Expecting Parents of Child with CF

CFmother

New member
Hi Emily and Dave,

I just want to point out that CF can be very different from person to person. Our son was diagnosed 3 months old, because he did not gain weight or length. Today he is 15 months old, and he has so far have no lung problems at all. He only has problems from the stomache. This means for us that we do not have to do a lot of excersices with him. We only "keep him going" (which is quite simple with a 15 months old boy<img src="i/expressions/face-icon-small-happy.gif" border="0">).

Best regards,

Swedish mother with CF son 15 months old
 

izemmom

New member
Hi Emily

My daughter (also an Emily<img src="i/expressions/face-icon-small-happy.gif" border="0">) was dx with CF at birth. She is 6 months old. She joined a three year old sister. I am a teacher. You and I have a few things in common, so I'm breaking my promise to myself to not post tonight just for you!

Emily is not in daycare yet. We felt it best to give her a good start at home. We are very fortunate to be able to care for her at home ourselves (Me 2 days, hubby 1 day, MIL 1 day, college age niece 1 day). My school is letting me work part time for now. Our doctors encouraged us to wait with daycare until she was at least 6 months. With summer right around the corner, we are lucky to be able to wait until fall. They encouraged us to keep our older daughter out of daycare, but we saind NO WAY!!! We are just very careful that big sis washes hands carefully, and sanitizes before playing with the baby. She has been great about it.

Emily is just getting over her first cold. Not bad for 6 months. She didn't seem to get the stuff we all had all winter. The breast feeding antibodies may have helped, although I was only able to breast feed for 3 months - I was ill and my supply dried up. She did culture psuedomonas right away (Don't panic when you read about what psuedo. is...its not really THAT bad, it just sounds like it!).

As for preparing your older daughter, I agree with the poster who said its just like preparng her under normal circumstances. Emily is the only little sister my older girl has. As far as she knows, every baby needs cpt and enzymes. We talk to her about how Emily needs medicines to help keep her well, but we keep it very simple. She knows that Emily has something that makes her body work differently tha ours, but, at three she's too young for the details. I would advise you to tell her what she needs to know when she needs to know it. No sense telling her about enzymes before she can see the baby taking them. Tell her that the baby will need you and dad to do lots of things for her, jsut like she did when she was a baby. You'll know what to say when the time comes.

In the event that you'll have an extended hospital stay, you may want to reassure her about that. It was really hard for Isabelle to not have Emily come home right away.

I would also encourage you to focus more on having a healthy pregnancy and end of the school year (Ain't it crazy!!!) and not go overboard with reading and learning about cf right now. There's time for that, and you can't change anything, anyway. You will learn as you go. And you will survive this. It is ok to cry. You will be overwhelmed. But, just keep reminding yourself that all you really have to do is be the best parent you cann be. The rest will work itself out.

I know there are more things I'd like to share with you. If I rememer them tomorrow, I'll post again. I'm glad you found this site. Its a great resource. Ask any questions you can think of. Someone will have an answer. Feel free to PM me if you want to talk more one-on-one. I've been in your shoes recently. I'll be happy to help.
 

EmilysMom

New member
Hi Emily,
Welcome to the boards! There is always a wealth of info here and LOTS of really good people to talk to. My daughter (also Emily) was born with Meconium Ileus (bowel blockage) that required surgery at two days of age. She has done fairly well...minor setbacks here and there...nothing huge; just what you will come to know as regular CF stuff. She has had several operations for different reasons...some CF related, some not. She is a beautiful, intelligent, wonderful young woman who is attending college and who I wouldn't trade for the world. She is 22 and almost engaged (as soon as Mike asks) The reason I am telling you this is because when she was born, we were told she had a 50/50 chance of seeing her 18th birthday. CF is different for everyone and right now, there are so many things happening with research that the little ones being born with CF will probably live well into adulthood as many of the ones Emily's age are..
Your little one will be a joy and CF will become part of your life so quickly just like taking a bath, or eating dinner or going to a movie.
 

ejwiegert

New member
Dear All:

Thank you so much for your support, ideas, suggestions, experience, and honest answers!! I wish we had time to reply and thank each person individually!!!

