1 00:00:01,520 --> 00:00:04,400 Speaker 1: Welcome to Katie's Crib, a production of Shonda Land Audio 2 00:00:04,480 --> 00:00:14,520 Speaker 1: in partnership with I Heart Radio. Hi everybody, and welcome 3 00:00:14,520 --> 00:00:18,200 Speaker 1: back to Katie's Crib. Today we are discussing bump bump 4 00:00:18,239 --> 00:00:23,880 Speaker 1: bomb allergies. When you have a new baby, you're super 5 00:00:23,920 --> 00:00:27,080 Speaker 1: scared of an allergy attack, just always, and not even 6 00:00:27,080 --> 00:00:28,920 Speaker 1: like a baby, even when they're like older. You're just 7 00:00:29,040 --> 00:00:31,840 Speaker 1: constantly scared of allergy attacks always from the get go. 8 00:00:32,200 --> 00:00:34,959 Speaker 1: People are giving you advice of what diapers, detergent, to use, 9 00:00:35,040 --> 00:00:37,240 Speaker 1: body lotions, and then forget about it when they start 10 00:00:37,280 --> 00:00:40,600 Speaker 1: eating food. Um, once we get into nuts and eggs 11 00:00:40,640 --> 00:00:43,599 Speaker 1: and shellfish, and you hear stories about kids throats closing, 12 00:00:43,600 --> 00:00:49,160 Speaker 1: and it's basically just complete alarmist, insane fear all the time, 13 00:00:49,280 --> 00:00:51,680 Speaker 1: or at least that's how I felt. Also, my husband 14 00:00:51,760 --> 00:00:54,319 Speaker 1: is literally allergic to everything, like when you do those 15 00:00:54,320 --> 00:00:57,880 Speaker 1: little prick things, the fifty things on your back, forty 16 00:00:57,920 --> 00:01:00,720 Speaker 1: eight of his rise up, but none of his are 17 00:01:01,200 --> 00:01:03,920 Speaker 1: the death ones, but they're all all like, he's basically 18 00:01:03,920 --> 00:01:05,880 Speaker 1: allergic to every single fruit and vegetable and whatever. So 19 00:01:06,560 --> 00:01:10,280 Speaker 1: I was convinced when I had my son, like he 20 00:01:10,360 --> 00:01:13,399 Speaker 1: was going to be the most allergic kid on the planet. Um, 21 00:01:13,440 --> 00:01:16,280 Speaker 1: so here to bless us with their expertise and ease 22 00:01:16,360 --> 00:01:19,720 Speaker 1: my anxiety and hopefully some of you all out there 23 00:01:19,760 --> 00:01:23,720 Speaker 1: listening is Dr Tricia Lee and my dear friend and 24 00:01:23,800 --> 00:01:29,680 Speaker 1: fellow mom and lawyer, Julie Feldman, Um Doctor Triciallie is 25 00:01:29,680 --> 00:01:33,720 Speaker 1: an adult and pediatric allergist and immunologist. She's board certified 26 00:01:33,720 --> 00:01:36,000 Speaker 1: with the American Board of Pediatrics and the American Board 27 00:01:36,000 --> 00:01:40,120 Speaker 1: of Allergy and Immunology. Her research has included clinical trials 28 00:01:40,120 --> 00:01:42,720 Speaker 1: and asthma and food allergy, and she has published articles 29 00:01:42,760 --> 00:01:46,200 Speaker 1: and presented at national meetings about immune deficiency, food allergy, 30 00:01:46,240 --> 00:01:50,920 Speaker 1: and infectious disease. Julie is a super fancy entertainment lawyer 31 00:01:51,000 --> 00:01:55,000 Speaker 1: who has two little girls who do both face serious 32 00:01:55,040 --> 00:01:59,000 Speaker 1: allergies and um she's been in this world as a 33 00:01:59,040 --> 00:02:02,480 Speaker 1: mom for a few years now. Um So, Julie, let's 34 00:02:02,520 --> 00:02:06,360 Speaker 1: start with you talk to me about your two daughters, 35 00:02:06,400 --> 00:02:10,959 Speaker 1: their ages differences, and what they're allergic to and what 36 00:02:11,040 --> 00:02:13,280 Speaker 1: were their initial symptoms which I can repeat those questions 37 00:02:13,280 --> 00:02:15,280 Speaker 1: back if there were too many of months. Okay, So 38 00:02:15,440 --> 00:02:18,320 Speaker 1: I have two girls. Alexandra, who we call Ali, is 39 00:02:18,320 --> 00:02:21,560 Speaker 1: my older one, and she's three now. And my baby 40 00:02:21,639 --> 00:02:25,360 Speaker 1: Isabella we called Izzy, is sixteen months and they're cute. 41 00:02:26,400 --> 00:02:29,400 Speaker 1: Not that that matters, but let me tell you, getting 42 00:02:29,440 --> 00:02:32,840 Speaker 1: the picture of the two of them anytime is a gift. 43 00:02:33,400 --> 00:02:36,760 Speaker 1: So what are they both allergic to? Doctor Tresuali is 44 00:02:36,880 --> 00:02:40,360 Speaker 1: Julie's doctor allergist who has saved her life, who has 45 00:02:40,360 --> 00:02:43,160 Speaker 1: saved my life on so many occasions, and my emotional 46 00:02:43,200 --> 00:02:47,359 Speaker 1: stability on so many occasions. So they are both allergic 47 00:02:47,400 --> 00:02:50,680 Speaker 1: to eggs and peanuts, and Isabella is also allergic to oats. 48 00:02:51,639 --> 00:02:55,720 Speaker 1: Oh my god, I can't. But they're also which makes 49 00:02:55,720 --> 00:02:59,480 Speaker 1: it more complicated allergic differently so my older one Ali. 50 00:02:59,720 --> 00:03:02,800 Speaker 1: Her allergies are kind of what you think of your 51 00:03:02,840 --> 00:03:07,600 Speaker 1: throat closing anaphylaxis, typical allergies UM that most people are 52 00:03:07,639 --> 00:03:11,440 Speaker 1: afraid of. Isabella has a what I understand to be 53 00:03:11,480 --> 00:03:15,240 Speaker 1: like pretty uncommon or you know, more rare digestive but 54 00:03:15,440 --> 00:03:19,160 Speaker 1: very serious allergy where when she eats her trigger foods, 55 00:03:19,240 --> 00:03:22,080 Speaker 1: she'll start throwing up to the point where her body 56 00:03:22,120 --> 00:03:24,240 Speaker 1: kind of may not be able to balance itself, so 57 00:03:24,760 --> 00:03:28,680 Speaker 1: she needs UM. She would need so many boose thumps 58 00:03:28,760 --> 00:03:31,280 Speaker 1: right now. Even with this I mean, this is crazy. 59 00:03:31,440 --> 00:03:33,480 Speaker 1: So if she throws up that much, it's like rush 60 00:03:33,520 --> 00:03:37,080 Speaker 1: to the hospital. Situation exactly called doctor Lee, go to 61 00:03:37,120 --> 00:03:39,960 Speaker 1: the emergency room. I was in an ambulance, right, I 62 00:03:39,960 --> 00:03:41,520 Speaker 1: was want to say two weeks ago, I was in 63 00:03:41,520 --> 00:03:42,880 Speaker 1: an ambulance. I don't think I even told you this 64 00:03:43,040 --> 00:03:46,360 Speaker 1: wasn't what My eyeballs just became saucers. I was an 65 00:03:46,440 --> 00:03:49,000 Speaker 1: ambulance on the way to the er because Izzy had 66 00:03:49,040 --> 00:03:51,360 Speaker 1: a bad reaction. And this is when we confirm that 67 00:03:51,440 --> 00:03:54,680 Speaker 1: she is also has this allergy. The acronym for it 68 00:03:54,800 --> 00:03:57,760 Speaker 1: is f pies um, but she has an allergy to 69 00:03:58,000 --> 00:04:02,760 Speaker 1: peanuts as well, and so her her allergy is also 70 00:04:02,880 --> 00:04:06,520 Speaker 1: it happens it's a delayed reaction. So Ali's happen immediately 71 00:04:06,520 --> 00:04:09,440 Speaker 1: after you eat the food Izzy as are about two 72 00:04:09,440 --> 00:04:13,320 Speaker 1: hours after starting to name than what it is, because 73 00:04:13,480 --> 00:04:16,000 Speaker 1: you in movies it's like the kid eats the peanut 74 00:04:16,080 --> 00:04:18,120 Speaker 1: and it's like we're in the emergency room. We're dying. 75 00:04:18,279 --> 00:04:20,880 Speaker 1: But like for her to have a delayed reaction, that 76 00:04:20,960 --> 00:04:23,320 Speaker 1: must be hard to do an elimination sort of diet 77 00:04:23,360 --> 00:04:26,359 Speaker 1: and figure out what the triggers, especially since there's no 78 00:04:26,480 --> 00:04:28,839 Speaker 1: testing for this type of allergy, so you can do 79 00:04:28,920 --> 00:04:32,640 Speaker 1: skin tests and blood tests for the anaphylactic type allergy. 80 00:04:32,760 --> 00:04:34,760 Speaker 1: So when you think you might have something, you go 81 00:04:34,839 --> 00:04:37,159 Speaker 1: to doctor Lee. She tests them all, she figures it 82 00:04:37,200 --> 00:04:38,799 Speaker 1: all out, and then she tells you what to avoid. 83 00:04:39,400 --> 00:04:43,039 Speaker 1: For f pies, there's no test. You basically have to 84 00:04:43,080 --> 00:04:46,640 Speaker 1: eat foods trial it for depending on the food like 85 00:04:46,640 --> 00:04:48,839 Speaker 1: a you know, several days to a few weeks to 86 00:04:48,920 --> 00:04:51,480 Speaker 1: see if you start having an issue from it. And 87 00:04:51,520 --> 00:04:54,000 Speaker 1: the other thing for that is that some of the 88 00:04:54,080 --> 00:04:56,719 Speaker 1: more common foods for f pies allergies are not ones 89 00:04:56,760 --> 00:04:59,000 Speaker 1: that you would think about. So chicken and rice and 90 00:04:59,040 --> 00:05:01,680 Speaker 1: banana and not a hat out are all an oats 91 00:05:02,040 --> 00:05:05,560 Speaker 1: are all really high risk foods, so they don't fall 92 00:05:05,600 --> 00:05:10,400 Speaker 1: into the dairy, eggs, peanuts category. You normally think of, um, 93 00:05:10,560 --> 00:05:18,080 Speaker 1: what was um the first symptom you saw with UM, 94 00:05:19,880 --> 00:05:21,760 Speaker 1: I'm trying like which way do we want to go first? 