How CF affects a family...

Julo

New member
Hi,
I am doing a paper on Cystic Fibrosis for a college class and was wondering if I could get someone's help. One of my best friends has two nieces with CF and I'd like to learn as much about it as i can. I thought it might be interesting to write my paper about how having kids, or being a kid/adult with CF affects a family/life. If anyone is willing to share their story about how CF affected them, it would be greatly appreciated. Thank you!! *Julie
My email is branja11@baycollege.edu My ICQ is 85820593
 

Julo

New member
As i've been browsing through this forum I've read how many of you get irritated with people that are using everyone for "an easy A." Please don't feel that I am doing this in any way, shape or form. I've been looking through these posts the past few days and have realized how strong each and every one of you are. It is amazing that despite having CF, you are all still so full of life. I personally do not have CF, but am very close to two, beautiful little girls that do. This is something I've wanted to learn more about for a while now, and now that I have the chance to write my paper on this while learning more about it at the same time, I am becoming more interested. So like I said before, I am not trying to make anyone feel irritated by asking these, but any insight about living with CF would be helpful. Thanks again! *Julie
 

Emily65Roses

New member
If you can try asking more specific questions, I'd be happy to answer you. <img src="i/expressions/rose.gif" border="0">
 

anonymous

New member
I agree with Emily about specific questions. Do you want an adult's perspective? A parent's? A sibling's? How does it affect us: socially, financially, emotionally? Maybe you can narrow your topic and you will have a paper with more insight and depth.

Sorry I sound like a teacher, but I actually was one for twelve years. <img src="i/expressions/face-icon-small-happy.gif" border="0">


Maria (mother of three daughters, the youngest Samantha w/CF)
 

NoDayButToday

New member
Maria and Emily are right, a more specific question will be more helpful, because honestly, I looked at your topic title and said "How DOESN'T CF affect a family?"
I'm glad you've been looking around the forums, and appreciate the fact you aren't just exploiting us on here to get information. <img src="i/expressions/face-icon-small-smile.gif" border="0">
If you ask a more specific question, I'll definitely be back to answer.
 

anonymous

New member
Julie, here is some information I posted on another post when somebody asked questions about CF. I am not sure if it is the answers you wanted but it might get you started.

it affects the lungs, digestive system, reproduction in males and some females have difficutly becoming pregnant because of the thick mucous (it kind of traps the sperm and prevents it from traveling in a CF female). Exaserbations can land a Cfer in the hospital on IV antibiotics. Most CFers are using nebulizers for their medications. It didn't start in our family till about 21, but most children now use them. The common CF medications are nebulized tobramyacin (TOBI) which is a very effective antibiotic. There is DNase, also known as pulmozyme that opens up the airways for CFers and is recommended to be used BEFORE any antibiotics as they can be better absorbed after it's use. There is also a medication called colistin (coly-mycin parenteal) that is suppose to be an IM injection but can also be used in a nebulizer. Then there is the Chest pt, some people do it manually. You have the person lie in different positions face down (hanging off the side of a bed, chair, couch...) and "clap" their back. Now there is a chest PT vest that pretty much does that, but it costs $15000 and many insurance companies don't cover it. www.thevest.com

Those with CF, most anyways, have to take digestive enzymes when they eat because their body lacks the natural enzymes to break down food. some take as few as 2-3 with each meal and snack and some take as much as 15-30 per meal and snack. Acid reflux affects many cfers as well so they usually take something like prevacid or zantac to help relive that. A lot of times there is also the use of a constant inhaler. In my family of just myself and my husband we spend 800-900 (sometimes more) easily just on food, and I'm a rather small person so I don't eat much. About 50-75% of that is just from what my husband eats.

