Elizabeth had mentioned that when she ate pecans or walnuts, her lips and mouth felt “weird.” I was hesitant to pursue it, considering how infrequently we eat pecans or walnuts: nut allergies are taken so seriously, I didn’t want to get her sent to the Nut Table in the cafeteria if all she had was a little bit of a skin sensitivity and could easily just avoid the nuts that caused that reaction. I also wondered if she might be imagining it, and it seemed like she’d had too few exposures to even start making a connection.
But when it happened when she had a tiny bit of pecan from a piece of candy, and when she immediately asked “Did that have pecan or walnut in it??” just based on the reaction she was having, and when she added “it feels like there’s a lump in my throat” to her symptom list, I thought I’d better mention it to the doctor at her annual check-up a couple of weeks later.
He ordered a blood test to screen for an allergy, and I don’t really understand how it works but anyway he called us and said it showed allergies to both pecans and walnuts, and an IgE of 247 (he said 100 would be considered high), and that earned her a referral to an allergist; her appointment is next week. I don’t know if this means she IS allergic to pecans and walnuts, or if it means she screened as being POTENTIALLY allergic, but there is no way I’m going to Google nut allergies. The allergist can tell me what’s going on.
On one hand, I have an “Oh, great, here we go” feeling. On the other hand, I’m glad to be going this route: the doctor we’re seeing does asthma as well as allergies, and Elizabeth already has a diagnosis of “let’s call it reactive airways for now, but if this continues we’ll want to look into whether it’s asthma,” and this IgE thing apparently relates to both allergies and asthma, so it’s nice to be Working On This if it’s going to turn out to Be Something.
But now I regret saying no when the doctor who did her tonsillectomy said he could do allergy testing while she was out anyway. I felt at the time like he was just trying to upsell, and maybe he was, but in retrospect it would have been nice; I had the scratch test done as a child, and I remember it being weepingly uncomfortable—like having 100 mosquito bites on my back and not being allowed to scratch them. It would have been nice to be unconscious.
Well, but at the time I’d also thought, “Wait, is it good for her to maybe have an allergic reaction to something while she’s already under anesthesia for the first time?,” and I guess I still do wonder about that. And I don’t think I would have enjoyed worrying about the tonsillectomy recovery AND about the newly-discovered-and-previously-unsuspected (at that time) nut allergy, and she was enough of a cranky mess after surgery without adding 100 mosquito bites, so perhaps it’s better this way after all.



