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September 29, 2007

Peanut Envy

The peanut: My mortal enemyFor those who have been salivating over LAist's "Thai One On" series of Thai Town restaurant reviews, but can't partake due to allergies, this entry is for you.

It’s a surreal feeling when you first realize you’re experiencing anaphylaxis. At the time, I thought I was coming down with a cold because my throat started to feel tight and scratchy. Only once I spotted hives on my arm and realized my airway seemed to be closing up did I realize something was very wrong.

Though I’d never had a life-threatening peanut allergy reaction in the past, I’d still been vigilant when it came to my food. Prior to eating that meal, I’d asked our waitress if it contained any nuts; she assured me it was nut-free, so I dug in—thinking it was hummus. As I later learned, it was so not hummus.

Once I realized I was in danger, a friend called for an ambulance while I took a Benadryl I happened to have in my purse. Someone contacted the kitchen and learned that the waitress had given me misinformation—rather than hummus, I had eaten a peanut-based dish that contained ground-up peanuts and peanut oil (though I must admit, they did season it to taste a lot like hummus). For me, it was death on a plate.

I got to the hospital just in time, and they immediately pumped copious amounts of Benadryl into me. Once I was almost back to normal, and very sleepy, they said that from that point forward, I always needed to carry an EpiPen with me…just in case. (If someone is going into anaphylactic shock, they can shove this device against their thigh and it will auto-inject epinephrine.)

I hadn’t always been allergic to peanuts. When I was a kid, my parents gave me a bag of them in my lunch every day, and peanut butter and jelly sandwiches were my favorite snack. But sometime during the middle of the seventh grade, I started having sneezing fits every afternoon after lunch.

So my mom took me to the allergy doctor to figure out what was wrong. They performed a test in which they made a number of tiny pinpricks on my back—with each needle containing a small amount of an allergen. When they were done, the peanut reaction was off the charts.

Unfortunately, although they had allergy desensitization shots for things like trees, pollen, weeds, etc., they didn’t have an effective system for treating food allergies. So it was up to me to be careful.

Prior to the “hummus incident,” the worst I’d experienced from accidentally consuming peanuts (or something “made on equipment in a plant that also processes peanuts”) was a nasty allergy attack. I’d sneeze uncontrollably, get a sinus headache and just feel horrible until I took a Benadryl and slept for a couple hours.

But nowadays I have to be extra careful. My physician has told me that, to be safe, I pretty much have to stay away from Thai, Indian and Chinese cuisine due to the risk of peanut oil cross-contamination.

Although that’s a bummer, I do know it could be a lot worse. I’ve met people who can go into anaphylactic shock from just the smell of peanuts, and the fear of this type of reaction is why many airlines have stopped distributing peanut packets on planes.

I’m no physician, but based on this experience, my recommendation is that if you have ever experienced even a mild reaction to peanuts or another food in the past, it might be a good idea to speak with your physician and get some basic allergy tests done.

I feel fortunate that my first brush with anaphylaxis didn’t lead to extreme shock. Nowadays I won’t go anywhere without my EpiPen; if it’s something you might need, trust me when I say it’s the kind of thing you’ll want to know in advance.

Photo by Reznicek111 via Flickr.


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Comments (6)

I have to agree as someone who has the same type of reaction to peanuts and some other nuts (amongst a couple other things), if you have that type of reaction to food, see a doctor and get an EpiPen. It is strange to hit your thigh with something that pops a needle out and injects you, but the response is very fast. Benedryl is fine if you have time for it to work into your system (and helps with the recovery), but the EpiPen will end the symptoms very quickly, and prevent a full-on emergency.

Of course the best thing is to be careful and avoid the types of food that have that problem, but that's not always possible... Also be sure to pay attention to a light reaction (the beginnings) in your mouth/throat, it can make the difference between sitting through it with Benedryl or needing an EpiPen/Emergency Room (depending on how severe your reaction is).

 

...I guess I must be pretty litigious, because my first thought was "lawsuit."

You were almost killed by food because, even after a specific inquiry, the waitress was too lazy or oblivious to walk to the kitchen to ask about the ingredients. I wouldn't be so forgiving, personally... Shouldn't the restaurant should be held accountable for threatening your life? Do you have enough confidence in the server to remember this event when the next food-allergic patron comes in to eat?

At the very least, I would report them to the health department and the BBB.

 

Great article! As the mom of a small child with peanut allergy, I always like to gain insight into what his life will be like as an adult. Since we keep our home peanut- and tree nut-free, I also have "peanut envy" and really miss going to Chinese and Thai restaurants. Much as I wish I could go to one again, it's a no-brainer: I want my son to be alive.

I'm glad you have found a way to be safe and enjoy life. Thank you for spreading the word. Education will help keep you, my son, and so many others safe.

~Rational Jenn
http://rationaljenn.blogspot.com

 

hmm i remember hearing a case a couple years ago about a girl who died from an allergic reaction to peanuts. I don't remember the details except her boyfriend ate a peanut butter sandwich several hours before they kissed. Turns out it wasn't that at all but something completely different. As for that ... I had a mother with twins (they were between 2 and 3) come into the clothing store where I worked. It was during a time when we handed out Hershey kisses to our customers as a show of appreciation. When I gave the mom the chocolate, her twins asked repeatedly, "no peanuts?" because they were allergic to peanuts

 

Thanks for your comments everyone!

#2 - After I was back to normal, I did contact the manager of the restaurant. It turned out our waitress had only been there a week and she was mortified about what had happened. I didn't want her to lose her job or anything, but the restaurant did do something for me: They changed the description of that item on the menu, so now there's no question the dish contains peanuts! (And they've done the same with other nut-containing items on their menu. That made me happy.)

#3 (Rational Jenn) - The good news is that in the past 10 years labeling on food in the supermarket has gotten so much better, which at least helps to allay your fears when cooking at home!

 

Hi!
Thanks for sharing your story. i have a life-threatening peanut allergy and re-counted a really serious bout with anaphylaxis here

http://allergyhaven.wordpress.com/category/tales-of-anaphylaxsis/


i also started a company called Allergy Haven, www.allergyhaven.com. it's geared towards moms and kids, but we make and sell great Epi-Pen carriers for adults too--i carry one around in my purse--i like to carry two-epi-pens, an inhaler, and some benadryl

http://www.allergyhaven.com/mm5/merchant.mvc?Screen=PROD&Store_Code=ahv&Product_Code=e-tote-004&Category_Code=epi-pen


We're based in Santa Monica.
Neelu
info@allegyhaven.com

 
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