Reproduction is affected in males because 99.5% of males with Cf don't have a vas defrens. That is the tube that carries the sperm from the testicles to ejaculation. Although this does NOT mean that they don't produce sperm. With the advance in technologies lately they can do a sperm retrieval method that takes the sperm directly from the tesitcles and can be used in an in-vetro procedure. A common and simple solution for females with CF that are having trouble getting pregnant is robitussin, but not the kind that reduces a cough, you need the kind with guiafsen (sp?) that thins out mucous. Because it thins out the mucous in the reproductive tract of the female and allows the sperm to travel effectively. There are also other options, but that is the most cost effective method to attempt first and it doesnt even require a trip to the doctor.

At some point in a CFers lifetime, they will need a lung transplant (and possibly a liver and pancreas and sometimes kindey transplant). The time and type of transplant varies for everybody, some people need them at 16, some 18 and some make it in to their 40's before one in necessary. There is a rigid and about 3-4 day screening process before one can be put on the transplant list. And the truth is that some CFers die before a match becomes avilable for them. Others choose not to have a transplant and will die sooner than not as a result of that.

Many Cfers (especially closer to the transplant time, or needing a transplant) will be on oxygen. Usually it starts where the person is on just in the evenings when they sleep, but overtime it becomes a necessary part of everyday life.

Thats about all that is coming to me right now, good luck and do some internet research as well that can answer some generalized questions about CF

Julie (wife to Mark 24w/CF)
 

anonymous

New member
Thank you all for your feedback so far. I know I should have asked more specific questions right of the bat, but a few of the things I was wondering are - Does having CF limit your activities (sports or anything). How do others around you react to you having CF (school, meetings, anywhere). If you were older when you were diagnosed, did it change the things you like to do? Also, when i start getting more feedback and start asking better questions, could i possibly interview someone like over e-mail?
Thank you so much everyone! *Julie
 

NoDayButToday

New member
Told you I'd be back!

1. Does having CF limit your activities? In the past, I had no trouble with activity, but now I get short of breath more easily. When I'm well I can walk around (hills, stairs) without problems, but when my numbers are down, I get short of breath doing that sometimes. Running usually makes me short of breath now. <img src="i/expressions/face-icon-small-sad.gif" border="0"> I don't do any sports at school now, but I am manager of field hockey and softball, which is a good way to still be involved. In general though, CF doesn't limit activities I can participate in (other than sports), unless they make it impossible to fit in treatments or what have you. I am manager of those sports, in addition I am in our school band, am on Debate, and am in the Celtic Club (Erin Go Bragh!). I have a normal active social life also.

2. In general, people have positive responses to finding out I have CF. I am open about the CF, so pretty much my whole grade knows I have it, or at least that I have 'something'. Some people are surprised or don't know what to say when it comes up in conversation, but I suppose that's expected. Very rarely have people distanced themselves from me upon finding out, but if they do, I remind myself that it's their loss, even though it is hurtful.

I would be happy to talk with you further privately if you'd like.
 

