ADVICE NEEDED

anonymous

New member
MY SON WHO IS 10 YEARS OLD HAS HAD 3 SWEAT TESTS DONE 1 WAS BODERLINE THE OTHER 2 WERE
60. THE DOCTORS REALLY HAVE NOT EXPLAINED MUCH TO ME. THEY DID GENE TESTING AND SAID
THOSE TESTS CAME BACK FINE, AND THEY SEEM TO THINK HE DOESNT HAVE CF. HE'S HAD A LOT OF EAR INFECTIONS AND SINUS INFECTIONS. HE HAD PNUEMONIA 3 TIMES LAST YEAR BUT NEVER BEFORE THEN.
WHEN HE WAS AROUND 3 HE HAD A LOT OF HIGH FEVERS AND WOULD THROW UP A LOT. HE HAD HIS TONSILS TAKEN OUT AT 7. I WISH I KNEW MORE ABOUT THE TESTS. I AM AFRAID THEY ARE JUST TELLING
ME THAT THEY DONT THINK HE HAS IT JUST TO KEEP ME FROM WORRYING UNTIL THEY DO KNOW FOR SURE. ANYONE WITH CF OUT THERE WHAT DO YOU THINK ? DOES HE HAVE CF ? THANKS FOR ANY AND ALL INPUT.



DONNA
 

anonymous

New member
hi,donna i have two kids with cf and i was told that 60 was definetly a positive for cf i would get a second opinion
my kids have pneumonia alot and they have had ear problems and sinus problems and we just found out that my 6 and 10 year old have cf this year in febuary so i would really check with another doctor the sooner treatments began the better my e-mail address is guessford1@aol.com feel free to contact me or istant message me.
kristen guessford
 

anonymous

New member
Kristen, Thank you so much for replying so quickly! What started all of the testing was, after both of my kids my 10 year old and my 4 year old had pnuemonia 3 times within 6 months, I decided to search on the internet all I could find about pnuemonia. I wanted to know if it was something I did or did not do !
well I kept reading that this could be an immune deficiency because of the ear infections with my 10year old. my kids doctor just wasnt listening to me. I took them both to an ent specialist that I had seen and really respect and like. He ran blood work and guess what both kids had some kind of immune situation going on they were low in a few subclasses. He sent me to St louis childrens hospital. I seen an immunologist who thought there numbers were not low enough to be concerned but she was determined to find out what was wrong. I think she immediatley thought cf because thats the first test she ordered. My 4year old they told me his sweat test was just fine but my 10 year olds was boderline positive. We took another test after that it was 60 or 61 I can't remember then this last one was 60. the doctor keeps saying that she doesn't think it is cf because his gene testing was fine. she told me she wanted to do some pulmanary testing next. Any way thanks for listening and I may take you up on your offer to e-mail you. Thank you it so nice to know there are nice caring people left in the world!!!


Donna
 

anonymous

New member
Are the doctors that are performing these test CF doctors at a CF Clinic? Because CF isn't seen every day or even every month by pediatricians, I don't know if they truly know how to read these tests.
If I were you I would ask for copies of the tests, I ask for print outs of my pulmonary tests, etc all the time. Anyway, ask for copies of the sweat tests & the gene testing & take them to an CF Clinic & let them interpret the results.
God Bless
 

logansmom

New member
How do you know if it is a cf clinic or not? It is a very good hospital in St louis Missouri. childrens Hospital we have to drive about 80 miles to get there. I will ask for copies of the test results!! Thank you very much for all of your help. Donna
 

anonymous

New member
Donna,
I think if you go the the home page of this forum (cysticfibrosis.com) that you should be able to find a listing of CF Clinics in your area. Let us know if this doesn't work for you & we will try to find the closest one to you.
 

anonymous

New member
Donna,

Sorry to hear about your frustration and confusion. It's really hard to not have any actual answers to your child's symptoms. My husband and I learned early on that, in general, most doctors are just not educated enough about cf. We literally visited FIVE pediatricians before one would take us seriously. Finally, it was a PA (physician's assistant....thank God for them) who suggested my son have a sweat test at our local children's hospital. He said that most hospitals, unless they are reputable children's hospitals, are not well equipped enough to provide accurate sweat tests. We made the commute to our city's children's hospital (the drive was well worth it) and the test came back positive. Unless you are working with an actual CF clinic, a pulmunologist, or a very cf educated pedicatrician, get a 2nd, 3rd, or 4th opinion. Be persistant! Hang in there - I'm sure you'll eventually get some answers. Keep us posted.

