Amnio results indicated the baby has CF

anonymous

New member
Good Morning All,

I have been lurking on this site since we found out our first baby will be born with CF. We are attempting to educate ourselves as much as possible to be prepared for the worst but hoping and praying for the best. We are meeting with the neonatologist later today and have our list of questions for him as my wife is about to enter her 3rd trimester.

Are there any specific questions that we should be asking? I am sure we are missing plenty.

Another question. Do you have/recommend an air purification system? We already have the Trion Air Bear whole house filtration system on both of the air handlers. I was also looking into UV sytems for the house for preventative measures to kill viruses, bacteria, etc...

Thanks for your time and input.
 

anonymous

New member
Good Morning All,

I have been lurking on this site since we found out our first baby will be born with CF. We are attempting to educate ourselves as much as possible to be prepared for the worst but hoping and praying for the best. We are meeting with the neonatologist later today and have our list of questions for him as my wife is about to enter her 3rd trimester.

Are there any specific questions that we should be asking? I am sure we are missing plenty.

Another question. Do you have/recommend an air purification system? We already have the Trion Air Bear whole house filtration system on both of the air handlers. I was also looking into UV sytems for the house for preventative measures to kill viruses, bacteria, etc...

Thanks for your time and input.
 

anonymous

New member
Good morning,
Is this your first child? Although it's difficult to know that your child is going to be born with CF, I applaud you and your wife for all of the genuine interest and concern you have. It is a blessing to know early about CF, some people go undiagnosed for months, years, and some even decades. The earlier treatment is performed, the better the outcome and health.
As far as the purification systems go, that seems to be a topic brought up a lot on this website and although we have never used one (my husband is 24 w/CF, no children yet but we are working on it <img src="i/expressions/face-icon-small-smile.gif" border="0"> ) I will share some of the ideas others have posted.
Sometimes an air purification/filtration system can do more harm than good, or not make a difference at all really-except for peace of mind. They have a tendancie to harbor the bacteria that they collect, even when you change the filter and all other parts regularly. Second, you cannot protect and isolate your child forever. Someday he/she will have to go to school, move out, get married... If you keep her protected and isolated from bacteria, viruses...in your home, what happens when she goes to daycare or school for the first time. That is going to be one sick child. Whereas someone who has exposed their CF child to other children, family and friends, social outings and the child has had some colds, there is going to be less of a shock to their body when they finally have "school like" interactions on a daily basis.
Just on a personal story note, My husband's father left when the money got too tight after he was diagnosed with CF at 18 months. That left his mom (who had been a homemaker since the first son was born 2 years before my husband) single, no job and with two young boys, and one with CF. He was immediately put into daycare so his mom could work, and for the first few months he was sick-moreso than he had been in the past. But about 6 months into regular daycare visits, he was back to his normal "health". When he finally did start Kindergarden, his mom expected he might be sick at first like he was in preeschool. But he wasn't, and doctors attribute his "early exposure" to other kids and bacteria-to that. Back in the 80's there weren't many things avilable to CFers, and even those things that were avilable, my husband definetly wasn't going to benefit from them-they didnt' even have insurance for him. They did chest PT on him manually, some pharmacutical companies donated medications (digestive enzymes, CIPRO when he had bacteria grow in his lungs, a Flutter Valve to help clear his airway...) but they did without a LOT. His main focus when he was young (relating to his CF) was to get a LOT of exercise, eat properly and take his enzymes. Now that he is older, he takes VERY good care of his body, he eats 5500-6500 calories a day (you can imagine our food bill <img src="i/expressions/face-icon-small-smile.gif" border="0"> ), gets twice the amount of recommended protein, lifts weights but avoids cardio as he finds that causes him to loose weight, and has me who helps him stay on top of his medicaions (and he only uses 1 regularly, 3-4 when he is sick).
Moral: While you can do all you are able to now to protect your kids, sometimes over-protection can cause more harm that good.

