I need information

anonymous

New member
Michelle,
Once your son get his diagnosis, you should see his appetite drop (as a result of the enzymes taken with all meals/snacks/milk). Your message rang a familiar bell with me. I remember laughing at my sons voracious appetite. He just kept eating and eating - more than most of the adults. The problem with CF and the digestive system (although some people with CF do not have many digestive complications) is that certain enzymes produced naturally by the pancreas become "trapped" and are unable to reach the food. What that means is that the food can't be properly broken down and nutrients are flushed down the toilet rather then absorbed into your son's system. Your son eats like he is starving, because his body IS starving. Once your son starts taking these manufactured enzymes (prescribed by your doctor), food will be broken down better and more nutrients will be absorbed. It's not perfect, and your son will still have a bigger appetite than those kids without cf, but you will see a big change. My son was diagnosed just after his 3rd birthday (he's 4 and 1/2 right now). All the changes (treatments and medicines) seemed so overwhelming, but we all adjusted within a couple of months (probably less). It also broke my heart when I saw the research about infertility in cf males. My son was only 3 at the time, and it really bothered me being told he "can't" do something. Don't tell me my son can't do anything - he's just a little boy! I'm still irritated with the idea that he won't be able to scuba dive. It's like "If there is something my son wants, I want him to be able to work for and obtain it". I don't want my son to close any doors before it's necessary. Logan will need to know that, while having children naturally is unlikely, there are many ways for him to become a father if that is something he really wants. IVF, adoption (possibly abroad), foster parenting, artificial insemination.
I'm gonna stop there as I am sleepy. I know your concerns involve a huge range of issues, and I just wanted to touch on these couple of issues. Your son will feel so much better after his diagnosis.
Jena
4 yr old son with cf / 1 year old daughter no cf
 

anonymous

New member
Mott, I am glad you were able to get through my novel and found it helpful. I am currently compiling information on males with Cf and the reproductive issue. I am creating a journal of what Mark and I are going through right now in the IVF process and sperm retrieval. I am also including diagrams and information on the absense of the vas defrens, the different sperm retrieval methods, IVF and preimplantation genetic diagnosis. There's not a lot of information out there about males with CF and reproduction, but I do know two couples who have twins and the man has CF so it can be done. I hope to put it online if I can ever figure out how do do it. The military is wonderful when it comes to stuff like this, I am going to have one of the IT guys show me how to do it someitme in the next few months if I can't figure itout myself. It is currently in a word document, and although by the time your son is ready to marry and have kids, things will be much different technologically, I would be more than happy to email it to you. I have already sent it to a few other people from here. if you are interested just email me.

Here is the link to the food stamp program. <a target=new class=ftalternatingbarlinklarge href="http://www.fns.usda.gov/fsp/applicant_recipients/default.htm
">http://www.fns.usda.gov/fsp/applicant_recipients/default.htm
</a>Mark and I are over the income limit, but because of his CF, the consider him "disabled" so we are given additional montly deductions because of that (uncapped housing deduction, medical deductions if it over $35 a month.... Your family may be big enough that you meet the income limits without any deductions. If you are willing to write me (email) I will help you try and figure out if you would qualify and some ways you might be able to "get around" the income limits. I will of course, need to know his pay grade, if you live in base housing or get BAH if you get Family separation allowance, special duty pay... or you can go to your local community office and fill out an application. At first Mark was really embarassed that we were applying for food stamps, but when he found out that they no longer use paper "food stamps" he was all for it. If you don't know, they now use a card that looks like a credit card and you have a pin so it's individualized and if it's ever lost it's easy to replace, plus, to everyone around you it looks like you are just using a credit/debit card. Also, if you have little income in relation to your family size, you might qualify for "general assistance". It is called a different thing in every state, but when we lived in WA, we qualified for food stamps and $200 in "general assistance" and the general assistance was also put on a "credit card" like thing and we would withdraw the $ from an ATM once a month. You should be able to go to your local county assistance office and apply for all of this stuff. Hopefully, if you qualify for some of this you will be able to stay home with your little ones and it wont' be such a financial strain.

