Tuesday, July 28, 2009

Being -Free: A Guide to Coping with Allergies

Because of E's numerous food allergies (let's review: dairy, egg, nuts, mildly allergic to wheat, used to be allergic to fish too), I've ended up being a resource to my friends whose kids subsequently also develop food allergies or sensitivities. I'm bummed to hear other people tell me their child can't have milk / soy / gluten /nuts /name your food here, and I wish in a way that I was the only one dealing with this because it's a crummy situation, let's just be honest about it.

That being said, when I thought about how things have gone with E's diet, it's not the colossal pain and source of emotional angst that it used to be. Somehow, we've adjusted to it pretty well. So I thought it might be useful for those of you who are trying to do the -free diet to read what's worked well for us.

Eating Out Is Bad
Okay, if not bad, at least a pain. Eating out is never easy because waiters don't always know if the food you order contains the offending food. Heck, even the cooks don't always know because processed foods can contain trace amounts of stuff you just wouldn't expect in that food. And it's not just going to restaurants, it's going to people's houses, amusement parks, and birthday parties, too. E always gets a big bowl of fruit salad and a small bag of gummi bears when he goes to a birthday party; he never partakes of cake, and that's just how it's always been. So if you want to eat out, make sure you're bringing something along for your child that you KNOW is safe and that he'll enjoy.

Substitute Foods Are Great

There are a lot of options out there these days: soy milk for regular milk, non-dairy margarines for butter, rice-based pasta instead of wheat. You can swap a lot of these substitute foods without really a noticeable difference in taste or texture. A few items that have passed our discriminating palettes (that being mine, not E's since he has never had the original to compare to):

  • Soy Yogurt - Whole Soy is my favorite brand; it's thick and creamy and full of fruit flavor. I especially like the lemon and mango/apricot. Silk can be good, too. Its texture is like Yoplait, but I find it cloyingly sweet (E loves their blueberry soy yogurt).
  • Rice-Potato-Soy Pasta - I forget the name brand, but check out your closest Whole Foods for a selection of gluten-free pastas. I've found that ones that have a combination of grains has better texture than the ones that are all one grain (quinoa, rice, etc), which tend to be mushy unless cooked perfectly. Also check out soba, made from buckwheat (which is gluten-free and wheat-free despite the name) - but beware, some soba has wheat in it, so look for the kind that's 100% buckwheat.
  • Double Rainbow Blueberry Soy Ice Cream - It has such great blueberry flavor that you can't really taste the soy flavor too much.
  • Sorbet - for those of you who can't deal with the soyness of soy ice cream, enjoy some sorbet or fruit juice popsicles.

Not All Substitute Foods Are Great
The worst offenders:

  • Gluten-free bread - any brand, I guarantee you it will be an affront to all that is beautiful and delicious about bread. It is the gluten that imparts bread with that great chewy, light, delightfully pillow-soft texture. Forget about bread and carbo-load on something else (potatoes, rice, corn, there's lots of options).
  • Gluten-free, dairy-free, and egg-free cake/cookies - I hate to break it to you, but you're generally going to pass up the bakery section of your grocery store. Leaving 1 one of those 3 things can still result in a tasty treat, even 2 out of 3 can be a winner, but not having any of those things in your baked good - you'll just have to learn to get over it. What you can get is usually not worth the calories anyway. As an alternative, try gluten-free, vegan fruit pie.
  • Fake cheese - pretty self-explanatory.

Forget About Imposters
After all that talk about substitute foods, which have their place, we find that it's just much tastier not to pretend. Why eat fake yogurt for breakfast when you can have a real hash brown? Sometimes when you go on a -free diet, you spend so much time worrying about what you can't eat that you forget about the great things you still can eat. Just a reminder for you:

Breakfast foods:

  • Hash browns
  • Rice crispies cereal (great with some freeze-dried berries and soy milk)
  • Corn flakes
  • Sausage (check ingredients to make sure there's no dairy)
  • Bacon
  • Fruit

Snacks:

  • Potato, corn, or tortilla chips
  • Popcorn
  • Fruit

Generally speaking, Asian meals will have the most options for gluten-, dairy-, and egg-free dishes, especially Vietnamese cuisine, which is largely rice-based.

Leading By Example
The most important aspect of a successful -free diet is your outlook. The way you react to your child's diet will become your child's reaction. Act as if your child is being deprived and he will feel like he's being deprived. Sometimes it's the hardest thing for a parent to act like being allergic to something is like having straight hair or brown eyes - it just is part of who your child is. For me, it was so hard not to feel like I've lost out on something I always imagined myself doing with my kids: baking cookies together or making pancakes together on a Sunday morning.