This is just our experience, everybodys CF story varies. I would be interested to hear some of the questions you have for the neonatologist, maybe there is somehting they can't answer for you that a CFer, or their family member can. I would definelty recommend that you visit this site whenever you have unanswered questions, concerns...It's really been helpful to me.

Hope all goes well at the visit today, and keep us posted on the progress of your wife and unborn baby.

Julie
 

anonymous

New member
Good morning,
Is this your first child? Although it's difficult to know that your child is going to be born with CF, I applaud you and your wife for all of the genuine interest and concern you have. It is a blessing to know early about CF, some people go undiagnosed for months, years, and some even decades. The earlier treatment is performed, the better the outcome and health.
As far as the purification systems go, that seems to be a topic brought up a lot on this website and although we have never used one (my husband is 24 w/CF, no children yet but we are working on it <img src="i/expressions/face-icon-small-smile.gif" border="0"> ) I will share some of the ideas others have posted.
Sometimes an air purification/filtration system can do more harm than good, or not make a difference at all really-except for peace of mind. They have a tendancie to harbor the bacteria that they collect, even when you change the filter and all other parts regularly. Second, you cannot protect and isolate your child forever. Someday he/she will have to go to school, move out, get married... If you keep her protected and isolated from bacteria, viruses...in your home, what happens when she goes to daycare or school for the first time. That is going to be one sick child. Whereas someone who has exposed their CF child to other children, family and friends, social outings and the child has had some colds, there is going to be less of a shock to their body when they finally have "school like" interactions on a daily basis.
Just on a personal story note, My husband's father left when the money got too tight after he was diagnosed with CF at 18 months. That left his mom (who had been a homemaker since the first son was born 2 years before my husband) single, no job and with two young boys, and one with CF. He was immediately put into daycare so his mom could work, and for the first few months he was sick-moreso than he had been in the past. But about 6 months into regular daycare visits, he was back to his normal "health". When he finally did start Kindergarden, his mom expected he might be sick at first like he was in preeschool. But he wasn't, and doctors attribute his "early exposure" to other kids and bacteria-to that. Back in the 80's there weren't many things avilable to CFers, and even those things that were avilable, my husband definetly wasn't going to benefit from them-they didnt' even have insurance for him. They did chest PT on him manually, some pharmacutical companies donated medications (digestive enzymes, CIPRO when he had bacteria grow in his lungs, a Flutter Valve to help clear his airway...) but they did without a LOT. His main focus when he was young (relating to his CF) was to get a LOT of exercise, eat properly and take his enzymes. Now that he is older, he takes VERY good care of his body, he eats 5500-6500 calories a day (you can imagine our food bill <img src="i/expressions/face-icon-small-smile.gif" border="0"> ), gets twice the amount of recommended protein, lifts weights but avoids cardio as he finds that causes him to loose weight, and has me who helps him stay on top of his medicaions (and he only uses 1 regularly, 3-4 when he is sick).
Moral: While you can do all you are able to now to protect your kids, sometimes over-protection can cause more harm that good.

This is just our experience, everybodys CF story varies. I would be interested to hear some of the questions you have for the neonatologist, maybe there is somehting they can't answer for you that a CFer, or their family member can. I would definelty recommend that you visit this site whenever you have unanswered questions, concerns...It's really been helpful to me.

Hope all goes well at the visit today, and keep us posted on the progress of your wife and unborn baby.

Julie
 

anonymous

New member
Julie,

Thanks so much for your reply and for sharing your husband's story. This will be the first instance of CF on either side of our family so we have no prior experience. Yes, this is our first child and the positive side is that caring for a child with CF is all we will know. We are also confident that best care and quality of life will be better due to the early diagnosis. We now have a "team" of doctors instead of one. We have the obstetrician, perinatologist, neonatologist, and pediatrician so far.