Here is a link to the tricare website where some different things relating to the Program for persons with disabilities is discussed: <a target=new class=ftalternatingbarlinklarge href="http://services.tma.osd.mil/tricare_search/jsps2/webmain.jsp?SearchOption=&NewQueryText=program+for+persons+with+disabilities&submit.x=14&submit.y=11">http://services.tma.osd.mil/tricare_search/jsps2/webmain.jsp?SearchOption=&NewQueryText=program+for+persons+with+disabilities&submit.x=14&submit.y=11</a>
You shoud go in and talk to your local tricare office though. They might also be more knowledgable about if your local clinic has any CF experineced doctors. WE had a bad experience when we first got to San Diego and were trying to get a CF doctor. Luckly, we are stationed in a "major medical" area and after much hassle and a few weeks of going back and fourth between doctors I marched into the tricare office and explained everything to them. The lady said "I wish you would have come to us first, this could have all been avoided" and they immediately referred us to a pulmonologst who treats adults with CF-at the hospital, so if you are having troubles with the PCM getting to the bottom of finding a CF doctor (if Logan does indeed have CF) visit your local tricare office-in person, it is much better than on the phone. Tricare pays for everything for us though, the TOBI (which runs about 2500 a month for someone without insurance), Pulmozyme (don't know the price on this one) his digestive enzymes, allergy medicine, any and all antibiotics....We haven't paid a cent out of pocked since I joined the military except for the boost shakes. If logan is having a hard time with eating and such, and is diagnosed with CF, you may want to talk to the doctors about pediasure or some other sort of supplements.

When Mark was little, his mom found that his stomach was much much less upset if she gave both solid foods and liquid foods. This just may be his experience with CF, but he is still eating 1/2 his meals as solid foods and 1/2 his meals as liquids (boost or some other shakes). He finds that when he does this, he has no stomach pains, no problems going to the bathroom and he is able to gain weight. Too much solids give him an upset stomach, he ends up throwing up and then it defeates the whole process of eating and he actually looses weight instead of gaining it. If you can get tricare to pay for some sort of liquid supplement geared towards children, and the doc endorses it, it might be beneficial to try. Some CFers have digetsive problems and some don't, but it also makes since that since those with digestive problems have issues with their bodies being able to break down foods, it almost makes more sense to give a CFer something that is already "broken down". #1, it is less work for the body and the body isnt' using so much energy to break down food-because it's already broken down. #2, as I stated above, sometimes it is less upsetting to the stomach. Now, these are just our personal theories, but they seem to work for Mark.

Oh, also, if it is discovered that Logan does have CF, you should enroll him in the Exceptional Family Members Program. There are categories of 1-5 of different levels of severity and what kinds of "conditions" a person has. For example, mark is a category 4 which means I can only be stationed near "major medical" locations whether they be Navy, Army or Air Force. I can't be stationed overseas (we can revoke the EFMP status if we ever choose to), and there are only about 4 places I can be stationed. Right now your son (if he has CF) might only be a category 1 or 2, but someday that might change. And mark being a category 4, his CF isn't really that bad, but it's nice to be able to be near "major medical" centers and not have to pay anything out of pocket for CF care.

I wish you luck this week with trying to get in with a doctor and getting this sweat test done on Logan. Please let us know how things go and if you have anymore questions.


Julie (wife to Mark 24 w/CF)
 

anonymous

New member
Mott here is the link to family substinence it is: <a target=new class=ftalternatingbarlinklarge href="http://www.cnrswhousing.navy.mil/mfh/fssa/htm
">http://www.cnrswhousing.navy.mil/mfh/fssa/htm
</a>

Julie
 

mott

New member
WHOEVER READS THIS..PLEASE KEEP THE INFORMATION COMING--EVERY LITTLE BIT HELPS. IF YOU'RE THE MOM FROM OFFUTT--I'M LOOKING FORWARD TO HEARING FROM YOU AGAIN.
THANKS GUYS!
 

anonymous

New member
OK, the link didn't work so try this one for the Family subsistenence supplemental allowance:

<a target=new class=ftalternatingbarlinklarge href="http://www.cnrswhousing.navy.mil/mfh/fssa.htm
">http://www.cnrswhousing.navy.mil/mfh/fssa.htm
</a>


