Showing posts with label reaction. Show all posts
Showing posts with label reaction. Show all posts

Thursday, October 11, 2012

Baked Dairy Goodness

If you've been here before, you may remember that we were encouraged by some promising allergy-related blood work a couple months ago that indicated some of our son's food allergies might not be as bad as they once were.   I could say:  phew!  But I'm more inclined to say:  whoa, really?

When we discovered the allergies, we had no idea the levels because he was too young to test.  Not only is it insanely cruel to stick a 3 month old full of needles carrying allergens, it's not effective.  Not until he's over two is his immune system sophisticated enough to produce accurate results... and even then it's still darned mean. 

Even blood work done on a child under two is often inconclusive, as his system may not have created an allergic response to many foods or environmental factors.   We did get blood work done when he was about a year old, and clearly reacting to foods and other things... but the report didn't show a single result.  Not even to dog saliva, and that's saying something: around that time, a dog licked his face and we ended up speeding crazily to the ER while his eyes began to swell shut and he was clawing at his face, having difficulty breathing.  We've carried an EpiPen ever since. 

Yet, after a very unpleasant set of visits to one allergist when he was very young, during which we were advised to go ahead and skin test (to which I said: hell, no!), we avoided allergists for a long time.  We were doing fine with our avoidance diet, thank-you-very-much, and wanted to wait until our son was old enough to properly test.  At his two-year checkup, the pediatrician suggested getting updated blood work. 

So when some results came back saying he didn't even have allergies to soy and wheat, I was incredulous.  What the... well, you know.  So we slowly, slowly started giving him wheat and he was fine.  Then soy, and he was fine.  Had we been incorrect about his allergies in the first place?  Not likely.  Our pediatrician advised that these allergies are often outgrown.  We weren't crazy - he just no longer needed to avoid these foods. 

And what a kaleidescope of foods were now available to him!    Packaged breads and cookies! "Normal" pasta! Soy sauce! Pizza! (with tapioca or rice cheese)   More wide ranging: eating OUT!    The biggest single concern we used to have with restaurants was soy.  Any vegetable oil was rife with it, and most restaurants use a veg oil blend.  Even our favorite place that usually accommodated us on everything else had at one point moved from corn oil to a vegetable blend so we couldn't go there any more.   But now, all bets were off!  The only things we needed to avoid were cow milk and nuts.  Far, far more possible.  Korean? Thai?  Chinese?  no problem!  Cuban?  Mexican?  No problem if we make sure they don't put cheese on his plate.  It was revelatory.  

Hence, I was absent from this page for a while... it felt like talking about allergens was in the past.  Like an artist who had only used black and white for years, having a couple colors to work with in my palette was overwhelming!   

So I got cocky.  Yeah, the bloodwork said we did have a little issue with milk protein.  A 3 out of 5.  Not a big deal, I thought... heck, he's a 2 out of 5 on eggs and he's never had a single reaction!   So we gave him a spoonful of yogurt every day for a week, thinking in our heady thrill that all allergens were conquerable and everything would go back to normal.   Every day, a spoonful of DAIRY from a COW! 

And he seemed fine, until we gave him a nice bowl of yummy yogurt.  He ate it "all up" as he likes to say.  And in 5 minutes he was sneezing so intensely, so often, he could barely breathe.  His neck was covered in little welts and his eyes were red and watering as if he'd been crying for hours.  He was clawing at his neck and whining and sneezing.  It was horrible.  Out came the cetirizine and thankfully the reaction calmed down after about a half hour, but he slept with great intensely that night as he always does after receiving meds for a breakout... a sure sign his little body is still fighting the invasion.

I figured, well, at least we got rid of soy and wheat.  And that ain't bad.  It's liveable.  Lots of people are vegan, so there are lots of dairy alternatives out there now.  We'll be fine living with just dairy and nut allergies. 

But then, I came across this Parents Magazine article.   And we went to an allergist again, now that he was over 2 years old.  The combination was amazing. 