The questions we have for the neonatologist are more procedural and ability to diagnose severity pre and post birth. Questions he may or may not be able to answer until birth. As of 10/19 no physical symptoms were observable with the detailed ultrasound.

I also wanted to ask questions in regard to clinical trials, ability to participate, recommended ages, etc...

Allan
 

anonymous

New member
Julie,

Thanks so much for your reply and for sharing your husband's story. This will be the first instance of CF on either side of our family so we have no prior experience. Yes, this is our first child and the positive side is that caring for a child with CF is all we will know. We are also confident that best care and quality of life will be better due to the early diagnosis. We now have a "team" of doctors instead of one. We have the obstetrician, perinatologist, neonatologist, and pediatrician so far.

The questions we have for the neonatologist are more procedural and ability to diagnose severity pre and post birth. Questions he may or may not be able to answer until birth. As of 10/19 no physical symptoms were observable with the detailed ultrasound.

I also wanted to ask questions in regard to clinical trials, ability to participate, recommended ages, etc...

Allan
 

NoDayButToday

New member
Allan,

Congratulations! As far as I know, severity cannot be determined prenatally, or even once the baby is born (do you know if its a little boy or girl?). You sort of just find out as you go along.
As you may or may not know, 10% of CF babies (including myself) are born with meconium ileus (an intestinal blockage). Whether or not your baby is born with this is NOT indicative of severity either. In my case, it was spotted on a sonogram and was reversed by surgery at birth, but other cases don't require surgery.
Clinical trials- I don't know of any happening at the moment, though I've heard of a few things in the pipeline. Usually you would hear about them through your clinic. I participated in the TOBI (inhaled antibiotic) study when I was about 6 or 7 years old. They definitely allow children to participate, I'm not sure about babies-- most of the time I think it's 18 months old.
We have a Blue Air air purifier, mostly because of my mold/dustmite etc. allergies. I haven't heard of a UV system, but before you put the money into installing one, maybe that's a question to ask the doctors. Good luck and again CONGRATULATIONS!<img src="i/expressions/face-icon-small-smile.gif" border="0">
 

NoDayButToday

New member
Allan,

Congratulations! As far as I know, severity cannot be determined prenatally, or even once the baby is born (do you know if its a little boy or girl?). You sort of just find out as you go along.
As you may or may not know, 10% of CF babies (including myself) are born with meconium ileus (an intestinal blockage). Whether or not your baby is born with this is NOT indicative of severity either. In my case, it was spotted on a sonogram and was reversed by surgery at birth, but other cases don't require surgery.
Clinical trials- I don't know of any happening at the moment, though I've heard of a few things in the pipeline. Usually you would hear about them through your clinic. I participated in the TOBI (inhaled antibiotic) study when I was about 6 or 7 years old. They definitely allow children to participate, I'm not sure about babies-- most of the time I think it's 18 months old.
We have a Blue Air air purifier, mostly because of my mold/dustmite etc. allergies. I haven't heard of a UV system, but before you put the money into installing one, maybe that's a question to ask the doctors. Good luck and again CONGRATULATIONS!<img src="i/expressions/face-icon-small-smile.gif" border="0">
 

Emily65Roses

New member
I also had meconium ileus which was taken care of when I was two days old with surgery. But yes, it's only there in 10% of us. I second what Coll said about finding out about severity. You just kind of figure it out as you go along.

On the air purifier... I've never had one. It may help some people, but I never thought enough of it to get one. However, I would much suggest looking into central air conditioning if you don't have already have it. When I was younger my doctor suggested the idea to my parents, and they scrounged up the money and put in central AC. It made a huge difference. On days so hot I feel like I can't breathe outside and I'm going to pass out, I can go inside the house and feel fine, whereas if we just had fans or what have you, it wouldn't be as relieving. Not to mention it's just a nice luxury to have. Heh. So I would definitely suggest the central AC, and as far as the air purifiers go, that would be a judgement call for you and your doctors.
 