As more questions arise, we will certainly post them.

Again, Dave and I greatly appreciate you all taking the time to help ease us into this transition.

Emily
 

julie

New member
Emily and Dave,

I am not the parent of a CFer, so I might be a little out of place here but I thought I'd post anyways.

I'm married to a man who has CF. I decided to post because he is a Double Delta F508, as a number of others on here are.

Yes, this is generally referred to as the most sever and most common CF mutation. My honest, slightly personally educated opinion... it's the most "sever" because it's the most "common". There are thousands more Double DF508 or DF508 CFers out there than any other CF mutation combined. Therefore the statistics for the Double DF508 mutation are going to be multiplied and appear to be more sever.

My husband has a combination of lung, digestive and infertility problems. But he's lived a good life and is still very healthy at this point. He just graduate college, we are expecting children this fall and he's doing many things he never dreamed he would ever get to do.

The reality is that the treatments are improving yearly, if not monthly and sometimes weekly for CF. The medications targeted a CF are becoming more effective and simplistic to use. Manual chest PT use to be the only option. Now there are things such as the vest (www.thevest.com -when your daughter reaches a certain age).

I just want to give you a little encouragement during this time. I'm not going to tell you things won't be hard, because sometimes they will. I'm not going to tell you she won't get sick because she will. But the treatments are so much better now, the outlook on life an life expectancy increases greatly every year.

Children with CF don't "look" physically different, I know that is a legitimate concern of some parents and I haven't seen anyone mention that yet. You may already know that but just in case you needed to be reassured...

As far as preparing a sibling, I don't really have any advice, but I do know many parents on here include the non-CFer in the treatments. Let them be present in the room, be the "helper" in putting the medicine in the nebulizer, make funny faces at the baby while they do their meds, allow them to feel like they are a part of the process.

You have taken a great step in learing and preparing yourself by posting here on this website. It is a great resource and you can always come here with questions, concerns and to talk about things that nobody else, except a "cfer" or a CF family would understand, or even want to discuss.

Welcome to the site and I hope to see you around!
 

ejwiegert

New member
Dave and I had our last "monthly" OB appointment before we go to every 2 weeks. We have an appointment the first week of June with the geneticist for another ultrasound to determine if "Abby" (the name we've been tossing around) is growing ok and to check and see about intestinal blockage as you all have mentioned. Otherwise, it was an uneventful appointment.

We DID, however, find out that the baby will have the following combination of CF genes:
Delta F508 from Me
R117H from Dave

We still need to hear words of encouragement and anything you can think of to share with us as far as pearls of wisdom go. But, sitting here tonight trying to plan out our lives for the next year or so, I thought it might be a good idea to "fish" around a bit to see if anyone has any direct experience with this CF combination.

Thank you to everyone who has replied online or via email to us. Dave and I appreciate it more than you cold possibly know. It has made decision making much easier and more informed reading what you all have shared.

Emily
 

anonymous

New member
This is Tami (Izemmom) not logged in. Once again, I told myself I'd go to bed and not post tonight, but I just had to check this thread to see how things were going for you. A few things:

1. Julie brings upa good point about having older sibs help. Isabelle does like to do pt on Emily once in a while. She learned how to "Make two fingers" and tap her baby sister. No matter that she taps a toe or leg and not her chest. It's adorable and brings tears to my eyes every time. She also has a baby doll that goes pretty much every where with us that gets "applesauce and beads" and pt. She once got a "nezulizer" treatment, too! This was all spontaneous on her part, no prompting from us!

