I was reading one of their posts, by Dr. Paul Ehrlich, Diagnosing Food Allergy: New Study Shows How Little We Know, Again. I agreed with the article, in the sense that there are probably diagnosed food allergies that might not, indeed, be true food allergies, even though they are sensitized to a food, as I experienced with the long list of foods for which I had my daughter tested, that turned out to be false positives. (See this post, for more on that.) However, as you can see by my opinions laid out in this post, I do trust certain blood test values more than others.
So, my question arose when reading this part:
The gold standard is still the double-blind placebo controlled food challenge. The silver standard remains the oral food challenge, which is underused. The bronze goes to judicious use of tests with a comprehensive clinical history. Everything else is an also ran.I believe it, I understand it, but I had to ask if he would really suggest that I subject my daughter to a double-blind placebo controlled food challenge (DBPCFC), given her history. Here is the exchange, from the comments section: (re-posted with permission)
I didn't read the link about the double-blind placebo controlled food challenge before asking my question, but reading it, now, it also backs me up:
"Allergists generally do not administer food challenges to patients with a history of anaphylaxis, or with poorly controlled asthma. This is because the risk of severe reactions is considered too great."Also, in reading the link about the oral food challenge, I see I fit right into the category of "fear born of experience". If you read that article, you will see the reasons OFCs are under-utilized and I have experienced this to be true, with the allergists my daughter has seen.
I appreciate Dr. Ehrlich providing a quick response to something I've been wanting to ask for a very long time. Even though I agree that food allergy diagnosis needs some work, I am glad to have my decision not to do an oral challenge validated. Don't get me wrong, I don't just like answers that agree with my thinking, because finding out where I am wrong is part of keeping my daughter safe, but I was just glad that my reasoning lined up with medical reasoning and was not purely driven by fear, which is something I have to keep in check.