Category Archives: Travel/Eating Out & Food Allergy

Traveling in Italy with Food Allergies

I’ve just arrived back from a 16-day trip to Italy. It was amazing. It was also my 2nd time in Italy, having previously traveled in 2016 with friends while studying abroad. I wanted to break down some interesting observations from this go-around about navigating international travel, dealing with English fluency, and staying safe while traveling.

As someone with severe food allergies to peanuts, tree nuts, sesame, shellfish, and fish (plus mild asthma), international travel has plenty of minefields to navigate! You can read all about my experiences studying abroad in college by clicking here.

The Florence Duomo

Flights

We booked our tickets through United many moons ago and only later learned we’d actually be flying Lufthansa + AirDolomiti on the way there, while we’d be flying AirDolomiti + United on the way back.

I had never flown Lufthansa and given that the flights were booked with United, I couldn’t go into Lufthansa’s portal and mark that I had allergies. A rather dumb user experience, I have to say.

At check-in, I asked the agent to note that I had peanut/nut allergies on the flight readout (she added it successfully) and she recommended that I mention it to the stewardess upon boarding. The stewardess was…surprised and asked if I had requested a special meal. At that point, I realized this was a flight with meal service. (Ha!) I told her no and she wrote down my seat number on her hand.

What ensued was genuinely surprising: multiple different agents on the plane came over during the flight and asked a variety of questions — whether I was peanut dust allergic and would react if any nuts were served at all on the plane, what I’d feel comfortable eating, whether they could guarantee the meal didn’t have nuts (they couldn’t), and even one time they brought over a platter of food for me to inspect. Amazing service.

I ended up declining all of the meals but they still offered me salads and fresh fruit and yogurt with an ingredient label. Wonderfully accommodating. Also, lesson learned –– call ahead! I’m sure that I could’ve navigated this ahead of time had I thought through the likelihood of a meal service. But since my past many years flying internationally didn’t involve it, I didn’t even think about it!

The AirDolomiti flights were short pond-hoppers with only drinks service, so no worries there.

The flight back was a similar experience with United and I generally avoided the food + snacks served, except for one that did have ingredients labeled on them.

Navigating Eating Out

The last time I traveled Italy in 2016, I had a fairly straightforward experience. I spent around 2 weeks in the country in total, traveling between Genoa, Milan, Venice, Florence, and Rome. As a college student, I kept a fairly low budget and ended up eating pretty simple meals. Pasta, pizza, street pizza, and gelato. It was a straightforward and peaceful experience with very few problems.

A small, quaint restaurant in Varenna, Italy

Coming back, I had expected to have a similar experience. Sadly, not the case this time around.

I think this in part due to my partner and I having a bit of a bigger budget and eating at nicer places than just the pizzeria down the street. It meant navigating a sit-down restaurant environment and English fluency issues.

Italian restaurants are very different than American ones. Most only have a few waitstaff in total. One restaurant we dined at in the Lake Como region sat around 20-30 people and they had 3 total waitstaff who took orders, poured wine, served the plates, etc. I’d say they are not as strained as French waitstaff (who are truly busy all the time), but still quite busy. This is mostly because they’re paid a fair wage and don’t rely on tips to make a living, so the restaurant doesn’t hire as many servers.

A food allergy notice at the back of a menu

Some restaurants followed EU regulations and listed the Top 14 allergens on the menu using their number system. So, on the menu, it would look something like:

  • Quatro formaggi pizza (1, 8)
  • Margherita pizza (1, 8)
  • Anchovy pizza (1, 6, 8)

Where the (1, 8) corresponded to an allergen listing at the back of the menu — in this case, gluten and dairy.

I quickly learned that this numbering is not comprehensive. Many dishes had cross-contact issues or, upon asking, the kitchen would state that in fact a sauce on one of the dishes actually contained nuts even if it was not noted on the menu. This was a surprise (and also unsure if this is breaking the law).

Not all restaurants had this numbering, so I didn’t rely on it. I brought up any questions with the waitstaff directly.

At the beginning, I relied on just talking about my allergies in English. The staff understood, even if they couldn’t respond in full sentences back in English (which always makes me a bit nervous), and I received great care. When one restaurant in a small town in northern Italy served us food, our waiter even vocally confirmed with each dish that it didn’t contain any of my allergens. He also taught me what my allergies were in Italian.

This worked pretty well until one restaurant in Venice, where I was basically berated by a waiter for messing up an order. He didn’t speak great English, so when I asked whether the open-faced sandwiches (a local specialty in Venice) contained my allergens, he stated something which I understood as “no, but there is sesame in the kitchen,” – a common refrain from waitstaff when dealing with allergies – but which later turned out to be that there was sesame in the bread.

I discovered this upon serving. I quickly pulled up a translate app and translated an apology and saying I think we misunderstood each other. To which he now more clearly pronounced in English, “No! I told you there was sesame in it and you said, ‘it’s okay’!”

Clearly, it wasn’t working. So I learned how to say the full spiel in Italian. “Sono allergico a noci, sesamo, pesce, e crostacei.” That always got the attention of the waitstaff. The problem was that they quickly responded in Italian, which then I’d have to correct course and say “Okay I didn’t catch that, sorry, could you say that in English?” This dance continued at a couple restaurants until I started to preface my Italian by saying (yes I literally said this) “I know how to say this in Italian but I don’t know how to respond…”

It became a scot-free experience after that. Some of the waitstaff at nicer restaurants in Rome & Florence even had very fluent English speakers, which made the experience very seamless.

One unique moment was when we were having drinks at a local upscale bar in Florence. I ordered one of their cocktails, which when delivered contained a small something in the glass. This was not noted on the menu, by the way, and very unusual to serve a cocktail with something inside it. Turns out it was a small almond biscuit they dropped in the bottom of the glass. I had to patiently explain to the waiter about my allergies and they thankfully remade the drink without the almond biscuit.

So, I had some close run-ins this time around. It was unnerving, honestly. I think keeping to simpler fare has its benefits. Most of the nicer restaurants always took the extra step to make something “fancy”: sesame-encrusted breadsticks, anchovies in their cream sauces, nutty biscuits in their cocktails. The simpler places kept it, well, simple.

Lake Como, Italy

One extraordinary experience, however, was at a restaurant in a small town near Lake Como. It was one of the first nights we were in Italy. It was a tiny place, probably 10 seats total. The owner was the waiter. After he served us a basket of bread with sesame breadsticks (unusually common in the north of the country), I explained my allergies. Not only did he remove the breadsticks, he cut fresh bread just for us and remembered everything for the duration of the meal. It was a nice reminder that traveling with allergies can be safe with the right kind of service.

Another restaurant was a great example of this. When visiting a recommended restaurant from a friend in Florence, I ordered a simple pasta dish after explaining my allergies. The waiter said he’d go and check the kitchen. He comes back and tells me in somewhat broken English that it isn’t safe, but try one of these other three on the menu. I order the one that sounds good, and then he comes back again and informs me, oops! Those three aren’t safe either. But one of these other two dishes will be. Thankfully, it turns out that last dish was definitely safe. Lots of open communication kept me safe! Saying it in Italian always clearly communicated my needs.

Example food label in Italian

We didn’t only eat at restaurants and sometimes grabbed snacks ‘on the go,’ particularly when we were traveling. I quickly learned what the different allergens were (in the above image, latte or dairy is bolded in the ingredients list, and then a “may contain” puó contenere statement is listed below for celery, mustard, and soy). This was a nice reminder that European packaging laws are much more comprehensive than American ones and I avoided anything that mentioned my allergens in the ingredients list or the puó contenere statement.

Gelato

Gelato is definitely a draw of Italy. Often it uses fresh fruits and flavors to create a creamy, extremely flavorful product. Eating gelato runs the same risks as ice cream from an ice cream shop, although the process to make gelato is a little different. However, the final product is a lot creamier and thicker than ice cream.

Black Cherry Gelato from one of the best spots in Florence

Gelato can be served out of ice cream tins or separated out, covered tubs. From a cross-contact perspective, the tubs are the safest because it uses separate serving spoons and keeps the products separate from each other. However, most gelato shops serve it out of ice cream tins.

One interesting observation my partner had was that, in Venice, almost everyone had “shared” scoops. Like an ice cream shop, there was one scooper they used for all the gelato. This is a major problem for me because pistachio is a very common and popular flavor of gelato. And to navigate the English fluency + allergy conversation for a 2 euro scoop of gelato just… isn’t really worth it.

But most places in Italy outside of Venice actually have individual scoops for gelato. Due to the thick and creamy quality of the gelato, the scooper itself never touches anything except the gelato it’s serving. I don’t have a video to show this, but basically they’ll scoop up a big amount on this serving knife and then “push” it into the tub. So the scooper never touches other gelato or even the cones/cups.

I kept to safe flavors and ate plenty of yummy gelto. Black cherry is my favorite.

(P.S. Sometimes they add a little “biscotti” to the top of the gelato when serving – a plain, vanilla cracker. I never ate it, but I asked one gelateria if it contained nuts, and they showed me the ingredients. Totally safe for me.)

Trains

The last time I traveled Italy, I kept to regional trains. Most countries in Europe have two or three different “tiers” of trains. There are high-speed trains, regional trains, and local trains. The high-speed lines (TGV in France, AV in Italy) are the most expensive. They are also more modern, comfortable, and plush. Regional trains tend to be older, slower, and a lot cheaper. Local trains are usually just local versions of regional trains (like a local rail service that extends beyond the metro lines).

A ticket on a regional train line between two major cities ran ~20 euros and took a half-day or more to get between places. A ticket on a high-speed line between two major cities runs ~40 euros and takes only a few hours or less. We used Italo, a private train company, almost exclusively in our travels because they were a bit cheaper for our routes.

However, I had never taken Italo before and we got a good deal on some first-class tickets. It was very comfortable. Turns out, first-class on Italo also includes drink & snack service like on a plane. I have taken many, many trains across Spain, France, Italy, UK, Denmark – I had no idea this was a thing. I even did some nice first-class travel in the UK. The food service there was “optional” at a little catering stand near the end of the car.

Turns out, they do serve snacks with nuts in their little snack packs. I always declined the snacks and just settled for a drink. Given that the train is not like a highly-pressurized environment like an airplane, I wasn’t necessarily worried about it but I can imagine that this would pose an issue to travelers who are more sensitive to nuts. We just wiped down our seats & tables and kept a safe distance.

Other Thoughts

It was an amazing trip, filled with art, culture, museums, history, and wonderful people. I loved every second!

Venice, Italy

One note is that finding an American breakfast is very difficult in Italy. The common options were some kind of pastry (croissant, usually) or fresh fruit. While in more touristy areas there are restaurants that offer some sort of egg + toast combination, most cafés don’t. Interestingly, almond croissants are not popular in Italy. Pistachio ones make an appearance every once in a while. I kept to cream-filled croissants, fresh fruit, yogurt, and delicious cappuccinos.

Speaking of coffee, it was very unusual to find a café that served coffee with anything but normal milk. I don’t have a dairy allergy, but the “alternative” milk fad has not really reached Italy yet. I love a good oat milk latte, but I only went to one café that had any alternative milks on offer.

But overall, definitely a trip to remember! I’d highly recommend visiting the country. It’s gorgeous, filled with kind people, and so much history.


If you want to read more about international travel, eating out, and other previous experiences, check out:

  • Preparing for my studying abroad experience & navigating foreign universities, here
  • Backpacking Iceland for 2 weeks, here
  • Navigating hip upscale restaurants and fusion food, here

Traveling with Food Allergies When Coronavirus is In the News

If you read this blog frequently, you know that my son has had a planned trip to London since last year. I wrote about this in my last blog post here.

After many discussions, research and the existing environment on March 7th, Morgan and Quinn decided to go ahead with their trip carrying hand wipes and masks along with two backpacks of clothes and traveling “stuff”, and flew to London on Icelandair.

Morgan has flown on this airline several times overseas, and very much appreciates that they do not serve peanuts. This time, he and Quinn had no seatmates because of so many people altering their travel plans. They flew through Reykjavik and got on another flight into London without any problems, and started sight seeing immediately.

Quinn and Morgan In front of Westminster Abbey

They continued sightseeing around London and enjoyed each day, visiting a Botanical garden, a cheese factory and walking the city. Then, on Wednesday evening in the USA, President Trump instituted a travel ban from European countries to be effective 48 hours later, on Friday, March 13 at midnight.

My husband and I almost fell off the couch when we read this notification! We knew that Morgan’s flight home from London went back through Reykjavik, and wondered what that was going to mean for him. We quickly messaged Morgan, knowing that he was likely asleep, and asked for a quick chat in about 6 hours when he would be awake Thursday morning. We got up at 3am to discuss options with him.

By then, it had been announced that US citizens weren’t included in the travel ban, which helped our anxiety calm down a little. Both Quinn and Morgan had been receiving multiple text messages from friends and other family members warning them about this travel ban. Quinn had been trying to get through to Icelandair since they had awakened, however all the phone lines were busy. At this point in England, there weren’t any travel bans; nothing had been closed; and there were less than 500 cases of the virus in the UK as a whole. So, Morgan and Quinn couldn’t quite understand why we were so nervous.

Meanwhile in the US, grocery stores were experiencing people purchasing food and toilet paper as if Armageddon was forthcoming. K-12 schools and school districts and colleges were shutting down, and/or going to online classes. Workforces were being told to telecommute. Every hour there was some new information to digest and to adjust to. We tried to explain all of this to them, and that we’ve never been at this place before with a pandemic affecting not just the US but the world. Given that they are grown men, and paid for the trip themselves, we didn’t feel it was appropriate to pull a “parent directive” to get home now! We believe in supporting our now grown children, and loving them through their choices and decisions. We agreed to talk later in the day before they went to bed Thursday evening.

About 12 hours went by and we spoke again. They still hadn’t been able to reach Icelandair. We began to talk about what other airlines could get them home to Denver if they never were able to reach the airline. What was a safe airline for peanut allergies? Who flies the route directly from London to Denver? We knew we didn’t want them going through a European country if they were traveling after Saturday at midnight ET because of the port of entry issues. Denver’s International Airport was not one of the airports receiving passengers from Europe, and ending up in another US city where they would need to find another flight home to Denver was just too much to contemplate with additional fees, food allergies to manage and potential overnight accommodations needed. They had looked into other airlines’ flight schedules, but many of the seats had been booked at exorbitant prices, and they really wanted to reach Icelandair before paying for another flight. We agreed that they would go to Heathrow airport Friday morning to see if they could get information directly from the Icelandair ticketing agents.

On our Friday morning, which was already after lunch London time, we texted with them. Morgan said the ticket agents were of no help. They had been given no information to pass on to customers, and had no idea if their original return flight going through Reykjavik would be able to land in Denver on Tuesday, March 17. Then as we were texting, Quinn was finally able to get through on the phone to Icelandair. Their flight had not been cancelled even though most other flights flying on March 14-16 had been. This sounded suspicious to my husband and me. How would they have a flight of all Americans and be able to fly directly to Denver? We were ready for them to give up on Icelandair, book a flight with another airline, and get out of London that day! We decided to continue to ask more questions. What happens if the UK is included in the travel ban in the near future? Do you have a backup plan? What happens if you end up in New York or Chicago? We knew that was going to cost money for them to then find a way home to Denver, and to find a safe, food allergy accommodating airline to do so. In the end, they decided to leave Heathrow and keep their reservation on Icelandair to fly home on March 17.

We were really concerned at this point, especially when they said that they were going to continue their trip schedule and travel to Scotland via train, a 4 hour ride, on Saturday morning, March 14 and spend the weekend there. They planned on returning to London on Monday to spend one night in the city before boarding the plane to come home. My husband and I were taking this one day at a time, and that day sure felt like about 48 hours in length. There was so much going on in the news, and our reality was so different from our son’s and Quinn’s.

Then, on Saturday, March 14, President Trump extended the travel ban to the UK and Ireland. My husband has a way of seeing some things that are coming, and he had a feeling this was going to occur. We just didn’t expect it so soon. The travel ban would go into effect on Monday, March 16 at midnight.

We texted with Morgan, who had already seen this information on the BBC. He said, “We will be continuing as planned but know potential changes are in store. Icelandair is posting a full flight list at least a day in advance so we will know, and they will keep us updated. More excitement to come! But we are having a blast in Scotland.” My husband and I are really worried. Their Tuesday flight is after the UK ban goes into effect, and we know they will be landing in a city other than Denver. And likely their flight is going to be cancelled altogether, because you can’t just change the destination city on a whim when flying an airplane.

There have been numerous times in our children’s lives when we have had to let go, and let them “do their life” even when we don’t agree with their decisions. This was one of those times. We were really concerned how Morgan was going to manage his food allergies, how the coronavirus screening was going to be managed, what airport he was going to be sent to, and what the cost was going to be for him to get himself home to Denver.

And then we awoke Sunday morning, March 15, to this message:

My husband and I were jumping up and down in tears, we were so happy! After seeing this message, we saw the pictures online of the enormous lines at the various US airports who were receiving the European flights after the European travel ban had gone into effect. Hundreds of people all crowded together in these long, snaking lines to have their temperature checked. We knew it would be a hassle to be sent to one of these 13 airports upon arrival in the US, but we had no idea it would also put all of these passengers at risk for the virus with a complete lack of social distancing. We were so glad that Morgan and Quinn wouldn’t be subject to that.

