Tag Archives: Dairy free

Year 6 Camp, here G comes!

This weekend has been a busy one, perhaps busier than expected for me given that Mike and the kids have been away on their “Dads and kids” camping trip.  Instead of taking time to spoil myself in peace whilst they enjoyed the glorious sunshine and camp activities, I sorted, washed, shopped and ticked things off a list, all in preparation for G’s Year 6 camp next week. She’s there for 4 days of adventure: from archery to rock climbing and caving to kayaking, and it’s promising to be an adrenalin-filled time away from home.  It will be the first time she’s stayed away for any length of time, apart from during school holidays with my Mum, and I know she’s been feeling a little apprehensive about it all.  The strain of not knowing in advance who she’d be sharing a room with took a bit of the shine off her excitement and she was anxious to confirm that she could opt out of the caving, the one activity she has said she doesn’t want to do since we first heard about camp back at the start of the year.

The one part of her week away that has not been of concern for her has been the one that I’ve been able to contribute to:  her food.  I’ve met with her teacher, Miss K, and the Head throughout the year to discuss the catering arrangements at camp and had an unprecedented 3 meetings the week after half-term as well as multiple e-mail exchanges to ensure the final plans were watertight.  Miss K spoke to the camp cook to discuss G’s dietary needs and was reassured that they are well-used to catering for children with food allergies.  We had talked about the types of food that would need to be considered for G – GF bread (Genius brown), DF spread (Vitalite Dairy-free) and DF milk (Rice dream) amongst others – and armed with brand names, Miss K has been able to confirm with the camp that these will be available for G.

Mr._WorryI am confident that breakfast and lunch will be okay, but it is still the dinner arrangements that are causing me mild moments of suppressed panic.  If G was “just” gluten-free, I’d have fewer concerns; if she was “just” dairy-free, I’d be only mildly worried, but the combination of both, whilst so much easier to manage that the multitude of allergies of others in our household, requires a little more forethought.  When discussing the menu with Miss K, I realised just how much planning is needed to make G’s meals safe, something that probably seems strikingly obvious to everyone else, but is so second nature to me that I’ve had to learn how to effectively micro-manage these finer details.  It’s not as simple as ensuring that GF pasta is cooked for lasagne or GF sausages provided for sausages and mash as she can’t have cheese or white sauce, mashed potato needs to be made with both DF milk and butter and there’s the hidden use of flour to thicken sauces.  Those are the little things that sometimes slip under the radar.

So, the school and I have reached a sensible arrangement.  I am providing some safe foods for the week for G for those “just in case” moments – cartons of rice milk, safe drinking chocolate, GF breakfast cereal and a loaf of GF bread.  There will also be a packet of GF pasta and a GF/DF curry sauce tucked in that will take up little space, but will give me some invaluable peace of mind. I’m also packing a special camp “swap box” as an alternative to the lure of the vending machines that her friends will undoubtedly be pillaging at all times of the day and night.  In there will be safe biscuits, snacks and a few bars of our ever-favourite Moo-free chocolate to ensure that she has the opportunity to gorge herself at midnight alongside her room-mates.

Today I handed over that precious bag of food and, tomorrow morning, as M and I wave her off on her adventures, I know that she’ll enjoy a mostly worry-free fantastic week away with her friends and my concerns need only be small.

Feast or famine

There are times when recipes, just like buses and blog-posts, can be hard to find and then, just when you think you’re in for the long haul, a whole host of them appear from nowhere and flood your every waking moment.  Over the last few weeks, I’ve been desperate to find some more alternatives to plain chicken and rice to tempt M’s taste buds and it is thanks to some canny suggestions from M’s dietitian, a lovely reader and even my hairdresser that this past fortnight has seen me trialling some new inventions of my own.

or-kitchen-gf1Today’s recipe is one that might not appeal to everyone, but it has certainly been a huge hit with M:  Chicken Liver pâté.  Both G and M love pâté and when they were little, I found a quick and easy recipe and regularly used to make my own.  I’m not quite sure why it didn’t cross my mind to revisit this recipe in recent months, but thanks to a throwaway comment from our lovely dietitian about the possibility of cooking lamb’s liver and kidneys when M trials lamb, Chicken liver pâté suddenly sprang to mind. I spent a productive hour or so flitting between my computer and my recipe books, searching out traditional recipes as well as some that are dairy-free and quickly came to the conclusion that, with a clever few tweaks and variations of my own, this was definitely something I could cook up for M.