95 00:05:21,800 --> 00:05:24,040 Speaker 1: I'm like, you're older or you're younger, which, by the way, 96 00:05:24,240 --> 00:05:26,000 Speaker 1: when you had Izzy, I was like, this kid isn't 97 00:05:26,040 --> 00:05:28,200 Speaker 1: gonna have any allergies because she was put through such 98 00:05:28,240 --> 00:05:31,120 Speaker 1: a ringer with your first and I was like you, like, 99 00:05:31,160 --> 00:05:33,640 Speaker 1: you're done you're like, you're done. You did it, like 100 00:05:33,680 --> 00:05:37,839 Speaker 1: you survived. And now we have number two who has 101 00:05:38,160 --> 00:05:41,480 Speaker 1: a lot of allergies and they're different, right, So so Alie, 102 00:05:41,480 --> 00:05:43,360 Speaker 1: it's funny because we went to we sat at a 103 00:05:43,400 --> 00:05:45,440 Speaker 1: coffee shop across the street from an emergency room to 104 00:05:45,480 --> 00:05:47,920 Speaker 1: give Alie peanut butter for the first time. Because I'm 105 00:05:47,960 --> 00:05:52,280 Speaker 1: just type a anxious person. That makes you a great lawyer, well, 106 00:05:52,320 --> 00:05:55,080 Speaker 1: thank you, and it also makes me, you know, a 107 00:05:55,200 --> 00:05:58,720 Speaker 1: difficult wife and you know a mom like so sitting 108 00:05:58,760 --> 00:06:01,760 Speaker 1: across this room leaving peanuts for the first time exactly, sorry, 109 00:06:01,800 --> 00:06:04,039 Speaker 1: dragged my husband with me. Didn't give her a whole lot, 110 00:06:04,080 --> 00:06:06,160 Speaker 1: but she was fine, like it was everyone just that 111 00:06:06,320 --> 00:06:09,680 Speaker 1: I was up. That's Julie. And she overreacted and then 112 00:06:09,720 --> 00:06:12,400 Speaker 1: a few you know, she had that a few more 113 00:06:12,440 --> 00:06:15,280 Speaker 1: times and things seemed to be okay. We introduced eggs. 114 00:06:15,360 --> 00:06:18,159 Speaker 1: She seemed to be okay with eggs. She then had 115 00:06:18,960 --> 00:06:21,760 Speaker 1: a few hives or like like of a rash that 116 00:06:21,800 --> 00:06:23,640 Speaker 1: we're like, h what is this And again it wasn't 117 00:06:23,640 --> 00:06:25,400 Speaker 1: the first time she had had eggs, so we didn't know. 118 00:06:26,000 --> 00:06:28,360 Speaker 1: We gave her egg whites, thinking that egg whites were 119 00:06:29,279 --> 00:06:34,000 Speaker 1: less you know, allergic allergy complete opposite. Most people who 120 00:06:34,000 --> 00:06:36,679 Speaker 1: have egg allergies are more allergic to the egg white 121 00:06:36,680 --> 00:06:39,039 Speaker 1: than to the egg yolk, So hell knows that. We 122 00:06:39,160 --> 00:06:41,640 Speaker 1: just learned that here on Katie's grip folks exactly. So 123 00:06:41,680 --> 00:06:43,560 Speaker 1: there you go. I messed that up, and that's when 124 00:06:43,600 --> 00:06:45,960 Speaker 1: Ali's face started blowing up, her eyes were getting swollen, 125 00:06:46,000 --> 00:06:48,679 Speaker 1: her lips were getting swollen. So we rushed over the doctor, 126 00:06:48,680 --> 00:06:51,039 Speaker 1: got that agil. She kind of settled down from there, 127 00:06:51,680 --> 00:06:54,479 Speaker 1: But after that was when I went over to doctor Lee. 128 00:06:54,680 --> 00:06:57,080 Speaker 1: We also had been avoiding dairy just because she had 129 00:06:57,120 --> 00:07:00,919 Speaker 1: had some digestive issues and really bad reflux, and so 130 00:07:01,400 --> 00:07:04,279 Speaker 1: we didn't know if she had a digestive allergy to 131 00:07:04,360 --> 00:07:06,680 Speaker 1: dairy or if there could also be something more of 132 00:07:06,720 --> 00:07:11,000 Speaker 1: an anaplaxis dairy allergy. Ali did outgrow her dairy allergy 133 00:07:11,120 --> 00:07:15,240 Speaker 1: right before she turned three. Now, Dr Tricia Lee, do 134 00:07:15,400 --> 00:07:19,320 Speaker 1: you normally meet moms and their kids when we're at 135 00:07:19,360 --> 00:07:23,360 Speaker 1: this sort of crisis mode? Um? Does it vary when 136 00:07:23,520 --> 00:07:26,160 Speaker 1: do they come to you? So normally it's after the 137 00:07:26,200 --> 00:07:28,880 Speaker 1: first reaction, and for some of those families that takes 138 00:07:28,880 --> 00:07:31,480 Speaker 1: them in to the emergency room, and the emergency room 139 00:07:31,520 --> 00:07:33,960 Speaker 1: physician will say okay, now you need to see an allergist, 140 00:07:34,120 --> 00:07:36,200 Speaker 1: or if it not even taken them to the emergency room, 141 00:07:36,240 --> 00:07:38,560 Speaker 1: just to the general pediatrician's office, then they will be 142 00:07:38,600 --> 00:07:41,920 Speaker 1: referred to the allergist. UM. Very rarely am I seeing 143 00:07:42,480 --> 00:07:47,160 Speaker 1: um sort of a new diagnosis before the first reaction. UM. Nowadays, 144 00:07:47,200 --> 00:07:49,840 Speaker 1: with sort of new recommendations and pushed to get children 145 00:07:49,840 --> 00:07:53,360 Speaker 1: in tested early introduction, a lot of these high risk 146 00:07:53,440 --> 00:07:56,400 Speaker 1: kids meaning moderate to severe egma will be sent before 147 00:07:56,400 --> 00:07:59,480 Speaker 1: they've even eaten anything I see, right, So there's also 148 00:07:59,520 --> 00:08:02,440 Speaker 1: the kids that are having crazy skin stuff happening before 149 00:08:02,440 --> 00:08:05,800 Speaker 1: they've even eaten solid foods. And sometimes I'll see four 150 00:08:05,800 --> 00:08:08,679 Speaker 1: eight week olds and then we're not really doing food 151 00:08:08,680 --> 00:08:11,440 Speaker 1: testing at that time. UM, it's really probably not acuratetil 152 00:08:11,440 --> 00:08:13,840 Speaker 1: close to four months old, UM, but sort of following 153 00:08:13,880 --> 00:08:16,480 Speaker 1: along there. So sometimes we're capturing it before they actually 154 00:08:16,480 --> 00:08:19,320 Speaker 1: eat it. UM. But most of the time my suggestion 155 00:08:19,440 --> 00:08:21,880 Speaker 1: is to to eat the food and then sort of 156 00:08:21,880 --> 00:08:24,520 Speaker 1: go from there. The problem with skin testings it's not perfect. 157 00:08:24,600 --> 00:08:26,480 Speaker 1: You can get a lot of faults positives. For example, 158 00:08:26,480 --> 00:08:28,200 Speaker 1: if you go to local mall tore that people have 159 00:08:28,200 --> 00:08:29,880 Speaker 1: a positive test of peanut, they eat it and they're 160 00:08:29,880 --> 00:08:33,040 Speaker 1: fine with it. So testing is just not accurate, and 161 00:08:33,040 --> 00:08:35,120 Speaker 1: so you can end up with a lot of false positives. 162 00:08:35,480 --> 00:08:39,240 Speaker 1: UM sort of unknowingly unfortunately. I feel like when we 163 00:08:39,240 --> 00:08:41,960 Speaker 1: were kids, they would wait awhile to test it. Now 164 00:08:42,000 --> 00:08:44,720 Speaker 1: there's all these new stuff saying like give them small 165 00:08:44,880 --> 00:08:48,959 Speaker 1: doses before even the age of one, exactly, and that 166 00:08:49,040 --> 00:08:51,480 Speaker 1: was actually UM. Probably part of the problem in the 167 00:08:51,600 --> 00:08:54,440 Speaker 1: United States when food allergy increased in the United States 168 00:08:54,720 --> 00:08:57,199 Speaker 1: was when the ap had recommended delay an introduction of 169 00:08:57,280 --> 00:09:01,160 Speaker 1: these foods for that reason. Part of the reason is 170 00:09:01,600 --> 00:09:05,040 Speaker 1: UM more from a choking hazard perspective in the sense 171 00:09:05,080 --> 00:09:06,839 Speaker 1: of like nut, you're not going to feed a four 172 00:09:06,880 --> 00:09:11,079 Speaker 1: month old nut. But nowadays, with nut butters and nut powders, 173 00:09:11,120 --> 00:09:14,040 Speaker 1: it's much easier to accomplish. UM. A lot of times 174 00:09:14,040 --> 00:09:17,959 Speaker 1: I'm hoping to even capture that family before the first introduction. UM. 175 00:09:18,000 --> 00:09:20,880 Speaker 1: So now there's some data to support sort of moisturization. 176 00:09:21,200 --> 00:09:24,719 Speaker 1: So from day one of life to moisturize head to toe. UM. 177 00:09:24,840 --> 00:09:30,880 Speaker 1: Every day I'm imagining a one week old being slathered 178 00:09:30,920 --> 00:09:34,360 Speaker 1: in peanut butter. That's not what you mean. I'm glad 179 00:09:34,400 --> 00:09:38,200 Speaker 1: you clarify, So what do they do somewhere like a 180 00:09:38,400 --> 00:09:42,439 Speaker 1: cream or vasselin just what you would moisturize your skin with. 181 00:09:42,760 --> 00:09:45,920 Speaker 1: And the concept is the or the hope even is 182 00:09:46,000 --> 00:09:48,920 Speaker 1: that if we can prevent sort of eggs ma starting 183 00:09:48,920 --> 00:09:52,040 Speaker 1: and progressing, then maybe we could prevent this progression into 184 00:09:52,320 --> 00:09:56,320 Speaker 1: UM food allergy. UM even to the extent of UM 185 00:09:56,720 --> 00:09:58,760 Speaker 1: a little bit of data to support that if you 186 00:09:58,800 --> 00:10:01,000 Speaker 1: touch an allergy with your hands, like if you were 187 00:10:01,000 --> 00:10:02,880 Speaker 1: eating a peanut butter and jelly sandwich, to then not 188 00:10:02,960 --> 00:10:06,280 Speaker 1: directly touch your kids skin. UM. There is a hypothesis 189 00:10:06,320 --> 00:10:09,880 Speaker 1: out there that UM, these kids are seeing allergens through 190 00:10:09,880 --> 00:10:12,120 Speaker 1: their skin first as opposed to through their gut, and 191 00:10:12,120 --> 00:10:15,320 Speaker 1: then they're forming an abnormal reaction so in the reverse 192 00:10:15,360 --> 00:10:18,720 Speaker 1: sance as well not putting foods on the skin. So 193 00:10:19,000 --> 00:10:21,480 Speaker 1: UM in England, UM, some of their food allergy increase 194 00:10:21,520 --> 00:10:24,480 Speaker 1: after they started using things like coconut oil and the egsma. 