When pubs panic about catering for allergies – Allergy diet cards

Eating out with an allergy or coeliac disease is a challenge. If you have multiple allergies it becomes even trickier. Not only do you need to communicate the severity of your allergy, you also need to discover what risks might be lurking in the kitchen. Do they understand cross contamination and the simple steps they could take to avoid them? Do the staff even understand what allergies, anaphylaxis, food intolerances and coeliac disease even are?

The gap in knowledge is startling. You may find restaurants and pubs only too happy to oblige but have they really understood the severity and complexity of your situation?

Do they really want to? One of the things we food challenged individuals do need to consider is that not all restaurants will either want to cater for us, nor wish to restrict their kitchen practises or flair. Chef’s enjoy their creativity in the kitchen – catering for allergies could seriously affect that.

Foods Matter recently wrote about about how “Allergen legislation in pubs will not have an easy ride”

Waitrose Good Food Guide editor, Elizabeth Carter says “I have sympathy for people with allergies but it is about common sense. I just can’t understand why anyone with a life threatening allergy would play Russian roulette in a restaurant”.

That doesn’t sound like a very sympathetic comment to me. Would it be acceptable to make the same bold statement about someone with another kind of disability? Someone who was blind for instance and needed help reading the menu or requested a braile menu. What about people who use a wheelchair; this disability is now widely recognised and the law now dictates that all new buildings must have disabled access.

Will there ever be such a law that helps those with allergies get a simple and safe meal when eating out? Or will we be forced to stay at home like those with wheelchairs used to have to do? Or carry our picnic snacks around with us, something most allergic people are used to doing anyway.

With the huge lack of understanding, knowledge, training and attitudes like Elizabeth’s and celebrity cook Martha Stewart, it’s little wonder any of us allergics actually do take the risk and eat out. Stewart told the Daily Mail that she has no time for cellphone addicts or for picky eaters – letting them go hungry instead of catering to their fussy tastes, saying:

“Oh my God! Don’t ask! My rule is do not ask about dietary restrictions. We had a charity dinner – we had every single kind of restriction. It was horrible!”

“You have to be semi-prepared, but don’t fret about it. Everybody can miss a meal.”

If Marth invites you to dinner it might be wise to politely decline or expect to go hungry and take along a snack in your handbag.

To suggest all those with allergies should ‘stay at home rather than play Russian roulette with their allergies may sound like the ultimate solution and it is the decision most of us take after many embarassing and humilating experiences.

But are we really being that unrealistic to expect some kind of service? Could a pub or restaurant not offer just a few options that could be cooked to a strict recipe, thereby ensuring the person with allergies is not left out and can dine happily with their friends and family? Could extra care be taken every now and then for the person living such a restricted life?

Or should we all just stay safe and eat at home?

The importance of using an allergy dietary card

This situation was brought home to me after a recent experience eating at a local pub. A particular favourite of ours, but where I had experienced mild reactions (still not nice) after eating simple meals like ham, egg and chips or steak. Despite speaking to them about allergies and being told it would OK these reactions continued, but it was hit and miss. Sometimes it was all OK and other times causing a mild reaction. This wasn’t full on anaphylaxis so it was likely caused by tiny traces of allergen but you are never completely sure if it was the pub meal, something airborne or something you ate somewhere else earlier.

So I used my new Dietary Allergy Card so that the staff and chef might gain a better understanding.

The allergy card is a custom written dietary card to be used whenever you eat out. I’ve written this one myself, and it covers two sides of laminated A5 card. One side with details of what I’m allergic to and cross contamination concerns and the other explaining what I can eat. Until now I have had nothing but thanks and reassurance from chefs when I’ve used it. All of them saying it was so useful, really helpful and they wish everyone with allergies or intolerances had something similar.

But this time it was like kitchen melt-down.

For the first time the staff took note of what I was trying to ask them.

Seeing the words in writing instead of a verbal plea was hard hitting and they suddenly ‘got it’.

They understood the severity of my allergies and didn’t think anything on their menu would be suitable!