20150602_182343The base ingredients are easy to source: chicken livers, oil, rice flour, rice milk and herbs and seasonings; and I think that the recipe is easy to follow.  In my latest batch, I also added the last remaining drops of the “Rice whip” rice cream I had managed to buy months ago, which gave the pâté a creamier texture, but isn’t necessary to make a spread that everyone can enjoy. The pâté has given M another fab alternative to the monotony of his daily meals and he’s currently loving his pâté “sandwiches” (rice cakes with pâté) for lunch, instead of the dry alternative.

20150610_175428Pâté perfected, it was now time to put my second plan into action and create a M-friendly version of Beef Wellington.  Sadly at the moment for us there can be no pastry, mustard, mushrooms, crepe or indeed beef, but there is chicken, chicken liver pâté, cucumber and rice and that, I decided, was more than enough.  I carefully cut into a chicken breast and created a pocket, which I filled with thin slices of cucumber and lashings of the pâté.  I coated the filled breast with a rice crumb and then oven-baked.  M tucked into it heartily last night and devoured the lot, which was just amazing to see.  So that’s another dish to add to my repertoire, though perhaps the end result was more “Chicken Kiev“, than “Beef Wellington”, a “Chicken Wellington” you might say!

 

Flatbreads and Fajitas

It’s been quite a while since I last had a new recipe to share, but this one has become a definite favourite at home and M asked me to share photos of his “most delicious meal ever!” on my blog.  Chichen_Itza_El_CastilloWe are still stuck at 3 safe ingredients plus oils for cooking at the moment and it’s becoming more and more difficult to make rice, chicken and cucumber even remotely interesting to eat at every meal-time.  The inspiration for this new recipe came from G and her current post-SATs topic about the Mayans.  They had been looking at food in current day Mexico and she came home raving about wanting to try fajitas:

Once M can have some more foods, then you could make him spicy chicken and find some safe wraps and then we could both try chicken fajitas.

Her enthusiasm was catching and, as G is so often reluctant to try new flavours and ingredients, I started to wonder whether I could jump on this Mayan bandwagon and transform our staples into a version of this popular dish.  My first challenge was to find a recipe that could provide the wraps needed and stumbled across this great one for rice flour flatbread.  Deciding to not run before I could walk, I started by trying my hand at making flatbread and seeing what response it got from my discerning duo.  The recipe was easy to follow and simple enough to accommodate M’s new food needs as it just requires rice flour, water, oil and salt.  Flatbread made, I nervously served them and watched the entire plateful disappear before my eyes – an instant hit.

The original ingredients- I failed to get a photo of the finished fajita!

The original ingredients- I failed to get a photo of the finished fajita!

With the flatbread puzzle solved, it was now time to construct some M-friendly chicken fajitas for dinner.  I finely sliced some strips of cucumber, pan-fried some chicken with lots of black pepper and thyme (he’s not yet allowed to trial chilli flakes or anything spicier than green herbs) and used some of the home-made chicken liver pate I’d perfected at the weekend to add a little something extra.  He wasn’t quite sure how to put them together, so we decided on a thin spread of pate on top of the flatbread, a sprinkling of cucumber and some small pieces of chicken, before rolling the lot into a shape vaguely reminiscent of a fajita.  G added some sliced carrot and mayonnaise to hers and they both quickly scoffed the lot.  This is the first “sandwich” M has been able to enjoy in a long time and I doubt it will be the last!

United we stand

Yes, you guessed it, today is:

U for Unite-page0001

and signifies perhaps the hardest challenge we’ve taken on for EGID awareness week, ever. This week Mike and I are standing in solidarity with M and with all those other brave souls out there who have to battle with EGID every day and have no chance to opt out when things get tough. For the past 2 years, I’ve documented how we’ve followed M’s diet for the week, restricting our diets as he has to restrict his and even drinking the occasional glass of Neocate Active to get a glimpse into that aspect of his life.

