Grandmother of a CF infant, would love to talk to parents/grandparents

aleeahsyaya6436

New member
My granddaughter is 8 months old, she was diagnoised at 3 days old, when we noticed her forehead was extremely salty. Mommy has an extensive history of CF on her side of the family, but we don't know of any on ours. Anyway we have struggled with weight gain. She if 15.16# which the doctors say is way below where she should be. They want her to have 5-6 bottles a day with the DuoCal added to it, but she wants FOOD, REAL FOOD. We feed her baby food and add the DuoCal to that, but we have to be careful because if she eats too much food she won't take her bottles.
Recently she developed pseudomonas in her throat which was scary. She had her routine breathing treatments plus Tobi, (an antibiotic) breathing treatment. She hated that, it took about 20 minutes to complete IF she wanted to cooperate. I think we have beaten that.
Any other parents/grandparents with any advise on getting weight on, and how to avoid these bacterias? I would love to talk

Thanks
Liz
 

Aboveallislove

Super Moderator
Dear Liz,

I'm so sorry for the stress re the food/weight. We went through that too and frankly it was my fault--I was preassuring son to eat and not following his clues. He also had an underlying issue (he was getting a blockage). If you have already ruled out any medical issues (besides CF) and he has the proper enzyme dosage, in my opinion, it will just be a matter of time to get him back to a good weight after his pseduomonas infection. But I fear that trying to force the weight will backfire, especially if you ignore what she wants--real food. I am a firm believer in the Satter approach to feeding. I strongly recommend you and your daughter getting a copy of the book Child of Mine by Ellyn Satter from the library or amazon and read it asap. It opened my eyes. Also re the duocal--can you do a high calorie formula or supplement instead that might be taster? I'm trying to get some more info for you too and will let you know when I have it.
 

Rebjane

Super Moderator
Hi Liz,

Welcome. I think it's great that as a grandparent you are being supportive. CF is a time consuming disease and having a support system can really make a difference.

You had asked how to avoid bacteria, specifically pseudomonas? Unfortunately, it is really hard to avoid some of these bacterias. They are everywhere. Simple things to do are hard washing. People who have CF are not supposed to have close contact with each other as they can exchange CF related bacteria. If your grandchild is being seen at a CF clinic, you can ask them about what infection control measures are in place at the CF clinic.

On terms of weight gain; good nutrition is very important for those with CF. My daughter (now 9) really did not eat baby food. She loved regular food. We would fatten up her food... I would add a little flax seed oil to her Yo Baby yogurt. Mac and cheese with butter and whole milk. At one year old she was eating meat; loved pulled pork... We love our nutritionist and they can be very helpful in figuring out what works for you.

I really try to focus on "healthy fats" Fish oil, flax seed oil. etc. I would make my daughter oatmeal with whole milk and sneak in extra fats like flax seed oil. If you increase fats enzymes need to be adjusted accordingly.

Course it's been a while since my daughter was a baby...I am sure there are others here with little ones.
 

Ratatosk

Administrator
Staff member
We started regular food at 6 months. Daycare DS ate what the big kids ate, but finely ground up. At home we doctored up baby food -- butter, olive oil, salt as baby food is low in fat and salt. Also greek or yo-baby yogurt. Still was on formula until he was about 18 months old for most of his nutrition. Hopefully your grandchild is on the correct amount of enzymes to get proper nutrition.

As for avoiding pseudo -- we pretty much lead a normal life although we frequently wash hands -- rule was if anyone wanted to hold the baby they'd have to wash hands or use hand sanitizer first. When we left a store -- hand sanitizer, got home -- washed hands... Something people should be doing anyway, especially during cold and flu season, but prior to DS, it wasn't that big of a deal for us.
 

