Starting out her b-day right! |
Exactly one year ago today, Madeline and I sat in an exam
room in Dr. Chad Mayer’s office, Comprehensive
Food Allergy Clinic of Michigan, for her first day of OIT, Rush
Day - she was given miniscule amounts of peanut flour, dust really, in
juice. Every 20 minutes, Nurse Lety came in with more of the offending liquid
and I sat nervously awaiting a symptom to appear. Maddy began OIT
the day after her 7th birthday with tears in her eyes from the
anxiety that filled her, though she allowed her nerves to calm as it quickly
became clear the little bit of peanut was not sending her to the hospital that
day, or any day forward for that matter. Oral immunotherapy or peanut
desensitization is a dream come true as far as we are concerned; the answer we
had been looking for to solve our food allergy problem and today – our one year
anniversary of the day Madeline began OIT - we celebrate this miracle!
In light of the most recent events to hit the news, I am
extremely thankful that we found private practice OIT when we did. Natalie
Giorgi, a young teenager, just 13 years old and anaphylactic to peanuts, lost
her life after mistakenly eating a snack with peanut butter in it at a summer
camp with her family - even after multiple doses of epinephrine were given.
Multiple doses. The family reports that they were diligent about the peanut
allergy even though Natalie had never had a severe reaction, just as many food
allergy families are. Just as we were before OIT.
Enjoying the day! |
This story has rocked the food allergy world. It’s rocked
the world of anyone who has a food allergy plan because so many of us feel safe
that our plan will get us out of a sticky situation if ever needed, which we hope beyond all hopes that we never do – I’m sure Natalie’s father,
a doctor, felt the same. The epi is our security blanket and when we hear a
story so devastating - it’s terrifying. Natalie’s story hits too close to home
for those of us who have lived with food allergies, the possibilities sound all
too familiar. This could be our child –
home or away from home. Parents of food allergy children need people to understand
this is why we “hover,” – why we stay for birthday parties, why we call ahead
to check each menu item, to look through ingredients lists, or bring our own
food. Food allergy parents cannot simply drop off their child, let them gobble
up cupcakes, candy, or even homemade fare. It may seem obsessive but a FA parent
must be overly concerned with anything that comes into contact with their child’s hands or lips – toys, desks, baseball bats, especially food. To an outsider, it
may seem overprotective, but to parents of children with food allergies, it
just makes sense.
Madeline turned eight years old yesterday; today she
celebrates one
full year of OIT. Much like I imagine the Giorgi family did, we lived, we
breathed, we slept food allergy. We were raising Maddy to be diligent, though, to
ask questions about her food and, like Natalie, she had never had a severe
reaction. Until OIT, we worried, we became anxious, and we fretted about “what
could happen if.” And as she became older, we began to keep her from things
just in case there was food involved or because we couldn’t be with her. In fact,
next week, she will attend her first ever summer camp – without us. OIT allowed
that to happen. Food allergies ran our life because we needed her to be safe. A
world of possibility has opened for her – happier, healthier, and
safer.
When peanut allergy desensitization entered into the picture
– our picture - we felt safer almost immediately. As she progressed
into the therapy, graduating
from the program, and reaching the maintenance phase almost 6 months later, we never
looked back – we didn't regret a moment. This was the best decision, our family
could have ever made. This week’s news solidifies that decision in our minds. My heart is heavy for the Giorgi family and my prayers go out to them deeply. I can only imagine the grief they must be feeling.
We really know how to party! |
Numerous articles detail the horrific events surrounding the
death of Natalie Giorgi and many try to analyze what went wrong, including varying
anaphylaxis
plans between allergists. While reading these, I can’t help but think about
our last year and where we could be without OIT and the appreciation I have for our doctor,
our supportive family and our friends. I was especially taken back to one Sunday in
particular. As it turns out, I’m not very good with dates. It was a few months ago, though, well beyond
our OIT graduation date - we’d relaxed well into a new routine of allowing Maddy
to grab her own snacks or treats at church
functions and more. After she was given the “all clear” from the good doc, she jumped
right into eating anything she wanted, and asked us to stop reading labels from
the get-go, and except peanuts and peanut butter, still her least favorite flavors, she was trying lots of new things! OIT suited us, especially our happy little Maddy!
So, when she walked over to me in the fellowship hall at
church and said, “Mama, this is peanut butter, I don’t want it,” out of pure habit my heart
immediately flip-flopped, dropped about two feet, and a slight panic rose in my chest when I saw the gigantic bite
out of the large peanut butter cookie. The words tumbled out of my mouth as I tried calmly to look
her over, “Are you ok? Does anything feel funny?” But my body relaxed when
she said, “Yeah, I just don’t like it.” Phew. Bite-proof.
Thank you, OIT. Thank
you, Dr.
Mayer. One year ago, our story may have been very different. One year ago I
may be like those of you also wondering - when? When do I give the epi-pen?
When do I give Benadryl? When do I call the ambulance?
I am glad to have that anaphylaxis plan in place, but I understand that it is one thing to have that plan and those medications in hand and
yet another to live through it in an emergency. I am thankful each day for this
new life that OIT has allowed us.
It is more than just bite-proof, more than cupcakes at a birthday party or new foods in our cupboards. It is beyond all of that; something immeasurable that words will never explain. And for that I am grateful.