HollyCatheryn

New member
Ok , this is my perception of how CF affects my family. I have two families (my parents and sister are one family and my husband and daughter are my other). I can speak less about my parents and sister than about my husband and daughter. For them (husband and daughter) it affects many things. From the trivial (daughter thinks that every mama takes pills and does treatments and she plays treatments sometimes). Daughter doesn't even stir at night when I have a coughing fit (she's always heard my coughing during her sleep), but it can send hubby to the couch at times. We never just "get up and go." This is a point of frustration for hubby sometimes, mostly because it reminds him of CF and that saddens him for me. For any occassion, whether groceries or church, I have to get up at least an hour ahead to get in the aerosols, Vest, breakfast (because if I don't eat I start losing my appetite and I get weak feeling) and some exercise. Bedtime is the same way, I have to start a couple of hours before I actually want to be in bed because after the treatments I am all jazzed up and coughing and I can't go to sleep right away. It is hard to visit family that is out of town because of transporting my equipment and the natural disruption of our routine (we survive on routine). You know, it's hard to leave everyone in their afterdinner conversation because I've got to start doing treatments. It's also hard when everyone plans an outing to leave at 8-9AM because of how long it takes to get ready. My needing routine has been helpful also because my husband and I tend to both be rather "whatever" kind of people and every day would naturally be rather different for us, schedule wise. But, this has helped form structure for our daughter. It is hard sometimes to explain to daughter that we don't take medicine just because nor do we take medicine for everything, when I take several medications daily. Otherwise, we tend to be slow to go to the pharmacy and tend to try to do things naturally. Hospitalizations are also different. My daughter was exclusively breastfed for over a year and continued to nurse until just this Christmas (at 2 1/2 years old), so when I was hospitalized, she went with me. Some instances were easier than others for her (age made a big difference as well as availability of helpers).I also know that financially it is a big deal. Right now, out of an income of less than $2,000 a month, we spend near $400 on my health care (Rx, co-pays, premiums). That doesn't include massive quantities of food and the assistance that we recieve from family to help make ends meet. But, again there are positives, because we focus a lot of energy on doing things together. I can count the number of times she has been left with someone other than her dad and I and we plan on continuing to spend most of our time as a family. Our time together is precious. Not because I'm in poor health, because my lung function and my capabilities are near normal. But, CF has helped dh and I prioritize and realize that when either of us dies, we don't want to have the regret of not spending our time and energy on each other. Daughter and I volunteer and help others a lot together. We know the value of having help when you need it and we know the value of reaching out and using the gifts we are given to better other people's lives. Please take none of this ad judgement on the way others of you have chosen to do things, but this is how CF has affected US - how it has changed the way we probably would have otherwise done things. My mom contribute on here sometimes, I'll see f I can get her to post to this because I know that would be a different perspective on lots of things. Feel free to email me personally at <A class=ftalternatingbarlinklarge href="mailto:jaloughlin3@sbcglobal.net" target=blank>jaloughlin3@sbcglobal.net</A>
 

Emily65Roses

New member
My answers to those questions would be very long if I wanted to really answer them how I like. I don't have time this very moment. But if you'd like to email me to interview later, I'd be happy to oblige. My email is in my signature. <img src="i/expressions/rose.gif" border="0">
 

NoDayButToday

New member
Just wanted to add... I'd prefer not to post my email or instant message addresses on here, but if you'd like to talk with me, I'd be happy to contact you.
 

Emily65Roses

New member
Okay as it is, I've got some time to kill now, so let me see if I can answer your questions without rambling on for 100 pages. CF limits my activities, yes. I was able to run or jog for several years growing up, but I can't really do it anymore. I can't even do stairs or steep hills without getting pretty winded and coughing. I don't do sports or anything, but I never really wanted to anyway. There are a few things that CF limits me in that really annoy me. One is walking too much. I walk to and from every day that I have class, and it gets really tiring. By the time I sit down in class, I need to cough for 5 minutes, and it interrupts the lessons. Real obnoxious. Two is laughing. I very rarely have a good laugh anymore without it quickly morphing into a coughing fit.

How others react to my CF... Hmm. People that know me and care about me don't much mind it. That's not to say they don't care that I have CF, but that they don't discriminate or shun me for it. They know about it, support me and help me if/when they can, but still don't make a big deal out of it. People that don't know are generally the people that make me want to start punching strangers. People that hear me cough and assume. Not even just assuming, because people that assume I have a cold and ask if I'm okay, that gets a little old, but it doesn't bother me. It's the people that assume and are extremely rude about it. Those people I'm rude right back to. If they don't give me a chance, I won't give them a chance. Teachers don't seem to care much. They each get letters from the DRC at my school (Disability Resource Center) explaining why I cough and basically, to just ignore it. My teachers are used to me and just talk over me, or repeat if I cough particularly loud when they say something. They don't ask if I need water, they know if I need something I will just get up and get it myself. The classmates I have are generally fine with it. The ones that don't know are usually nice about it, they'll ask if I need water or a cough drop and I just say no thanks. However, because my major is a very small group, most of the girls in my ASL (American Sign Language -- my major) classes know about it. They ignore me altogether now, just like the teachers. Employers, for the most part, don't care. But I've never had a fulltime job, so I don't know. I got fired from a job once for going into the hospital for 4 days for IV meds, but you're always going to run into some stupid people along the way.