I have since reworded the allergy card so that message is not quite so stark, although it had worked well in many other restaurants it was clearly a little too frightening for the small pub.

Why food allergy and intolerance awareness and training is so needed

Ham, egg and chips: Cross contamination possible on the grill, the pan and chip fat fryer

Cross contamination possible on the grill, the pan and chip fat fryer

My tactic in pubs has often been to order ham, egg and chips and assume this would be OK. This was my first mistake. My mistake and not theirs.

Even asking the waiter or waitress whether the meal contained any dairy, milk etc. is not enough. They checked and told me, “No there is no dairy in that meal.” becaust there wasn’t.

At no point had I asked them about cross contamination or how they prepared the food. It seems like such an impertinent question. One that would make me feel very uncomforable, nosy and rude even to ask.

When you eat out YOU take the risk. So YOU have to make sure you ask all the right questions.

It is never enough to get complacent and assume that the humble salad or ham, egg and chips will be a safe option. Reactions can change, become more severe or more frequent. A meal that is alright for you one evening may not be the next purely because it was cooked in a different oil, or in a different way i.e on a grill alongside burgers with cheese and tomato and buns…

It makes it so important to ALWAYS ask the right questions every time you eat somewhere, even if a previous meal went without a hitch. Never assume staff know what you mean. Never take risks and always err on the side of caution.

So what can possibly go wrong?

Before I say any more I will just confirm that the meal I eventually ate was fine. I had no allergic reaction. But negotiating the meal felt like an epic verbal battle. I felt every bit the leper, freak, stay-at-home allergic moron as I had feared and really, truly wished we had stayed at home. By the time my food arrived after about four chats with different staff with varying degrees of sensitivity I had lost my appetite and was close to tears.

If I hadn’t been in the middle of nowhere with my husband who was very hungry and desperate for his moussaka we would have left. By the time we negotiated the many kitchen pitfalls it was also nearly 9pm and too late to go elsewhere, so all in all a total eating out nightmare

The carefully worded allergy card seemed to invoke utter terror in the kitchen. This is what happened.

Is the only really safe thing to eat in a pub a bag of ready salted crisps?

Is the only really safe thing to eat in a pub a bag of ready salted crisps?

  1. The barman/waiter was respectful and helpful and took the card with him for the chef. I ordered a plain steak with peas (I never really want salad with a steak anyway) to avoid contamination from the salad bar.
  2. Another very friendly chap came out to explain that the chips were cooked in oil that also cooked other breaded and battered food stuffs so would be off limits. I was impressed by this and thanked him for checking. So he said they could do me new potatoes. Brilliant! I love new potatoes. He also said the salad was not going to work so we again asked if peas would be an OK alternative? Yes it would. I didn’t point out I had already requested peas instead of salad. There seemed little point. So all was good.
  3. He came out again and said the grill was used to flame-grill steaks and everything was grilled on there, including buns, tomatoes, things with cheese… so they couldn’t do me a steak. We asked if it was possible to just flash it in a pan instead of the grill. He said he would check but was already hinting that this would not be easy. It was a small kitchen… and I appreciate this but alarm bells are ringing in my head now and I am so grateful that we sat in the far back corner of the pub.
  4. Next came the owner, who we knew, and who was obviously sent to explain their predicament, about how it was ‘legislation meant they couldn’t serve me because the also served peanuts on the bar and that peanuts were airborne’. This conversation went on for some time, he wasn’t happy to take the risk and had clearly been sent as the bearer of bad news. The chef wasn’t happy taking risks in case I got ill. So we asked for just the moussaka and a packet of ready salted crisps please. By now this was really all I wanted. My appetite was dwindling.
  5. The owner returned with more of the same conversation. He wasn’t sure of his ground and didn’t quite know how to get his message across but I did get the message loud and clear that my allergies wee not easy to cater for in their pub. At this point I was getting upset. I had now totally lost my appetite and wanted to leave but my husband was starving. He started to negotiate with owner using words like ‘could you rest the steak on silver foil on the grill?’ and ‘we know you have allergens in your pub and we know it’s a risk to eat here and all we want to do is ensure you understand and can take care when preparing my wife’s food’… Some kind of truce was called and he went back to the kitchen. At this point I had kind of retreated inside myself. I was looking down at the table and not joining in the conversation. I should have been paying attention and remaining alert but I just wanted to leave. I didn’t even want to be there any more. I just wanted to go home.
  6. Eventually my rib-eye steak arrived with new potatoes and peas. I ate it and I didn’t have any kind of allergic reaction, clearly there was no cross contamination, but I didn’t enjoy that meal. The steak was melt-in-the-mouth amazing but my head was spinning with what had just happened. I am still upset.