IMG_0940When we first started planning our activities for this year’s awareness week, I briefly considered eating like M again, but dismissed it, thinking that the limitations of 3 ingredients and a litre of E028 on a daily basis might just prove to be too much for both Mike and me.  However, fast forward a few weeks to my preparations for my newspaper interview and I revisited the idea of “eating like M” and wondered if actually this might be something we could achieve.  I chatted it over with Mike, debated whether we could do it and, both being keen to give it a go, decided this would be our diet for the week.  Each day will be filled with 3 meals of rice, chicken and cucumber prepared in a variety of ways and Mike will even be drinking the litre of E028.  I have undertaken this with careful consideration of my own T1D and will be keeping an even tighter eye on my blood sugar management to make sure that I stay fit and healthy during the week.  I have also opted out of the E028, but will be partaking in a pint of Neocate Active everyday to show willing.

We’re not on our own either as there are other parents, family members and friends who will be spending some or all of this week eating like their loved ones. Trust me, it’s not an easy decision to make, but is a great way to raise awareness and get conversations started, which is reason enough to stick to it for a week. I am filled with admiration for just how well M has coped with such a bland diet for so long and have been struck with the harsh reality of how much pain he must have been in for years to be able to cope with these limitations just because it’s helping him feel better. Three_Musketeers_SwordsSo tomorrow when you’re tucking into your bowl of honey nut corn flakes or a bacon roll for breakfast, or sitting with your feet up dunking a chocolate biscuit into your cup of tea, or perhaps even enjoying a plate of fish and chips for tea, spare a thought for M and the others like him who are eating a restricted diet right now or may not be able to eat anything at all.  This week it really is a case of “All for one and one for all“.

“Elementa(l)ry, my dear Watson”

(with profuse apologies to all Holmes fans out there, but I just couldn’t resist!)

As we head into our 5th month of E028, the positive impact of the elemental diet on M is plain to see.  Family, friends and even casual acquaintances have commented on his improved health, behaviour, appearance and overall much happier demeanour.  We have seen glimpses of the happy-go-lucky, confident and outgoing child he can be when constant pain is not plaguing him and we have celebrated that success with him.  We’ve even embraced the somewhat daunting prospect of food trials despite the lack of useful advice we were originally given and have ploughed on regardless, surviving the highs and lows of this latest rollercoaster ride. Believe me, there have been plenty of both.

The highs have been encouraging; 

highsWe have successfully reintroduced rice, chicken and cucumber to his diet and he’s loving being able to eat something solid once again.  I’ve adapted, tweaked and sometimes created from scratch recipes to give him a range of meals that make meal-times more exciting than just plain boiled rice, grilled chicken and a few slices of cucumber 3 times a day.  We’ve even found a new favourite in rice noodles, something he would never eat when he was small and, thanks to the advice of 1 kind reader, I have even managed to lay my hands on a bag of the elusive rice pasta and he’s enjoying the variety to his diet.  The bonus of finding some amazing allergy-friendly restaurants earlier this month was a real boost and will make a big difference to us all.

M has stayed positive and has very much been involved in making the decisions about what foods he trials next.  We are working closely with our GOSH dietitian to choose our hit-list of foods in a balanced manner and I speak to her every 2 or 3 weeks to provide an update on our progress.  Even better, she is constantly contactable via e-mail, which has given me huge peace of mind as I know I can ask her any questions I might have and she will always come back to me by either phone or email, even if it’s just to say she’s looking into it and will let me know.  We’re once more on a small break, but are looking forward to attempting carrot, corn and apple over the coming few weeks.

And the lows have been exhausting.

exhaustionmanageI never realised just how exhausting the process of food challenges would be and that’s on all levels: physical, mental and emotional.  Each new food starts with the excitement and hope that it will be a safe food for M and managing expectations has become key.  It feels easy at the moment to be downhearted as we have had 4 fails – pineapple, pork, sweet potato and banana – and a question-mark over the 5th – salmon; but it’s critical we stay positive as there are an awful lot more foods for M to try, and every success brings with it many more options for meals.  Unfortunately, every fail leads to disappointment and discouragement and we have to pick ourselves up, brush ourselves off and look forward to the next one as best we can.