The British Airways flight was full when it took off from London 45 minutes late. Mama bear checked the online status to know when to expect his arrival in Denver. We were not going to meet him at the airport since we live 90 minutes away, and with the social distancing requirements that had been decreed in Colorado, we decided to follow the rules and await his text message.

As you can see, my husband and I were more than a little excited to have him back in Denver! In Colorado on Monday, March 16th, all restaurants were closed except for takeout and delivery. Most employers had gone to telecommuting workforces, and the Governor has asked for no meetings of people in excess of 10 persons in addition to shutting down all gyms and movie theaters. Morgan is working from home, and will be self-quarantining for the next week or two since he has been traveling abroad, but currently has no symptoms of the virus.

It was quite an experience to watch our world change so drastically within a week, and to have our son across the world in the middle of a pandemic. I’m very grateful to have him back in Denver!

I’m sure that Morgan will be providing a blog post about his travels and all that he has learned from this BIG adventure. Stay tuned for that in the near future!

Here’s the Conversation I just had with my son about Coronavirus

The news of the Coronavirus (COVID-19) has begun to get my attention these past few days.

In general, I am not overly worried about the virus and its impact on my son with his well-managed asthma; however, he has been planning to go to London on vacation in less than two weeks. It’s a wonderful opportunity for him to share the city that he loves with his boyfriend, Quinn.

My son, Morgan, is now 24 years old, has mild asthma and multiple food allergies to peanuts, tree nuts, sesame, fish and shellfish. With the US Centers for Disease Control and Prevention official today stating that “It’s not so much a question of if this (coronavirus) will happen any more, but rather more a question of when this will happen and how many people in this country will become infected and how many of those will develop severe or more complicated disease,” I realized that it’s time to have a conversation with Morgan.

Morgan and Quinn have plans to go to Britain for 10 days in March, and everything is planned, paid for and reserved. Waiting for the day to leave was the only thing left do do until this Coronavirus outbreak occurred. Now there are a few more things to prepare for just in case there is an outbreak of the virus in Britain while he is in the country.

Since Morgan is a young man now, Mama Bear here can no longer dictate his life…and truthfully, I never really had that power even when he was young! I thought it would be beneficial for the two of us to have a conversation about the virus, and so I asked him “What have you thought about the Coronavirus and your plans for going to London?”

I must say that I was impressed that he said that he and Quinn have been having conversations about how to stay healthy with hand washing, bringing wipes, and probably wearing a mask especially in the Tube in London where they will be near so many people. Morgan said, “I am nervous to travel. I don’t want to be stupid.” The two are closely monitoring any travel bans, and keeping up with the WHO recommendations and with the BBC for news on the virus in Britain. He recognizes that just like with influenza, his asthma is a health condition that can be exacerbated with the virus and is a cause for concern.

But, it’s now his decision as to whether or not he wants to reschedule his vacation. There are no travel warnings as of this writing for Americans going to Britain, and both of our countries have individuals who have been diagnosed with the virus. Thankfully both countries also have very good medical systems, which from what I have read, has helped those patients who do have a more severe form of the virus requiring hospitalization. And good medical care also keeps the virus from spreading to other individuals.

I have two N95 respirator masks to give to him for their trip. Two days ago, I tried to purchase more of these types of masks, which are rated the best for keeping out small particles including virus germs, and there aren’t any available in my local stores. Every Home Depot, Ace Hardware and Lowe’s is sold out already! I managed to find the masks online only through an individual seller on Ebay and purchased several more for the entire family at a reasonable price. Sadly, many sellers on Amazon.com have increased their prices to double or triple the regular price of a mask, if you can find any in stock.

Morgan has been taking Qvar daily, and has a prescription also to Albuterol. I suggested that he contact his allergist to find out if the doctor has any other suggestions for him especially if he ends up getting the virus here or abroad.

Another item we talked about was what he should do if he were to be quarantined in Britain. These quarantines have begun to hit various cities in numerous countries when an individual gets sick with the virus. People have been quarantined in China, but also in various other countries, and have lasted anywhere from 14 days to a month. With food allergies, not having access to safe foods is a serious issue, and one that requires some forethought as to how that situation would be negotiated in a hotel, for example. Morgan is putting together an action plan on how to manage such a plight. He and Quinn will be staying in an Airbnb for part of their stay and in a hotel for the remainder. It would be a real mess if they spent their vacation locked in a hotel room!

Morgan is going to check into the National Health Service (NHS) to see how an American can access these services should he need to. From his recollection with studying abroad at the University of Lancaster in Britain three years ago, it was fairly easy and inexpensive, unlike the US healthcare system!

There are a few pieces of good news in all of this. First, thankfully the mortality rate is fairly low for this virus versus previous coronaviruses like SARS or MERS. No one enjoys getting sick, but most people are surviving this virus. And secondly, Morgan has another 10 days to gather more information and to watch the spread of the virus to determine whether he will be heading to London or rescheduling his trip!

Hip Restaurants, Fusion Food, and Dating

I’ve been in my current relationship for over two years now. He’s so great. We’ve done multiple trips together and have begun to settle into whatever this “adult life” means. He even helped during this holiday season to navigate not one, but two, Thanksgiving meals (one with friends, one with family) to make sure the food being served was safe.

Quinn-and-Morgan
Quinn and Me in Seattle earlier this year

During this time, our dates have shifted from the one-off nice dinner to celebrate a birthday or anniversary or the occasional night out with the other spending time watching a show or hanging around inside to consistent outings. It helps to have a salary instead of piecing together scholarship money in college! One consistent feature of these outings has been trying new hip restaurants around town. As Denver has come into its own as a city, new restaurants have popped up all around the city. They’ve overtaken old warehouse buildings, commercial space in new apartment buildings, and even an old ice building.

It’s not a given, but many of these are some kind of fusion food. With the exception of one amazing Italian restaurant we enjoyed that’s sadly now closed down, every “hip” restaurant we’ve visited fuses together flavors from different cultures or countries. Some of it is more tame –– like a now-defunct Hispanic kitchen that fused Cuban and Meso-American flavors –– while others are a lot more bold in its attempts. Just last night, we visited The Wolf’s Tailor, one of Bon Appetit’s Best 10 New Restaurants of 2019. It’s delicious food and a fusion between Japanese and Italian flavors.

The Wolfs-Tailor
The inside of The Wolf’s Tailor

As some of you may know, I’m risk averse to any Asian cuisine. It’s just… hard for me to manage. Being allergic to all nuts, sesame, shellfish and fish tends to knock off every dish at an Asian restaurant –– and if not, it certainly seems impossible to avoid cross contact. The sneakiest tends to be soups, as some Korean and Japanese soups will use a fish base and not mention it. I just don’t do it. I have plenty of other delicious food options that are easily accessible, delicious, and safe. So, no Thai curries or Chinese noodles for me! (My favorite is when I mention this to someone in a group wanting to eat a sushi restaurant, and in an attempt to be generous, they say something along the lines of “well you could have the steak, right?” (I can only laugh, since it’s out of good intention.)

Fusion food then presents a problem: what elements of the cuisine are they using to impart flavor? I’ve run into this problem before at another fusion place in Denver called SuperMegaBien. They throw a party of fusion in all their dishes –– and sometimes, the fused cuisine used nuts or sesame to achieve that effect. In a deep twist of irony, the mole sauce was safe. Mole is a traditional sauce used in some Mexican cooking and often uses nuts to thicken the chili sauce. I was surprised that the mole was safe, but their twist on a marinara wasn’t! So, fusion food represents a minefield: sometimes the most unsuspecting dishes can be safe while the usual suspects may have an unsafe element.

To me, the best way to prepare is just to become more educated about food. Over the past couple of years, I’ve read up more and cooked more to understand different cuisines. I must admit, I had lumped miso paste/sauce into the off-limits Asian bucket before even understanding what it was (fermented soybeans with salt and koji). A favorite stand-by of mine is Salt Fat Acid Heat, a cookbook by the wonderful Samin Nosrat. It’s both a reference book and a recipe book, and I’ve learned so much about food from that book. There’s also a Netflix show she produced under the same name.

To be able to walk into The Wolf’s Tailor with that knowledge helped me read the menu better. Usually, at these new “hip” restaurants, dishes are both seasonal and intensely flavored. A quick trick I usually use at more standard restaurants is to find a dish with seemingly safe ingredients (as they usually list out what the dish has in it). Anxiety sets in if there’s a restaurant where they just have the names of the dishes without any information. In either scenario, of course, I still tell the staff about my food allergies and make sure the chosen dish is safe. Since fusion food often has hidden elements to impart flavor, there’s no guarantee that the food chosen –– even if it lists out dish elements –– is safe. Often those dish elements are incomplete and they use additional food behind the scenes to create flavor. Still, I understood what a miso-honey glaze would be like on a pork rib, whether a chicory salad would be safe, and whether taleggio is a cheese or a vegetable (it’s a cheese).

I’m super emphatic at these restaurants about my food allergies, and gratefully the staff have been understanding and accommodating. The Wolf’s Tailor had to prepare their take on a vadouvan sauce differently (something new I learned about last night!) since there could be some issues with nuts. Amazing accommodation and understanding. Same with the numerous other restaurants I’ve visited. Unless my allergy is embedded within a sauce or stock they’re preparing ahead of time, it seems that many of these restaurants can safely accommodate my allergies.

I also believe fusion food is the future. With globalization and this increasing mish-mash of culture, especially in the United States, there’s more and more experimental restaurants popping up. Sometimes, it’s even fusion food trucks who are trying new combinations of flavor. I love it all! Still, fusion food can be hard to navigate if you don’t understand some of the building blocks they’re using to create food. (Highly recommend some of Bon Appetit’s YouTube series like It’s Alive with Brad. I’ve learned a lot and they’re fun to watch!)

Of course, it helps to have an understanding partner in all of this. Quinn is amazing and accommodating — he searched the menu with me for safe dishes and was happy to enjoy the same exact things I was. Quinn will usually go far enough to not order a cocktail that has gin in it (famous for sometimes containing tree nuts) to make sure that everything is safe. I hope you find someone as accommodating as he is, and I hope you have fun on your food adventures! Try something new and safe: you’ll never know what you’ll find.

A Trip of a Lifetime – Backpacking in Iceland

For those of you who regularly read this blog, you know that I’ve been looking forward to going back to Iceland, having stopped in Reykjavik for 36 hours on a layover to my study abroad program in the fall of 2016. Three years ago, I didn’t have near enough time to travel to all of the areas of Iceland that I’d heard so much about. I promised myself that I’d come back, and when I mentioned this to my Dad, we decided to make this a Father/Son trip.

The last blog post, Preparing for a Backpacking Trip to Iceland, outlined what it took for my Dad and me to prepare for the trip. Now, I’d like to tell you about our epic trip in August!

West Fjords

Icelandair

We flew Icelandair just like I flew back in 2016. I confirmed their policy of not serving peanuts on board the airplane. I didn’t ask for any announcement to be made, and pre-boarding wasn’t necessary for me since I had plenty of time to wipe down my seat and tray table. They do sell food on board, but I really wasn’t worried about it since we took an overnight direct flight from Denver to Reykjavik. I figured that not many people were going to eat. And if I had a seatmate who pulled out peanuts or my other allergens (tree nuts, sesame, fish or shellfish), I wouldn’t have had any problem asking him/her to please put them away.

On our flight home, an announcement was made asking passengers to not eat nuts during the flight, so there was someone else on board with an allergy. It was nice to know that they would make that announcement!

Eating Out at Restaurants

Once we arrived in Reykjavik, we got our rental car, our backpacks that we had checked as baggage, and we went out to eat brunch. We ate out a few times in our two weeks in Iceland, and in general I can say that restaurant food is very expensive. After all, most foods have to be imported into the country. Their specialty is lamb, which was a staple on almost every restaurant menu. There are sheep everywhere on the island. One restaurant even had the sign, “Free Range since 876!” – the year that Iceland became a country. We did have lamb one night in a ‘gastropub’ which is kind of a mix between a bar and a restaurant. It was delicious!

Having been in a Scandinavian country in 2016 – I did a research project in Copenhagen, Denmark for a month prior to studying abroad – I knew that breads were going to be difficult for me to eat because of my sesame allergy. Iceland was no different. The bread provided in restaurants, and those that we found in grocery stores all contained or stated “made in a factory” with sesame. Their bread is kind of bland, so sesame and other seeds are used to add flavor. So, no bread for me!

Iceland also has a great fishing industry. My Dad had decided prior to our trip that he wasn’t going to eat any fish while we were camping or in a restaurant, since I have such a severe allergy to fish having had anaphylaxis in the past to one bite of trout. Every restaurant we ate at also had fish on the menu, but the ones we chose (and believe me, we only ate out about five meals the entire vacation), didn’t have fish as the main item on the menu. I was able to find waffles for our first brunch in the country, which were delicious.

Father and Son

All of the wait staff in the restaurants spoke English very well, so I didn’t have any difficulty communicating about my food allergies and how to keep me safe from cross contact. Many of the wait staff were from different countries, and were temporary summer workers. It was great to find out where they hailed from – Czechoslovakia and Denmark were the home countries of two of our waiters.

One night we went out for hamburgers, which were great. When the bill came for $50 US dollars, we realized that cows weren’t habitants in the country, so the meat had to be imported causing the price to be so extremely high!

Most restaurants had a local favorite, Smørrebrød, on their menu. This is an open-faced sandwich cuisine popular across most Scandinavian countries, and many have fish on top. Of course, with the bread also being unsafe, the combination of two of my allergens meant it was definitely not the meal for me!

Food for Camping

We brought Mountain House freeze dried foods for all of our dinners at the campsites which could be prepared in about 10 minutes using a JetBoil and boiling water. These meals saved us money on food, and also made it easy at our campsites to prepare dinner when it was windy or rainy. By the end of the trip, we realized we bought too many Chicken & Rice meals and were begging for some variety… but at least it made dinners easy throughout our trip! 

Morning view from my tent at our campsite

For breakfast, lunches and snacks, we went to a grocery store every day or two and purchased fruit, vegetables, Skyr (an Icelandic yogurt that was wonderful), wraps that were safe, ham, bacon, cheese, Ritz crackers, etc. Mainly we were purchasing foods that didn’t have many ingredients and/or weren’t processed. Iceland is in the European Union, and the labeling was very good. Some labels were in English, and when they were in Icelandic, I had my Google translate app that allowed me to take a picture of the label and get the ingredients translated. I did look up the Icelandic names for all of my food allergens prior to the trip so that I could be prepared to read those on any label. Once we found a safe brand of wrap, for example, then we’d always look to purchase it in the next grocery store as we traveled around the country.

We rented two gas stoves, two coolers, and a table from a camping store in Iceland, but we brought many other items with us like our sleeping bags, tents, pans, plates and utensils in our backpacks. A few mornings when the weather was being difficult to be able to cook an omelet, we opted for fruit and Skyr instead and hit the road to see the sights.

Sleeping in Hotels and Airbnb’s

We stayed in a Hotel the first night we arrived in Iceland. It was kind of a funny situation in that I booked the room and neglected to notice that there was only one queen sized bed, and not two twins as I had assumed from the picture. So, my Dad and I got to be really cozy the first night in Iceland!

I have filters in my searches for hotels and Airbnbs to ensure that the places I stay have no pets, but that really wasn’t an issue in Iceland. We didn’t see any tourists with their own pets, however there were some dogs owned by store owners, but we didn’t see any in the Airbnb’s and hotels we stayed at.

One night, about halfway through the trip, we got rained on all night. Then the next day, we got soaked visiting a waterfall. All of our camping gear was wet, and all of our clothes too! In the moment, we were entirely miserable and ready for a night to dry off, so at the last minute we decided to get a hotel room. The cheapest room we could find was $260 US dollars, and we were grateful to find it! We needed it for our physical comfort, but also for emotional comfort after being wet and freezing.

Yep we looked and felt cold …. freezing!

The only other time we stayed at an Airbnb was the last two nights before we left to come back home. So most of our nights were spent camping, sleeping on air mattresses and enjoying the quiet solitude.

WiFi in Iceland

We purchased a mobile hot spot through our rental car company, which was great. Even when we only had 2G, we could at least communicate by calling using cellular over Wifi if we needed to make a call. Most of the time we had 4G. Cell service was available throughout the country. There are also many Wifi hotspots in Reykjavik, the capital city, but we rarely found one while in smaller towns around the country. 

Seeing Iceland

We spent our days in our rental Toyota RAV4 driving from one beautiful location to another. We would drive hundreds of miles every day, starting from Reykjavik and traveling counter-clockwise around the island. We camped out on the beach one night, and since the daylight lasted until 10 at night, we got to enjoy the scenery even more. We drove through numerous fingers on either side of fjords around the island and got to see waterfalls everywhere.

Skogafoss Waterfall

We’d get out of the car to hike into locations to see more scenery, and then choose where we wanted to camp at night as long as it was a designated camping site. Many times we were the only campers, which was great.