This is a pub we have been visiting for years, sometimes more than once a week. They know our names. The recognise us. I usually order the steak, the most expensive dish on the menu and we have a few drinks. I am not sure whether we will go back now. This does make me very sad but I no longer feel at all welcome there. I am terrified of returning.

So what have I learnt from this experience?

I was mortified and was actually crying at one point while eating this meal that we practically had to beg for. Looking back we should have left. They were clearly totally unprepared and unable to work out what to do about me.

This makes me very sad. But it does explain the mysterious asthma and mild reactions. I take some of the blame here because I wasn’t communicating clearly enough. Despite telling them about my allergies and asking them to check whether my meal would be dairy and nut free in the past, this verbal conversation was clearly not enough.

It took the written allergy medical card for them to take it seriously and clearly the chef then realised how dangerous their kitchen might be and wasn’t happy to take that risk.

This is actually a really good thing. At least, if nothing else, it has made them assess their kitchen with a critical eye and identify all the potential areas for allergen hazards.

It is a big lesson for me in how just turning up somewhere, even somewhere you think will be able to provide you something, that verbal communication can fall woefully short when it comes to really getting to the bottom of cross contamination.

It also proves that having a written, politely worded communication to show to staff really, really helps to get the message across.

I would suggest sending this before hand if it’s a special meal or even visiting in person to speak to a chef and hand over a copy of your diet card for them.

There is clearly a huge need for training and education about how to cater for those with allergies, and what allergies really mean.

But then, maybe not every establishment has to cater for us allergy types. Are small busy pubs with small kitchens just a really bad idea for someone with multiple life threatening allergies?

Why do we want and need to eat out?

Eating out is a huge part of our social lives these days. Grabbing a coffee, meeting friends for lunch, buying a sandwich on the go and invitations to dinner and meals at restaurants etc. To consider a life devoid of ever going out for a drink, a bite to eat or a meal is not one many would relish.

Even if you love cooking, having to prepare every meal you eat from scratch at home can be exhausting; having someone cook you a meal is a treat. You can relax, enjoy the food and spend good quality time with friends and family. The person with allergies finds this easy spontaneous enjoyment almost impossible.

Eating out is a constant minefield which requires early military planning.
You never really relax and are constantly on the lookout for potential hazards.

To suggest that we should all stay at home is thoughtless and unhelpful.

There are loads of restaurants, pubs and cafes that do seem to be able to grasp what’s required and provide a safe and tasty meal e.g. Nando’s, Pizza Express, Leons and Jake’s Cafe.

The challenge is finding out where these special caring places are, sharing that information and growing the number, the understanding and willingness to learn and help the allergic diner.

Until you have been refused at a restaurant or been told by a member of staff that ‘it’s against the law for them to serve you’ it’s hard to understand how that feels.

From someone who has been there, it’s embarassing, mortifying and hard to take.

We certainly do not ever want to be made to feel as uncomfortable as I felt that night. Despite the staff being very polite and friendly and the eventual meal being perfect, it was very difficult for them and for me. I doubt they want to repeat the experience any more than I do.

I hope it may help anyone else with allergies who might visit that pub. Maybe now they will be made aware of all the potential cross contamination levels. Let’s face it, there were way to many to consider eating there again really.

All we want to do is be able to socialise with our friends and family.