The article talks about some recent studies showing that if dairy is baked over 350 degrees for over 30 minutes, many kids with milk allergies can tolerate the milk proteins they're normally allergic to.   And that's boon enough -- baked cakes?  yes!  -- but the studies also go on to say that once the child is exposed to the allergen in this way, they slowly begin tolerating dairy cooked for shorter times, until their body begins to tolerate the proteins in all forms, even uncooked!

So after discussing this with our allergist, we began a baking "therapy." 

- First I made a cake, with butter and sour cream. 
   350 degrees at 45 minutes.  No reaction!
- Then I made a quick bread.
   350 degrees for 30 minutes.  No reaction!
- Then I made muffins, 350 for 20 minutes.  No reaction!
- Then I made cookies, 350 for 12 minutes. No reaction!
- Then we bought frozen waffles, likely just a few minutes plus toasting at our house for a couple min.  Fine!
- Then I made pancakes, only a couple minutes on the griddle.  Great!
- Then I made pie crust with pure butter. No problem.
- Then I scrambled eggs with milk inside.  2-3 minutes in a skillet.  NO REACTION!

This process of slowly exposing him to less and less-cooked milk, we're told by the allergist, may lead him to drinking a glass of milk! in about 6 months.  It's been slow and steady for the last couple months.  (We started this process around August '12 and I'm writing in October.)    The allergist advised the more we continue to expose him, gradually, the better.  Never retreat, he said.  Just keep going. 

So we're ever so close to adding a little hard cheese to some pasta some day soon.  Then maybe a grilled cheese.  Then maybe a little more regular yogurt.  Some day soon, God willing, a glass of milk. 

So in celebration, here's the recipe for the Blueberry Muffins.  They're filled with stuff I never ever thought I'd use while baking for our son, and just that is a celebration. 

Jordan Marsh Blueberry Muffins
(These remind me of New York so much; I remember smelling these in Jordan Marsh... heavenly!)

1/2 cup butter
2 cups unsifted flour
1 cup sugar
2 large eggs
1/2 cup milk
2 teaspoons baking powder
1/2 teaspoon salt
2 1/2 cups large fresh blueberries
1 1/2 teaspoons vanilla extract
2 tablespoons sugar (for top of muffins)

Preheat oven to 375°F. In a large mixing bowl, cream together butter and sugar until light and fluffy; add eggs, one at a time, beating after each addition. In a second bowl, combine all dry ingredients. (You can use an electric mixer to combine the dry ingredients thoroughly at this point so that you won't need to overmix once the wet and dry ingredients are combined. Gradually add the dry ingredients to the creamed butter and sugar mixture along with the milk and vanilla. Optionally, mash 1/2 cup of the blueberries, and stir in by hand (this will turn batter a light shade of blue and add a touch of blueberry flavor, but this step may be skipped, if you wish). Add the remaining whole berries and stir in gently by hand. Grease muffin cups with non-stick spray or oil. 
Fill greased muffin cups.
Sprinkle sugar on top of unbaked muffins (we like to use Turbinado sugar for sprinkling the tops). Bake at 375°F for 25-30 minutes. Cool in pan. Run a knife around the edge of each muffin after several minutes to free it from the pan and cool on wire racks. Muffins may be brushed with melted butter and sprinkled with sugar, if desired. At our test kitchen, we sometimes sprinkle blueberry muffin tops with cinnamon sugar or ground hazelnuts or spread with lemon or vanilla icing and top with thinly sliced almonds. Tip: If you have trouble with blueberries settling to the bottom try tossing them in flour before adding to the batter. It may just be that your batter is too thin. Another trick is to fill muffin cups 1/4 full with batter which hasn't had blueberries added to it yet; then stir the blueberries in and continue to fill the muffin cups. This way you won't start out with blueberries at the bottom!

Tuesday, November 1, 2011

Halloween, Scary.

It finally happened.  I knew this day would come, and I've been worrying about it. 

Now that he's a toddler, and is more than a couple feet tall, and can reach onto tables, and see all the other kids grabbing cookies, it happened.  He grabbed a big ol' chocolate chip cookie and took a bite. 