195 00:10:24,559 --> 00:10:26,480 Speaker 1: So until the kids eating the food. I don't really 196 00:10:26,960 --> 00:10:30,240 Speaker 1: prefer food products on the skin, got it, But from 197 00:10:30,280 --> 00:10:35,040 Speaker 1: there with food introduction, I think early what first like 198 00:10:34,880 --> 00:10:38,920 Speaker 1: I vasoline. Vassoline is like one product and no one's 199 00:10:38,960 --> 00:10:45,280 Speaker 1: allergic to it. Y, Seravey, Vanning cream or good brands um. 200 00:10:45,320 --> 00:10:53,440 Speaker 1: Even Aquifer though has vanolin in it. I'm so glad 201 00:10:53,559 --> 00:10:56,440 Speaker 1: on this podcast because I'm switching it up. I feel 202 00:10:56,440 --> 00:10:59,280 Speaker 1: like vascaline is like what we used kids like a 203 00:10:59,320 --> 00:11:02,800 Speaker 1: head to toe grease the kid up every single diaper change. Um. 204 00:11:02,840 --> 00:11:04,760 Speaker 1: But then you know, close to four or five months, 205 00:11:04,760 --> 00:11:06,360 Speaker 1: and this is going to pin a lot on the 206 00:11:06,440 --> 00:11:08,520 Speaker 1: child developmentally speaking in the sense of can they hold 207 00:11:08,520 --> 00:11:10,480 Speaker 1: their head up and are they thrusting their tongue out? 208 00:11:10,600 --> 00:11:13,360 Speaker 1: But just starting eating, we just don't know until you 209 00:11:13,360 --> 00:11:15,640 Speaker 1: eat it, like you just got to eat um. And 210 00:11:15,679 --> 00:11:18,080 Speaker 1: so starting sort of early with fruits, vegetables, and then 211 00:11:18,080 --> 00:11:21,280 Speaker 1: pretty quickly going through sort of those top eight allergens 212 00:11:21,679 --> 00:11:26,120 Speaker 1: um all so, milk, egg, wet fish, shellfish, peanut, tree, nuts, sesame, 213 00:11:26,200 --> 00:11:29,120 Speaker 1: soy um and generally speaking in in order of like 214 00:11:29,240 --> 00:11:31,920 Speaker 1: weed and then milk and then egg um and then 215 00:11:31,960 --> 00:11:34,920 Speaker 1: obviously peanut very soon. And they also now have it 216 00:11:35,000 --> 00:11:37,720 Speaker 1: in pouches. So there are brands where you give your 217 00:11:37,760 --> 00:11:41,160 Speaker 1: baby like these, like many pouches that have these different 218 00:11:41,200 --> 00:11:44,120 Speaker 1: allergens in the pouches. So even though they can't eat 219 00:11:44,120 --> 00:11:47,240 Speaker 1: a nut or an egg or like soy like things 220 00:11:47,280 --> 00:11:51,080 Speaker 1: like that they can be exactly. So that's what we 221 00:11:51,080 --> 00:11:53,880 Speaker 1: started doing for Isabella because we were trying to introduce 222 00:11:53,920 --> 00:11:56,520 Speaker 1: everything early. I mean, when you say, what point do 223 00:11:56,280 --> 00:11:59,240 Speaker 1: you to Dr Lee start seeing patients for Isabella, I 224 00:11:59,320 --> 00:12:01,440 Speaker 1: was like, I'm pregnant, now tell me what to do. 225 00:12:01,480 --> 00:12:04,880 Speaker 1: It's like she's born, now tell me what to um. 226 00:12:04,920 --> 00:12:08,079 Speaker 1: But so we gave her all of these pouches as 227 00:12:08,120 --> 00:12:10,439 Speaker 1: early as we could. You know, when she was having 228 00:12:10,720 --> 00:12:16,720 Speaker 1: a symptoms of Isabella with being allergy is different, right, 229 00:12:16,760 --> 00:12:19,240 Speaker 1: So when we gave when we gave her one of 230 00:12:19,280 --> 00:12:22,440 Speaker 1: the pouches that had egg in it, she was fine. 231 00:12:22,600 --> 00:12:24,600 Speaker 1: We put her down for a nap. We well, first 232 00:12:24,640 --> 00:12:27,559 Speaker 1: we had tested everything on the skin testing with Dr Lee, 233 00:12:27,559 --> 00:12:30,720 Speaker 1: so we felt okay trying it at home. Then two 234 00:12:30,720 --> 00:12:33,960 Speaker 1: hours after she threw up and it was she's a 235 00:12:34,040 --> 00:12:36,520 Speaker 1: baby baby, so you're kind of like this a spit up? 236 00:12:36,679 --> 00:12:38,480 Speaker 1: Is it? Like? So you're kind of like, as a 237 00:12:38,520 --> 00:12:43,440 Speaker 1: second kid, is it a coal qualifying? So I called 238 00:12:43,480 --> 00:12:46,400 Speaker 1: Actor Lee and she's like, okay, well, I don't want 239 00:12:46,400 --> 00:12:48,319 Speaker 1: to say that. We're not going to try egg again. 240 00:12:48,440 --> 00:12:51,319 Speaker 1: We'll see, like let's just like let's be aware of it. 241 00:12:51,760 --> 00:12:53,880 Speaker 1: So and she didn't even tell me what f pies 242 00:12:54,040 --> 00:12:56,240 Speaker 1: was or anything like that. She hit it from me 243 00:12:57,080 --> 00:13:00,200 Speaker 1: and so then there's like nobody this is. Yeah. So 244 00:13:00,240 --> 00:13:02,679 Speaker 1: the next time we gave her egg, we gave her 245 00:13:02,760 --> 00:13:04,240 Speaker 1: the same page and we tried to do it at 246 00:13:04,240 --> 00:13:06,920 Speaker 1: a time when she wasn't sick. She's like, they're like 247 00:13:06,920 --> 00:13:09,200 Speaker 1: that we kind of knew her baseline of where she was. 248 00:13:09,360 --> 00:13:12,080 Speaker 1: And she threw up again about two hours later. So 249 00:13:12,120 --> 00:13:14,600 Speaker 1: I called Dr Lee again. I'm like, what do I do? 250 00:13:15,200 --> 00:13:18,120 Speaker 1: And that's when she said, Okay, Isabella has f pies 251 00:13:18,200 --> 00:13:22,360 Speaker 1: and here's what we do. And PIES stand for food 252 00:13:22,360 --> 00:13:26,640 Speaker 1: protein induced innercalitis, which is why I say F pies. 253 00:13:27,240 --> 00:13:31,599 Speaker 1: Is that like what it's called F pies? No, that's no. 254 00:13:31,720 --> 00:13:34,760 Speaker 1: I feel like that's there's an I C D tinko 255 00:13:35,000 --> 00:13:38,160 Speaker 1: for the diagnosis of f pies. It's like a I 256 00:13:38,200 --> 00:13:39,880 Speaker 1: feel like it's a rare group of people who know 257 00:13:39,920 --> 00:13:42,480 Speaker 1: what it means. But among the people that have this allergy, 258 00:13:42,520 --> 00:13:46,280 Speaker 1: that's what it's called or how we refer to it. UM. 259 00:13:46,360 --> 00:13:49,319 Speaker 1: So a lot of times you think, oh, my kid 260 00:13:49,400 --> 00:13:51,400 Speaker 1: is sick and I have a virus. You also don't 261 00:13:51,400 --> 00:13:55,240 Speaker 1: think when you're giving your baby bananas or wheat cereal 262 00:13:55,360 --> 00:13:58,120 Speaker 1: or these foods, and they're throwing up two hours later, 263 00:13:58,160 --> 00:14:00,040 Speaker 1: and you're giving it to them at multiple times. That 264 00:14:00,080 --> 00:14:02,920 Speaker 1: they're throwing up multiple times, you don't realize that it's 265 00:14:02,960 --> 00:14:06,079 Speaker 1: related or an allergy. Almost think it's acid reflux or something. 266 00:14:06,160 --> 00:14:11,000 Speaker 1: Right like at first, like the vomiting is so bad, 267 00:14:11,200 --> 00:14:13,440 Speaker 1: you do go into the emergency room, especially as like 268 00:14:13,440 --> 00:14:16,040 Speaker 1: a first time parent, um, and sort of time and 269 00:14:16,080 --> 00:14:21,480 Speaker 1: time again, Um, the emergency room is not connecting it 270 00:14:21,520 --> 00:14:23,800 Speaker 1: as well because it's so delayed in the sense of 271 00:14:23,800 --> 00:14:26,000 Speaker 1: its two hours later, and a lot of times it's 272 00:14:26,040 --> 00:14:28,560 Speaker 1: not within the first even a few ingestions. I've seen 273 00:14:28,600 --> 00:14:31,560 Speaker 1: it within the first ten ingestions, for example, So like 274 00:14:31,640 --> 00:14:33,920 Speaker 1: the first five times, like okay, you sort of marked 275 00:14:33,960 --> 00:14:36,000 Speaker 1: that food off your list, You've done it. You don't 276 00:14:36,040 --> 00:14:37,880 Speaker 1: even think about it. You're now then combining it with 277 00:14:37,920 --> 00:14:40,480 Speaker 1: other things. You know, the kids thrown up a few times. 