We don’t expect every meal on the menu to be available to us and for chefs to bend over backwards to provide us a gourmet experience. But a simple steak really ought to be no problem for a chef to prepare with no allergens.

I left the pub with my head down, hiding. I felt small. I felt ridiculous. I felt unwelcome. I felt like everyone in the pub had heard and been watching although I doubt this was actually the case, just my imagination working on overdrive.

We just want some kindness, understanding and a little bit of effort to give us something simple and safe to eat with minimal fuss. We just want to be like every other customer and enjoy a quiet meal.

Is that really so much to ask?

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About RuthS

Ruth works freelance as a copywriter and writes the What Allergy blog to share information with people who have allergies, eczema, asthma and food intolerances. http://www.whatallergy.com was voted in the top 5 allergy blogs and Ruth also judges regularly for the FreeFrom Food Awards and FreeFrom Skincare Awards. She runs a support group for the Anaphylaxis Campaign and also writes regularly for Exchange, The National Eczema Society quarterly magazine.

Comments

  1. Hi Ruth!
    This is such a excellent post! I completely identified with all of that (except for the reactions, as mine are different) including the crying into my food bit It is such a minefield. It really shouldn’t be that hard to get a simple steak & chips!! Maybe if the pub staff read your post… But as for that Martha Stewart… I think she’s a lost cause!!

    • This took me soooo long to write. The first version was so angry and ranty. But I was so very upset by the whole thing. I might send them a link to the blog post. Since i never plan to go back ever again, it can’t do any harm. If I do go I shall be taking my own meal. And I deliberately didn’t name the pub. Though I wanted to. To reduce someone to tears – it’s incredible. And don’t get me started on Martha… might send her a link too.

  2. Ruth, I have absolutely been there and this made me have tears in my eyes! I still feel extremely sad and ‘left out’ of life because I have had this experience so many times, I gave up eating out now about 18 months ago. My social life has dwindled because, as you say, so much of it is meeting for coffee, having meals, going to the pub etc and you are surrounded by food, drink and stuff you simply can’t do without going into battle, which is hardly conducive to an enjoyable time, as you say. You try so hard to join in, blend into the background, concentrate on the company and just accept things are what they are, but it is sometimes just easier to bow out, stay home, keep control and, it has to be said, lick your wounds. Sigh. I am sorry you had to go through that. Exactly the same happened with my fave local pub.

    On a more positive note, I am starting to wonder if I could take my own food and go out with people to restaurants; I wonder if they would mind. I already carry the only wine I can tolerate in my bag. I feel like a teenager with illicit voddie ;)

    • Thank you Micki, I was so nervous about posting this. It really had me so mad. It happend on top of a tough week, I was maybe not at my best, but it was so upsetting. I think I am going to take a flask of soup next time and go and tell them that’s what I’m doing because I am NEVER going through that again. It really felt like I was being bullyed. I have been bullyed at school, at work, and it just brings you back down to that nasty, low, negative place where you just want a big hole to swallow you up whole never to be seen again. Moral for me is better planning before hand and to STAY AT HOME! I really can’t face that again. Awful, awful, awful.

  3. I think it’s just still at the squirmy stage where you feel embarrassed about something you absolutely can’t control and people don’t understand. I can’t imagine a diabetic having the same trouble, can you?!

    • No! And they get free prescriptions too. Don’t get me started in the injustice of it all. It really does feel like a disability this week. And actually, it felt like being bullied, like an old friend was telling me, loudly that they didn’t like me anymore and that it was my fault for being so awkward and I should leave now. It really was horrible.

