergy life's aspirations? I think not!

So to quote our new President's motto to all Peanut Allergy Kids: "Yes we can!"

Tuesday, January 20, 2009

A Sign for the Times

My younger child, Dylan (age 2) thankfully does not appear to have any food allergies. I feared this possibility a great deal while I was pregnant with him. His health problems, however, have been with his eyes. He had eye surgery on May 27. He will be monitored regularly throughout his childhood. Another surgery is very probable in the next couple of years.

Last Friday I took him in for a routine check up. When I entered the waiting room, they had a new sign posted. It read:

"Due to food allergies, we ask that you please refrain from bringing food and drinks into the office."

I stopped in my tracks and smiled. What a novel idea! I admit that I keep a close eye on Tyler when we visit the doctor. I have thought about the possibility that other children could be snacking on peanut butter crackers or peanut M&M's.

My first thought was "Maybe more doctors will start posting signs like this to help ease moms like me a little anxiety."

Then I thought, "Why, oh why, haven't the 3 different allergists we have taken Tyler to since diagnosis nearly 3 years ago had a sign posted like this?"

Who would have thought my first experience with a novel concept like this would be in a children's opthamologist office?

Monday, January 19, 2009

Safe Treat?

I received the following question from a reader:

I am an elementary school librarian and I rarely deal with food but I now have a "Storybook Lunch" book club and I promised them a treat on the last day. Do you have any easy suggestions on what I can bring them? We have two peanut allergies in this group. I had planned on making slice and bake cookies or rice crispy treats before learning of the allergies, now I am not comfortable making anything. Any suggestions?

Its so great of you to be so concerned about your students! My first suggestion would be give them a non-food related treat. Since you are a librarian, maybe a small book or some other educational tool would be appropriate. I realize, however, that might be more expensive than you can do. Stickers are always great, too!!

As far as your students go, I would suspect you are probably dealing with more allergies than just peanuts. Parents of PA kids are usually more vocal because these allergies are more deadly. But, I wouldn't be surprised if you might have a milk or wheat allergy in your mix, as well. Food allergies are so common these days.

If you still would like to do a food for your class, I would suggest talking to the parents of the children with food allergies and get their suggestions. Don't be surprised if they are uncomfortable even with a "safe" treat. Even using safe ingredients doesn't always mean "safe." There was a man who died in Washington state over the summer who ate a peanut free cookie. The problem was the cooking supplies used to prepare the cookies had peanut residue on them. For that reason, parents like myself are nervous for others we don't know extremely well to cook for our kids.

Many of us feel the same way about store bought items, as well. Every parent has their own comfort level.

You are so kind to be so concerned about the food allergies of the kids in your storybook group. Those kids are lucky to have a librarian like you. I only hope my son has someone as conscientious as yourself when he gets into school.

Saturday, January 17, 2009

As expected, there has been an outcry over the irresponsible column published in the LA Times earlier this week. Dr. Robert Wood, noted allergist, has written a rebuttal to the ridiculous column I blogged about the other day. You can read Dr. Wood's article here.

Wednesday, January 14, 2009

Peanut Allergies are a Parents' Imagination?!?!

Occasionally, I think its important to see the views of others on the issue of peanut allergy. As hard as it is to read sometimes, we need to be educated on how others view our child's peanut allergy.

Be prepared. This will probably make you angry.

What shocks me about the following article is the fact that the LA Times published it. I always assumed this was a good paper. But columnists are entitled to their own opinions. The author, Joel Stein, falls under a freedom we all enjoy: freedom of speech.

When you read this article, instead of getting upset, try to remember how fortunate this person is that they don't have to know our reality. If he has kids, they obviously don't have a peanut allergy. It sounds like his extended family has been spared, as well. He simply has no idea...

Some kids really do have food allergies. But most just have bad reactions to their parents' mass hysteria.
Joel Stein
January 9, 2009

Your kid doesn't have an allergy to nuts. Your kid has a parent who needs to feel special. Your kid also spends recess running and screaming, "No! Stop! Don't rub my head with peanut butter!"

Yes, a tiny number of kids have severe peanut allergies that cause anaphylactic shock, and all their teachers should be warned, handed EpiPens and given a really expensive gift at Christmas. But unless you're a character on "Heroes," genes don't mutate fast enough to have caused an 18% increase in childhood food allergies between 1997 and 2007. And genes certainly don't cause 25% of parents to believe that their kids have food allergies, when 4% do. Yuppiedom does.

