best friend of over a decade is declining...

xenadog

New member
Hi all. I guess this is the kind of place to talk to people about this. Even a month ago I would never have thought about looking for resources like this forum.

My very closest friend of the last decade, who I consider a sibling, has CF. She is 100% my family and I love her dearly. We met in 5th grade and I'm now a junior in college. Even though my college is two hours away we text pretty much every day. Every one at my university knows who she is.(L)

She, however, has stalled out at home and stopped doing her treatments. Throughout our friendship she has gone in the hospital about twice a year, once if it's a great year, for 2 week stretches. As kids we'd hang out and color or whatever. That was the extent of our acknowledgement of her illness. I have literally never researched CF and basically ignored the implications it has on my sister's lifespan for a decade. Any CF knowledge I have is pure osmosis.

A few weeks ago she went back in the hospital with PFTs of 20%, the lowest she has ever had in her life. Luckily the doctors were able to find something that raised them back up to 55 or so but she is not taking care of herself at all. She is lying to me and her family about everything. She looks sicker than I have ever seen. I've tried to talk to her, her family has, my mother (they're very close) has, and nothing going through. I'm the person she's most likely to listen to but still, nothing. She's self-destructing. I'm suddenly realizing that she could die, even soon. I've never even acknowledged that we weren't going to be crotchety old spinsters with 50 dogs together, which was the plan.

Has any else experienced the same thing? Is there a way to get through to her?

I have severe anxiety/panic disorder and I suddenly can't be around the most calming person in my life without becoming non-functional for the next 24 hours. She's 20 but she's acting about 15. She's not on a transplant list or anything. She's just acting like a cure is going to magically appear and I don't know if she has a death-wish now or what.

I just really love my sister.
 
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kenna2

Guest
If you are very close with her, I would recommend that she gets in to see a psychologist. Something either you could bring up to her parents or her or even suggest her doctor. I know I went though a phase where I did the exact same thing. That was because I was tired of everything that comes with CF and having to do treatments everyday. When I was in college, my routine was greatly disrupted due to class times and things. Also remind her that with new drugs coming out in the future, she has to be healthy enough to take them or they won't work and won't be recommended for her. Including a cure.
 
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welshwitch

Guest
Therapy 100%. She needs to accept her condition before she starts dealing with it. I've been there myself. Denial gets you nowhere.
 

jaimers

Super Moderator
The denial is probably something we all went through at one point or another. When I was her age I did my treatments maybe once a week? I was in college and thought I was really busy and couldn't be bothered to take care of myself. You are a good friend and she needs you (whether her actions show it or not) to keep fighting to be a part of her life. You can't force her to do her treatments but maybe if you and some of her family had a meeting together with her and introduced the idea of counseling she would be open to that. As Welshwitch said, she has to accept and deal with CF. easier said than done, but counseling can be really really helpful. CF is hard and even the new drugs don't help everyone so it's imperative that she keep doing her treatments and try and stay as healthy as possible. Even if she has mutations that are helped by kalydeco or orkambi, neither drug will reverse permanent damage.
You could tell her about this forum too. Sometimes it's nice to know you're not alone in the battle. She doesn't have to participate, or even join, to read the threads.
 

beautifulsoul

Super Moderator
Therapy CAN be helpful but not for everyone. I've tried talking with several different therapists and all they told me was what I had already heard from my family and close friends. A good therapist is very hard to find. They are out there but rare. I really love my CF social worker. She is not a therapist obviously but is willing to let me talk for an hour. I feel a lot better after only venting.

Unfortunately, there isn't much you can do for her. She will have to come to her senses. She's an adult and should know what she has to do. CF is a harsh reality. Like Jaimie said, easier said than done. No therapist is going to make her do treatments and take pills. Ask her if there is anything YOU can do to help her through this difficult time. Keep being there for her. She will be grateful you stuck around during the hardest of times like a true friend does. Hopefully she can pick herself up before the damage is done. Feel free to PM me. Thinking of your friend. Stay Strong! Much Love,
 

Aboveallislove

Super Moderator
Sweetie, I am so sorry for the pain you have watching someone you love dearly getting sicker and not caring for herself. A few thoughts: She could well be suffering from "normal" young-adult rebellion; she could well be acting out of anger and not coming to terms with CF; or she could well be suffering from severe depression. If the last, severe depression, nothing you or anything else say will help. And she needs professional help and hopefully you can help her reach out to her CF doctors for a referral.
Counseling might help in either of the first two cases, but it is very hard to find someone who is good...you can always suggest it though.
I would also suggest you read Lisa Greene's book on parenting childen with chronic illness. Obviously you aren't parenting her, but as you read this book it will give you ideas on how to discuss with her your concerns....I think it is our nature to "fix" things and tell people what to do,...but this is her problem. You can love and support her, but she needs to own it...but the way you discuss your concerns might reach her. For instance, there are examples of conversations I can see you having with her: "I love you dearly and if you chose not to do your treatments I will still love you, but I need to know is there anything I can say that might make you chose to take care of yourself because when I lose you, I want to know I did everything I could to help you?" The key is to ask questions that make HER think..."where do you see yourself in 5 years?" "Do you know what drugs are on the horizon and what they will and wont do?" You might want to read the book with your mom and her mom and use it as an opportunity to figure out how to approach her...again, though, if she is suffering from depression, all of the logic and right words won't matter--she'll need professional help.
Hugs and Prayers,
Love
 

Jennyvb17

New member
As others have said we've all been there. Pretty normal thing to go through at her age.
Its hard because everyone around you is planning for their future and ours is really uncertain. People being pushy made me more resistant to taking care of myself. She has to kind of figure this out on her own.

Im not sure about your comment "she's not on a transplant list or anything". Do you say that because you think she should be? You can't be evaluated for transplant until your lung function is below 30%. She has a ways to go before they will consider that for her.
 

xenadog

New member
@kenna

Thanks, that last point is a really good one :) I am very close to her, and a psychologist or some kind of therapy has been brought up. I've heavily suggested my own wonderful psychiatrist to her and I know her parents have tried to get her to see a therapist but she was unwilling on all fronts. She isn't in college, just living at home and working at a minimum wage job a few days a week but I guess her routine is still wildly different from high school. Thanks for the insight too.
 

mandaji11

New member
I felt sad to read your post. Sorry i can't help you because i hadn't any knowledge and experienced about it. I am really sorry,
 
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