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  Last Updated on 02/05/2010

Picky Eater, But Not By Choice

 
Elizabeth Suh, Detroit Free Press, July 12, 2005

Jordan's dinner looks yummy.

But she won't get too excited over it tonight. No, instead she'll be defiant, not laying a finger on the juicy strips of turkey on her plate. Because she's seen enough of that in this lifetime.

Two-year-old Jordan Hubbard of Rochester has a rare disorder that allows her to eat only eight foods -- every meal, every day.

Tonight, it's more of the same -- broccoli, turkey, potato and apple.

While food is comfort and joy for some, for others it can be a bore, it can be the enemy, and for families like the Hubbards, it can shape a very different approach to eating and living.

Because any contact with banned foods could cause Jordan to react, a quick stop at McDonald's is off the list. And the Hubbards don't go out as much as they used to -- skipping movies, camping trips and games with the softball team -- because sometimes even the most well-intentioned friends will try to slip Jordan treats she shouldn't have, and a babysitter could do the same.

"Our social situation's suffered a little bit," said dad Grant. "But that's OK. We're definitely all right with that."

Jordan's condition is one of a group of diseases called eosinophilic (e-oh-SIN-uh-fil-ic) gastrointestinal disorders. Diagnoses of the diseases have been growing rapidly since 2000, partly because doctors are more aware of the diseases, but also because more people have them, doctors say.

One possible explanation for the rise is that the disorders, along with other food allergies, are a product of increased hygiene and less exposure to bacteria. People's immune systems aren't being trained to work properly.

The diseases cause some to react violently to foods, starting at birth. Others develop the condition later, living for years with chronic heartburn without knowing why.

Some with eosinophilic diseases must steer clear of only a few foods, but others cannot handle any food at all and must take formula through a tube fed into their stomach.

Jordan has eosinophilic colitis. Trouble-making white blood cells, called eosinophils, reside in her colon.

Normally, those cells fight unwanted substances and occur at low levels in the body. In Jordan's case, they attack the body in response to an allergen, causing reactions such as vomiting, rashes and aggressive behavior.

Jordan doesn't have to take any medications, but she supplements the foods she can eat with a prescription formula to ensure proper nutrition. Doctors say she has to keep a controlled diet to prevent long-term complications to her digestive system.

Since Jordan was born, Jennifer knew something wasn't quite right. Her baby couldn't keep down formula or breast milk.

"I was forever catching vomit in my hand," she recalled one recent Tuesday evening at the family dinner table.

Jennifer intended to take only a three-month maternity leave from her job as a manager at Neiman Marcus, but it soon became uncertain when she might be able to return to work. Knowing she does not plan to put Jordan in day care, she has quit her job.

Jennifer spent the days after Jordan's birth researching on the Internet, worrying and working feverishly to care for her baby. She called Grant several times a day at his job at an executive research firm in Livonia to talk about Jordan and took her to the pediatrician many times every week.

Even now, recalling the frustration and fear of that time makes Jennifer choke up with tears.

"It was horrible," she said. "I was a new parent ... and as a new parent, you don't know what's normal."

Finally, when Jordan was 6 months old, the Hubbards got their diagnosis at Cincinnati Children's Hospital Medical Center, which other families in online Yahoo! support groups recommended.

At 1 year old, long past when other babies would have started on solid foods, Jordan was in occupational therapy learning to chew, because she'd had only formula for most of her life.

For her first birthday, instead of cake, she had a big bowl of applesauce, the only food she could handle then.

Through trial and error since, Jordan's parents have figured out what foods work for their child. Now, in addition to what was on her dinner plate one recent Tuesday evening, Jordan can dine on pineapple, lentil pasta, buckwheat and cookies that are free of wheat and gluten.

Packaged turkey contains preservatives that Jordan can't eat, so Jennifer Hubbard bakes whole turkeys every other month and freezes them. Jordan's still learning how to deal with chunks and hard food, though.

"She would not know what to do with a pretzel," Jennifer said.

There are setbacks.

Not too long ago, Jordan failed her Swiss cheese trial. For 12 days, Swiss cheese was the first thing she asked for in the mornings, but she started acting out and getting rashes.

No more will Swiss cheese pass the Hubbards' doorway. Other no-no's are bananas, oatmeal, carrots and corn. Jordan's parents carry a cooler of safe foods with them at all times.

Grocery trips can be extended while Jennifer hunts at different stores for special food like cream of buckwheat. They also are emotional.

"You see corn (listed as an ingredient), and it's crushing," she said. If Jordan's getting sick of her food, "that's when she revolts and starts attacking the fridge," Jennifer said. "How do you explain to a 2-year-old that you can't eat what's in the fridge?"

So her mom, who says she never cooked before, has learned to be innovative, making even the same things different.

Dehydrated pineapple, for example, is candy for Jordan. Potatoes can be mashed potatoes made with her formula or french fries -- sliced potatoes baked in turkey broth for some flavor and fat.

Her parents say Jordan has become a different person in the past few months as they've figured out her diet. These days, she looks like a happy toddler, babbling at the dinner table, mimicking monkey sounds and arms -- "ooh, ooh, ooh!" -- and erupting into inexplicable giggles.

Doctors believe her condition may be linked to genetics, but the Hubbards say they now are confident they could handle having more children.

"Now it's who we are," Jennifer said with Grant nodding from across the table. "It's a way of life."
 

 

 

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