Carey
 

anonymous

New member
Donna,

Sorry to hear about your frustration and confusion. It's really hard to not have any actual answers to your child's symptoms. My husband and I learned early on that, in general, most doctors are just not educated enough about cf. We literally visited FIVE pediatricians before one would take us seriously. Finally, it was a PA (physician's assistant....thank God for them) who suggested my son have a sweat test at our local children's hospital. He said that most hospitals, unless they are reputable children's hospitals, are not well equipped enough to provide accurate sweat tests. We made the commute to our city's children's hospital (the drive was well worth it) and the test came back positive. Unless you are working with an actual CF clinic, a pulmunologist, or a very cf educated pedicatrician, get a 2nd, 3rd, or 4th opinion. Be persistant! Hang in there - I'm sure you'll eventually get some answers. Keep us posted.

Carey
 

anonymous

New member
Hi Donna,
I sympathize with what you are going through right now. My 3 yr old granddaughter has cf. When she was 6 to 7 months old she had 3 upper respriatory infection back to back and head conjestion. The doctors in our area ( a very small town) prescibed histex for her to dry up her infections. Also telling us to use saline to squirt up her nose to help retrieve any mucous with a bulb syringe. We tried this and was unsuccessful. There was just nothing coming out

She also had stridor (noisy breathing) which started when she was around 1 month old. That got to the point to where she made such terrible noises when breathing that my daughter and I took her to an ENT suggested by the family physician. He ran no test to see what was causing the noisy breathing and just contributed it to maybe her nasal passages were too small and she would probably outgrow it.

By the time she contracted her 3rd upper respiratory infection in a row at 7 months old, I decided to buy a bigger bulb syringe and try to extract some secretions from her nasal passages. As soon as I left the drug store she took a coughing spell in the vehicle and could not stop, she also starting crying and between the two she started having trouble breathing. Seeing that she was not being able to breathe
very well I rushed straight to the ER which was only about 2 minutes where I was, thank goodness.

The ER nurse also tried squirting saline up her nose to extract secretions,as soon as she did that my
granddaughter stopped breathing. She called for code to the ER and I was just hysterical,because I
saw her stop breathing right before my eyes,she was already turning blue. They worked on her for a short period and the ER doctor came out and told me she was a very sick child and had to be intubated and were going to lifeflight her to Vanderbilt Children's Hospital in Nashville.

After a few days in the pediatric intensive care they decided she needed to stay intubated,and a pediatric surgeon (ENT) was going to perform a tracheostomy on her because they tried to extubate her at one point and she was having trouble breathing on her own. With further testing for that reason they discovered she had a condition called trachelmalacia, which is a collapsing wind pipe and that was why she had the noisy breathing.

After the tracheostomy and still being in Picu she was not improving at all. We started doing research on our own and a friend of mine said she found some imformation about cf,which my granddaughter had all the symptoms of.We mentioned this to the attending nurse in the picu and she said it couldn't be cf because with cf you have tremdous amounts of secretions which she wasn't having. After exausting all other efforts and test to determine why she was not improving they finally decided to test her for cf.They tried the sweat test there at the hospital, twice, but each time she did not produce enough sweat to get a sufficient result. They finally decided to draw blood and send it to a research place in Hackensack,New Jersey where they do more intensive testing there. After waiting about 3 weeks we got the news that she did in fact have cf. 'She spent a total of 4 and half months in the hospital. Once they found out that she had cf they knew what to do and she started improving.

The reason she was having so many upper respiratory infections was because she had cf and we did not know, and he histex they were prescribing for her were drying up her secretions or should I say making them thicker and that is why we couldn't retrieve any from her nasal passages and she couldn't cough any up. Because with cf you dont have a tremendous amount of secretions, it makes your secretions really thick and it sticks to the walls of your lungs and without the proper medications for cf to loosen the secretions there is no way they can cough them up on their own.

If only they had listened to us when we told them we thought it could be cf she could have gotten better much sooner than she did. We came very close to losing her.

So I hope this will help you in some way even if the only way is knowing that there are many people out there with this disease, and that upper respiratory infections frequently can be one symptom ,not being able to cough up secretions because they are so thick, and many doctors misdiagnose this disease as being asthma. If in doubt dont give up, they have a really great cf clinic at Vanderbilt Children's Hospital where she was sent to.If you ever have any more questions or just want to talk by email, just drop me a line and I will try to help even if it is only listening if you need to talk.I know sometimes I need that myself.My email is leeann9963@yahoo.com Feel free to email me anytime you like
 

anonymous

New member
We were told by our CF clinic that 40-60 was considered borderline and anything 60 or above was positive for CF. We were also told that there are three major labs where genetic testing can be done. One only tests for the 15 or 20 most frequently seen mutations, another lab only tests for the 80 most frequently seen. Only Ambry Genetics tests for over 1,000 mutations. Maybe you can find out where his tests were sent.