At the same time, it's imperative to help your kids to understand that they do have an allergy. As much as I'd like to hope that I'll always be there to keep E from the things he can't eat, it's not realistic. He needs to be able to tell his teachers, his friends, or his friends' parents what will make him sick. E now is able to tell people, "I can't have eggs", "no cows milk for me", "I can't have cake, thank you". And he doesn't feel bad about it (usually his follow-up statement is, "can I have some gummi bears instead?").

The trick is to strike the balance between being clear what foods he is allergic to and not making a big deal of it. A few lessons we've learned along the way:

  • Try to have the whole family follow the same diet, at least when you are with your child. Don't groan, if your kid can't eat pizza, is it fair for you to munch away on a slice in front of him? Meet your pizza needs when you're at work, and enjoy family dinners that you can enjoy as a family. You will probably actually start eating healthier for it.
  • Don't freak out if your child is putting a foreign food near his mouth (parents whose kids get anaphylactic reactions get some slack on this one). You don't want your child to fear food. Instill in your kids the habit of not eating new foods when they're not with you, and teach them why.
  • Carry an epi-pen and Benadryl (children's oral suspension) with you when you go out to eat, just in case.
  • Read all food labels and try not to keep dangerous foods in the house.
  • Try to discourage your kids from being picky eaters (an uphill battle for some parents, I know). But the thing is, if your child can’t take in entire groups of food (dairy, gluten products, soy, etc), then it’s more difficult to ensure they have a balanced diet. Teach your kids to embrace the foods they can eat so that they get variety and balance in their diet. The best way to do this is not to be picky yourself – suck it up and be an adult about eating your green vegetables or fish or whatever you dislike eating.

I’m sure there are plenty of other tips that I’ve missed or haven’t picked up on yet. So if you have a child who has a food sensitivity and/or allergy, please share your strategies on how you cope with his/her dietary restrictions.

Sunday, July 26, 2009

CONGRATULATIONS!

I totally forgot to send a shout-out to my cousin A, who gave birth to her son just a few days ago. Welcome to the Mommy Club, cousin! Enjoy your new baby, but savor every second of sleep you can get in the next 8 weeks.

Operation: Quality of Life

The global economy is weathering a mighty storm, and like most people, we are working harder, spending less, and trying to save more (emphasis on the word trying). The little things we cut out are small, and there are many days when it really feels like, "what's the point?". But I'm trying to remind myself that every penny counts and it will all add up. What began out of necessity, or maybe even simply perceived necessity, has really been a great discovery for us as a family and me personally.

We unsubscribed to the premium cable channels, and now having fewer choices of crappy TV shows means we actually spend our evenings doing more worthwhile things. I've taken up writing again with the occasional session of drawing, as well as playing the piano more and just getting down with my bad self to the radio (yay, radio is still free!).

We haven't let the kids buy any toys (not that we ever went crazy with toys, but we're talking not even on their birthdays this year), even the really cool ones that we're excited to play with ourselves, and it turns out they don't really play with toys anyway. There's no Transformer or GI Joe action figure that is going to capture E's attention the way being allowed to "help" his daddy wash the car does. Bonus feature: we're grooming him for unpaid labor in the future!

We stopped getting take-out in favor of preparing much simpler meals, and not only do I feel better about putting less styrofoam in our land-fills, but I've also discovered that hearing, "Thanks Mom, you cooked the best dinner ever!" makes any amount of prep work completely worth all the time and labor.

That's not to say it's easy. We work harder at work, longer hours, more stress, and as a result, we have less time to be with the kids. But the quality of the time is better; we're less distracted by the consumption of stuff. Will we stay with it once we get out of this economic slump and return once again to the days of milk and honey? Who knows, but a part of me is really hoping that we do.

Wednesday, July 8, 2009

Holding Out Hope for Next Year

We finally got E to the allergist for his oral test for dairy, and the verdict is: still allergic. BAH!

He had one teaspoon and refused to have another one. When we tried to get him to drink two teaspoons, he spat out the milk, and where it got on his skin, little red bumps appeared. I guess pizza and real ice cream are all out for another year. The good news is he didn't have any anaphylactic reaction to the milk, so if he gets a little cross-contamination, it isn't a serious threat.

We will be scheduling an oral test for egg within the next few weeks. Hopefully he has better luck with the eggs. Wish us luck!