Tag Archives: allergic reaction

Best food trial EVER – and just in time for Easter!

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I don’t know what it’s like in your house, but Easter is always one of those celebrations that creeps up and takes me by surprise. I suspect that the general busy-ness of the 6 weeks beforehand plays a big part in my seeming inability to effectively organise for it. Every year I say I’ll be sorted and every year I fail miserably. When you consider the steady pace of events through our household this year: from Shrove Tuesday’s pancakes to Valentines Day, my birthday swiftly followed by M’s 10th and Mothers Day thrown into the mix for good measure, there’s no wonder that having finally paused for a much-needed breath, I’ve once again almost let Easter pass us by,

In previous years both M and G have been able to enjoy dairy- and soya-free Easter eggs, 20150402_183827although last year was very different as by the time the day arrived, M was only eating rice, chicken and cucumber and our options were limited to plastic eggs and an accompaniment of non-edible treats. Thanks to some strategic conversations with M’s dietician and some canny planning on my part, Easter 2016 is promising to be a much more exciting time for him as we’ve timed to perfection his next food challenge: cocoa and dairy-free chocolate!

M is now counting down to when he can start this food trial and I’ve been frantically exploring the free from market as, believe it or not, there have been some exciting new ventures in the dairy- and soya-free chocolate world that we’ve yet to discover. Here I’ve decided to share some of the great options available for those of you looking for a fantastic dairy-free Easter chocolate treat and hope that you’re able to find the perfect one for you.

Please note: Due to M’s previously identified hypersensitivity, we are avoiding soya lecithin as well as dairy and soya, but not all of these products use an alternative, so I’ve listed any “may contains” listed by the manufacturer.

Plamil Foods – This is a brand that I’ve seen, but knew very little about. easter-eggs-xlThey are the oldest vegan company in the UK and as well as not using milk, their factory is also gluten- and nut-free. Impressively they were the first company in the world to make dairy-free milk chocolate in 1983 and the first organic chocolate in the UK. Their Easter products include a variety of Easter Bunny bars and bags of half chocolate eggs as well as the more traditional hollow eggs.


Moo Free Chocolate – We’ve been big fans of Moo-free chocolate for a long-time, not least because they were one of the first dairy-free brands that I discovered that used sunflower lecithin, making them really safe for M. As well as their ever available chocolate bars, they are selling hollow Easter eggs in 3 flavours: moo-free-3-eggs-diagonal-web-mediumOriginal, Bunnycomb and Orange.

  • Dairy-, gluten-, lactose-, casein- and wheat-free. Also vegetarian and vegan
  • Uses sunflower lecithin
  • *May contain traces of hazelnuts
  • Available from a number of stockists including Sainsburys, Waitrose and Holland & Barrett. For a full list, click here
  • Prices from £4.00 to £4.99
  • G’s mark out of 10: 10/10

 

D&D Chocolates – This is a new brand to the whole family and I was lucky enough to have a taste at the recent #FFFA16 judging days I attended. As their website shows, they have a whole range of really lovely Easter products from the delightfully named Chuckling bunnies, mini eggs and various felt bags and baskets crammed full of chocolate. choccbunniesHR-bigThey also sell carob products and have a similarly impressive range of those themed for Easter too.

  • Dairy-, nut- and gluten-free. Also vegan
  • Uses sunflower lecithin
  • *May contain traces of soya
  • Available on-line as well as Independent health stores
  • Prices from £2.50 to £29.99
  • G’s mark out of 10: 8.5/10


Cocoa Libre – These are a relative newcomer to the freefrom market, but impressively have been shortlisted at both the #FFFA15 and #FFFA16. When I first saw their products, I got very excited as they are made with Rice Milk, which is clearly labelled on their packaging, but sadly they also include soya lecithin at the moment.This means that they’re not currently suitable for M, though I’ve no doubt that G would love this box of 10 Easter chicks.UfubKWw9Rb4AWzEU3q0Ot-jlK0Y

  • Dairy-, gluten-, wheat- and nuts-free. Also vegan
  • Uses soya lecithin
  • Available on-line as well as a number of small independent stores around the country
  • Prices from £1.95 to £4.95
  • G’s marks out of 10: Unfortunately G didn’t manage to try this one before I published this blog, but the chocolate I tasted at the #FFFA16 earned a 9/10 from me

 

Booja Booja – If you eat dairy-free chocolate and want to be indulged, you need look no further! Booja Booja makes the most decadent and delicious chocolate, which is perhaps far more suitable for the adult taste than for children, though needless to say,
G and M both loved their champagne truffles a few years ago! They have a beautiful selection of Easter eggs in this years collection and I’d be hard pushed to know which to choose.