My daughter has DF508 (the most common mutation) and also a very rare second mutation. Our clinic sent her tests to Ambry because I am hispanic and they said that sometimes hispanics have rare mutations. If they had sent the tests to one of the other labs they would not have found the rare second mutation. Hope this helps, good luck.

Maria - mom to three daughters, the youngest, Samantha (18 mths.) w/CF
 

NoDayButToday

New member
I think as of now, her son has only had sweat tests done, which don't test for the CF gene- they just analyze your sweat. Although genetic testing would be a good idea, since the tests were in the high borderline area. Good luck
 

anonymous

New member
I would insist on going to an accredited CF clinic to have it done. I was tested as a newborn as protical and came out fine. Since they were doing it for all the babies and we had no family history my parents didnt think about it again. It took them 14 years of misdiagnosis (sinus problems and allergies) before CF was brought up again. I was retested at the age of 14 and it came out positive. I then had a genetic test done and I have two Delta F508...the most common type! Luckily, I was still very health and had very little lung damage dispite all the years of not taking care of my lungs at all, but I do think I would be healthier today if we had known all along. I just like to warn people because I dont believe you can rule anything out until your 100% sure.
 

logansmom

New member
Thanks everyone for being so helpful! I looked on the home page and it does not look like the childrens hospital that I take my son is a cf clinic. I will have to ask to make sure but I think my son has had some genetic testing and that is why the doctor thinks he does not actually have it. Although his sweat tests are in the 60's. I will find out what lab the tests were done at. You all are such wonderful advice givers!!! Now I am a little worried that my youngest had the sweat test and it was a negative, what if it was wrong? He had back to back pnuemonias last year also. I get so frustrated with the doctors now days they are in such a hurry and they act like they are never wrong they have seen it all and the parent is just a worry wart. I will let everyone know what is going on, thanks again.



Donna
 

anonymous

New member
Donna,
Did they test either of your children by swabbing the inside of their cheek with a long q-tip? That's how they confirmed my diagnosis for CF and also this test told me what my mutations are. It was painless if I remember right. It would just be another test to go w/ the sweat test that could provide you w/ definate answers.
 

Dea

New member
Hi Donna,
I just wanted to tell you that the Children's Hospital in St.Louis is an accredited CF clinic. It is one of the best actually. I grew up at Childrens...they have wonderful doctors. If you have any questions...there is a pediatrician there who specializes in CF...her name is Pam Shuler...she is a WONDERFUL doctor...the BEST. She was doctor for well over 10 yrs...I started with her at Childrens..she moved ..I followed her..then she went back to Childrens...by then I was too old so I am now at Barnes Jewish...in St. Louis as well. I'd be glad to give you her number..I still keep in contact with her. Let me know...
Dea
 

anonymous

New member
Dea,

Thanks for the info, I was hoping I would not have to change hospitals. The dodtors that my sons are seeing there at childrens do seem like they are very determined find out what's wrong. I really like them. My sons see Dr De La morena, shes very nice. I cant remember the other doctors names they have seen.
Donna
 

anonymous

New member
Donna,

Let Dea give you the number to Dr. Shuler. By the way, this is Dea's sister Kay. I do not have cf but since Dea and my brother do, I am planning on taking my daughter to Dr. Shuler to have her tested. I have met her and she is a wonderful doctor. Very professional and caring. I have never seen her just come in, examine and leave. She sticks around until all of your questions are answered even though she has other patients waiting. St. Louis Childrens is a great hospital. I am in Belleville, IL and I have had to take my oldest step daughter there to be tested for whooping cough a few years back. They got the results to me IMMEDIATELY. Unfortunately, she was diagnosed with it, but okay now. Sorry, got off track, send Dea an email for that number. I don't think you will regret it.

Kay 29 w/ocf
Dea(sis) w/cf/cfrd
Kyle(brother) w/cf
 

logansmom

New member
Kay or Dea,

Here is my e-mail addy if either of you could send me the # I will make an appt. as soon as possible!
Thanks again you all have been great! God Bless!



Donna
 

Dea

New member
Donna,
I sent you an email for Dr. Pam Schuler's number...I hope everything goes well! Good Luck..and keep us posted!
Dea
 
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