Going Nuts

Last month was Penny’s latest challenge: almonds. What can I say? Since the day her food allergies were diagnosed, her allergist had said that she would be O.K. if she consumed almonds. To be honest, the thought of introducing her to a tree nut, and potentially having a reaction to it, kept me from introducing her to this food. Her very first allergist had recommended introducing her to almond milk at the hospital (not in her office, but in the parking lot) in case she reacted, which confused me because if she was O.K. to eat almonds, why did she had to be close to the hospital? Long story short, we had been waiting to introduce this food until she was older and was able to vocalize if a reaction was happening.

Last year, she started seeing a new allergist, who is amazing. In the beginning, he told us that she might not be allergic to almonds, but that due to her past reactions to other foods that she shouldn’t have had reacted to, he wanted to introduce it in his office.

We got to the doctor’s office early in the morning…We, yes, the whole family. We have this tradition in which we support each other when big things happen, and for us, a Food Allergen Challenge is a very BIG deal. When it was time, Penny and I walked in, Paulo & my husband stayed in the waiting area. Why? In case she reacted, we would all be there, but not crowding the room, that way nurses and the doctor could do their job. The nurse checked her vitals, weight & height and informed me that she had tested slightly allergic to almonds. I took a deep breath and trusted Penny’s allergist’s decision. After all, she’s allergic to dairy and has been able to tolerate it in baked goods. Hooray for Oral Immunotherapy (OIT)!

A few minutes later another nurse came in with almond butter. It was time to get started. For the first time, I saw Penny be the one anxious about food. Usually, Paulo, being the awesome protective brother that he is, is the one that gets a bit anxious when there are allergens around. This time, I had to consider that not too long ago, Penny had experienced anaphylaxis due to a yogurt challenge. I had talked to her about this new challenge a few days ago, and after a little bit of talking and hugging, Penny was ready.

The first dose of the allergen was very little. I could see Penny tensing up, the white in her knuckles as she clenched her fists. She started scratching her arms and coughed every once in a while. I had remembered to bring books and toys to distract her, and it worked. She kept herself busy coloring and reading, she did great! She first tried the almond butter and pondered about its taste for a while, and told me that it tastes like chips. She loved it! ☺

Then a second dose was administered 10 minutes after, then a third dose, and so on until she tolerated 2 tablespoons (8 grams) of almond butter. Everything went well, but I wanted to be extra cautious because, on her last failed challenge, it wasn’t until an hour after the challenge had started that she reacted. I talked to the doctor about it and asked him if we could stay a little bit longer in his office. He acknowledged my feelings and told us that we could stay there as long as we wanted or 6 p.m. when his shift was over. 😂 After a full hour had passed by, we decided we were ready to go. From this day on, Penny has been able to eat foods containing almond daily, without a problem. Paulo is ecstatic as well, for he is now also able to eat new foods. ☺

I am so grateful that Penny is able to do these food challenges, and having her participate in OIT gives me hope that maybe one day she’ll be able to eat anything, anywhere without having to be worried about a life threatening allergic reaction.

 

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