  • organic as well as dairy-, gluten- and soya-free
  • *May contain nutsboojabooja2
  • Available from stores including Waitrose, Holland & Barrett and Sainsburys. Other stockists can be found on-line here
  • Prices from £9.95
  • G’s marks out of 10: We didn’t try their Easter eggs, but their truffles deserve a richly indulgent 10/10

Thank goodness for TGI Fridays!

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When you’re an allergy Mum, there is nothing better than finding somewhere your entire family can eat safely when you’re out and about. I spend a lot of my time in the kitchen when I’m at home, tweaking recipes and continually trying to find new, tasty and interesting ways to prepare 5 safe foods for M and sometimes I just want a break from it. We have found some firm favourites amongst the chains, who have not only been able to cook M-friendly food when we were excluding just 7 – remember those days? I just about can – but have also impressed us in the last 12 months too. From old faithfuls such as Pizza Express, Giraffe and Bella Italia, to newcomers Wagamama and Jamie’s Italian, my cup quite literally runneth over! Our holiday to Cornwall last summer led to the discovery of an amazing small independent restaurant who catered for M without hesitation and made all the difference on our first holiday with a tube.

tgiWith the start of a new year, we decided to branch out and challenge yet another popular old friend, TGI Fridays. M has been reluctant to visit this restaurant since he went elemental last year and our first suggested meal out after he was discharged from GOSH fell sadly flat, when he refused to stay there because “..everyone around me will be eating chips Mummy…“. As we had not long had to stop the potato trial due to all his problems in hospital, Mike and I could totally understand and were massively impressed that, at long last, he’d been able to tell us his reasons for not wanting to stay. However, never one to be beaten by a near 10 year-old, I bided my time until we once again headed out for a small bit of sales shopping and decided to treat them to lunch as well. M’s first choice was Wagamama, but an ill-timed fire in their kitchen put pay to that idea and I tentatively suggested TGI Fridays as a potential alternative. Although only a couple more days had passed since our first attempt, M felt a little more able to challenge their menu and we set off on our brand new restaurant adventure.

The first thing on our to-do list was to advise the greeter of our allergy needs as soon as we arrived at the restaurant and asked for a table. I always do this when we eat anywhere new, even when it’s just a new location of one of our known safe restaurants, so that neither child has to go through the stress and embarrassment of discovering they can’t cater for them and having to leave the restaurant. The greeter asked the restaurant manager to come talk to us as this is TGI protocol when dealing with customers with food allergies. We explained M’s dietary requirements and he reassured that they could prepare chicken, apple and cucumber for M, though sadly not any rice as their current rice dish contains a Cajun spice mix which we haven’t trialled with him as yet. With M happy that he would be able to eat, we headed for our table, ready to peruse the choices for the rest of the family.

20160103_160912 (1)For those of you not in the know, TGI Fridays has a separate menu for allergies, which lists the lactose- and gluten-free options readily available. G was delighted to see such a selection of starters that were safe for her and begged to be allowed to try one of those as well as her main course. She opted for the BBQ houmous starter with corn tortilla chips, followed by the Bacon burger with fries from the allergy-friendly children’s menu. Having sorted our little Miss out, we’re turned our attentions to the more knotty problem of young Master M and here I have to say, TGI Fridays came into their own. The manager came to sit with us at the table, armed with a mammoth allergy information folder and cross-referenced every single menu item we were considering for both children to ensure the food would be absolutely safe. He advised us that they used separate chopping boards for the food preparation to avoid cross-contamination risks and showed an in-depth understanding of our requirements which reflected the extensive food safety courses I later found out the restaurant chain insists all their managers attend.

