"The most wasted of all days is one without laughter." ~e e cummings

Wednesday, June 29, 2011

food allergies are SO last year

Have I ever mentioned how much I love Evan's allergist? It's a lot.

We saw him a few weeks ago for our every-couple-of-months check-up and he said that it was time to reevaluate these food allergies of Evan's. AND....while we were at it, why don't we just go ahead and test Max to see if we're unnecessarily avoiding anything (we are currently avoiding peanuts, treenuts, fish, and shellfish).

So today was the big day. They each received 20 pricks (peanut, cashew, hazelnut, almond, brazil nut, walnut, pistachio, pecan, sesame seed (because it's quickly becoming the ninth most highly allergenic food), crab, shrimp, salmon, tuna, and....hmmmm....I guess some other fish and shellfish. It was hard to keep track.). Evan then also received pricks for milk, egg, cantaloupe, and barley....milk and eggs because he still refuses to eat either in the raw form and his challenge "pass" to milk was questionable (read about it here, and here)...and barley and cantaloupe because he's always tested positive to them and has reacted to them either through rashes or eczema flairs.

They did great. They were such brave little patients during the test (lollipops helped) and such patient little patients during the two-hour long appointment (the iPhone helped).

But that's not the best part.

The best part is:
Both boys tested NEGATIVE to EVERYTHING (almost. Evan still tests positive to milk, but that's neither here nor there. We've seen him drink four ounces of milk with no reaction other than vomiting, so the fear factor of anaphylaxis following accidental ingestion is gone.). Max is allergy-free....well, almost. We still need to avoid penicillins, but I'm pretty sure no kid on the playground is ever going to offer up a taste of some antibiotics.

We're not going to go celebrate with a dinner of pecan-crusted tilapia just yet....we'll need to get Evan a RAST test (a blood draw that will indicate his immunocap numbers...numbers that predict actual allergies, not just the likelihood of a reaction, like a skin test predicts). But a negative skin test is 95% accurate, so we're quite optimistic that these pesky old food allergies are rapidly becoming a part of our past.

Evan might never drink a glass of milk or eat a bowl of ice cream. I don't care, and neither does he. I can now very confidently imagine him going off to kindergarten without me worrying about what the kid sitting next to him in the cafeteria packed for lunch.

Now to find something else to worry about....like, maybe that kid sitting next to him will teach him bad words...or inappropriate jokes...or...[gulp]...be a Sarah Palin supporter. I'M KIDDING!

(not really.)

Lesson Learned:
The most interesting thing about today's test, was watching both boys develop Huge reactions to prick number 68. By the time the nurse came in to do the reading, they each had a large wheal and a rapidly spreading red splotchy area on the exact same spot on their backs. I quickly said, "What was number 68? I'm dying to know!!" The nurse kind of laughed and said that number 68 was the control prick...a prick that measures their own level of histamine. She said that both boys had extremely highly sensitive histamine levels and both have dermagraphic skin, skin that hyper-responds to physical stimulation, like a scratch or, in this case, a prick. She further demonstrated the point when she took a moistened cotton ball to wipe Max's skin clean....everywhere she wiped turned into a red streak.

Oh, my two little sensitive boys. Who can eat just about anything they want.