278 00:14:40,520 --> 00:14:42,040 Speaker 1: You go into the emergence room. Just seems like a 279 00:14:42,120 --> 00:14:45,520 Speaker 1: virus every single time. So I felt really lucky that 280 00:14:46,360 --> 00:14:48,480 Speaker 1: we had is about throw up twice and Dr le 281 00:14:48,560 --> 00:14:50,120 Speaker 1: knew exactly what it because you already had it all 282 00:14:50,120 --> 00:14:52,720 Speaker 1: in place. I had my system in places, so I 283 00:14:52,760 --> 00:14:55,280 Speaker 1: was like, Okay, now I'm calling our nutritionist because we 284 00:14:55,680 --> 00:14:58,760 Speaker 1: started working with a nutritionist for Ali because she being 285 00:14:58,800 --> 00:15:02,200 Speaker 1: allergic to eggs at the time. Dairy. You want to 286 00:15:02,240 --> 00:15:05,480 Speaker 1: make sure it's getting the food exactly and the nutrients 287 00:15:05,480 --> 00:15:07,520 Speaker 1: she's supposed to be and she's tiny and so she 288 00:15:07,640 --> 00:15:10,240 Speaker 1: wasn't gaining weight, so we needed to really be on 289 00:15:10,320 --> 00:15:11,880 Speaker 1: top of it and make sure that she was going 290 00:15:11,920 --> 00:15:15,680 Speaker 1: to thrive despite her food restrictions. So and it was 291 00:15:15,680 --> 00:15:17,760 Speaker 1: funny because the day before I had a conversation with 292 00:15:17,800 --> 00:15:20,880 Speaker 1: the nutritionist and she was like, Isabella is not Ali. 293 00:15:21,040 --> 00:15:23,320 Speaker 1: You have to like take steps and start feeding her 294 00:15:23,640 --> 00:15:26,880 Speaker 1: more proactively and not be so afraid of things. And 295 00:15:26,920 --> 00:15:29,840 Speaker 1: then I called her back. You were like you were wrong, 296 00:15:30,280 --> 00:15:33,520 Speaker 1: and and then I called her back the next day. 297 00:15:33,560 --> 00:15:36,760 Speaker 1: I'm like, so Isabella has f pies and she's like, 298 00:15:37,360 --> 00:15:39,800 Speaker 1: oh boy, She's like, now we need a whole new 299 00:15:39,840 --> 00:15:42,600 Speaker 1: game plan. So at least felt fortunate that I had 300 00:15:42,680 --> 00:15:45,240 Speaker 1: that support system in place, because it's when you find 301 00:15:45,280 --> 00:15:47,360 Speaker 1: out about it at first, and you don't know anything 302 00:15:47,360 --> 00:15:49,280 Speaker 1: more than just kind of the stuff that you're afraid of. 303 00:15:49,720 --> 00:16:02,000 Speaker 1: It's very overwhelming. Oh, I want to ask you, um, 304 00:16:02,240 --> 00:16:05,720 Speaker 1: so do you recommend Dr Lee, do you recommend when 305 00:16:05,760 --> 00:16:08,040 Speaker 1: people start introducing foods like the sort of thing where 306 00:16:08,040 --> 00:16:10,440 Speaker 1: it's like you do the same thing every day. I 307 00:16:10,480 --> 00:16:13,800 Speaker 1: also know women who like wrote like they did the 308 00:16:13,880 --> 00:16:15,600 Speaker 1: same food every single day for lunch and then they 309 00:16:15,600 --> 00:16:17,640 Speaker 1: moved that food tonight and then they introduced a new 310 00:16:17,680 --> 00:16:20,840 Speaker 1: food in the lunch time. Is that ye know that 311 00:16:20,920 --> 00:16:24,520 Speaker 1: it has to be so I was like, this is 312 00:16:24,560 --> 00:16:27,760 Speaker 1: making me nuts, especially for like fruits, vegetables, and meats, 313 00:16:27,760 --> 00:16:30,560 Speaker 1: because generally they're not going to be an issue. Um 314 00:16:30,680 --> 00:16:33,200 Speaker 1: for some of those highly allergenic foods, you know, I say, 315 00:16:33,200 --> 00:16:35,480 Speaker 1: start with a small amount gradually increase. Doesn't necessarily have 316 00:16:35,520 --> 00:16:37,440 Speaker 1: to be in consecutive days. Not really doesn't have to 317 00:16:37,440 --> 00:16:39,440 Speaker 1: be at the same time. No, so maybe day one, 318 00:16:39,560 --> 00:16:42,200 Speaker 1: day three, day five, day seven. The goal is just 319 00:16:42,280 --> 00:16:45,280 Speaker 1: to get to a full serving, which generally I would 320 00:16:45,320 --> 00:16:47,640 Speaker 1: say with peanut, it's like to teaspoons of peanut butter 321 00:16:47,720 --> 00:16:50,920 Speaker 1: peanut powder, and you've done it multiple times. So normally, 322 00:16:50,920 --> 00:16:53,120 Speaker 1: and I'm taking a history from a patient, that threshold 323 00:16:53,160 --> 00:16:55,720 Speaker 1: for me is five times. The problem, particularly in a 324 00:16:55,760 --> 00:16:57,840 Speaker 1: four six month old, is they're not getting that much. 325 00:16:58,000 --> 00:17:00,720 Speaker 1: They're not getting anywhere close to two teast, So you've 326 00:17:00,760 --> 00:17:02,440 Speaker 1: really got to push the amount because a lot of 327 00:17:02,440 --> 00:17:05,080 Speaker 1: times that allergy is not going to be obvious until 328 00:17:05,080 --> 00:17:07,320 Speaker 1: we've had enough to make it obvious, which is probably 329 00:17:07,320 --> 00:17:09,800 Speaker 1: why for Ali, we didn't realize that at first because 330 00:17:09,800 --> 00:17:12,480 Speaker 1: she had had so little, like a little tiny of 331 00:17:12,520 --> 00:17:15,720 Speaker 1: eggs and peanuts, so it wasn't until later on that 332 00:17:15,760 --> 00:17:19,399 Speaker 1: we saw her reactions. My next question for Julie is 333 00:17:21,240 --> 00:17:26,120 Speaker 1: do you ever get like judge moms about because I know, 334 00:17:26,320 --> 00:17:29,080 Speaker 1: as a mom of someone who's dealing with some pretty 335 00:17:29,119 --> 00:17:32,280 Speaker 1: scary allergies, I've seen you as a mom in action 336 00:17:32,400 --> 00:17:35,119 Speaker 1: and you have to be the advocate for your child, 337 00:17:35,520 --> 00:17:39,040 Speaker 1: meaning you're asking all the other mom's questions, who are around, 338 00:17:39,119 --> 00:17:41,560 Speaker 1: what's in it? Did Ali grab it? Like all that 339 00:17:41,600 --> 00:17:44,600 Speaker 1: kind of stuff? Because it's on you? Um and so 340 00:17:44,720 --> 00:17:48,000 Speaker 1: have you had issues with that kind of thing we have? 341 00:17:48,200 --> 00:17:50,600 Speaker 1: I have to say I've been really lucky with close 342 00:17:50,640 --> 00:17:54,200 Speaker 1: friends and our community who understand that you know, this 343 00:17:54,280 --> 00:17:56,920 Speaker 1: is serious and important, and especially our close friends who 344 00:17:56,960 --> 00:17:59,680 Speaker 1: know everything that kind of we go through regularly, they're 345 00:17:59,680 --> 00:18:03,040 Speaker 1: more apportive about it. It gets harder as there's school 346 00:18:03,080 --> 00:18:06,000 Speaker 1: and birthday parties and things like that where and I 347 00:18:06,119 --> 00:18:09,320 Speaker 1: try very hard to not feel like I have to 348 00:18:09,359 --> 00:18:11,879 Speaker 1: control what everyone else is doing, but do what I 349 00:18:11,920 --> 00:18:15,879 Speaker 1: have to to protect the girls. So you know, now 350 00:18:15,920 --> 00:18:17,800 Speaker 1: they can eat pizza as long as I make sure 351 00:18:17,800 --> 00:18:19,800 Speaker 1: it's from a place that doesn't have egg in the dough, 352 00:18:19,800 --> 00:18:22,680 Speaker 1: because sometimes they do. When we get a birthday party invitation, 353 00:18:22,760 --> 00:18:25,920 Speaker 1: I'll respond yes, so excited, and then I also say, 354 00:18:25,960 --> 00:18:28,440 Speaker 1: are you planning to do pizza or other food? Ali 355 00:18:28,520 --> 00:18:30,480 Speaker 1: has allergy, so just let me know so I can 356 00:18:30,520 --> 00:18:33,680 Speaker 1: plan accordingly. Like I don't, I don't expect everyone else 357 00:18:33,720 --> 00:18:36,080 Speaker 1: to make an accommodation for us. I mean, if you 358 00:18:36,080 --> 00:18:38,080 Speaker 1: tell me that you're gonna have a peanut butter birthday cake, 359 00:18:38,119 --> 00:18:40,359 Speaker 1: then we're not going to go because then I can't 360 00:18:40,400 --> 00:18:43,520 Speaker 1: do it. And if it's brunch and you're having eggs 361 00:18:43,600 --> 00:18:46,120 Speaker 1: and like that's your scrambled eggs is your meal, then 362 00:18:46,160 --> 00:18:48,720 Speaker 1: I'm not going to go. But if you're having something 363 00:18:48,760 --> 00:18:52,800 Speaker 1: that has you know, eggs in it or things where 364 00:18:52,840 --> 00:18:55,600 Speaker 1: you know, I kind of have to balance the balance 365 00:18:55,640 --> 00:18:58,440 Speaker 1: it and also educate Ali as she gets older, because 366 00:18:58,480 --> 00:19:00,960 Speaker 1: she's gonna be responsible for herself and so not that 367 00:19:01,000 --> 00:19:02,879 Speaker 1: I would ever leave her to her own devices at 368 00:19:02,880 --> 00:19:05,919 Speaker 1: this point. But she's she's pretty good. I mean, she 369 00:19:06,080 --> 00:19:08,760 Speaker 1: just turned three, and she knows what she's allergic to. 370 00:19:08,880 --> 00:19:12,240 Speaker 1: She knows what Isabella is allergic to. She knows there's 371 00:19:12,280 --> 00:19:14,640 Speaker 1: a song that she sings that has her rules of 372 00:19:15,160 --> 00:19:17,399 Speaker 1: what to do and liked her this song Did you 373 00:19:17,440 --> 00:19:24,120 Speaker 1: write this? Daniel Tiger? Daniel Tiger and three? Or what's 374 00:19:24,119 --> 00:19:25,880 Speaker 1: the song? Can you sing it for us? Is a good? 375 00:19:25,960 --> 00:19:31,119 Speaker 1: Oh my god? No? Is it like I can't eat um? 376 00:19:31,200 --> 00:19:34,760 Speaker 1: What are her ones again? Eggs and dairy and she 377 00:19:34,800 --> 00:19:37,600 Speaker 1: can do darry now. I grew out a dairy and 378 00:19:37,760 --> 00:19:41,040 Speaker 1: I can have that now. But she has these, she 379 00:19:41,400 --> 00:19:43,400 Speaker 1: has the tools and Daniel Tigers. It's basically the song 380 00:19:43,400 --> 00:19:46,640 Speaker 1: in Daniel Tiger has three rules in it, Um, don't 381 00:19:46,640 --> 00:19:49,480 Speaker 1: eat the food that you're allergic to, ask before you 382 00:19:49,520 --> 00:19:51,760 Speaker 1: eat something new, and if you don't feel well till 383 00:19:51,760 --> 00:19:54,679 Speaker 1: a grown up. And so Ali knows those rules and 384 00:19:54,760 --> 00:19:57,159 Speaker 1: so she will be somewhere, you know. She was talking 385 00:19:57,200 --> 00:19:59,760 Speaker 1: to her other best friend who turned three the other 386 00:20:00,160 --> 00:20:02,639 Speaker 1: and her friend was like, Ali, I'm going to have 387 00:20:02,680 --> 00:20:05,840 Speaker 1: a frozen cake at my birthday, like so excited, and 388 00:20:05,920 --> 00:20:09,879 Speaker 1: Ali goes, that sounds great. Does it have eggs and peanuts? 