Julie
 

mott

New member
LOGAN HAS BEEN SCHEDULED FOR HIS SWEAT TEST. HE GOES ON MONDAY MORNING (APRIL 18) AT 8:40. THEY SAID TO LOAD HIM UP ON FLUIDS THE DAY BEFORE AND THE MORNING BEFORE THE TEST AND TO BRING EXTRA CLOTHES AND BLANKETS TO MAKE HIM SWEAT. IS THIS THE NORM? HOW LONG DOES IT USUALLY TAKE TO ADMINISTER THE TEST? HOW SOON SHOULD I HAVE RESULTS?
 

NoDayButToday

New member
The test results should not take that long to calculate, they should be able to get them to you within 24 hours. I was really young when I had the test, but if I am recalling correctly, my mom said that they used electrodes to enduce sweating, not literally overheating with layters of clothes on. Maybe that is the norm now though.
 

Liza

New member
HI Mott, Anything you need please feel free to ask. If your son does have CF you may be able to make your future appts. in the peds clinic with just one doctor. That is SUPPOSED to be how the PCM thing works. Our girls PCM is Dr. Sternburg, before him it was Dr. Vaglia and he was great, he seperated about a year or so ago. Dr. Sternburg has been good. My husband works in the ENT clinic at EB. He's the PA.

Your sons appt. was today. How'd it go? Did she put in the referral? My girls go to UNMC to the CF clinic, they are WONDERFULLY GREAT people.

Our oldest was 3yrs old when she was diagnosed, just one week before our youngest was born. They started her on pancreatic enzymes for her digestive needs. We used to have to break open the capsules and sprinkle the tiny microspheres on ice cream before she ate. So she got to eat desert before all of her meals. Yes, breakfast too. She started swallowing them about a year later. My youngest started swallowing her pills about 18 months old. Gotta copy the big sister. At that time neither did regular breathing treatments. Just the chest physiotherapy. Later the oldest started doing albuterol breathing treatments once a day with percussion. We (Tricare) bought a mechanical percussor which made things much easier. She didn't start pulmozyme until she was about 9yrs old. Still only doing treatments once a day, Albuterol then Pulmozyme. Rachel the younger one didn't have to start doing regular treatments until she was 11yrs old. Anna started inhaled antibiotics at about age 12, so that added a treatment to the evenings but also added one in the morning. Rachel still only does once a day with an occasional course of inhaled antibiotics. Inhaled antiobics usually means morning and evening. Anna takes more regular meds because she also has allegies, but doesn't take an antacid type med. where as Rachel does. They both take multi vitamins, calcium, Vit. E & D. There is a special vitamin called ADEK but it needs to be chewed and they both think it's gross. When they were little they didn't mind it. They both take Pancrease MT16 for enzymes before they eat. That was the hardest part, I thought, remembering to have enough pills (enzymes) with you everywhere you went. We finally started carrying them in both cars and in my purse. Summertime in the car if it's a hot place isn't good for them though.

I was/am a stay at home mom too. My husband is prior enlisted so I know the financial struggle you mentioned earlier. He was a SSgt when the girls were diagnosed. For us, it was just better for me to stay home. For a short time, just this last year, I did work. I have since quit and am back to being a stay at home mom again. This is a tough time with your husband being gone, I know. Mine was deployed to Desert Shield/Storm just 6wks after Rachel was born and 7wks after finding out about CF. Will he be returning soon? Well I guess I've typed way too much already. Please, if you need anything let me know. We'll be headed to Texas this weekend for a wedding but will be back on Monday. Keep us posted.