I first had this thought seven years ago, when I wrote a short story that very few people read because, unlike most people, I was kind enough not to show it to anyone. In one pointless digression, I described a future allergy epidemic in which not only nuts but malt, guar gum, gluten and corn cause kids to blow up like balloons in Macy's Thanksgiving Day parade. It subsides only after the FDA declares the allergies entirely psychosomatic.

You can see why I didn't send that story to the New Yorker.

But an essay by Harvard doctor and social scientist Nicholas Christakis in the British Medical Journal -- which I read in between my perusal of Classical Philology and the IEEE Journal of Quantum Electronics -- makes more or less the same argument. Christakis, who did a famous study showing that having fat friends makes you fat, wrote that parental responses "bear many of the hallmarks of mass psychogenic illness."

If you don't think allergic reactions can be caused by mass hysteria, then you don't know about the uncontrollable dancing that gripped thousands of Europeans between the 14th and 18th centuries, or that the South Korean government recently issued a consumer safety alert saying that electric fans can asphyxiate you if left running overnight, after news reports of several deaths. You, in short, have never looked up "mass hysteria" on Wikipedia.

Since food allergies kill about as many people as lightning strikes each year, we probably don't need to ban peanuts from schools or put warnings on every product saying it was "made in a factory that also has a break room where a guy named Dave often sneaks in a King Size Snickers despite this 'diet' he says he's on."

When I talked to Christakis, he made it clear that -- unlike me -- he doesn't think peanut allergies represent a mass hysteria. That's because scientists believe in rigorous study and proof, while opinion columnists believe in saying something outrageous to get attention.

But we did agree that it is strange how peanut allergies are only an issue in rich, lefty communities.

"We don't see this problem much in African American or poor communities. So there's something going on here. We don't see them in Ecuador and Guatemala," Christakis said.

A study of Jews of similar demographics and genetics in Britain and Israel found that British kids were 10 times more likely to have peanut allergies than Israelis. That's probably because Israeli kids have other things to be afraid of. I would like to see a study that measures one's increased likelihood of peanut allergies if you're an American kid named Oliver, Aidan, Spencer or Finn.

Parents may think they are doing their kids a favor by testing them and being hyper-vigilant about monitoring what they eat, but it's not cool to freak kids out. Only 20% of kids who get a positive allergy test result need treatment. And a 2003 study showed that kids who were told they were allergic to peanuts had more anxiety and felt more physically restricted than if they had diabetes. "It's anxiety-producing to imagine that having a snack in kindergarten could be deadly," Christakis said. Remember, this is a demographic so easily panicked that, equipped with only circles and dots, it invented an inoculation to cooties.

A few years ago, I was at a bar without food, so I started downing peanuts. Around the third bowl, I started coughing and felt this itchiness in the back of my throat, which I quickly treated with beer. Still, for a few minutes, I was convinced that a peanut allergy was about to kill me. If the beer had not made me forget the incident, I might have avoided nuts for the rest of my life. Or, worse, bored everyone at the table with my questions about nut allergies.

So bring back nuts to schools. If parents need to panic about a food, at least go with seafood allergies. Those fish sticks are disgusting.

jstein@latimescolumnists.com

All I can say is if this man had seen my son's reaction to his failed food challenge on June 30, 2008 this article would have never be written!

Tuesday, January 13, 2009

A Tribute to the PA Kid

Tyler and his Daddy last week before the illness


Believe it or not, my little PA guy turned 4 last week. How did he celebrate? With the stomach flu, of course! I had planned to write a special post on January 6 for the special occasion but was busy doing laundry and cleaning everything else in the house for that matter.

A week late is better than not doing it at all, I suppose.

This blog is mainly about peanut allergies. Yes, that's true. But, were it not for Tyler, I would have no reason to even write this blog. He has taught me so much and motivated to be constantly researching his life-threatening allergy. He has helped me to love children like him I have never even met.

Yet, Tyler is still a 4 year old little boy. He beats up on his little brother. He doesn't always obey his parents. Yes, he's just like any other 4 year old boy. His peanut allergy is not something you see when you meet him. It's just one small part of him that makes him who he is.

In honor of his birthday, I thought others that follow this blog might enjoy seeing how Tyler is just like any other kid his age. You all know he has a serious peanut allergy. Here are a few things to help you get to know who he is beyond that fact.