389 00:20:09,880 --> 00:20:12,200 Speaker 1: Because I can't have eggs and peanuts And her friend 390 00:20:12,320 --> 00:20:15,639 Speaker 1: was like, I don't know. Like her friend was like, 391 00:20:16,040 --> 00:20:19,440 Speaker 1: but so I have in my freezer a bunch of 392 00:20:19,600 --> 00:20:22,399 Speaker 1: cupcakes and cookies that are safe for Ali that I 393 00:20:22,440 --> 00:20:25,080 Speaker 1: will defrast And I always tell Alle, I say, oh, 394 00:20:25,160 --> 00:20:27,960 Speaker 1: today So and So's birthday, there's gonna be cupcakes. She'll 395 00:20:27,960 --> 00:20:29,880 Speaker 1: say did they have eggs and peanuts? And I say 396 00:20:29,920 --> 00:20:32,320 Speaker 1: they do, so we can't eat them, And then say 397 00:20:32,400 --> 00:20:34,960 Speaker 1: I'm going to bring one for right And she's excited 398 00:20:35,000 --> 00:20:37,840 Speaker 1: by that. So she's she's really good about it so far. 399 00:20:40,320 --> 00:20:42,520 Speaker 1: And I love Daniel Tiger. Oh my god. Yeah, we 400 00:20:42,560 --> 00:20:45,440 Speaker 1: are big fans of Daniel Tiger. Now, UM, I was 401 00:20:45,480 --> 00:20:48,320 Speaker 1: going to ask you are there chances of these kids 402 00:20:48,480 --> 00:20:51,320 Speaker 1: growing out of these allergies? Like what do you see 403 00:20:51,520 --> 00:20:55,119 Speaker 1: as far as especially for Izzy from an f PIS perspective, A, 404 00:20:55,480 --> 00:20:59,040 Speaker 1: there's never been any documented DUTs UM and then be 405 00:20:59,280 --> 00:21:01,720 Speaker 1: most kids. I'll l so right now, the nation recommendation 406 00:21:01,920 --> 00:21:05,520 Speaker 1: is UM eighteen to twenty four months after the last reaction, 407 00:21:05,720 --> 00:21:08,080 Speaker 1: you should try it. UM. The recommendation right now is 408 00:21:08,119 --> 00:21:11,119 Speaker 1: to do that within a hospital setting, though hopefully that 409 00:21:11,160 --> 00:21:13,040 Speaker 1: tide will will try. You have to go do this 410 00:21:13,520 --> 00:21:16,959 Speaker 1: so for three foods. When we get to that timetable, 411 00:21:17,040 --> 00:21:19,680 Speaker 1: we'll see if those are still the recommendations. The other 412 00:21:19,760 --> 00:21:21,919 Speaker 1: thing for her you said, we probably will just because 413 00:21:21,960 --> 00:21:24,280 Speaker 1: she has small veins and they've had trouble getting i vs, 414 00:21:25,000 --> 00:21:27,080 Speaker 1: so they want to have the i V in already 415 00:21:27,119 --> 00:21:31,880 Speaker 1: if she needs medicine. Wow wow wow wow wow wow. 416 00:21:32,000 --> 00:21:36,440 Speaker 1: Now is there any link to like my husband parents, 417 00:21:36,560 --> 00:21:39,440 Speaker 1: like why is why does a kid have allergies? And 418 00:21:39,440 --> 00:21:41,439 Speaker 1: why does a kid not have allergies? Why does this 419 00:21:41,480 --> 00:21:44,399 Speaker 1: as the question of the decade are people asking me about? 420 00:21:44,400 --> 00:21:49,159 Speaker 1: Like why? Um? So you know, we have realized some 421 00:21:49,280 --> 00:21:52,959 Speaker 1: of these answers through research in the sense of early introduction. 422 00:21:53,280 --> 00:21:55,920 Speaker 1: And that's probably the greatest study. It's called the Leap study, 423 00:21:56,000 --> 00:21:58,000 Speaker 1: done a few years ago in England. And the reason 424 00:21:58,040 --> 00:22:00,560 Speaker 1: why it was done is because we realize as Israeli 425 00:22:00,640 --> 00:22:07,439 Speaker 1: kids eating bomba, the peanut puff um, and so they 426 00:22:07,480 --> 00:22:09,399 Speaker 1: seem to have less peanut allergy than the rest of 427 00:22:09,400 --> 00:22:12,080 Speaker 1: the world. Um. And so that study looked at sort 428 00:22:12,119 --> 00:22:14,919 Speaker 1: of early introduction between four and eleven month olds for 429 00:22:15,320 --> 00:22:17,639 Speaker 1: high risk kids, meaning monitor to see eggs and or 430 00:22:17,680 --> 00:22:20,920 Speaker 1: egg allergy. UM. So certainly early introduction I think sort 431 00:22:21,000 --> 00:22:23,680 Speaker 1: speaks to that. UM. There's a lot of study of 432 00:22:23,760 --> 00:22:26,280 Speaker 1: medicine nowadays sort of looking at the microbiome in the 433 00:22:26,280 --> 00:22:28,679 Speaker 1: sense of the good or back bacteria or whatever the 434 00:22:28,680 --> 00:22:31,640 Speaker 1: bacteria is, whether it's on your skin or in your 435 00:22:31,640 --> 00:22:34,199 Speaker 1: gud and how are we affecting that. That concept of 436 00:22:34,240 --> 00:22:37,600 Speaker 1: like if you have UM exposure to farm animals are 437 00:22:37,720 --> 00:22:40,439 Speaker 1: living on a farm and having less allergy has certainly 438 00:22:40,480 --> 00:22:45,359 Speaker 1: been validated. So I think one thing moms she says 439 00:22:45,480 --> 00:22:47,960 Speaker 1: always like I don't know where she pulls this out, 440 00:22:47,960 --> 00:22:50,280 Speaker 1: but she'll just be like, it's always good for a 441 00:22:50,680 --> 00:22:54,040 Speaker 1: house to have a dog because then your kid won't 442 00:22:54,080 --> 00:22:56,399 Speaker 1: be allergic to dogs. Like she says stuff like this, 443 00:22:56,440 --> 00:22:58,920 Speaker 1: And I'm like, where are you getting these facts? UM, 444 00:22:59,520 --> 00:23:01,920 Speaker 1: But I guess that that is true. Well, it's also 445 00:23:01,960 --> 00:23:04,800 Speaker 1: speaking to UM sort of going back to that microbiome 446 00:23:04,840 --> 00:23:09,520 Speaker 1: in the sense of the more sort of viruses, bacteria, 447 00:23:09,800 --> 00:23:13,000 Speaker 1: germs you're exposed to, the greater variability that you're going 448 00:23:13,040 --> 00:23:15,280 Speaker 1: to have, And that's what we're realizing, is the variability 449 00:23:15,359 --> 00:23:18,399 Speaker 1: is sort of what is protective? Um, But it's one 450 00:23:18,440 --> 00:23:21,400 Speaker 1: of a million questions. It's one of a million probably reasons. 451 00:23:21,560 --> 00:23:24,240 Speaker 1: They're probably a some genetic component going from the first 452 00:23:24,320 --> 00:23:26,600 Speaker 1: child to the second child. Is the seven percent chance 453 00:23:26,640 --> 00:23:32,600 Speaker 1: of having food allergy? It's not, But that's not because 454 00:23:32,640 --> 00:23:35,520 Speaker 1: we were saying they're allergic to the same food, but 455 00:23:35,560 --> 00:23:37,879 Speaker 1: their reaction and the treatment and what I have to 456 00:23:37,920 --> 00:23:42,000 Speaker 1: look for completely different. Like it's actually think she's my 457 00:23:42,160 --> 00:23:47,240 Speaker 1: only family who there are two kids with food allergies. 458 00:23:47,359 --> 00:23:51,000 Speaker 1: That's not necessarily rare, but like two kids with different 459 00:23:51,040 --> 00:23:54,520 Speaker 1: types of reactions. Um. So I was stilling around the 460 00:23:54,520 --> 00:23:58,680 Speaker 1: look and that is how special her genes are. So 461 00:23:58,800 --> 00:24:00,639 Speaker 1: are you guys, like on speech? How often do you 462 00:24:00,720 --> 00:24:05,120 Speaker 1: see Dr Julie? Um? I feel like pretty regular because 463 00:24:05,119 --> 00:24:07,680 Speaker 1: we do a bunch of food tests. We do because 464 00:24:07,920 --> 00:24:10,280 Speaker 1: in trying to see if she can, if you know, 465 00:24:10,320 --> 00:24:13,720 Speaker 1: Alie at this point can outgrow them. We've had tests 466 00:24:13,800 --> 00:24:17,639 Speaker 1: every year for her and then to outgrow her dairy allergy. 