We are moving right along on our updosing schedule. Thus far, our son has has no reactions to any of his doses and he seems to be tolerating them with no issue. We follow the protocol exactly and make sure that we do as we are told! He is supposed to eat a full meal prior to his dose and to not do any "strenuous" exercise after his dose. Now, he is 19 months old, so he is able to run around and play and be a normal toddler, but we won't be taking him outside to run any races or do anything super strenuous for the two hours after his dose. During the week, he gets it in the evenings after dinner, so we are settling down anyway. So, our biggest challenge is just getting home from work and getting his dinner on the table as quickly as possible. We are to monitor him for two hours, so that puts us in a time crunch in the evenings since he goes to bed before 8:00 pm. So, I rush home with the kids, get their dinner ready and then give him his dose after he eats. On the weekends, we have more options, but I normally try to get his dose done right after his breakfast, so then we relax for a bit and then are up and about for the day. That seems to work out really well. Oh, and it is okay to give him his dose at different times each day. It isn't a medication, it is just an "exposure". :)
Also, I found out that some of the kids in his study who started 2 years ago are ready for their food challenge! Their IgE has dropped below 2 and they have been tolerating their maintenance dose for over a year. So, they will start their food challenges in September. They are ready to challenge now, but it is such a labor intensive process that Duke simply doesn't have the staff to handle the food challenges. It is an all day process and requires one or two people to be in the room the entire time, so they have to schedule them way out. I hope to have good news to share this fall about those first kids. :)
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