Category Archives: Allergies in the Workplace

Top Ten Tips Series: How to “Rock” Your Food Allergies

As someone who has grown up since the age of nine avoiding peanuts and tree nuts, I like to think I “Rock” at managing my food allergies. If you aren’t as confident, or if you want to become even more confident, then here are my top ten tips on how to completely “Rock” your food allergies:

  1. Wear your MedicAlert® or medical identification in case of emergency. For those like me who were really self-conscious about wearing these, there are now tons of really awesome new pieces of identification right down to military-style dog tags! Pick the one most stylish for you, then rep it and tell everyone about your food allergy.Man jump through the gap. Element of design.
  2. Show and tell. Show off your auto-injector and teach others how to use it.
  3. Be a master chef. Create a special food recipe that is allergy safe and share it with your friends to show that you too can eat delicious foods.
  4. Don’t keep your food allergies or an allergic reaction a secret. Be proactive and tell friends what to expect before a reaction occurs. Tell them what steps they should take in an emergency.
  5. Lead the way, spread the word! This can be done so many ways. You could write a song, create a sketch comedy routine, paint your thoughts, write a blog, write to a politician, or create a twitter account with tips on staying safe with food allergies. There’s an endless chain of possibilities here to really pave the way for every other food allergic person!
  6. Be suave. If dating, be flirty with potential dates by incorporating your food allergy into texts. One line that has proven to open the lines of communication for me time and time again is: “Hey, please try not to eat any peanuts or tree nuts from now until I see you tomorrow ;)” The wink face may seem corny but it is very helpful in keeping the message light, but serious, by implying that I may go in for a kiss and want to be as safe as possible. Her follow-up will likely involve some opportunity for me to educate her on the potential risks of kissing if my allergens are present.
  7. Educate co-workers. There are a lot of people who have never been exposed to food allergies and have no knowledge of the potential consequences allergen exposure can have on someone at-risk for anaphylaxis. For this reason, I think it’s important to teach the people you work with (and see every day) about food allergies. Teach them about signs and symptoms, how to use an auto-injector, where they can find yours, steps to take in case of an emergency, and how to avoid cross-contamination. If you want more advice on how to do this, check out Jason’s take on how to educate co-workers: https://adultswithallergies.com/2016/04/01/explaining-my-food-allergies-series-to-a-co-worker/
  8. Learn from past mistakes. I’m sure we have all had a close-call (or two…or many) in our lives. I like to think that mistakes are made so that we can learn from them. I try not to dwell on them. I figure out where I went wrong and how I can improve to ensure I remain safe in the future.
  9. Remain confident when facing adversity. No one knows you better than yourself so when you face a difficult food allergy scenario, remain confident, and stick to your safety game plan! You are the master of your food allergies.
  10. Continue to be AWESOME! Use my tips or find your own way to rock your food allergies! Just remember, to keep being awesome.

Awesome comic bubble retro text. Pop art style

Do you have any other tips that you think would benefit other adults with allergies? Feel free to post in the comments below and start a discussion.

Dylan B.

Don’t Eat the Butter Chicken: What I Learned from my Food Allergy Close Call

I was invited to watch a soccer game in a box at a local stadium.

It was a chance to network for a new job and I was feeling a little bit out of my element.

So I said yes to the butter chicken.

toned image of indian chicken curry with basmati rice

The idea of a meal prepared by an Executive Chef in a kitchen sounded safe to me.

I spoke with the Chef, read their ingredients list, and went over all the possible questions for cross contamination. Did you use a clean cutting board? Is there a designated area where you prepare the ingredients? The staff assured me that this was the standard dish they serve to food allergic guests.

I dabbed the sauce on my tongue with my finger before dipping my spoon into the dish (the classic eating-out test for me).

But seconds after the sauce touched my tongue I was administering my Epi-Pen® and was rushed to the hospital by ambulance.

The most terrifying part of the event was the ambulance ride.

The driver was stopped at a traffic light only a block away from the stadium when suddenly there was pounding on the side of the ambulance truck.

A dad was driving his teenage son to the hospital because he was going into anaphylactic shock. He wasn’t carrying his medication on him.

And he had also eaten the butter chicken.