This past summer, I worked at the American School for the Deaf, and those people were very nice about my "special needs." The first week and a half of that job, I worked while on IV meds. I explained it to the adults I worked with, and they just ignored it. The kids (roughly 10 years old) tended to ask what it is, but it was never in a teasing manner, at least not to my knowledge. They asked because they were curious. Because this is a school for the Deaf and some deafness is caused by other illnesses, the people there are pretty used to illness. One boy in my morning class was on oxygen 24/7 so him and I talked about some of the lung aspects of things, I think it may have been helpful or fun to him to see another person with lung troubles so much older than he was. He was in worse condition than I, and didn't have CF, but all the same. Anyway, as I was saying, the people there were used to illness, so when I couldn't swim in the afternoons (I was supposed to swim with the kids) becuase I was on IVs, they didn't care. When I needed to take an early day to go to a clinic appointment, as long as I told them at least a day ahead so they could get someone to cover me, they didn't care. If I needed a bathroom break, they didn't care. I think they may have been more understanding than most becuase they deal with chronic illness on a regular basis because of some of the kids. But either way, the people at that job were wonderful with me.

How a person reacts to CF depends a lot on the individual, and how/why you know them. But in general, I get nice people. It's more the people that I don't know, that I see in passing, that are rude enough to deserve a beat-down. Haha. And then, I'm just rude back. <img src="i/expressions/devil.gif" border="0"> And as I said, if you wish to email me to interview personally, I am certainly up for it, so feel free.
 

Julo

New member
Thank you all so much for giving me a better insight to CF. Like I said before, i personally do not have CF but two little girls that I am close with do. They are young (almost 2 and almost 3) and I just want to better understand what they have to go through, and what they will have to go through when they grow up.

I read someone's post earlier that said something about numbers being down, what does that mean? I've read quite a bit about the vest which I am somewhat familiar with. The girl that will soon be three has to use the vest, but the other one doesn't. Also, when someone (not on here) was explaining to me what they will have to go through, they said something about not being able to control your bodily functions... have any of you had to go through this and how do people react? Sorry that I keep asking so many questions, but I am so interested that i can't help it! So here are a few more... For the people that do not have CF but have kids that do, does it affect your marriage at all, better or worse or anything? A person told me that most parents that have a child with CF end up in divorce (nothing legitimate to back that up.) Also, for the parent's, what about your life/schedule have to change when you had a child with CF. Okay and more questions (sorry) <img src="i/expressions/face-icon-small-smile.gif" border="0"> ... What makes you all wake up and keep going through out the day? Each and every one of you are soo strong and I really admire that. Not just those of you that actually have CF, but also those of you that deal with CF on a daily basis. And another thing, what is comforting to you? Is there anything anyone can say or do to makes things easier for you?

I'm sure I'll have more questions as I think of them, but for now all I can say is thank you all so much for the time you've taken to answer my questions.

NoDayButToday . . . My email is branja11@baycollege.edu Thank you for your willingness to talk more about this to me. That goes for anyone.. whoever wants/is willing to talk more about this in private, please feel free to e-mail me!

Thanks again,
*Julie
 

jenhum

New member
I can answer a few of those. When we refer to our "numbers" we are talking about our PFT's, or pulmonary function tests, that we take every time we go to the doctor. The test measures our lung capacity, among other things, and the higher your number, the better. 100% would be if you had the average lung function for a person of your height and weight. Just as a reference point, mine is around 55-60% when I am well, it has gotten down to 38% when I'm really sick. At some point when your numbers are consistently low enough, you have to be on oxygen and then if they get lower it's time to start thinking about a lung transplant.

As for controlling bodily functions...CFers all have varying degrees of stomach/digestion issues. If a CFer were to eat a greasy meal and not take his/her enzymes and they have bad stomach issues, then they will have diarreah (sp?) and have to go to the bathroom pretty quick! CFers also tend to have a lot more gas than your average person, so a lot of us fart and burp more than average. Not so much that we can't control that maybe, but our day/life is much more comfortable and less painful than if we held it all in.