It was just the best trip ever. My Dad and I laughed, talked and walked throughout the two weeks.

Trip Suggestions for You

If you’re thinking about a trip to Iceland, I’d say DO IT! Here are some suggestions I have:

  • Expect to spend a lot of money. Reykjavik is at least $100 US dollars a day. Around the country, you will likely be spending at least this much as you experience the country! Hotels or Airbnb’s will likely cost $300 US dollars a night.
  • Learn the Icelandic words for your allergens
  • Get the Google translate app on your smartphone
  • Get to know some of the staple dishes (like Smørrebrød) so that you can manage your allergens
  • Ask for help if you need it. Icelandic people are incredibly nice!
  • Have a great time!

Preparing for A Backpacking Trip to Iceland!

The streets of the city of Reykjavik, Iceland

In the fall of 2016, our son, Morgan, flew through Reykjavik, Iceland, on his way to study abroad. He was in the country for only 36 hours, so didn’t get a chance to see much of anything beyond the city. He promised himself that he would get back to Iceland to see all of its natural beauty sometime in the future.

The future is now! For two weeks in August, he and my husband, Robert, are going to share a trip of a lifetime backpacking in Iceland! The preparation for this trip has taken almost 9 months to put together, and the food is almost the least of it.

Iceland is part of the European Union, so it wasn’t necessary to fly to an embassy here in the USA to obtain a Visa. Both already have passports, so that box was checked easily.

Both also carry medications, and Iceland has strict requirements of medications being in the original prescription box and the medication must not expired. This has required some work on Morgan’s part.

Morgan is now in the work world, and has his own medical insurance. He needed to find an allergist in the Denver area, where he now lives, to obtain current prescriptions for Albuterol, a steroid inhaler and his Auvi-Q’s. This was a big step because he has only seen one allergist his entire life, and she retired just as he was graduating from college. He wanted to find the same wonderful care he had received from her, and as luck would have it, he found an allergist that had trained with her many years ago! His enormous history in three medical files was copied and sent to this new allergist. Morgan forewarned the doctor that there was 20+ years of appointments, skin prick tests and reactions to pore over. All went well with the new patient appointment, and as a Mom, I’m thrilled Morgan has found a very capable allergist to continue his care!

Since Morgan flew Icelandair previously, and had no difficulties at all, they decided to fly the same airline. Morgan always brings his own food on airplanes, and doesn’t expect to be served a safe meal. They don’t serve peanuts on flights, which is great!

The next step was to figure out what the father/son duo were going to pack to bring with them on the airplane. Robert and Morgan have an annual week long camping trip each summer in the Lake City area of the Colorado Rocky Mountains. It is a trip they both look forward to every year. They have all the gear (and then some!) that they would need to camp in the Rockies. However, Iceland is a little different in that they don’t allow campfires. So, they will be renting a camping stove in Iceland, along with tables and chairs. And they will bring jet boils for water heating.

Everything in Iceland is expensive – food, camping equipment and sleeping bags. They will be bringing as many supplies as they can fit in their suitcases while ensuring the bags are under the weight limit. Even frying pans from Walmart will be packed in their luggage!

They plan on purchasing an abundance of their food in Iceland as they travel from location to location; however, as a backup they are also bringing Mountain House brand freeze dried food that just need hot water added. This too will be packed in their luggage. They don’t want to risk trying to find freeze dried food in Iceland, since this brand may not be available. Mountain House is the only brand that we have found that doesn’t have Morgan’s allergens – peanuts, tree nuts, sesame, fish and shellfish.

In Iceland, camping is allowed only in designated camping sites. The good news is that there are no bugs, spiders, mosquitos or snakes. And the only animals are arctic fox, mice, rabbit and reindeer – so nothing warranting concern for an animal getting aggressive like bears will in the Rockies.

Since Iceland is known for its fishing and a fish-oriented diet, they will be taking extra caution with Morgan’s anaphylactic fish allergy. Morgan can’t even stand the smell of fish, so shopping in stores or markets may get interesting!

This is a trip of a lifetime, and the two are SO excited for this adventure! I will be reporting back with a blog post after they return, and I’m sure the two of them will be providing many pictures and commentary too.

Food Allergies and Shared Kitchens

Maintaining control of kitchen supplies and surfaces is a must for those with food allergies. Yet, there are many times when a shared kitchen is all that is available. When is it safe to cook there? And how do you do it? When do you need to find an alternative method to prepare food? What are your limits when it comes to safety?

College

When we were searching for a safe college living experience for our son, Morgan, who has allergies to peanuts, tree nuts, sesame, fish and shellfish, many colleges promoted their dorm floor “community kitchen” as an option for preparing safe foods.

These kitchens allowed ALL students to cook brownies, pizza or whatever else might be hitting their palate at midnight when the cafeteria was closed. Most of the kitchens we saw were supplied with utensils, baking trays and various other kitchen gadgets to be able to cook and/or bake.

Preparing meals for someone with food allergies, using the same utensils and pans that had previously been used to make brownies with walnuts for example, was not a cooking situation that would prove safe for Morgan without a large amount of cleaning surfaces and supplies first. And the potential for cross contact was very high in the cleaning up process, so we did not see this as a good solution.

Also, these college community kitchens relied upon the students to clean up after themselves, or to clean up after the previous student’s cooking attempts. Custodians and maids are frequently hired by colleges to clean the community bathrooms, but rarely are they cleaning the community kitchens.

We decided it was safer for Morgan, and it was his preference, to eat in the dorm cafeteria where cross contact could be monitored by the chef and employees. During his two years of living on campus at college he never prepared any food in a community kitchen.

University of Denver where Morgan attended college

Sharing a Kitchen with Roommates and/or Housemates

Once Morgan moved out of the dorms, he lived in an apartment with three other roommates. They had shared a very small kitchen. Morgan asked that none of his allergens be brought into the kitchen. Each of the four roommates had separate bedrooms, so he didn’t try to monitor what food they brought into their rooms. He just wanted to ensure that nothing was brought into the kitchen area.

There was only one “oops” in the 9 months they lived together, and the roommate who brought in nuts cleaned up everything – pans, countertops, utensils, plates, and even threw out the sponge – to ensure that Morgan didn’t have any contact issues.

During his senior year of college, Morgan moved into a house with two other roommates and kept this same request that none of his allergens be cooked in the kitchen. It worked well, and his roommates always honored his request.

Studying Abroad

While studying abroad in England, Morgan had to request special accommodations for his living and dining situation. Students who came from other countries to the University of Lancaster were provided a dorm room with a shared community kitchen to ensure that they met more students at the school while preparing their meals.

While that would have been nice, it wasn’t a situation that Morgan felt comfortable with. Students came from numerous countries, many of whom were accustomed to regularly eating the foods that Morgan was allergic to – especially nuts and sesame.

Morgan had to provide arrangements with the Disability Services Office to have an “ensuite kitchen.” That resulted in him being the only person using the kitchen in his dorm room. The room was tiny and the stove only had two burners, plus there was no oven! But he made it work for the 10 weeks of the school quarter while he was there, grateful that he didn’t have to try to monitor all the variety of foods in a community kitchen. And he still met many students in his classes and in the dorm.

Airbnb and vacation properties

Morgan traveled overseas before studying abroad during his junior year of college and stayed in a variety of Airbnb properties. He also travels a lot for work now staying in these properties. He has found that cleaning all of the cutting boards, utensils, and pans before using them to cook is a necessity.

He has also stayed in Airbnb properties where the host will provide breakfast or some other meal. This gives him the opportunity to explain his food allergies, and he has never accepted food from someone else.

He has stayed in a property where there were other “roommates” who used the kitchen. He was only in this situation for a week, and decided to not ask that all of the roommates refrain from bringing in his allergens. Instead, he cleaned the kitchen utensils that he was going to use for making oatmeal for breakfast, and ended up eating out for most other meals at safe restaurants.

A final word

What we’ve found is that it’s most important to listen to your intuition about a situation AND always be honest about your food allergies. It’s never worth accepting a food from someone because you’re concerned you’re going to hurt the feelings of your Airbnb host.

Bring plastic gloves to be able to do the cleanup in a kitchen without having any cross contact issues, or ask a friend to help.

You might have to pay more money in order to get a safe living situation or a safe traveling situation – but your safety is worth it!

A Lesson of “Pet Free”

When our son, Morgan, was young we were always SO careful to protect him from dogs and cats because of his severe allergies, diagnosed from a skin prick test, and confirmed with a few disastrous exposures. Prior to him receiving allergy shots, if he was in a house where a dog or cat had ever lived, his eyes would swell shut within 10 minutes. After receiving allergy shots, he wouldn’t have such a severe reaction, but was still subject to some asthma issues.

I have also been skin prick tested for allergies to dogs and cats, and have a severe cat allergy, and supposedly no dog allergy. However, I have been in homes with a dog and experienced a runny nose and cough, so there must be some dogs that bother me. (I’ve yet to figure out which breeds bother me, and which don’t.)

A few weeks ago, my husband and I went to Winter Park, Colorado, to stay in a condo owned by his brother. We were told that the property is “pet free,” and that they don’t allow anyone to bring in pets, which was a welcome relief. We packed up for a 4 day/3 night stay looking forward to rest and relaxation in the beauty of the Colorado Rockies.

When we got there, we noticed that there were dog hairs on the couch. We knew that his brother’s family owned a dog, and figured that the dog must have come to the condo with them at some point. I wasn’t too concerned since I have only ever had issues when the dog is in the room with me, and then only with a few dogs.

We bought a lint roller at a local hardware store and gathered up all the dog hairs we could. I wasn’t having any of my traditional runny nose or cough, so I thought I was doing fine with the dog hairs. And the condo was basically clean, with no dog hairs on the carpet, so we proceeded to stay the entire weekend having a great time.

I did notice while we were there, that during the night, around 3am, I kept waking up with an acid feeling and stomach ache. This isn’t unusual for me since I have a diagnosis of Eosinophilic Esophagitis (EoE), and I chalked it up to not taking enough acid medication.

By the time we got home, I realized that more acid medication wasn’t helping to mitigate my symptoms, and that my EoE had really flared. In Winter Park, it was snowing the entire time we were there, so there were no pollens in the air, which is my usual trigger. The only thing that could have triggered an EoE flare was the dog hair! That was a new experience for me.

I haven’t been in a house with dogs in several years, and it has been decades since I stayed overnight in a room where a dog has been. I now know that “pet free” to some people means that they don’t allow OTHER people to bring pets to their rental property. It doesn’t mean that they don’t bring their own pets!

When we have booked a condo through AirBnB, I always inquire with the owner whether pets have EVER been in a property, yet with my own brother-in-law I neglected to do this.

Another lesson learned!

 

 

Traveling to Mexico City for a Youth Conference

Unlike traveling to San Francisco, which I wrote about here, Mexico City had its challenges. I was attending a conference in Mexico City called the Youth Congress for Sustainable Americas, which is organized by a non-profit organization based in Denver. I attended with some other students from the University of Denver, including Darylann who was the Vice President of the Student Body with me as President.

We booked flights on United: it was either United or American Airlines and United’s policy for food allergies is much friendlier. They don’t serve any packaged nuts and I’ve flown United before. I can say I was apprehensive since United isn’t like Southwest, but I actually had zero problems on the flights to and from Mexico City. I had to fly through Houston, so it was a long period of travel each way, but I didn’t have much problem.

This was also my first international trip since going abroad in Fall of 2016, so I was very excited! I brushed up on some key words in Spanish and tried to be as best prepared as possible. We arrived late on Thursday, April 5th  and immediately took a taxi to our hotel near the airport. We immediately went to bed. The conference didn’t start until the evening on the Friday the 6th, so we spent the day around the city, mainly in Coyoacán (a borough of the city). We saw the Frida Kahlo Museum and some parts of the city. It was great!

We then went to the conference, beginning with a dinner at a venue in the city (Hotel Carlota)! It was pretty hip venue. I must write and give huge thanks to the conference organizer, Robin. She made sure absolutely everything was safe. She’s also fluent in Spanish, so she could make sure with the service staff that all of it was safe. She was also managing other food restrictions like vegetarian, so she was super cognizant of it all. We had a delicious and safe dinner (I overheard the waiters talking about the “especial” meal for me, so I knew Robin had taken care of everything).

The next day, the conference was in El Club de Banqueros, an event venue in the middle of the city. It was gorgeous! The conference had participants from across the Americas, so we had live translation between English, Spanish, and Portuguese. Mostly, the translation was for us Americans and Canadians who didn’t know Spanish – although most of the folks from Spanish-speaking countries had to use the earpieces for our Portuguese speakers! Robin was coordinating all of the food at the venue. She worked with the staff (in Spanish) to make sure I had safe meals. Truly, she was just tremendous.

Some other conference attendees and myself! Folks from the US, Venezuela, Mexico, and more!

The day was long, but we had an exhilarating dinner that night at a private art venue in the city with a local food crew. They were making tacos that changed my life. They were using all fresh, local ingredients and hand-pressing and heating the tortillas on-site. They made a variety of fillings. Robin helped check which of the fillings were safe with the food crew (again, Robin to the rescue!). I was able to enjoy some incredibly delicious tacos with fresh ingredients.

These were insanely good.

We had one last day of the conference on Sunday, for the morning. After that, five of us from Denver (two staff from the non-profit and three of us from DU) went and adventured around Mexico City for the rest of the day. Darylann and I flew back together on Monday and resumed school!

Now with the sequence of events established, let’s talk health challenges! First, the water. I was careful during the first 36 hours or so. Mexico City does not have great water and I knew that walking in to the weekend. I had bottled water and I knew not to just fill my refillable water bottle at any old water fountain. Then: the hotel we were staying at served (drip) coffee in the morning and while they said that the water they used was filtered, my stomach definitely disagreed. I threw up, recovered quickly, and continued on with the rest of my day. However, it wasn’t a pleasant experience.

The venue we were at for the conference (El Club de Banqueros) actually filtered their water enough: they provided coffee throughout the day and my stomach agreed with that coffee. Lesson learned! I refused to get water or coffee from our hotel for the rest of our time in Mexico City. I exclusively bought bottled water and was much more conscientious about drinking water through the whole weekend.

The second real issue was the smog and pollution. Denver is a pretty clean city so my mild asthma is rarely triggered, even during the springtime season. I’m not consistent with an inhaled steroid (Pulmicort) to help moderate the asthma, especially during the winter, because my lungs are just fine during that time of the year. This was an agreement reached with my doctor, so please talk with your doctor about the best practices to help control asthma if you have it. Anyway, with the spring season only just starting in Denver, I hadn’t really been on Pulmicort, but I brought it anyway, along with all of my other medications, just to have in case anything happened. I’m glad I did! The smog really activated some minor breathing problems the first day I was in Mexico City: essentially, it was just some tightness in the chest. I took Pulmicort regularly through the whole weekend and I didn’t have any further issues (the problems dissipated).

Now, for the weirdest story of the trip! It was our last day and we were adventuring around the city. We went to the Palacio de Bellas Artes, a beautiful cultural center in the center of the city.

Palacio de Bellas Artes

There are gorgeous murals from artists and has some beautiful rotating galleries of contemporary art. Diego Rivera has a very famous mural installed at the Palacio – and after seeing the Frida Kahlo house, I definitely wanted to see some of his art! Everything was going fine for the first fifteen minutes: we dropped off our bags and began wandering around the gallery.

Slowly, my skin became red. It wasn’t blotchy or full of hives either: it just gradually became redder in color. My eyes swelled up and my face turned a nice hue of red as well. My skin was not itchy at all, but my eyes definitely hurt. I had no idea what was going on!! My companions were all very concerned and pointed out my very red skin. I looked like a very sunburned American walking around with very red eyes. However, I had absolutely zero breathing problems and nothing else was happening besides my skin and eyes being very red. Nothing even itched! Such a weird, weird thing.

Anyway, I was wondering if it was something I had eaten for lunch (a delayed reaction, nonetheless, because I had eaten over an hour prior). However, once we grabbed our things and stepped out of the building, I took a Benadryl and my symptoms disappeared within the next fifteen minutes. I still have absolutely no clue what happened, but I’m glad I don’t look like a red alien! If any of those symptoms became progressively worse, or if I had breathing problems, I would’ve immediately asked one of my friends to call emergency services and administer an autoinjector. That would not have been an ideal situation, but it would have been medically necessary.

Other than those three things, the trip was great! Robin was such a huge help in making sure my food was safe for the duration of my trip (she even helped order a dinner at a restaurant our final night there).

The 2018 Youth Congress for Sustainable Americas

The whole experience was amazing, and I loved the city so much! I also loved all of the people I got to meet at the conference and had such a blast. I wish I could’ve stayed even longer, but I had to get back to school.

If you’re looking for more information about traveling with food allergies in general, you should click here. If you’re looking for more information about traveling internationally, you should click here. I’ve had a blast traveling over the past two months and I can’t wait to graduate from college! Happy travels, all!

Traveling with Food Allergies and Friends to San Francisco!