Here’s what I learned from this close call:

  1. Auto-injectors like my Epi-Pen® are a painless tool that will save your life. This was the first time I administered my Epi-Pen® on myself. Before this, I was terrified. I would typically rush myself to the hospital after consuming lots of Benadryl®. Was it denial of being in anaphylactic shock? Fear of doing it wrong? I’m not sure. That moment made me realize how important administering an auto-injector is during a crisis.
  1. Don’t feel pressure to eat out just to feel included. In my professional life, I often have moments where I feel like I fit in and my food allergies don’t exist. I feel like we’re all equals, part of a team, working together to create something awesome. If your friends or colleagues respect and understand your food allergies, compromises can be made to tailor to your needs.
  1. Always have a buddy who knows where your medication is located, at any age. My wonderful friend rushed to my purse seconds after the spoon hit my tongue. She gave me my Epi-Pen® within one minute of the reaction starting. She knew I had severe food allergies and remained calm in the situation. She stayed with me in the hospital and reached out to my emergency contacts.Sketch illustration of two hands holding each other strongly
  2. If you trust a kitchen with preparing your food, request to have something made fresh for you with simple ingredients. Don’t go for the prepared butter chicken from the chef who isn’t working the shift anymore. If the kitchen passes your trust test, choose uncomplicated, simple food. A grilled chicken breast without sauce and one side veggie is much easier than a complex soup with a long list of possible contaminants.
  1. Despite your due diligence, mistakes can happen. The teen who also had a reaction to butter chicken was a season pass holder for the stadium. He always ate the butter chicken at games. But that day the chef used one different ingredient. We can’t predict these things and it’s part of what we live with every day.
  1. Always go to the hospital. I received a second dose of epinephrine when I arrived at the hospital. About two hours after arriving, while in the waiting room, I went into anaphylactic shock again. Always seek physician care even if you have used your Epi-Pen®.

Cashew paste. The morning chef used cashew paste and didn’t follow the kitchen’s recipe.

That night I learned a valuable lesson. We all know that eating brings people together, and in that stressful situation, I wanted to feel included. But it’s never worth the risk.

After that night, I promised myself to never again concede to the pressure to eat out in public.

Do you have any lessons from a close call to add?

– Catherine B.

Explaining My Food Allergies Series: To a Co-worker

Business People Meeting Conference Brainstorming Concept
Having open lines of communication with co-workers about your food allergy is important

I experienced my first anaphylactic reaction when I was an infant. By the time I entered the workforce I had more than two decades of experience taking care of my own safety. I was an expert, an anaphylaxis ninja, masterfully controlling my environment to ensure my safety.

This idea was shattered into tiny pieces one day when the office prankster saw me hard at work and used the back of my head as target practice. His projectile of choice was a handful of peanuts; the allergen I had reacted to.

In his defence he didn’t know his prank was dangerous. But for me this situation was a wake-up call; I was confronted with the fact that my track record hadn’t made me an expert, it made me complacent. I thought that it would have been awkward to inform my coworkers about my risk of anaphylaxis, but now I knew it was far more awkward to do so while picking a peanut out of my hair.

I realized that I needed to be proactive and explain anaphylaxis to my coworkers. Here are a few of my strategies for sharing food allergy information with coworkers:

  1. Go all the way to the top. If your company has a good Human Resources department go there, otherwise go to the highest manager you have access to. In my case, I went straight to the company president. I shared that I am at-risk for anaphylactic reactions and I educated him on what that meant. In all honesty I felt embarrassed, but the response to this was amazing. By the end of the day all the peanuts had been removed from the building and the cleaning staff were given special instructions to ensure every surface was cleaned. Most important of all was that now the management team knew what to do if anything happened.
  2. Next, go close to home. My company had 120 employees in two locations. I couldn’t tell everyone at once so I started within my department. This created a zone of safety with the cubicles nearest my own receiving the first education. Since these coworkers were actually eating food near my desk, they were critical to my safety. On top of this, they ended up being great advocates and helped me spread the word throughout the company.
  3. Be open to curiosity. Whenever someone had a question I went out of my way to educate them. I adopted the attitude that there is no such thing as a stupid question. Things that I took for granted were unknown to my coworkers so answering questions was a great way to make sure that the people around me were as anaphylaxis conscious as possible. For example, I got questions about smelling peanuts, symptoms I experienced in the past, how fast a reaction is, what they could do if I had a reaction and many others. These were great opportunities to educate people.
  4. Be direct and clear. It’s important to remember that anaphylaxis is serious business. I didn’t dwell on the darker side of food allergies but I did address them head on. After I explained what a reaction might look like I was honest, people have died from this, not often but it has happened. By approaching the subject directly I was able to get my message across and avoid other situations like the prankster episode. It turns out that my coworkers appreciated this method as it helped them understand the situation clearly.
  5. Teach people how to react to an allergic reaction. I always carry an auto-injector but during a previous reaction I learned that it can be hard to operate under pressure. When my hands were shaking I had my brother administer the injection for me. With that experience in mind I taught my coworkers how to use my auto-injector. I managed to get one of the trainers that has the needle removed and we practiced several times. Then we talked about the other steps such as calling an ambulance. Overall, it helped empower the people around me to feel like they could help if something went wrong.
  6. Continue to be proactive. My work was never over. This went for both my real work and my food allergy-awareness work. Food Allergies are a very important part of my life but just a fleeting thought for most people. Some people I had been working with for years would still forget about my food allergy from time to time. It’s your responsibility to stay safe so be proactive and continuously educate.

As people who are at-risk for anaphylactic reactions, we get used to talking to our friends, restaurant staff, and our families. But in many cases you spend more time with your coworkers than anyone else. It’s important to take matters into your own hands and talk to your coworkers about the risks associated with severe allergic reactions.

What about you? What strategies do you use to talk to your coworkers?

– Jason B.

Explaining My Food Allergies SeriesJason B.workplace

Attending Conferences with a Food Allergy

Speaker at Business Conference and Presentation.
There are ways to attend conferences safely with food allergies

While completing my master’s degree at Western University, I had the privilege of presenting my research at a number of conferences. Through my work with Food Allergy Canada, I have also attended a few conferences, both as a general attendee and as a moderator/facilitator. Living with a peanut/tree nut allergy, I have to prepare for conferences with a little more planning than the classic presentation prep. I find it useful to view the conference agenda ahead of time. This allows me to figure out when food can realistically be consumed.

In most cases, the conference admission will include some sort of lunch or, if you’re lucky, a full dinner. If this is the case, I make a point of contacting the conference organizer to speak about my food allergy and discuss what a safe meal entails. I think that trying to explain the severity of my food allergy through emails is risky because emails can get lost in the ‘spam’ folder, read but not processed, or they can simply be overlooked. For this reason, I think a phone call is always the best option for meal preparations. Here’s a couple examples of recent conferences I attended and what I did:

I recently attended a food allergy conference in Washington, DC, where I was surrounded by teens and parents living with food allergies. There was no food permitted in any of the meeting or conference rooms. This kept the conference very safe for the countless people with food allergies present. In fact, the only food I saw at the venue was sample packs of snacks from a vendor who made a point of asking what your food allergy was before offering any samples. The lunch time slot was extended to just over an hour to allow attendees to leave the venue, find allergen-safe food, and journey back to the venue in time for the afternoon sessions. This is an example of a well-planned, allergy-friendly conference.

Another conference I attended was less allergy-friendly but still very accommodating. It was a conference held in Niagara Falls for the Canadian Association on Gerontology. With over 1000 people in attendance, I knew I would need to plan my meals extra carefully. I contacted the conference organizer and had a special meal made for each of my lunches, which was great! However, when I picked up my lunch, I quickly realized that all of my friends had chocolate bars with nuts in them AND little packs of trail mix! When I realized this, I had to be extra diligent with my hand washing and careful not to eat anything that may have come in contact with the tables, or really anything at the conference. This is an example of a well-planned, but less allergy-friendly conference.

In most cases, it is likely unrealistic to request a complete ban of your allergen at a conference. That doesn’t mean you can’t ask. If you ask and the organizer says no, you’re in no worst condition. At least you tried! In any case, remember to plan your meals ahead of time. If the organizers cannot accommodate your allergy, simply make them aware of your allergy and pack food that you know is safe. Then wash your hands before eating. Lastly, always bring your auto-injector with you to the conference and ensure it is with you at all times. This is important in the case of an emergency.