The need to be constantly alert to the risks of cross-contamination during food prep, as well as ever-vigilant about rogue additions to lists of ingredients and being constantly alert to any signs of a reaction in M, requires a stamina I didn’t know I had.  That is something I’m sometimes finding it hard to hang on to.  Whilst we are almost desperate to successfully introduce another ingredient to our meagre list, it’s become clear that we have to do it at a pace that suits M’s pernickety digestive system, and that seems to be a very slow rate indeed.

SHERLOCK_HOLMES_-_01-743978However, despite the exhaustion and the blood, sweat and tears shed in the name of finding another safe food, the future is looking bright and M’s better health gives us all a reason to keep going, even when it seems tough.  To have him in the best health we’ve known for 9 years means that our decision to go elemental really was…well…”elementary, my dear Watson.”

Dinner Plans

The beauty of staying in the amazing Applause apartments in East Aldgate was the ease with which we could accommodate M’s current dietary requirements at mealtimes.  Every morning, he and G enjoyed a bowl of safe cereal and rice milk for breakfast, whilst Mike and I had coffee and brioche before we headed out for the day.  Once breakfast was done, the children and I would finish getting ourselves ready and Mike would make and pack lunches for us all.  The ability to prepare packed lunches was just what we needed as not only were we able to meet M’s extreme food requirements, but also the dairy- and gluten-free needs of G.

20150414_174629On our first day there, we stumbled across a fantastic shop called “Planet Organic“, where we were able to pick up some previously undiscovered M-friendly bits and pieces, including mini rice-cakes, which are perfect for his lunchbox.  Of course, with the packet now nearly empty, the race to find them closer to home is on before he finishes them off.  The brown rice noodles have also been a massive hit and make mealtimes just that little bit more interesting than they have been over the last 3 months.  Sadly, the one thing we had been hoping to find, rice pasta, was sold out and so my search for that alternative continues.

The more interesting task was that of our evening meal.  One of the things we have always loved to do is eat out as a family and it is one of the things that M in particular has found hardest about having his tube.  We have had a wealth of experience over the last decade of finding restaurants that will accommodate the ever-changing dietary needs of G, M and even me and we had settled on a few firm favourites that we knew would almost always meet our requirements.  Of course, the option to cook dinner where we were staying was great to have, but Mike and I were both looking forward to having a break from the monotony of 3-ingredient dinners and decided to do some focussed research before we even left the comfort of our own home.  We spent hours one evening trawling the internet, finding restaurants in the areas of London we were likely to be near at meal-times, looking at their menus and investigating whether they had allergen information readily available to read then and there.  To our delight, we found a few where we knew we could cater for G and where it seemed probable we would also be able to order safe food for M, and we couldn’t wait to put our selection to the test.

20150408_181702Our first was Giraffe, which is just round the corner from GOSH and a popular choice for our post-appointment dinners.  When we got to the restaurant, I asked the waitress at the door whether they would be able to cook safe food for M before she had time to find us a table and the response was fantastic.  She turned out to be the restaurant manager and headed off in the direction of the kitchen to talk to their chef and find out exactly what our options were. The chef assured us he could cook plain, boiled rice and grill a chicken breast for M without using any oil, so, feeling hopeful that this could prove a success, we found a table to enjoy our first family meal out for 5 months.  M was delighted with the plate of food that arrived for him and had no allergic reaction to any of it, reassuring us that Giraffe is a safe choice for the future.

IMG_0940As it turns out, Giraffe was the only restaurant we ate at that was able to cook plain rice for M, but we enjoyed 2 other great meals out and  both restaurants were more than happy for M to munch away on his own rice-cakes to accompany his chicken and cucumber.  The second restaurant was Bella Italia, a popular restaurant chain found across the UK and we had dinner at their St Martins Lane branch.   Again, our waiter worked with the chef to ascertain exactly what could be prepared for M and this amazing plate of food arrived – M joked that he thought they had cut him up a whole cucumber to make up for the lack of variety on his plate.  We were also impressed with how much their gluten-free offerings had improved since the last time we ate there as G was able to enjoy some GF garlic pizza bread alongside her GF margherita pizza with pancetta and ham with goats cheese.