It was at a Halloween party, he was dressed up in his fireman's outfit, and just like all the other children he was having a great time.  Mingling parents above, playing kids below, and lots of fun.   Of course he's going to grab a cookie!

Luckily, my husband saw him take the bite and was able to get it from him, deftly swapping it for one of the allergen-free ones we'd brought.  But the deed was done. 

Thank goodness, his food allergies have not (to date) been anaphalaxis-inducing.  That reaction, apparently, is reserved for dog saliva.   But when he has been exposed to food allergens in the past, we see eczema, rash, and spots on his face in around an hour or less, plus lots and lots of scratching.  Later we'll see spots on his lower back and legs, depending on the allergen.  We started to see several of these by the time we got home. 

Unfortunately, this appeared to be a store-bought cookie ~ which means it's likely to have included most of his list:  wheat flour, butter, milk, soybean oil, shortening, and soy lecithin.  Probably not nuts.  It would have been a great test case if it had only been a single known allergen... but, nope.  It was a list. 

On the flip side, it was only one bite.  And his reaction, while clear to me, wasn't horrific.  He didn't seem itchy later, just a few little spots on his face and lower back.  Quite a relief to a mom who was having a quiet meltdown!  In fact, the mild reaction gave me hope ~ is it possible he's outgrowing some of his allergies? 

We just had some bloodwork done that was by its very nature vague.  Yet it did come back absolutely clear on dogs and cats:  allergic in a big way.  Not that this surprised me, as the one ER visit we've made was after a cute puppy licked his face while we were out on a hike.  (booooo!... no kitten or puppy some day?  That stinks!)  But under 2 years old, there is very little clarity in any blood test result ~ and skin testing is just not effective at this age either. 

So we wait.  Yes, crisis averted ~ but it made me really pause.  I can control every aspect of what happens ~ at home.  We can make food that's yummy, tastes and looks like the "real thing", is healthy and nutritious and allergen free.  Again, at home.  We can send snacks with him.  We can bring our own contributions to potlucks.  But, there's a whole wide world out there. 

How are we going to stop a rambunctious, fun loving two-year old from grabbing a cookie without squelching the joy out of every event by keeping him away from any dangers?   And when he gets to pre-school and later kindergarden, how will we be able to trust others to ensure he's being protected? 

Please, if anyone's out there who has faced this, can you give me some good ideas? 

Monday, October 3, 2011

Socca! It's so... Nice

I know I just did another post about pancakes. But this, my friends, is a special pancake.  Imagine yourself strolling along the boardwalk in the South of France.  You spy a street cart with what looks like a large pizza pan next to a stove... he's pouring batter into a the pan and an eager line is gathering.

are they crepes?  no!  they're socca!

Socca are garbanzo flour pancakes.  In Nice, France, they're thin and crispy.  Across the border in Italy, a slightly thicker version of the same thing is called Farinata. 

It's one of those simple foods that people revel in, and whose recipes lend themselves to infinite variation:  soak sifted garbanzo bean flour in water with a little oil mixed in, at least an hour but overnight is apparently better.  Heat a huge flat pan with a lot of good quality olive oil in a hot oven for a few minutes.  Pour the batter into the heated pan and return it to the oven for 10-15 minutes.








Traditionally, a large quantity of fresh ground pepper is added to the top of the socca.  Once cooked, either flake off the pan in crispy yummy bits or cut in wedges like pizza.  Simple, n'est pas?

Why socca?  Well, I've been looking for recipes that use new and different flours ... the ones I see in the Asian groceries with inscrutable uses.  Sure, rice flour is pretty obvious, but gram flour? besan?  mung bean?  sorghum?  tapioca? huh?  I have often seen some of these in gluten free flour blends, but they are a bit expensive.  Why not go to a local Asian market and buy them for far less and make my own stuff from scratch?  
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So I went to my favorite Indian market and stood in the flour aisle for a while.  There were many flours based on lentils, rice, corn.  Gram flour, also known as Besan, it appears, is really just another name for garbanzo bean flour. 