The only potential issue arose when we discussed what oil M’s chicken would be cooked in as the restaurant uses either olive or the more generic “vegetable” oil in their cooking. As we are still limited to rapeseed and coconut oil only, I asked if the chicken could be cooked without oil and the manager went off to see what could be done.20160103_160748 I was impressed to discover that before settling on that as an option, he had actually investigated whether they could get hold of any rapeseed oil from one of the neighbouring restaurants for M’s chicken breast, but had rejected that option when he discovered those restaurants couldn’t guarantee that there was no cross-contamination risk. Instead, the chefs prepared the chicken oil-free and the speed at which it disappeared from M’s plate is a testament to how well prepared and tasty this dish turned out to be. G’s food vanished in similarly quick fashion and Mike and I breathed a huge sigh of relief that our risky restaurant choice proved to be such a success.

*following our visit, I discovered that TGI Fridays also have an impressive allergy menu on-line, which allows you to select the foods you’re avoiding to see what choices you have. This is a great tool to give you an idea whether they can cook for you or not, but nothing beats talking to the restaurant managers themselves.

 

 

But that wasn’t part of the plan

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Without doubt, December whirled past in something of a blur. As I’ve already posted, we had been waiting for an admission to GOSH since last July and naturally it came when we were least expecting it. This admission had been planned by M’s dedicated dietician, who was hugely concerned by the continuing lack of progress we were making when it came to successfully reintroducing food back into his diet and she was keen to challenge him within the hospital setting so that they could see exactly what we were experiencing at home. Our initial discussions all those months ago were in terms of weeks: a lengthy admission, perhaps up to 6 weeks, to fully understand how M’s bowel and bplanody respond when food is eaten; a daunting prospect when you have another child to love and nurture at home as well as a job to hold down.

Move forward 3 months and we reached our October outpatients appointment with no admission in sight and, due to the lack of long-term gastro beds at GOSH, no clear indication of when that elusive bed might eventually become available. Cue the recommendation of a radical rethink and a change of plan to a one week admission, followed by a series of further 1-week stays, scattered here and there throughout the year as and when there was a bed. The gastro team, keen to get him in before Christmas, felt this was our best chance of getting a bed any time soon and so we rolled with the punches and agreed to this amended plan, still not quite clear as to when the admission would actually happen. Over the following weeks, I spent valuable time fine-tuning the details with M’s dietician, agreeing what foods we would choose for challenges during our stay and discussing what the medical team were hoping to achieve through this process. The hardest part remained the lack of a long-term plan. The truth is that M’s continued problems with so many of the foods we’ve tried to introduce is baffling his doctors and until this admission was under our belt, they just didn’t know in which direction we’d be heading next.

By the time M was admitted on December 3rd, the plan had been tweaked again and unsurprisingly would continue to be so during the length of our stay. That one week admission suddenly became a 2-week stay and the 2 foods we had agreed to trial: potato and sweet potato, suddenly became 4: potato, egg, banana and salmon. I had already expressed some concerns about the plan to challenge him with 2 foods in a week and the increase to 4 over a 10-day period was now ringing some serious alarm bells in my head. Mike and I knew full well that the chances were that I would be bringing home a less-than-stable M just in time for Christmas and were resigned to rolling our sleeves up and spending the holidaysSmall-Changes working hard to bring him back to a healthy position ready for the new school term. We weren’t happy about this situation, but felt there was really no alternative; we had to give their plan a try in order to find some answers.

Despite those misgivings, the ones I had fully voiced to everyone and anyone who would listen from the minute I first met with M’s consultant and dietician when we arrived at GOSH and that I continued to express through every step of the following 10 harrowing days, we set off on this plan with the hope that we would find another safe food for him and perhaps even start to understand what has been troubling his gut for so many years.

What wasn’t part of the plan was the continued reluctance of the medical teams in hospital to listen when I told them M was beginning to show signs that all was not well with the food challenges and that he was reacting to the foods;

the plan didn’t anticipate the reality of M’s bowel being so unable to cope that it refused to work properly by the time we were 10 days into the 2-week admission;

and it definitely didn’t include 10 litres of Klean-prep (the worst bowel prep known to man) being continuously pumped into his tiny body over a 6-day period in an attempt to clear the resulting chronic impaction.