2. We do share your mutations. I don't know which is from me and which is from my husband, but the newborn screen did show those two. I'm not convinced that same mutations = same progression, maybe someone here knows more about that than I. I can tell you that Emily's nutrition has been excellent! She's gaining weight well. She was born with meconium illeus, but did not require surgery to resolve it. Lots and lots of "irrigations" and finally some suction, but no surgery, thank God. She cultured psuedomonas early on, so I'm not sure how much effect that has had on her lung disease, but it's currently classified as "mild." We've had some minor blockages (termed so by our pulmonologist) ard currently use albuterol, pulmozyme, TOBI, prevacid, prednisone (For 5 days right now to try to ease a nasty cough), we have had augmentin. And of course her enzyme and vitamin. Seems like I'm missing something. Anyway, the point is, its ALOT of meds. Feels like all we do is give her something in some form or another. I tell myself with every treatment "We're buying her more time."

3.As far as trying to plan the next year...oh, my. I don't want to sound negative. I completly understand the need to get a picture of what it will look like. If I had known beforehand that we would be affected by cf, I certainly would have done the same thing. You of course need to make some decisions about work, sitters, etc. But, please, please, please don't spend too much energy trying to develop the perfect or right plan. Our experience has been that not much has gone as we had planned. You won't really know anything until you get there. And, then, you'll make the best descision you can, and you'll move forward.

You need to know that our little Emily is just an amazing baby. She has a spirit and spunk that take my breath away and a smile that stops my heart. She is ten times more determined to get what she wants than here sister ever was. (And THAT makes me fear for the terrible twos!) She is beautiful, and, cf aside, she is PERFECT.

You also need to know that I have learned so much about myself over the past 6 months that I would not know with out cf. I am stonger than I knew. I am a great parent - so is my husband. I feel entitled to say these things, now, becasue I prove them daily. This diagnosis is not the end of the world that I though it was. And, believe me, I thought it was.

Please know that you are so far ahead of the game by being able to ask these questions. I was so shocked for the first few months that I couldn't form a complete sentence. Here you are planning to move ahead in a healthy way. WOW! You'll do fine.

Forgive my rambling. We had a particularly bad day today. I spent most of it feeling completly overwhelmed by cf. And angry at it. It feels really good to be able to sit here now and remember that this is just one bad day out of the 200 great ones we've had with Emily so far. I feel like I"ve climbed a mountain today. Hope you don't mind that I dragged you along!
 

julie

New member
Izemmom,

Your older daughter sounds so cute and helpful!!

Just a note to you emily and Dave about the mutations,

CF is such a tricky disease because people with the same mutations exhibit such different symptoms. Even twins or siblings who clearly have the same mutations, have different progressions and complications. For that reason, there has been talk and supposedly there is some testing going on right now regarding modifying genes. Because it just doesn't make sense that people in the same family with the same mutations would have such varying problems, or lack of any problems while othres have a plethora of problems.

So unfortunatley, there is NO way for anyone to predict what your daughter's health will be like. Even if she's really sick in the beginning (heaven forbid), she could kind of come out of the rut and do a lot better. That kind of happened for Mark. He had some really rough times and really bad health times when he was younger. But now you wouldn't guess he had such difficult problems when he was younger.

I would also encourage breastfeeding and pumping if you have to go back to work. Everyone is different, some babies need formula supplementation in addition but sme thrive on breast milk. Mark was one of those. He always had a cold as a baby but that was it. He was breastfed for about 12 months but as soon as she stopped, he dropped from the 98th percentile to the 50th. That's how he was diagnosed at about 18 months. So I would encourage you and give it a go. There is a woman on here who has CF herself, but she is a la leche league "person" (lack of a better term) and can help you a lot. Her website is <a target=_blank class=ftalternatingbarlinklarge href="http://www.geocities.com/murrensnaturemama/index.html">http://www.geocities.com/murrensnaturemama/index.html</a> She's great at responding to emails, might take a few days but she's very very helpful.

I'm glad to hear you are going to 2 week appointments, I don't want to scare you and it seems as though you already know to keep an eye out for the echogenic bowel... definately glad to hear you are going to 2 weeks.

Keep us all posted,
 

anonymous

New member
What good information you have been given.
I would just like to suggest a slightly different angle.
You both obviously are very reality-based and game to take on whatever comes your way with this new beautiful baby (or you wouldn't be asking these questions on a public board so soon after getting the info). And from the answers you now know that there's no way to predict exactly what issues you will be dealing with after the birth.