467 00:24:17,840 --> 00:24:20,720 Speaker 1: We had to start with dairy baked into food, so 468 00:24:20,720 --> 00:24:22,960 Speaker 1: it's like baked milk in muffins, and then it was 469 00:24:23,359 --> 00:24:26,480 Speaker 1: milk in like um crackers or and like then it 470 00:24:26,520 --> 00:24:28,480 Speaker 1: was cooked cheese, and it was pizza, then it was 471 00:24:28,520 --> 00:24:31,159 Speaker 1: a glass. And so depending on kind of where we 472 00:24:31,240 --> 00:24:34,560 Speaker 1: feel she is, we have to do multiple food challenges 473 00:24:34,640 --> 00:24:36,639 Speaker 1: in Dr Lee's office, which is like a four to 474 00:24:36,720 --> 00:24:39,959 Speaker 1: five hour challenge every time. And so we've done that 475 00:24:40,000 --> 00:24:41,840 Speaker 1: for eggs, We've done that for peanuts, We've done that 476 00:24:41,880 --> 00:24:43,520 Speaker 1: for skin test saying I feel like we've done that 477 00:24:43,560 --> 00:24:47,080 Speaker 1: for a lot. So were you allergic to anything? Nope? Nothing, 478 00:24:47,320 --> 00:24:50,560 Speaker 1: So this is like new to you. It's my Nope, 479 00:24:50,600 --> 00:24:53,520 Speaker 1: neither of us hill eat anything. I'm weird and picky 480 00:24:53,560 --> 00:24:56,760 Speaker 1: about food, but not allergic. Um, but it's really just 481 00:24:56,800 --> 00:24:59,040 Speaker 1: this generation so I wouldn't need nearly say. It's hard 482 00:24:59,040 --> 00:25:01,760 Speaker 1: to think gets worse than ever. Oh yeah, it definitely 483 00:25:01,880 --> 00:25:04,480 Speaker 1: is roast peanut butter, for example, and it was introduced 484 00:25:04,480 --> 00:25:06,960 Speaker 1: into Australia. You know, there was an increase in their 485 00:25:06,960 --> 00:25:09,440 Speaker 1: food allergy. We've always had roasted peanut butter, and we're 486 00:25:09,440 --> 00:25:11,760 Speaker 1: probably doing you know, other things to our foods as 487 00:25:11,760 --> 00:25:14,639 Speaker 1: well to sort of change it's allergenicity of it in 488 00:25:14,760 --> 00:25:17,800 Speaker 1: the how we make the food. Oh my god, this 489 00:25:17,880 --> 00:25:20,080 Speaker 1: is so and I talked to it. Actually I'm like, okay, 490 00:25:20,119 --> 00:25:21,919 Speaker 1: So is there anything that I did while I was 491 00:25:21,960 --> 00:25:23,760 Speaker 1: pregnant with Ali that I shouldn't do, but then I 492 00:25:23,760 --> 00:25:26,600 Speaker 1: should do differently with Easy? I'm like, we're doing it again, 493 00:25:27,240 --> 00:25:29,800 Speaker 1: and I ate less. I ate a lot of peanuts 494 00:25:29,800 --> 00:25:31,879 Speaker 1: and eggs when I was pregnant with Alley. I ate 495 00:25:31,960 --> 00:25:33,480 Speaker 1: much less if it when I was pregnant with Easy 496 00:25:33,480 --> 00:25:35,800 Speaker 1: because I obviously couldn't have it in the house. So, 497 00:25:36,359 --> 00:25:50,040 Speaker 1: you know, neither neither works. Can you take me through 498 00:25:50,119 --> 00:25:53,280 Speaker 1: when you meet a baby or something and you're testing 499 00:25:53,280 --> 00:25:55,639 Speaker 1: them for allergies, is it the same as with an adult, Like, 500 00:25:55,720 --> 00:25:58,119 Speaker 1: is it those pricks? Yeah? So the way I described 501 00:25:58,119 --> 00:25:59,840 Speaker 1: it to older chilling some mouse how to fork, this 502 00:26:00,040 --> 00:26:01,720 Speaker 1: is what he would used to eat with. It's dipped 503 00:26:01,720 --> 00:26:04,160 Speaker 1: into liquid and then pricked on top of the back. 504 00:26:04,359 --> 00:26:07,080 Speaker 1: It's not a needle, there's no blood. We wait fifteen minutes. 505 00:26:07,119 --> 00:26:10,399 Speaker 1: I expect a readit chey bump. So very similar adults. Obviously, 506 00:26:10,440 --> 00:26:14,320 Speaker 1: we're doing you know, many more with kids. Specifically with food, 507 00:26:14,400 --> 00:26:16,520 Speaker 1: you try to be very targeted because you're not wanting 508 00:26:16,560 --> 00:26:18,960 Speaker 1: to get those false positives and avoid foods for no 509 00:26:19,000 --> 00:26:21,960 Speaker 1: good reason. Um, so it should be you know, specific 510 00:26:22,040 --> 00:26:23,840 Speaker 1: in the sense of what have you had a reaction to, 511 00:26:24,040 --> 00:26:26,600 Speaker 1: what is associated with that food. So, for example, if 512 00:26:26,640 --> 00:26:28,440 Speaker 1: you come into me and you've had a peanut reaction 513 00:26:28,560 --> 00:26:30,720 Speaker 1: up to pen allergic, kids are going to be allergic 514 00:26:30,760 --> 00:26:32,520 Speaker 1: to tree nuts. So I'm going to skin test those 515 00:26:32,560 --> 00:26:35,919 Speaker 1: tree nuts before you know, we try them. It's so 516 00:26:36,000 --> 00:26:37,960 Speaker 1: crazy that it's worse now than ever. I mean, I 517 00:26:38,000 --> 00:26:40,760 Speaker 1: feel like that's even a thing. There's preschools that are 518 00:26:40,800 --> 00:26:45,760 Speaker 1: no nut schools, so our school is not a nut 519 00:26:45,760 --> 00:26:48,320 Speaker 1: free school, but Ali's room is a nut freedom room, 520 00:26:48,960 --> 00:26:51,080 Speaker 1: and so this is like a real thing, you guys. 521 00:26:51,119 --> 00:26:52,760 Speaker 1: And I feel bad because, like my husband is really 522 00:26:52,760 --> 00:26:55,120 Speaker 1: allergic to a lot of things. But I'm always like, Okay, 523 00:26:55,480 --> 00:26:58,320 Speaker 1: it's fine, like get over it because his aren't. His 524 00:26:58,400 --> 00:27:00,960 Speaker 1: aren't like ones and their life rereatening. And they're like, 525 00:27:01,160 --> 00:27:03,320 Speaker 1: he gets a scratchy throat for a walnut and he 526 00:27:03,359 --> 00:27:05,639 Speaker 1: gets a scratchy throat and like sneezy if the apple 527 00:27:05,720 --> 00:27:09,040 Speaker 1: is really ripe, like all of those things, um and 528 00:27:09,080 --> 00:27:11,359 Speaker 1: sneezing a lot. And he's like, but you don't understand 529 00:27:11,359 --> 00:27:14,080 Speaker 1: how uncomfortable this is. Like this is terrible, like it is, 530 00:27:14,119 --> 00:27:17,080 Speaker 1: but it's so much lower risk to progress. Get over it. 531 00:27:17,080 --> 00:27:20,280 Speaker 1: It's like, so I'm so, I'm so mean about it, 532 00:27:20,359 --> 00:27:24,719 Speaker 1: Like can't, So don't be so mean about it. You're welcome, 533 00:27:24,880 --> 00:27:27,320 Speaker 1: Like I felt much, I feel like I'm being more 534 00:27:27,359 --> 00:27:31,680 Speaker 1: compassionate towards it and also being a new mom um 535 00:27:31,720 --> 00:27:34,960 Speaker 1: getting through the fear of it and that it can 536 00:27:35,000 --> 00:27:36,680 Speaker 1: still be a thing. I mean, as of right now, 537 00:27:36,880 --> 00:27:38,919 Speaker 1: Alvic hasn't shown any signs of anything, but I have 538 00:27:39,000 --> 00:27:41,679 Speaker 1: to say I won't let him have shrimp or sushi 539 00:27:41,760 --> 00:27:43,640 Speaker 1: or any that kind of thing. But also going through 540 00:27:43,640 --> 00:27:46,320 Speaker 1: it with Julie, I've been my eyes have been very 541 00:27:46,480 --> 00:27:49,480 Speaker 1: very open to like, holy shit, this is and that 542 00:27:49,640 --> 00:27:53,600 Speaker 1: and that should just be like a mantra of um parenting, right, 543 00:27:53,720 --> 00:27:56,840 Speaker 1: Like I mean, I think that's with almost every aspect 544 00:27:56,920 --> 00:27:59,000 Speaker 1: in life. Until you've wall through those shoes, you don't 545 00:27:59,040 --> 00:28:02,439 Speaker 1: really understand and um. But you know, so much of 546 00:28:02,560 --> 00:28:05,920 Speaker 1: parenting nowadays is so debatable. You can find a blog 547 00:28:05,960 --> 00:28:09,800 Speaker 1: to support anything and another blog to support the exact opposite. 548 00:28:10,040 --> 00:28:13,359 Speaker 1: And is there truly one right answer? Probably not, And 549 00:28:13,400 --> 00:28:17,439 Speaker 1: so just have empathy and also even in treatments that 550 00:28:17,480 --> 00:28:19,919 Speaker 1: they're trying to do to help people outgrow, you know, 551 00:28:19,960 --> 00:28:23,480 Speaker 1: the oral immunotherapy, which it's that as gonna say, she 552 00:28:23,480 --> 00:28:25,560 Speaker 1: can you can speak to it more technically than I can, 553 00:28:25,680 --> 00:28:28,720 Speaker 1: but it's I mean, maybe explain it first. But it's 554 00:28:28,720 --> 00:28:31,200 Speaker 1: something that we looked into and we talked to Dr 555 00:28:31,320 --> 00:28:34,320 Speaker 1: Lee about it and decided it wasn't right for us yet. 556 00:28:34,359 --> 00:28:38,520 Speaker 1: But other people feel differently and feel strongly about it. 557 00:28:38,200 --> 00:28:40,719 Speaker 1: Say so right now, the same care for food allergy 558 00:28:40,840 --> 00:28:43,040 Speaker 1: is to avoid the food care around your upper pen 559 00:28:43,240 --> 00:28:46,400 Speaker 1: in case you have an excellentestion or reaction. UM. The 560 00:28:46,480 --> 00:28:49,800 Speaker 1: new concept for food allergy, it's not actually not so new, 561 00:28:49,880 --> 00:28:52,680 Speaker 1: there's just more data sort of coming down. The pipeline 562 00:28:53,040 --> 00:28:57,280 Speaker 1: is treating food allergy with small amounts of the food. 563 00:28:57,320 --> 00:28:59,400 Speaker 1: So starting with a small amount and gradually increase and 564 00:28:59,440 --> 00:29:03,000 Speaker 1: so it's called oral immunotherapy o I T. And so 565 00:29:03,040 --> 00:29:04,720 Speaker 1: there will be to have to get proved products for 566 00:29:04,760 --> 00:29:07,760 Speaker 1: peanut in particular peanut patch and a peanut oral product. 