Nowhere in the master plan had I seen fair warning that, by day 14, I would be rendered utterly helpless and only able to sit, holding his hand and massaging his aching limbs, as M was left bent double from the cramps that were consistently hitting an 11 on the pain scale, where 10 was classed as the worst pain imaginable.

dancing-in-rain

Somehow we limped through endless hours of pain and frustration and dashed hopes, and we survived. Somehow we talked and ranted and sobbed and challenged until finally the medics acknowledged that things had gone horribly wrong, and we survived. Somehow we managed to stand strong and stay strong and stand our ground and refused to compromise on what we knew was in M’s best interest, and we survived. Somehow we rode out the fiercest storms and learned to dance in the rain, and we survived. Somehow we found enough humour in each day to keep the smiles on our faces and to laugh the smallest of giggles, and we survived. Somehow we got through the unexpected and started to find our way back to our normality, and we survived.

But that wasn’t part of the plan.

Teal Pumpkin Project™ 2015

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My first real experience of Halloween came during my time as a student at Ottawa University back in the 1990s, when my Canadian friends took pity on a poor uninitiated Brit and introduced me to what is truly an unmissable event on the North American calendar. Every shop has a vast array of costumes to choose from, porches are adorned with carved pumpkins galore, houses are bedecked in lights and decorations to rival those put up for Christmas and entire neighbourhoods take to the streets on the night itself, pillowcases in hand, to offer the traditional “..trick-or-treat..” to the eager participants. Likewise, G and M have fond memories of their own P1000386Canadian Halloween experiences with cousins and friends and their outfits are still hanging up in M’s costume wardrobe as a permanent memento. It was, understandably, a big part of Mike’s childhood, but is not an occasion I ever remember marking in my own upbringing and at home, here in the UK, I can’t quite reconcile myself to the idea of sending my children out in their ghoulish fancy dress to knock on random houses in our village to ask for treats, when, for the other 364 days of the year, I’m drilling into them the mantra to not accept sweets from strangers. Whilst we might not be avid Halloween fans in our household, I know it is a custom that is becoming more and more popular around the country.

Of course, for children with food allergies, trick-or-treating takes on a whole new meaning as frighteningly they risk their health by collecting sweets that could unwittingly trigger an allergic reaction. This year in particular, I am glad that my children have no expectations of going out on Halloween as with M’s slim pickings when it comes to safe foods, I would have to take away every single sweet he was given and swap it for a M-friendly alternative; and would have to do exactly the same to protect G from her allergies too. However, thanks to Food Allergy Research & Education (FARE) in the USA, a relatively new campaign helps raise awareness of food allergies during Halloween season, seeks to ease parental concerns, promotes inclusion of all trick-or-treaters and asks households to pledge to participate in the Teal Pumpkin Project™.teal-pumpkin-project-allergy-friendly-Halloween

This national campaign was launched in 2014 and saw households from 50 states and 7 countries get involved in the Teal Pumpkin Project™ and FARE is hoping that this year an even bigger movement will happen with a target 100,000 households pledging to take part. The idea is simple and incredibly effective: if a household is prepared to provide non-food treats for any trick-or-treaters likely to call, they are asked to paint a pumpkin teal and place it in pride of place in front of their home. Their website also has a free printable sign to indicate there are non-food treats available, which can be downloaded here. Even though this initiative was originally launched in the USA, the project has gone viral through the various social media platforms and allergy parents around the globe are making the pledge for this October 31st.

So, what can you do to be involved? It’s easy, it really, really is and if you’re planning to actively celebrate Halloween this year, I would ask you to please consider taking part:PTPP-2

  • Don’t just buy sweets to hand out from your door, but take a little time to consider those who can’t enjoy these treats and buy some non-food treats for them too. The treats don’t have to be expensive: trading cards, stickers, glowsticks or stationery will all be gratefully received, so visit your local pound or dollar store and see what your money can buy
  • Once you have your non-food treats, paint your pumpkin teal and put it out where it can be seen. There will be many who won’t understand the significance, but trust me when I say almost every allergy parent will know and will appreciate your effort
  • Visit the FARE website and print out one of their posters or signs to put up in your windows to make it clear you’re taking part in this year’s Teal Pumpkin Project™
  • Take the pledge via the FARE website and encourage your family and friends to do the same

And remember, your involvement could make a big difference and ultimately save the life of a child like M. 