Emily65Roses

New member
I also had meconium ileus which was taken care of when I was two days old with surgery. But yes, it's only there in 10% of us. I second what Coll said about finding out about severity. You just kind of figure it out as you go along.

On the air purifier... I've never had one. It may help some people, but I never thought enough of it to get one. However, I would much suggest looking into central air conditioning if you don't have already have it. When I was younger my doctor suggested the idea to my parents, and they scrounged up the money and put in central AC. It made a huge difference. On days so hot I feel like I can't breathe outside and I'm going to pass out, I can go inside the house and feel fine, whereas if we just had fans or what have you, it wouldn't be as relieving. Not to mention it's just a nice luxury to have. Heh. So I would definitely suggest the central AC, and as far as the air purifiers go, that would be a judgement call for you and your doctors.
 

anonymous

New member
Allan,

First of all congratulations on your first baby. While I know it has to be completely overwhelming to find something like this out you must try to enjoy your new one. I thought you mentioned something about physical defects in your comments. Cfers have no physical defects except maybe some clubbing in the fingers and toes and possibly being barrel chested but this comes later in life not in a new born. Hopefully you will not even be able to tell your child has anything in the beginning. Like the others said people go years without finding out they have this and you will be one step ahead of the game as far as meds and treatments go.

I would not think the neonat would be able to answer specific questions for you. Have you established a pulmonologist(cf doc) yet? This is where you will get all your info from. Where are you from?

As far as the air purifiers go I have always had a couple for my daughter who is 8 and I cant say they have made a difference she has still gotten sick here and there. I agree with Emily that central air is a must. The heat can be very hard on someone with CF.

The main thing I would do is be extra careful with people being around the baby. Make sure they are not sick. Catching a cold could possibly cause a few problems. Sometimes it is harder to get over a cold for cfers because the mucus is so thick.

I hope this helped. My daughter was diag at 6 months old. While it is hard it will become second nature to you very quickly. These cf kids are absolutely amazing so be prepared for a wonderful miracle and again dont let the cf diagnosis rule your life. Enjoy the baby<img src="i/expressions/heart.gif" border="0">


Good luck and let me know how it goes.

Teri<img src="i/expressions/face-icon-small-smile.gif" border="0">
 

anonymous

New member
Allan,

First of all congratulations on your first baby. While I know it has to be completely overwhelming to find something like this out you must try to enjoy your new one. I thought you mentioned something about physical defects in your comments. Cfers have no physical defects except maybe some clubbing in the fingers and toes and possibly being barrel chested but this comes later in life not in a new born. Hopefully you will not even be able to tell your child has anything in the beginning. Like the others said people go years without finding out they have this and you will be one step ahead of the game as far as meds and treatments go.

I would not think the neonat would be able to answer specific questions for you. Have you established a pulmonologist(cf doc) yet? This is where you will get all your info from. Where are you from?

As far as the air purifiers go I have always had a couple for my daughter who is 8 and I cant say they have made a difference she has still gotten sick here and there. I agree with Emily that central air is a must. The heat can be very hard on someone with CF.

The main thing I would do is be extra careful with people being around the baby. Make sure they are not sick. Catching a cold could possibly cause a few problems. Sometimes it is harder to get over a cold for cfers because the mucus is so thick.

I hope this helped. My daughter was diag at 6 months old. While it is hard it will become second nature to you very quickly. These cf kids are absolutely amazing so be prepared for a wonderful miracle and again dont let the cf diagnosis rule your life. Enjoy the baby<img src="i/expressions/heart.gif" border="0">


Good luck and let me know how it goes.