567 00:29:07,840 --> 00:29:10,120 Speaker 1: But since it's foods, you can sort of start that 568 00:29:10,200 --> 00:29:12,960 Speaker 1: process before we have enough to approved product. And so 569 00:29:12,960 --> 00:29:15,600 Speaker 1: it's pretty common actually all throughout the United States, and 570 00:29:15,640 --> 00:29:18,160 Speaker 1: that concept, um, you know when you look at the 571 00:29:18,240 --> 00:29:20,560 Speaker 1: data though, UM, we're not necessarily carrying a lot of 572 00:29:20,640 --> 00:29:24,280 Speaker 1: children by doing this, and it is a very tedious 573 00:29:24,360 --> 00:29:27,719 Speaker 1: process and the sense of sounds exhaust and doing it 574 00:29:27,960 --> 00:29:30,280 Speaker 1: every day, you know, so it's like, for example, you 575 00:29:30,280 --> 00:29:33,040 Speaker 1: would be doing tin peanuts every day with a two 576 00:29:33,080 --> 00:29:36,160 Speaker 1: hour rest period um and the risk of antiflaxus is 577 00:29:36,160 --> 00:29:38,520 Speaker 1: still there. And some of those kids on the d 578 00:29:38,560 --> 00:29:41,600 Speaker 1: and fiftieth time that they've done their tin peanuts, they 579 00:29:41,640 --> 00:29:44,120 Speaker 1: having a flaxus that day. And sometimes it's because they 580 00:29:44,200 --> 00:29:45,959 Speaker 1: ran around or they didn't have anything else on their 581 00:29:45,960 --> 00:29:49,120 Speaker 1: stumf virus. The other thing is that that rest period 582 00:29:49,200 --> 00:29:51,200 Speaker 1: is that when you're more active when you're sick, like 583 00:29:51,240 --> 00:29:56,880 Speaker 1: different things in your body. How am I supposed to 584 00:29:56,920 --> 00:30:00,600 Speaker 1: explain to Ali that for two hours there's no running 585 00:30:00,600 --> 00:30:04,000 Speaker 1: around or jumping, And you know, she's an active child 586 00:30:04,040 --> 00:30:06,080 Speaker 1: and I want her to be that way. And so 587 00:30:06,240 --> 00:30:09,040 Speaker 1: when we just looked at kind of the risks rewards 588 00:30:09,080 --> 00:30:11,000 Speaker 1: for us at the moment, it's not for us, and 589 00:30:11,000 --> 00:30:13,080 Speaker 1: we're going to continue to reevaluate it, and you know, 590 00:30:13,120 --> 00:30:15,400 Speaker 1: we may feel differently about the patch when it's available 591 00:30:15,760 --> 00:30:18,400 Speaker 1: because that's a little lower risk for us. Yeah, so 592 00:30:18,440 --> 00:30:21,320 Speaker 1: the risk of aniflax is going to be much less um, 593 00:30:21,360 --> 00:30:23,880 Speaker 1: just with the past, though the yield is probably much 594 00:30:23,960 --> 00:30:26,960 Speaker 1: less as well. But it's that we're not necessarily curing 595 00:30:27,040 --> 00:30:30,320 Speaker 1: children by doing this, Um, we are increasing their threshold. 596 00:30:30,400 --> 00:30:32,560 Speaker 1: So for example, at the beginning of the study, you 597 00:30:32,600 --> 00:30:34,200 Speaker 1: eat one peanut and you have a reaction. At the 598 00:30:34,280 --> 00:30:35,800 Speaker 1: end of the study you eat tin peanuts and then 599 00:30:35,840 --> 00:30:37,880 Speaker 1: have a reaction. So I do think we can increase 600 00:30:37,880 --> 00:30:40,080 Speaker 1: the threshold. I just I don't know for a lot 601 00:30:40,120 --> 00:30:42,360 Speaker 1: of kids, I don't know how meaningful that is. Most 602 00:30:42,360 --> 00:30:44,080 Speaker 1: of my kids that I see, they come back to me, 603 00:30:44,360 --> 00:30:46,760 Speaker 1: you know, a year later and I say, you know, 604 00:30:46,880 --> 00:30:48,720 Speaker 1: or you're avoiding your food. Yes, have you had any 605 00:30:48,720 --> 00:30:51,320 Speaker 1: excellent ingestions or reactions? No, have used your eppypin No. 606 00:30:51,680 --> 00:30:54,320 Speaker 1: And they're not doing anything on a daily basis with 607 00:30:54,360 --> 00:30:56,680 Speaker 1: a two hour rest period to accomplish that. They're just 608 00:30:56,720 --> 00:30:59,400 Speaker 1: not having any issues. So I think it's possible. I 609 00:30:59,440 --> 00:31:03,400 Speaker 1: think just of the cross contamination pieces of like definitely. 610 00:31:03,400 --> 00:31:05,840 Speaker 1: Where So the argument is now with this sort of 611 00:31:05,840 --> 00:31:09,320 Speaker 1: treatment or eveno therapy, is to protect from cross contact 612 00:31:09,440 --> 00:31:11,120 Speaker 1: if you accidentally eat the food. No one's going to 613 00:31:11,200 --> 00:31:13,920 Speaker 1: purposely eat the food, then, UM, you have some sort 614 00:31:13,960 --> 00:31:17,479 Speaker 1: of insurance policy protection that that small amount is not 615 00:31:17,520 --> 00:31:21,120 Speaker 1: going to cause a severe reaction, maybe something milder or nothing. 616 00:31:22,520 --> 00:31:25,600 Speaker 1: This is like I'm quiet because I'm like wow, Like 617 00:31:25,680 --> 00:31:28,640 Speaker 1: this is it's like motherhood. You just like jump in 618 00:31:29,160 --> 00:31:31,320 Speaker 1: and you just last think I hangure it out as 619 00:31:31,320 --> 00:31:34,400 Speaker 1: you go. I had no choice. It was like you're 620 00:31:34,440 --> 00:31:37,520 Speaker 1: just like okay, so and here I go, and here's 621 00:31:37,520 --> 00:31:39,040 Speaker 1: what we're going to do. Or are there any other 622 00:31:39,120 --> 00:31:40,920 Speaker 1: things of how we can teach kids how to be 623 00:31:40,920 --> 00:31:44,040 Speaker 1: advocates for themselves? I mean, what if you're a kid 624 00:31:44,040 --> 00:31:50,440 Speaker 1: that's not like Ali, Like I just feel like, and 625 00:31:50,560 --> 00:31:53,880 Speaker 1: she's so well spoken at such a young age, and 626 00:31:53,880 --> 00:31:57,240 Speaker 1: and that's not every kid with allergies, so like she's 627 00:31:57,280 --> 00:32:02,520 Speaker 1: helping easy to know that already she tell groundwork. Yeah. 628 00:32:02,640 --> 00:32:05,560 Speaker 1: So UM, A lot of times with schools, I'll go 629 00:32:05,720 --> 00:32:08,200 Speaker 1: and give a presentation to sort of speak to what 630 00:32:08,240 --> 00:32:10,680 Speaker 1: type of culture can you set up to just protect 631 00:32:10,720 --> 00:32:13,200 Speaker 1: all children? Um? And a lot of times it's you know, 632 00:32:13,280 --> 00:32:17,160 Speaker 1: keeping food separate from the play areas. Um, no one's 633 00:32:17,200 --> 00:32:19,800 Speaker 1: sharing food, no one's bringing any food in, You're not 634 00:32:19,920 --> 00:32:23,080 Speaker 1: accepting food from anyone. So UM, I think a lot 635 00:32:23,120 --> 00:32:26,120 Speaker 1: of those aspects. UM. Sometimes the hardest people to train 636 00:32:26,160 --> 00:32:28,480 Speaker 1: our family members and when you go to a family event, 637 00:32:28,520 --> 00:32:31,640 Speaker 1: they just want to feed children. Um. And maybe it's 638 00:32:31,680 --> 00:32:34,360 Speaker 1: that in the sense of, um, we're not sharing our 639 00:32:34,440 --> 00:32:37,440 Speaker 1: food so openly, um, until we know that we're just 640 00:32:37,520 --> 00:32:39,720 Speaker 1: okay with all those ingredients. And the problem is like 641 00:32:39,760 --> 00:32:43,360 Speaker 1: hidden ingredients to people don't realize what's in things. Andevitably, 642 00:32:43,440 --> 00:32:44,840 Speaker 1: you know, a patient comes to me and they've had 643 00:32:44,880 --> 00:32:48,520 Speaker 1: a reaction to hummus. It's always sesame and hummus and nevilly. 644 00:32:48,600 --> 00:32:51,920 Speaker 1: The parents are like, oh, there's sesame in heaven. No 645 00:32:52,000 --> 00:32:55,640 Speaker 1: idea I was, and of course, you know, I mean 646 00:32:55,680 --> 00:32:59,000 Speaker 1: I never thought about these things until um, I did 647 00:32:59,040 --> 00:33:01,480 Speaker 1: food allergy. And also it's like, oh, people understand that 648 00:33:01,520 --> 00:33:03,960 Speaker 1: peanut allergies are severe, but they don't have the same 649 00:33:04,040 --> 00:33:06,760 Speaker 1: understanding that other foods can be just as severe. So 650 00:33:07,120 --> 00:33:09,400 Speaker 1: when I say Ali can't have eggs, and that means 651 00:33:09,400 --> 00:33:11,320 Speaker 1: you can't have eggs, but she can't have eggs cooked 652 00:33:11,320 --> 00:33:14,120 Speaker 1: into anything baked, it like there can't be eggs anywhere. 653 00:33:14,440 --> 00:33:16,320 Speaker 1: So it's like, oh, but this cracker has eggs, but 654 00:33:16,360 --> 00:33:20,320 Speaker 1: that's okay because like it's can't be involved in the 655 00:33:20,360 --> 00:33:22,880 Speaker 1: making of this food. Exactly and also in terms of 656 00:33:22,920 --> 00:33:24,960 Speaker 1: what you can do. I think for kids, there are 657 00:33:25,120 --> 00:33:28,480 Speaker 1: kids books about sharing your food or being aware of 658 00:33:28,520 --> 00:33:31,480 Speaker 1: your friends with food allergies that will read with Ali 659 00:33:31,640 --> 00:33:35,080 Speaker 1: and starting to read with Izzy that it's I think 660 00:33:35,080 --> 00:33:37,800 Speaker 1: they're good for kids also that don't have food allergies, 661 00:33:37,800 --> 00:33:40,080 Speaker 1: because it's not just about advocating for yourself, but it's 662 00:33:40,080 --> 00:33:44,360 Speaker 1: about being empathetic and understanding with your friends. I need 663 00:33:44,400 --> 00:33:46,400 Speaker 1: to get a list when you have time. I know 664 00:33:46,440 --> 00:33:49,360 Speaker 1: you're both. DN Tiger has one. I think Elmo has 665 00:33:49,440 --> 00:33:51,680 Speaker 1: one as well. There's a book like I think it's 666 00:33:51,680 --> 00:33:55,960 Speaker 1: called EPI the Elephant. Probably the most useful link from 667 00:33:56,000 --> 00:33:59,720 Speaker 1: just a general educational perspective as Fair's website F A R. E. 668 00:34:00,080 --> 00:34:02,680 Speaker 1: And I think there it's like food allergy dot org 669 00:34:02,800 --> 00:34:06,360 Speaker 1: or something UM but it's a nonprofit started initially, you know, 670 00:34:06,400 --> 00:34:09,680 Speaker 1: by families of kids who have food allergy, and they 671 00:34:09,719 --> 00:34:11,640 Speaker 1: just do a really good job at sort of putting 672 00:34:11,640 --> 00:34:14,799 Speaker 1: all the material out there and providing material, whether it's 673 00:34:14,920 --> 00:34:18,360 Speaker 1: for you know, schools or restaurants. But have you, Julie, 674 00:34:18,440 --> 00:34:22,120 Speaker 1: what are tips that you would give UM new moms 675 00:34:22,800 --> 00:34:25,640 Speaker 1: who don't know if their kid is allergy or what 676 00:34:25,760 --> 00:34:28,480 Speaker 1: is a tip you would give to moms who are 677 00:34:28,480 --> 00:34:30,840 Speaker 1: dealing with kids who are having a lot of allergies. 