20150411_152613My final recommendation is Jamie’s Italian and I can’t begin to tell you how impressed we were with the excellent service provided at their Canary Wharf restaurant.  From the greeter who listened to our initial needs to the manager who came to answer our questions before we even got to the table, they were keen to reassure us that they could meet all our requirements.  As for our amazing waiter, Tom H, he listened carefully and patiently to what we needed, made sensible suggestions based on M’s safe foods, checked with the chef that everything could be prepared safely and treated M just like any other child eating in the restaurant.  He was delighted with the plate of food that arrived at the table as it was presented in the exact same way as G’s dinner and his unparalleled attempt to eat almost all of the food served earned him the same prize that G was awarded for eating her salad – an achievement that we rarely manage at home.

All in all, our trip to London proved to be a fantastic and unexpected success when it came to our dinner plans for our stay.  We found 3 restaurants who were prepared to go the extra mile, make the effort and help us enjoy some great meals out.  Even better, M had the opportunity to feel more “normal” than he has done in a long time, which, for us, was absolutely priceless.

A tri-umph of rice-themed goodies!

Recently I’ve been spending my time baking and cooking up a whirlwind as the days ahead have been looking busy.  With a day for G and M at the holiday club run at Mike’s work, an appointment with M’s consultant and dietitian at GOSH to review his progress 4 months post-tube and a planned short stay in London to see the sights and to dip our toes into the world of being away from home with NG-tube in tow, a plethora of safe snacks and treats for M were much in need.  I prepared rice pudding, rice-flour sugar cookies and rice krispie cakes to satisfy the appetite of my youngest and to reassure myself that we would have some things with us to feed him whilst the rest of us enjoyed some much-missed meals out.  I also used the opportunity whilst trialling banana to add some to the mix and made some banana sugar cookies too.

The recipes can be found in the everything-free recipes section and are so easy to follow that next time round, my plan is to be sitting back with a cup of tea, whilst G and M get on with the task of creating their own delicious masterpieces!

20150314_213802 20150321_191535

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Who knew you could make so much from rice, sugar, rice milk and canola oil?  Any other suggestions for simple recipes will be very gratefully received!

Hotel Chocolat – New “Dairy-free” Chocolate range (Hint – it’s not!)

Don’t know if any of you have invested in the new dairy-free Hotel Chocolat Easter chocolate as a treat, but had this warning today via a lovely reader of my blog and thought it important to share…

**IMPORTANT UPDATE**

“Hi,

I have two children with EGID (9 and 5). Hotel Chocolat marketed / launched a milk free range for Easter which I have a tonne of in my cupboard but which it now transpires is made in a factory that uses cow milk. My kids are mega sensitive and after eating some have stomach ache/ diarrhoea.

I received an email from HC YESTERDAY (seriously ) to say it might have traces of dairy from the factory – nothing on the packaging and I checked with the manager. We bought a load of their chocolate as it is soya free too – no soya lecithin even.

Not a happy Easter for us …perhaps relevant to your readers?
(Knew I should have stuck to Moo Free! So annoyed).

Abigail”

Thanks Abigail for sharing 🙂

Easter weekend

Last year, Easter weekend was all about…

20140419_203912

A slice or two of this

20140418_154823

  …several of these

moo free

….and quite a lot of this!

This year, it’s more about this…

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Happy Easter!

“Muuummm, what’s for tea tonight?”

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Oh how this resonates..

