Monday, August 18, 2014

A Food-Allergy Mom Speaks Out About Back-To-School

By Kelley Lindberg

This FaceBook post from Vivian Fulton appeared today, and it was so heartfelt I knew I had to share it. As we’re all getting ready to send our kids to school (some for the first time), it’s a great time to remind everyone – even those without food allergies – that simple kindnesses are not only kind, but they can save a life. Thank you for giving us permission to share your story, Vivian. Good luck, and fingers crossed for the new school year.
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This is a message that I'm sharing on my facebook page:
Have you ever watched your child dying in the backseat? I have. I have watched David's breathing and his heart slow down significantly. I have known that if I didn't get to the ER in time, that he would be dead. Completely, irreversibly, dead. Do you know what did it? An accidental bite of Cheetos in nursery. David has been to the Emergency Room several times in his short 5 years of life. Every time because of food that 'normal' people eat everyday. Peanuts and milk products can kill my sweet David. Even if he does not eat them, he can still have a reaction.
Have you ever gotten into poison ivy? Imagine your skin itching and burning all over with great big hives. That is what can happen to David if he comes into contact with his food allergies, by touching a pair of scissors or a desk, crayon, door knob, etc. that another child has touched who has eaten peanut or milk products and who hasn't washed their hands or used a wipe to wipe down their hands/face & any contaminated surfaces. He can also go into anaphylactic shock if he touches these things. Anaphylactic shock is what I mentioned above when your body stops functioning and you can die without prompt & proper medical attention. Sometimes, even with medical attention your body can't get better and you die.
Do you want to know what you can do to help children like my David stay safe? Ask your child's teacher what food allergies children who meet in your child's classroom have, not only for their class, but for any other class that might meet in their classroom--both morning & afternoon classes like preschool & kindergarten. Commit right then and there that you will not send your child to class with these foods as snacks or treats. Tell your child's teacher your decision. Also, make sure your child's hands are clean when they arrive at school. Peanut butter or milk from 2 hours ago at breakfast without washing up afterwards is still on their skin or clothes and can still cause an allergic reaction. Inform your friends via social media and/or your blog about your commitment to doing your part to insure that no child will have to go through the pain and sheer terror of having his body stop working.
Thank you for reading. You are more than welcome to share this post. The safety of innocent children rests in you. You can be a powerful advocate for change and safety.
~Vivian
---Hopefully, some of my non food allergies friends will be more compassionate and become advocates for people with food allergies. I'm off to allergist today. Wish us luck!


Monday, August 4, 2014

Back to School Tips for Food Allergies 2014

by Kelley Lindberg


School is just around the corner, which means now is a great time to prepare your food-allergic kidlets for a safe and fun year. Although it may seem scary, it’s entirely possible to help your child have a good experience in a school environment. It requires some preparation, good communication with your school administrators and teachers, a positive “we’re all on the same side” approach, and some commitment to go that extra mile for safety, but it can be done. My son and his best friend (also allergic) have successfully navigated their K – 9th grade years at a wonderful charter school where the administration and teachers welcomed us. Sure, we had a few bumps along the road, but overall, the journey was successful and both made it through all 10 years without a major reaction at school. Awesome, right? Now they’re starting high school (yikes) at separate schools (double yikes), so we’ll keep our fingers crossed. But at least we know how far we’ve already come, so that’s good news.

About this time every year I post my back-to-school tips. So I’ll repeat them here, in the hopes that they help smooth the way for other parents over the next few weeks. Good luck, and enjoy these remaining few weeks of summer!