Teri<img src="i/expressions/face-icon-small-smile.gif" border="0">
 

anonymous

New member
Allan,
to address the severity question, I would have to second what everyone else has said. It's kind of a play it by ear thing. As your child grows they will have test which determine the percentage of what their lungs are functioning, but other than that, there aren't tests early on that I am aware of. and Cf can affect many different things, of course the lungs, pancreas (digestive system), reproduction (99.5% of males are infertile, and females have a hard time concieving because of thick mucous) and the entire immune system, kidney problems, Cystic Fibrosis Related Diabetes (CFRD)...
I dont know why I feel the need to tell you this, to pass to your wife, but my husband was diagnosed shortly after his mom stopped breastfeeding him, because he started getting colicy, loosing weight, having loose greasy stools. His mom says now, looking back that she might have not breastfed him perse for much longer, but had she known she would have pumped her breast milk and put it in his cereal and things like that. I have heard a lot on this site from parents who say their doctors recommend against breastfeeding a CF infant. the truth is that some babies don't tolerate breast milk wether or not they have CF, but those babies that do tolerate it benefit greatly from the immuinities and antibodies passed along. I would recommend that you not let a doctor talk you or your wife out of breastfeeding (unless of course you already decided not to for other personal reasons) the baby just because of CF.
There are many clinical trials that are constantaly ongoing for CF research, medications, gene thereapy...I don't know about the age qualifications, I would have to assume that it differs with every study and scenario, but I have heard of babies participating. There is a government website that you can go to, to look up trials in you state/area. I will try to find that website and post the link later tonight. But ultimately you are going to find out study/trial information from your CF center-you do have one right?
As one poster said, you are definetly going to want a pulmonologist, as CF is a disease mainly affecting the lungs.

Hope your visit today went well and keep us all posted, and if you have any further questions that the docs couldn't answer, feel free to post them here. You never know if someone has had a first hand experience.
Also, there is a website out there that is fantastic for CF resources and information, it is http://www3.nbnet.nb.ca/normap/CF.htm
(you have to type it in your search engine because you can't click on it on this forum for some reason) You might find this helpful!

Best of luck,

Julie
 

anonymous

New member
Allan,
to address the severity question, I would have to second what everyone else has said. It's kind of a play it by ear thing. As your child grows they will have test which determine the percentage of what their lungs are functioning, but other than that, there aren't tests early on that I am aware of. and Cf can affect many different things, of course the lungs, pancreas (digestive system), reproduction (99.5% of males are infertile, and females have a hard time concieving because of thick mucous) and the entire immune system, kidney problems, Cystic Fibrosis Related Diabetes (CFRD)...
I dont know why I feel the need to tell you this, to pass to your wife, but my husband was diagnosed shortly after his mom stopped breastfeeding him, because he started getting colicy, loosing weight, having loose greasy stools. His mom says now, looking back that she might have not breastfed him perse for much longer, but had she known she would have pumped her breast milk and put it in his cereal and things like that. I have heard a lot on this site from parents who say their doctors recommend against breastfeeding a CF infant. the truth is that some babies don't tolerate breast milk wether or not they have CF, but those babies that do tolerate it benefit greatly from the immuinities and antibodies passed along. I would recommend that you not let a doctor talk you or your wife out of breastfeeding (unless of course you already decided not to for other personal reasons) the baby just because of CF.
There are many clinical trials that are constantaly ongoing for CF research, medications, gene thereapy...I don't know about the age qualifications, I would have to assume that it differs with every study and scenario, but I have heard of babies participating. There is a government website that you can go to, to look up trials in you state/area. I will try to find that website and post the link later tonight. But ultimately you are going to find out study/trial information from your CF center-you do have one right?
As one poster said, you are definetly going to want a pulmonologist, as CF is a disease mainly affecting the lungs.

Hope your visit today went well and keep us all posted, and if you have any further questions that the docs couldn't answer, feel free to post them here. You never know if someone has had a first hand experience.
Also, there is a website out there that is fantastic for CF resources and information, it is http://www3.nbnet.nb.ca/normap/CF.htm
(you have to type it in your search engine because you can't click on it on this forum for some reason) You might find this helpful!