If your family is anything like mine, that question usually comes just as you’re struggling through the door: with house keys in one hand, car key gripped firmly between your teeth, handbag on one arm, cello on your back, mobile phone pressed to your ear as you attempt to talk to the dietitian/consultant/other healthcare provider, who’s asking if now is a good time to talk and you can’t say no as you’ve been trying to contact them urgently for at least the last 3 days and who knows when they might call again; plus the school bag(s)/shopping bag(s)/extraneous bag(s)* (*delete as appropriate) you’ve picked up along the way are weighing down your other side and threatening to upset the delicate balance you’ve perfected in your struggle to cover the 100 yards or less from your car to the house.  Meanwhile, your curious offspring are waltzing in behind you, or possibly squeezing past you, through the already impossibly small and too-narrow-to-negotiate-safely doorway, bearing no more than a half-empty water bottle and their coat, worn superhero style to leave their hands free to carry absolutely nothing else at all.  And just as you think you’ve achieved it and managed to get everything safely inside, they open their mouth and ask that unavoidably fraught dinner-question and the peace shatters and your world tumbles down around your ears.  Does any of that sound familiar or is it just my household?

For M at the moment, my answer is fairly standard, although he adds his own unique twist by asking if dinner will be “chicken with rice and cucumber” or perhaps “rice and chicken with a side of cucumber”?  For a while, when he was still 100% elemental, he would even ask if he could have “air-sticks” – “like bread sticks you see, but without the bread” – showing that the ability to laugh his way through this experience is his greatest strength in beating this disease.  I have become a self-confessed expert in cooking with 3 principle ingredients – rice, chicken and cucumber – and the bonus extras of herbs, rapeseed oil and sugar.  Rice has been broadened to include its derivatives and the inclusion of rice milk, rice cream and rice pops (as long as they’re gluten-free) has added to my ever-increasing repertoire of 3-ingredient recipes.

Rice-flour sugar cookies

Rice-flour sugar cookies

In the past few weeks, as well as my fall-back favourites of roast or grilled chicken with plain boiled rice, I have also perfected deep-fried savoury rice balls, chicken nuggets, chicken and cucumber curry, fried rice, chicken stir-fry, rice-flour sugar cookies and rice pudding.  My Mum has also made M a chicken breast stuffed with rice and cucumber, courtesy of the inspiration and some nifty hints suggested by our hairdresser and which was an instant hit with our young diner.  It’s surprising just how many different recipes you can create with just a few ingredients and there’s even a few more that I’m hoping to try out in the coming weeks.  What started out as a daunting challenge to entice M’s appetite and encourage him to once again eat whilst navigating the tricky world of identifying his food allergies, has become yet another success story in our household.

Letter-to-the-EditorSqareMy victory with such a limited range of ingredients has been all the sweeter given the recent UK news story of the letter sent to the Daily Telegraph newspaper by over 100 top chefs and restauranteurs condemning recent EU legislation requiring restaurants to provide information about which of the top 14 allergens the dishes on their menus contain.  It was never a requirement that they did not cook with these ingredients, but rather that they should be able to inform diners of what the food prepared contains, with the knowledge and pride in their ingredients that I would expect from any talented chef.  Whilst widely welcomed by those of us in the allergy-world as a step towards helping us make informed decisions about eating out, these chefs warned that such requirements would harm “…the spontaneity, creativity and innovation restaurants and others in the industry have enjoyed up until now.

Like so many others in my situation, I wrote a response on the Telegraph website, pointing out that this legislation will help me to protect my children and give them experiences that will ensure their continued health and enjoyment,  I do not deny that it’s up to me (and they as they grow older) to ask about allergens, but there’s no point asking these questions if the restaurants, waiting staff or chefs cannot provide the information needed and the lack of understanding about cross-contamination risks is sadly common across the food industry.

20140818_143459Our experience last summer in Disney proved that this type of requirement does not need to be restrictive as excellent allergen information was readily available and nearly everywhere we ate produced meals for G and M that rivalled those being served to any other customer there with a “normal” diet. The chefs were knowledgable, came to our table to discuss their allergy needs and made the effort to find out what my challenging duo would like to eat – excellent service all done with a smile.

The big challenge was always to cook M-friendly food and these days that task has become even more testing.  In my opinion, these rules will have little impact on spontaneity or ingenuity – try cooking or baking when you need to avoid wheat/gluten, egg, dairy, soya and potato to name but a few.  Ingenuity comes when you try to prepare a meal that makes your child feel that they’re not missing out and that’s something I feel I’ve proved is possible, even for an amateur cook like me.