A Pizza restaurant success story

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Over the last few weeks, I’ve been blogging a lot about the new recipes I’ve been experimenting with and some fantastic restaurants we’ve found, who have been amazing at providing safe food for M. With food trials proving to be a far lengthier challenge than the medics imagined, the opportunity to gently encourage M back to enjoying eating out on occasion has been one we’ve grabbed with both hands in order to maintain some much-needed sanity and time-out from the kitchen. pizzaOur latest foray was back to an old favourite of ours, Pizza Express, as in the past 4 or so years we’ve enjoyed allergy-friendly meals out, school trips and birthday parties there. I thought it well-worth a return visit to see whether it could now meet our new and somewhat exacting requirements.

Our lunch-time adventures started with a phone-call to our restaurant of choice to see whether they would be able to cope with M’s diet or not. Whilst we don’t always phone ahead, we were going to be in a part of the city where alternative choices were not readily available and we didn’t want to be trawling the streets with 2 grumpy and increasingly hungry children in tow. Mike spoke to a very helpful woman, who was able to confirm that they had plain chicken readily available and would be able to provide the chicken and cucumber parts of the meal. Unfortunately, as we have found in other restaurants, Pizza Express couldn’t cook plain rice for M, but were more than happy for him to eat from our own stash of rice-cakes or crackers whilst the rest of the family enjoyed our lunch.

 

Armed with the reassurance we were after and having convinced a very reluctant M that we really needed to stop for lunch soon, we headed off to the restaurant. Our waitress was brilliant and didn’t bat an eyelid on hearing our requests for a goldstarsgluten-free, dairy-free American pizza with goat’s cheese for G and a plate of plain chicken and cucumber for M as well as Mike and my more normal menu selections. The plates of food arrived and my picky pair set to trying it all out. The top marks out of 10 (an unbelievable 10/10 from M), empty dishes and requests for seconds that quickly followed were a sure-fire testament to the meal itself and we are delighted to have found yet another M-friendly restaurant for us all to enjoy.

Yet another chicken recipe!

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We might be nearly 9 months into life with a NG-tube and in theory should have long since said goodbye to its presence in our world, but the reality is very different. M hasn’t been able to progress beyond our 4 staple foods and it is becoming increasingly challenging to make rice, chicken, cucumber and apple into a tasty and interesting combination for 3 meals a day. 20150710_203444M’s steady consumption of new favourites tempura batter chicken nuggets and arancini di riso has resulted in the purchase of our first-ever deep fat fryer – a piece of kitchen equipment I never envisioned gracing my kitchen’s counter-tops – and I have been concerned about the amount of fried foods he’s now eating on a regular basis. Thanks to a recent post on The Recipe Resource’s Facebook forum, I converted the cornflake-covered chicken balls to a M-friendly version and found a healthier twist to chicken nuggets for him to enjoy.

They were really simple to prepare and it would be easy enough to adapt the recipe to suit your tastes and dietary needs. I’ve added both sage and thyme to the mix and both proved popular with M and G alike and I’m sure you could spice them up with chilli flakes for a more “grown-up” flavour.20150723_190656 The quantities would be easy to adapt too, so that you only make what you need for a meal-time, although M has enjoyed them cold for his packed lunches recently too. I also took the basic recipe and made some crispy fish balls for M’s white fish challenge, which I’m sure, with a little bit more time and effort, could be moulded into all sorts of interesting shapes. It ultimately turned out to be yet another food fail, but M definitely enjoyed the bite-size fish nuggets whilst he could.