No matter how resilient and strong you both are the first year usually is stress-filled. And the main thing you all want to do is to enjoy and love each other just the way you are.

So I'd like to suggest that you put in place lots of support and respite for you and your husband - to help you stay "loose" and resilient. If you can get other family members involved early on so they can provide baby sitting even during the first few months - time for you and your husband to go out to a quiet brunch or whatever else really brings you the closest. (If you haven't any family close then an adult babysitter like a friend or student nurse or something.) And you need someone to watch the baby while you do special things with the older child and while the primary caregiver (you?) continues on with hobbies and friends.

IMHO sometimes the major damage to a family after the birth of a child with cf is the emotional/psychological stress -- and the family can kind of isolate and fall in on itself (feels like no one else gets it or can be trusted with the new baby). The more you can do to have supportive friends and family - the most you can do <i>not</i> to make the cf a family secret but just a matter of fact thing - the likelier you are to have good healthy family interactions and to keep the resilience, love, and laughter you are now showing.

Good luck to you ... and stay in touch,
LisaV
 

ejwiegert

New member
Bless you all for keeping me honest. :)

I am so trying to take a realistic view of the situation and not panic. I am a worst case scenario person/planner and Dave is an optimist, so you can imagine some of the headbutting so far! ;-) Luckily, we are both good sports about it and we know our personal shortcomings when it comes to evaluating situations. We are taking some realistic approaches about "Abby's" diagnosis.

Every time someone posts, I learn something new and I know in my heart that no matter what the situation in August when "Abby" is born (on the 11th), that we will be fine...so to speak. Thank you all for your support, encouragement, and most importantly the reality checks.

Post-planning at school is next week. Dave and I have talked at length about me staying home. I feel strongly that it will be the best thing for all of us. I can always teach online classes and the like if we get pressed for money...however, I think I'll have enough to keep me busy with an infant and a 2 year old (by that time)!!

Another question for you all...Lucy (our 21 month old) has not been tested for CF, nor has she had any symptoms. Just for our reassurance, would you all agree that it would be a good idea to get her tested so that we can be prepared for any problems, praying of course there isn't any? I'm feeling like a paranoid mother now, but like I said before, I err on the EXTREME side of caution!!

Thank you all again...I'm so glad to know we are not alone. I boohooed about that today IN FRONT OF HIGH SCHOOL STUDENTS!!! AAAGH! Dang hormones!

Emily
 

anonymous

New member
I am assuming that the doctors know what CF mutations your "Abby" has, so it would be easy to screen for the same mutations in your other daughter. I would recommend it for 2 reasons. Piece of mind for 1. There won't be that little voice in the back of your head always wondering if CF is luking, but not showing any signs. And 2, you will be able to find out if she is a carrier. Although family planning is years down the road for her, she will want to have this info before making any decisions about having children of her own.
 

Alyssa

New member
Emily,

I don't think I have posted to you on this site, but have sent you a couple of responses on cystic-L because my kids have the same gene mutation.

Yes, I would highly recommend getting genetic testing on your other child because as I have mentioned before this particular gene combination is known for mild symptoms or no symptoms at all -- also is the other sibling a boy? If you find the Delta F508 & R117H in him as well, you will most likely have to deal with the CBAVD issue too. But yes it is entirely possible that he has the same genes but is still symptom free. Again, check out my first entry on my blog page here to get details about my kids history.
 

fourkidsmom

New member
Emily & Dave

I also had a son diagnosed when I was 7 months pregnant. I think it is better to know ahead of time to be prepared. BUT being pregnant becomes a lot more worry and not as enjoyable just because you are scared of the future. For me it was a terrible time and I had to start seeing a doctor 2 hours away.My son had a burst bowel which required surgery at a hospital over 2 hours away so I would suggest making sure that is not the case with your child. Our son has been on 4 breathing treatments a day since birth, begin those right away. I wish you the best of luck and if you have any other questions let me know.