(Remember, there are links to several school-related resources on the Utah Food Allergy Network's website, so be sure to check those out. And last week I posted my Back-To-School Food Allergy Shopping List, so you might want to look at that, as well.)
  1. Ask the principal if there are other food-allergic kids in the same grade, and if they can be assigned to the same teacher. That makes it easier for the parents of the allergic kids to trade off field-trip and party chaperone duties, reminds the teacher to keep the classroom allergen-free for multiple kids, and gives you some backup in food issues. (It's nice to NOT be the only one.) Statistically, about one in twenty kids has a food allergy, so chances are good there will be several food-allergic kids in your school.
  2. Make several copies of your Food Allergy Action Plan (available on FARE’s website) and ask to hang one in the office, the cafeteria kitchen, and the classroom, so that your child's photo and "What to do in case of a reaction" instructions are handy no matter where he is.
  3. Practice with your child what he should do if he "feels funny." Role-play and pretend you're the teacher, and have him come up and tell you what's wrong. Often our kids are too shy about asking for help, so have him practice with you, and with the teacher if possible. Not only does that give your child words to use if something happens, but it helps impress upon the teacher how important it is. If he or she has a friend in class that can help, ask them to role-play, too. Our boys have a friend who was very vocal in supporting and helping speak up for them when they were shy. (Girls are especially awesome as allies!)
  4. I get on my principal's staff meeting agenda at the first of the year and give a 15-minute talk about allergies and demonstrate the EpiPen or Auvi-Q. When my son was in elementary school, I also gave a presentation to my son's class and all the teachers and aides he comes into contact with. If you're not comfortable doing this, ask if there are other allergic parents that you can contact. Talk to them about ways to teach the teachers -- maybe another mom would be willing to give the presentation if you make the photocopies. It's easier when there are two of you involved! There are also DVDs made for elementary school presentations, so you can let the DVD do the talking! “Binky Goes Nuts” is an Arthur cartoon from PBS. “Alexander the Elephant Who Couldn’t Eat Peanuts Goes to School” used to be available from FAAN before they became FARE, but now I can only find used copies on places like Amazon.
  5. Remember, in Utah, your child can legally carry his EpiPen or Auvi-Q. But he probably is not capable of administering it to himself in an emergency, so make sure the teachers and everyone else know where it is and how to use it. Because both EpiPen and Auvi-Q are available right now for $0 copay, get a pair for the school office, and a second pair to keep with the child (in his backpack or lunch bag, usually). You might also attach a luggage tag with his photo on it to his backpack, so the teacher can tell which backpack is his quickly.
  6. If he's going to be having lunch at school, talk to the Lunch Lady and cafeteria monitor. Introduce your child, tell her what your child is allergic to, and let your child know that the Lunch Lady is a friend that will help keep him safe. Then remember the Lunch Lady and the cafeteria monitor on holidays with little thank you cards or gifts to show you appreciate them. Few people do that. But it will help keep your child's food issues fresh in their mind, and they'll get to know him well.
  7. Ask about setting up a food table just for allergic kids. All that’s required is a table with a sign that says allergies only, and the cafeteria monitors clean it with a separate marked bucket and cloth. Don’t let them make your child eat in a separate room or the principal’s office. He shouldn’t be punished or isolated just because he’s allergic to some foods! Ask the principal to mention the allergy table in a newsletter or other information that goes home with kids at the beginning of the year. You may find other kids with allergies expressing an interest in sitting at the table if they know it’s available.
  8. Ask the parents of your child’s friends to send safe lunches with them every once in a while, so they can eat with your child. Make it a fun place to be!
  9. Most peanut-allergic kids don’t react to the smell of peanut butter in the air, but a few do. If you are worried if your child will react to the air in the cafeteria, ask to take him in for a “practice run.” Sit in the cafeteria for half an hour and see if he reacts. If he doesn’t, cross that worry off your list.
  10. Eat lunch with him for the first few days. That will reassure both of you that you can both handle this!
  11. Talk to the teacher about which cafeteria door your child should use to avoid peanut butter contact (usually the one furthest from the playground), where to put his lunch bag after lunch, and where his EpiPens will be.
  12. Remind your child NOT to throw away his lunch trash. Tell him to bring it home in his lunch bag, so that he can avoid using the trash can. If another kid slam-dunks a half-full milk carton in the trash can, you don’t want your milk-allergic child to get splashed.
  13. Medical alert jewelry can help remind teachers and other staff about your child’s allergy. Lots of companies now provide medical alert jewelry in styles ranging from classic metal bracelets to fashionable plastic jewelry or even cool fabric sports bands (like at American Medical ID). Use your favorite search engine to find a style your child will enjoy wearing.
  14. If your schedule allows, volunteer a lot, so the staff knows you and counts on you (not just for allergy issues). If the only time they see you is when there's a food allergy issue, then you may start feeling like they're whispering "Oh no, here she comes again." But if they see you as a "Gosh, what would we do without her" kind of volunteer, then the occasional food issue will be coming from a great mom who's making a reasonable request.
  15. If someone else is already the class mom, or you can't volunteer for that position, tell the teacher you really need to attend all parties and field trips because of the food allergy. The teacher may want to let the other parents know that you'll be selected for all the special events because of the food allergy, so that they don't think the teacher is playing favorites.
  16. Volunteer to shop for all the snacks or food materials for classroom parties or food educational units (like making noodle necklaces or gingerbread houses, etc.). Tell the teacher if she'll collect money donations, you'll go buy all the ingredients. They're usually delighted to get out of having to shop, and it lets you ensure the ingredients are safe.
  17. Be aware and be prepared, but don't panic! School is going to be a lot of fun, and your child will do just fine. And believe it or not, so will you!


Monday, July 28, 2014

Back to School Shopping List for Allergies 2014

By Kelley Lindberg


The new school year is just around the corner, and that means it's time to hit the stores for those back-to-school sales.

