Mommy, I’m scared…

Mommy, I’m scared…

About a month ago our 5 year-old came into our room in the middle of the night.  As a parent of three I know these nights are not uncommon. Thunderstorms, nightmares, and the occasional fevers and tummy aches are going to happen.  So half asleep, I arose and wearily walked her back to her bedroom.

I turned on her light and a surge of adrenaline filled my body when I saw the look of panic on her face.  I quickly realized she was in the throes of an asthma attack.

The horror in those sweet little eyes is something I will never forget.   We ended up in the local emergency room, but we were soon taken to Children’s Hospital via ambulance.  There was no question about whether we were staying, we just didn’t know if we would be admitted to a general floor or the pediatric intensive care unit.

Thankfully, she stabilized and we got a bed on a general floor where she improved quickly.  We were released about 36 hours later, thanks to the help and attention of some pretty amazing people.   But it brings me to tears to thinking about the, “what-if’s,” because some kids aren’t so lucky.

The average number of deaths a year from asthma is between 3,000-4,000. And while it doesn’t sound like a lot, it’s innumerable if your child is one of its casualties. Along with lung cancer and COPD, asthma falls under the umbrella of lung disease, which is the second leading cause of death in the US after heart disease.  But for this week’s post we are going to talk specifically about asthma.

Approximately 1.7 million people like my daughter are taken to the emergency room every year because of asthma.  Usually beginning in childhood, asthma affects over 7 million kids, and the number of little ones diagnosed every year is growing.  In his book “How Not To Die,” Dr. Michael Greger defines asthma as “an inflammatory disease characterized by recurring attacks of narrowed, swollen airways, causing shortness of breath, wheezing and coughing.”

And it turns out that the prevalence and the increase of asthma is strongly correlated with where you live and what you eat.   Greger cites a groundbreaking study by the International Study of Asthma and Allergies in Childhood which followed more than a million children in nearly one hundred countries around the world.

Researchers discovered a striking “twentyfold to sixtyfold difference in the prevalence of asthma, allergies, and eczema” depending on where a person lived and what they ate.   Greger said that “while air pollution and smoking rates may play a role, the most significant associations were not what was going into their lungs as much as what was going into their stomachs.”[1]

Researchers in Sweden tested a strictly plant-based diet rich in vitamins, minerals, and antioxidants on a group of severe asthmatics that were not getting better despite the best and most advanced medical treatments.  Of the twenty-four patients who stuck with the plant-based diet, 70% improved after four months, and 90% improved within one year. [2]

Within just one year of eating healthier, all but two patients were able to drop their dose of asthma medication or get off their steroids or other drugs, all together. [3]  Greger goes on to cite other large-scale studies showing the effects of diet on asthma and says, “The restorative powers of the human body are remarkable, but your body needs your help.

By including foods that contain cancer-fighting compounds and loading up on antioxidant rich fruits and veggies, you may be able to strengthen your respiratory defenses and breathe easier.” [4]   However, in a study of over 100,000 people in India, those who ate meat, dairy and eggs showed a significant increase in asthmatic symptoms.  “Eggs, (along with soda) have been strongly associated with asthma in children.” Removing eggs and dairy from a child’s diet has shown significant improvements in lung function in as little as 8 weeks.  [5]

But what about taking a pill loaded with vitamins?  Isn’t that just as good as eating vitamin rich foods?  No. A Harvard nurses study found that women who obtained high levels of vitamin E through eating whole foods (not supplements) like nuts appeared to have nearly half the risk of asthma of those who didn’t. But those who took the vitamin E supplement showed no improvement at all.

Food has always been a trigger for my daughter.  When she was a baby she had severe eczema.  For two years her doctor prescribed creams and other medications that helped, but it never went away until we removed dairy, eggs, and wheat.  A few weeks before her attack I thought I could be a little less restrictive about her diet and give her “just a little cheese, or just a little bread” and it turned out to be a really bad idea.  However, since this last attack I have been very mindful of what she eats.

Because if I don’t, the inflammation that begins in her nose will eventually move to her lungs and then the cough begins.  It’s tough and she gets really sad when she can’t have a slice of cheese pizza.  But I hope some day, at some point, she will understand why she needs to eat her fruits and veggies and that certain foods are not worth a trip to the emergency room.

 

 

 

[1]How Not to Die, Pgs. 38-39

[2]How Not to Die, Pgs. 40

[3]How Not to Die, Pgs. 40-41

[4]How Not to Die, Pg. 41

[5]How Not to Die Pg. 39

From Bacon To Kale

To quote the late, great Erma Bombeck, “I come from a family where gravy is considered a beverage.”

I can still remember waking up in my grandmother’s house to the intoxicating smells drifting from her kitchen. Sunday breakfast meant bacon and eggs, hand-cut hash browns, and—Lord Almighty—her sausage gravy. Gravy so thick and rich it could have been a meal on its own. The memory of her pan gravy slathered over fried pork chops and buttered mashed potatoes still leaves me weak in the knees. Truth is, I get a little misty-eyed just thinking about it.

My romance with food and cooking began in her kitchen. My maternal grandmother was my muse, and I was her sous chef. In the mid-1970s, around the age of four, I got my first real kitchen job: cutting homemade biscuits with a Sure Fine orange juice can. I rolled and cut the dough while Grandma made sausage gravy from a slurry of flour and a few tablespoons of rendered pork fat. My grandpa built me a small wooden step stool—one I still have—so I could reach the counter and take part in her creations.