It takes a village

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village

Do you know that quote?  There’s a chance you might associate it with American presidential hopeful, Hillary Clinton and her 1996 book of the same title, but in fact it comes from an Igbo and Yoruba (Nigeria) proverb and has a sentiment that is echoed by numerous other African sayings.  It recognises the great value of having community involvement in a child’s upbringing, not just for the child and immediate family, but for the extended family and local community too.  As I have mentioned so many times before, we are incredibly fortunate to have an amazing community surrounding us, who are unbelievably supportive, and none more so than our fantastic village school.

Since day one, when G first headed in through their gates, we knew that this was a place that would offer our children not just a great education, but also a safe and secure place to grow and develop, all within walking distance of our home.  The children have had the opportunity to build strong friendships with others living nearby that will hopefully continue into their teenage years and beyond.  In the 2 years that M has been there, we’ve seen time and time again just how invaluable the school community is, not just to M, but to G and to Mike and me too. The impact of M’s ever-changing health has been particularly profound in the last couple of years and there is no doubt in my mind that the unfailing support of their school has been a steadying force for us all.

Without the readiness of the Head and other key members of staff to accommodate M and all his needs, we would have struggled to keep his education a priority this year and I doubt I would have been able to continue working.  Their willingness to have M in school as normal and to learn the intricacies of his NG-tube and feeding regime has allowed me to stay in my job, confident in the fact that this is a group of people dedicated to including M in every planned activity and who have taken on that intense in loco parentis responsibility without a second thought. This year in particular has tested their mettle with the demands of not just feeding tubes and complex allergy requirements, but of occupational therapy, dyspraxia and dyslexia added to the mix too.  His teacher, Mrs M, has been amazing and she approaches every new challenge with great positivity and an unparalleled sense of humour. www.amazon.comEven the minor hiccups encountered along the way – non-stop beeping, blocked tubes, leaking pumps and soaking wet clothes to name but a few – haven’t derailed her and that attitude has helped M cope remarkably well with all the changes this year has thrown at him.  I cannot thank her enough for being the rock that M has needed during school hours.

Equally, Miss K, G’s lovely Year 6 teacher has been a real blessing to us as a family and to G in particular.  She has encouraged G every step of the way and helped build her confidence throughout the year.  M’s hospital stay in December was difficult for G as he and I disappeared off to London for 2 weeks and couldn’t be around to help celebrate her 11th birthday or enjoy the end of term build-up to Christmas.  What made a big difference was Miss K, who was fully aware of all that was going on, made herself available to G whenever necessary, understood that emotions were high and made allowances when needed, and stayed in regular e-mail contact with me during our stay and also during the Christmas holidays, so she was as prepared for where things stood with M as the rest of us.  She is moving on from the school at the end of this term and I, for one, will miss her, especially as I was hoping she would be M’s teacher for his Year 6 year.

It’s not just the teaching staff who have done their utmost to give us the support we depend on, but the parents and children too and this past week I was left speechless by the thoughtfulness and compassion of M’s class.  Following his presentation during EGID awareness week, this group of enthusiastic 9 year-olds discussed different ways they could support him and focused their attention on the fact that he has to wear a backpack all morning, which contains his pump and his “food”. This is what happened next:

“We decided, as a class, that we would all wear a backpack for a morning so that we are able to understand a little of what M has to go through each day. Therefore, on Friday 10th July, it would be great if all of 4M could wear their backpack to school and keep it on for the whole morning!  If you can make it weigh about 2 and a half kilograms that will be amazing as that is the weight that M carries around each day.”

20150710_111650On Friday I had the privilege of going into school to see this amazing group plus teacher and teaching assistants with their backpacks on and to express my thanks, not just to the children, but to Mrs M and the school for encouraging and allowing them to show their support in this tangible way. His classmates have adapted well to M’s tube and accept it as an essential part of him.  They’ve asked questions and been interested in the whys and wherefores about it and then just forgotten all about it and carried on with day-to-day life, which is exactly what M has needed.