  4. Hi Ruth
    Ah Ha, eating out. As you know from our emails, I live in Flores, the furthest most western point in Europe (Azores). I am also coeliac (your UK spelling!). My husband has high blood pressure (now medicated), and yesterday was diagnosed with diabetes (isn’t life just brilliant!). But to get back to eating out. Flores is a small island (3,000 people), even with our tourist trade, eateries are few and far between. We have (had, it closed down last month) a local bar, where we know the owners, who run (ran) a thriving pizza business. My husband would have the occasional treat, with me looking on like a lost puppy – believe me, I never begrudge him his gluten! But, we had a friend stay, who wanted to take us to dinner, ah ha, off we go to the bar…. The menu wasn’t all that inspiring, but who cares, just give me meat and chips and salad, but make sure there is no flour in anything, anywhere near my meal… oh dear, now I’ve gone and done it, I ASKED, (at this point let me say this is not a language issue), I had gone ‘Off Piste’, but with a good bit of humor, eventually I was served some kind of meat and chips…. I have come to realize that most ‘chefs’ in kitchens are not trained/qualified, and fear us allergists. The allergy card is an excellent idea. The Coeliac Society has some that you can print off and laminate. I don’t have a problem with apologizing for wanting something different, and on the whole have discovered that most restaurant staff listen, and want to learn, after all their tips depend on it. Perhaps there is a difference between the American service culture and the British ‘non’ service culture. But wait, now if we go out we have to ask for a Gluten free, salt free, diabetic friendly menu… oh happy times here we come! Blooming good job I cook….

    • Caroline… Lovely to hear from you. It is all a learning curve for us and the restaurants. Some seem to want to learn and show kindness more than others. Might start leaving a feedback questionnaire in future.. Not sure they would like that! Annoying and sad thing is that us cooking experts (aherm) know it’s not rocket science. It’s simple. Anyway onwards and upwards. One day I will open my very own a
      Allergy free restaurant, mainly so I can eat there because of course it is all about me! #joking!

  5. I very much feel for you Ruth. Even though my position is non life threatening I have suffered bad reactions from places and even gone back knowing that would happen again just so I wasn’t left out of things. You have every right to be angry. People treat us all differently and most people I meet honestly think I’m just being fussy. I wouldn’t wish this on anyone but sometimes……
    Send the links.

    • Thank you Mindie. The hardest part is not being able to just blend in, be normal. I always feel like a right pain in the backside. And the most annoying thing, when you are paying £18 for a nice steak is to be able to request how you want it… Ie cooked safely minus grill contamination. Is that so very much to ask?

  6. Another Ruth says:

    We all know what you mean. I have to go to some meals as part of work and last month actually went home hungry after a three course meal, everyone else was stuffed. I have a dairy allergy and was served fruit for a starter and fruit for desert, fish with no sauce and no form of carbohydrates in my main. It was a celebration meal, I was sitting beside the host and the hotel had been pre warned. Soooo depressed.

    • Well hello other Ruth – perhaps We shd take in our own flask of safe soup to start, our own bread, make them see it’s a poor show. Have you ever paid less after a dismal boring safe meal? Nope. We always pay the same and thank them for feeding us but it can be v disappointing. Not sure what the answer is. Staying in tonight with fish pie (cooked by me). I do like fruit and don’t mind having s fruit starter and no bread but it would be nice to be bowled over with something special once in a while. On the plus side, lovely pork chops with new potatoes and three veg at Pendley Manor in Tring today for a work thing. Pleasantly surprised! And so much food I couldn’t fit in a pudding.