678 00:34:31,200 --> 00:34:33,200 Speaker 1: I think if you don't know, I think the early 679 00:34:33,239 --> 00:34:36,520 Speaker 1: introduction and trying to do that, and for me, keeping 680 00:34:37,000 --> 00:34:39,640 Speaker 1: logs and notes was careful. It was important so that 681 00:34:39,680 --> 00:34:44,560 Speaker 1: you could kind of see what what you're reacting to. UM. 682 00:34:44,600 --> 00:34:48,319 Speaker 1: Trusting your gut I think is really important because lots 683 00:34:48,360 --> 00:34:51,319 Speaker 1: of kids have rashes or bumps or redness, and for me, 684 00:34:51,440 --> 00:34:54,239 Speaker 1: any of those things can be incredibly serious. So I 685 00:34:54,280 --> 00:34:57,440 Speaker 1: don't get to ignore those. So if you see something 686 00:34:57,560 --> 00:35:00,319 Speaker 1: or something doesn't seem right, speak up, and you know, 687 00:35:00,480 --> 00:35:03,400 Speaker 1: the worst thing that happens is you have reacted. And 688 00:35:03,520 --> 00:35:05,520 Speaker 1: that's kind of for the you know, people that don't 689 00:35:05,600 --> 00:35:11,560 Speaker 1: have allergies, UM, for people that do, be the advocate. 690 00:35:11,640 --> 00:35:14,359 Speaker 1: Do everything you have to, and also don't be so 691 00:35:14,440 --> 00:35:17,480 Speaker 1: hard on yourself because it's it's so hard. And I 692 00:35:17,560 --> 00:35:20,880 Speaker 1: just remember feeling so overwhelmed when both of the girls 693 00:35:20,880 --> 00:35:25,680 Speaker 1: were first diagnosed idea. I was just like, what how 694 00:35:25,719 --> 00:35:27,640 Speaker 1: am I going to do this? It's just it seems 695 00:35:27,680 --> 00:35:30,440 Speaker 1: so you know, monumental. You don't feel like you can 696 00:35:30,480 --> 00:35:32,879 Speaker 1: never really let your guard down. But you, you kind 697 00:35:32,920 --> 00:35:35,319 Speaker 1: of get more comfortable with what your game plan is. 698 00:35:35,760 --> 00:35:38,480 Speaker 1: And then when it happened with Isabella, given that it 699 00:35:38,560 --> 00:35:42,600 Speaker 1: was a completely different type of allergy, I was like, Okay, 700 00:35:42,640 --> 00:35:44,880 Speaker 1: like I thought I had this under control. Now I 701 00:35:44,960 --> 00:35:47,279 Speaker 1: have to step back. So it just don't be too 702 00:35:47,360 --> 00:35:49,680 Speaker 1: hard on yourself. And there are other people out there 703 00:35:49,680 --> 00:35:51,840 Speaker 1: that are dealing with the same things, and it's really 704 00:35:51,960 --> 00:35:55,000 Speaker 1: nice to kind of have them as support. Um I mean, 705 00:35:55,040 --> 00:35:57,719 Speaker 1: I was talking to someone who was first diagnosed and 706 00:35:57,800 --> 00:36:00,960 Speaker 1: was so overwhelmed and what if my kid, you know, 707 00:36:01,120 --> 00:36:03,560 Speaker 1: can't have pizza at a party. And I said, look, 708 00:36:03,600 --> 00:36:05,920 Speaker 1: I said, Ali now can have pizza at a party. 709 00:36:05,960 --> 00:36:08,000 Speaker 1: I was like, but the first time she did, even 710 00:36:08,000 --> 00:36:10,000 Speaker 1: though it was pizza that I brought from a pizza 711 00:36:10,000 --> 00:36:12,359 Speaker 1: place that I knew she could have, I cried at 712 00:36:12,400 --> 00:36:14,560 Speaker 1: the party because I was like, she looks like every 713 00:36:14,600 --> 00:36:18,279 Speaker 1: other kid eating pizza, Like I was so excited, you know. 714 00:36:18,400 --> 00:36:21,799 Speaker 1: So it's emotional. It's hard. Gosh, I'm scary. It's your baby. 715 00:36:22,080 --> 00:36:26,239 Speaker 1: It's so scary. Absolutely, I love that. Thank you and 716 00:36:26,440 --> 00:36:31,360 Speaker 1: um Dr Lee, what are your advice tips for moms 717 00:36:31,400 --> 00:36:35,040 Speaker 1: who are facing kids with a lot of allergies? Yes, 718 00:36:35,120 --> 00:36:41,720 Speaker 1: I think generally speaking, just facing them UM new moms 719 00:36:41,960 --> 00:36:45,319 Speaker 1: or to to reiterate boisterized your kids from day one 720 00:36:45,560 --> 00:36:48,560 Speaker 1: and UM, you know, I I like to advocate UM 721 00:36:48,800 --> 00:36:53,759 Speaker 1: to my patients and that to to find that working relationship. 722 00:36:53,880 --> 00:36:55,960 Speaker 1: And so, you know, if they see the first physician 723 00:36:56,120 --> 00:36:58,680 Speaker 1: and they don't feel like someone listened to them, or 724 00:36:58,680 --> 00:37:02,200 Speaker 1: they didn't feel like they were getting the answers UM 725 00:37:02,320 --> 00:37:04,600 Speaker 1: that they were expecting, maybe it is worthwhile to sour 726 00:37:04,640 --> 00:37:08,160 Speaker 1: see another physician. UM. Interestingly enough, and surround touched on 727 00:37:08,239 --> 00:37:10,840 Speaker 1: this when we first walked in the room, was everyone 728 00:37:10,880 --> 00:37:13,120 Speaker 1: wants it to be foods, and actually the majority of 729 00:37:13,120 --> 00:37:16,799 Speaker 1: the times is it's not foods, and so UM. You know, 730 00:37:16,960 --> 00:37:19,680 Speaker 1: if you get to an allergist and they seem very 731 00:37:19,719 --> 00:37:22,040 Speaker 1: well educated and confident in what they're saying and it's 732 00:37:22,040 --> 00:37:26,600 Speaker 1: not food, then maybe it's not. UM, it's mostly what 733 00:37:26,600 --> 00:37:29,319 Speaker 1: what's the other options? Sometimes it's just it's just it's 734 00:37:29,360 --> 00:37:34,200 Speaker 1: just not anything specific. UM. Generally speaking, skin testing and 735 00:37:34,200 --> 00:37:37,120 Speaker 1: blood testing for foods is only good at predicting immediately 736 00:37:37,160 --> 00:37:40,600 Speaker 1: threatening reactions. And so if you're coming in with very 737 00:37:40,600 --> 00:37:43,760 Speaker 1: good questions in the sense of is this food causing 738 00:37:43,800 --> 00:37:47,279 Speaker 1: my baby to be gassy or fussy or spitty or 739 00:37:47,360 --> 00:37:49,200 Speaker 1: eggs and me, I don't necessarily have a great test 740 00:37:49,239 --> 00:37:51,480 Speaker 1: to predict that, but if you don't eat the food, 741 00:37:51,480 --> 00:37:53,440 Speaker 1: then we're putting that kid at risk of developing an 742 00:37:53,440 --> 00:37:56,360 Speaker 1: immediately threatened reaction. So I generally try to keep the 743 00:37:56,360 --> 00:37:58,600 Speaker 1: food in the diet if we can, just in an 744 00:37:58,600 --> 00:38:01,520 Speaker 1: aspect to sort of create alerance. While we can do that, 745 00:38:01,560 --> 00:38:03,839 Speaker 1: because maybe later down the road when the skin is better, 746 00:38:03,880 --> 00:38:05,680 Speaker 1: because it's just most kids are going to get better 747 00:38:05,800 --> 00:38:09,040 Speaker 1: from eggsama, then now they've developed innimate like rent reaction 748 00:38:09,120 --> 00:38:12,160 Speaker 1: to that food. UM. So it is a balance, um 749 00:38:12,239 --> 00:38:13,759 Speaker 1: and and a lot of times it can take a 750 00:38:13,800 --> 00:38:17,000 Speaker 1: little bit of time to sort of get to that point. Um. 751 00:38:17,040 --> 00:38:19,200 Speaker 1: You know. But there's good medicine out there and good 752 00:38:19,200 --> 00:38:23,520 Speaker 1: people out there, but there's also not trust your gut. 753 00:38:24,520 --> 00:38:26,920 Speaker 1: Um you guys, thank you so much for coming on 754 00:38:27,000 --> 00:38:30,560 Speaker 1: Katie's Crib, for sharing your personal stories, your professional stories. 755 00:38:30,719 --> 00:38:34,400 Speaker 1: I'm loving your relationship. I wish you the best in 756 00:38:34,440 --> 00:38:39,319 Speaker 1: this beautiful marriage. And thank you guys so much for 757 00:38:39,320 --> 00:38:42,680 Speaker 1: coming on Katie's Crib. Thanks guys so much for listening, 758 00:38:42,880 --> 00:38:46,279 Speaker 1: and if you liked the episode, please subscribe. Rate share 759 00:38:46,320 --> 00:38:48,360 Speaker 1: it with all of your mom crew and do you 760 00:38:48,400 --> 00:38:50,480 Speaker 1: have a topic or a guest you'd like on the show. 761 00:38:50,800 --> 00:38:53,239 Speaker 1: Let me know by reaching out on social media at 762 00:38:53,320 --> 00:38:56,520 Speaker 1: Katie's Crib or by email Katie's Crib at Shonda land 763 00:38:56,520 --> 00:39:05,920 Speaker 1: dot com. See you next week. Katie's Crib is a 764 00:39:05,920 --> 00:39:09,000 Speaker 1: production of Shonda land Audio in partnership with I Heart Radio. 765 00:39:09,320 --> 00:39:11,600 Speaker 1: For more podcasts from Shonda land Audio, visit the I 766 00:39:11,640 --> 00:39:14,320 Speaker 1: Heart Radio app, Apple Podcasts, or wherever you listen to 767 00:39:14,360 --> 00:39:21,840 Speaker 1: your favorite shows. I Want You, Want You, Want You