Over the past two months, I’ve made two incredible trips: one to San Francisco for over a week and one to Mexico City, Mexico (read about that trip here)  for four days. It’s rather a busy time for me at the moment (I’m graduating from college in literally two weeks!) so I’ve been meaning to write this post for a while. I figured I’d finally get around to it!

San Francisco (Spring Break 2018)

I went to San Francisco with my two best friends, Thomas and DK. We traveled Europe together and currently live together, so we know each other’s travel rhythms and they are both well acquainted with my food allergies (peanuts, tree nuts, sesame, fish and shellfish), allergic reactions and how to administer my Auvi-Q.

We planned on staying in San Francisco during Spring Break from Friday to the following Sunday (a little over a week). Thomas’ aunt and uncle live in San Francisco and they offered that we stay with them! They didn’t have any dogs or cats, which would have been a deal-breaker for over a week’s stay: I don’t have problems with most dogs or cats for a short period of time due to allergy shots, but over a longer stay I wanted to minimize problems. We affectionately called this trip “Dadcation 2k18” because we joke we’re all a bit like dads.

When initially planning, DK believed he was going to be out in San Francisco before we were for a spiritual retreat (he’s planning to be a Catholic diocesan priest). In the end, the retreat was moved so DK merely booked separate flights. Thomas and I, however, decided to fly Virgin America! It was incredibly cheap ($200 roundtrip versus at least $350 on other airlines) when we were booking flights a couple months out. I double checked their food allergy policy and everything was going to work out just fine! They didn’t serve any peanuts and while I couldn’t get a pre-board, I knew I’d just carry along some sanitary wipes and clean off the seat I was going to sit at.

Note: As of late April 2018, after I flew Virgin America, the airline has been fully integrated into Alaska Airlines. Alaska does have a pre-board option, unlike Virgin.

I try to stick with safe airlines (Southwest being the gold standard), but we were very price conscious since we knew San Francisco was going to be expensive. I felt comfortable with my choice and I had absolutely zero issues with the flight!

We took a short Lyft into the city and met Thomas’ aunt and uncle, Mike and Bette. They were absolutely extraordinary hosts and truly loving, wonderful people. We arrived around 8pm and decided to go for a late dinner at a local pizzeria. I immediately fell into the casual rhythm of travel: go with the flow, deal with any issues as they arise, and make sure I always have a safe option. Pizza felt like a good choice, too, since it’s usually not too crazy. It was more of a craft Italian restaurant, so the meal was delicious and I merely asked the waitress to make sure that the pizza was made safely to keep me safe! Worked great.

Since Thomas and I literally had just finished finals (we’re on the quarter system at the University of Denver), we decided to take the first couple of days pretty easy. We slept in, hung around Mike & Bette’s place, and just enjoyed the area. Mike and Bette had asked if we wanted any food around the place and Thomas had merely requested breakfast food so we could go out and experience the city in during the day and eat as we pleased. They provided so much food.

In all honesty, I have no idea whether Thomas informed them of my food allergies. He’s very cognizant of my food allergies after living together for 3 of 4 years in college. Nonetheless, all of the food Mike and Bette purchased was safe. Of course, breakfast food for us was eggs, sausage, fruit, and vegetables so it was pretty hard to find something unsafe.

Over the course of the next week, we walked around most major parts of the city. We also purchased a week pass for the transit system (the Muni). We walked along the entire Embarcadero and the whole pier, saw Chinatown, went to Alcatraz on a night tour, saw two incredible cathedrals, participated in a civic protest, and enjoyed nights on the pier and in Noe Valley. We ate wondrous food, saw incredible parts of the city, and stayed in on some rainy days. It was a truly fabulous week. I want to highlight a couple of events that I did not anticipate.

Dads take San Francisco (Thomas, DK, Me)

On one day, when we were walking down the Embarcadero, we ended up on the far north side in Ghirardelli Square. Technically, that’s up in Fisherman’s Wharf (an area of the city). My general rule with any chocolate is not to eat it unless I have called and made sure the production process is safe since so much chocolate nowadays includes nuts of some kind. Ghirardelli is not safe for me: some explicitly contain nuts and everything else has a “may contain” or “made in a factory” warning. Nonetheless, we entered into their shop and I mildly perused their offerings, just seeing what was around. Thomas and DK were superbly excited because they love chocolate and Ghirardelli. I waited around while they got a milkshake and purchased a couple gifts.

Obviously, I couldn’t purchase or eat anything. I can’t say I was disappointed about this adventure, because travel is a push & pull between what different people want to see or not. Thomas was all about Ghirardelli. I had a similar experience down on Fisherman’s Wharf walking past Boudin Bakery and some of the local seafood shops. Boudin produces world-famous sourdough bread but it wasn’t particularly safe (due to cross contact) and obviously the local seafood wasn’t safe for me. I wasn’t going to get a bowl of clam chowder with the boys, so we went elsewhere that night (we ventured back to a safe burger place in Noe Valley). I had to make sure I had safe food and DK & Thomas were very accommodating.

However, I wasn’t going to let DK and Thomas leave San Francisco without letting them try their seafood. I knew they wanted to eat some of it. So, we made a night where I would see a friend who was in the city (her name is Melissa) and they would go with Mike & Bette to a delicious seafood place. This worked great! I met Melissa in the Mission and ate some wondrous Cancun-style tacos and they ate seafood. This was essentially how we accommodated each other during our Europe trip: I would make sure I could find safe food and then the boys would be able to eat whatever they pleased.

Mike also took us to his club (it’s at the Presidio Golf Course). Very, very nice! We met up with two University of Denver alumni who live in the city with whom Mike & Bette are friends. We ate a late lunch as a group and I double-checked with the servers that the food would be safe (it was). I ate some short-ribs and had a lovely discussion. However, that afternoon was pretty unplanned: we had absolutely no idea where we were going that evening.

Me, Bette, Mike, Thomas, and DK on our last morning in San Francisco!

As it turns out, we wandered around the Presidio and the area: there is an old military base and some beautiful green lands in the area. We took our time and savored the day. We then walked along the beach all the way back down to Fisherman’s Wharf. By this time, I was getting pretty hungry for dinner: the good news being I remembered there was an In-n-Out at the Wharf that I spied when we were at Ghirardelli earlier in the week. I suggested In-n-Out to the boys and they are 100% on board. It worked out fabulously! In-n-Out is a great safe burger place for me, but I definitely double checked that everything was still safe before paying.

San Francisco was an incredible city and it was so much fun! I am so grateful to Bette and Mike for their hospitality and generosity. It was an amazing week and I will forever cherish that time. I had zero issues during the whole trip and I just can’t speak highly enough of the city and our time.

 

Medication & Safety While Abroad

This is a selection from my new e-book “Studying Abroad with Food Allergies,” available exclusively on Amazon Kindle. I detail all the important things you should think about when planning, traveling, and studying abroad! Buy it here. (It’s free with Kindle Unlimited!)

As a part of its study abroad program, The University of Denver (DU), where I attend, offers membership to a service called International SOS. International SOS offers consultation on health and security for individuals traveling abroad. This service was incredibly helpful to me while planning out for study abroad. All DU students are required to have at least one consultation with International SOS (over the phone) before they leave.

I called up International SOS and spoke with two individuals. The first individual was a security and travel expert and she briefed me on the ongoing security situation in all of the countries I was planning on visiting. She gave me a debrief on ongoing developments regarding terrorism and personal safety, as well as general practices as a US citizen abroad. This was great and very useful.

The second individual was a medical doctor. He was incredibly helpful. He had the medical knowledge required to understand my food allergies and the international experience to understand how they could be best managed while I traveled. He made sure I knew how to manage cross contact and how to be careful while purchasing food at restaurants while traveling (a skill I was well versed in!).

He noted that I would be unable to fill a prescription from an American doctor while traveling in other countries; instead, he recommended that I travel with my medicine in their original boxes that have the prescription on them. As such, I planned on carrying all of my medicine, including an extra set of EpiPens, in their original box.

If I needed to get a refill of a certain medicine, I could at least present the doctor in the foreign country my original prescription box to obtain a prescription that would be filled at the local pharmacy. Since different countries set-up their health care systems differently, an American prescription wouldn’t be able to be filled at a foreign pharmacy.

He did not believe there was any required paperwork to carry my medicine (EpiPens, antihistamines, asthma control, etc.) in the countries I was visiting. He recommended that, if it made me feel more comfortable traveling with a doctor’s letter that allowed me to carry my medicine, then I should obtain one. I did.

The US Department of State also offers a service called STEP (Smart Traveler Enrollment Program) that pushes updates to your email on ongoing security alerts in the regions you are traveling in. This also allows the US government to identify that you are in a country in case something happens and get you help. I also enrolled in STEP for my entire time abroad.

Not every school offers a service like International SOS. I think that finding a good resource online is possible. You should conduct thorough research on the countries you are visiting and the rules for bringing in medication. Countries usually have websites that detail these rules. Moreover, you should talk with your doctor about what is necessary to manage your medical conditions.

Want to learn more about other important planning items you need to think about before studying abroad like housing, accommodations, travel, and more? Get my new e-book “Studying Abroad with Food Allergies” now, available exclusively on Amazon Kindle. Buy it here. (It’s free with Kindle Unlimited!)

Traveling to Orlando FL with Mast Cell Issues and Food Allergies

For the first time in 14 years, our family took a week long vacation with just the 4 of us: my husband, me and our two grown children – Morgan (almost 22 years old) and Michaela (27 years old). We headed to Orlando, Florida for a week’s worth of fun and sun in December. With Morgan on the quarter system for college, and Michaela already working, this was an ideal time to vacation during “low season”.

Denver International Airport

We flew Southwest Airlines on a non-stop flight from Denver to Orlando. Southwest has worked great for all of us in the past, and has allowed Morgan to preboard and wipe down his area. Traveling to Florida, we were on a brand new plane which was on its first day of flight, which was wonderful! That flight and the flight home worked perfectly – both were mid-morning flights, so not the first flight of the day, but we’ve never required that as part of our travel plans. When we boarded the flight home, the flight attendant told us that the previous flight also had no peanuts served, which made for a nice, clean plane. But we still wiped down the area where Morgan sat.

Traveling and managing Morgan’s food allergies – peanuts, tree nuts, sesame, fish and shellfish – along with his pet and environmental allergies pales in comparison to managing Michaela’s and my mast cell symptoms. She  and I both eat only organic foods; however, her diet is vegetables and fruits, while I tolerate only a few foods – chicken breast, turkey breast, frozen Cascadian Farms hash browns and broccoli. My husband, Robert, is on the Whole 30 food plan – so cooking for all of us requires a short order chef!

Actually, we don’t ever eat out because of the organic food requirement, and the mast cell issues require much more vigilance than even food allergies. The type of water that I drink can affect my stomach! Unbelievable, but true. And for those of you with mast cell issues, I’m sure you know what I mean. So, braving a family vacation is a big deal. It also requires a lot of patience on each person’s part since each of us has different needs depending upon the situation. We’ve learned to also have activity days and rest days to keep positive attitudes!

We rented an AirBnB house that guaranteed it was pet and smoke free, and had a full kitchen since we would be cooking every meal. We planned ahead by finding out where the local grocery store (Publix) was, and I special ordered from them a week’s worth of the frozen potatoes that I eat. We also found a  Whole Foods for Michaela’s foods, although it was 30 minutes from where we were staying. Morgan and Robert purchased their foods from each of these stores also.

The pool area in the community center where our AirBnB was located.

I didn’t bring the organic ground turkey that I usually eat because I had called ahead to Publix and Whole Foods to ensure that they would carry it – plain with no spices added. However, when we arrived neither actually carried it, despite their reassurances that they did. This created a search across Orlando to find such a product. We finally did find a different brand, but I learned to bring it in the future since it’s so difficult to find elsewhere!

In regard to bringing food, we got a letter from our allergist to allow us to bring food onboard the plane through TSA. This letter was never requested, but we had it just in case it was. Also, the allergist’s letter delineated that we would be bringing frozen food in a cooler and checking it through as baggage. This too worked just fine with Southwest Airlines, and they never requested the doctor’s letter.

We found that the home we stayed in wasn’t well equipped with kitchen supplies, so thankfully I had brought a few frying pans and lids in my luggage. I always bring my own yellow colored spatula so that even my family knows which spatula is mine! I also brought my Instant Pot in my luggage. Since Michaela and I are part of Dr. Li’s private practice of Chinese Herbs for Allergies, Dr. Li has asked that I only eat meat cooked in the Instant Pot to help my stomach heal, and purchasing another one in Orlando didn’t make sense. So we brought a second suitcase with all these kitchen supplies!

All the grocery shopping and driving took us half of the first day in Orlando to set ourselves up. Then the fun began!

We went to the Kennedy Space Center and Cape Canaveral for our first outing. We packed our lunches and left them in a cooler in the car while we visited the Cape. We neglected to call ahead to see if a microwave would be available, and later we were told it wasn’t. In fact, they wouldn’t even allow any outside food in the space center, even with a medical condition from what we were told. So we ate our lunch cold (cold potatoes, broccoli and chicken will fill up the stomach, but doesn’t make a tasty meal!)  in the car. Not the ideal situation, but we enjoyed each other’s company. And with my husband being a space enthusiast, we had a great time seeing all the exhibits.

We headed down to Cocoa Beach that same day. Being from Colorado, getting to see the ocean is a big deal. We enjoyed it thoroughly, especially since it is “low season” and there was hardly anyone else there, despite what we would call hot weather in December – mid-70’s!

Cocoa Beach

The next day, we went to Disney Animal Kingdom. We wanted to especially see the new Pandora – World of Avatar, and to visit the Tree of Life. Michaela and I had to pre-make our meals the night before so that we would just have to heat them in the park. Morgan and Robert were able to bring salads and sandwiches – no heating required!

The Tree of Life in the Center of Disney Animal Kingdom

We searched online and found that they have lockers near the opening gate, which is where we put all of our lunchboxes plus snacks. Thanks to an inquiry on my AllergicChild Facebook page, I found out that the park does have one microwave for the public in the Baby Center area.

The park doesn’t have a lot of air conditioned locations, and with the temperature in the lower 80’s plus the humidity, our daughter began to have heat issues. You may remember me blogging about this issue here when she ended up hospitalized after having two grand mal seizures.

Thankfully, right next to the Baby Center, there was a First Aid office. She was able to get a bag of ice and sit in air conditioning for a little while to cool off. Twice more during the day, she went to First Aid to get more ice. I can’t say enough nice things about the Disney employees in First Aid – they were just magnificent. Each time she would come in, they provided a large plastic baggie of ice, and remembered her name from the first time. They treated her with such kindness, and we were so grateful for that.

Since the lockers we chose were at the park entrance, and the baby center was in the center, Michaela would walk with her plate of food piled high with cauliflower, carrots and squash nibbling until she got to the microwave. Several times, we had people stop us asking where she got her food! Dozens of people in the locker area brought their own food. Disney asked no questions about the coolers or even the water I brought in, which was wonderful.

The day was really long since we stayed for the River of Lights nighttime show, but it was well worth it.

River of Lights Show at Disney Animal Kingdom

We had all walked miles, and with feet hurting, we headed back to our AirBnB ready for bed!

We took a rest day the next day, and Michaela and I headed out to visit a Network Spinal Analysis chiropractor in the Orlando area. These doctors are specifically trained in a type of chiropractic work that involves gentle, precise touch to the spine cuing the brain to create new wellness promoting strategies.

We’ve found that part of the mast cell symptoms is extreme back pain, and all the walking we did the previous day was wreaking havoc on our spines. We found a lovely young woman who had recently opened her practice, and got us aligned and ready to walk the next day at Universal Studios Wizarding World of Harry Potter!

This was the big event that we were most looking forward to.  Universal  also had no issue with us bringing food into the park. And I brought my own water without anyone asking anything about it.

The lockers were once again near the opening gate of the park, however this time the microwave was very close in a “nursing room” in the family center.

We decided to purchase the 2-park pass since Hogsmeade is in one park, and Diagon Alley in another. My husband owns a marketing consulting firm, and he declared that as good marketing! And, of course, much more costly, but well worth it.

The Knight’s Bus in “London”

The weather was much cooler on this day (mid-60’s), and foggy which made for a great day to visit the magical world of London,  feeling it was somewhat realistic to their actual weather.

We next went to Diagon Alley where Morgan got to taste his first Butter Beer.

Tasting Butter Beer for the first time!

Morgan had previously emailed Universal to inquire about whether Butter Beer would be safe for him. He listed his food allergens, and got this response:

Burdick, Bob (NBCUniversal, Orlando) ([email protected]) wrote:

Hi, in Universal Studios, we have fruit stands in the parks with apples, oranges, grapes, watermelon on them. Also have lemon and strawberry slush carts which will be ok, also have turkey legs on carts that are just smoke plain. We have a full service unit it is Lombard’s landing and Finnegan’s, we have a chef in each unit have the server bring the chef to the table and he can go over all the things he can do for you In Islands of Adventure we have 2 full service units one called Confisco’s and one is Mytho’s, we have Chefs in both of those units, have server bring Chef to table and he can go over the things he can do for you, we have another walk up unit it is Thunder Falls, we have smoke chicken, smoke pork ribs, and roasted corn on cob and roasted potatoes with fresh herbs and salt and pepper, also have French fries all natural cooked in soy blend oil that is the only thing cooked in those fryers too.  I will also say no desserts at all from any of the restaurants too. 