  7. May Smart says:

    People like Elizabeth Carter and Martha Stewart makes me so angry for their sheer ignorance and I find their attitude totally discriminatory. They wouldn’t have the same attitude if they had any understanding of what they talk about. I totally agree with you Ruth, if it was another (visible) disability, they wouldn’t say the same, would they? That would be against the law of course! Food allergies are a silent disability and should be catered for and should not make chefs feel restricted. People need to be educated about food allergies; it needs to be a recognised disability that is well catered for and accepted.
    It is accepted for a blind person to walk into a pub or restaurant with their guide dog, although that does not make me happy, dogs make me sneeze, but people with food allergies are treated like aliens in these same places!
    Ruth, I relate to your article and have experienced your frustration hundreds of times that it made me think if only I can afford to open my very own allergy friendly restaurant and serve real good food.
    My daughter suffers from nut anaphylaxis and multiple food allergies. The list of restrictions now is a lot less shorter than what it was when she was little, which makes it a lot easier to cater for. In addition to the life threatening allergy to all kinds of nuts she needs to avoid wheat, dairy, eggs, soya, sesame, almonds and coconut. That’s not bad is it? You can have decently cooked and pleasantly presented safe meals excluding those nasty allergens, can you? Well, all you with food allergies know the reality and the facts of how daunting it is to enjoy a day out let alone think about eating out, it is a nightmare.
    We had so many nasty experiences in the past, if I want to mention them all, I could end up writing a book, and I might be repeating some of the horror stories mentioned in your blog and related posts. But it is also fair to mention here some of the positive experiences as well.
    Having an allergic child is difficult because as a parent you have to be careful to make them feel included amongst their siblings and friends. It is also helpful to be creative, especially during the early years of primary school friendship. Kids get invited to friends for tea and to birthday parties. I used to sneak ‘safe food’ to the friend’s mum with a list of instructions and a laminated card that I pre-prepared with my daughters list of allergies on one side and an ‘In Case of a Reaction’ list on the other. As for birthdays, a lot of these parties were at places where food is served ‘McDonalds Happy Meal’ style, after a session of exhausting play. I used to pre-prepare a safe, but similar, meal for my daughter and take it with me, of course tagging myself along with the party as an adult volunteer. When the food arrives, I would secretly talk to the staff and place the safe meal in the ‘Happy Meal’ box instead of what they had to offer. I did the same for Pizza parties and parties at friends’ houses, it always worked.
    Gradually, things got more difficult as my daughter was growing and they are extremely difficult now. You see, although the allergy list is shorter, but the girl is a teenager now and going out with friends, not with an “overprotective mum” as she calls me, she wants to fit in, she wants to join in the fun and she wants to be accepted. That is a horror story in itself, it is almost impossible for a teenager to find a safe snack, let alone a meal.
    Although it wasn’t plain sailing but as a family, I never let our daughter’s disability, yes disability, stops us from enjoying going out, but everything needs preparation in advance, you can’t afford to be spontaneous. If we are going for a day trip, we prepack ‘safe’ sandwiches and snacks. If we are going out for a meal, I phone first, sometimes a day in advance, explain allergies, dangers of cross contamination, restrictions, etc. and find out if they are willing to accommodate before booking. Once we arrive, I talk to the chef as well as to the serving staff. I usually find it works this way better than just going unprepared, because as Ruth said, they panic. With the restaurant pre-warned, staff and chef talked to, we do usually have a decent meal in a restaurant, feeling normal and surrounded by unsuspected eaters. We did, on a number of occasions, experience some form of a reaction or another, the pain, the discomfort, the sleepless night with sickness, etc. We did, many times, swore never to eat out again. We never knew what caused the reaction, was it the food itself, some unsuspected ingredients, cross contamination from work surfaces, airborne, contaminated utensils, even when chef said he washed the pan himself!

    • Hello May, thanks so much for your comment and I can only imagine what you’re going through. My teenage years were tough and I did make mistakes but hopefully she has a supportive peer group who she can explain her allergies to and who will look out for her. And of course, the obvious solution is NEVER to eat out again, but that would mean withdrawing from your social group and missing out on so much. I always try to arrange things that don’t involve food but I am learning now how to be more confident at explaining my allergies, how to choose somewhere that’s more likely to be able to cater for me and how to make sure I remain safe. Like you say, it’s all in the planning. Phoning early, going in and speaking to the chef and staff if you can and remaining vigilant. It is worth it just to feel ‘a bit’ normal and join in with your friends. And ultimately it’s all in the training which needs to begin when chefs are trained, right at the start. I still get ‘allergied’ sometimes and you NEVER really know how it actually happened because there is no way of knowing unless someone owns up to what went wrong which has only ever happened once in my life with allergies. Thanks again for your lovely, long heart felt comment. It really helps to know you guys are all out there, reading this stuff.

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