Of course, those of us with food-allergic kids have to add a few extra items to our back-to-school shopping lists. So if you, too, are preparing a back-to-school shopping list for the food-allergic student in your life, don’t forget these essentials:

  • Epinephrine Injectors – Have yours expired? It may be time to get new ones. I get a pair to leave at the school’s office, and a pair for him to carry in his lunch box (along with instructions). Be sure you check the expiration dates on the new ones to make sure they’ll last through the school year. There are two brands: EpiPen and Auvi-Q. Check both of their websites for $0-copay discount programs. (See my blog post "Choosing an Epinephrine Auto-Injector for your Food Allergies.")
  • Antihistamine (Benadryl, Zyrtec, Claritin, Allegra, etc.) – Like with the EpiPens, I put some in the office, and some in his lunch box. Again, check the expiration dates.
  • Lunch Box – He always takes a home lunch and sits with his food-allergic buddy.
  • Thermos for hot foods – He lives on noodles, but these are great for safe soups, chili, and casseroles, too.
  • Food Containers – Invest in a few plastic containers that will fit inside the lunch box for things like salads, dressings, sandwiches, fruit, etc. They’re more economical, more ecological, and far less “squishable” than plastic baggies.
  • Beverage Thermos or water bottle
  • Handi-Wipes – I always put a couple of individually wrapped Handi-Wipes in his lunch box so he can clean off the table if he needs to.
  • Food Allergy Action Plan – Make an appointment with your child’s allergist or pediatrician now, and have them fill out a Food Allergy Action Plan to give to your school. I attach a current photo of my son, and then I make a few color copies of it. I give one to the school office, one to each of his teachers for them to hang in their classroom, and one to the school cafeteria manager for her to hang in the kitchen, so that the lunch workers will know him and recognize him if he has a reaction. If your doctor doesn’t have their own form, use this Food Allergy Action Plan from FARE (Food Allergy Research and Education). It’s probably the most widely used form in the U.S., and most doctors recognize and use it.
  • Medical ID Bracelet or Necklace – If your child will wear one of these, it’s a great idea. It is a visual reminder for teachers of your child’s allergies, and it’s an instant help for EMTs who might be summoned if your child has a reaction.
  • Clean-up Wipes – I like to take a couple of tubs of wipes to his teacher, for cleaning desks. (I usually take tubs to the teacher throughout the year, too, since they often go through them quickly.)
  • Case or bag for epinephrine auto-injectors: Decide where your child will carry their injectors and meds – a zippered pencil case, a lunch box, a purse, a backpack, a string backpack, etc., and be sure you let the teacher and staff know where it will be so they can find it in an emergency.
  • Labels for food: Over at Smart Allergy-Friendly Education, Daniella has designed some wonderful stickers that you can attach to cans or jars or baskets of food to let your teacher know that what’s inside is safe for your child to eat. Especially good for younger kids who can’t read or stand up for themselves yet, these labels can really come in handy if you like to leave a stash of “safe” foods for your kid for those times when the rest of the class is eating unsafe treats.
Do you have any other great suggestions for allergy-aware back-to-school supplies? Be sure to share them with us!

Happy shopping!

Tuesday, July 22, 2014

Allergy-Free Donuts

By Kelley Lindberg


A couple of weeks ago, I tried a recipe from Allergymoms.com’s Facebook page for cake donuts. The first time I tried the recipe, the donuts tore up when I tried to get them out of the pan, and the chocolate glaze was a granular mess. So Michelle Fogg, fearless leader of the Utah Food AllergyNetwork (UFAN), told me how to get the donuts out of the pan without falling apart. That made all the difference! So the recipe was basically sound (thank you, Allergymoms!,) but some of the instructions just needed a little tweaking. Then I experimented with some different glazes, different cake mixes, and different flavors. I finally came up with some good variations that were easy to make and met with rave reviews from the group I made them for (teens, tweens, and adults).

So here is my adapted recipe. The main differences from the original Allergymoms.com recipe is that you absolutely must FLOUR the greased pan, and let the donuts cool completely in the pan (instead of the one minute the original recipe called for), and instead of using melted chocolate chips to make the glaze, just add a teaspoon or two of cocoa powder to the powdered sugar glaze. And you’ll need more powdered sugar to glaze a dozen donuts than the 1 cup called for in the original, so make sure you have at least half a bag on hand.

As a bonus, I tried freezing the donuts (because I was taking them on a camping trip and they had to stay good for 2 days), and they freeze and thaw really well, even with the glaze on them.