There have also been shows of support from parents, including one from a Mum I’d never met before and doubt I’d recognise again.  We were travelling back home late from our last GOSH appointment after a long, hot day in London and arrived back at our local train station.  As we reached the stairs of the railway bridge, I became aware of a fellow passenger catching up with us and smiled with her as she chuckled at the inane chatterings of my night-owl.  I paused to let her go past, but she slowed her pace to match mine and started an unexpected conversation:

“I just wanted to tell you that my children are at the same school as your son and came home and told us all about his presentation. They both raved about how amazing it was and how much they had learned from watching it and asking him questions.  I just wanted to tell you how impressed they both were, especially as they now understand a little more of what he’s having to cope with and we all think he’s incredibly brave.”

The conversation carried on until we reached our cars and said a quiet good-night. This for me is the advantage of having not just a child who stands out from the crowd because of his tube,Colorful solidarity design tree but also a community who is brave enough to have the confidence to speak out words of encouragement to a near-stranger because of a shared experience and the desire to add their voice to offer support.

From helping take G to school early in the morning to having my tubie home for tea; and from working hard with M to improve his handwriting to encouraging G to reach her potential and aim for the stars, our school, its outstanding teachers and the families who go there have helped us out along the way. This academic year has been a tough one, but we’ve survived all the bumps in the road with the loving support of the truly exceptional community that we live in.

Perfect pancakes

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During our recent GOSH appointment, the conversation naturally turned to the food I’m cooking for M these days and how we could continue to vary the options available to him with such limited ingredients. The subject had turned to our plans to introduce white fish and whether there were any M-friendly free-from fishfingers on the market, which there aren’t. I was just saying that I had perfected a rice-flour tempura batter, which would be ideal for making fish bites, when M, without looking up from the handheld computer device he was engrossed by, piped up to inform them that “…Mummy cooks me chicken nuggets and deep-fried rice-balls and flatbreads and pancakes…” before carrying on with his game. The conversation paused briefly as the dietician took note and then carried on from there, but it made me realise that I had never shared my rice-flour pancake recipe and I vowed to change that as soon as I could.

20141007_173343Pancakes are one of those recipes that I attempted very early on in our free-from journey and are still a family favourite 4 years on. I make the big, fluffy ones most associated with North America and use the batter as a basis for other savoury treats such as corn or courgette fritters. The basic recipe contains very few ingredients and proved easy to convert to the updated M-friendly version that you can find here. I flavour them with a variety of green herbs and they form a tasty accompaniment to any meal, enjoyed by the whole family, not just M and I even cooked them recently when he had a friend round for tea, where they proved to be a hit.

One of the best things about these pancakes, other than how quickly you can whip up a batch, is just how versatile they can be. With a few careful choices about flavours, they can be either savoury or sweet and both have proved popular with M. They will also form the perfect platform for our mini-challenges on spices and flavourings over the coming weeks, which I know M can’t wait to try.

Quick update

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Stocks-Update-1With 2 weeks left to the end of term, there’s so much going on that I’ve barely got time to sit down and commit any useful thoughts to paper, so I’m afraid this post is just going to be a quick update.  We’ve just had our first appointment in the new “Complex gastro and nutrition” clinic that our consultant and lovely specialist dietician have started at GOSH.  The thinking behind this new clinic is that for children like M, who have a chronic gastro condition such as EGID as well as significant, complex and multiple food allergies, there needs to be regular meetings with both a gastro consultant and a dietician to ensure that everyone is singing from the same song sheet when it comes to treating the health of that child.

Hospital appointments always induce mild nerves in me, but this time round I felt more apprehensive than usual.  We are now into month 8 of the NG-tube, when the initial plans were that M would have it for no more than 3 months at most and I was concerned that there might be discussion about removing the tube in the near future.  M’s health has been so significantly improved since we went elemental in December that I don’t want to rock the boat any more than is necessary until we have a huge improvement with his diet.  generic round label_1265358343With only 4 foods on our “safe” list out of 12 tried so far, it has been a much longer process to reintroduce foods back than any of the medics expected, although, to be honest, Mike and I had always anticipated it taking a full year, if not longer.  At the moment, M is coping well with his tube and is keen to keep trying new foods, so there are no concerns that the presence of the tube is having a detrimental effect on him in any way.