Fourkidsmom
Step mom to Brittany 14 no cf,
Mom to Tyler, no cf, cf carrier
Mom to Brady 5 with cf
Mom to Taylor 3 no cf, but chromosome 9q 21.2 22.1 deletion
 

JRPandTJP

New member
Emily,

You're getting some great info here and I just wanted to offer my knowledge of breastfeeding a CF baby as well. My son wasn't even on the charts for a long while but with perseverence and determination we pressed on with breastfeeding and I believe it was the best thing for him! It took several months but he kept climbing and is now in the 50% at 23 months old. He weaned naturally at 19 months.

I am in the process of creating a breastfeeding site for mom's of Cf babies. I currently have been talking with around 15 women who all breastfed their CF babies. Some full-time, some with supplementation if needed, but all with great success. You have the added benefit of knowing before weight gain is an issue. One mom told me her second baby with CF is totally breastfed and already in the 40% at 4 months old. IF you email me I will put you on my emai list and let you know when the site it up. Holly is an awesome resource as Julie mentioned.

Warmly,
Jody jody@meta4tech.com
 

ejwiegert

New member
Dear All:

Thank you so much for all of your comments, answers, and reassurances. Dave and I have a follow-up appointment on June 8th with our genetic counselor in Macon for another ultrasound to make sure "Abby" is thriving in utero and to start checking for the blockages mentioned. Please keep us in your thoughts (and prayers if you are the praying sort) as we go into the next few weeks. If I think of other questions as I continue my research I will post them, otherwise, I'll probably be lurking around gathering info.

Thank you ALL again for everything. I am delighted that Dave and I found this community and knowing you all are here going through some of the same things with the same condition makes me feel so much less alone.

Emily
 

hbendz

New member
Hello, Emily!<br>
<br>
I found out via CVS at 12 weeks that our daughter that is due
September 11th has CF.  It came as quite a shock to my husband
and I, too.  As I was reading this topic chain, I could relate
to your feelings.  My husband and I are both carriers of
Delta508.  We were able to find out via level II ultrasounds
that Maggie-Faye does not have a blockage.  Thank God!  I
wanted to introduce myself since you and I will be entering the CF
world about the same time.  <br>
<br>
I hope all is well as you approach your due date!!<br>
<br>
--------------------------------------------------------<br>
<br>
Holly, soon-to-be Mom to Maggie-Faye due September 11th
 

ejwiegert

New member
Dear All:

Abby's arrival is quickly approaching. Thank you for all of your thoughts and ideas and support while we tried to redefine our lives to make sure that Abby is well taken care of and provided for!

Monday's csection should go off without a hitch, so with any luck, you will be hearing from me and seeing pictures by the end of next week! :) I'm such a comptuer junkie, it will be hard to keep me away.

We are ready on our end and have had lots of contact with the CF clinic and her pediatrician about her arrival and what we need to do to make sure she gets the care she needs. EVERYTHING points to her arrival being uncomplicated and normal, however, we were encouraged to limit visitors at the hospital, "just in case."

Thanks again for everything. We are still getting little stuff together for her arrival, but other than that, we are set and ready to go! Feel free to email me any time this week.

ejwiegert@gmail.com

You all are the GREATEST!!

Em
 

Ratatosk

Administrator
Staff member
How exciting! I'm so envious! A new baby!

BTW, we instituted the "wash your hands before you can hold the baby" rule. Visitors come to our house -- go wash your hands, visitors to the hospital -- there's the antibacterial or sink. To this day whenever we hold someone else's baby, we run wash OUR hands and people think we're nuts. When DH was holding his cousin's baby at our Great Strides walk I demanded to know if he'd washed his hands.

Just a good habit to get into with any teeny tiny baby -- cf or not. Prior to DS's birth I never washed my hands after grocery shopping or being out of the house. Nowdays I either use antibacterial wipes or gel in the car.
 

ejwiegert

New member
AWESOME POINT! Thank you for that and we will institute that rule!!!

Luckily Lucy LOVES washing her hands. I think it is playing in the water that she likes the most!!

Em
 
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