I also set the table for whichever aunts, uncles, or cousins showed up to feast on Friday or Saturday nights. I felt useful. Loved. Proud.

It wasn’t that my grandma loved to cook—she didn’t. Back then, eating out was expensive, microwaves didn’t exist, and there were no meals ready in thirty minutes or less. Food required effort. Hands got dirty. What she did love was having her family around her. She found satisfaction in feeding those hungry souls, in watching them gather, nourished by her food, sharing stories and laughter.

In the early ’90s, I left for college and quickly realized I was one of the rare few—aside from my friend Amy—who knew how to do more than boil water for mac and cheese. My junior year, my roommates and I stayed on campus for Thanksgiving and hosted our own Friendsgiving. With a guest list of twenty-two, it was the largest crowd I’d ever cooked for. Though it was mostly potluck, I handled the essentials: the turkey, mashed potatoes, and gravy (of course), plus a sausage stuffing worthy of my friends’ mothers and grandmothers.

The following spring, a roommate told me about a cooking job at a hip new brewpub and urged me to apply. I went the next day and was hired as a prep cook. I was in heaven. Beyond keeping the line stocked, I became a knife-work ninja. I learned the difference between béchamel and beurre blanc. I became an alchemist of soups and salads. Within months, I asked to move up to the line. The chef agreed, and I became the only female line cook in the restaurant.

A few years later, I left the high-stress pace of restaurant life and landed at a joyful, hippie-leaning health food store. Suddenly I was learning about antioxidants, micronutrients, and the healing power of herbs. I stocked my kitchen with seitan, TVP, and acidophilus. I ate kefir cheese, spirulina, and lived on tofu burritos. I learned I didn’t need to eat animals for protein or iron. I became a vegetarian—and felt reborn.

But as they do, all good things ended.

After college, I returned home for grad school and moved back in with my parents. My dad, convinced I was “too thin,” took me out for real food at his favorite barbecue joint. Begrudgingly, I gagged down a few ribs and spent hours afterward with stomach pain. I tried to eat well when I could, but working full-time while attending grad school full-time made convenience seductive. Drive-thrus were easier. I told myself I’d get back to healthy eating later.

meandkevin97
That’s me at twenty-five with the sunglasses on my head. My husband Kevin is the one wearing the sunglasses.

So why am I telling you all of this?

Until my late twenties, I was the picture of health. I could eat McDonald’s, drink beer, and have a midnight snack whenever I wanted. I never gained a pound. Then, at twenty-nine, I got married. After two years of cheese-and-sausage dinners, boxed wine, and more than a few microbrews with my new husband, I’d gained sixteen pounds. Two kids later, I was up another fifteen.

But it was baby number three, at forty-one, that changed everything.

The weight wouldn’t come off. And then I started getting sick—really sick.

After countless late-night Google searches, I finally stumbled onto the idea that I’d had silent reflux during my last pregnancy. In other words, I had GERD without the classic burning sensation—no heartburn to point the way. Likely caused by a hiatal hernia, the reflux triggered my bronchial nerve and set off severe asthma-like attacks. I was prescribed inhaled steroids and albuterol for the final months of pregnancy. I had my own nebulizer. I made more than one trip to the emergency room because I couldn’t breathe.

But because the root cause—reflux, not asthma—was never identified, nothing the doctors prescribed helped. In fact, it made things worse. The steroids sent my blood sugar soaring, landing me with gestational diabetes and daily insulin shots. Overnight, I became a high-risk pregnancy. I was seen twice a week by a maternal-fetal medicine specialist and underwent weekly ultrasounds.

In the end, I delivered a healthy, beautiful baby girl—six pounds, eleven ounces.

But by then, my list of chronic illnesses was just beginning to grow.

Family

Me on the end holding Avery.

I lived with a relentless post-nasal drip cough and repeated bouts of sinusitis from chronic congestion. Every night—everynight—I woke for hours, drinking water just to clear my throat. By morning, I was exhausted and foggy, dragging myself through the day. During that first year after the baby was born, my doctor prescribed antibiotics four separate times.

The joint pain was worse. Both knees hurt so badly that I underwent a procedure called PRP. The pain in my hands became unbearable—I could barely bend my fingers without recoiling. I was told I might be standing at the edge of either rheumatoid arthritis or lupus.

My menstrual cycles were a crime scene. I was afraid to leave the house on the first day because the bleeding was so extreme. Severe iron deficiency followed. My nails cracked and split. My hair stopped growing. I became short of breath just walking up the stairs.

I was miserable.
I had become a shadow of the person I once was.

Then, one afternoon at my chiropractor’s office, I started coughing. I apologized and explained that I was constantly congested, that the drainage worsened whenever I lay on my back. He paused, looked at me, and asked a question no one else had.

Had I ever been tested for a dairy allergy?

He suggested I meet with his wife, a chiropractor and nutritionist, and consider comprehensive food allergy testing. Before I left, I scheduled the appointment—and the blood draw.

I had no idea that brief, offhand conversation would change my life forever.

Next time on All Shook Up
The IgG blood test—and the results I never saw coming.