So, in a snapshot, the outcome of our appointment was this:  that on almost every level, his health is remarkably stable right now and even his hay fever isn’t causing too many issues this year; but the area of most concern continues to be his ever-growing list of multiple food allergies.  Our dietician is very worried that M is struggling to tolerate so many foods and now refers to him as one of her “biggest, but loveliest challenges”.  The process of reintroduction has been so slow that until we have at least another 2 or 3 back in his diet, we cannot change the amount of E028 he’s having via his tube and so the tube obviously needs to stay in place.  We have chosen the next 5 foods to try – white fish, pear, GF oats, venison and coconut – and will also be doing some mini-challenges to see if we can have some more spices and flavourings to add into my recipes.  I will continue to remain in regular phone contact with her throughout these trials and we will keep persevering with the food challenges until our next scheduled appointment in around 4 months time.

Another food and an unexpected insight

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This moment has been an awfully long time coming, over 4 months and 7 food fails in a row in fact, but finally we have a fourth safe food to add to M’s repertoire: apple.  The last few months have been emotionally tiring as we’ve worked our way down the list of food challenges agreed with our dietitian and M has systematically, and holy-grailsometimes dramatically, failed each and every one.  It has felt as if that elusive fourth food was our personal Holy Grail and there were times when Mike and I both began to wonder when we would ever achieve it.

One of the complicating factors we’ve had to deal with during the food challenges has been the whole host of reactions that we’ve seen along the way.  We were never told, as far as either of us can remember, that it was possible to see so many different allergic responses to the varying foods M was trialling and we were certainly not advised that he could experience some that he’d never had before.  His severe oral reaction to sweet potato was, in many ways, the easiest one to identify, even though horrendous to see happen, as we knew immediately that it had to be an instant fail; but the others have not necessarily been so straight-forward.

complicatedOur main goal is to maintain the improved health and toileting that M has achieved since he first went elemental back in December and even though that has meant ruling out some foods that would have been great to have back in his diet, I remain firm that his well-being, both physical and psychological, is our primary concern.  At our last appointment, we discussed with both M’s consultant and dietitian our approach to the food challenges and agreed that anything that causes a loss of bowel control, of any description, has to be considered an instant fail for the time-being. These foods are not ruled out permanently – well, sweet potato is as far as I’m concerned! – and we will, without a doubt, revisit them at some future point once we have more safe ones back.

Sadly he has reacted to some of his old favourites, but he has coped admirably well with accepting the outcomes.  He still remains reluctant at times to acknowledge exactly how he is feeling and telling us about the aches and pains we know he must be experiencing, but 9 years of parenting M means that I have become highly attuned to his moods and can sense when he’s feeling under the weather.  His willingness to lose a food again at times has indicated to us that he also identifies when it’s making him feel poorly, especially when he has been prepared to fight for those that he believes he can cope with.

Never was that so true as at the start of our apple challenge.  During the first couple of days, his body reacted with hives and itchy skin, just as we saw when we first reintroduced rice and he also struggled a little with his bowel control.  However, unlike with other foods where he has reluctantly agreed that it was likely a negative response to the challenge, this time round M insisted that the fault was his for not listening to his body and responding quickly enough and that he felt he was still in complete control.

10 days on and he has proved to be right, which is a valuable lesson for us all:

We have spent years fighting for our voice to be heard when it has come to M’s health and each step of the way have been shown to be right in our concerns and our thoughts for his ongoing treatment.  It seems that now we need to start listening to what M has to say too and take into consideration his opinions and insights about his body.  Of course, at 9 he is nowhere near old enough or responsible enough to make his own choices or sway our decisions unduly, but, just as I have spent a long time arguing my place as the expert on the subject of M because I’m his Mum, now as Mum I need to encourage him to be his own best advocate and take an active and involved role in his care.  After all, that’s a key part of my parental role.apples7

And whilst I ruminate on this latest insight into M’s development, I’m eagerly gathering ideas and recipes to incorporate apple, in all its glory, into his diet.  So far, we’ve ventured little further than apple juice, apple slices and apple pancakes, but with the help of good friends, including one whose son is just a few steps further down the food challenge road than M, and great resources such as The Recipe Resource, then apple crumble, apple crisps and apple cakes are all on our horizon.