Lessons Learned from a School Scare

School has only been in session for 2 weeks but I've already had my first official food allergy scare of the year. Here's what happened: on Tuesday my daughter was eating in the cafeteria with her class--though not at the peanut-free table. She decided to try and sit with the other kids and didn't know that so many of them had PB&J with them that day. Also, at least one kid was opening up a bag of nuts nearby.

The smell of peanut butter repels my daughter but she has been able to sit near people eating it many times in the past so she was surprised when she started to feel kind of sick. Thinking that if she moved, she'd feel better, she did so. It didn't help, so she sought out a cafeteria supervisor and asked to go the nurse. As the nurse watched, the initial nausea progressed to hives on her forehead; the skin above her eyebrow also began to swell. The nurse administered Benadryl immediately, then called me. I am fortunate to be close to the school, so I (literally) ran over there expecting the worse. However, the hives and swelling were abating by that time. I sat and watched her for 15 minutes and she kept improving, so no Epi Pen was required. Also, we determined that she hadn't ingested any peanuts or tree nuts and it's doubtful that she touched them in any significant way--she told me she had put her place mat down on the table before eating.

Facial hives and swelling were the first symptoms of my daughter's first, life-threatening allergic reaction so I was pretty well spooked until I saw that she was doing better. Had the swelling continued to progress, I would have given her the Epi Pen shot and called 911--luckily, she was so much better she got to return to class.

I like to learn something from these experiences and so I learned that: we have a good plan in place that worked. The nurse did everything she was supposed to do, as did my daughter. As I've discussed in posts prior to the beginning of the school year, having a clear emergency plan at school and discussing it with your child is crucial. Our experience certainly proves that.

Second, I learned that my daughter is more sensitive to peanuts/tree nuts in the environment than I previously had believed. Ingestion is still the worst case scenario but I compare her lunch table situation to my cat allergy. Put me in a large room with one cat and I'll be OK for an hour or two. Put me in a small room with 5 cats and cat hair everywhere and I'll have wheezing in 5 minutes. Obviously, she was just too surrounded--in the air and on surfaces, most likely.

Why wasn't she at a peanut-free table? Well, they have one, but we had decided to try and let her sit with the class on the days she stays for lunch. (Her school is a bit retro with regards to lunch: it encourages kids who are in walking distance to go home for lunch.) The school was built in the 1950s and has no official lunch room--the gym and multi-purpose rooms are used. So while other kids with food allergies (many in fact) attend her school, the set-up is a bit different from other schools that have dedicated lunch rooms.

I realized that even though she is mature for her age and understands her allergy, that's only part of the story. It's the peanut-free table for her from now on--clearly, she needs it. A lot of people think that segregating allergic kids at a peanut-free table is bad for their development, but I witnessed my daughter's discomfort and fear about her reaction and I can tell you that I know she'd rather sit at a peanut-free table than experience that again. And the good news is that her classmates are very accepting--some will even bring nut-free foods so that they can sit with her.

For anyone who questions whether or not they should approach their school about a nut-free table, please know that it's a good thing. Schools don't want the day interrupted by kids having to be rushed to the nurse or the hospital; they don't want kids to suffer, either.

We are lucky everything worked out the way that it did and know that while our intentions were good about having my daughter "integrate" in the lunchroom, right now she's just too sensitive with her allergies.

Healthy, Nut-Free Ideas for School Snack Time

My nut-allergic daughter attends an elementary school that permits a mid-morning snack from home--either eaten in the classroom or on the playground, weather permitting. As you can imagine, I've had to do some fancy footwork to make sure that the allergy risk to her is minimal with regards to this snack. The teachers have been helpful in this task and last Friday, our child's teacher sent a note home asking that the mid-morning snack be both healthy and nut-free.


In my experience, sheer numbers make it more likely that a classroom goes nut-free. For example, this year, 3 other students in my daughter's classroom alone (not counting the rest of her grade level) have a peanut/tree nut allergy. One child also has a dairy allergy. So the class is taking many extra precautions such as more frequent hand-washing and also limiting certain foods.


I realize that this can be difficult for other parents to comply with if they have no knowledge of food allergies. To help out, I am planning to share a short list of "nut-free" snacks with the teacher (and by this I mean they don't contain any nuts in their ingredients list) that can be eaten by everyone. As always, I welcome more suggestions from all of you, but here's my short list:

- Fruit. If you child likes it peeled and cut up and you're short on time, you can even buy prepared fruit slices or chunks at most supermarkets. Check out the produce section for varieties of pre-sliced fruit.


- Enjoy Life snacks. Enjoy Life provides allergy-free foods that taste great even if you don't have an allergy and this product is available at many more supermarkets than it used to be. Enjoy Life is sold at Whole Foods but also now at many of the larger supermarket chains. Plus, it's healthy!

- Whole grain cereals (nut-free). Many of these are good even eaten dry--Cheerios and the newer Multi-Grain Cheerios are favorites in our family.


- Rice crackers or mini rice cakes. Check the labels but many of these don't contain nuts.

- Small boxes of unsweetened raisins. They satisfy a sweet tooth but are loaded with iron and give an energy boost without sugar.