We also have three broomsticks which have smoked chicken and smoked pork ribs, roasted corn on cob, baked potatoes, roasted potatoes with onions, garlic, salt and pepper, and fresh herbs and some salads too.  

The butterbeer is nut free, is made in a separate room. Pretzels and popcorn are ok too. The soft serve is ok at florean ice cream shop, not the hard pack ice cream. The restaurants in citywalk will be able to help you with your allergy all units have 4 chefs in them   

If you need any more information or help feel free to give me a call at 321-388-2123, Chef Bob.

We never purchased any food product in the park, but it was lovely to have all this information if we did. There was a lot of fish and chips on the menus in both Diagon Alley and Hogsmeade, but obviously there would have been safe food items if Morgan had wanted to eat.

There were several shops with candies and sweets in them. This is the ingredient label on the back of Chocolate Frogs which states, “Contains Milk and Soy. Allergen information: Shares Equipment With and Produced in a Facility Containing Milk, Egg, Peanuts, Tree Nuts, Wheat and Soy.” We didn’t find one candy that didn’t have this labeling. The candies were great for gifts, but not safe for Morgan to eat.

The Wizarding World overall was superb. If you go, you have to purchase a wand! There is a map of all the locations where the wand will work it’s magic…I’ll leave it at that because that’s part of the fun figuring out how to create the magic!

There were rides and shops throughout both parks, and once again we walked until our feet swelled! We road the train, the Hogwarts Express, in between the two parks.

Mischief Managed!

The next day was a rest day to pack up and get ready to fly home. We realized that we had cooked 21 meals on the 4-burner stove in the Air BnB kitchen, and no one went hungry!

If your family is like ours, and doesn’t or can’t eat out, it’s still possible to have a wonderful vacation and cook every meal yourself. With a lot of pre-planning and preparation, we had the most wonderful, magical vacation!

 

 

 

A Private Chef and a Broadway Show

The Broadway Show Rent!

I had a really unique opportunity last week. As the Student Body President at the University of Denver (DU), I get invited to events and special functions all the time – but this time was particularly special. The Broadway musical Rent was visiting Denver and our Vice Chancellor of Advancement at DU (his name is Armin) invited myself, the Student Body Vice President, and two of our student government representatives to go out to dinner with him and his husband and then see the play! Armin is essentially in charge of fundraising for our university, so this was quite an honor.

We began coordinating a dinner place over email. While the Vice President (Darylann) and I had previously had lunch with Armin, I had no expectation that he would remember my food allergies. He first offered a spicy Chinese restaurant in the area. I counter-offered with two local restaurants I knew would be safe (and not incredibly expensive either). Armin tried to reserve a table at either of those restaurants, but they were all booked up.

Instead, he hired a private chef.

I can say with absolute certainty, I’ve never had an experience quite like this. A private chef? At Armin’s fancy place in downtown Denver? And then a Broadway show?? I was completely blown away. Armin asked us to all send along our food allergies or other requirements so the chef could adequately prepare food.

One of the student government representatives, Jake, has Celiac Disease. Darylann has gastrointestinal issues that prevent her from consuming dairy. And I have my own food allergies to peanuts, tree nuts, sesame, shellfish, and fish. (The other rep, Scott, doesn’t have any intolerances or allergies). Darylann, Jake, and I all were joking the chef was just going to serve us a bowl of rice and call it quits!! We underestimated the chef’s ability severely.

The chef, Megan, was incredible. She prepared a four-part meal: a salad with vinaigrette and watermelon beets, a sautéed butternut squash with spicy vinaigrette and yogurt, baked chicken breast with mushrooms and a delicious creamy sauce, and cherry meringue kisses for dessert. It was all 100% safe. She double checked all of the ingredients, prepared Darylann’s dinner without the yogurt and cream sauce, and accommodated all of my allergies perfectly. It was incredible. She was completely at ease accommodating all of our food allergies and intolerances and double checked with all of us.

The show afterward was fun too!! I was still shaking in my boots by how awesome (and delicious) the dinner was and how successful the chef was in accommodating all of our allergies and intolerances. This just goes to show that multiple different food allergies can and will be accommodated in a professional setting with a caveat – make sure to speak up about your needs! This was an exquisite experience!

AllerTrain Allergy Training for Chefs

Betsy Craig and her husband, Rocky, started AllerTrain, an ANSI accredited food allergy and gluten-free training course offered by MenuTrinfo (which, according to their website is “dedicated to bettering the food-service industry by providing two major services: Certified Nutritionals and food allergy/ gluten-free identification and education”.) The course teaches foodservice professionals about the top foods causing food allergies, proper protocol for preparing food so to avoid cross-contact and to how better serve diners with special dietary needs. This will help restaurants avoid food allergy related incidents, and prepare them to handle such incidents, should they occur.

AllerTrain by MenuTrinfo (3)

Where did the idea of AllerTrain originate and how long have you been in business?

AllerTrain was born out of my original business MenuTrinfo (mash-up of the words menu – nutrition  – information).  Once we set up our company nutritional software for industry in 2010 my husband realized he could tag allergens in menu items for the restaurants we provide nutritional service for.  I knew that in order for it to help those with food allergies, and this new movement of gluten-free, that training needed to be in place to make a difference.  Having food allergy friendly food was only step one in keeping diners safe and meeting special dietary needs.

I reached out to others in the food safety, restaurant, food nutrition, and training space to begin to build a training program I called AllerTrain.  This was October 2010.

Can you explain AllerSTAR and MenuTrinfo?

AllerSTAR takes learning objectives taught in the AllerTrain educational programs and makes them singular training points taught through a monthly poster and toolkit program.  This is to enhance the learning in AllerTrain and also to keep the topics of food allergies, gluten free and proper standard operating procedures on top of mind.  This poster training program is for all employed at a restaurant or college who does the month AllerSTAR program. Teach, test and sign off on the learning object creates ownership with the industry and staff at any food location that takes part in AllerSTAR.

I’ve seen that you’re training many chefs in colleges who have Sodexo. What other groups are you training?

Sodexo was a clear, eager and super helpful early adopter partner for AllerTrain but we have many folks who have trained within AllerTrain courses.  Folks at almost all Ivy League schools, key brands like Eat’n Park in PA, Glory Days Grill in the New England area, a part division of Panera Bread in TN, WV and VA, Cattlemen’s Steakhouse in CA, universities and colleges throughout the US (in the FARE college training program and out).  College food service management companies like Parkhurst, Culinart, Aramark, and Chartwells.  Many different private schools, a number of public K-12 districts, hundreds of schools in Texas, Training centers throughout the country, Amtrak, over 300 health officials in Virginia, over 75 food service professionals that work within the federal prison system, Food service managers at airports in a number of major cities, the head of F&B for the Olympics, and the list goes on and on…..

Can you tell us what is involved with training a chef at a restaurant and the staff?

A combination of training of the disease of food allergies, Celiac and intolerances, best practices for front and back of house, policy and procedure assistance and emergency protocol.   Ongoing training is also a major key to keeping folks trained and confident.

Does your training cover cross contact?

Yes there is a great deal of focus on cross contact.  It is key to successful food prep, cooking, delivery and satisfaction.

Do you suggest that restaurants and dining halls use separately colored utensils in the preparation of meals for food allergy and/or gluten free customers?

We fully and completely promote this concept and encourage the use of separate colors for food allergies and Gluten-free.  We use the same color for both of these special dietary needs, as the method to keep people safe is the same.  That is also why we teach both in AllerTrain. The teaching and tools are the same and desperately needed for success.

Do you provide ongoing training for a site and their employees? Or is it just a one time training?

Ongoing training is addressed through the AllerSTAR program.  Also many locations and universities have their staff go through AllerTrain once a year despite the fact the certificate is good for 5 years.  They want to keep the information top of mind yearly.

Thank you so much Betsy for creating this wonderful program to keep those with food allergy safe when dining out or in college!

 

Stein & Vargas files complaint against American Airlines

mary-vargas

Stein & Vargas, LLP, a civil rights firm based in
Washington, D.C. and committed to the principle that all people have full and equal access to all parts of society. Stein & Vargas, LLP has a special interest in the rights of individuals with food
allergies.

On December 28, 2016, the firm filed a complaint against American Airlines  for targeting and discriminating against individuals with peanut and tree nut allergies in violation of the Air Carrier Access Act.

Here is the press release from Stein & Vargas regarding the complaint: https://home.allergicchild.com/wp-content/uploads/2016/12/DOT-Complaint-Filed.pdf

And here is the complaint: https://home.allergicchild.com/wp-content/uploads/2016/12/Complaint.pdf

Anyone with an allergy or an allergic child who has been denied preboarding by American Airlines can file a complaint here – our voices matter: http://airconsumer.dot.gov/escomplaint/ConsumerForm.cfm

This is very exciting! I’m very hopeful this will at least begin the process of having procedures and policies for food allergic travelers on airlines.

 

Disability Rights Attorney & Food Allergy Mom, Mary Vargas

mary-vargas

Hello Mary. It’s wonderful to interview you today. Can you please tell us how you became involved in disability law, especially as it relates to food allergies and anaphylaxis?

I’ve been a disability rights lawyer for almost two decades. I started my career at the National Association of the Deaf doing disability discrimination litigation. When my own child was diagnosed with food allergies and subsequently turned away from a summer camp because of his allergies, my worlds collided. I found myself in the uniquely familiar position of advocating for inclusion but this time I was advocating for my son. I realized that if the child of a disability rights lawyer was denied access because of food allergies, there was work to be done.

What food allergies does your family manage?

I have three boys and only my youngest has food allergies – peanuts, tree nuts and shellfish.

What lawsuit(s) have you litigated that pertain to food allergies and anaphylaxis?

Stein & Vargas, LLP has a special interest in pursuing litigation that will create safe and equal access for people with food allergies. We’ve litigated a number of cases throughout the United States on behalf of people with food allergies who have experienced discrimination whether it be in employment, education, or access to programs and services. Among the complaints we have pending now are a complaint against Young Shakespeare Players East in which the United States Department of Justice has concluded that Young Shakespeare Players East discriminated against my 11 year old client on the basis of his food allergies and retaliated against my 13 year old client for advocating for her friend’s rights. We are also co-counseling on a case with Laurel Francoeur against Panera on behalf of a child who had an anaphylactic reaction after being served a grilled cheese sandwich that contained peanut butter despite notice that the sandwich was for a child with a peanut allergy.

From your experience as an attorney, is there anything that a food allergy family should be aware of or take action on to ensure the safety and inclusion of their child in school? 

The most important aspect of safety and inclusion at school for food allergic kids is the development of a strong and positive relationship between the school and the parents. The focus cannot be on highlighting where plans failed, but on building long term trust and commitment. Even the most knowledgeable and well-meaning schools will fall down sometimes.

You are a Co-Founder of  Allergy Law Project. How did that come into being?

Allergy Law Project was the brainchild of Laurel Francoeur who approached Homa Woodrum and I two years ago about the need for reliable legal information in the food allergy community. There is incredible power when parents of food allergic kids put their brains together for the good of the community.

I love the blog post called “A Seat at the Table – Bringing Allergy Friendly Food to Restaurants“. You said that’s the question you are asked the most. What can a family do, in the moment, if a restaurant forbids them to bring in outside food? Is it necessary to bring along the state law to reference or is there some other statement that can be used to allow outside food?

Generally, families can ask calmly and respectfully to speak with the manager. Explain to the manager that your party is looking forward to enjoying the food that the restaurant offers but your child cannot safely eat the food. If after calmly talking this through and explaining why it is necessary for your child to bring safe food in order for the rest of the dining part to eat at the restaurant the manager still refuses, you may need to go higher up the chain. You might send a politely worded letter to the restaurant owner to educate them about food allergies.

Many food allergy families are concerned about Donald Trump’s comments about “streamlining” the Department of Education and curbing the role of the Office of Civil Rights. What can food allergy families do to protect their child and do you think that is likely to occur?

I have grave concerns about the impact of the incoming administration on many aspects of the work we do. The Office of Civil Rights within the Department of Education, the Office of Civil Rights within the Department of Health and Human Services, and the Disability Rights Section all have a critical role in ensuring compliance with our federal rights. Significant cuts in staffing could jeopardize the ability of these agencies to safeguard rights and changes in philosophy could undermine enforcement actions throughout the United States. There is so much at risk and already resources are stretched tightly. I’m also concerned about the potential rollback of food safety regulations that has been threatened. My hope is that the allergy community has the potential to speak loudly and in concert to defend important rights.

If someone reading this feels they need legal advice pertaining to a disability law question, how can they contact you? Stein & Vargas, LLP’s website is www.steinvargas.com. Folks are welcome to contact me with questions through the website.

Thank you very much Mary!

Ms. Vargas is committed to ensuring full and equal access for all individuals. She has litigated cases pursuant to the Americans with Disabilities Act and the Rehabilitation Act throughout the United States in federal and state courts.

Ms. Vargas also represents women who are denied access to reproductive care and coverage. She has successfully obtained full coverage of late term abortion claims through insurance appeals. She also speaks nationally on issues including women in law, movement building, discrimination, pain, food allergies and anaphylaxis, and reproductive rights. Ms. Vargas is a co-founder of and blogger for the Allergy Law Project.

Prior to joining Stein & Vargas, LLP, Ms. Vargas was a staff attorney with the National Association of the Deaf.  Ms. Vargas was a 1998 Skadden Fellow and a 1994 Truman Scholar. Ms. Vargas was the 2010 recipient of the Advocacy for People with Pain Award from the American Academy of Pain Management. She wrote for the American Bar Association, Mental and Physical Disability Law Reporter.

Ms. Vargas obtained a B.S. in deaf education from the College of New Jersey, and a J.D. from the University of Connecticut, School of Law. While in law school, she was appointed to the Client Advocacy Board and served as student director of the Yale Law School, Advocacy for Persons with Disabilities Clinic.

Ms. Vargas is a member of the bars in Connecticut and Maryland.  She associates with local counsel around the country in bringing cases of special importance to individuals with disabilities.

Dealing with Airlines While Traveling

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Planes are the trickiest for those of us with nut allergies. Airlines are not always friendly to nut allergies and it is up to the airline to determine their policy regarding peanuts and other nuts on the airline. You should do a quick Google search for your airline and nut allergies: for example, I’d search “Southwest nut allergies.” Most airlines will have their policies easily accessible on their website grouped in with their “Disability Accommodations” or similar.

All of the airlines will have some kind of disclaimer that reads: “We cannot prevent passengers from bringing products containing nuts or other allergens onboard our flights. Therefore, we are unable to guarantee a nut- or allergen-free flight. Attempting to do this would create a false sense of security for passengers with severe allergies. We encourage passengers who are allergic to nuts to consult with their doctor regarding the safety of air travel.” It’s true that you’ll be stuck in a metal tube with limited ventilation for a few hours while flying and exposure to nuts in flight could cause serious issues, so you will want to consult with your doctor about the safety of air travel. However, this shouldn’t dissuade you from flying, especially because different airlines will have different policies regarding flying.

Most airline websites will have a section devoted to accommodations and there should be a small section about nut allergies. There are a few different kinds of policies airlines have:

  • They won’t serve nuts if they are given notice.
    • Southwest is famous for their “Peanut Dust Allergy” document. You’ll mark that you have a disability – a “Peanut Dust Allergy” – when you book your flight online (or you can call Customer Service and they can do this too). When you get your boarding pass, you’ll also have a printed slip that says you have a peanut dust allergy. You present this to the service representative near your gate and they will give you an extra copy and a pre-board slip (see below) that you will give to the crewmember aboard your flight and they will not serve nuts on your flight. This doesn’t mean it will be a nut-free flight as other people could have nuts, but they will usually make an announcement asking passengers to refrain from eating nuts as well. They’re fantastic!
    • Delta changed their policy a few years ago, so you just need to notify the crewmember that you have a peanut allergy and they won’t serve nuts. It’s very similar to Southwest’s policy, just more informal.
  • They will allow you to pre-board to help wipe down seats.
    • Southwest allows you to pre-board if you show you have a Peanut Dust Allergy document to the service desk next to your gate. Basically, this allows you to board before everyone else, find a safe seat, and clean your area before anyone else gets on your flight. I’d highly recommend this if you fly Southwest.
  • They will give you a “buffer” zone.
    • This seems to be the predominant policy from airlines that do accommodate allergies in some way. United, AirCanada, JetBlue, Alaska Air, and many other airlines will offer to create a buffer zone of one to three rows on either side of your row. The crewmember will ask all of the people in the buffer zone to not consume any nuts and they won’t serve nuts to those rows, if they serve nuts at all. JetBlue, WestJet, and AirCanda and a couple other airlines don’t serve nuts on their flights but will still offer a buffer zone to prevent other passengers from consuming nuts on the flight. This can be useful to help assure a safe surrounding.
  • They won’t accommodate at all.
    • American Airlines is rather infamous for this. They don’t serve peanut products, but they do offer warmed nuts for first class occupants and will not grant buffer zones or even allow you to pre-board to wipe down seats.