I can't speak from experience as a parent, and Im sure it creates a lot of stress in a marriage, but my parents have been married for 25 years despite me <img src="i/expressions/face-icon-small-smile.gif" border="0">.

What makes me wake up every day? I love life <img src="i/expressions/face-icon-small-smile.gif" border="0">. And I think I appreciate it way more than the average person, b/c I've grown up unsure of my future.

What is comforting? Hmmm, I guess the best thing people can do is treat me as normally as possible. They can understand when I am sick and know that I can't always do everything that they can, but still treat me like a normal person and NO PITY!!! <img src="i/expressions/face-icon-small-happy.gif" border="0">

Hope that helps!
 

Emily65Roses

New member
Yeah, as another reference point... 30% for PFTs is roughly when they start looking at transplant. Bodily functions can be trouble. Usually it's just excessive gas that's a problem for me. And it's pretty uncontrollable, but in school, I used to hold it in regardless of how it hurt because as a younger child in school, I got made fun of for it. Parents of children that have CF have larger divorce rates than couples who have healthy kids. I don't know where the data for this is, but I've heard it many many times.

What makes me keep going. That's a tough one, because it's not going to be the same for everyone else. One big thing that keeps me going when I feel most like just lying in bed and saying "SCREW IT!!" is my boyfriend Mike. We've been together for a year and a half, and he's very supportive of me in everything. He's extremely supportive in the CF. He goes to my clinic appointments with me, and even when I come home from those in a terrible mood because I need a new med, or got a lecture, he's very patient with me. There's also the family and my few close friends. But basically when everything is making me want to slice my own head off, Mike is what keeps me going. Him and our potential future together. We'll get married eventually and have kids and all that, and I want that so much that I keep going "All right, fine, give me my meds... as long as I get to marry you, damnit!" Haha.

Comforting, it depends on the situation. If I'm having a coughing fit, what comforts me is very simple. Nothing can be done to stop the coughing, so if Mike just puts his hand on my back so that I know he's paying attention; or when he sits behind me and lets me lean on him. Anything like that, just to let me know he's paying attention and cares, that's always the best for me. Other than that, things that help me is when Mike makes it a point to go with me to my clinic appointments and my PFTs and my tests, and when he stays with me when I'm kept overnight. When he helps with my home IV so I can sleep in instead of waking up at 7:00am on Saturday to administer more meds. Stuff like that. When, instead of telling I'm disgusting when I fart and it reeks, Mike tells me he's proud his woman can fart and smell like a dude, that helps too. That's one thing I can be self-conscious about if people are rude the right way about it. Instead, he tells this story about guy friends coming over after we're married... the guy comes in and goes "Dude, what did you eat??" And Mike says "No, dude!! That's my WIFE!!" (That always makes me laugh my butt off, lol). Anything like that. Also he likes my surgical scars and my port, says they're different and unique and interesting, instead of saying they're weird and ugly. Basically helping when he can... and instead of making fun of stuff that is quite easily made fun of, he finds some odd way to compliment it. Haha. <img src="i/expressions/rose.gif" border="0">
 

Julo

New member
That's awesome that you have so much love and support from Mike. He sounds like a great guy, good luck with him <img src="i/expressions/face-icon-small-smile.gif" border="0">

What exactly is a port? I've read it a few times in posts, but i'm not real sure what it is.

Oh yeah, i was reading some other posts and saw that you got mad when someone asked the general question "how does CF affect your life" I know i started out by asking that question.. sorry!

*Julie
 

Emily65Roses

New member
A port is kind of like a permanent IV. It's this little hardware piece they surgically implant under your skin. They make sure it's hooked up with a big fat tube to a good major vein. The top of the hardware of made of this hard gel. So that when you need IV access, you stick a very thin needle in through the gel, and then it goes into the hardware and through the tubing, into the major vein. Cancer patients use them sometimes. They often go in the collarbone, though mine is underneath my left boob. Heh.