I tried both Cherrybrook Kitchen and Duncan Hines cake mixes (several DH flavors are nut-free, egg-free, and milk-free, but read the label carefully because not all flavors are safe). I prefer Duncan Hines – the cake was lighter and softer, but held together well through the glazing process. I made them nut-free, milk-free, and egg-free, but I did NOT use the gluten-free variety of either brand so I can’t vouch for the gluten-free version (although I have used Duncan Hines gluten-free cake mix in the past to make other recipes, and it has worked great). If you use the Duncan Hines cake mix, just substitute a safe egg replacer for the eggs called for on the box. See “Replacing Eggs in Recipes” for egg replacement ideas.

Another trick: when the cake mix calls for water, I use rice milk instead. It makes the cake a little richer and more moist. This works great when making cupcakes, too.

Okay, here’s the corrected recipe, with variations:

Easy Milk-Free, Egg-Free, Peanut-Free, Tree-Nut-Free Donuts

(Original recipe credit to Allergymoms.com, adapted by Kelley J. P. Lindberg, FoodAllergyFeast.com)

1 box of safe cake mix (plus ingredients called for on the box)
Rice milk (optional – use instead of water in the cake mix)
3 c. safe powdered sugar
Few tablespoons water
Safe margarine or shortening for greasing pan
Few tablespoons of safe flour for flouring greased pan

For optional variations:
Safe chocolate chips
Safe cocoa (powder)
Maple syrup or other flavoring extracts
Safe sprinkles
Safe food coloring

Prepare the cake mix as directed on the box, with the following substitutions: try using rice milk instead of the water, and if using Duncan Hines cake mix, use an egg replacer to substitute for the eggs called for on the box. If you’re at high altitude (like in Utah), be sure you follow the high-altitude directions on the Duncan Hines mix (there aren’t any on the Cherrybrook Kitchen mix).

Grease and flour a non-stick donut baking pan. (Be sure you grease AND flour it – otherwise the donuts may tear up when you try to get them out of the pan.) Then pour the batter into the pan, filling each donut mold about 2/3 full.

Bake 10 – 15 minutes at 350 degrees until the top of the donut springs back when you touch it gently with a fingertip.

Let the donuts cool completely in the pan (10 minutes).

To glaze: In a cereal-sized bowl, mix about 1 1/2 c. safe powdered sugar with a small amount of water (start with a tablespoon or two, then add a teaspoon at a time until you reach the desired consistency, which should be thin enough to drizzle from a spoon, but not watery). Then dip one side of a cooled donut into the glaze, then set it on a rack (glazed side up) and immediately top with sprinkles (if using). If the glaze is too thick, it may be hard to dunk the donut and then get it back out of the glaze without tearing, so you may have to add a little water to thin it. Conversely, if the glaze seems too thin, just add a little more sugar. When you’ve used up that glaze, make more. Repeat until you’ve glazed all of your donuts.

Eat immediately (best!) or freeze in a single layer in an airtight container. To thaw, let sit at room temperature for 20-30 minutes.

Duncan Hines mix makes about 2 dozen donuts. Cherrybook Kitchen mix makes about one dozen donuts.

Variations:

Yellow cake donuts: Use a yellow cake mix, glaze with white powdered sugar glaze, then immediately top with sprinkles while the glaze is still warm. Alternatively, you can glaze the donuts with white glaze, then make another bowl of glaze, adding food coloring to this batch. Then use a spoon to drizzle the colored glaze in a zig-zag pattern over the glazed donuts.

Chocolate cake donuts: Use a chocolate cake mix and prepare according to the instructions, but add 1 c. safe chocolate chips to the batter. To make a chocolate glaze, add a teaspoon of safe cocoa powder (such as Hershey’s cocoa) to the white powdered sugar, then mix with a small amount of water. Taste the glaze – add more cocoa if necessary to achieve your desired taste. Top donuts with sprinkles or Enjoy Life Foods mini chocolate chips if desired.

Maple-Spice cake donuts: Use a Duncan Hines spice cake mix. To make a maple-flavored glaze, add 3-4 tablespoons of maple syrup to the powdered sugar first, then add a small amount of water to thin the mixture to glaze consistency. You may add more maple syrup to taste (if it gets too thin, just add more sugar!).

Blueberry cake donuts: Start with a yellow cake mix. Drain 1 can of blueberries and rinse well (or use 1 1/2 to 2 cups fresh blueberries). Add to cake batter and bake as usual. When glazing, dip in white glaze first. Then color a second bowl of glaze with blue food coloring and drizzle the blue glaze over the glazed donuts in a zig-zag pattern. The blueberries will make these donuts more moist and sticky, so they may be a little gooier when eaten.

Chocolate chip cake donuts: Use a yellow cake mix, and add 1 c. safe chocolate chips to the batter. Glaze with white glaze, then add a small amount of cocoa powder to the remaining glaze, and drizzle the chocolate glaze over the glazed donuts in a zig-zag pattern.