Obviously, flying is the most complicated form of travel simply because different companies have different policies regarding food allergies. My best experiences flying have been with Southwest. I know other families have had great experiences with WestJet, JetBlue, and Air Canada as well, but I’ve always flown Southwest. The combination of a pre-board, no nuts served, and relatively inexpensive rates to most places in the country have served me well.

There are a lot of online resources regarding traveling – just do a quick Google search and you’ll find a host of blogs and other resources to help you decide.

The airline is one of the most important considerations when you’re traveling as a group. It’s likely that your teacher or coach will be booking flights without regard to your food allergies or food allergy policies. You must tell them ahead of time if they’re booking on an airline that is not friendly to food allergies and explain why it’s important to have accommodations (at least a buffer zone) on a plane for your food allergies, if you have a nut allergy. If your teacher or coach has already booked flights for the trip, you must decide whether you are comfortable flying the airline and have a thorough conversation with your teacher or coach about other ways you could get to your destination if you’re not comfortable flying the same airline.

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(Example Southwest Boarding Slip + PDA Document)


The Trials of Eating Out with Food Allergies

Recently, both my son, Morgan, and I have had interesting issues eating out at restaurants.

I have been diagnosed with an eosinophilic disorder, which means that I make my own safe food and bring that to a restaurant when meeting friends. It would be wonderful to be able to eat food prepared by a chef, but currently that isn’t yet a possibility. I eat only organic foods, and I eat just 4 foods currently. It’s certainly not where I hope to be forever, but for now, it’s what my reality is.

My husband and I met friends in Denver, CO at the Vesta Dipping Grill expecting a wonderful dining experience for the three of them ordering food. Their expectations were met; mine however was a little different. While the restaurant claims to be very accommodating to allergies, the assistant manager was less than thrilled with me bringing my own food. In fact, after everyone else’s food was served, he marched over to the table to tell me I was breaking the law! When he commented that if I brought in the food because of a medical condition that would be different. This is when my husband stepped in (I was crawling under the table at this point), and informed him that  yes, it was a medical condition. At that point the manager told me that the next time I come in, I will need a doctor’s note to bring in my own food. This entire interaction took less than 5 minutes, and I was mortified.

I have been bringing my own food into restaurants for literally the last 9 years. This is the first time I’ve had any restaurant employee even make a comment about the food, much less tell me that I’m a law breaker!

I’ve searched high and low through all of Colorado’s Retail Food Establishment Rules and can find nothing that states, “no outside food allowed” in Colorado restaurants.

The more interesting part of this story is that when I shared it with my son, Morgan, he told me about his experience with the same restaurant. He and a friend ate there a few months ago thinking they would be great with his peanut, tree nuts, sesame, fish and shellfish allergies with their 8 different allergy menus.  Instead, his food was served with a dipping sauce filled with sesame seeds. This was after he meticulously discussed his food allergies and gave his Chef Card to the waiter. He is thankfully very careful about checking his food order when he receives it, and he noticed that his food was not safe.  He said he will NEVER eat there again because of this mistake!

Moral of the story – don’t trust a restaurant automatically that says they are allergy aware! Always check your food before taking a bite, and of course always carry your epinephrine.

Update and Follow Up:

My husband, Robert, wrote an email to the owner of Vesta Dipping Grill, Josh Wolkon, explaining our disappointment and embarrassment with our dining experience. Josh followed up with a personal conversation with Robert outlining what they’ve done to change the dining experience for customers like myself who have to bring in food. They utilized our experience for a 2 hour training of all his restaurant employees in his 4 restaurants, and have developed a written, detailed plan for managing outside food brought in because of allergies.

My husband also explained our son’s experience with the sesame seed in the dipping sauce. Josh was very disappointed in this major mistake, and said that this too will be utilized to better train his employees of the seriousness of food allergies.

I’m very impressed that the owner of the restaurant would take his time to speak with my husband, AND to train his employees further. Additionally, we’ve been promised a gift certificate for a future dining experience, which I’m sure will be pleasurable!

 

Traveling Alone with Food Allergies

My Trip to New York!

I recently traveled to New York – alone – for a conference put on by the Roosevelt Institute. As I’ve mentioned before, Roosevelt is a national organization trying to re-engage young people in the policymaking process. They offer a national training each year to leaders of the Institute from around the nation at Franklin D. Roosevelt’s home in Hyde Park, NY. Since I started my chapter of the Roosevelt Institute at the University of Denver, I was invited to attend!

They offered to cover my flight out (which is great)! I had a great few e-mails with their operations specialist at Roosevelt and then I called and voiced my concerns about which airlines I could fly. Since I’ve really only had good experience with Southwest, I told them that I would prefer to fly with them. However, there was one main problem: I had to be at Grand Central Station in NYC by about 2:45pm on Thursday, August 6th to catch my train to Poughkeepsie, the nearest train stop in upstate New York. Only one flight from Denver would get me to LaGuardia airport at 1:40pm (landing time). I knew that it would be a tight push to get off the plane, get my luggage, and get to Grand Central in an hour.

Instead, I had Roosevelt book a flight the day before. This allowed stress free traveling and some extra time. Since I didn’t book the trip online, I called in to Southwest customer service and explained my peanut allergy so that it would be noted on my reservation.

The next problem was, where would I stay? My Mom and I had a couple discussions about friends and family we knew in NYC and in Poughkeepsie. We looked up a hotel in Poughkeepsie that was relatively cheap. However, we eventually settled on renting through Airbnb.

If you’ve never used Airbnb, it’s wonderful! It is a website where home owners advertise a room or their entire place for you to stay in, like a hotel. Usually, however, you’ll have access to a full kitchen and all the amenities you may not have in a hotel. Plus, they must mark if smoking and/or pets are allowed. By default, they’re not! This makes the stay even better. I found a very awesome room to rent in Poughkeepsie, NY. I submitted my request to room there for the night and had a great conversation with the owner through Airbnb before I went confirming the non-smoking and the no pets! I didn’t get into my food allergies since I knew I could find safe food. She and her boyfriend lived together; they were both lovely and fully accommodating.

Roosevelt arranged housing for the duration of the conference at a nearby motel called the Golden Manor. I was supposed to have a roommate, but he didn’t show up. Instead, I got to have a room to myself! Now that I had my housing arranged, I had to make sure I had my food all in order.

I coordinated again with the operations specialist at Roosevelt for a menu of the food provided at the conference. (I’m allergic to peanuts, tree nuts, sesame, fish and shellfish.) She got back to me and we realized that, in fact, all but one of the meals would be safe! She double checked with the caterers for ingredients and confirmed that all the meals (except one) would be perfectly safe. The lunch on Friday was Chinese, which was not safe for a multitude of reasons. Instead, they bought me a frozen meal that was perfectly safe (it was a burrito bowl and we both triple checked the ingredients) that I ate instead of the Chinese food.

I also brought extra food for myself (a few homemade granola bars and a couple of bagels) just in case a breakfast or a lunch turned out not to be safe. That way, I always had something to eat!

The trip itself went very smoothly. I arrived in NYC at LaGuardia airport, got my luggage, and hailed an Uber. Uber is another great app that allows you to hail a (more or less) private driver – like a taxi, but usually they’re nicer cars and nicer people – that will take you anywhere. The fee for the ride is all conducted through the app and tips are automatically added. It’s really a seamless experience and I had a great Uber driver on the way into New York City.

The driver dropped me off with my luggage at Grand Central. I forgot how many people lived in New York City! Despite the masses, I found my way to a ticket booth, got my ticket, and got on the train to Poughkeepsie. It was about an hour and 45 minutes long. Once I arrived in Poughkeepsie, I walked the short walk to the Airbnb place and arrived home for the evening! Since the owners were out, they left a hidden key outside and let me know via the Airbnb app. Once they arrived back, we chatted for a while before we both went to bed. I had packed food for the trip and I ate along the way.

Airbnb room

In the morning, I had a granola bar and some coffee. A light breakfast, admittedly, but I kind of spaced on what I would do for that morning. Even with all of my careful planning, I did overlook it, but I was grateful I had brought extra food. After a while, I said goodbye to my wonderful hosts and walked back to the train station. Roosevelt promised to shuttle us from the train station up to Hyde Park, where FDR’s home is.

Roosevelt home

The conference was absolutely amazing. We got a tour of FDR’s home and presidential library (both of which were great!). We also did some great trainings for leadership, strategic planning, policy making, coalition building, and even PR techniques. The food went absolutely perfectly throughout the entire weekend and the staff were so wonderful! Every time I went to get food, the staff was double checking with me about the ingredients of the food and what I could eat. It was just wonderful.

One night, a huge group of us walked 15 minutes up the road to a nearby diner. Just like any restaurant I go to in a foreign place, I played it safe and got some French toast. I double checked with the waiter and he double checked with the chef; everything went great. It was really tasty French toast, too!

After the conference was over, I took a mid-morning train back to NYC from Poughkeepsie on Sunday, August 9th. Even though I had a small suitcase with me, I decided I wanted to look around NYC a little bit, so I ventured my way onto the metro and went down to the World Trade Center. The memorial was absolutely gorgeous and the new One World Trade Center is great! I grabbed Panera for lunch before going to the airport via Uber.

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Panorama 9_11

My safety for the entire trip was assured by planning ahead and making sure everything I was going to eat was safe. I just communicated my concerns and I made sure all of it would work! Overall, it was an amazing experience.

Go with the Flow when You’re Invited to a Business Lunch

Last Friday, I was in Denver meeting with a bunch of non-profits and elected officials for my most recent project: the University of Denver Roosevelt Institute. I’ve made mention of it before, but to recap, it’s an undergraduate non-partisan think tank. We’re a chapter of a national network of campuses that is attempting to re-engaging young people in politics (a tall order, I know).

Anyway, I had a meeting with the Governor’s Senior Advisor, Jamie van-Leeuwen. Jamie advises the Governor of Colorado on social policy and projects (like homelessness) and has a wealth of experience in urban and economic development. He actually started his own international development foundation called the Global Livingston Institute. Needless to say, he’s very intelligent and was great to meet with him. He’s an absolutely whirlwind of energy – I swear this man never sleeps.

I had scheduled a meeting with him at 12, but he was late. He had to finish up a panel discussion with a number of interns in the Governor’s office. Once he arrived, the conversation went something like this:

Jamie: “Hi, Morgan, right?”

Me: “Hi Jamie, yes. Nice to meet you!”

Jamie: “Nice to meet you to! I’m running late, sorry about that.               But I’m actually supposed to be at a lunch – do you mind                             coming along?”

Me: “Uh, sure! I’d love to.”

Given that this was the only opportunity for me to meet with him in a month (he’s in Africa now working on projects related to his foundation), I figured if I had to talk to him on the way to a lunch (and at the lunch), I would. We basically raced to his car and started a short drive over to the Denver Center for the Performing Arts, where the lunch was being held.

As it turns out, a celebration of culture for North & South America (called the Biennial of the Americas) was going on during last week and Jamie served on their board. Since this was the last lunch of the event, he needed to at least make an appearance. While I chatted him up on our car ride over, my mind was already thinking about the food at the event. I figured I would wait until we got there and see what they were serving.

Morgan Post

After a few brief hellos with people Jamie knew, we sat down at a table. There was a salad with spiced chicken on it and a vinaigrette already drizzled over it. Accompanying it was a chocolate cupcake with a nut-looking topping. As I sat down, a server came over and began to pour some water. I turned to her and immediately asked if the salad has any of my allergens. She tells me she will ask the chef and departs.

Jamie and his friend we sat down with immediately turn to me and ask if everything is all right. They were very interested in my safety! I briefly explained that I had severe food allergies; they completely got it. The server returned and told me that everything in the salad was 100% okay. They did not prepare anything with shellfish, fish, or sesame. They aren’t a nut-free kitchen but the salad did not contain nuts. I felt very comfortable with that answer and began to dive into the salad.

While the lunch was going on, there was a really great panel between the Mayors of Denver and Calgary, and a former Mayor of Bogota. They were talking about the importance of local community change. I always think about how important it is for parents of food allergic children to work with their schools and the school board on making sure food allergic children are safe in their schools. That’s a great example of what the Mayors were talking about.

Without even asking, the server later returned and said the cupcake was topped with pumpkin seeds and not nuts, but cautioned me again that they weren’t a nut-free kitchen. I thanked her. As a general rule, I always pass on dessert simply because most desserts have some sort of cross contact issue with nuts, whether or not the topping is pumpkin seeds.

Overall it was a great lunch and Jamie was awesome to talk to. I certainly wasn’t expecting to go to lunch, but everything turned out just fine! I always make sure to ask about the food served, especially at big galas. Who knows what’s in the food!

The Sometimes Incompetence of Waiters

The other weekend I went with a friend and ate at P.F. Chang’s. For those of you who are familiar with the restaurant’s menu, it seems like an odd choice for my food allergies (peanuts, tree nuts, sesame, fish and shellfish). It’s Asian cuisine and most of the menu items contain some sort of nut or shellfish/fish ingredient. However, I’ve eaten at P.F. Chang’s since I was very young and I’ve always had an excellent experience. I became good friends with the Head Chef and then Assistant Owner of a local P.F. Chang’s in Colorado Springs so I knew what went on in the kitchen and what menu items could be prepared safely.

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My favorite menu item is Crispy Honey Chicken – a very “play it safe” but delicious dish. I’ve eaten it dozens of times and never had any issue.

Anyway, we sat down and the waiter came over and introduced himself. He brought us menus and we ordered water for drinks. I knew what I wanted to order because of my allergies and I knew the dish would be safe. When he came back, I notified him of my food allergies. He told me that P.F. Chang’s has a “matrix” or print out of items on the menu that would be safe for me. He returned quickly with this print out and let us scan through it. I don’t know how this list is compiled, but it is most likely a list of dishes that “may contain” the allergens input. I never received clarity on it.

To my surprise, the Crispy Honey Chicken was not on the list, despite my eating of it a mere month or two before. There were probably only four or five items on the entire list. When the waiter returned, I notified him of the issue and he said he couldn’t do anything about it, nor could he assure that the item was safe. I went ahead with it anyway and ordered Crispy Honey Chicken. I knew it was safe and I had eaten it many times and very recently too. I simply asked him to notify the chef of my food allergies or put it in the system so they could prepare it separately from all the other food – something I know P.F. Chang’s does for food allergic customers.

The waiter said the chef couldn’t do that. They couldn’t guarantee the safety of my food or prepare it in an area away from the regular food. I was surprised and at this point a little scared. What if I couldn’t actually eat my “play it safe” dish? What if P.F. Chang’s had changed? Or, was it just this location that had different practices? I told the waiter to give me a few minutes to think about it.

I was mainly surprised because the Head Chef and Assistant Owner I knew from my youth made it very clear that the kitchen always has a separate area to prepare dishes for food allergic customers. I decided to take matters into my own hands and call the restaurant – from within the restaurant. I asked to speak to a manager. I told the manager: “Hi! I’m looking at coming to your P.F. Chang’s but I have severe food allergies. I’ve eaten at many P.F. Chang’s but I just wanted to check your practices. I know you have a matrix print out, but I was wondering if the chefs prepare food for customers like me in a separate area.” The manager confirmed! She told me that the chefs use separate pans and oils to prepare food for food allergic customers and I only would have to notify my waiter to put it into the system.

I was much happier at this point because I knew I could have a safe meal. I made sure the waiter had put it in the system when the meal was ordered (really, I double checked) so I could have a safe meal. The meal was delicious and safe and nothing went wrong.

Within a couple days, I called the restaurant back and spoke to a manager (a different one) and explained to him what had happened. I also made clear it wasn’t a big deal for me but that it could be an awful experience for a family who had never eaten at P.F. Chang’s. They would either be very scared or they would simply leave. He was deeply apologetic and told me he would have a deep conversation with the waiter about practices. The odd thing (for both the manager and I) was that the waiter was not new and was pretty familiar with the kitchens’ practices for food allergic customers. That aside, the manager sent me a $15 gift card and I’ll definitely be returning for more Crispy Honey Chicken.

I think there are a few important lessons from this adventure:

First, waiters can be wrong. They can also be right! I’ve had many positive experiences with waiters at restaurants, including P.F. Chang’s. Sometimes, however, they can be incompetent and unwilling to ask their manager or the chef. In those cases, you need to take matters into your own hands like I did to make sure you’re getting a safe meal.

Second, play it safe. I knew Crispy Honey Chicken was a safe dish even though the matrix didn’t have it. That’s a risk I took but given that I had eaten it a mere month before, it was a relatively safe risk. If you’re at a restaurant you’ve eaten at before with an incompetent waiter, eat something you’ve had before to play it safe. If you’re at a new restaurant, get something that looks like it is the least risky dish.

Finally, I think it’s very important to be patient. I could’ve lost it and gone after the waiter but I didn’t. Working it out and getting as much information is super important to understanding the situation at hand. Getting in touch with a superior (like a manager) also helps. Being patient makes sure that you are careful and deliberate in your decisions.