After thoroughly preparing for all food possibilities at the conference, remember to prepare your slides, dress sharp, and have some fun! Happy conferencing everyone!

Dylan B. 

Allergies and Outings with Colleagues

Jumping groupCarving-out a niche in the working world is all about building relationships with your colleagues. Having had brief experience in a corporate setting, I can attest to this. A major problem that I encounter is that most of these networking and social opportunities happen over lunch or dinner. This often puts me in a bind. I want to participate in these events, but how can I do so safely?

First of all, you should always plan ahead. A few weeks ago, I wrote an entry regarding buffets and safe dining–this was my first rule. If a group of colleagues arrange to have a dinner after work, use your lunch break to call the establishment in advance. Ask to speak to the general manager and ask whether or not they can guarantee an allergen-free environment. Ask about the nature of the cuisine they prepare and whether or not any of their products contain your specific allergen. Reiterate that you have a life-threatening allergy that is very serious and that the allergy can be triggered by cross-contamination.

Secondly, talk to the restaurant staff in person. If the phone conversation went well, and you feel safe enough to eat at the restaurant, speak to the restaurant staff upon your arrival. Ask to speak to the general manager again, to follow-up on your inquiries, and try to speak to the chef who will be in charge of preparing your food. The chef is usually the best person to talk to since they are the ones actually in the kitchen who are aware of how food is handled. They can best assess if there are likely to be risks of cross-contamination.

Finally, choose simple foods to eat. If you feel safe after speaking to both the chef and the manager, scan the menu. Avoid foods that are layered in seasonings, sauces or anything overly-fancy. The simpler the food choice, the safer you are. I usually request a grilled piece of steak (with salt and pepper seasoning) and a baked potato. If you have nut allergies, avoiding salads and desserts, as the risk of cross-contamination in those foods are very high, is usually a good practice.

If you follow these steps, this should alleviate a lot of the worry associated with eating- out when you have allergies. It will also allow you to focus on making a good impression among your peers since you won’t be as concerned about the safety of your food. I hope you will find these tips helpful.

Saverio M.  

Always Packing: Carrying Your Auto-Injector  

Live_Main Auto Injector

It all started with a fanny-pack. It was a bright blue, yellow zippered, Tigger-themed fanny-pack to be exact. From the time I was five, to about twelve years old, this was the most important accessory I had. Why? It was the vehicle for carrying my auto-injector (my safety net and my security blanket).  Back in the 90’s, my bright blue fanny-pack was my ‘go-to’ item; but I quickly outgrew it and needed to find some other way to carry my auto-injector. Luckily, being a girl, I would eventually grow into carrying a purse with me everywhere. But, during my high school days, I hit those awkward preteen/ teen years. I was too young to carry a purse and too old for a fanny pack. I no longer had a permanent desk to put it in or one specific teacher to hold onto it for me. My locker was too far away and I wasn’t allowed to take a book bag with me everywhere. I needed to find another option to discretely and effectively transport my auto-injector while in school. Lucky for me, I had access to many carriers and tricks to help conceal my auto injector and keep it on me at all times.

I purchased a much smaller, stylish black case that I was able to put in my pencil case. But I also made sure I had one in my book bag in my locker at all times. Getting through those high school years was tough. Most people yearn to fit in. And I was much the same. So I refrained from telling many people about my auto-injector in my pencil case. The people I made aware were my teachers and a few close friends. Now I realize the importance of telling people about the location of my auto-injector and how to use it in case of an emergency.

