There is a lot to unpack here, and I will do my best to address it all so I don't leave you hanging. Then I need to go, because this needs to wind down. Sampson is discussing the beginning of anaphylaxis (the initial symptoms) as in when the cascade is triggered. He is not talking about when the EMT is shocking you with the paddles to keep you alive. The concept that the longer it takes from ingestion to INITIAL symptoms generally is a predictor of a better outcome is a concept that is in every allergy and asthma textbook. This is not medical advice. This is a theoretical concept about how the cascade works. This information cannot be applied by anyone except a licensed physician. There are known exceptions such as peanuts and milk, and there are known conditions such as asthma that this concept doesn't apply to. Peanuts have the ability to resist digestive enzymes and the protein can make it to the small intestine without being denatured. Tree nuts do not have this superpower.No, I didn't resolve it on my own. I managed it, as in I took control of the scene and followed the allergy action plan that is prescribed by our Doctor. I assessed him, I didn't see the respiratory distress that teachers were describing, gave him Benedryl and got him to the ER(we were close enough that calling an ambulance would have taken longer), while waiting he started wheezing, he was admitted immediately and got the full workup, 4-6 healthcare professionals working on him. Steriod IV , Epinephrine, nebulizer, and prescription for Prednisone when we were discharged.
you picked and choose few cases but let's see what they say.
in Sampson, he says
"Symptoms of food anaphylaxis may appear within seconds to a few hours after the food allergen is ingested, with the vast majority developing within the first hour."
I can pick a choose a few cases too
"A man died from an allergic reaction to nuts one hour after eating a slice of takeaway pizza, an inquest has heard."
https://www.bbc.com/news/uk-england-tyne-67911589
"An hour and a half after Oakley had consumed the nut, his airways had suddenly closed and his heart stopped."
https://www.today.com/health/after-11-year-old-boy-s-sudden-death-mom-warns-t105529
Both the National Institute of Allergy and Infectious Disease and the World Allergy Organisation would define acute allergy onset to be "minutes to several hours".
https://www.aaaai.org/Aaaai/media/Media-Library-PDFs/Allergist Resources/Statements and Practice Parameters/Anaphylaxis-Practice-Paramaters-2023.pdf
I am being very argumentative about this, I am usually not especially on an internet forum, because you're saying a slow anaphylaxis is less dangerous. Which is completely irrelevant due to the the fact that slower anaphylaxis still can kill. Making assumption and giving this kind of mileading info is dangerous to people.
the first case died at one hour, but initial symptom was at 5 minutes, and puking began at 15 minutes. Poor little guy, mom ignored the symptoms, we know how it ends.
second case was peanuts, their trickery helps them avoid digestion. Peanuts are notorious for delayed anaphylaxis. The Lady at Disney was allergic to tree nuts.
the last reference is talking about anaphylaxis in general: drugs, bugs, latex, etc. the only thing that I believe is relevant to the discussion is tree nuts because she was loaded to the gills with them.
He states that they left the restaurant at 8pm, she was fit as a fiddle at 8:35pm and then at 8:45pm she entered Planet Hollywood collapsed and died. She did administer epi-pen(s) [it's not clear if a second pen was used]. Giving them time to eat and pay the check, she probably began ingesting food about 7:30pm. I'm stuggling to believe that she walked around for an hour and fifteen minutes pumped full of tree nut antigen feeling like it's a beautiful day in the neighborhood.
The woman's father stated that he dropped them at the airport the morning of October 5th and then received the call that night that she had passed. Their attorney stated that they specifically chose Disney for its high standards and would not have eaten at the restaurant if they had known it was not Disney. ok ... but the night before the three of them were out at How at the Moon on I drive. [the video is on Instagram] Do they have a time machine, or is grandpa confused? Why wasn't Howl at the Moon held to the same standard as Raglan Road? That place is a zoo on a good night, and I don't think they even have an allergy policy.
anyway, I gotta be done with it. They'll probably settle out of court, and we'll never know what happens so best to move on.