Tamngia

New member
I am a mom of a 4 year old, this Friday, that has CF. I used to worry about my son gaining weight. It was even harder when he was an infant because he had horrible reflux and it seemed like he threw up his entire bottle. My sons name is Joey, and he is the baby of 3 kids. He had a rough start and spend quite a bit of time in hospitals for a while. He had psuedo pneumonias with a collapsed lung on several ocassions. I put all of knowledge about children away and completley listened to the doctor. I later learned that I knew my child better than his doctor . I didnt feel that what my doctor was doing was right. The doctor was fully aware of the fact that Joey had horrible reflux, but he didnt seem to care about it. Now, I do love the doctor, he is very compassionate about the disease and children, but he doesnt have children of his own and is quite stubborn!
But when u talk to a doctor, and he isnt listening, i would love to brow beat him1 anyways. I was going down the road the doctor was talking about putting a G tube in because he wanted to save Joeys lungs. He had a test run to see if he was asperating. Joey did great except for the milk. He actually choked during the test and they classified it as asperating, while I asked them to run that test again, they didnt. Joey rarely chokes drinking milk. So my doctor put Joey on a thickener, which was even harder to get him to eat. Now, 4 oz of milk with thickener actually equaled to like 12 oz because it fills you up faster. So I tried what the doctor said, but didnt see any improvement. Joeys congestion seemed to get worse during allergy season 4 times a year. This is when he would end up in the hospital. His congestion would get so bad his lips would turn blue from not getting enough oxygen. All the while I was managing holding onto a job, he was in the hospital the last time when he was 2 years.and after his 5th hospital stay, his doctor wanted to put in a G tube, although his weight gain was ok. I wanted to take my kid home, I felt the surgery was not necessary. I had the GI doctor and speech doctor telling me they didnt see what the pulmonologist saw. The Speech doctor gave me a few suggestions and helped me talk to Joeys Pulmonolgist. I took Joey off of Milk when his allergies were flaring up and put him on soy milk<vanilla flavor to make this easier on me> and took him off of the thickener and started to do my own thing. I would specifically made sure that Joey had a lot of high fat junk food before each apt to rack up the pounds. I know its sad, but against my doctors wishes, I listened to my instinct and I was right. Joeys weight gain hasnt been a problem since. He hasnt had any hospital stays in almost 2 1/2 years and I am on a parent board for new CF parents. The scary thing is if I just went along with the doctor, he would have a G tube in him right now.
Where u guys are right now, I was there. I think my worry about his condition wasthe possibility of the unknown. Ultimately, it is a small moment. and it does get easier. Is your grandchilds congestion gunky? My Pulmonologist wouldnt admit it, but the speech doctor suggested the no milk for a while and see what happens versus get surgery. And I thank the good Lord for having that angel help me have the strength to stand up to my doctor. They did an allergy test and stated he isnt allergic. However, if he is congested it highly irritates the CF. Once Joeys congestion cleared up, I let him have regular milk again.: I could tell you dozens of stories :}. If you need to talk to someone, email me at Tammygianni@att.net. I will email you my phone number. The more people you talk to, the better informed you are and realize you are not alone.
I hope this helps a little.
Tammy Gianneschi
 

Tamngia

New member
I would say let your child eat what they want. If the child is hungry, let them eat. I know it has helped my son alot. French fries are the besst, but once they are ready to eat. A of my boys were on table food early, they were always hungry. Besides, table food has a higher fat content than baby food. If my son was congested, and not want to eat, I would work through it with him..He needed nutrients to feel better. Ultimatley, within reason, I made sure he ate. t,
 

EllynSatter

New member
I trust your granddaughter is on enzymes and other CF meds, because without that, there is NO WAY she will gain weight. Medications aside, for children with CF (and those without), there are two ways to feed: The control approach and the Division of responsibility. Most (all?) CF clinics follow the control approach, which emphasizes <em>quantity</em>: They give you calorie and growth prescriptions and tell you what and how much to feed (and in your case, how) to achieve those prescriptions. The DOR emphasizes quality of the feeding. It encourages you to do your part with feeding and trust your child to do her part with eating. <a href="http://www.ellynsatter.com/ellyn-satters-division-of-responsibility-in-feeding-i-80.html">http://www.ellynsatter.com/ellyn-satters-division-of-responsibility-in-feeding-i-80.html</a>DOR trusts that the child will eat as much as she possibly can when she is fed in a trusting and stage-appropriate fashion. Parents often find their way to the DOR from the control approach because they can’t stand the conflict around eating and they suspect that the struggles make the child eat less, not more.
Grandmother, from the DOR perspective, your instincts are good. It is It is not good feeding practice to insist on bottle-feeding a child who wants to eat FOOD, REAL FOOD. Your granddaughter appears to be developmentally ready to eat solid food <a href="http://www.ellynsatter.com/to-months-feeding-your-older-baby-i-29.html" target="_blank"><span style="color: #0000ff;">http://www.ellynsatter.com/to-months-feeding-your-older-baby-i-29.html</a> or even to feed herself with her fingers <a href="http://www.ellynsatter.com/to-15-months-feeding-your-almost-toddler-i-30.html" target="_blank"><span style="color: #0000ff;">http://www.ellynsatter.com/to-15-months-feeding-your-almost-toddler-i-30.html</a> Her parents (with your support) have a choice: will you trust that she knows what she is dong, or will you follow advice to feed her certain amounts and in a certain way? To help you make that choice, I encourage you and your little girl's parents to get a copy of <em>Child of Mine, </em>study it, and consider your granddaughter’s eating, not only right now, but throughout her growing-up years. Your granddaughter will have CF her whole life, she will eat her whole life, and the more positive her eating attitudes and behaviors, the more successful she will be with both.
 

Aboveallislove

Super Moderator
Liz,

I'm so thrilled to see Ellyn's response. She was so helpful to me when we had similar problems with DS. Our first nutritionist had actually suggested we follow the Division of Responsibility (DOR)--which is discussed in the book, and I thought she was crazy!!! It wasn't until we were discussing feeding tubes and an OT who diagnosed the problem as parental mismangement suggested Child of Mine that I was able to see and understand what was going on. I am not a firm believer in the DOR/trust method. Our CF clinic still takes the view that "it is one approach" along with obviously the control approach which is more the directions we get from current team, but for me it was the only thing that worked. And it really took reading the book for me to "get it" and I've re-read numerous time for each feeding stage. You can likely get at the library and it is a quick and enjoyable read (unfortunately I recognized myself in many of the not-so good examples!!!

Also, keep in mind that there could be something else going on. For us, DS had an obstruction building up that we didn't know of and now we have a GI and GI issues abound, but b/c I trust DS to take care of eating, when he doesn't along with other things, it is a clue that I need to get on top of GI issues.
 
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