As I grew up, I became more comfortable with my auto-injector and with my food allergies. I was able to find new ways to carry it around discretely. Being a girl, I was lucky to have the excuse of always having a purse with me. The problem I soon arrived at involved different sized purses and singular-sized auto-injectors. From small little clutches to extremely large purses, I was either fighting to find it or struggling to put it in. Luckily I’ve found a few tricks and discovered, through my male friends, that they also had some unique and creative ways to carry around their auto-injectors.  For me, I’ve always felt it is easier to carry my auto-injector in the side pocket of my purse. It’s easy to grab if there is an emergency and it’s easy to find if I can’t tell someone. There will be no more routing around in the deep caverns of my purse. With the new advancements in auto-injectors, it’s easier to carry them in pant pockets or in those pesky little clutches and purses I mentioned earlier. Some new auto-injectors are as small as a business card with a little width. They can be easily placed in most little bags. As for my male counterparts, carrying an auto-injector can be a little trickier as far as not drawing major attention. One the best ways I’ve seen them carried is in an ankle holster (a lá James Bond) that fits neatly under most pants. Those new auto-injectors I mentioned above are smaller and able to fit in most pockets discretely. There is also many companies offering carrying cases for various activities like belts for outdoor/upbeat activities from Waist Buddy () or the versatile brand Allergy Pack ( http://www.allergypack.com/) that offer many different styles to carry one or multiple auto-injectors. They even make carrying cases for asthma inhalers.

It doesn’t matter what you’re wearing, what kind of purse you’re sporting or what pants you may be in. It is always important to have your auto-injector with you when you go out.  It can be cumbersome and it can be awkward; but nothing is worse than needing it in an emergency and not having it. So remember to keep it with you. Tell someone you have it with you and where it is located. Think of it as the best and most practical fashion accessory you have; it also just so happens to go with any outfit.

Arianne K.

 

Dining with Clients and Cayenne: Guest Post by Patricia J. Pawlak

Pat (dining with cayenne allergy)

 

I have been fortunate enough to have a career where I traveled the world and had to entertain. For me, there is something exhilarating about sitting down with clients for a culinary experience, getting to know them, and knowing you may have to close a deal. In that situation, you want to stay focused and be charming. Nothing zaps the energy out of a dining experience more then having the focus of the evening on your food allergy. I dread the drama of it all and my clients enduring the waiter/ kitchen sprint because of my food allergies.

I have developed such an intolerance to all capsicum, i.e. cayenne, paprika and cumin, that my throat closes up, I start to shake and then, within 10/15 minutes, I actually projectile vomit. It comes on so quickly, violently and unexpectedly that, even during a lunch, I was rushed to the hospital projectiling (as I ruined my new red silk suit).

After several of these rushed trips to the ER, I finally went to an allergy specialist who diagnosed my malaise as the worst possible allergic reaction one can suffer and still survive.

Thanks to Emeril, and the influx of some certain cuisines, most restaurants have infused, charged, and drilled their menus with chili, cayenne, and paprika and made it impossible for me to dine in many restaurants. I have discovered that even the nicest restaurants now marinate all their meat, fish, and chicken dishes with some form of capsicum. That means even a chicken salad is off limits and watch those candied pecans; they have chili on them now.  For some reason, many restaurant salad dressings have cayenne or paprika—even a simple Caesar dressing.  Deserts, from cheesecake to tiramisu, are now spiked with cayenne.  I have even been served strawberries with a “surprise.” Thankfully, I asked what the surprise was or the restaurant would have been surprised! I have gone to restaurants and not been able to have any dish on the menu.

My strategy now is to check out a menu first before I suggest a restaurant for business.  I ignored my own advice last week; I went to a good sushi restaurant thinking that I would not have to bring up my food allergy in front of my clients. To my chagrin, I opened the menu and the first sushi listed was “Jalapeño Sushi” and, along down the line of the menu, most had heat. I had no other choice but to have the proverbial conversation to make sure what dishes I could eat.

The frustration lies not only in its increase of use but in its use in dishes that historically never had any form of heat.  Even when I order a dish that couldn’t possibly have cayenne, Fettuccini Alfredo, I have had it come with cayenne sprinkled all over.  I have asked for plain poached fish (“nothing on it, plain, please”) trying to be discreet. And the fish came covered in chili flakes. When I explained finally that I had an allergy, I was told “You don’t know what good is!” This is not about taste, this is about health and, in my opinion, our taste buds are being hijacked by all this heat!

I am meeting more and more people daily who are developing this allergy due to the proliferation of this spice.  Hopefully, chefs will begin to take notice and will begin to create more interesting dishes instead of just throwing in the heat.
Patricia