This week I realised that we are fast approaching the 1 year land mark birthday. Where did that year go? He has completely uncurled. The baby stage is gone. He is shuffling on his bottom from room to room, exploring the world. Fighting for his toys, demanding his sibling toys and full of cuddles and kisses.

But in the background he lives with allergies, where his body doesnt like dairy, egg, soya, tree nuts and some fruits. The MMR vaccine concerns me as evidence in literature shows there is a trace of egg protein. Some reseach states the vaccine is cultured in egg but the egg trace is so low it is safe in the use of children with egg allergies.

Professor John Warner, Chair of the BSACI Paediatric Allergy Group and Professor of Paediatrics at St. Marys Hospital, London said "Egg-allergic children who have not had problems with other vaccinations can safely be given the MMR in primary care. Specialist asssessment is only required if any previous vaccinations have resulted in severe allergic reation (including any breathing problems or collapse)" http://www.politics.co.uk/opinion-formers/royal-college-of-physicians/article/rcp-new-recommendations-for-mmr-vaccine-in-egg-allergic-chil
In addition the British Society for Allergy and Clinical Immunology guideines for the management of egg allergy agrees that all children with egg allergies should receive the MMR. They explain that large number of studies of egg-allergic children show there is no increased risk of severe allergic reactions to the vaccines. Children who have documented anaphylaxis to the vaccine itsself should be assessed by an allergist. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2222.2010.03557.x/pdf

So I understand why my allergist is not concerned about Thomas recieving the MMR in primary care.

On http://www.patient.co.uk/doctor/Measles-Mumps-and-Rubella-%28MMR%29-Immunisation.htm it advices that if a child is allergic to egg. Immunisation under supervision by a paediatrician is advisable.

So what if he does react? What then? These are factors I have to consider in my decision making process
1. The closest A&E is 1 hour in ambulance
2. Majority of ambulance technicians are not paramedics.
3. Primary Care is not set up for such emergencies.
4. Very importantly the GP is not happy to administer the MMR to Thomas.
5. Experienced mothers to egg allergic children say that even though their children did not react to the MMR they would have certainly considered paederiatic supervision if they were aware that there is a trace of egg in the MMR.
6. A medical colleague suggested single dose of the MMR.

Even though the research is clear that the MMR is safe to administer to egg allergic children. I have to consider the huge flashing factor here is my GP is not happy to administer the MMR to Thomas. My instinct tells me to take all precautions and go with the safe, security of the hospital environment.

On the introduction of this blog I write "Questioning is the door to knowledge". You are your child's advocate. You need to develop your knowledge make informed discussions. I am writing this piece to show you;
How I reached MY decision.
How I problem solve.

This decision is not right for each individual child. You as the parent need to write down the pros and cons and come to your own decision. You need to research! Ask for support and advice! Question!


So I have asked my GP to organise that Thomas has his MMR in a hospital environment under the supervision of the paediatrics.

I will keep you posted but need to organise a dairy, soya and egg free birthday party first!

This is not medical advice!

Saturday 3 March 2012

Dairy, Egg and Soya Free Home Baked White Bread

Making my own bread is easier than I expected.. Due to Thomas's Dairy, Soya and Tree Nut allergies bakeries are not an opinion. So I invested in a food processor with a dough hook.  I mix the mixure up before the school run.  Put cling filim over it and pop in to the airing cupboard or the bottom oven of the range here it is nice and hot to assist the rising.  It normally takes 1 hour.  Knead it again with the dough hook and place in oven.  This recipe is for 2 loaves.

 Dairy, Egg and Soya Free White Bread
 
750g of strong white flour
2 1/2 tsp dried yeast or 20g fresh yeast or 1 1/2 fasting acting sachets of yeast.
1tsp Salt
2tsp caster sugar
425ml warm water
4tbsp of olive oil

1. Sieve the flour, yeast, sugar and salt into your  processor bowl
2. Add some of the water, turn the processor on adding the water and oil. 
3. Allow the food processor to knead for 5 minutes. You can tidy up or make someone lunch!!
4. Place the dough into an oiled larger bowl and cover with oiled cling film.  Leave it some where warm for 1-2 hour until it has doubled in size.
5 Box it, knock back or punch down to deflate the dough and take it out of the bowl. Place it on a lightly floured board.  Knead for 2-3 minute. Rest for 10 minutes.
6 Preheat oven for 220 C or 425F Gas mark 7.
7. Cut it in half and make into an oval or place in a loaf tin.You can put it in the oven at this stage and cook for 35 to 45 minutes.  Or you can losely cover with oiled cling film and allow to rise again for 20-30 minutes.
8. Turn it out of the tin and allow to cool on wire rack so it doesn't get soggy.

Enjoy... Thomas loves his with marmite...



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