Bumper Sticker Moms and Food Allergy Fun, Part 1
and
A Texas Road Trip and Food Allergy Fun, Part 2.
If you've done that, then read on...!
So after we traveled back from the deep south, back into spectacularly low temperatures and snow (what were we thinking??), we unpacked, got out our winter gear, found our routine again and I promptly realized that I had signed up to work in Riley's classroom... every Thursday in March. RJ's allergist is only in our local office on Thursdays. Bah.
So I moved the peanut challenge appt, from days away, all the way until the end of the month. I had taken him to our primary right after we got back, his weight was down nearly 2 pounds, doesn't sound like a lot, but when you only weigh 24 pounds to begin with, it makes a bit of a difference. We discuss the confusion. We totally love our primary, I always say I wish she would just go back to school and become every kind of specialist we need. But we still have no answers, and she's not qualified to give them.
I'm glad I pushed off the challenge appt, it doesn't sound right to me, something's still missing, and I sort of need a break.
We're still cautious about peanuts, but not as much, meaning peanut butter is back in our house and I don't check every label with a magnifying glass. Gluten is back in, we as a family have been discussing carbs and sugars for some time, and cutting back on both of those slowly, so we focus more on that as a whole rather than having to watch what RJ eats. He still hasn't had any of the 3 things from that day he went to the hospital - apples, peanut butter, or cantaloupe.
2 weeks later, I can't wait any longer. Mama Rebel has moved in, and she has a plan. I decide to start in order of less scary to potentially scary.
March 16 - RJ gets sliced apple for lunch. I take a picture of him eating, then at 5 minutes, 20 minutes, 45 minutes, 1 hour and later than night. Nada.
March 18 - RJ gets cantaloupe for lunch. I do the same thing with pictures, and low and behold, Dr. Mom gets an answer.
I feel validated... there IS actually something going on, I'm not crazy! I also feel sad, that my little boy reacts like this. And I feel scared, what else could make this happen to him? And most of all, how bad can this get?
Dr. Google isn't much help, cantaloupe allergy seems quite rare, and most google answers have to do with Oral Allergy Syndrome, which his symptoms are not representative of. I, of course, in my mad googling, happen to stumble on the few blogs of moms whose severely-allergic kids have had near-death experiences, which only manages to further scare the shiz-nits out of me. (I sort of wish those blogs didn't get so popular, I think they end up fueling the food allergy issue, especially the false positives, not to mention scaring parents everywhere... )
March 20 - Just to round out my data, since he DID react to cantaloupe, all testing was negative, and I KNOW he's been accidentally exposed without a problematic reaction, I give him a fingerful of peanut butter with his lunch. I was still nervous, as the hospital staff and allergist's office staff's reactions and their sureness that it was peanuts was still engraved in my brain, and peanuts can be such a scary allergy.
**PLEASE NOTE HERE - I AM IN NO WAY, SHAPE, OR FORM, ADVOCATING THAT ANYONE EVER TRY THEIR OWN FORM OF ALLERGY TESTING IF THEY SUSPECT THEIR CHILD HAS AN ALLERGY, ALWAYS CHECK WITH YOUR DOCTOR.**
RJ had no reaction to the peanut butter.
With data in hand, I compiled a 7 page document, starting with the day in the hospital, red fingers and cheeks at Chuck E. Cheese, arm welts after a party, all the way up to and including my Rebel Tests. Dates, times, descriptions, labels and pictures. My husband said I was insane. But I thrive on data.
I waited a few days and called the allergist's office. I politely explained to the receptionist that I sort of did my own testing... "yes, I know the doctors don't like that... yes, I had benadryl and an Epi-Pen...yes.... ok... well...so, what I need is to change that challenge appt to a regular follow-up....yes... ok, good, thanks."
We go to the appt and I hand the nurse a copy of my 7-page report. When the doctor comes in, she is nearly speechless... "I've...I mean, I've never, ever, had anyone come in so prepared...this...this timeline... with pictures... this...this is great," she says. I really can't tell if she's actually impressed or if she's mocking me. Or maybe she just knows that I made her job easy. I have no idea.
We talk. For a while. She says page 5 (that's my testing and the cantaloupe pics) does look like a reaction. She gives me a few options. I walk out of there and get in the car and get home, and I'm like, wait a minute... what just happened? Give him food and see what happens? Give him claritin every day just in case? Umm, no. Not really sure how I walked out of there without an answer, but I did. Now I'm mad again. Mad and staying away from the fruit bar.
In the next few weeks we try honeydew... nothing... watermelon... nothing. Just the bad, evil, cantaloupe so far. I happen to be talking to a friend one day, who's just come back from taking her kids to a new allergist, a new allergist who tells her that her kids actually have no allergies, this after having her son over-tested, plus not being informed about high rates of false-positives (especially in young patients), and basically misinformed about the occurrence of true food allergies. Listening to her describe this new doctor's matter-of-factness... I like him already. Turns out he's in the same practice, but I'd have to travel about 25 minutes away to a different location. I make an appointment pronto.