Best of luck,

Julie
 

anonymous

New member
Thank you all for taking the time to give such thorough replies and for the congratulatory sentiments. It almost sounds silly that we have not found out the sex of the baby but we already know of the CF. The physical signs I was referring to in the detailed ultrasound are the presence of bright spots in the bladder. As I understand it, it is common to see these spots signifying digestive complications on the detailed ultrasound with CF babies. It did not show up on ours, the DNA testing from the amnio confirmed CF.

We did learn about the possiblity of the meconium ileus and what would be required. The baby will be given enzymes from the start. The neonatologist did recommend nursing and that is our preferred route provided it works out for mom and the baby. We are in Atlanta so we have the benefit of selecting between 2 CF centers (Scottish Rite and Emory). We meet with the potential pediatrician this afternoon and will solicit recommendations for the CF doctors. We then plan on meeting those doctors and getting more familiar with the center while asking more specific questions.

Unraveling the insurance protocols is also proving to be a challenge. I guess there are so many scenarios and this one does not fall within the "norm" so any advice in that area is appreciated also.

Many thanks,
Allan
 

anonymous

New member
Thank you all for taking the time to give such thorough replies and for the congratulatory sentiments. It almost sounds silly that we have not found out the sex of the baby but we already know of the CF. The physical signs I was referring to in the detailed ultrasound are the presence of bright spots in the bladder. As I understand it, it is common to see these spots signifying digestive complications on the detailed ultrasound with CF babies. It did not show up on ours, the DNA testing from the amnio confirmed CF.

We did learn about the possiblity of the meconium ileus and what would be required. The baby will be given enzymes from the start. The neonatologist did recommend nursing and that is our preferred route provided it works out for mom and the baby. We are in Atlanta so we have the benefit of selecting between 2 CF centers (Scottish Rite and Emory). We meet with the potential pediatrician this afternoon and will solicit recommendations for the CF doctors. We then plan on meeting those doctors and getting more familiar with the center while asking more specific questions.

Unraveling the insurance protocols is also proving to be a challenge. I guess there are so many scenarios and this one does not fall within the "norm" so any advice in that area is appreciated also.

Many thanks,
Allan
 

Emily65Roses

New member
Keep coming back to let us know how the pregnancy goes, and then how your baby is. I don't know about everyone else (though I imagine others are curious too), but I'd love to hear about the child does once he/she is born. <img src="i/expressions/rose.gif" border="0">
 

Emily65Roses

New member
Keep coming back to let us know how the pregnancy goes, and then how your baby is. I don't know about everyone else (though I imagine others are curious too), but I'd love to hear about the child does once he/she is born. <img src="i/expressions/rose.gif" border="0">
 

NoDayButToday

New member
Definitely keep the updates coming! <img src="i/expressions/face-icon-small-smile.gif" border="0"> It does seem a bit funny that you don't know the gender, but do know of the CF- it was sort of similar for my family- after they spotted the meconium ileus, my mom got more frequent sonograms, and every week had to say "No I don't want to know the gender"
It is nice that in a city, you have several CF centers- sometimes you (or your child, as they get older) don't especially 'click' with a doctor, so the options are always good to have. Insurance- I think many CF families find insurance to be a necessary, frustrating evil. You'll soon learn how to work them efficiently and to get what you need. Again, keep us posted <img src="i/expressions/face-icon-small-smile.gif" border="0">
 

NoDayButToday

New member
Definitely keep the updates coming! <img src="i/expressions/face-icon-small-smile.gif" border="0"> It does seem a bit funny that you don't know the gender, but do know of the CF- it was sort of similar for my family- after they spotted the meconium ileus, my mom got more frequent sonograms, and every week had to say "No I don't want to know the gender"
It is nice that in a city, you have several CF centers- sometimes you (or your child, as they get older) don't especially 'click' with a doctor, so the options are always good to have. Insurance- I think many CF families find insurance to be a necessary, frustrating evil. You'll soon learn how to work them efficiently and to get what you need. Again, keep us posted <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
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