Overall, it wasn’t the best experience. I certainly had moments where I was unsure or scared that the food was not going to be safe but I had faith in the chefs in the back to keep it safe. Everything turned out well – and hey! I have a gift card of $15. Always good.

Nationals Trip for Speech & Debate

My last high school-related adventure involved traveling to Kansas City for the National Speech & Debate Tournament, an event I had qualified to attend earlier this year.

Before we left, I gave a health care plan to my Speech & Debate coach that explains procedure for an anaphylactic reaction, my allergies, and has an array of information on who to contact. I trained my friends/teammates on EpiPens as well.

We left Sunday morning from Denver International Airport, flying Frontier to Kansas City. Frontier does serve food, but you have to pay for it (i.e. there are no complimentary drinks or food for most passengers). I asked the stewardess the moment I got on the plane if they served peanuts, and she replied, “You can certainly buy them.” I quickly assured her I wasn’t going to buy them due to a peanut allergy. Since the flying arrangements for this trip were made by the school, all six of us traveling to Kansas City got to sit together. This was important since peanuts could still be served on the flight to someone who was interested in buying them; that issue was mitigated since I was sitting with my friends.

National Forensics Meet_3

After arriving to the hotel, it was about 1:00pm (an hour ahead from Denver), and we were pretty hungry, so we walked across the street to Panera Bread. Panera is notable for its homemade bread that is mostly all cooked together. I talked with the manager about some safe options (it differs by store on how they cook their bread), and settled on a simple grilled cheese for lunch. I had a salad at Panera for dinner, probably the far safer option due to the possibility of cross contamination. Weighing the information given though, I decided that the grilled cheese was safe since it was not cooked with nut breads and they have rigorous cleaning procedures.

Speech & Debate tournaments occur in high schools, middle schools, and sometimes (at Nationals) in elementary schools. In Overland Park, Kansas (where we were), they had dozens of different schools for the thousands of competitors, each dedicated to a specific event (like solo debate or humorous interpretation). We had our coach and two parents joining us with rented cars so they could go and buy safe food for us.

Breakfast was served at the hotel and there was a McDonalds across the parking lot for variety. I found out I could eat McDonald’s breakfast items after my California trip (read about it here). Lunch and dinner varied by days and locations (if we were at a different high school, we might eat something different).

To be honest, each day was about 17 hours (from 5:30am to 10:30pm), so I don’t remember exactly which days I ate what. Here’s a list of restaurants I did eat at:

  • Chipotle – this was for dinner (I believe) Tuesday evening. It’s a safe option for me and it’s a chain restaurant, meaning most (if not all) of its locations serve the same thing.
  • Applebee’s – another safe chain restaurant that was dinner the third night there.
  • Jimmy John’s – an easy, safe option for lunch sandwiches. The team got Chick-Fil-A, but my coach made sure that I got a safe option for food, and made arrangements for Jimmy John’s (she’s the best coach, by the way).
  • Potbelly Sandwiches – another option for lunch sandwiches. I hadn’t had Potbelly’s before, but I checked their website and called them up and talked with their manager about breads, sesame, and nuts. Everything was safe (besides their cookies) and it worked out great!
  • Kolache Factory – Kolaches are…dough balls that have filling like cheese & sausage, or pepperoni & mushrooms. Once again, I hadn’t had Kolache’s before, but I called ahead and talked with the owner about their procedures. The breads that do contain nuts are cooked entirely separate from the regular dough (at least at this location). I have to say, that was an AMAZING lunch – they were so good (and safe!)
  • El Fogon – a local Mexican cuisine restaurant we went to for lunch. Just like every other restaurant I hadn’t eaten at before, I called ahead. Notably, Mexican food is mainly safe, but various styles can include sesame and nuts. El Fogon did not use either in any dish or topping or side, which was great news! Even better, the food was absolutely delicious (I got a steak quesadilla)
  • Cinetopia’s Food Service – the last night we were in Kansas City, we went and saw a movie at the local movie theater. Unlike most, they have these “family rooms” with couches and reclining seats instead of the regular airpline-style seating. You also get to order food from their menu. I checked with the staff about their options and settled on another Mexican-style evening with nachos and a quesadilla.
  • Jack Stack BBQ – the crown jewel of our food adventures, Jack Stack has some of the best BBQ in Kansas City (if not the country). Barbecue sauce can be especially dangerous since some restaurants use peanut butter as a thickener and/or nuts as a spice. Jack Stack uses neither in their homemade, exquisite BBQ sauce. I have to admit, that was the best food we had all week!

Story of the Week: Due to its fame, Jack Stack’s is always pretty busy. Instead of dining in, we went over to their takeout side of the restaurant. While waiting for our food to be ready, we got in a nice conversation with a man who was picking up his own BBQ meal. Very genuine guy, who was interested in Speech & Debate and our interests. Right before leaving, he actually gave our coach $200 to spend on dinner for another night!! (We used it at the Cinetopia because, while their tickets aren’t that much more than normal, their food is abhorrently expensive). It was a very kind gesture.

This was the longest trip that I’ve been through where we haven’t brought/planned food. I had combined a list of possibly safe restaurants before the trip began and sent it to my coach (it included Jimmy John’s, Jack Stack’s, Chipotle, and Applebee’s). That helped dictate a few choices, but we also got recommendations from the locals (for El Fogon and the Kolache Factory, for instance).

Here’s a few tips on dealing with new restaurants:

  1. Always talk to someone in charge. Servers are knowledgeable about the menu, not how the food is prepared. Find a manager or the owner or the chef and talk to them about food preparation and the process of cooking food. Also talk with them about ingredients.
  2. Try and eat at “safe-cuisine” restaurants. Typically, Mexican cuisine is safer than, say, Asian cuisine for me (not only due to the use of shellfish & fish in Asian cuisine, but nuts as well). I’d automatically feel safer at a Mexican-style restaurant than an Asian-style restaurant.
  3. Call ahead, if possible. Don’t waste your time at restaurants that aren’t safe. Call ahead and talk to someone in charge about food. If it turns out the restaurant is not safe, you didn’t waste your time and you can find another safe option.
  4. There is always a risk. It’s really unavoidable – there is always a risk involved in eating new food. I ate at more new restaurants during Nationals than I had in the past 5 years combined! However, I felt safe and comfortable doing so.
  5. The two-minute rule. That being said, I’m still cautious! This is a personal thing that I do: when I try food at a new restaurant, I take a small bite and wait two minutes before eating anything more. From my previous experience with anaphylaxis, my first symptoms occurred within the first two minutes after eating fish. I cautiously eat a second bite after the first two minutes and wait a little while longer. If nothing happens, I eat my meal entirely. If something does happen, I would immediately tell someone about it.

Nationals was one of the best experiences I have had – not only due to the intelligent and humorous people at the event, but also the safe food that was readily available. I also broke to Top 80 at Nationals in Lincoln-Douglas debate, a solo debate centered around values & ethics.

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If you would like to view the National Tournament Highlight Video (published by the National Speech & Debate Association), click here. I make a cameo appearance at :49 (I’m in the background looking up. The camera isn’t focused on me). Plus, there’s a great music video at the end of it.

Remembering to Bring Your EpiPen/Auvi-Q ALWAYS!!

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If your child has food allergies, it is vital that they begin, at a young age, to remember to bring their epinephrine autoinjector everywhere!

I had a conversation recently with a Food Allergy Mom whose 18 year old son is no longer remembering to bring his EpiPen with him when he leaves the house. She asked me what could she do? It brought up an interesting conversation about food allergies, safety and teenager’s brains.

Our son, Morgan, is extremely good about remembering his EpiPen. I think there are a few reasons for that:

1.  Morgan well remembers his last anaphylactic reaction to fish when he was 10 years old. If your child was an infant when he experienced anaphylaxis, he may not remember what it felt like to have a severe allergic reaction. He may discount the likelihood of experiencing any type of reaction, especially if he says, “I’m not eating, so there’s no need to carry it.” Which leads us to the next reason…

2.  Our family has specific safety rules. One of those rules is that he always carries his EpiPen on his person. We also have rules that require him to wear a helmet when biking, and wear a seat belt when riding in a car. If you stick with these rules, it’s easier for it to become a habit.

3.  Morgan started carrying his EpiPen in a fanny pack when he was 4 years old. He got accustomed to being responsible for it. He wasn’t allowed to carry it at school until he was in 5th grade per the Colorado law. Once he was allowed to wear it in school, we checked each day that he had it on his belt loop. For a while he carried one EpiPen in a flashlight holder on his belt. Now, he carries two EpiPens in a Garmin GPS pack inside his pants pocket.

4.  Morgan developed a system of stacking the items he needs each day. He stacks his cell phone, wallet and EpiPen pack on his desk so he always knows where they are when he’s preparing to leave the house.

5.  We were willing to turn around and go home to pick up his EpiPens should they have been forgotten. That showed him how important they are. Also, when he first began to travel with his Speech/Debate team, I would ask for a gift: please show me that you have your EpiPens. It allowed me to stay a little calmer knowing that regardless of what occurred during his trip – at least he had his EpiPens!

6.  My husband and I recognize that forgetting things is part of the teenage brain. He isn’t mature enough to realize the consequences of his actions. Therefore, it’s our job as parents to not allow him to engage in such risky activities where the consequence for his action far outweighs the oversight. In other words, if Morgan is caught speeding while driving, he will get a ticket. That is a reasonable consequence. If he forget his EpiPen, that could have life altering consequences. That’s too much of a consequence for a seemingly mild oversight. If Morgan wasn’t willing to carry his EpiPen, or was consistently/purposefully forgetting them, we would curtail his activities until he could prove he was responsible enough to properly care for himself.

As Morgan prepares to go to college, we have asked him to be completely responsible for all of his medications. Remembering to take his asthma medications daily will be vital for him to remain healthy at school. We still have about 6 more months to ingrain this in him! It is a process, but when moving out is tied to performing certain responsibilities, it’s amazing how remembering medications can become a priority.

Morgan’s Senior Class California Trip Updates – Saturday and Sunday

Hello everyone! I decided to update all of you with just one post covering both days given that a good portion of one was in Disneyland.

Saturday

There is a McDonalds in the vicinity of the hotel, which makes getting breakfast easy. When planning, I was very surprised to find out that none of the foods that McDonalds serves at breakfast contain nuts (or any of my allergies).

I simply got pancakes and sausage and while it may not have been the most healthy breakfast, it certainly tasted good!!

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After breakfast, my whole group went out to the President Nixon Library and Museum. It was a phenomenal experience!!

I got to see the old Marine/Army 1 (depending on the branch of the pilot) that President Nixon departed from his presidency in. I also had the chance to learn all about President Nixon’s life and successes. No food was allowed in the museum, so I didn’t have any problems.

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After the Nixon museum, our group went to Disneyland! We were there from 1pm until midnight. I can say that I haven’t had that much fun in a very long time.

Food at Disney wasn’t hard at all. I stopped by and had some food at a Sandwich joint for lunch and balanced out some safe BBQ for dinner. I had simply asked about the sauce they use for their BBQ – they graciously provided ingredients for all of it. It was absolutely delicious!

Food is always a big issue when you’re at a theme park. But, what about carrying around your cell phone and EpiPens? If there is ever a problem, people need to be notified. I carried my EpiPens, cell phone, and wallet on me at all times. I didn’t leave them in a bag or put them in a locker.

Splash Mountain certainly made me a little wet, but my cell phone was fine and my EpiPens were stored in a Garmin case and remained in their waterproof case, as always.

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I was thoroughly exhausted by midnight. It was a fun day – I even got to see the whole castle lit up!

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Sunday

I once again had breakfast (and included a delicious and completely  unhealthy cinnamon melt) at McDonalds.

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We visited the Museum of Tolerance. No pictures were allowed, so I can’t document anything from the museum, but I can say it was one of the best museums I have ever visited. It was enlightening and heavy, examining the consequences of our words and propaganda against another group of people. It specifically looked at the Holocaust, and I nearly came out in tears from one of the gas chambers.

After the Museum of Tolerance, we went to In-N-Out burger.

I have never eaten such a good burger. And fries. And milkshake. It was amazing fast food. Fast food burger joints are nefarious for their use of sesame seeds on buns. I had called ahead to the restaurant chain to make sure they didn’t use sesame on their buns – they didn’t. Their fries are also not cooked in peanut or sesame oil – another wonderful and tasty victory!

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After In-N-Out, we visited President Reagan’s library and museum. That was an another awesome experience! We got to revisit Reagan’s life and successes along with the old Air Force One. That took the rest of the afternoon.

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For dinner, we got to eat at restaurants in the vicinity of our hotel. I had checked before the trip, and there was an IHOP just down the block. IHOP is what I call a “pocket” restaurant – it’s always safe and I can just pull it out of my pocket as a safe backup.

I’ll post a final update tomorrow after my flight home! I’ll leave you with this awesome California sunset taken from President Reagan’s library.

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To read Morgan’s other post about his Senior Class Trip on Friday, click here.

Senior Class California Trip – Morgan’s Update for Friday

Hello everyone! I figured I would do a few updates throughout the trip just to keep all of you apprised with the day to day happenings.

With traveling, I believe planning is one of the most important things you can do. Before leaving, I charted out all the locations my group was going to and located safe places to eat. The teacher in charge is super detail oriented, so the itinerary we received was very detailed with times and locations. After calling the different places, including In-n-Out Burger, Rainforest Cafe, and a local pizzeria, I had my entire menu for the trip planned! As a note, the Rainforest cafe (and two other meals) take place inside Disneyland. Disney is renown for their ability to take care of food allergic children.

I also created a list of everything I would need to bring, including medications. This way, I make sure I have everything I’ll need (mind you, this trip is only 4 days so it wasn’t an extensive list).

For TSA, I removed ALL the liquid medications (like eye drops and nasal spray) and put them in the bag with my other liquids. This ensures I won’t hold up the line. I also always wear my MedicAlert bracelet, but that’s never been a problem with metal detectors. It never sets it off. I do remove my EpiPens in my pocket and set them in the bin to have them scanned.

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Above is my boarding pass. When I fly Southwest, I typically have “PDA” printed on my boarding pass, which means “Peanut Dust Allergy.” This means that I can preboard the plane and wipe down the surrounding areas. (It also means I get to choose the best seats!) Thankfully, United doesn’t serve peanuts on their flights, so it wasn’t a problem for this trip.

I did bring a few snacks for the plane ride – NutriGrain bars, apple slices, and banana bread from home. If I were thirsty, I would have bought a soda near the gate for the flight.

The flight went excellently. There were no problems and I sat among friends so no one ate nuts.

After the flight, we immediately went to the beach! It was a great time. For lunch, I had pizza from a local pizzeria that I had checked with beforehand. It was delicious! I then went and played at the beach with friends for a few hours. There was a shellfish shop or two along the beach, but obviously I didn’t eat at them (nor my friends)!

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We also met a seal (pictured above).

After the beach, we returned to the hotel to change and then went to dinner at Rainforest Cafe in Downtown Disney. I had called ahead and checked their menu to make sure there was a possibility for safe food.

When I arrived at Rainforest Cafe, I let the server know I had severe allergies right after I ordered my drink. She was super kind and immediately brought out the kitchen manager – a sort of combination between chef and manager. He asked what my food allergies were, took them down, wrote down my meal, and then specially prepared it (he even served it to me)!

The steak fajitas were delicious.

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It was a wonderful Friday!! I’ll keep you updated about Saturday with journeys including Disneyland!!

To read Morgan’s post about his Senior Class Trip for the rest of the trip, click here.

Food Allergies & the Senior Class Trip

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The Senior Class Trip to Southern California is upon us! How do you help your teenager to manage their food allergies on a weekend trip? The better question might be – how do you help yourself manage your fear and anxiety while your teenager is on a weekend trip with the Senior Class?!

We’ve had years to prepare for such a trip, but now that the trip is this weekend – all that planning is followed by still more preparations to ensure Morgan’s safety. He’s very aware of what his food allergies are – peanuts, tree nuts, sesame, fish and shellfish – and he ALWAYS carries two EpiPens and a Chef Card for restaurants. He’s had a lot of practice eating out with his Forensics team; and he’s been on plenty of trips with our family and once to the Boy Scout National Jamboree with his Dad along for several days of that trip. This will be the first trip that he’s entirely on his own from start to finish. He’s almost 18 years old, so it’s probably time!

Morgan and I got all his trip paperwork completed by our allergist to allow him to take his medications with him and to carry his EpiPen and inhaler. Additionally, he has to take other meds for his asthma and environmental allergies. He been the manager of those meds recently, ensuring that he takes them every night. That feels good to have turned those over to him.

Our allergist signed off on a Health Care Plan for the trip that included what to do if Morgan goes into anaphylaxis. The chaperones on the trip, all teachers, have only been trained to call 911 after giving an EpiPen. If Morgan were to need to go to the ER in Southern California, someone will need to go with him in the ambulance AND someone will need to stay with him in the ER for 4-6 hours to ensure no biphasic reaction occurs. Morgan and I made a presentation to his chaperones last week at school to ensure they knew all the steps necessary to keep him safe. The teachers were so appreciative to know about the details of his food allergies, since they had a student last year experience a seizure on the trip and they had no medical information about the issue from the family.