Liza
(mom of 2teen girls w/CF)
 

mott

New member
Yes, he went today for an asthma appointment and the Sweat Test was set up at Children's for Monday at 8:40 in the morning. His PCM is Hoime but he had been seeing a lot of Camfort. I'm not sure if I spelled either of their names correctly but I like them both. Vaglia was our PCM before he left and we had also seen Sternburg. Having three kids we seem to make our rounds. :) I actually will be up at the ENT clinic tomorrow--both our boys are scheduled for sugeries on the 25th. I am kind of thinking they will postpone Logans due to the pneumonia that's been hanging on but we'll see. He's supposed to be having his second set of tubes put in while our four year old is having his second set removed as well as his tonsils removed and any adenoids that may have grown back since two years ago. Up there we see Thrasher?
Back to Logan--I am very nervous and scared about Monday. My husband keeps telling me I need to find someone to go with me but I hate to be a bother. Do you know how soon I should have results? He is in Texas at seven level school until the 28th. Not much longer but it seems to be creeping by. Everything seems to go crazy when they're away. I have decided to go back home to Iowa for the weekend for a little break--get my mind off things maybe. Have fun in Texas this weekend and thank you so much for your story. I look forward to hearing from you again.

Michelle
 

anonymous

New member
Sorry for going a bit off topic, but my daughter's sweat test took 1 week before we got the results back and it was done through a cf clinic authorized hospital...this was 4 years ago, so is it new that you can get the results back so soon?
 

anonymous

New member
Michelle, don't be afraid to ask someone to go with you. A good friend will understand and can be there to help you through it, maybe even someone from your area via the local CF chapter. Just a thought. I really hope all goes well at the appointment and please let us know how it goes.

To the last annonymous poster, I've never personally gone through the sweat test thing, but there seems to be an array of differences solely based on the clinic that people are seen at. From the posts on this site some people say they had theirs back before they even left the clinic, some say within a few hours, some say within 24-48 hours, and some say days or weeks. I wish they would kind of "across the board" the timeliness of the results, I can't even imagine being a parent waiting for the results.

I just have to say I am amazed at the strength all you parents have!

Julie (wife to mark 24 w/CF)
 

anonymous

New member
Running the sweat test doesn't take long, but the lab may wait awhile to actually run your son's sample. For your own peace of mind, ask the technician when the sample will be tested. It only takes a few hours once they run the test. But again, they may store your son's sample and hold off for a week before running it.
We asked the technician during our son's second (confirmation) sweat test, and he told us that since it was late in the day it would not be run until 1:00 pm the next day. So, the next day (at 3:15 pm) our doctor called us with the news. Since I knew when the test was scheduled, I didn't start "jumping every time the phone rang" until then. I was still worried, but I wasn't letting my mind go places they didn't need to go ("Why aren't they calling? What's taking so long?)

My thoughts are with you.

Jena
 

Liza

New member
Mott, hang in there. Like someone else mentioned, don't be afraid to ask someone to go with you. It was a short time, maybe a day or two until we got the results with Anna. Rachel's always came back borderline until they finally gave up testing and just went on genetics. She matched up perfectly to Anna. Rachel wasn't tested again until she was about 12. It had to run through my mind, what if they'd been wrong?

Children's is a nice place. They just merged with UNMC's CF clinic. Barb, the nurse, is over there on Mondays I think. She is WONDERFULLY GREAT! Anna won't let anyone else flush her port. Good thing she's decided to stay here and go to UNL or she'd have to break in a new nurse. You probably won't see any clinic personel though, just the lab people. It really doesn't take hardly any time at all. I agree with Jenna though, ask them how long and when you can expect the results.

Get away to Iowa and try and just put it out of your mind for the weekend. If family's not too far ask if someone can come back with you. It's got to be great to be somewhat close.

Liza
 

mott

New member
Logan had his sweat test this morning so now we're just waiting for the results. The lab said they would have the results today between four and five but my hearing depends on my doctor. I am assuming I will know tomorrow. It will be nice to finally know either way. I am so happy I went home for a few days. It was exactly what I needed. I'll let you know what I find out as soon as I know.
 

anonymous

New member
I'll be thinking about your family and praying for you. Hope to hear the results tomorrow sometime-or late today even!

Julie
 

mott

New member
LOGAN'S SWEAT TEST CAME BACK NORMAL! THANK YOU ALL OF YOU WHO WERE SO NICE TO WRITE ME BITS OF ENCOURAGMENT THROUGHOUT THIS JOURNEY. ALL OF YOU AND YOUR FAMILIES WILL CONTINUE IN MY PRAYERS. YOU ARE ALL VERY SPECIAL PEOPLE!
MICHELLE
 
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