It's not so much that we get mad when people ask "How does CF affect your life?" It just gets old. And it's impossible to answer. A more answer-able question would be "how goes CF NOT affect your life?" as it affects pretty much everything. It alters or gets in the way of just about everything, so basically when people ask that question, it's as if they're asking us to write a 100 page response... they just don't know it. Haha. But you've come back and ask more specific questions, are actually interested, and are thanking us for responses, so I'm sure most of us (if not all) are happy to have you here. I can't speak for everyone, but I like you just fine. <img src="i/expressions/face-icon-small-wink.gif" border="0">

And yeah I lucked out with Mike... but I sifted through quite a few losers before I found him. lol
 

anonymous

New member
Julie, you have had some very specific questions after your first post, so it made it much easier to answer questions for you. I am one of those people that gets frustrated by the "how does CF affect your life" question, but you asked for more specifics than that. It is good to see someone is interested in CF like you are.

Julie (wife to Mark w/CF)
 

anonymous

New member
Hi Julie,

It's Maria again. As a parent of an almost two-year old with CF, I can answer some of your marriage questions. When Samantha was first diagnosed, our clinic straightforwardly informed us that parents of CF children either end up divorced OR develop an incredibly strong bond with each other. I am hoping that my husband and I are the latter.

Samantha has had a very difficult time since her diagnosis at three months. She has had respiratory and digestive issues that have put her in the hospital five times and on IV's twice already. I would be lying if I told you it has not taken a big toll on my entire family. The first year, you could probably feel the stress as you entered our house. My oldest daughter would have crying episodes on a daily basis. I think she sensed the sorrow and fear that we went through that first year.

My husband and I would basically do what we needed to do to get through the day. There were many times that we seemed like two strangers living in the same house doing everything we needed to do to keep our family going, but nothing to keep our relationship alive. But just when things would reach a real low, we always managed to reach out to each other and talk. Sometimes we would just talk in bed and it always ended with something that would get us laughing so hard. I think the laughing was a therapeutic way to get it ALL out.
We still do this at times.

I think what keeps us going is our love for each other and our girls. They are our life. And as difficult as CF has been on Samantha, dealing with it has somehow become a routine. She amazes us everyday with her intelligence, her strength, and her happiness- and even CF can't take that away from us.

Maria (mother of three daughters, the youngest Samantha w/cf)

I also have to say that my husband actively takes part in Samantha's care, he goes to most clinic appointments, does treatments, goes to support group meetings. It is a team effort.
 

anonymous

New member
Hi Julie,

Sounds like an interesting class you are in. What class is it? I'd be happy to help you in any way. I'm a psychology student and I volunteer with our clinic by contacting families whose children have been recently diagnosed with cf. My son is 4 years old and was diagnosed with the disease 3 years ago.

Anyway, if it helps, I've written a few papers for various courses that explain what our personal experience has like. It seems legitimate that parents of cf children have difficulties. My husband and I went through both individual counseling and couples counseling and our marriage is stronger than ever. But, it was very very difficult to cope with the disease (and other aspects that come along with it: financial burdens, issue of having more children, etc. etc.) Feel free to email me with any questions.

I think this side of cf needs to be studied and better understood. Through my volunteer work, I've met so many parents (and occasionally patients) who could truly benefit from seeing a clinician in a helping field or at least participating in a support group. However, everyone is different and is ready to ask for help in their own time. To those of you with cf, I stand in constant amazement at your strength and incredible attitudes. Emily, I really enjoyed reading your post. You seem to have such a great AND realistic outlook on life and it's great to hear that you are doing so well in school/personal life, etc. etc. I admire you parents also, who continue to get up every day and recommit yourselves to doing everything possible to ensure your child with cf will be healthy both physically and emotionally. You are all great examples to me.

Carey
(Bono40@aol.com)
 
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