Thankfully, the coordinator of the trip, the AP Government teacher, is VERY detailed. She has prepared an itinerary for the trip that includes the times and locations of every activity. This has allowed Morgan to look up the restaurants on the Internet, and to call the hotel to ensure that he can obtain a safe meal for breakfast. On the days when they will be able to eat at Disneyland, for example, or at any restaurant near the hotel, he’s had to do more research on the locations of the restaurants and their menus. I’ve had to communicate my need to know specifically what he’s going to eat and that he’s got a plan. Just saying, “I’ll handle it” doesn’t make Mom feel good!

Morgan is flying United Airlines which doesn’t serve peanuts. I plan on sending him with wet wipes so that he can wipe down his environment on the plane, which we always do when we fly. He’s trained many of his friends about allergic reactions and administering his EpiPen. He will bring EpiPen trainers to do so again. We’ve found that teenagers love to be trained and to practice with the trainers. Some scoundrels like to administer the trainer on their forehead, but I know the message is still getting through!

All of the students will be housed four to a room, boys with boys and girls with girls. The teacher in charge has already insured that Morgan knows all of his roommates and feels comfortable asking them to not bring any of his allergens into their room. Even if Morgan didn’t know them as well as he does, I feel sure he would be able to advocate for himself and have a safety zone in the room.

As for Mom…I will be sending him off with lots of love…and lots of instructions too: Make sure to take pictures and especially make sure to HAVE FUN!!

To read Morgan’s two posts about his Senior Class Trip – read them here and here.

Summer Camp & Food Allergies

When our now 17 year old son, Morgan, was very young, I never signed him up for day camps, and I never allowed him to sleep overnight at a camp for fear of the food involved. As he aged, he began to want to participate in these activities. He also had more of an ability to monitor the food and to determine if an activity was safe for him as he got older.

Day camps frequently are run by volunteers and/or high school age kids in our area. These types of camps include art lessons, church camps, Cub Scout day camp and music camps. We have found this to be a hazardous situation in most cases unless my husband or I participate. There are many wonderful activities in which to participate during a 4-hour or 8-hour day camp, however most volunteers are unaware of how to manage children with severe food allergies and possible allergic reactions. And during that time period, lunch or snacks will inevitably be served.

Having the ability to explain food allergies the day one arrives at a camp and teach every adult how to administer an EpiPen® isn’t likely to occur. We’ve found it virtually impossible to prepare in advance for these day camps, since the volunteers show up only on the very day of the event. We therefore participated as Den Leaders for Cub Scouts, or as an adult volunteer with any of these activities. That afforded us the opportunity to monitor the food, which allowed our son to be a participant.

Day camps hosted by a local school district or college have been very positive for us. I have completed the necessary paperwork to sign Morgan up for camp adding a copy of his Health Care Plan and 504 Plan and asking that the person in charge contact me. Then, I have gone to the location to train one or numerous individuals how to operate his EpiPen® prior to the first day of class. We’ve then had the opportunity to discuss necessary accommodations, and what to do in case of emergency. Morgan has participated in numerous of these types of camps, and has never had an allergic reaction. I think the difference between these day camps and the previously mentioned ones is that there is a qualified teacher in charge!

As Morgan aged, day camps geared toward a sport such as golf have proven to work well. One of the reasons this did work so well is that the golf pro and assistants never changed. We could train all of them how to use the EpiPen® on the first day of camp, and feel comfortable that no new faces would be teaching golf by the end of the week.

One summer, Morgan volunteered as a swim instructor at a local pool. He was in the water for 1 ½ hours per day with the 3-6 year old kids helping them learn to swim. There wasn’t any issue with food at all, since there’s no food in the water! We do choose his activities carefully, yet as a teenager he’s so much more able to monitor the food that does appear.

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In regard to overnight camps, we’ve had very good luck. My son has gone for a week to the local YMCA camp and for a week to a Boy Scout Camp with much preparation beforehand. He even attended the Boy Scout National Jamboree in the summer of 2010 for a total of 17 days! These camps are more likely to have medical personnel on staff, and are manned by paid employees. There are medical forms to be completed prior to camp. We can list all his food allergies and the daily medications required to keep him properly medicated.

We specifically include EVERY medication that he might need or will need during camp, and we send all of those with him with a written explanation of doses and possible reactions. Our son has to remember to go to the nurse’s station to receive the medication, and he is old enough and responsible enough to do such. If your child is likely to forget their medication, some camps are better than others in reminding campers to take their meds. A really good camp will have a system for kids to be reminded without unnecessarily drawing attention to them.

The YMCA camp called it the “Secret Service” which was the cue for all kids who needed to take meds to head to the nurse’s office. This was a very nice way to keep medications discreet and keep campers properly medicated.

To prepare for overnight camp, I spoke with the EMT in charge of the YMCA camp a month prior to my son’s arrival. I described the medicines he would be bringing, and that he would also bring his own food. The EMT assured me that every camp counselor would know of my son’s allergies and also that they were all taught how to administer an EpiPen® should the need arise.

They served peanut butter only to those children who wouldn’t eat anything else, and it was carefully monitored at a separate table. My son had friends from school joining him for the week at camp who all understood his food allergies and all knew that no peanut butter could be eaten near him. They were a wonderful support, and exclaimed that the food brought from home looked better than the camp food!

Before choosing an overnight camp for your child, make sure that you and he/she are ready to take on this big step! Food allergies add that extra amount of precaution and potential worry that other first time campers don’t have to experience. It’s hard enough to sleep away from home for the first time, so worrying about food allergic reactions shouldn’t be part of any potential upset. Morgan was ready to handle any situation that arose, and knew the safe adults he could speak with should a reaction occur.

Earlier this summer, Morgan stayed at Colorado State University in Pueblo for Boys State, a week long summer camp about government. He initiated the calls to the Camp Director and spoke with the Nurse on staff prior to going to camp about his medications and their awareness of anaphylaxis. He also called the Chef on duty to speak with her about the possibility of safe food. I listened in on that phone call just to ensure that everything from cross contamination to ingredient listings was covered. For the first time ever, he was able to eat the camp food! The President of the University has Celiac Disease and the awareness of the kitchen staff was amazing about food allergies. Morgan learned the right questions to ask, and how to prepare for camp – a skill he will need for the future!

Traveling to Europe with Food Allergies

Since our family has never been to Europe, I wanted to interview someone in the food allergy world who has and had a great experience! Julie Trone is the CEO of Allergy Free Table, LLC. She has two pocket guide style books on food allergy management. Together with her husband, John, they have created many new resources for families and teachers who manage food allergies. She loves to travel with her husband and twin boys; (one of her boys has multiple food allergies and both have asthma), ski, hike and practice yoga.

What food allergies do you manage in your twin sons and what is their age?

We currently manage peanut, tree nut, dairy, sesame, and sunflower.  Only one of our sons has food allergies. . The boys are 10 years old, soon to be 11.

How did Allergy Free Table come into existence?

About five years ago a neighbor had a 9 month old daughter who was diagnosed with severe multiple food allergies.   After advising her on food allergy management she asked if I would write a book with her on the subject.  I was very interested and came up with the concept of a pocket guide that was a quick reference guide for parents.  Eventually the torch was passed to me to take over the project.    This project led me to developing the pocket guide for educators with another friend, Maria Acebal.  Allergy Free Table is the result of these publications coming to fruition and recognizing the need for practical educational resources on this subject.

You recently went with your family to Europe and England.  What airline did you choose to take and why?

We chose Iceland Air for a few reasons. We all wanted to set foot in Iceland because it is a fascinating island with a unique culture. Iceland Air had the dates, airport locations, and price range we desired as well. We discussed our food allergy needs with a customer service representative upon booking who notated our record but it was not the reason we chose the airline. Even with the notation in place we were unsure how they would actually handle food allergy management until we were seated on the aircraft. We prepared for our flight by packing in our carry-on bag multiple packs of EpiPens and plenty of antihistamine. Our son packed his backpack with sandwiches and snacks to last the entire 10 hours of travel time. Neither the check-in nor boarding gate attendants were aware of the allergy notation and asked us to talk with the flight crew. I was concerned until the gate attendant flagged down the flight crew before they boarded. The flight crew had known about the notation then discussed their food allergy management protocol with us. They made sure they knew who Gavin was, where he was sitting, and that he was not in an aisle seat in order to avoid the possibility of cross contact. After the safety announcement, a food allergy announcement was made in three languages asking passengers to refrain from eating any nut products. They did not allow the sale of their trail mix snack and checked on him periodically. On our return flight I overheard a passenger order the trail mix and the attendant told him that it could not be purchased due to a passenger with nut allergies on board.

Can you tell us about managing food allergies in the various countries?  Were some countries easier than others?

We toured Italy, France, and England. Food is such an important part of the culture in each of these countries and varies by region. The food that is native to the region is generally served more often in restaurants and abundant in grocery stores.  For example; Fontina cheese is made in the Italian Alps where it can be purchased in most markets, cheese shops, and restaurants.
Prior to our trip we researched the location of grocery chain stores, hospitals, and pharmacies.   On our first night we stayed in Dijon, France and knew there was a large grocer in town, ‘Carrefours’.   Since we were traveling by car and had GPS we were able to find the store to shop.  Travelers who use public transportation may want to research what means of public transport will take them to the grocer.  Travelers will find small local markets with fresh produce, eggs, bread, and meat within walking distance in cities and small towns.   The local markets may or may not have GF foods like pasta and bread but carry fresh, local foods and limited packaged food.  Dairy products are very common in Great Britain, France, and Italy however we found safe breads, pastas, meats, and fish for our son.

France was the most difficult country in terms of finding allergen safe restaurants and packaged foods.  When we would find a safe product we would stock up.  Since we had a car it was not too difficult.  In Paris we did not have a car so our son ate a lot of safe cereal and slices of ham during our stay there.

In England packaged foods have the most informative labels I have ever seen.  It was quite refreshing.  Still, we followed our set rule; if you cannot read it don’t eat it (pertaining to food packaging labels).  Being in an English speaking country was  easier however we maintained the same protocol…read the labels each and every time, ask questions, and if uncomfortable trying a food say ‘no thank you’.

Did you go out to eat often?  What did you find to be difficult to manage?

We ate out two to three times a week for dinner and lunch.    When we would ‘shop’ for a safe restaurant we would take the language barrier and ability to understand our needs into account.  We rejected quite a few restaurants and frequented those that were safe.  Eating out was not very difficult as long as we were carrying safe snacks and at least two sandwiches for our son to eat just in case.  He usually ate all of the safe foods we packed and found something safe to eat (like the ham in France) at a restaurant.  Last resort for travelers is to go to an American chain like Burger King or McDonalds; we successfully avoided these restaurants.

Where did you stay – a hotel or a condo with a kitchen?

Mostly we stayed in week-long rental units with kitchens.  The day we arrived at any new location we would unpack then head to the grocery store to stock up on safe foods. In France we stayed in hotels; it was challenging.  London was a great place to stay with many grocers nearby including ‘Whole Foods’ in the Kensington area.

What can you suggest to our readers who want to take their child overseas?  Is there an age of child(ren) you believe works better?

We discovered that the most important task to managing food allergies in countries where the primary language is not English is to prepare in advance.  Order chef cards and emergency care cards in foreign languages; we purchased French and Italian cards.  I brushed up on my foreign language skills and was considered the family translator.   We also made a list of many words translated in French and Italian so we could read labels.  Other important words to translate are; medical assistance needed, where is the pharmacy, call a doctor, this is an emergency, and take me to the hospital.  It is important to learn about medical services available, proximity of the nearest hospital, and program the local emergency number (like our 9-1-1) into your cell phone.   Carry emergency medication with you always.  Even English speaking countries have a different dialect, vocabulary, and emergency number.

Packing is also a key factor.  We packed 2 jars of chocolate soy butter to last the trip and luckily it did.  I highly recommend packing the following;  plastic container, a few zip lock plastic bags, one cloth grocery bag, plastic cutlery, and a few staple foods.

It is important to educate your child before the trip about food choices, what will not be available, and what to expect.   We taught our sons that we were all going to find ‘different’ foods, some similar foods, and mostly to be prepared to try new safe foods.  They knew some sacrifices were necessary.  For instance our son never found a safe dessert, not even popsicles, so when we found Skittles he was allowed to have them.  After 7 weeks he was tired of Skittles but had a great story to tell about how many Skittles he was allowed to have.

I believe parents can bring their children to Europe at any age however the management will be different and possibly more demanding for smaller children.  Our 10 year old sons were great travelers.   Their maturity level was perfect for our long vacation abroad (50 days).  We are proud of our son with food allergies who was very interested in learning how to read a label in French and Italian as well as participate in ordering safe foods, asking questions, and being careful about choices.  He never complained about his food choices so I guess we did a good job preparing him and he was comfortable being flexible. We always had at least two sandwiches with us each day.  Every child is unique so it is not safe to assume your child is a natural traveler, especially children with medical needs.  Preparation is key!

Is there anything else you’d like to share with us?

Focus on the fun, art, history, sport, cultural attributes …anything but food.  It worked beautifully for us.  If someone has more questions have them contact me, [email protected] .

 

Interview with Disney Star, Kenton Duty, about Managing Food Allergies

Born and raised in Plano, Texas, Kenton discovered his love for acting in the fourth grade when he landed supporting roles in the Dallas Theater Center’s rendition of A Christmas Carole.  It was such an amazing experience for Kenton! He loved being on stage and got great joy from entertaining the audience.  The show did thirty-five performances between Thanksgiving and Christmas Eve, and Kenton relished every single one.  He followed that with a lead role in the production of Ragtime.  The production was seen through the eyes of his character!  The following year, Kenton was asked by his agent in Los Angeles to give California a try.

Kenton Duty can currently be seen as one of the stars on Disney Channel’s hit series “Shake It Up” as the hilarious character of “Gunther.”  Most recently, Kenton wrapped production in a lead role in the indie film Contest (2013). The movie is a story about standing up to bullying.  Kenton is also writing and recording a song for the movie.

Kenton, thank you for ‘speaking’ with me at AllergicChild.com. Can you please tell us how old you are and what food allergies you manage?

I am 17 years old.  I have a chocolate allergy and a wheat allergy.  I outgrew my dairy allergy when I was younger.

Have you ever experienced anaphylaxis or been to the ER with an allergic reaction?

I have never been to the ER or experienced anaphylaxis due to my food allergies.  I have had to go to the doctor several times.

Do you carry an EpiPen? How do you carry it?

I carry an EpiPen with me at all times.  I carry it in my backpack.  It is extremely important to have it with you at all times.  You do not know when you might need it.  I really like to think that it is just another item I carry around like my phone, iPad, sunglasses, etc!

With all your traveling, how do you manage your food allergies to stay safe?

I do several things to make eating a safe, but enjoyable time.  I pack or ship my food to the various locations.  I also bring my food on airplanes.  At some restaurants, it is easy to ask them to prepare my sandwich on the bread I brought in versus their bread.  I definitely explain to restaurants what my allergies are.

What is done for you at Disney and on movie sets to keep you safe?

I have explained to Eric (our on set caterer) what my allergies are, and he is amazing!  He is so thoughtful and encouraging.  He ensures I have healthy food choices to eat every day.  I also supply him with bread and bagels that are gluten free, so he does not have to worry about that.   The producers on the show and movie sets are very supportive too.  It is nice they accommodate my diet.  On the movie set I am currently working on, there has not been one meal where I have not had an option for food!  THANKS guys!!  (I am also a pescatarian, so I do not eat meat other than fish.)

I saw in a recent FAAN newsletter that you went to Capitol Hill to encourage the US Congress to support the School Access to Emergency Epinephrine Act. Can you tell us about this? What was the best part of this experience?

Oh my goodness!  It was amazing.  To be there with FAAN was so much of an honor.  I enjoyed every second of the day having the opportunity to speak with congressmen and senators about how important it is to pass this legislation.  I believe in the Act 200%, and I wanted to convey my thoughts as someone who carries an epinephrine auto injector, is a student in school, and can relate to the situations where an auto injector may not be available at the critical time in which it is needed.  The individuals we were able to meet with were very nice, and I walked away hoping they were a little more enlightened by our meetings.

Do you have any advice for younger kids who manage food allergies?

I know that you can possibly be bullied or made fun of because of your allergies.  I have definitely experienced those things.  I like to encourage kids to not feel weird or different because you have allergies.  It is hard, but if someone is not being nice or bullying you, let your parents or teachers know.  You do not want to let it get out of hand.  One of the lessons we are hoping kids learn in the movie I am currently filming, “Contest”, is that they can stand up to bullies.

I also encourage kids to not eat anything their parents have not let them know is safe.  Whoever cooked the item may have used different ingredients than what you are used to having in the product.  So, always check with your parents!

I definitely want to encourage kids to carry their epinephrine auto injectors with them.  It is just another thing to have in your backpack!  And, it will save your live.

Anything else you’d like to add?

I appreciate you asking me to share in your newsletter.  Your newsletter is very informative and educational.  The more aware of food allergies we can make society, the more safe it will be for those of us living with food allergies!!

Thanks Kenton!

 
 Kenton & Morgan at the 2011 FAAN Teen Summit