He is everything I hoped he would be. Matter-of-fact, direct, no sugar-coating, no iffyness, and he comes with a great bedside-manner and some humor. According to him, no one should be just openly tested for everything. False positives on skin tests are around 40% or higher, based on all kinds of factors. Many people that react on skin tests can still be exposed regularly, or eat the foods (if it's a food test) and not have a problem. He himself gets a giant skin reaction for peanuts, but eats peanut butter every morning. I silently wish all the Bumper Sticker Moms could meet this guy so he can tell them how it really is. He looks over my 7 pages of data, and asks if I want a skin test for cantaloupe.
Absa-friggin-lutely.
The skin test is negative. It's slightly red, but not big enough to count. I'm confused. Really, I am. The doc comes back in and gives me the facts. Skin Tests have a high false positive rate, as mentioned, but only a 1% false negative rate. As he looks over all my data, he tells me that some people get hives with a virus. It can come and go for hours, days, weeks. It can have welts with it, too. It can appear just like allergy hives, and present just like anaphylactic hives. Some kids are just hive-makers, he says. It's not anaphylaxis, and usually isn't a problem. I wonder out loud why no one, no doctor especially, has told me this before? Why I haven't been given this as even a "maybe" from the hospital or other doctors? Why I've been made to believe in full that my kid was allergic to something, and have spent the last 2 months going batty and worrying and wondering what in the hell he is reacting to? He lets me vent, and says only that I should have came to him in the first place, this he says with a grin.
And after I vent, then I say, "So... look at page 5, are you saying that he just happened to react to a virus randomly after eating cantaloupe at two different times?"
He grins again, "Nope. Not at all." He goes on... he has a handful of cantaloupe-allergic patients. At least one of them falls in that 1% that doesn't react to the skin test, so it's still possible, and we can make sure. He says I can challenge at home and call with results, or I can come back next week and challenge in the office. Although I was brave before, with the knowledge that I've seen him react to the cantaloupe plus the fact that he can't communicate to me what he's feeling, I opt for the office challenge. And this way, there'll be some doctor's notes either way!
Today, May 1 - We go in, armed with a container of cantaloupe, for RJ's challenge. I am nervous. I know we'll get something, I've seen it with my own eyes. But I don't know how bad it can get, or whether the doctor can even tell me how vigilant we'll need to be in the future. I just want to know. And what if we get nothing? Then what? I hate unknowns.
He eats 3 small pieces. 15 minutes go by. Nothing. He eats 5 small pieces. Thank the Lord he is cooperating. We've brought Thomas trains, Mickey books, coloring books, his picture flash cards that he loves and the iPad. He blowing through my stash of ideas right fast. But he's eating the darned cantaloupe.
15 more minutes. Nothing.
7 more small pieces. 15 minutes. Nothing.
The nurse asks about a small red spot on his face and calls the doc. He says it's nothing. I'm less nervous, but more confused than ever. Great. So he's not allergic. BUT THEN WHAT THE HELL MADE HIM ALL RED??
The nurse pops in and says just 15 more minutes and you can go. By now we're done with the toys and books and trains and singing and have now discovered that standing on the chair and flipping the light on and off is just fantastic. I'm just plain confused and waiting. I've accepted that I look like a jackass, and that maybe it's not the cantaloupe. But it still doesn't make any sense!
The nurse comes back in after 15 minutes and after a fight with RJ to leave the light on... his arms are red. Totally red. His ears are red, his pinky finger is red where he grabbed the fruit off the fork, his cheeks are red. We take off his shirt, and he is RED. Splotches all up and down his tiny little back.
Hallelujah...and WTF, all at the same time. I am tired of having my opinion being flip-flopped! I allow myself to feel slightly validated, again. Finally, a nurse AND a doctor to SEE what happens to my kid when he eats cantaloupe. It's not just me sounding like a looney-tunes.
But I am mad, once again. I do not want Food Allergies!
My new fave doc returns, takes stock, and tells me that he's having a histamine reaction... of the non-allergic type.
Explain, please.
Some people do this, he says. They react to components of different fruits (the body is confused), with a histamine reaction that makes them all red, but it's not the anaphylactic, life-threatening, Epi-Pen kind. Many adults react like this to wine. (I know lots of these!) Young kids are not bothered by it, but sometimes teenagers and adults are self-conscious and so they avoid certain fruits. Or go around telling people they are "allergic."
He may have it forever, he may grow out of it. He may react like this to other fruits someday, he may not.
Ok. I am OK with this. It's an answer. It's SOMETHING. (And... I'm NOT crazy...!) And it's not terrible. I instantly feel sorry for all the moms that DO have to deal with real and scary and terrible food allergies, because even having the smallest taste of that, the thought, the idea of it happening to MY kid, was God-Awful. And shame on those who think it's a trendy club, a reason to point out THEIR kid, something that makes their kid special, because they have no idea what it's really like.
Before we leave the office, the only thing I want to know is... is this something that is known to turn into the true, scary type of allergy? Honestly, this is all I ever wanted to know. How worried do we need to be, on a daily basis, now, ever?
Doc says that the data say No. Not typically. Not to say that it can't, or won't. But not typically.
And I thank him. For answers. For being forthcoming with information. For not just shooing me aside, for going further and pushing the envelope until we had an ANSWER. For doing his job as a DOCTOR. I mean, shit, this is what he gets paid for, right?
















