When I Googled garbanzo bean flour, I found many results for spicy pakoras (i.e. deep-fried veggies, Indian style), which looked enticing.  But a word kept coming up in the results: Socca.  Recently returned tourists from France and Monaco waxed poetic about the flaky, crispy treat covered with black pepper and olive oil.  The New York Times had even blogged about it in their Minimalist food blog... heck, it had to be good!

Back at the store, since none of the gram/besan/garbanzo bean flours claimed to be allergen-free, I looked for one that didn't say it was manufactured on machinery where allergens were processed.  I comprimised on a flour that said it was ground in the same factory but not on the same machinery... and one that was made in Flushing, Queens, NY... not overseas where standards are a bit different in terms of cross-contamination and full disclosure of ingredients: Laxmi brand Gram Flour.  With images of palm trees and the Meditteranean Sea in my head, I drove home intending to make an exotic treat!

I based my recipe on the one at the link to the NYT Minimalist blog, missing that I should include the onions in the batter.  I also made the mistake of not whisking the flour and water together and ended up with clumps that I didn't ever really get incorporated well.  And yes, it does take a little while for the water to soak in.  But these are nuances... generally, this is a pretty failsafe dish! 

Note, the following is clipped from the New York Times (see link above)

"...Sift the chickpea flour into your bowl, so it doesn't lump, and use a whisk to combine it with water. Do not skimp on black pepper or olive oil; the pepper should really hit you when you take a bite. Preheat your skillet or pan in the oven. When the socca is done, put the pan on the table, cut it into random shapes, hand out napkins and have at it. If more than six people are present, get started making another.

Socca (Farinata)
Time: 45 minutes

1 cup chickpea flour
1 teaspoon salt
1 teaspoon, at least, ground black pepper
4 to 6 tablespoons olive oil
1/2 large onion, thinly sliced, optional
1 tablespoon fresh rosemary leaves, optional.

1. Heat oven to 450 degrees. Put a well-seasoned or nonstick 12-inch pizza pan or cast-iron skillet in oven. Sift chickpea flour into a bowl; add salt and pepper; then slowly add 1 cup lukewarm water, whisking to eliminate lumps. Stir in 2 tablespoons olive oil. Cover, and let sit while oven heats, or as long as 12 hours. Batter should be about the consistency of heavy cream.
2. If using onion and rosemary, stir them into batter. Pour 2 tablespoons oil into heated pan, and swirl to cover pan evenly. Pour in batter, and bake 12 to 15 minutes, or until pancake is firm and edges set. Heat broiler, and brush top of socca with 1 or 2 tablespoons of oil if it looks dry.
3. Set socca a few inches away from broiler for a few minutes, just long enough to brown it spottily. Cut it into wedges, and serve hot, or at least warm.

Yield: 4 to 6 appetizer servings. "


So the result?   Delicious.  Basic, straightfoward and wonderful.   My son gobbled, grabbed, scarfed it down!  The garbanzo bean flour has a nutty, tangy and rich flavor all at once.  The crispy edges surround a thick, almost baked-egg tortilla consistency inside.  Dense, satisfying and light all at the same time.  

I can imagine a million flavor combinations:  add different spices (rosemary and pepper are traditional ... but what about basil, tarragon, cumin, smoked paprika? or go sweet with cinnamon, cardamom, sugar?)   Add thinly sliced veggies inside (like onion, zucchini, carrots, asparagus).  Another whole dimension would be adding toppings, a la pizza!  Now... if I could just get some soy, nut and dairy free cheese! (anyone?)  Here's an exploration of socca experiments that I have to really delve into...

The downside: 

As much as my son LOVED the socca, he had a reaction.  Nothing horrific or ER-trip inducing, but some facial spots and itching.  My best guess is that buying the flour while crossing my fingers that cross-contamination wouldn't be a problem was a bad idea.  I though I could get away with buying inexpensive flours in exotic stores that make me pine for globe trotting... but you know what?  It's just not worth it.  

I will be adding socca to the regular rotation of yumminess, but I will also be making sure that the flour comes from a confirmed allergy-free source.  Bob's Red Mill, I might as well buy stock in you right now.