Favorite Food: Pizza (this is new since he outgrew his dairy allergy in February)

Favorite Movie: Disney's Cars (in fact his entire room is dedicated to this fact)

Favorite Music Group: Rascal Flatts (his love of these guys borders on obsession some days!)
Favorite Object: A tattered bear named "Blueberrry." (I gave him this at 6 months to help him sleep through the night. He has not gone a night without him since!)

Favorite TV Shows: Blue's Clues and Thomas the Tank Engine

Person He Resembles: He's the spitting image of his Daddy

Favorite Place to Eat: McDonald's

Favorite Song: Life is a Highway (by Rascal Flatts, of course!)

Favorite Bible Characters: Jesus & Daniel

Best Friend at School: Marcus (they both love Thomas the Tank Engine)

My favorite things about Tyler: He has a wonderful heart. He truly cares about each member of the family. He constantly tells us all that he loves us. Even when he was hours away from possibly being hospitalized, he was helping me care for his sick brother by getting him changes of clothes last week. He was as worried about his little brother as I was.

One of my favorite memories of Tyler is when I was pregnant with Dylan. I was sick nearly waking moment. This could have been a problem since Tyler was a toddler. But he was so well-behaved. On a couple of occasions he even gave me his beloved teddy bear Blueberry to comfort me.

As Tyler grows and matures, I can see how much I truly like him as a person, rather than just love him because he is my son. I know I already feel like he is a great friend. He is very smart and responsible. I am so thankful for that fact since it helps him tremendously as he begins to manage his allergy.

While I wish each day that Tyler was not afflicted with his peanut allergy, I can no longer imagine him without it. It is shaping who he is as a person. It has changed who I am as a Mom. It has brought us closer together as a Mother and son. For that, I am thankful.

Happy (belated) Birthday my sweet Tyler!!

Monday, January 12, 2009

An Update

Thanks to all of you who expressed your concern for Tyler's health. Fortunately we avoided a hospital stay. As a last resort, our pediatrician gave him a medication to help him keep things down that worked. Little by little, he is getting back to normal.

My husband and younger child are also gradually returning to normal. The virus lasted 72 hours or more in all of them. Usually these things last only 24 hours. Somehow, so far, I have escaped the carnage in our home. Someone needed to care for everyone!

The thought of Tyler eating hospital food terrified me. Thankfully we did not cross that bridge. I would, however, like to prepare a post on this subject for others. If your PA kid has been hospitalized, I would love to hear through the comments or email how you and your doctor handled this situation. Thanks for your help! We all need to be armed with this information so a hospital stay does not have to be quite so scary.

Wednesday, January 7, 2009

A Sick PA Kid...

The blog will be on another short break. Tyler is very sick with a stomach virus and is on the verge of being hospitalized. Fortunately he has a wonderful doctor that is keeping very close tabs on him. The thought of hospital food takes on a whole new dimension when you think about it when you are managing a peanut allergy. Hopefully, that will not be an issue for us. I will keep you posted on his health. (My husband and younger child have it, too!) I would appreciate your prayers!

**If you have e-mailed me in the last couple of weeks, I promise I will get back to you. I haven't been returning any email over the last few weeks since I have been so busy. Hopefully I'll get back into my normal routine soon!!**

Sunday, January 4, 2009

Did You Read the Label Grandma?

New Year's Eve something monumental happened in terms of Tyler taking more ownership of his peanut allergy. And, let me tell, nothing could make me have a happier new year!

As our family gathered that evening to indulge all the treats that saying goodbye to the previous years brings, my mother-in-law asked Tyler if he wanted a cookie. She is very, very allergy aware and has my permission to offer him food without asking me first.

When she offered him the cookie, the following conversation occurred:

"Did you read the label on these cookies, Grandma?"

"Well, Tyler, I made them from scratch. They are safe."

"Oh, thank you Grandma!"

Now, for some people, this may not sound like much, but it was better than any Christmas present I could ever receive. One of my greatest fears has always been that someone would offer him something unsafe without me around. My goal since his diagnosis nearly 3 years ago has been to have him ask the questions himself.

This didn't happen overnight, of course. We have several conversations in the course of every week of how to stay safe. One thing I always mention is asking people about the safety of a food before he eats it.

We will still continue to work diligently to train him of how to take more ownership of the allergy himself, but this was a BIG step forward for me. He, not me, asked the question!